Orthopaedic surgical platform which uses burst-mode ultrafast laser pulses delivered by high-power fiber-optic catheter for less-invasive surgery with ultrafine control

我们希望使激光外科的一种新途径成为可能：由下一代传输的超短脉冲激光脉冲 光纤工具--仅有一个小切口的外科手术，对激光手术刀的非常精细的控制，以及对 暖气有好有坏。在使用自然开口的微创手术的趋势中，这将是一个理想的新工具 身体(自然开口腔内内窥镜手术(‘注’))。激光已经提供了手术工具，可以烧灼、切割或 但现代工程和制造业的应用比以往任何时候都要广泛和复杂得多。 出现在医学领域。超快激光脉冲已经产生了巨大的医疗和商业影响，例如，取代专门的 在LASIK矫正视力手术中打开角膜的手术刀。然而，并不是所有的激光都是一样的，它们必须是 特别适用于需要手术的组织的特性：骨、角膜、软骨等。 我们想从全新的可能性中吸取教训，为关节手术开发一种精致的极短脉冲激光， 它通过一种新型的光纤传输“机关枪脉冲”，以提供一种新的微妙的 控制：更温和的切割，更快的切割，更好的切割深度控制，更慎重的疼痛管理和 更广泛地处理对手术部位邻近组织的好的和坏的影响，以减少不必要的影响 损害的同时还能提高治疗效果。

We want to make possible a new avenue of laser surgery: 'burst mode' ultrashort-pulse laser pulses delivered by nextgeneration fiber-optic tools -- surgery with only a small incision, very fine control of a laser scalpel, and complete control of good and bad heating. This would be an ideal new tool in the trend of minimally invasive surgery using natural openings in the body (natural orifice transluminal endoscopic surgery ('NOTES')). Lasers already offer surgical tools that cauterize, cut or scrape, but modern applications in engineering and in manufacturing are far wider and more sophisticated than has yet appeared in medicine. Ultrafast laser pulses already have a huge medical and commercial impact, e.g., replacing specialized scalpels that open the cornea in LASIK vision-correction surgery. However, not all lasers are the same, and they have to be adapted specifically for the properties of the tissue needing surgery: bone, cornea, cartilage, etc. We want to draw from the pool of brand-new possibilities, to develop for joint surgery a refined kind of very short pulse laser, which delivers 'machine-gun bursts' of pulses, delivered over a new class of optical-fibers, to give a new kind of subtle control: more gentle cutting, faster cutting, better control of depth of cutting, more deliberate management of pain and a wider range of management of the good and bad impact on tissue adjacent to the surgical site, to reduce unnecessary damage while at the same time improving healing.