# US 11,298,185 B2 · Optical fiber with modified distal end

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- Number: US 11,298,185 B2
- Document ID: US11298185B2
- Status: Granted
- Kind: B2
- Application number: 16/124,930
- Filed: 2018-09-07
- Published: 2020-03-12
- Granted: 2022-04-12
- Earliest claimed: 2018-09-07
- Assignees: LEONI Kabel GmbH
- Applicants: LEONI Kabel GmbH
- Inventors: Angelina Bogatzki; Patrick Stock
- Web page: https://patentgrep.com/patent/US11298185B2

## CPC

- A61B 18/22: the beam being directed along or through a flexible conduit, e.g. an optical fibre; {Couplings or} hand-pieces therefor
- G02B 6/0008: {the light being emitted at the end of the fibre}
- G02B 6/02: Optical fibres with cladding {with or without a coating}
- G02B 6/262: {Optical details of coupling light into, or out of, or between fibre ends, e.g. special fibre end shapes or associated optical elements}
- A61B 2018/00511: {Kidney}
- A61B 2018/00517: {Urinary bladder or urethra}
- A61B 2018/00577: {Ablation}
- A61B 2018/2205: {Characteristics of fibres}
- A61B 2018/2244: {Features of optical fibre cables, e.g. claddings}
- A61B 2018/2266: {with a lens, e.g. ball tipped}
- A61B 2018/2288: {the optical fibre cable having a curved distal end}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- G02B: OPTICAL ELEMENTS, SYSTEMS OR APPARATUS

## Abstract

An Optical fiber with modified distal end and related methods are provided. The optical fiber extends from a proximal end portion to a distal end portion and includes a core, a cladding, a coating, and an optional jacket. The distal end portion comprises a portion with an enlarged outer diameter.

## Claims

### Claim 1

An optical fiber, comprising:
a core; and
a cladding disposed on the core;
wherein the optical fiber extends from a distal portion to a proximal portion along a longitudinal axis of the optical fiber, and
wherein the distal portion comprises:
a first section;
a second section; and
a distal tip,
wherein the first section extends lengthwise along the longitudinal axis between the proximal portion and the second section, the second section extends from the first section lengthwise between the first section and the distal tip, and the proximal portion has an outer diameter, D1, that is substantially constant over a length of the proximal portion along the longitudinal axis greater than a length along the longitudinal axis extending over the first section, the second section, and the distal tip, and
wherein at least one of the first section and the second section comprises a maximal outer diameter, D2, of the distal portion that is greater than the outer diameter, D1, of the proximal portion and is greater than the outer diameter of the distal tip;
wherein the distal tip comprises a curved portion and a planar portion, the planar portion being orthogonal to the longitudinal axis of the optical fiber and comprising an end face of the optical fiber, the curved portion extending from the planar portion to the second section and having a magnitude of curvature different from a magnitude of curvature of a portion of the second section that extends from and is adjacent to the curved portion; and
wherein the optical fiber is configured such that when light is coupled into the optical fiber via the proximal position, the light is guided through the core along the longitudinal axis toward the distal portion and is focused as the light exits the planar portion of the distal tip, the light emitted from the distal tip thereby being concentrated.

### Claim 2 (depends on 1)

The optical fiber of claim 1,
wherein the first section has an outer diameter that increases along at least a part of its length, along the longitudinal axis, from the proximal portion to the second section.

### Claim 3 (depends on 2)

The optical fiber of claim 2,
wherein the second section has an outer diameter that decreases along at least a part of its length, along the longitudinal axis, from the first section to the distal tip.

### Claim 4 (depends on 3)

The optical fiber of claim 3,
wherein the increase in the outer diameter along the longitudinal axis of the first section results in the maximal outer diameter D2.

### Claim 5 (depends on 4)

The optical fiber of claim 4,
wherein the first section comprises:
a first portion, the first portion having an outer diameter that increases, along its length along the longitudinal axis, from D1 to D2; and
a second portion extending from the first portion along a given length of the longitudinal axis, the second portion having an outer diameter of D2 that remains constant along the given length of the second portion.

### Claim 6 (depends on 4)

The optical fiber of claim 4,
wherein the outer diameter increases at a constant rate along the length of the first section.

### Claim 7 (depends on 4)

The optical fiber of claim 4,
wherein the outer diameter increases at a non-constant rate along the length of the first section.

### Claim 8 (depends on 4)

The optical fiber of claim 4,
wherein the second section has a maximum outer diameter equal to D2, and
wherein the decrease in diameter along the longitudinal axis of the second section includes a decrease from D2 to approximately D1.

### Claim 9 (depends on 8)

The optical fiber of claim 8,
wherein the second section comprises:
a first portion extending along a given length of the longitudinal axis, the first portion having an outer diameter that is equal to D2 and is constant along the given length of the first portion; and
a second portion, the second portion extending from the first portion along the longitudinal axis and having an outer diameter that decreases from D2 to D1.

### Claim 10 (depends on 8)

The optical fiber of claim 8,
wherein the outer diameter decreases at a constant rate along the length of second section.

### Claim 11 (depends on 8)

The optical fiber of claim 8,
wherein the outer diameter decreases at a non-constant rate along the length of second section.

### Claim 12 (depends on 8)

The optical fiber of claim 8, wherein the second section comprises:
a first portion having an outer diameter that decreases from D2 to approximately D1 along the longitudinal axis in a direction from the first section to the distal tip; and
a second portion extending from the first portion along a given length of the longitudinal axis between the first portion and the distal tip and having an outer diameter of approximately D1 along the entire given length.

### Claim 13 (depends on 4)

The optical fiber of claim 4,
wherein the first section and the second section together form an arcuate, semicircular, or parabolic shape along an edge of the optical fiber in a longitudinal cross-section, and
wherein portions of the first section and the second section with diameter D2 are located a proximal distance from the distal tip.

### Claim 14 (depends on 4)

The optical fiber of claim 4,
wherein the first section and the second section together form a trapezoidal-like shape along an edge of the optical fiber in a longitudinal cross-section, and
wherein portions of the first section and the second section with diameter D2 are located a proximal distance from the distal tip.

### Claim 15 (depends on 4)

The optical fiber of claim 4, wherein D2 is approximately equal to 120% to 200% of D1.

### Claim 16 (depends on 1)

The optical fiber of claim 1,
wherein the second section is located a distance proximally from the distal tip.

### Claim 17 (depends on 1)

The optical fiber of claim 1,
further comprising a coating disposed on the cladding, wherein the coating comprises silicone.

### Claim 18 (depends on 17)

The optical fiber of claim 17,
further comprising a jacket disposed on the coating, wherein the jacket comprises a thermoplastic polymer.

### Claim 19 (depends on 1)

The optical fiber of claim 1,
wherein the distal tip comprises a curved or semicircular shape.

### Claim 20 (depends on 1)

The optical fiber of claim 1,
wherein the distal portion of the optical fiber is configured to cause the light that travels therethrough and exits out of the planar portion of the distal tip to be focused to a higher degree compared to a flat tip optical fiber having a constant diameter of approximately D1.

### Claim 21 (depends on 1)

The optical fiber of claim 1, wherein the curved portion and the planar portion are configured such that the distal tip does not include sharp edges.

### Claim 22 (depends on 1)

The optical fiber of claim 1, wherein the distal tip includes a curved portion having a magnitude of curvature greater than a magnitude of curvature of a portion of the second section that extends from and is adjacent to the distal tip.

### Claim 23 (depends on 1)

The optical fiber of claim 1, wherein the second section comprises:
a first portion having a first length extending along the longitudinal axis, and having an outer diameter that is constant along the first length; and
a second portion having a second length extending along the longitudinal axis, and having an outer diameter that decreases along the second length in a direction from the first portion to the distal tip.

### Claim 24 (depends on 1)

The optical fiber of claim 1, wherein the second section has an outer diameter that is constant along its length between the first section and the distal tip and is approximately equal to D2.

### Claim 25 (depends on 1)

A method of performing a urology procedure, the method comprising:
inserting an endoscope or catheter through a vessel lumen of a patient,
feeding the endoscope or catheter through the vessel until a distal end of the endoscope or catheter is located proximate to a renal or bladder stone;
inserting an optical fiber as recited in claim 1 into a channel located within the endoscope or catheter, and
feeding the optical fiber through the channel located within the endoscope or catheter until the distal tip of the optical fiber is located proximate to the renal or bladder stone, wherein the section of the distal portion having a larger outer diameter contacts an inner wall of the channel and prevents the distal tip from contacting the inner wall.

### Claim 26 (depends on 25)

The method of claim 25, further comprising: coupling an energy source to the proximal portion of the optical fiber; activating the energy source, wherein the activation causes light to: enter the optical fiber via the proximal portion; exit via the distal tip; and impinge upon the renal or bladder stone; wherein the shape of the optical fiber is configured to focus the light as it passes there through.

### Claim 27 (depends on 26)

The method of claim 26, wherein energy from the light impinging upon the renal or bladder stone causes the renal or bladder stone to break apart.

### Claim 28

An optical fiber, comprising:
a core; and
a cladding disposed on the core;
wherein the optical fiber extends from a distal portion to a proximal portion along a longitudinal axis of the optical fiber, and
wherein the distal portion comprises:
a first section;
a second section; and
a distal tip,
wherein the first section extends lengthwise along the longitudinal axis between the proximal portion and the second section, the second section extends from the first section lengthwise between the first section and the distal tip, and the proximal portion has an outer diameter, D1, that is substantially constant over a length of the proximal portion along the longitudinal axis greater than a length along the longitudinal axis extending over the first section, the second section, and the distal tip,
wherein at least one of the first section and the second section comprises a maximal outer diameter, D2, of the distal portion that is greater than the outer diameter, D1, of the proximal portion and is greater than the outer diameter of the distal tip,
wherein the first section has an outer diameter that increases along at least a part of its length, along the longitudinal axis, from the proximal portion to the second section, to result in the maximal outer diameter D2, and
wherein the second section has (i) an outer diameter that decreases along at least a part of its length, along the longitudinal axis, from the first section to the distal tip, and (ii) a maximum outer diameter equal to D2, wherein the decrease in diameter along the longitudinal axis of the second section includes a decrease from D2 to approximately D1, and wherein the second section comprises:
a first portion having an outer diameter that decreases from D2 to approximately D1 along the longitudinal axis in a direction from the first section to the distal tip; and
a second portion extending from the first portion along a given length of the longitudinal axis between the first portion and the distal tip and having an outer diameter of approximately D1 along the entire given length.

### Claim 29 (depends on 28)

A method of performing a urology procedure, the method comprising:
inserting an endoscope or catheter through a vessel lumen of a patient,
feeding the endoscope or catheter through the vessel until a distal end of the endoscope or catheter is located proximate to a renal or bladder stone;
inserting an optical fiber as recited in claim 28 into a channel located within the endoscope or catheter, and
feeding the optical fiber through the channel located within the endoscope or catheter until the distal tip of the optical fiber is located proximate to the renal or bladder stone, wherein the section of the distal portion having a larger outer diameter contacts an inner wall of the channel and prevents the distal tip from contacting the inner wall.

### Claim 30 (depends on 29)

The method of claim 29, further comprising: coupling an energy source to the proximal portion of the optical fiber; activating the energy source, wherein the activation causes light to: enter the optical fiber via the proximal portion; exit via the distal tip; and impinge upon the renal or bladder stone; wherein the shape of the optical fiber is configured to focus the light as it passes there through.

### Claim 31 (depends on 30)

The method of claim 30, wherein energy from the light impinging upon the renal or bladder stone causes the renal or bladder stone to break apart.
