A variable-intensity, wide-angle illuminator is disclosed, one embodiment comprising: a
light source for providing a
light beam; an optical cable, optically coupled to the
light source for receiving and transmitting the
light beam; a handpiece, operably coupled to the optical cable to receive the
light beam; an
optical fiber, operably coupled to the handpiece, wherein the
optical fiber is optically coupled to the optical cable to receive and transmit the light beam; an optical element, optically coupled to a distal end of the
optical fiber, for receiving the light beam and scattering the light beam to illuminate a surgical field, wherein the optical element comprises a hemispherically shaped
sapphire; and a cannula, operably coupled to the handpiece, for housing and directing the optical
fiber and the optical element. The optical element can be a small-gauge, diffusive
sapphire element having a polished
circular surface co-incident with the distal end of the cannula and a light refracting hemispherical surface facing the optical
fiber. For example, the optical element can be a 19, 20 or 25 gauge optical element. Further, the cannula and the handpiece can be fabricated from biocompatible materials. The optical cable can comprise a first optical connector operably coupled to the
light source and a second optical connector operably coupled to the handpiece (to optically couple the optical cable to the optical
fiber housed within the handpiece and cannula).