CA2575443A1 - Illumination device for transmitting electromagnetic energy - Google Patents

Illumination device for transmitting electromagnetic energy Download PDF

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Publication number
CA2575443A1
CA2575443A1 CA002575443A CA2575443A CA2575443A1 CA 2575443 A1 CA2575443 A1 CA 2575443A1 CA 002575443 A CA002575443 A CA 002575443A CA 2575443 A CA2575443 A CA 2575443A CA 2575443 A1 CA2575443 A1 CA 2575443A1
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CA
Canada
Prior art keywords
set forth
illumination device
electromagnetic energy
light
distal end
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Granted
Application number
CA002575443A
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French (fr)
Other versions
CA2575443C (en
Inventor
Ioana M. Rizoiu
Dmitri Boutoussov
Jeffrey W. Jones
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Biolase Technology Inc
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Individual
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Publication of CA2575443A1 publication Critical patent/CA2575443A1/en
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Publication of CA2575443C publication Critical patent/CA2575443C/en
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Classifications

    • HELECTRICITY
    • H01ELECTRIC ELEMENTS
    • H01SDEVICES USING THE PROCESS OF LIGHT AMPLIFICATION BY STIMULATED EMISSION OF RADIATION [LASER] TO AMPLIFY OR GENERATE LIGHT; DEVICES USING STIMULATED EMISSION OF ELECTROMAGNETIC RADIATION IN WAVE RANGES OTHER THAN OPTICAL
    • H01S3/00Lasers, i.e. devices using stimulated emission of electromagnetic radiation in the infrared, visible or ultraviolet wave range
    • H01S3/09Processes or apparatus for excitation, e.g. pumping
    • H01S3/091Processes or apparatus for excitation, e.g. pumping using optical pumping
    • H01S3/0915Processes or apparatus for excitation, e.g. pumping using optical pumping by incoherent light
    • H01S3/092Processes or apparatus for excitation, e.g. pumping using optical pumping by incoherent light of flash lamp
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical 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
    • HELECTRICITY
    • H01ELECTRIC ELEMENTS
    • H01SDEVICES USING THE PROCESS OF LIGHT AMPLIFICATION BY STIMULATED EMISSION OF RADIATION [LASER] TO AMPLIFY OR GENERATE LIGHT; DEVICES USING STIMULATED EMISSION OF ELECTROMAGNETIC RADIATION IN WAVE RANGES OTHER THAN OPTICAL
    • H01S3/00Lasers, i.e. devices using stimulated emission of electromagnetic radiation in the infrared, visible or ultraviolet wave range
    • H01S3/09Processes or apparatus for excitation, e.g. pumping
    • H01S3/091Processes or apparatus for excitation, e.g. pumping using optical pumping
    • H01S3/0912Electronics or drivers for the pump source, i.e. details of drivers or circuitry specific for laser pumping
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00137Details of operation mode
    • A61B2017/00154Details of operation mode pulsed
    • A61B2017/00181Means for setting or varying the pulse energy
    • A61B2017/0019Means for setting or varying the pulse width
    • HELECTRICITY
    • H01ELECTRIC ELEMENTS
    • H01SDEVICES USING THE PROCESS OF LIGHT AMPLIFICATION BY STIMULATED EMISSION OF RADIATION [LASER] TO AMPLIFY OR GENERATE LIGHT; DEVICES USING STIMULATED EMISSION OF ELECTROMAGNETIC RADIATION IN WAVE RANGES OTHER THAN OPTICAL
    • H01S3/00Lasers, i.e. devices using stimulated emission of electromagnetic radiation in the infrared, visible or ultraviolet wave range
    • H01S3/10Controlling the intensity, frequency, phase, polarisation or direction of the emitted radiation, e.g. switching, gating, modulating or demodulating
    • H01S3/102Controlling the intensity, frequency, phase, polarisation or direction of the emitted radiation, e.g. switching, gating, modulating or demodulating by controlling the active medium, e.g. by controlling the processes or apparatus for excitation
    • H01S3/1022Controlling the intensity, frequency, phase, polarisation or direction of the emitted radiation, e.g. switching, gating, modulating or demodulating by controlling the active medium, e.g. by controlling the processes or apparatus for excitation by controlling the optical pumping
    • H01S3/1024Controlling the intensity, frequency, phase, polarisation or direction of the emitted radiation, e.g. switching, gating, modulating or demodulating by controlling the active medium, e.g. by controlling the processes or apparatus for excitation by controlling the optical pumping for pulse generation

Abstract

An illumination device is described containing optical fibers that transmit electromagnetic energy from a source to a target. Additional optical fibers return reflected electromagnetic energy from the target. High-level electromagnetic energy can be used for cutting, reforming, or treating a surface. Low-level electromagnetic energy illuminates the surface.

Claims (86)

1. An illumination device having a proximal end and a distal end, the illumination device comprising:
a power fiber extending from the proximal end to the distal end;
a plurality of first optical fibers concentrically arranged around the power fiber and extending from the proximal end to the distal end, the plurality of first optical fibers being capable of receiving a first type of electromagnetic energy from the proximal end and of outputting the first type of electromagnetic energy at the distal end; and a plurality of second optical fibers concentrically arranged around the power fiber and extending from the proximal end to the distal end, the plurality of second optical fibers being capable of receiving a second type of electromagnetic energy from the distal end and of directing the second type of electromagnetic energy to the proximal end.
2. The illumination device as set forth in claim 1, further comprising:
a plurality of third optical fibers extending from the proximal end to the distal end, the plurality of third optical fibers being capable of receiving a third type of electromagnetic energy from the distal end and of directing the third type of electromagnetic energy to the proximal end; and a camera coupled to receive the third type of electromagnetic energy from at least part of the plurality of third optical fibers.
3. The illumination device as set forth in claim 2, wherein the second type of electromagnetic energy is substantially the same as the third type of electromagnetic energy.
4. The illumination device as set forth in claim 1, further comprising an electromagnetic energy sensor coupled to receive electromagnetic energy from at least part of the plurality of second optical fibers.
5. The illumination device as set forth in claim 4, wherein the electromagnetic energy sensor includes a camera coupled to receive electromagnetic energy from at least part of the plurality of second optical fibers.
6. The illumination device as set forth in claim 4, wherein:
the electromagnetic energy sensor is coupled to receive the second type of electromagnetic energy from at least part of the plurality of second optical fibers; and the illumination device further comprises a camera that is coupled to receive the second type of electromagnetic energy from at least part of the plurality of second optical fibers.
7. The illumination device as set forth in claim 1, wherein the plurality of first optical fibers is capable of receiving electromagnetic energy comprising one or more of visible light, infrared light, blue light, and laser light.
8. The illumination device as set forth in claim 1, further comprising an electromagnetic energy sensor coupled to receive electromagnetic energy from the plurality of second optical fibers.
9. The illumination device as set forth in claim 8, wherein the electromagnetic energy sensor is coupled to receive the second type of electromagnetic energy from at least part of the plurality of second optical fibers.
10. The illumination device as set forth in claim 8, wherein the illumination device includes at least one light altering element capable of influencing a transmission of electromagnetic energy by the plurality of first optical fibers.
11. The illumination device as set forth in claim 10, wherein the at least one light altering element comprises at least one optical filter.
12. The illumination device as set forth in claim 11, wherein the at least one optical filter is structured to convert blue light into white light.
13. The illumination device as set forth in claim 1, wherein the proximal end is split and comprises a plurality of proximal members comprising a plurality of sets of optical fibers.
14. The illumination device as set forth in claim 13, wherein the plurality of proximal members comprises:
two proximal members, each of which comprises a plurality of optical fibers that direct electromagnetic energy from the proximal end to the distal end; and one proximal member comprising a plurality of optical fibers that direct electromagnetic energy from the distal end to the proximal end.
15. The illumination device as set forth in claim 1, further comprising a beam splitter coupled to one or more of (a) at least part of the plurality of first optical fibers and (b) at least part of the plurality of second optical fibers.
16. The illumination device as set forth in claim 15, further comprising an electromagnetic energy sensor coupled to receive electromagnetic energy from at least part of the plurality of second optical fibers.
17. The illumination device as set forth in claim 15, further comprising a camera coupled to receive electromagnetic energy from at least part of the plurality of second optical fibers.
18. The illumination device as set forth in claim 17, further comprising an electromagnetic energy sensor coupled to receive electromagnetic energy from at least part of the plurality of second optical fibers.
19. The illumination device as set forth in claim 18, wherein:
the electromagnetic energy sensor is coupled to receive the second type of electromagnetic energy from at least part of the plurality of second optical fibers; and the camera is coupled to receive the second type of electromagnetic energy from at least part of the plurality of second optical fibers.
20. The illumination device as set forth in claim 15, further comprising:

a plurality of third optical fibers extending from the proximal end to the distal end, the plurality of third optical fibers being capable of receiving a third type of electromagnetic energy from the distal end and of directing the third type of electromagnetic energy to the proximal end; and a camera coupled to receive the third type of electromagnetic energy from at least part of the plurality of third optical fibers.
21. An apparatus, comprising:
an illumination device having a proximal end and a distal end, the illumination device being capable of transmitting concentrated infrared electromagnetic energy and relatively less-concentrated visible electromagnetic energy from the proximal end to the distal end, whereby the less-concentrated visible electromagnetic energy is concentrically disposed around the concentrated infrared electromagnetic energy; and a handpiece disposed at the distal end of the illumination device, the handpiece being capable of receiving the concentrated infrared and less-concentrated visible electromagnetic energies from the distal end of the illumination device and of directing the electromagnetic energy to a target.
22. The apparatus as set forth in claim 21, wherein the handpiece comprises:
a treatment end connected to and disposed at an angle relative to a longitudinal axis of the illumination device;
a tip ferrule insertable into the treatment end, the tip ferrule comprising a distal end; and a fiber tip insertable into the tip ferrule, the fiber tip being capable of receiving electromagnetic energy from the distal end of the illumination device.
23. The apparatus as set forth in claim 22, wherein the tip ferrule comprises one or more locking shoulders capable of engaging a recess disposed in the treatment end, whereby insertion of the tip ferrule into the treatment end provides one or more of an audible feedback and a tactile feedback.
24. The apparatus as set forth in claim 22, wherein:
the tip ferrule surrounds a portion of the fiber tip, whereby the fiber tip extends outwardly from the distal end of the tip ferrule; and the tip ferrule is removable from the treatment end.
25. The apparatus as set forth in claim 24, wherein the fiber tip is secured within the tip ferrule by operation of a cavity formed in the distal end of the tip ferrule, the cavity surrounding but not contacting the fiber tip.
26. The apparatus as set forth in claim 25, wherein the fiber tip is secured by an adhesive disposed within the cavity.
27. The apparatus as set forth in claim 25, wherein the tip ferrule comprises one or more locking shoulders capable of engaging a recess disposed in the treatment end, whereby insertion of the tip ferrule into the treatment end provides one or more of an audible feedback and a tactile feedback.
28. The apparatus as set forth in claim 25, wherein the tip ferrule comprises a recess and the treatment end comprises one or more locking shoulders capable of engaging the recess, whereby insertion of the tip ferrule into the treatment end provides one or more of an audible feedback and a tactile feedback.
29. The apparatus as set forth in claim 22, wherein the tip ferrule comprises:
a groove at least partially surrounding the distal end of the tip ferrule, the groove being capable of facilitating removal of the tip ferrule from the treatment end; and a plurality of ring-shaped projections, one or more of the ring-shaped projections being capable of establishing contact with an interior of the treatment end when the tip ferrule is inserted into the treatment end.
30. The apparatus as set forth in claim 21, wherein the illumination device comprises:
a first plurality of optical fibers capable of receiving the concentrated infrared and less-concentrated visible electromagnetic energies at the proximal end and of directing the received electromagnetic energies to the handpiece; and a second plurality of optical fibers capable of receiving less-concentrated visible electromagnetic energy, which is reflected from a target back into the apparatus, from the handpiece and of directing the received less-concentrated visible electromagnetic energy to the proximal end of the illumination device.
31. The apparatus as set forth in claim 21, wherein during operation the handpiece is capable of rotating about an axis of the illumination device.
32. The apparatus as set forth in claim 31, wherein the handpiece comprises a plurality of reflectors capable of directing electromagnetic energy from the distal end of the illumination device to a target independent of an angle of rotation of the handpiece.
33. An illumination device, comprising:
an elongate body having a distal end and a proximal end;
a power light transmitter;
a first plurality of light transmitters disposed within the elongate body around the power transmitter, the first plurality of light transmitters being configured to transmit electromagnetic energy from the proximal end to the distal end;
a second plurality of light transmitters disposed within the elongate body around the power transmitter, the second plurality of light transmitters being configured to transmit electromagnetic energy from the distal end to the proximal end; and a light sensor coupled to receive light from the second plurality of light transmitters at the proximal end.
34. The illumination device as set forth in claim 33, wherein the second plurality of light transmitters is further configured to transmit light from the distal end to the proximal end.
35. The illumination device as set forth in claim 34, further comprising a beam splitter coupled to at least part of the second plurality of light transmitters.
36. The illumination device as set forth in claim 33, further comprising a microprocessor coupled to the light sensor to interpret the light received from the second plurality of light transmitters at the proximal end.
37. The illumination device as set forth in claim 33, wherein the first plurality of light transmitters is capable of transmitting light comprising at least one of visible light, infrared light, blue light, and laser light.
38. The illumination device as set forth in claim 37, wherein the elongate body comprises:
a rigid portion; and at least one substantially flexible portion.
39. The illumination device as set forth in claim 38, wherein at least one substantially flexible portion comprises a jointed section.
40. The illumination device as set forth in claim 39, wherein the jointed section assumes in a neutral position an angle of about 15 to 20 degrees with respect to an axis of the rigid portion of the elongate body.
41. The illumination device as set forth in claim 33, wherein:
the first plurality of light transmitters comprises a first plurality of optical fibers;
and the second plurality of light transmitters comprises a second plurality of optical fibers.
42. The illumination device as set forth in claim 41, wherein the first plurality of light transmitters comprises at least one light altering element capable of influencing light transmitted to the distal end.
43. The illumination device as set forth in claim 42, wherein the at least one light altering element comprises at least one optical filter.
44. The illumination device as set forth in claim 33, further comprising:
a third plurality of light transmitters extending from the proximal end to the distal end, the third plurality of light transmitters being configured to receive light from the distal end and to direct the light to the proximal end; and a camera coupled to receive light from at least part of the third plurality of light transmitters.
45. The illumination device as set forth in claim 44, wherein light transmitted from the distal end to the proximal end by the second plurality of light transmitters is substantially the same as light received by, and directed to the proximal end by, the third plurality of light transmitters.
46. The illumination device as set forth in claim 33, wherein the light sensor includes a camera coupled to receive light from at least part of the second plurality of light transmitters.
47. The illumination device as set forth in claim 33, wherein the illumination device further comprises a camera that is coupled to receive light from the second plurality of light transmitters.
48. The illumination device as set forth in claim 33, further comprising a beam splitter coupled to one or more of (a) at least part of the first plurality of light transmitters and (b) at least part of the second plurality of light transmitters.
49. The illumination device as set forth in claim 48, wherein the light sensor is coupled to receive light from part of the second plurality of light transmitters.
50. The illumination device as set forth in claim 48, further comprising a camera coupled to receive light from at least part of the second plurality of light transmitters.
51. The illumination device as set forth in claim 48, further comprising:
a third plurality of light transmitters extending from the proximal end to the distal end, the third plurality of light transmitters being capable of receiving light from the distal end and of directing the light to the proximal end; and a camera coupled to receive light from at least part of the third plurality of light transmitters.
52. An apparatus, comprising:
a treatment end having a sleeve disposed therein, the sleeve comprising a recess disposed on an inner surface thereof;
a tip ferrule disposed at least in part within the sleeve, the tip ferrule comprising a locking shoulder capable of engaging the recess; and a fiber tip, at least a portion of which is disposed within the tip ferrule.
53. The apparatus as set forth in claim 52, wherein the apparatus comprises a handpiece disposed in a vicinity of an output end of a device.
54. The apparatus as set forth in claim 53, wherein the device is an illumination device.
55. The apparatus as set forth in claim 52, wherein engagement of the locking shoulder with the recess occurs when the tip ferrule is inserted into the sleeve and provides one or more of an audible feedback and tactile feedback.
56. The apparatus as set forth in claim 55, wherein the tip ferrule comprises a plurality of locking shoulders capable of engaging the recess and of providing at least one of an audible and tactile feedback when the tip ferrule is inserted into the sleeve and the recess is engaged.
57. The apparatus as set forth in claim 52, wherein:
the sleeve comprises a locking shoulder disposed on an inner surface thereof;
and the tip ferrule comprises a recess capable of being engaged by the locking shoulder whereby one or more of an audible feedback and a tactile feedback are generated.
58. The apparatus as set forth in claim 57, wherein the inner surface of the sleeve comprises a plurality of locking shoulders and the one or more audible and tactile feedbacks are generated when the tip ferrule is inserted into the sleeve.
59. The apparatus as set forth in claim 52, wherein:
at least a portion of the fiber tip is secured within the tip ferrule by an adhesive;
the tip ferrule comprises a distal end; and at least a portion of the fiber tip extends outward from the distal end of the tip ferrule.
60. The apparatus as set forth in claim 59, wherein the tip ferrule is removable from the sleeve.
61. The apparatus as set forth in claim 60, wherein:

the sleeve comprises a recess disposed on an inner surface thereof; and the tip ferrule comprises a plurality of locking shoulders, at least one of the locking shoulders being capable of engaging the recess and of providing one or more of an audible feedback and a tactile feedback when the tip ferrule is inserted into the sleeve and the recess is engaged.
62. The apparatus as set forth in claim 52, wherein the tip ferrule is color coded according to a function of the fiber tip.
63. A handpiece, comprising:
a treatment end constructed to facilitate emission of electromagnetic energy;
a tip ferrule insertable into the treatment end, the tip ferrule comprising a distal end; and a fiber tip insertable into the tip ferrule, the fiber tip being capable of receiving and outputting electromagnetic energy from the treatment end;
wherein insertion of the tip ferrule into the treatment end provides one or more of an audible feedback and a tactile feedback.
64. The handpiece as set forth in claim 63, wherein the tip ferrule comprises one or more locking shoulders capable of engaging a recess disposed in the treatment end.
65. The handpiece as set forth in claim 63, wherein:
the tip ferrule surrounds a portion of the fiber tip, whereby the fiber tip extends outwardly from the distal end of the tip ferrule; and the tip ferrule is removable from the treatment end.
66. The handpiece as set forth in claim 65, wherein the fiber tip is secured within the tip ferrule by operation of a cavity formed in the distal end of the tip ferrule, the cavity surrounding but not contacting the fiber tip.
67. The handpiece as set forth in claim 66, wherein the fiber tip is secured by an adhesive disposed within the cavity.
68. The handpiece as set forth in claim 66, wherein the tip ferrule comprises one or more locking shoulders capable of engaging a recess disposed in the treatment end, whereby insertion of the tip ferrule into the treatment end provides one or more of an audible feedback and a tactile feedback.
69. The handpiece as set forth in claim 66, wherein the tip ferrule comprises a recess and the treatment end comprises one or more locking shoulders capable of engaging the recess, whereby insertion of the tip ferrule into the treatment end provides one or more of an audible feedback and a tactile feedback.
70. The handpiece as set forth in claim 63, wherein the tip ferrule comprises:
a groove at least partially surrounding the distal end of the tip ferrule, the groove being capable of facilitating removal of the tip ferrule from the treatment end; and a plurality of ring-shaped projections, one or more of the ring-shaped projections being capable of establishing contact with an interior of the treatment end when the tip ferrule is inserted into the treatment end.
71. The illumination device as set forth in claim 1, wherein the power fiber is coupled to an electromagnetic energy source comprising one of a wavelength within a range from about 2.69 to about 2.80 microns and a wavelength of about 2.94 microns.
72. The illumination device as set forth in claim 1, wherein the power fiber is coupled to at least one of an Er:YAG laser, an Er:YSGG laser, an Er, Cr:YSGG laser and a CTE:YAG laser.
73. The illumination device as set forth in claim 72, wherein the power fiber is coupled to at least one of an Er, Cr:YSGG solid state laser having a wavelength of about 2.789 microns and an Er:YAG solid state laser having a wavelength of about 2.940 microns.
74. The illumination device as set forth in claim 1, wherein the target surface comprises one of tooth, bone, cartilage and soft tissue.
75. The illumination device as set forth in claim 1, and further comprising a fluid output that is configured to output fluid at the distal end.
76. The illumination device as set forth in claim 1, and further comprising a plurality of fluid outputs, concentrically arranged around the power fiber and being configured to output fluid at the distal end.
77. The illumination device as set forth in claim 75, wherein the fluid output is configured to output fluid particles comprising water.
78. The illumination device as set forth in claim 75, wherein:
the fluid output comprises an atomizer configured to place atomized fluid particles into a volume above a target surface; and the power fiber is configured to impart relatively large amounts of energy into the atomized fluid particles in the volume above the target surface to thereby expand the atomized fluid particles and impart disruptive forces onto the target surface.
79. The illumination device as set forth in claim 21, wherein the concentrated infrared electromagnetic energy is supplied from at least one of an Er:YAG laser, an Er:YSGG
laser, an Er, Cr:YSGG laser and a CTE:YAG laser.
80. The illumination device as set forth in claim 21, wherein the target surface comprises one of tooth, bone, cartilage and soft tissue.
81. The illumination device as set forth in claim 21, and further comprising a fluid output that is configured to output fluid at the distal end.
82. The illumination device as set forth in claim 21, and further comprising a plurality of fluid outputs, concentrically arranged around a propagation path of the concentrated infrared electromagnetic energy and being configured to output fluid at the distal end.
83. The illumination device as set forth in claim 81, wherein the fluid output is configured to output fluid particles comprising water.
84. The illumination device as set forth in claim 81, wherein:
the fluid output comprises an atomizer configured to place atomized fluid particles into a volume above a target surface; and the concentrated infrared electromagnetic energy is output from the apparatus in such a way as to impart relatively large amounts of energy into the atomized fluid particles in the volume above the target surface to thereby expand the atomized fluid particles and impart disruptive forces onto the target surface.
85. The illumination device as set forth in claim 33, wherein:
the power light transmitter is coupled to at least one of an Er:YAG laser, an Er:YSGG laser, an Er, Cr:YSGG laser and a CTE:YAG laser; and the illumination device further comprises a fluid output that is configured to output fluid at the distal end.
86. The illumination device as set forth in claim 33, wherein:
the illumination device further comprises an atomizer configured to place atomized water particles into a volume above a target surface comprising one or more of tooth, bone, cartilage and soft tissue; and; and the power light transmitter is configured to impart relatively large amounts of energy into the atomized fluid particles in the volume above the target surface to thereby expand the atomized water particles and impart disruptive forces onto the target surface.
CA2575443A 2004-07-27 2005-07-20 Illumination device for transmitting electromagnetic energy Expired - Fee Related CA2575443C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US59193304P 2004-07-27 2004-07-27
US60/591,933 2004-07-27
PCT/US2005/025957 WO2006012461A2 (en) 2004-07-27 2005-07-20 Contra-angle rotating handpiece having tactile-feedback tip ferrule

Publications (2)

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CA2575443A1 true CA2575443A1 (en) 2006-02-02
CA2575443C CA2575443C (en) 2011-08-30

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US (2) US7630420B2 (en)
EP (1) EP1799404B1 (en)
JP (1) JP2008508034A (en)
CN (1) CN101432102A (en)
AU (1) AU2005267072B2 (en)
CA (1) CA2575443C (en)
WO (2) WO2006012461A2 (en)

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US7957440B2 (en) 2011-06-07
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US20080212624A1 (en) 2008-09-04
EP1799404A2 (en) 2007-06-27

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