# Patent

## Title
Electromagnetic energy distributions for electromagnetically induced mechanical cutting

## Abstract

Output optical energy pulses including relatively high energy magnitudes at the beginning of each pulse are disclosed. As a result of the relatively high energy magnitudes which lead each pulse, the leading edge of each pulse includes a relatively large slope. This slope is preferably greater than or equal to 5. Additionally, the full-width half-max value of the output optical energy distributions are between 0.025 and 250 microseconds and, more preferably, are about 70 microseconds. A flashlamp is used to drive the laser system, and a current is used to drive the flashlamp. A flashlamp current generating circuit includes a solid core inductor which has an inductance of 50 microhenries and a capacitor which has a capacitance of 50 microfarads.

## Background
This application is related to U.S. application Ser. No. 08/522,503, now U.S. Pat. No. 5,741,247 filed Aug. 31, 1995 and entitled USER PROGRAMMABLE COMBINATION OF ATOMIZED PARTICLES FOR ELECTROMAGNETICALLY INDUCED CUTTING, which is commonly assigned and the contents of which are expressly incorporated herein by reference.
BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention relates generally to lasers and, more particularly, to output optical energy distributions of lasers.
2. Description of Related Art
A variety of laser systems are present in the prior art. A solid-state laser system generally comprises a laser rod for emitting coherent light and a stimulation source for stimulating the laser rod to emit the coherent light. Flashlamps are typically used as stimulation sources for Erbium laser systems, for example. The flashlamp is driven by a flashlamp current, which comprises a predetermined pulse shape and a predetermined frequency.
The flashlamp current drives the flashlamp at the predetermined frequency, to thereby produce an output flashlamp light distribution having substantially the same frequency as the flashlamp current. This output flashlamp light distribution from the flashlamp drives the laser rod to produce coherent light at substantially the same predetermined frequency as the flashlamp current. The coherent light generated by the laser rod has an output optical energy distribution over time that generally corresponds to the pulse shape of the flashlamp current.
The pulse shape of the output optical energy distribution over time typically comprises a relatively gradually rising energy that ramps up to a maximum energy, and a subsequent decreasing energy over time. The pulse shape of a typical output optical energy distribution can provide a relatively efficient operation of the laser system, which corresponds to a relatively high ratio of average output optical energy to average power inputted into the laser system.
The prior art pulse shape and frequency may be suitable for thermal cutting procedures, for example, where the output optical energy is directed onto a target surface to induce cutting. New cutting procedures, however, do not altogether rely on laser-induced thermal cutting mechanisms. More particularly, a new cutting mechanism directs output optical energy from a laser system into a distribution of atomized fluid particles located in a volume of space just above the target surface. The output optical energy interacts with the atomized fluid particles causing the atomized fluid particles to expand and impart electromagnetically-induced mechanical cutting forces onto the target surface. As a result of the unique interactions of the output optical energy with the atomized fluid particles, typical prior art output optical energy distribution pulse shapes and frequencies have not been especially suited for providing optical electromagnetically-induced mechanical cutting. Specialized output optical energy distributions are required for optimal cutting when the output optical energy is directed into a distribution of atomized fluid particles for effectuating electromagnetically-induced mechanical cutting of the target surface.
SUMMARY OF THE INVENTION
The output optical energy distributions of the present invention comprise relatively high energy magnitudes at the beginning of each pulse. As a result of these relatively high energy magnitudes at the beginning of each pulse, the leading edge of each pulse comprises a relatively large slope. This slope is preferably greater than or equal to 5. Additionally, the full-width half-max (FWHM) values of the output optical energy distributions are greater than 0.025 microseconds. More preferably, the full-width half-max values are between 0.025 and 250 microseconds and, more preferably, are between 10 and 150 microseconds. The full-width half-max value is about 70 microseconds in the illustrated embodiment. A flashlamp is used to drive the laser system, and a current is used to drive the flashlamp. A flashlamp current generating circuit comprises a solid core inductor having an inductance of about 50 microhenries and a capacitor having a capacitance of about 50 microfarads.
The present invention, together with additional features and advantages thereof, may best be understood by reference to the following description taken in connection with the accompanying illustrative drawings.



BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a plot of flashlamp-driving current versus time according to the prior art;
FIG. 2 is a plot of output optical energy versus time for a laser system according to the prior art;
FIG. 3 is a schematic circuit diagram illustrating a circuit for generating a flashlamp-driving current in accordance with the present invention;
FIG. 4 is a plot of flashlamp-driving current versus time in accordance with the present invention;
FIG. 5 is a plot of output optical energy versus time for a laser system in accordance with the present invention.
FIG. 6 is a block diagram showing a fluid output used in combination with an electromagnetic energy source having a flashlamp driving circuit in accordance with the present invention.



DETAILED DESCRIPTION OF THE PRESENTLY PREFERRED EMBODIMENTS
Referring more particularly to the drawings, FIG. 1 illustrates a plot of flashlamp-driving current versus time according to the prior art. The flashlamp-driving current 10 initially ramps up to a maximum value 12. The initial ramp 14 typically comprises a slope (current divided by time) of between 1 and 4. After reaching the maximum value 12, the flashlamp-driving current 10 declines with time, as illustrated by the declining current portion 16. The prior art flashlamp-driving current 10 may typically comprise a frequency or repetition rate of 1 to 15 hertz (Hz). Additionally, the flashlamp-driving current 10 of the prior art may typically comprise a pulse width greater than 300 microseconds. The full-width half-max value of the flashlamp-driving current 10 is typically between 250 and 300 microseconds. The full-width half-max value is defined as a value of time corresponding to a length of the full-width half-max range plotted on the time axis. The full-width half-max range is defined on the time axis from a beginning time, where the amplitude first reaches one half of the peak amplitude of the entire pulse, to an ending time, where the amplitude reaches one half of the peak amplitude a final time within the pulse. The full-width half-max value is the difference between the beginning time and the ending time.
FIG. 2 illustrates a plot of energy versus time for the output optical energy of a typical prior art laser. The output optical energy distribution 20 generally comprises a maximum value 22, an initial ramp 24, and a declining output energy portion 26. The micropulses 28 correspond to population inversions within the laser rod as coherent light is generated by stimulated emission. The average power of the laser can be defined as the power delivered over a predetermined period of time, which typically comprises a number of pulses. The efficiency of the laser system can be defined as a ratio of the output optical power of the laser, to the input power into the system that is required to drive the flashlamp. Typical prior art laser systems are designed with flashlamp-driving currents 10 and output optical energy distributions 20 which optimize the efficiency of the system.
FIG. 3 illustrates a flashlamp-driving circuit 30 according to the presently preferred embodiment. The flashlamp-driving circuit 30 comprises a high-voltage power supply 33, a capacitor 35, a rectifier 37, an inductor 39, and a flashlamp 41. The capacitor 35 is connected between the high-voltage power supply 33 and ground, and the flashlamp 41 is connected between the inductor 39 and ground. The high-voltage power supply 33 preferably comprises a 1500 volt source, having a charging rate of 1500 Joules per second. The flashlamp 41 may comprise a 450 to 700 torr source and, preferably, comprises a 450 torr source. The capacitor 35 preferably comprises a 50 microfarad capacitor, and the rectifier 37 preferably comprises a silicon-controlled rectifier. The inductor 39 preferably comprises a 50 microhenry solid-core inductor. In alternative embodiments, the inductor 39 may comprise a 13 microhenry inductance. In still other alternative embodiments, the inductor 39 may comprise inductance values of between 10 and 15 microhenries. Other values for the inductor 39 and the capacitance 35 may be implemented in order to obtain flashlamp-driving currents having relatively large leading amplitudes, for example, as discussed below.
FIG. 4 illustrates the flashlamp driving current 50 of the present invention, which passes from the inductor 39 to the flashlamp 41. The flashlamp driving current of the present invention preferrably has a pulse width which is greater than about 0.25 microseconds and, more preferrably, which is in a range of 100 to 300 mircoseconds. In the illustrated embodiment, the pulse width is about 200 microseconds. The flashlamp driving current 50 comprises a maximum value 52, an initial ramp portion 54, and a declining current portion 56. The flashlamp 41 preferably comprises a cylindrical glass tube having an anode, a cathode, and a gas therebetween such as Xenon or Krypton. An ionizer circuit (not shown) ionizes the gas within the flashlamp 41. As the flashlamp-driving current 50 is applied to the anode of the flashlamp 41, the potential between the anode and the cathode increases. This potential increases as the flashlamp-driving current increases, as indicated by the initial ramp 54. Current flows through the gas of the flashlamp 41, resulting in the flashlamp 41 emitting bright incoherent light.
The flashlamp 41 is close-coupled to laser rod (not shown), which preferably comprises a cylindrical crystal. The flashlamp 41 and the laser rod are positioned parallel to one another with preferably less than 1 centimeter distance therebetween. The laser rod is suspended on two plates, and is not electrically connected to the flashlamp-driving current circuit 30. Although the flashlamp 41 comprises the preferred means of stimulating the laser rod, other means are also contemplated by the present invention. Diodes, for example, may be used instead of flashlamps for the excitation source The use of diodes for generating light amplification by stimulated emission is discussed in the book Solid-State Laser Engineering, Fourth Extensively Revised and Updated Edition, by Walter Koechner, published in 1996, the contents of which are expressly incorporated herein by reference.
The incoherent light from the presently preferred flashlamp 41 impinges on the outer surface of the laser rod. As the incoherent light penetrates into the laser rod, impurities within the laser rod absorb the penetrating light and subsequently emit coherent light. The impurities may comprise erbium and chromium, and the laser rod itself may comprise a crystal such as YSGG, for example. The presently preferred laser system comprises either an 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. As presently preferred, the Er, Cr:YSGG 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 According to one alternative embodiment, the laser rod may comprises a YAG crystal, and the impurities may comprise erbium impurities. A variety of other possibilities exist, a few of which are set forth in the above-mentioned book Solid-State Laser Engineering, Fourth Extensively Revised and Updated Edition, by Walter Koechner, published in 1996, the contents of which are expressly incorporated herein by reference 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, 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 266 nanometers; argon fluoride (ArF) excimer laser, which generates electromagnetic energy having a wavelength of 193 nanometers; xenon chloride (XeCl) excimer laser, which generates electromagnetic energy having a wavelength of 308 nanometers; krypton fluoride (KrF) excimer laser, which generates electromagnetic energy having a wavelength of 248 nanometers; and carbon dioxide (CO2), which generates electromagnetic energy having a wavelength in a range of 9 to 11 microns.
Particles, such as electrons, associated with the impurities absorb energy from the impinging incoherent radiation and rise to higher valence states. The particles that rise to metastable levels remain at this level for periods of time until, for example, energy particles of the radiation excite stimulated transitions. The stimulation of a particle in the metastable level by an energy particle results in both of the particles decaying to a ground state and an emission of twin coherent photons (particles of energy). The twin coherent photons can resonate through the laser rod between mirrors at opposing ends of the laser rod, and can stimulate other particles on the metastable level, to thereby generate subsequent twin coherent photon emissions. This process is referred to as light amplification by stimulated emission. With this process, a twin pair of coherent photons will contact two particles on the metastable level, to thereby yield four coherent photons. Subsequently, the four coherent photons will collide with other particles on the metastable level to thereby yield eight coherent photons.
The amplification effect will continue until a majority of particles, which were raised to the metastable level by the stimulating incoherent light from the flashlamp 41, have decayed back to the ground state. The decay of a majority of particles from the metastable state to the ground state results in the generation of a large number of photons, corresponding to an upwardly rising micropulse (64, for example, FIG. 5). As the particles on the ground level are again stimulated back up to the metastable state, the number of photons being emitted decreases, corresponding to a downward slope in the micropulse 64, for example The micropulse continues to decline, corresponding to a decrease in the emission of coherent photons by the laser system. The number of particles stimulated to the metastable level increases to an amount where the stimulated emissions occur at a level sufficient to increase the number of coherent photons generated. As the generation of coherent photons increases, and particles on the metastable level decay, the number of coherent photons increases, corresponding to an upwardly rising micropulse.
The output optical energy distribution over time of the laser system is illustrated in FIG. 5 at 60. The output optical energy distribution of the present invention preferrably has a pulse width that is greater than about 0.25 microseconds and, more preferrably, in a range of 125 to 300 mircoseconds. In the illustrated embodiment, the pulse width is about 200 microseconds. The output optical energy distribution 60 comprises a maximum value 62, a number of leading micropulses 64, 66, 68, and a portion of generally declining optical energy 70.
According to the present invention, the output optical energy distribution 60 comprises a large magnitude. This large magnitude corresponds to one or more sharply-rising micropulses at the leading edge of the pulse. As illustrated in FIG. 5, the micropulse 68 comprises a maximum value 62 which is at or near the very beginning of the pulse. Additionally, the full-width half-max value of the output optical energy distribution in FIG. 5 is approximately 70 microseconds, compared to full-width half-max values of the prior art typically ranging from 250 to 300 microseconds. Applicant's invention contemplates pulses comprising full-width half-max values greater than 0.025 microseconds and, preferably, ranging from 10 to 150 microseconds, but other ranges may also be possible. Additionally, Applicant's invention contemplates a pulse width of between 0.25 and 300 microseconds, for example, compared to typical prior-art pulse widths which are greater than 300 microseconds. Further, a frequency of 20 Hz is presently preferred Alternatively, a frequency of 30 Hz may be used. Applicants' invention generally contemplates frequencies between 1 and 100 Hz, compared to prior art frequencies typically ranging from 1 to 15 Hz.
As mentioned above, the full-width half-max range is defined from a beginning time, where the amplitude first rises above one-half the peak amplitude, to an ending time, where the amplitude falls below one-half the peak amplitude a final time during the pulse width. The full-width half-max value is defined as the difference between the beginning time and the ending time.
The location of the full-width half-max range along the time axis, relative to the pulse width, is closer to the beginning of the pulse than the end of the pulse. The location of the full-width half-max range is preferably within the first half of the pulse and, more preferably, is within about the first third of the pulse along the time axis. Other locations of the full-width half-max range are also possible in accordance with the present invention. The beginning time preferably occurs within the first 10 to 15 microseconds and, more preferably, occurs within the first 12.5 microseconds from the leading edge of the pulse. The beginning time, however, may occur either earlier or later within the pulse. The beginning time is preferably achieved within the first tenth of the pulse width.
Another distinguishing feature of the output optical energy distribution 70 is that the micropulses 64, 66, 68, for example, comprise approximately one-third of the maximum amplitude 62. More preferably, the leading micropulses 64, 66, 68 comprise an amplitude of approximately one-half of the maximum amplitude 62. In contrast, the leading micropulses of the prior art, as shown in FIG. 2, are relatively small in amplitude.
The slope of the output optical energy distribution 60 is greater than or equal to 5 and, more preferably, is greater than about 10. In the illustrated embodiment, the slope is about 50. In contrast, the slope of the output optical energy distribution 20 of the prior art is about 4.
The output optical energy distribution 60 of the present invention is useful for maximizing a cutting effect of an electromagnetic energy source 32, such as a laser driven by the flashlamp driving circuit 30, directed into an atomized distribution of fluid particles 34 above a target surface 36, as shown in FIG. 6. An apparatus for directing electromagnetic energy into an atomized distribution of fluid particles above a target surface is disclosed in co-pending U.S. application Ser. No. 08/522,503, filed Aug. 31, 1995 and entitled USER PROGRAMMABLE COMBINATION OF ATOMIZED PARTICLES FOR ELECTROMAGNETICALLY INDUCED CUTTING. The high-intensity leading micropulses 64, 66, and 68 impart large amounts of energy into atomized fluid particles which preferably comprise waxer, to thereby expand the fluid particles and apply mechanical cutting forces to the target surface. The wailing micropulses after the maximum micropulse 68 have been found to further enhance the cutting efficiency. According to the present invention, a single large leading micropulse 68 may be generated or, alternatively, two or more large leading micropulses 68 (or 64. 66, for example) may be generated.
The flashlamp current generating circuit 30 of the present invention generates a relatively narrow pulse, which is on the order of 0.25 to 300 microseconds, for example. Additionally, the full-width half-max value of the optical output energy distribution 60 of the present invention preferably occurs within the first 70 microseconds, for example, compared to full-width half-max values of the prior art occurring within the first 250 to 300 microseconds. The relatively quick frequency, and the relatively large initial distribution of optical energy in the leading portion of each pulse of the present invention, results in efficient mechanical cutting. If a number of pulses of the output optical energy distribution 60 were plotted, and the average power determined, this average power would be relatively low, compared to the amount of energy delivered to the laser system via the high-voltage power supply 33. In other words, the efficiency of the laser system of the present invention may be less than typical prior art systems. Since the output optical energy distributions of the present invention are uniquely adapted for imparting electromagnetic energy into atomized fluid particles over a target surface, however, the actual cutting of the present invention is optimized. The cutting effect obtained by the output optical energy distributions of the present invention is both clean and powerful and, additionally, provides a consistent cut. The terms “cut” and “cutting” are broadly defined herein as imparting disruptive mechanical forces onto the target surface.
Although an exemplary embodiment of the invention has been shown and described, many other changes, modifications and substitutions, in addition to those set forth in the above paragraphs, may be made by one having ordinary skill in the art without necessarily departing from the spirit and scope of this invention.

## Claims

1. An apparatus for imparting disruptive forces onto a target surface, comprising:
(a) an atomizer configured to place water comprising atomized fluid particles into a volume above the target surface; and
(b) an excitation source comprising one of an Er:YAG, an Er:YSGG, an Er, Cr:YSGG and a CTE:YAG laser, which is configured to direct electromagnetic energy into the volume in close proximity to the target surface, wherein the excitation source outputs the electromagnetic energy in a form of a plurality of output pulses having a plurality of high-intensity leading micropulses that impart relatively large amounts of energy into the atomized fluid particles in the volume, the relatively large amounts of energy imparted into the fluid being sufficient to cause the atomized fluid particles to expand and impart disruptive cutting or ablating forces onto the target surface.

2. An apparatus for imparting disruptive forces onto a target surface, comprising:
(a) a fluid output configured to place water into a volume in close proximity to the target surface; and
(b) an excitation source, which is configured to direct electromagnetic energy into the volume in close proximity to the target surface, wherein the excitation source outputs the electromagnetic energy in a form of a plurality of output pulses having a plurality of high-intensity leading micropulses that impart relatively large amounts of energy into at least part of the fluid in the volume, the relatively large amounts of energy imparted into the fluid being sufficient to cause the fluid to expand and apply disruptive cutting or ablating forces onto the target surface, the electromagnetic energy source comprising one of an Er:YAG, an Er:YSGG, an Er, Cr:YSGG and a CTE:YAG laser.

3. An apparatus for imparting disruptive forces onto a target surface, comprising:
(a) a fluid output configured to place water into a volume in close proximity to the target surface; and
(b) an excitation source, which is configured to direct electromagnetic energy into the volume in close proximity to the target surface, wherein the excitation source outputs the electromagnetic energy in a form of a plurality of output pulses having a plurality of high-intensity leading micropulses that impart relatively large amounts of energy into at least part of the fluid in the volume, the relatively large amounts of energy imparted into the fluid being sufficient to cause the fluid to expand and apply disruptive cutting or ablating forces onto the target surface.

4. The apparatus as set forth in claim 3, wherein a leading edge of the at least one output pulse has a slope that is greater than about 4, the slope being defined on a plot of the output pulse as y over x (y/x) where y is energy and x is time.

5. The apparatus as set forth in claim 3, wherein the slope is greater than or equal to about 5.

6. The apparatus as set forth in claim 3, wherein the slope is greater than or equal to about 10.

7. The apparatus as set forth in claim 3, wherein the slope is greater than or equal to about 40.

8. The apparatus as set forth in claim 3, wherein the apparatus further comprises a flashlamp current generating circuit that drives the excitation source.

9. The apparatus as set forth in claim 3, wherein the target surface comprises one of bone, teeth, cartilage and soft tissue.

10. The apparatus as set forth in claim 3, wherein the excitation source comprises a flashlamp.

11. The apparatus as set forth in claim 3, wherein the excitation source comprises a laser diode.

12. The apparatus as set forth in claim 3, wherein the excitation source comprises an inductor having an inductance of about 50 microhenries, a capacitor which is coupled to the inductor and which has a capacitance of about 50 microfarads, and a flashlamp coupled to the inductor, and further comprising a laser rod to facilitate generation of the output pulse.

13. The apparatus as set forth in claim 12, wherein the inductor is a solid core inductor having a rated inductance of about 50 microhenries.

14. The apparatus as set forth in claim 12, wherein the inductor, while being rated at about 50 microhenries, is adapted to generate an inductance of about 10 to 15 microhenries.

15. The apparatus as set forth in claim 14, wherein the inductor is adapted to generate an inductance of about 13 microhenries.

16. The apparatus as set forth in claim 14, wherein the inductor is adapted to operate at least partially in a saturated mode to generate an inductance of about 10 to 15 microhenries.

17. The apparatus as set forth in claim 16, wherein the inductor is adapted to operate at least partially in a saturated mode to generate an inductance of about 13 microhenries.

18. The apparatus as set forth in claim 3, wherein the excitation source comprises an inductor having an inductance less than about 16 microhenries, a capacitor which is coupled to the inductor and which has a capacitance of about 50 microfarads, and a flashlamp coupled to the inductor, and further comprising a laser rod to facilitate generation of the output pulse.

19. The apparatus as set forth in claim 18, wherein the inductor is a solid care inductor which, while having an actual inductance of 16 microhenries, has a rated inductance of about 50 microhenries.

20. The apparatus as set forth in claim 19, wherein the inductor is adapted to generate an inductance of about 10 to 15 microhenries.

21. The apparatus as set forth in claim 18, wherein the inductor is adapted to generate an inductance of about 13 microhenries.

22. The apparatus as set forth in claim 18, wherein the inductor is adapted to operate at least partially in a saturated mode to generate an inductance of about 10 to 15 microhenries.

23. The apparatus asset forth in claim 18 or claim 19, wherein the inductor is adapted to operate at least partially in a saturated mode to generate an inductance of about 13 microhenries.

24. An apparatus for imparting disruptive forces onto a target surface, comprising:
(a) a fluid output configured to place fluid into a volume in close proximity to the target surface; and
(b) an excitation source comprising a laser diode and being configured to direct electromagnetic energy into the volume in close proximity to the target surface, wherein the excitation source outputs the electromagnetic energy in a form of at least one output pulse having a plurality of hugh-intensity leading micropulses that impart relatively large amounts of energy into at least part of the fluid in the volume, the relatively large amounts of energy imparted into the fluid being sufficient to cause the fluid to expand and apply disruptive cutting or ablating forces onto the target surface, the laser diode being configured to operate at a frequency within a range from about 1 to about 100 Hz.

25. The apparatus as recited in claim 24, wherein the at least one output pulse comprises a plurality of optical output pulses and the fluid comprises water.

26. The apparatus as set forth in claim 24, wherein the excitation source is configured to impart relatively large amounts of energy into the fluid in the volume to thereby expand the fluid and impart the disruptive forces onto the target surface.

27. The apparatus as set forth in claim 24, wherein the excitation source comprises one of a wavelength within a range from about 2.69 to about 2.80 microns and a wavelength of about 2.94 microns.

28. The apparatus as set forth in claim 27, wherein the fluid comprises water.

29. An apparatus for imparting disruptive forces to a target, comprising:
an excitation source configured to facilitate generation of at least one output pulse having a full-width half-max range closer to a beginning than an end of the output pulse, wherein the excitation source comprises an inductor having an inductance less than about 16 microhenries, a capacitor which is coupled to the inductor and which has a capacitance of about 50 microfarads, and a flashlamp coupled to the inductor, and further comprising a laser rod to facilitate generation of the output pulse; and
a fluid output configured to direct fluid particles for reception of energy from the output pulse and impartation of the disruptive faces to the target.

30. The apparatus as set forth in claim 29, wherein the inductor is a solid core inductor which, while having an actual inductance of 16 microhenries, has a rated inductance of about 50 microhenries.

31. The apparatus as set forth in claim 29, wherein the inductor is adapted to generate an inductance of about 10 to 15 microhenries.

32. The apparatus as set forth in claim 29, wherein the inductor is adapted to generate an inductance of about 13 microhenries.

33. The apparatus as set forth in claim 29, wherein the inductor is adapted to operate at least partially in a saturated mode to generate an inductance of about 10 to 15 microhenries.

34. The apparatus as set forth in claim 29, wherein the inductor is adapted to operate at least partially in a saturated mode to generate an inductance of about 13 microhenries.

35. An apparatus for imparting disruptive forces to a target, comprising:
an excitation source configured to facilitate generation of at least one output pulse having a full-width half-max range closer to a beginning than an end of the output pulse; and
a fluid output configured to direct fluid particles for reception of energy from the output pulse and impartation of the disruptive forces to the target wherein the fluid output is oriented to direct fluid particles to at least partially interact with the output pulse.

36. The apparatus as set forth in claim 35, wherein the excitation source comprises a flashlamp.

37. The apparatus as set forth in claim 35, wherein the excitation source comprises a laser diode.

38. The apparatus as set forth in claim 35, wherein the laser diode is configured to operate at a frequency within a range from about 1 to about 100 Hz.

39. The apparatus as set forth in claim 35, wherein the excitation source comprises an inductor having an inductance of about 50 microhenries, a capacitor which is coupled to the inductor and which has a capacitance of about 50 microfarads, and a flashlamp coupled to the inductor, and further comprising a laser rod to facilitate generation of the output pulse.

40. The apparatus as set forth in claim 35, wherein the inductor is a solid core inductor having a rated inductance of about 50 microhenries.

41. The apparatus as set forth in claim 39, wherein the inductor, while being rated at about 50 microhenries, is adapted to generate an inductance of about 10 to 15 microhenries.

42. The apparatus as set forth in claim 41, wherein the inductor is adapted to generate an inductance of about 13 microhenries.

43. The apparatus as set forth in claim 41, wherein the inductor is adapted to operate at least partially in a saturated mode to generate an inductance of about 10 to 15 microhenries.

44. The apparatus as set forth in claim 43, wherein the inductor is adapted to operate at least partially in a saturated mode to generate an inductance of about 13 microhenries.

45. An apparatus for imparting disruptive forces to a target, comprising:
an excitation source configured to facilitate generation of at least one output pulse having a full-width half-max range closer to a beginning than an end of the output pulse; and
a fluid output configured to direct fluid particles for reception of energy from the output pulse and impartation of the disruptive forces to the target, wherein the fluid output comprises an atomizer.

46. The apparatus as set forth in claim 45, wherein the output pulse has a wavelength which is causes the output pulse to be substantially absorbed by the fluid particles.

47. The apparatus as set forth in claim 46, wherein the output pulse comprises a plurality of output pulses.

48. An apparatus for imparting disruptive forces to a target, comprising:
an excitation source configured to facilitate generation of at least one output pulse having a full-width half-max range closer to a beginning than an end of the output pulse, wherein one or more pulses of the plurality of output pulses has a frequency within a range of about 1 Hertz to about 100 Hertz; and
a fluid output configured to direct fluid particles for reception of energy from the output pulse and impartation of the disruptive forces to the target.

49. The apparatus as set forth in claim 48, wherein the disruptive forces comprise disruptive cutting forces.

50. The apparatus as set forth in claim 48, wherein the disruptive forces comprise ablating forces.

51. An apparatus for imparting disruptive forces to a target, comprising:
an excitation source configured to facilitate generation at least one output pulse having a fall-width half-max range closer to a beginning than an end of the output pulse, and comprising a laser having one of a wavelength within a range from about 2.69 to about 2.80 microns and a wavelength of about 2.94 microns; and
a fluid output configured to direct fluid particles for reception of energy from the output pulse and impartation of the disruptive forces to the target.

52. An apparatus for imparting disruptive forces to a target, comprising:
an excitation source configured to facilitate generation of at least one output pulse having a full-width half-max range closer to a beginning than an end of the output pulse, and comprising one of an Er:YAG, an Er:YSGG, an Er, Cr:YSGG and a CTE:YAG laser; and
a fluid output configured to direct fluid particles for reception of energy from the output pulse and impartation of the disruptive forces to the target.

53. An apparatus for imparting disruptive forces to a target, comprising:
an excitation source configured to facilitate generation of at least one output pulse having a full-width half-max range closer to a beginning than an end of the output pulse; and
a fluid output configured to direct fluid particles for reception of energy from the output pulse and impartation of the disruptive forces to the target, wherein the fluid particles comprise water.

54. The apparatus as set forth in claim 53, wherein the target comprises one of tooth, bone, cartilage and soft tissue.

55. The apparatus as set forth in claim 53, wherein:
the fluid output is configured to place fluid into a volume in close proximity to the target; and
the excitation source comprises an electromagnetic energy source that is configured to direct electromagnetic energy into the volume in close proximity to the target to cause the disruptive forces to be imparted to the target.

56. The apparatus as set forth in claim 53, wherein the full-width half-max value is in a range from about 0.025 to about 250 microseconds.

57. The apparatus as set forth in claim 35, wherein the output pulse has a pulse width that is within a range of about 0.25 microseconds to about 300 microseconds.

58. An apparatus for imparting disruptive forces to a target, comprising:
an excitation source configured to facilitate generation of at least one output pulse having a full-width half-max range closer to a beginning than an end of the output pulse, wherein the full-width half-max value is in a range from 10 to 150 microseconds; and
a fluid output configured to direct fluid particles for reception of energy from the output pulse and impartation of the disruptive forces to the target.

59. An apparatus for imparting disruptive forces to a target, comprising:
an excitation source configured to facilitate generation of at least one output pulse having a full-width half-max range closer to a beginning than an end of the output pulse; and
a fluid output configured to direct fluid particles for reception of energy from the output pulse and impartation of the disruptive forces to the target wherein the full-width half-max value is about 70 microseconds.

60. An apparatus for imparting disruptive forces to a target, comprising:
an excitation source configured to facilitate generation of at least one output pulse having a full-width half-max range closer to a beginning than an end of the output pulse; and
a fluid output configured to direct fluid particles for reception of energy from the output pulse and impartation of the disruptive forces to the target wherein the output pulse comprises a leading edge having a slope that is greater than or equal to about 5, the slope being defined on a plot of the pulse as y over x (y/x) where y is amplitude and x is time in microseconds.

61. The apparatus as set forth in claim 60, wherein the y variable on the plot denotes electromagnetic energy.

62. The apparatus as set forth in claim 60, wherein the slope is greater than or equal to about 10.

63. The apparatus as set forth in claim 60, wherein the slope is greater than or equal to about 40.

64. The apparatus as set forth in claim 60, wherein the slope is greater than or equal to about 100.

65. The apparatus as set forth in claim 60, wherein the slope is greater than or equal to about 240.

66. An apparatus for imparting disruptive forces to a target, comprising:
an excitation source configured to facilitate generation of at least one output pulse having a full-width half-max range closer to a beginning than an end of the output pulse, wherein the output pulse has a pulse width that is within a range of about 100 microseconds to about 300 microseconds; and
a fluid output configured to direct fluid particles for reception of energy from the output pulse and impartation of the disruptive forces to the target.

67. An apparatus for imparting disruptive forces to a target, comprising:
an excitation source configured to facilitate generation of at least one output pulse having a full-width half-max range closer to a beginning than an end of the output pulse, wherein the output pulse has a pulse width of about 200 microseconds; and
a fluid output configured to direct fluid particles for reception of energy from the output pulse and impartation of the disruptive forces to the target.

68. An apparatus for imparting disruptive forces to a target, comprising:
an excitation source configured to facilitate generation of at least one output pulse having a full-width half-max range closer to a beginning than an end of the output pulse, wherein the output pulse has a frequency that is within a range of about 1 Hertz to about 100 Hz; and
a fluid output configured to direct fluid particles for reception of energy from the output pulse and impartation of the disruptive forces to the target.

69. An apparatus for imparting disruptive forces to a target, comprising:
an excitation source configured to facilitate generation of at least one output pulse having a full-width half-max range closer to a beginning than an end of the output pulse, wherein the output pulse is generated in accordance with at least one current pulse that drives a flashlamp, wherein the current pulse comprises a leading edge having a slope that is greater than or equal to about 5, the slope being defined on a plot of the current pulse as y over x (y/x) wherein y is current amplitude in amps and x is time in microseconds; and
a fluid output configured to direct fluid particles for reception of energy from the output pulse and impartation of the disruptive forces to the target.

70. The apparatus as set forth in claim 69, wherein the current pulse has a pulse width in a range from about 0.25 microseconds to about 300 microseconds.

71. The apparatus as set forth in claim 70, wherein the current pulse has a pulse width which is within a range of about 100 microseconds to about 300 microseconds.

72. The apparatus as set forth in claim 71, wherein:
the pulse width is about 200 microseconds; and
the full-width half-max value is about 70 microseconds.

73. An apparatus for imparting disruptive forces to a target, comprising:
an excitation source configured to facilitate generation of at least one output pulse having a full-width half-max range closer to a beginning than an end of the output pulse, wherein the full-width half max range of the output pulse is located within the first third of the output pulse, and a beginning time of the full-width half-max range of the output pulse is within a first 10 to 15 microseconds of the output pulse; and
a fluid output configured to direct fluid particles for reception of energy from the output pulse and impartation of the disruptive forces to the target.

74. An apparatus for imparting disruptive forces to a target, comprising:
an excitation source configured to facilitate generation of at least one output pulse having a full-width half-max range closer to a beginning than an end of the output pulse, wherein a beginning time of the full-width half-max range of the output pulse is within a first 12.5 microseconds of the output pulse; and
a fluid output configured to direct fluid particles for reception of energy from the output pulse and impartation of the disruptive forces to the target.

75. An apparatus for imparting disruptive forces to a target, comprising:
an excitation source configured to facilitate generation of at least one output pulse having a full-width half-max range closer to a beginning than an end of the output pulse, wherein an amplitude of at least one of a first few leading subpulses of the output pulse is about one third of a maximum amplitude of the output pulse; and
a fluid output configured to direct fluid particles for reception of energy from the output pulse and impartation of the disruptive forces to the target.

76. An apparatus for imparting disruptive forces to a target, comprising:
an excitation source configured to facilitate generation of at least one output pulse having a full-width half-max range closer to a beginning than an end of the output pulse, wherein an amplitude of at least one of a first few leading subpulses of the output pulse is about one half of a maximum amplitude of the output pulse; and
a fluid output configured to direct fluid particles for reception of energy from the output pulse and impartation of the disruptive forces to the target.

77. The apparatus as set forth in claim 76, wherein the output pulse has a pulse width that is greater than about 0.25 microseconds.

78. An apparatus for imparting disruptive forces to a target, comprising:
an excitation source configured to facilitate generation of at least one output pulse having a full-width half-max range closer to a beginning than an end of the output pulse, wherein a beginning time of the full-width half-max range of the output pulse is within a first tenth of the output pulse; and
a fluid output configured to direct fluid particles for reception of energy from the output pulse and impartation of the disruptive forces to the target.