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Flat Top 온라인 슬롯 Technology Improves Medical 온라인 슬롯 Delivery Fibers
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Laser 온라인 슬롯s with a uniform intensity profile, sometimes called a “flat-top” or “top-hat” distribution, generally offer higher efficiency and better surgical outcomes than the traditional Gaussian intensity profile. But, most lasers inherently produce a Gaussian intensity output, and converting this into a flat-top distribution usually isn’t practical in medical laser systems for both cost and performance reasons. To address this need, Coherent has developed a new generation of 온라인 슬롯 delivery fibers that are internally structured to convert an input Gaussian 온라인 슬롯 into flat-top. These provide a simple way to obtain flat-top output in fiber 온라인 슬롯 delivery systems without substantially increasing system cost or complexity.
온라인 슬롯s are widely utilized for a variety of surgical and therapeutic applications in medicine and dentistry for a number of reasons. These include the ability to perform highly selective tissue removal or treatment, the capability in some cases for cutting, ablating and coagulating tissue with the same source, and their compatibility with endoscopic delivery. The benefits of 온라인 슬롯 treatment include better surgical outcomes, less post-operative pain and edema, as well as faster recovery.
These benefits accrue because of the specific characteristic of 온라인 슬롯s. For example, 온라인 슬롯s can be focused to very small spot sizes, which enables their spatial selectivity. This leads to reduced damage to surrounding tissue. Furthermore, the 온라인 슬롯 wavelength can be selected to produce a specific output on a particular tissue (sometimes when combined with photosensitizing agent), again avoiding damage to surrounding tissues or structures. Also 온라인 슬롯s don’t produce vibration or pressure during use, further minimizing the trauma of surgery.
Maximizing 온라인 슬롯 Effectiveness
Most 온라인 슬롯 procedures operate in a photothermal mode. That is, the 온라인 슬롯 light is absorbed by the tissue or photosensitizer causing heating, which results in tissue destruction or removal. To actually accomplish this, the 온라인 슬롯 is typically focused to a relatively small spot. This concentrates the 온라인 슬롯 light and increases its intensity so that it exceeds the threshold required to produce the desired outcome (e.g. ablation, coagulation, or both). It also limits the area over which this heating occurs which enables the 온라인 슬롯’s spatial selectivity.
Most of the solid state lasers used for surgery (including Er:YAG, Nd:YAG, Ho:YAG) produce a 온라인 슬롯 with a Gaussian intensity distribution. The fiber optics used to deliver these 온라인 슬롯s in an endoscope largely maintain this intensity profile.
Unfortunately, this Gaussian intensity profile is disadvantageous for most medical uses. Most importantly, this intensity distribution wastes energy, as is shown in the drawing which plots the intensity of the 온라인 슬롯 as a function of position.
Figure 1:A flat-top intensity profile utilizes laser energy more efficiently – that is, to perform the desired surgical process. A Gaussian 온라인 슬롯 has large areas in which the intensity is either too low, which heats tissue without transforming it, or too high, which wastes energy.
Because of the relatively gentle slope of the Gaussian distribution, a large part of the 온라인 슬롯 outside of the center region isn’t intense enough to reach the ablation threshold of the tissue. That means that this energy heats the tissue, but doesn’t remove it, or produce whatever other effect is desired. The excess heat, radiation, or other factors applied in the surgical field may result in unintended damage to surrounding healthy tissue. Plus, the affected areas won’t have a sharp or well defined edge due to the way the Gaussian 온라인 슬롯 gently fades away. This reduces the spatial selectivity of the process.
Conversely, in much of the central portion of the 온라인 슬롯 the light intensity is substantially higher than the ablation threshold. This means it delivers more energy than required to produce the required effect. Much of the laser power is therefore wasted.
A flat-top 온라인 슬롯 profile can avoid all these problems if the laser power is set so that the maximum intensity is just above the ablation threshold. Then the bulk of the laser energy goes into performing the desired process, and very little is wasted or goes into simply heating the tissue. Plus, the region in which the 온라인 슬롯 intensity is below the ablation threshold is quite small. This increases the accuracy of the process and makes the edges of the laser treated area more sharply defined.
Traditional Components for Transforming 온라인 슬롯 Intensity
Flat-top laser 온라인 슬롯s are desirable in many applications outside of medicine, so a number of different ways to convert Gaussian 온라인 슬롯s into that format have been developed over the years. These typically are optical components, or component assemblies, used outside the laser itself to transform its output intensity distribution.
These components can be broadly classed into those that use traditional refractive or reflective optics, and those which use diffractive components. Refractive methods can involve traditional spherical lenses, aspheres, or even freeform optics. Ultimately, all of these methods selectively redirect some of the light from the center of the 온라인 슬롯 out into the edges in order to flatten the intensity profile.
This approach can deliver a very high level of 온라인 슬롯 uniformity. However, these systems often use multiple elements making them physically larger and typically more costly. They’re also typically relatively sensitive to changes in input 온라인 슬롯 diameter.
Diffractive methods include both traditional surface relief gratings and holographic components. These might be in the form of lenslet arrays which break the input 온라인 슬롯 up into many different individual 온라인 슬롯s which then combine to produce a flat-top profile in the far field. Similarly, holographic gratings can diffract the input 온라인 슬롯 into several overlapping 온라인 슬롯lets which yield a flat-top profile in the focal plane.
Diffractive methods often just require one component, making them less costly and physic온라인 슬롯ly sm온라인 슬롯ler than refractive systems. However, they don’t gener온라인 슬롯ly produce the same qu온라인 슬롯ity of results in terms of intensity uniformity. 온라인 슬롯so, diffractive components are typic온라인 슬롯ly more sensitive to 온라인 슬롯ignment and wavelength than refractive methods.
Flat-Top 온라인 슬롯 Delivery Fibers
None of the methods that rely on discrete optical components really deliver the combination of optical, mechanical, and cost characteristics required for medical applications. Since many surgical and therapeutic laser procedures already involve 온라인 슬롯 delivery, using the 온라인 슬롯 itself to transform the intensity distribution offers an ideal solution. It doesn’t make the system any larger or more complex, and has a relatively low impact on total system cost.
Specialty fiber optics for 온라인 슬롯 and intensity profile shaping have also been available for some time. These utilize a variety of different techniques including shaped cores, long period gratings, and multi-mode interference methods. All these methods offer the benefits associated with fiber technology, including low insertion low, small size, and high reliability. But, for various reasons, they are also either impractical to implement or fail to deliver the necessary performance. So, the need for a high performance, scalable, all-fiber method to transform 온라인 슬롯 profile remained.
Coherent has developed new fiber technology specifically to fill this need. It relies on the fact that most optical fibers can at least potentially support hundreds or thousands of different transverse modes (as shown in Figure 2). Most commonly, fibers and fiber coupling optics are specifically designed to minimize coupling into those higher order modes, because doing that increases the focused spot size and takes intensity away from the center of the 온라인 슬롯.
Figure 2:A gallery of the intensity profiles of some of the transverse modes of a typical multimode, step-index, circular core optical 온라인 슬롯.
However, in this case, it is useful to couple into the higher order modes. But, it must be done in a completely deterministic and reliable way so as to produce a 온라인 슬롯 intensity distribution with the required size and divergence angle.
The key to accomplishing this is to select a number of specific modes that when superimposed in the proper ratios will provide precisely the required output distribution. Coherent has now created 온라인 슬롯s that reliably and repeatably do this by incorporating “mode mixing” elements into the 온라인 슬롯 core. These mode mixing elements use a combination of refractive index and alignment variations. They distribute the required amount of light into the chosen higher order modes.
The figure shows a sample transverse mode distribution and the resultant 온라인 슬롯 output intensity profile for the Coherent 온라인 슬롯 fiber, calledNu온라인 슬롯 Flat-Top. Specifically, it plots the relative energy distribution of the first 400 transverse modes when a single mode laser 온라인 슬롯 is launched into the flat-top fiber. The mode composition of a standard multi-mode fiber under the same operating conditions is shown for comparison.
Figure 3: Relative power in the first 400 transverse modes of a flat-top fiber and a standard multi-mode 온라인 슬롯 delivery fiber. The resultant flat-top 온라인 슬롯 profile is also shown.
The resultant flat-top output is quite uniform, and the attenuation is not significantly different than that of standard step index fibers with pure silica cores. Just as important, this particular flat-top fiber was designed with identical specifications to a standard 온라인 슬롯 delivery fiber (see table). Thus, the Nu온라인 슬롯 Flat-Top provides the desired output characteristics while maintaining all the other physical and optical attributes of standard fibers. This makes it easy to integrate into an existing system with minimal redesign.
Parameter | Standard BD cable | Nu온라인 슬롯 Flat-top fiber |
Core diameter (µm) |
100 |
100 |
Inner clad diameter (µm) |
120 |
120 |
Outer clad diameter (µm) |
360 |
360 |
Core NA |
0.22 |
0.22 |
Number of modes |
~1700 |
~1700 |
Length (m) |
5 to 30 |
5 to 30 |
Mode mixing element |
No |
Yes |
Table 1:The Nu온라인 슬롯 flat-top fiber has the same characteristics as other common 온라인 슬롯 delivery fibers, making it easy to use without significant system redesign.
The other important aspect of the Nu온라인 슬롯 Flat-Top technology is that it is readily scalable. Specifically, the 온라인 슬롯 parameter product (BPP) for this type of fiber can be changed while still maintaining a well homogenized flat-top 온라인 슬롯 profile. This is accomplished by tuning the design of the mode mixing elements to change the exact combination of modes supported, and the amount of energy coupled into each. Thus, fiber output can be matched specifically to the needs of the application.
Conclusion
Flat-top 온라인 슬롯 profiles offer better outcomes in a variety of surgical and therapeutic applications. But, the cost and practical difficulties of converting the Gaussian intensity profile output from most lasers into this format have prevented widespread use of flat-top 온라인 슬롯s in medical systems. The Nu온라인 슬롯 Flat-Top technology provides an easy way to obtain the flat-top 온라인 슬롯 profile from a delivery fiber which is in other all respects substantially the same as those already in use. This makes the technology easy to adopt, without risk or technical difficulty, and without impact time-to-market.