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Abstract

An apparatus and method for optically treating tissue by contact between the apparatus and the tissue. The apparatus includes a holder having a distal end having an opening in it, and a contact member for contacting tissue to be treated and for coupling optical energy from a source of optical energy into said tissue. The contact member is a curved lens mounted in and partially extending from the opening and freely rotatable about at least one axis relative to the holder. The holder has a single coolant flow channel proximal to the opening and the contact member for supplying a cooling fluid to the contact member. A gap is provided between the contact member and the opening for allowing the fluid to flow around substantially the entire outer surface of the contact member and out of the opening onto said tissue to cool the tissue. The method includes the steps of contacting the surface of tissue in an area to be treated with a light transmissive low-friction contact optical element, applying optical energy from a source thereof to said optical element, converging said optical energy by said optical element into subsurface tissue in said area, moving said optical element over said area while maintaining it in contact with said surface, flowing a cooling fluid over said optical element and said surface to cool said optical element and said surface, and terminating application of optical energy to said optical element after a selected treatment time.

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First Claim