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WO1998033623A1 - Outil de coupe electromagnetise a particules fluides façonnees - Google Patents

Outil de coupe electromagnetise a particules fluides façonnees Download PDF

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Publication number
WO1998033623A1
WO1998033623A1 PCT/US1998/002063 US9802063W WO9833623A1 WO 1998033623 A1 WO1998033623 A1 WO 1998033623A1 US 9802063 W US9802063 W US 9802063W WO 9833623 A1 WO9833623 A1 WO 9833623A1
Authority
WO
WIPO (PCT)
Prior art keywords
target surface
electromagnetic energy
particle
fluid
mechanical forces
Prior art date
Application number
PCT/US1998/002063
Other languages
English (en)
Inventor
Ioana M. Rizoiu
Andrew I. Kimmel
Original Assignee
Biolase Technology, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Biolase Technology, Inc. filed Critical Biolase Technology, Inc.
Priority to AU62647/98A priority Critical patent/AU6264798A/en
Publication of WO1998033623A1 publication Critical patent/WO1998033623A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/26—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B23—MACHINE TOOLS; METAL-WORKING NOT OTHERWISE PROVIDED FOR
    • B23K—SOLDERING OR UNSOLDERING; WELDING; CLADDING OR PLATING BY SOLDERING OR WELDING; CUTTING BY APPLYING HEAT LOCALLY, e.g. FLAME CUTTING; WORKING BY LASER BEAM
    • B23K26/00—Working by laser beam, e.g. welding, cutting or boring
    • B23K26/14—Working by laser beam, e.g. welding, cutting or boring using a fluid stream, e.g. a jet of gas, in conjunction with the laser beam; Nozzles therefor
    • B23K26/144—Working by laser beam, e.g. welding, cutting or boring using a fluid stream, e.g. a jet of gas, in conjunction with the laser beam; Nozzles therefor the fluid stream containing particles, e.g. powder
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B23—MACHINE TOOLS; METAL-WORKING NOT OTHERWISE PROVIDED FOR
    • B23K—SOLDERING OR UNSOLDERING; WELDING; CLADDING OR PLATING BY SOLDERING OR WELDING; CUTTING BY APPLYING HEAT LOCALLY, e.g. FLAME CUTTING; WORKING BY LASER BEAM
    • B23K26/00—Working by laser beam, e.g. welding, cutting or boring
    • B23K26/14—Working by laser beam, e.g. welding, cutting or boring using a fluid stream, e.g. a jet of gas, in conjunction with the laser beam; Nozzles therefor
    • B23K26/146—Working by laser beam, e.g. welding, cutting or boring using a fluid stream, e.g. a jet of gas, in conjunction with the laser beam; Nozzles therefor the fluid stream containing a liquid

Definitions

  • the present invention relates generally to a cutting and ablating device and, more particularly, to a device for combining electromagnetic and hydro energies for cutting and removing both hard and soft materials .
  • FIG. 1 a prior art optical cutter for dental use is disclosed.
  • a fiber guide tube 5 a water line 7, an air line 9, and an air knife line 11
  • a cap 15 fits onto the handheld apparatus 13 and is secured via threads 17.
  • the fiber guide tube 5 abuts within a cylindrical metal piece 19.
  • Another cylindrical metal piece 21 is a part of the cap 15.
  • the two cylindrical metal tubes 19 and 21 are moved into very close proximity of one another. A gap of air, however, remains between these two cylindrical metal tubes 19 and 21. Thus, the laser within the fiber guide tube 5 must jump this air gap before it can travel and exit through another fiber guide tube 23. Heat is dissipated as the laser jumps this air gap.
  • the pressurized air from the air knife line 11 surrounds and cools the laser as the laser bridges the gap between the two metal cylindrical objects 19 and 21.
  • a first problem in this prior art apparatus is that the interface between the two metal cylindrical objects 19 and 21 has a dissipation of heat which must be cooled by pressurized air from the air knife line 11. (Air from the air knife line 11 flows out of the two exhausts 25 and 27 after cooling the interface between elements 19 and 21.)
  • This inefficient interface between elements 19 and 21 results from the removability of the cap 15, since a perfect interface between elements 19 and 21 is not achieved.
  • Water from the water line 7 and pressurized air from the air line 9 are forced into the mixing chamber 29.
  • the air and water mixture is very turbulent in the mixing chamber 29, and exits this chamber through a mesh screen with small holes 31.
  • the air and water mixture travels along the outside of the fiber guide tube 23, and then leaves the tube and contacts the area of surgery. This air and water spray coming from the tip of the fiber guide tube 23 helps to cool the target surface being cut and to remove cut materials by the laser.
  • the need for cooling the patient surgical area being cut is another problem with the prior art.
  • the Wolbarsht et al. patent requires water to be deposited onto the tooth before laser light is irradiated thereon. Specifically, the Wolbarsht et al. patent requires water to be inserted into pores of the material to be cut. Since many materials, such as tooth enamel, are not very porous, and since a high level of difficulty is associated with inserting water into the "pores" of many materials, this cutting method is somewhat less than optimal. Even the Steiner et al. patent has met with limited success, since the precision and accuracy of the cut is highly dependent upon the precision and accuracy of the water film on the material to be cut. In many cases, a controllable water film cannot be consistently maintained on the surface to be cut. For example, when the targeted tissue to be cut resides on the upper pallet, a controllable water film cannot be maintained.
  • Implantology One specific dental application, for example, which requires smooth and accurate cutting through both hard and soft tissues is implantology.
  • a dental implant can be installed in a person's mouth when that person has lost his or her teeth.
  • the conventional implant installation technique is to cut through the soft tissue above the bone where the tooth is missing, and then to drill a hole into the bone.
  • the hole in the bone is then threaded with a low-speed motorized tap, and a titanium implant is then screwed into the person's jaw.
  • a synthetic tooth for example, can be easily attached to the portion of the implant residing above the gum surface.
  • One problem associated with the conventional technique occurs when the clinician drills into the patient's jaw to prepare the site for the implant.
  • This drilling procedure generates a great deal of heat, corresponding to friction from the drilling instrument. If the bone is heated too much, it will die. Additionally, since the drilling instrument is not very precise, severe trauma to the jaw occurs after the drilling operation. The drilling operation creates large mechanical internal stress on the bone structure.
  • the present invention discloses an electromagnetically induced cutting mechanism, which can provide accurate cutting operations on hard and soft tissues, and other materials, as well.
  • Hard tissue may include tooth enamel, tooth dentin, tooth cementum, tooth decay, amalgam, composites materials, tarter and calculus, bone, and cartilage
  • the soft tissue may include skin, mucosa, gingiva, muscle, heart, liver, kidney, brain, eye, and vessels.
  • the electromagnetically induced cutting mechanism can be used to cut or ablate biological materials, ceramics, cements, polymers, porcelain, and implantable materials and devices including metals, ceramics, and polymers.
  • the electromagnetically induced cutting mechanism can also be used to cut or ablate surfaces of metals, plastics, polymers, rubber, glass and crystalline materials, concrete, wood, cloth, paper, leather, plants, and other man-made and naturally occurring materials .
  • the electromagnetically induced cutter is capable of providing extremely fine and smooth incisions, irrespective of the cutting surface. Additionally, a user programmable combination of atomized particles allows for user control of various cutting parameters. The various cutting parameters may also be controlled by changing spray nozzles and electromagnetic energy source parameters.
  • Applications for the present invention include medical, dental, industrial (etching, engraving, cutting and cleaning) and any other environments where an objective is to precisely remove surface materials without inducing thermal damage, uncontrolled cutting parameters, and/or rough surfaces inappropriate for ideal bonding.
  • the present invention further does not require any films of water or any particularly porous surfaces to obtain very accurate and controllable cutting. Drills, saws and osteotomes are standard mechanical instruments used in a variety of dental and medical applications.
  • the limitations associated with these instruments include: temperature induced necrosis (bone death) , aerosolized solid-particle release, limited access, lack of precision in cutting depth and large mechanical stress created on the tissue structure.
  • the electromagnetically induced mechanical cutter of the present invention is uniquely suited for these dental and medical applications, such as, for example, implantology.
  • implantology the electromagnetically induced mechanical cutter is capable of accurately and efficiently cutting through both oral soft tissues overlaying the bone and also through portions of the jawbone itself.
  • the electromagnetically induced mechanical cutter of the present invention does not induce thermal damage and does not create high internal structural stress on the patient's jaw, for example.
  • traditional methods can be employed for threading the hole in the patient's jaw and inserting the dental implant. Similar techniques can be used for preparing hard tissue structures for insertion of other types of medical implants, such as pins, screws, wires, etc.
  • the electromagnetically induced mechanical cutter of the present invention includes an electromagnetic energy source, which focuses electromagnetic energy into a volume of air adjacent to a target surface.
  • the target surface may be a tooth, for example.
  • a user input device specifies whether either a high resolution or a low resolution cut is needed, and further specifies whether a deep penetration cut or a shallow penetration cut is needed.
  • An atomizer generates a combination of atomized fluid particles, according to information from the user input device.
  • the atomizer may be configured to accurately generate single fluid particles at regular intervals, and the electromagnetically induced mechanical cutter may be configured to sequentially focus energy onto each of the generated fluid particles.
  • the atomizer may also be configured to generate oval, elliptical, or oblong-shaped fluid particles or streams, to name a few, and the electromagnetically induced mechanical cutter may be configured to focus energy onto the generated fluid particles or streams.
  • the atomizer places the combination of atomized fluid particles into the volume of air adjacent to the target surface.
  • the electromagnetic energy which is focused into the volume of air adjacent to the target surface, is selected to have a wavelength diameter, and profile suitable for the fluid particles.
  • the wavelength of the electromagnetic energy should be substantially absorbed by the atomized fluid particles in the volume of air adjacent to the target surface to thereby explode the atomized fluid particles. Explosion of the atomized fluid particles imparts mechanical cutting forces onto the target surface.
  • the user input device may incorporate only a single dial for controlling the cutting efficiency, or may include a number of dials for controlling the fluid particle size, fluid particle shape, fluid particle velocity, spray cone angle, average laser power, laser repetition rate, fiberoptic diameter, etc.
  • the atomizer generates relatively small fluid particles when the user input specifies a high resolution cut, and generates relatively large fluid particles when the user input specifies a low resolution cut.
  • the atomizer generates a relatively low density distribution of fluid particles when the user input specifies a deep penetration cut, and generates a relatively high density distribution of fluid particles when the user input specifies a shallow penetration cut.
  • a relatively small fluid particle may have a diameter less than the wavelength of the electromagnetic energy and, similarly, a relatively large fluid particle may have a diameter which is greater than the wavelength of the electromagnetic energy.
  • the electromagnetic energy source preferably is either an erbium, chromium, yttrium, scandium, gallium garnet (Er, Cr:YSGG) solid state laser, which generates electromagnetic energy having a wavelength in a range of 2.70 to 2.80 microns, or an erbium, yttrium, aluminum garnet (Er-YAG) solid state laser, which generates electromagnetic energy having a wavelength of 2.94 microns.
  • the electromagnetic energy source may be an erbium, yttrium, scandium, gallium garnet (Er-YSGG) solid state laser, which generates electromagnetic energy having a wavelength in a range of 2.70 to 2.80 microns; chromium, thulium, erbium, yttrium, aluminum garnet (CTE.YAG) solid state laser, which generates electromagnetic energy having a wavelength of 2.69 microns; erbium, yttrium orthoaluminate (Er:YAL03) solid state laser, which generates electromagnetic energy having a wavelength in a range of 2.71 to 2.86 microns; holmium, yttrium, aluminum garnet (Ho-YAG) solid state laser, which generates electromagnetic energy having a wavelength of 2.10 microns; quadrupled neodymium, yttrium, aluminum garnet (quadrupled Nd.YAG) solid state laser, which generates electromagnetic energy having a wavelength of 2
  • the electromagnetic energy source can be configured with the repetition rate greater than 1 Hz, the pulse duration range between 1 picosecond and 1000 microseconds, and the energy greater than 1 milliJoule per pulse.
  • the electromagnetic energy source has a wavelength of approximately 2.78 microns, a repetition rate of 20 Hz, a pulse duration of 140 microseconds, and an energy between 1 and 300 milliJoules per pulse.
  • the electromagnetic energy source has a pulse duration on the order of nanoseconds, which is obtained by Q-switching the electromagnetic energy source, and in another preferred embodiment the electromagnetic energy source has a pulse duration on the order of picoseconds, which is obtained by mode locking the electromagnetic energy source.
  • the atomized fluid particles provide the mechanical cutting forces when they absorb the electromagnetic energy within the interaction zone. These atomized fluid particles, however, provide a second function of cleaning and cooling the fiberoptic guide from which the electromagnetic energy is output.
  • the optical cutter of the present invention combats the problem of poor coupling between the two laser fiberoptics of Figure 1.
  • the optical cutter of the present invention provides a focusing optic for efficiently directing the energy from the first fiberoptic guide to the second fiberoptic guide, to thereby reduce dissipation of laser energy between the first fiberoptic guide and the second fiberoptic guide.
  • This optical cutter includes a housing having a lower portion, an upper portion, and an interfacing portion.
  • the first fiberoptic tube is surrounded at its upper portion by a first abutting member, and the second fiberoptic tube is surrounded at its proximal end by a second abutting member.
  • a cap is placed over the second fiberoptic tube and the second abutting member.
  • Either fiberoptic tube may be formed of calcium fluoride (CaF) , calcium oxide (Ca02), zirconium oxide (Zr02), zirconium fluoride (ZrF), sapphire, hollow waveguide, liquid core, TeX glass, quartz silica, germanium sulfide, arsenic sulfide, and germanium oxide (Ge02).
  • CaF calcium fluoride
  • Zr02 zirconium oxide
  • ZrF zirconium fluoride
  • sapphire sapphire
  • hollow waveguide liquid core
  • TeX glass quartz silica
  • germanium sulfide germanium sulfide
  • arsenic sulfide arsenic sulfide
  • germanium oxide germanium oxide
  • Figure 1 is a conventional optical cutter apparatus
  • Figure 2 is an optical cutter with the focusing optic of the present invention
  • Figure 3 is a schematic block diagram illustrating the electromagnetically induced mechanical cutter of the present invention.
  • Figure 4 illustrates one embodiment of the electromagnetically induced mechanical cutter of the present invention
  • Figure 5 illustrates the presently preferred embodiment of the electromagnetically induced mechanical cutter
  • Figure 5a illustrates a nozzle having an oval aperture according to the present invention
  • Figure 6 illustrates a control panel for programming the combination of atomized fluid particles according to the present invention
  • Figure 7 is a plot of particle size versus fluid pressure
  • Figure 8 is a plot of particle velocity versus fluid pressure
  • Figure 9 is a schematic diagram illustrating a fluid particle, a source of electromagnetic energy, and a target surface according to the present invention.
  • Figure 10 is a schematic diagram illustrating the "grenade” effect of the present invention
  • Figure 11 is a schematic diagram illustrating the "explosive ejection” effect of the present invention
  • Figure 12 is a schematic diagram illustrating the "explosive propulsion" effect of the present invention.
  • Figure 13 is a schematic diagram illustrating a combination of Figures 10-12;
  • Figure 14 illustrates a mono-disperse droplet generator according to the present invention
  • Figure 15 is a schematic diagram illustrating electromagnetic energy contacting a center portion of a fluid particle
  • Figure 16 is a schematic diagram illustrating electromagnetic energy contacting a side portion of a fluid particle
  • Figure 17 is a schematic diagram illustrating electromagnetic energy contacting a side portion of an oval-shaped fluid particle
  • Figure 18 is a schematic diagram illustrating electromagnetic energy contacting a center portion of an oval-shaped fluid particle
  • Figure 19 is a schematic diagram illustrating electromagnetic energy contacting a center portion of a thin, oval-shaped fluid particle
  • Figure 20 is a schematic diagram illustrating electromagnetic energy contacting a continuous stream of fluid particles
  • Figure 21 is a schematic diagram illustrating electromagnetic energy contacting a center portion of a fluid particle formed into a cup shape
  • Figure 22 is a schematic diagram illustrating electromagnetic energy contacting a center portion of a fluid particle formed into a half-bubble shape
  • Figure 23 is a schematic diagram illustrating the "cleanness" of cut obtained by the present invention.
  • Figure 24 is a schematic diagram illustrating the roughness of cut obtained by prior art systems.
  • Figure 2 shows an optical cutter according to the present invention.
  • the optical cutter 13 comprises many of the conventional elements shown in Figure 1.
  • a focusing optic 35 is placed between the two metal cylindrical objects 19 and 21.
  • the focusing optic 35 prevents undesired dissipation of laser energy from the fiber guide tube 5. Specifically, energy from the fiber guide tube 5 dissipates slightly before being focused by the focusing optic 35.
  • the focusing optic 35 focuses energy from the fiber guide tube 5 into the fiber guide tube 23.
  • the efficient transfer of laser energy from the fiber guide tube 5 to the fiber guide tube 23 vitiates any need for the conventional air knife cooling system 11 ( Figure 1), since little laser energy is dissipated.
  • the first fiber guide tube 5 comprises a trunk fiberoptic, which comprises one of calcium fluoride (CaF) , calcium oxide (Ca02), zirconium oxide (Zr02), zirconium fluoride (ZrF), sapphire, hollow waveguide, liquid core, TeX glass, quartz silica, germanium sulfide, arsenic sulfide, and germanium oxide (Ge02).
  • a trunk fiberoptic which comprises one of calcium fluoride (CaF) , calcium oxide (Ca02), zirconium oxide (Zr02), zirconium fluoride (ZrF), sapphire, hollow waveguide, liquid core, TeX glass, quartz silica, germanium sulfide, arsenic sulfide, and germanium oxide (Ge02).
  • FIG. 3 is a block diagram illustrating the electromagnetically induced mechanical cutter of the present invention.
  • An electromagnetic energy source 51 is coupled to both a controller 53 and a delivery system 55.
  • the delivery system 55 imparts mechanical forces onto the target surface 57.
  • the delivery system 55 comprises a fiberoptic guide for routing the laser 51 into an interaction zone 59, located above the target surface 57.
  • the delivery system 55 further comprises an atomizer for delivering user-specified combinations of atomized fluid particles into the interaction zone 59.
  • the controller 53 controls various operating parameters of the laser 51, and further controls specific characteristics of the user-specified combination of atomized fluid particles output from the delivery system 55.
  • Figure 4 shows a simple embodiment of the electromagnetically induced mechanical cutter of the present invention, in which a fiberoptic guide 61, an air tube 63, and a water tube 65 are placed within a hand-held housing 67.
  • the water tube 65 is operated under a relatively low pressure
  • the air tube 63 is operated under a relatively high pressure.
  • the laser energy from the fiberoptic guide 61 focuses onto a combination of air and water, from the air tube 63 and the water tube 65, at the interaction zone 59.
  • Atomized fluid particles in the air and water mixture absorb energy from the laser energy of the fiberoptic tube 61, and explode. The explosive forces from these atomized fluid particles impart mechanical cutting forces onto the target surface 57.
  • the prior art optical cutter focuses laser energy onto a target surface at an area A, for example, and the electromagnetically induced mechanical cutter of the present invention focuses laser energy into an interaction zone B, for example.
  • the prior art optical cutter uses the laser energy directly to cut tissue, and the electromagnetically induced mechanical cutter of the present invention uses the laser energy to expand atomized fluid particles to thus impart mechanical cutting forces onto the target surface.
  • the prior art optic cutter must use a large amount of laser energy to cut the area of interest, and also must use a large amount of water to both cool this area of interest and remove cut tissue.
  • the electromagnetically induced mechanical cutter of the present invention uses a relatively small amount of water and, further, uses only a small amount of laser energy to expand atomized fluid particles generated from the water.
  • water is not needed to cool the area of surgery, since the exploded atomized fluid particles are cooled by exothermic reactions before they contact the target surface.
  • atomized fluid particles of the present invention are heated, expanded, and cooled before contacting the target surface.
  • the electromagnetically induced mechanical cutter of the present invention is thus capable of cutting without charring or discoloration.
  • Figure 5 illustrates the presently preferred embodiment of the electromagnetically induced mechanical cutter.
  • the atomizer for generating atomized fluid particles comprises a nozzle 71, which may be interchanged with other nozzles (not shown) for obtaining various spatial distributions of the atomized fluid particles, according to the type of cut desired.
  • a second nozzle 72 shown in phantom lines, may also be used.
  • the cutting power of the electromagnetically induced mechanical cutter is further controlled by the user control 75.
  • the user control 75 controls the air and water pressure entering into the nozzle 71.
  • the nozzle 71 is thus capable of generating many different user-specified combinations of atomized fluid particles and aerosolized sprays.
  • Intense energy is emitted from the fiberoptic guide 23.
  • This intense energy is preferably generated from a coherent source, such as a laser.
  • the laser comprises either an erbium, chromium, yttrium, scandium, gallium garnet (Er, CrrYSGG) solid state laser, which generates electromagnetic energy having a wavelength in a range of 2.70 to 2.80 microns, or an erbium, yttrium, aluminum garnet (Er.YAG) solid state laser, which generates electromagnetic energy having a wavelength of 2.94 microns.
  • the Er, CrrYSGG solid state laser has a wavelength of approximately 2.78 microns and the Er.YAG solid state laser has a wavelength of approximately 2.94 microns.
  • the fluid emitted from the nozzle 71 preferably comprises water
  • other fluids may be used and appropriate wavelengths of the electromagnetic energy source may be selected to allow for high absorption by the fluid.
  • Other possible laser systems include an erbium, yttrium, scandium, gallium garnet (Er-YSGG) solid state laser, which generates electromagnetic energy having a wavelength in a range of 2.70 to 2.80 microns; an erbium, yttrium, aluminum garnet (Er.YAG) solid state laser, which generates electromagnetic energy having a wavelength of 2.94 microns; chromium, thulium, erbium, yttrium, aluminum garnet (CTE.YAG) solid state laser, which generates electromagnetic energy having a wavelength of 2.69 microns; erbium, yttrium orthoaluminate (Er:YAL03) solid state laser, which generates electromagnetic energy having a wavelength in a range of 2.71 to 2.86 microns; holmium, yt
  • the electromagnetic energy source can be configured with the repetition rate greater than 1 Hz, the pulse duration range between 1 picosecond and 1000 microseconds, and the energy greater than 1 milliJoule per pulse.
  • the electromagnetic energy source has a wavelength of approximately 2.78 microns, a repetition rate of 20 Hz, a pulse duration of 140 microseconds, and an energy between 1 and 300 milliJoules per pulse.
  • the electromagnetic energy source has a pulse duration on the order of nanoseconds, which is obtained by Q-switching the electromagnetic energy source, and in another preferred embodiment the electromagnetic energy source has a pulse duration on the order of picoseconds, which is obtained by mode locking the electromagnetic energy source.
  • Q-switching is a conventional mode of laser operation which is extensively employed for the generation of high pulse power.
  • Q-switching devices generally inhibit laser action during the pump cycle by either blocking the light path, causing a mirror misalignment, or reducing the reflectivity of one of the resonator mirrors. Near the end of the flashlamp pulse, when maximum energy has been stored in the laser rod, a high Q-condition is established and a giant pulse is emitted from the laser.
  • Very fast electronically controlled optical shutters can be made by using the electro-optic effect in crystals or liquids.
  • An acousto-optic Q-switch launches an ultrasonic wave into a block of transparent optical material, usually fused silica.
  • Mode locking is a conventional procedure which phase-locks the longitudinal modes of the laser and which uses a pulse width that is inversely related to the bandwidth of the laser emission. Mode locking is discussed on pages 500-561 of the above- mentioned textbook entitled, Solid-State Laser Engineering, Fourth Extensively Revised and Updated Edition.
  • the atomized fluid particles provide the mechanical cutting forces when they absorb the electromagnetic energy within the interaction zone. These atomized fluid particles, however, provide a second function of cleaning and cooling the fiberoptic guide from which the electromagnetic energy is output.
  • the delivery system 55 for delivering the electromagnetic energy includes a fiberoptic energy guide or equivalent which attaches to the laser system and travels to the desired work site.
  • Fiberoptics or waveguides are typically long, thin and lightweight, and are easily manipulated. Fiberoptics can be made of calcium fluoride (CaF) , calcium oxide (Ca02), zirconium oxide (Zr02), zirconium fluoride (ZrF) , sapphire, hollow waveguide, liquid core, TeX glass, quartz silica, germanium sulfide, arsenic sulfide, germanium oxide (Ge02), and other materials.
  • Other delivery systems include devices comprising mirrors, lenses and other optical components where the energy travels through a cavity, is directed by various mirrors, and is focused onto the targeted cutting site with specific lenses.
  • the preferred embodiment of light delivery for medical applications of the present invention is through a fiberoptic conductor, because of its light weight, lower cost, and ability to be packaged inside of a handpiece of familiar size and weight to the surgeon, dentist, or clinician.
  • non-fiberoptic systems may be used.
  • the nozzle 71 is employed to create an engineered combination of small particles of the chosen fluid.
  • the nozzle 71 may comprise several different designs including liquid only, air blast, air assist, swirl, solid cone, etc. When fluid exits the nozzle 71 at a given pressure and rate, it is transformed into particles of user-controllable sizes, velocities, and spatial distributions.
  • the nozzle may have spherical, oval, or other shaped openings of any of a variety of different sizes, according to design parameters.
  • Figure 5a illustrates a nozzle 74 having an oval-shaped aperture 76 disposed therein for emitting water particles .
  • Figure 6 illustrates a control panel 77 for allowing user-programmability of the atomized fluid particles. By changing the pressure and flow rates of the fluid, for example, the user can control the atomized fluid particle characteristics. These characteristics determine absorption efficiency of the laser energy, and the subsequent cutting effectiveness of the electromagnetically induced mechanical cutter.
  • This control panel may comprise, for example, a fluid particle size control 78, a fluid particle velocity control 79, a cone angle control 80, an average power control 81, a repetition rate 82, a fiber selector 83, and a switch 84 for activating a mono-disperse droplet generator 86 ( Figure 14).
  • the cone angle may be controlled, for example, by changing the physical structure of the nozzle 71.
  • Various nozzles 71 may be interchangeably placed on the electromagnetically induced mechanical cutter. Alternatively, the physical structure of a single nozzle 71 may be changed.
  • Figure 7 illustrates a plot 85 of mean fluid particle size versus pressure. According to this figure, when the pressure through the nozzle 71 is increased, the mean fluid particle size of the atomized fluid particles decreases.
  • the plot 87 of Figure 8 shows that the mean fluid particle velocity of these atomized fluid particles increases with increasing pressure.
  • materials are removed from a target surface by mechanical cutting forces, instead of by conventional thermal cutting forces. Laser energy is used only to induce mechanical forces onto the targeted material.
  • the atomized fluid particles act as the medium for transforming the electromagnetic energy of the laser into the mechanical energy required to achieve the mechanical cutting effect of the present invention.
  • the laser energy itself is not directly absorbed by the targeted material.
  • the mechanical interaction of the present invention is safer, faster, and eliminates the negative thermal side-effects typically associated with conventional laser cutting systems.
  • the fiberoptic guide 23 ( Figure 5) can be placed into close proximity of the target surface. This fiberoptic guide 23, however, does not actually contact the target surface. Since the atomized fluid particles from the nozzle 71 are placed into the interaction zone 59, the purpose of the fiberoptic guide 23 is for placing laser energy into this interaction zone, as well.
  • a novel feature of the present invention is the formation of the fiberoptic guide 23 of straight or bent sapphire. Regardless of the composition of the fiberoptic guide 23, however, another novel feature of the present invention is the cleaning effect of the air and water, from the nozzle 71, on the fiberoptic guide 23.
  • each atomized fluid particle contains a small amount of initial kinetic energy in the direction of the target surface.
  • the exterior surface of the fluid particle acts as a focusing lens to focus the energy into the water particle's interior.
  • the water particle 101 has an illuminated side 103, a shaded side 105, and a particle velocity 107.
  • the focused electromagnetic energy is absorbed by the water particle 101, causing the interior of the water particle to heat and explode rapidly.
  • This exothermic explosion cools the remaining portions of the exploded water particle 101.
  • the surrounding atomized fluid particles further enhance cooling of the portions of the exploded water particle 101.
  • a pressure-wave is generated from this explosion.
  • This pressure-wave, and the portions of the exploded water particle 101 of increased kinetic energy are directed toward the target surface 107.
  • the incident portions from the original exploded water particle 101 which are now traveling at high velocities with high kinetic energies, and the pressure-wave, impart strong, concentrated, mechanical forces onto the target surface 107.
  • FIGS. 10, 11 and 12 illustrate various types of absorptions of the electromagnetic energy by atomized fluid particles.
  • the nozzle 71 is preferably configured to produce atomized sprays with a range of fluid particle sizes narrowly distributed about a mean value.
  • the user input device for controlling cutting efficiency may comprise a simple pressure and flow rate gauge 75 ( Figure 5) or may comprise a control panel as shown in Figure 6, for example.
  • a user input for a high resolution cut relatively small fluid particles are generated by the nozzle 71.
  • Relatively large fluid particles are generated for a user input specifying a low resolution cut.
  • a user input specifying a deep penetration cut causes the nozzle 71 to generate a relatively low density distribution of fluid particles
  • a user input specifying a shallow penetration cut causes the nozzle 71 to generate a relatively high density distribution of fluid particles.
  • the user input device comprises the simple pressure and flow rate gauge 75 of Figure 5, then a relatively low density distribution of relatively small fluid particles can be generated in response to a user input specifying a high cutting efficiency.
  • a relatively high density distribution of relatively large fluid particles can be generated in response to a user input specifying a low cutting efficiency.
  • the mono-disperse droplet generator 86 ( Figure 14), which accurately generates single droplets 90 of fluid at predetermined intervals of time, represents a very high cutting efficiency configuration.
  • a very accurate and narrow cut may be generated. For example, a cut having a width less than a diameter of the single droplets 90 of fluid may be generated using an electromagnetic energy source in combination with a mono-disperse droplet generator, according to the present invention.
  • Other engineered dispersions of fluid droplets may be generated as well, from pairs of fluid droplets to triplets of fluid droplets, etc.
  • a single electromagnetic energy source or a number of electromagnetic energy sources may be trained on the fluid droplets as the fluid droplets pass through the interaction zone above the target surface. Additional variations, such as different sized or shaped particles, or particles made of different materials, may be generated in each dispersion.
  • One or more similar lasers, or lasers having different wavelengths and/or powers, may be trained on the different fluid droplets as the fluid droplets pass through the interaction zone above the target surface. These various parameters can be adjusted according to the type of cut and the type of tissue.
  • Hard tissues include tooth enamel, tooth dentin, tooth cementum, bone, and cartilage.
  • Soft tissues which the electromagnetically induced mechanical cutter of the present invention is also adapted to cut, include skin, mucosa, gingiva, muscle, heart, liver, kidney, brain, eye, and vessels. Other materials may include glass and semiconductor chip surfaces, for example.
  • the electromagnetically induced mechanical cutting mechanism can be further be used to cut or ablate biological materials, ceramics, cements, polymers, porcelain, and implantable materials and devices including metals, ceramics, and polymers.
  • the electromagnetically induced cutting mechanism can also be used to cut or ablate surfaces of metals, plastics, polymers, rubber, glass and crystalline materials, concrete, wood, cloth, paper, leather, plants, and other man- made and naturally occurring materials.
  • Biological materials can include plaque, tartar, a biological layer or film of organic consistency, a smear layer, a polysacharide layer, and a plaque layer.
  • a smear layer may comprise fragmented biological material, including proteins, and may include living or decayed items, or combinations thereof.
  • a polysacharide layer will often comprise a colloidal suspension of food residue and saliva.
  • Plaque refers to a film including food and saliva, which often traps and harbors bacteria therein. These layers or films may be disposed on teeth, other biological surfaces, and nonbiological surfaces.
  • Metals can include, for example, aluminum, copper, and iron which is found in rebar.
  • a user may also adjust the combination of atomized fluid particles exiting the nozzle 71 to efficiently implement cooling and cleaning of the fiberoptics 23 ( Figure 5), as well.
  • the combination of atomized fluid particles may comprise a distribution, velocity, and mean diameter to effectively cool the fiberoptic guide 23, while simultaneously keeping the fiberoptic guide 23 clean of particular debris which may be introduced thereon by the surgical site.
  • electromagnetic energy contacts each atomized fluid particle 101 on its illuminated side 103 and penetrates the atomized fluid particle to a certain depth.
  • the focused electromagnetic energy is absorbed by the fluid, inducing explosive vaporization of the atomized fluid particle 101.
  • the diameters of the atomized fluid particles can be less than, almost equal to, or greater than the wavelength of the incident electromagnetic energy.
  • Figure 10 illustrates a case where the atomized fluid particle diameter is less than the wavelength of the electromagnetic energy (d ⁇ ).
  • This case causes the complete volume of fluid inside of the fluid particle 101 to absorb the laser energy, inducing explosive vaporization.
  • the fluid particle 101 explodes, ejecting its contents radially.
  • the present inventors refer to this phenomena as the "explosive grenade" effect.
  • radial pressure-waves from the explosion are created and projected in the direction of propagation.
  • the direction of propagation is toward the target surface 107, and in the presently preferred embodiment, both the laser energy and the atomized fluid particles are traveling substantially in the direction of propagation.
  • the resulting portions from the explosion of the water particle 101, and the pressure-wave, produce the "chipping away” effect of cutting and removing of materials from the target surface 107.
  • the small diameter of the fluid particle 101 allows the laser energy to penetrate and to be absorbed violently within the entire volume of the liquid. Explosion of the fluid particle 101 can be analogized to an exploding grenade, which radially ejects energy and shrapnel.
  • the water content of the fluid particle 101 is evaporated due to the strong absorption within a small volume of liquid, and the pressure-waves created during this process produce the material cutting process.
  • Figure 11 shows a case where the fluid particle 101 has a diameter, which is approximately equal to the wavelength of the electromagnetic energy (d ⁇ 2) .
  • the laser energy travels through the fluid particle 101 before becoming absorbed by the fluid therein. Once absorbed, the fluid particle's shaded side heats up, and explosive vaporization occurs. In this case, internal particle fluid is violently ejected through the fluid particle's shaded side, and moves rapidly with the explosive pressure-wave toward the target surface.
  • the laser energy is able to penetrate the fluid particle 101 and to be absorbed within a depth close to the size of the particle's diameter.
  • the center of explosive vaporization in the case shown in Figure 11 is closer to the shaded side 105 of the moving fluid particle 101.
  • the vaporized fluid is violently ejected through the particle's shaded side toward the target surface 107.
  • a third case shown in Figure 12 is the "explosive propulsion" effect.
  • the diameter of the fluid particle is larger than the wavelength of the electromagnetic energy (d> ⁇ ) .
  • the laser energy penetrates the fluid particle 101 only a small distance through the illuminated surface 103 and causes this illuminated surface 103 to vaporize. The vaporization of the illuminated surface 103 tends to propel the remaining portion of the fluid particle 101 toward the targeted material surface 107.
  • Figure 13 The combination of Figures 10-12 is shown in Figure 13.
  • the nozzle 71 produces the combination of atomized fluid particles which are transported into the interaction zone 59.
  • the laser 51 is focused on this interaction zone 59.
  • Relatively small fluid particles 131 explode via the "grenade” effect, and relatively large fluid particles 133 explode via the "explosive propulsion” effect.
  • the resulting pressure-waves 137 and exploded fluid particles 139 impinge upon the target surface 107.
  • FIG 14 illustrates the mono-disperse droplet generator 86, according to the present invention.
  • the mono-disperse droplet generator 86 comprises a nozzle 88, which is adapted to accurately generate single droplets 90 of fluid at predetermined intervals.
  • the electromagnetic energy source is preferably pre-focussed or focussed on a real-time basis, either automatically or manually, onto the single fluid droplets 90 as the fluid droplets 90 are sequentially generated and ejected from the mono-disperse droplet generator 86.
  • the electromagnetic energy source is preferably intermittently fired onto the individual fluid droplets at predetermined intervals in order to conserve energy and to ensure a highly efficient transfer of energy from the electromagnetic energy source into the fluid droplets 90.
  • the fluid droplets 90 may comprise a variety of materials and, additionally, may be encapsulated in various materials, in order to achieve various shapes and cutting characteristics.
  • particles having high viscosities or having solid cores may be used with the present invention.
  • the breakup of a drop of fluid in a flowing stream is controlled by the dynamic pressure, surface tension, and viscous forces. These parameters, among others, may be controlled to produce different droplet formations.
  • the electromagnetic energy 51 is preferably focussed onto a center point on or near the surface of the fluid particle 101, where the center point is defined as being intersected by a line passing from the target surface 107 through the fluid particle 101.
  • Figure 15 illustrates electromagnetic energy 51 contacting a center point of a fluid particle 101.
  • the "explosive propulsion" effect is generated to propel the fluid particle 101 directly toward the target surface 107.
  • the electromagnetic energy source focusses energy onto the center point of the fluid particle 101, the resulting mechanical forces are efficiently and accurately directed onto the target surface 107 to thereby propel the fluid particle 101 in the direction of the arrow Al .
  • each fluid particle 101 acts as a micro-focussing lens for the impinging electromagnetic energy
  • the shape of a given fluid particle can affect the resulting mechanical forces that are generated and imparted onto the target surface 107.
  • the micro-focussing lens effect is a function of reflection and refraction of the electromagnetic energy at and/or near the surface of the fluid particle. Focused electromagnetic energy within the fluid particle is then affected by absorption and scattering.
  • the micro-focussing lens effect is a function of the electromagnetic energy beam profile (cross-sectional distribution of the electromagnetic energy beam) , the beam diameter relative to the fluid particle diameter, and other beam characteristics, and is also a function of the geometry and composition of the fluid particle. These parameters may be changed alone or in combination to achieve various end results.
  • the electromagnetic energy beam diameter and beam profile may be varied by any conventional means, including placement of a disk, having an aperture, inside of the electromagnetic energy source cavity.
  • an elliptically-shaped fluid particle 102 as shown in Figure 17, may have a larger surface area which can be contacted by the electromagnetic energy 51.
  • the curvature of the oval-shaped fluid particle 102 results in a different focussing effect of the electromagnetic energy 51 therethrough. If the fluid particle 102 is not contacted by the electromagnetic energy 51 at a center point of the fluid particle 102, the fluid particle 102 will be propelled in a relatively inefficient direction.
  • Figure 17 illustrates an oval-shaped fluid particle 102 being contacted by electromagnetic energy 51 at an upper portion thereof, resulting in the fluid particle 102 travelling in the direction of the arrow A3.
  • Figure 18 illustrates an oval- shaped fluid particle 104 being contacted at a center point of the fluid particle 104 by electromagnetic energy 51, resulting in the fluid particle 104 travelling in the direction of the arrow A4 toward the target surface 107.
  • the elliptical shape of the fluid particle can be changed to adjust the interaction between the electromagnetic energy and the fluid particle.
  • the oval-shaped fluid particle 102 in Figure 17 comprises an oblong shape
  • the oval- shaped fluid particle 104 in Figure 18 comprises a more rounded shape.
  • the interaction between the electromagnetic energy and the fluid particle can be varied by changing the curvature of the fluid particle. The interaction can thus be changed among a "grenade” type of effect ( Figure 10) , an "explosive ejection” type of effect (Figure 11), and an “explosive propulsion” type of effect ( Figure 12).
  • Figure 19 illustrates a narrow-shaped elliptical fluid particle 106. Electromagnetic energy 51 begins to penetrate the exit side of the fluid particle 106, thus achieving either a "grenade” type of effect or an "explosive ejection” type of effect. The generation of oval-shaped fluid particles is disclosed on pages 39 and 42 of the above-mentioned textbook entitled Atomization and Sprays.
  • Figure 20 illustrates a ligament 108 of fluid being ejected from a nozzle.
  • the ligament of fluid 108 transitions into an oval-shaped particle 109 and, subsequently, the oval-shaped particle 109 transitions into smaller particles 110 and 111.
  • These smaller particles 110 and 111 either break into smaller particles or form spherical fluid particles, resulting in part from surface tension forces.
  • the generation of ligaments of fluid 108 is discussed on page 130 of the above-mentioned textbook entitled Atomization and Sprays.
  • the shape, length, and thickness of the ligament of fluid 108 may be varied. Additionally, laser energy may be directed onto the oval-shaped particles 109 and/or the smaller particles 110 and 111, in addition to the ligament 108 of fluid.
  • a single laser, or multiple lasers may be configured to contact the ligament of fluid 108 at various points along the ligament of fluid 108.
  • a planar sheet of fluid 108 may also be generated.
  • characteristics of the ligament can be controlled by changing the dynamic pressure, surface tension, and viscous forces of the fluid.
  • the ligament 108 may alternatively comprise polymers, which are configured to form into fibers upon exiting from the nozzle.
  • Figures 21 and 22 illustrate additional transitional shapes of fluid particles.
  • the fluid particle 112 of Figure 21 generally comprises a cup formation, which is a precursor to the half-bubble formation of the fluid particle 117 of Figure 22.
  • a thickness of the cup-formation fluid particle 112 of Figure 21 is thicker than a thickness of the half- bubble shape of the fluid particle 117 of Figure 22.
  • Generation of cup-shaped and half-bubble shaped fluid particles is discussed on page 32 of the above-mentioned textbook entitled Atomization and Sprays.
  • a single laser, or multiple lasers may be focussed onto different portions of either of the fluid particles 112 or 117, according to design parameters .
  • Figure 23 illustrates the clean, high resolution cut produced by the electromagnetically induced mechanical cutter of the present invention. Unlike the cut of the prior art shown in Figure 24, the cut of the present invention is clean and precise. Among other advantages, this cut provides an ideal bonding surface, is accurate, and does not stress remaining materials surrounding the cut.

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Abstract

L'invention concerne un mécanisme de coupe électromagnétisé permettant d'effectuer des opérations de coupe précises sur des tissus, des métaux et d'autres matières. L'outil de coupe électromagnétisé peut fonctionner avec une durée d'impulsion de l'ordre de nanosecondes ou de picosecondes, et est conçu pour interagir avec des particules fluides atomisées dotées de formes diverses.
PCT/US1998/002063 1997-02-05 1998-02-04 Outil de coupe electromagnetise a particules fluides façonnees WO1998033623A1 (fr)

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AU62647/98A AU6264798A (en) 1997-02-05 1998-02-04 Electromagnetically induced cutter with shaped fluid particles

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US08/795,500 1997-02-05

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1171051A1 (fr) * 1999-04-16 2002-01-16 Gregory Altshuler Dispositif et procede de traitement de materiaux solides, tels que les tissus durs
EP1090600A3 (fr) * 1999-04-23 2002-01-30 Biolase Technology, Inc. Découpage par procédé électromagnetique avec des particules fluides atomisées pour des applications dermatologiques
US20110270241A1 (en) * 2005-06-24 2011-11-03 Biolase Technology, Inc. Visual feedback implements for electromagnetic energy output devices

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Publication number Priority date Publication date Assignee Title
JPS5945092A (ja) * 1982-09-06 1984-03-13 Fuji Denpa Koki Kk レ−ザ加工装置
EP0192833A2 (fr) * 1985-02-22 1986-09-03 Messerschmitt-Bölkow-Blohm Gesellschaft mit beschränkter Haftung Méthode et installation pour la destruction d'une concrétion
US5199870A (en) * 1989-04-11 1993-04-06 Aesculap Ag Process for destroying and removing material from teeth
US5267856A (en) * 1991-09-20 1993-12-07 Premier Laser Systems, Inc. Laser surgical method
WO1996041657A1 (fr) * 1995-06-12 1996-12-27 Thermolase Corporation Apport de medicament assite par laser
WO1997007928A2 (fr) * 1995-08-31 1997-03-06 Biolase Technology, Inc. Combinaison programmable par l'utilisateur de particules atomisees pour decoupage par procede electromagnetique

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS5945092A (ja) * 1982-09-06 1984-03-13 Fuji Denpa Koki Kk レ−ザ加工装置
EP0192833A2 (fr) * 1985-02-22 1986-09-03 Messerschmitt-Bölkow-Blohm Gesellschaft mit beschränkter Haftung Méthode et installation pour la destruction d'une concrétion
US5199870A (en) * 1989-04-11 1993-04-06 Aesculap Ag Process for destroying and removing material from teeth
US5267856A (en) * 1991-09-20 1993-12-07 Premier Laser Systems, Inc. Laser surgical method
WO1996041657A1 (fr) * 1995-06-12 1996-12-27 Thermolase Corporation Apport de medicament assite par laser
WO1997007928A2 (fr) * 1995-08-31 1997-03-06 Biolase Technology, Inc. Combinaison programmable par l'utilisateur de particules atomisees pour decoupage par procede electromagnetique

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Title
PATENT ABSTRACTS OF JAPAN vol. 008, no. 148 (M - 308) 11 July 1984 (1984-07-11) *

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1171051A1 (fr) * 1999-04-16 2002-01-16 Gregory Altshuler Dispositif et procede de traitement de materiaux solides, tels que les tissus durs
EP1171051A4 (fr) * 1999-04-16 2004-06-16 Gregory Altshuler Dispositif et procede de traitement de materiaux solides, tels que les tissus durs
EP1090600A3 (fr) * 1999-04-23 2002-01-30 Biolase Technology, Inc. Découpage par procédé électromagnetique avec des particules fluides atomisées pour des applications dermatologiques
EP2889014A1 (fr) * 1999-04-23 2015-07-01 Biolase, Inc. Coupe électromagnétisée avec des particules de fluide atomisé pour applications dermatologiques
US20110270241A1 (en) * 2005-06-24 2011-11-03 Biolase Technology, Inc. Visual feedback implements for electromagnetic energy output devices

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