A phacoemulsification system including a phacoemulsification probe including a hollow needle configured to provide an aspiration channel, a valve module including a valve closing element configured to close the aspiration channel upon activation, and a controller for providing an electric current pulse to activate the valve closing element to close the valve module, wherein the controller is programmed to detect a vacuum surge, provide an electric current pulse to a valve actuator in order to activate the valve closing element to close the valve module, wherein the shape of the current pulse includes a first section configured to accelerate the valve closing element, and a second section to decelerate the valve closing element as the valve closing element approaches an end of travel to prevent the valve closing element from hitting the end of travel and bouncing back, thereby preventing a recoil effect. Related apparatus and methods are also described.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
2.
SYSTEMS AND METHODS FOR DETECTION OF A VITREOUS CUTTER IN SURGICAL SYSTEM
A computer based surgical support method to determine a type of handpiece connected to a surgical system is disclosed. The method includes providing irrigation fluid from an irrigation reservoir to the handpiece via an irrigation line; providing aspiration via an aspiration line; measuring a first vacuum level associated with the aspiration line; and based on the measured vacuum value, determining the type of handpiece coupled with the surgical system.
A surgical handpiece is provided herein. The surgical handpiece may include: an ultrasonic horn having a lumen and configured to couple with the needle; one or more piezoelectric elements coupled with the horn and configured to ultrasonically vibrate a distal end of the needle to emulsify material; an aspiration channel extending from the distal end of the needle and through the lumen of the horn creating an aspiration pathway; and at least one constriction on an inner surface of the lumen of the horn and into the aspiration pathway, wherein the at least one constriction is configured to emulsify the material proximally along the aspiration pathway from the distal end of the needle in response to the one or more piezoelectric elements.
This invention is directed to compounds and compositions which are designed for use in light adjustable ophthalmic devices, such as intraocular implants, intraocular lenses, phakic intraocular lenses, contact lenses, orthokeratology lenses, rigid gas permeable lenses, corneal inlays, corneal outlays, or corneal inserts. The inventive compositions are produced from reactive monomer mixtures which when polymerized form polymers or polymeric networks having editable refractive indices. Such inventive compositions when exposed to light of certain wavelengths undergo intramolecular cycloaddition reactions thereby changing the refractive index in the irradiated regions. When used in ophthalmic devices, the inventive compositions enable post-manufacturing and/or post-operative adjustments to the optics of the devices by spatially modifying the refractive index. For example, the vision of a patient with an intraocular lens made of the inventive compositions can be fine-tuned after implantation and healing by a light treatment of the intraocular lens.
G02B 1/04 - Optical elements characterised by the material of which they are madeOptical coatings for optical elements made of organic materials, e.g. plastics
An example lens delivery device is provided. The lens delivery device can include a body comprising a channel therethrough. A first interference portion can be located within the channel. A plunger can be configured to receive a user-supplied force to move the plunger axially through the channel of the body. The plunger can include a second interference portion, located along a length of the plunger, configured to interact with the first interference portion during the axial movement of the plunger to form a damping mechanism to maintain a specified resistance to the user-supplied force.
An ultrasonic transducer is described having a resonant horn and piezoelectric elements arranged to impart vibration to the horn. The piezoelectric elements are wedge-shaped with respect to a central axis of the horn and arranged on the horn to impart to a distal end of the horn in a longitudinal direction vibration with respect to the central axis and/or a transverse direction vibration with respect to the central axis. Configurations are also described having additional wedge-shaped piezoelectric elements that may impart vibration in a second transverse direction with respect to the central axis. A phacoemulsification probe is described including wedge-shaped piezoelectric elements. Methods for energizing the piezoelectric elements are also described.
B06B 1/06 - Processes or apparatus for generating mechanical vibrations of infrasonic, sonic or ultrasonic frequency making use of electrical energy operating with piezoelectric effect or with electrostriction
7.
MATERIALS AND METHODS FOR LIGHT ADJUSTABLE OPHTHALMIC DEVICES
This invention is directed to compounds and compositions which are designed for use in light adjustable ophthalmic devices, such as intraocular implants, intraocular lenses, phakic intraocular lenses, contact lenses, orthokeratology lenses, rigid gas permeable lenses, corneal inlays, corneal outlays, or corneal inserts. The inventive compositions are produced from reactive monomer mixtures which when polymerized form polymers or polymeric networks having editable refractive indices. Such inventive compositions when exposed to light of certain wavelengths undergo intramolecular cycloaddition reactions thereby changing the refractive index in the irradiated regions. When used in ophthalmic devices, the inventive compositions enable post-manufacturing and/or post-operative adjustments to the optics of the devices by spatially modifying the refractive index. For example, the vision of a patient with an intraocular lens made of the inventive compositions can be fine-tuned after implantation and healing by a light treatment of the intraocular lens.
C07D 311/16 - Benzo [b] pyrans, not hydrogenated in the carbocyclic ring with oxygen or sulfur atoms directly attached in position 2 not hydrogenated in the hetero ring substituted in position 7
C07D 405/12 - Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings linked by a chain containing hetero atoms as chain links
A surgical system having a handpiece with a distal end; a pumping module configured for transmitting and/or evacuating fluid via the handpiece; a pressure sensor assembly positioned along fluid flow between the pumping module and distal end of the handpiece and configured for providing data on fluid pressure along the fluid flow; and a controller having one or more processors configured for operating the pumping module. The pressure sensor assembly includes at least three sensors positioned at two or more locations along the path of fluid flow between the pumping module and the distal end. The controller is configured for obtaining pressure data from the at least three sensors of the arrangement of sensors, and for processing the pressure data of the different sensors in accordance with a rotation rate of the pumping module to determine status of pressure data output by the at least three sensors.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
9.
SURGICAL INSTRUMENTS FOR PHACOEMULSIFICATION SURGERY
A surgical instrument for phacoemulsification procedures is disclosed. The surgical instrument may include a handpiece assembly and a cleaning member. The cleaning member may be coupled with the handpiece assembly. The cleaning member may be configured to be inserted into anterior chamber of the eye of a patient and into a capsular bag of the eye. The cleaning member may include one or more polishing elements configured to detach material from the capsular bag.
A phacoemulsification system and a method for controlling a surgical system, the method including: providing an ophthalmic surgical system comprising: a phacoemulsification probe having a needle at a distal end and an ultrasonic transducer, wherein the needle is configured to be inserted into an eye of a patient; an aspiration line, wherein the aspiration line is fluidly coupled with the needle; an aspiration pump; a control device configured for a user to control the aspiration pump; and a processor; obtaining a value of intraocular pressure (IOP) within the eye; receiving a trigger from a user of the ophthalmic surgical system; and in response to receiving the trigger, operating the aspiration pump at a higher aspiration rate, for a period of time, wherein the period of time is determined in accordance with the value of the IOP.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
Systems and methods for streaming video content relating to an ophthalmic surgical procedure are provided herein. A method includes receiving video content captured from a video source during the ophthalmic surgical procedure and receiving overlay information. A method includes sending at least a portion of the video content and the overlay information to a processing device configured to provide a video stream enhancement application, and receiving image enhancement information from the processing device. A method includes processing the video content based on the received image enhancement information to produce an enhanced video stream including an overlay representing at least at portion of the overlay information and sending, using a communication interface, the enhanced video stream to one or more receive devices configured to display the enhanced video stream.
A luer fitting that included a body having a proximal region, a distal region, and a length therebetween. The body includes: a recessed region within a portion of the length of the body at the proximal region, the recessed region having a proximal end opening, an inner back wall and an inner circumferential sidewall; a barb extending proximally from the inner back wall; and a passage between a first opening at the distal region of the body to a second opening at a proximal end of the barb, the passage forming an inner surface and having a first inner diameter at or near the first opening at the distal region opening that is greater than a second inner diameter at or near the inner back wall of the recessed region, wherein the transition between the first inner diameter and the second inner diameter is curvilinear.
An intraocular lens (IOL) management device (100) includes a sleeve (108) comprising a distal tip and a center lumen, a modular cartridge (110) configured to house a lens, and a tray (102) configured to transition from a first position to a second position. The tray includes a first tray component (104) configured to removably hold the modular cartridge, and a second tray component (106) movably attached to the first tray component. The modular cartridge is configured to house the lens in a third position when the tray is in the first position, and in a fourth position when the tray is in the second position, the fourth position being distal to the third position. Transitioning the tray from the first to the second position causes the sleeve (108) to enter into the modular cartridge such that the distal tip of the sleeve is positioned to engage with the lens and move the lens from the third position to the fourth position. A second lens management device does not comprise a modular cartridge and the lens is housed directly in the first tray component.
Aspects of the disclosure include a cataract simulation device for simulating a plurality of visions or images before and/or after cataract surgery by using Augmented Reality. The simulated visions or images may be utilized to display to a user how the user's vision would appear when certain types of lenses are implanted in the patient's eye, or how the user's vision would be with certain types of optical conditions such as cataracts. The simulated visions or images may be utilized to better assess the vision of the user following implantation of such lenses following cataract surgery.
A61B 3/00 - Apparatus for testing the eyesInstruments for examining the eyes
A61B 3/117 - Objective types, i.e. instruments for examining the eyes independent of the patients perceptions or reactions for examining the anterior chamber or the anterior chamber angle, e.g. gonioscopes
15.
DETERMINING FLUID FLOW RATE IN A PHACOEMULSIFICATION PROBE
Apparatus for determining a fluid flow rate in a channel of a phacoemulsification probe, including a first pressure sensor, coupled with fluid in the channel at a first position. A second pressure sensor couples with the fluid in the channel at a second position, at a preset distance from the first position, and the fluid flows from the first to the second position. A processor acquires from the first pressure sensor first indications of a pressure profile of a portion of the fluid passing the first pressure sensor, and acquires from the second pressure sensor second indications of a pressure profile of the fluid passing the second pressure sensor. The processor correlates the first and second indications to determine a time for the fluid portion to travel from the first to the second position, and calculates the fluid flow rate in response to the time and the preset distance.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
16.
SYSTEM AND METHOD FOR DETECTION OF CORNEA COLLAPSE
A system and method for use in eye surgery. The system includes at least one light source, a detection unit, and a detection circuit. The at least one light source is configured and operable to emit one or more illumination beams directed at a region of a corneal surface of a patient's eye. The detection unit includes an arrangement of light detectors positioned for collecting a reflected beam reflected from the region of the corneal surface of the patient's eye. The detection circuit is configured for collecting and analyzing a detection signal from the detection unit, and for detecting variations of the reflected beam pattern over time indicative of surface curvature changes of the corneal surface region. In response to detecting surface curvature change exceeding a predefined threshold, the detection circuit generate a response signal triggering operation of an anti-vacuum surge (AVS) mechanism.
A method, ophthalmic surgical system, and a computer program product for assessing and providing a clinical index during an ophthalmic procedure performed on a patient, the method including: providing an ophthalmic surgical system and at least one sensor coupled with the ophthalmic surgical system for sensing a parameter within an eye of the patient; obtaining a first sequence of measured values, the first sequence of values indicating measurements taken by the at least one sensor at a plurality of points in time during the medical procedure; assessing the clinical index based at least on a function of the first sequence of measured values, the function involving a deviation of each value of the first sequence of measured values from a target; and providing to a user of the medical system an indication of the clinical index.
A phacoemulsification system and a method are described. The system including: a handpiece having a needle and a sleeve at a distal end and an orientation detection unit; an irrigation module configured to supply irrigation fluid into the eye; an aspiration module configured for aspiring eye fluid; a priming cover for fitting over the distal end of the handpiece during a priming process; external pressure sensors coupled with the priming cover; one or more sensors for monitoring at irrigation and spiration pressure; and a processor configured to operate in a priming process. The priming process includes operating the irrigation module to fill the irrigation channel with fluid and remove air bubbles. The one or more processors are configured for obtaining calibration pressure data from the external pressure sensors and orientation data from the orientation detection unit and for calibrating the sensors of the system in accordance with orientation data.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
19.
CONTROL OF IRRIGATION IN A PHACOEMULSIFICATION SYSTEM
A phacoemulsification system includes a handpiece, an irrigation module, an aspiration module, circuitry, and a processor. The handpiece includes a piezoelectric element and a needle. The needle is configured to be inserted into an eye and to be vibrated by the piezoelectric element to emulsify a lens of the eye. The irrigation module is configured to supply a flow of irrigation fluid to the eye based on respective values of at least one control parameter. The aspiration module is configured for aspiration of material from the eye. The circuitry is configured to determine a difference between the flow of irrigation fluid to the eye and an aspiration flow of the material from the eye. The processor is configured to set respective values of the at least one control parameter based on the determined difference and to provide the control parameter value(s) to the irrigation module.
Phacoemulsification apparatus having a phacoemulsification probe that has a needle with a distal tip configured to be inserted into an eye lens, the needle having a lumen. The probe has an actuator configured to vibrate the needle, an aspiration channel, coupled with the lumen and configured to convey an emulsified particle of the lens as aspiration fluid, and an aspiration sensor, coupled with the aspiration channel and configured to measure a vacuum level within the aspiration channel. A microscope is configured to capture an image of the distal tip and of the emulsified particle. A processor is configured to provide an analysis of the image, and, in response to the analysis, when the emulsified particle is in contact with the distal tip for at least a preset time period while the vacuum level is below a predetermined threshold, energize the actuator with a pulse of energy.
A phacoemulsification system and a corresponding method are described. The system having a handpiece having a needle and a sleeve at a distal end to emulsify a lens of an eye; an irrigation module configured to supply irrigation fluid into the eye; an aspiration module configured for aspiring eye fluid; a priming cover for fitting over the distal end of the handpiece during a priming process; external pressure sensors coupled with the priming cover; one or more sensors for monitoring at least one of an irrigation pressure and an aspiration pressure; and a processor configured to operate in a priming process. The priming process includes operating the irrigation module to fill the irrigation channel with fluid and remove air bubbles. The one or more processors are configured for obtaining calibration pressure data from the external pressure sensors and for calibrating the sensors of the system.
A phacoemulsification system and method, the system having a probe with a needle at its distal end, the needle configured to be inserted into a patient's eye, the probe having an ultrasonic transducer; an aspiration line fluidly coupled with the needle; an AVS system configured to control fluid flow in the aspiration line; and a processor, configured to: obtain a first set of images having a first image depicting a part of the needle and a particle of a lens of the eye occluding an aspiration line of the needle; obtain a second image depicting the part of the needle, the second image captured later than the first image; determine based on the first image and the second image whether an aspiration-stopping criteria is met; and subject to the aspiration-stopping criteria being met, control the AVS system to restrict fluid flow along the aspiration line.
A method for validating selection of a tip type for a tip of a handpiece of an ophthalmic instrument, the method includes storing a definition of multiple tip types and multiple respective visual properties of the tip types. An image of the tip is acquired by a camera during a medical procedure using the ophthalmic instrument. An actual visual property of the tip is identified in the acquired image. Based on the stored definition of the multiple tip types and the multiple respective visual properties, it is determined whether the actual visual property of the tip matches a specified tip type intended for the medical procedure. A responsive action is taken in case of a mismatch between the actual visual property and the specified visual property.
A phacoemulsification probe includes a distal end, an aspiration channel, and an anti-vacuum surge (AVS) module. The distal end is configured for insertion into an eye of a patient. The aspiration channel is coupled with the distal end for evacuating material from the eye. The AVS module includes (i) a disposable portion, which is detachably coupled with the aspiration channel, and comprises a valve part configured to be moved to regulate flow in the aspiration channel, and (ii) a reusable portion, which is configured to move the valve part in response to one or more command signals.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
A phacoemulsification valve for controlling flow of eye fluid, consisting of an enclosure, a first lumen within the enclosure, having a first and a second termination, a second lumen within the enclosure, intersecting the first lumen, so that the first lumen separates the second lumen into a first and a second section, and a pin, that slides within the first lumen between a first position, wherein the pin prevents transfer of the eye fluid between the first and second sections and a second position, wherein the pin permits transfer of the eye fluid between the first and second sections. The valve also includes a first coil, proximate to the first termination, which when energized transfers the pin between the first and second positions, and a second coil, positioned in proximity to the second termination, which when energized transfers the pin between the second and first positions.
An anti-vacuum surge (AVS) cartridge includes a solenoid valve with a magnetic plunger having parallel flattened surfaces, in a valve cavity of a rectangular or other similar cross section. The flattened surfaces of the plunger are oppositely disposed from each other and are in line with the flow path through the aspiration channel of the AVS cartridge.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
F16K 31/08 - Operating meansReleasing devices electricOperating meansReleasing devices magnetic using a magnet using a permanent magnet
Systems and methods for sensing tissue in a phacoemulsification procedure are provided herein. A method may include generating a sensing signal through a frequency range centered at a local resonant frequency of an ultrasonic handpiece and measuring impedance characteristics of the signal at a distal end of a needle of an ultrasonic handpiece. A method may further include comparing the measured impedance characteristics of the generated sensing signal with one or more stored impedance profiles. A method may further include classifying, based on the comparison between the measured impedance characteristics and the stored one or more impedance profiles, a medium contacting the distal end of the needle. A method may further include controlling an output of the ultrasonic handpiece based on the classification of the medium contacting the tip of the needle.
A system, method and computer program product, the system comprising : a phacoemulsification probe having a needle at its distal end, the needle configured to be inserted into an eye of a patient; a pressure sensor; and a processor, configured to repeatedly: obtain a plurality of pressure values taken by the pressure sensor, each of the plurality of pressure values indicating an intraocular pressure (IOP) measurement taken during a surgical procedure; calculate an overall measurement for the surgical procedure based on the pressure values; and displaying on a display device a graphic representation of the overall measurement.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
A computer-based automated phacoemulsification method is disclosed. The method includes determining a vacuum measurement based on a reading from a sensor coupled with an aspiration line; comparing the vacuum measurement to the at least one vacuum threshold; and providing an ultrasound power based on the comparison of the vacuum measurement to the at least one vacuum threshold.
A needle for use with a phacoemulsification handpiece is disclosed. The needle may compromise an elongated needle body having a proximal end and a distal end terminating at a junction point; a first tine having a proximal end and a distal end terminating in a first tip; a second tine having a proximal end and a distal end terminating in a second tip, wherein the proximal end of the first tine and the proximal end of the second tine are each connected at the junction point.
G02B 1/04 - Optical elements characterised by the material of which they are madeOptical coatings for optical elements made of organic materials, e.g. plastics
Phacoemulsification apparatus, consisting of a phacoemulsification probe having a distal end including a combination of a needle and a sleeve, the combination being configured for insertion into an eye of a patient, and being configured for fluid transfer between the eye and the combination. The apparatus has an ultrasound actuator configured to vibrate the needle, a first sensor configured to output a first indication indicative of physical contact between the needle and a lens of the eye, and a second sensor configured to output a second indication indicative of a parameter associated with the fluid transferred by the combination. A microcontroller is configured to receive the first and the second indication, to calculate a threshold for the first indication in response to the second indication, and to activate and deactivate the ultrasound actuator in response to the first indication crossing the threshold.
A method includes calculating in real-time a correlation between vacuum readings and pressure readings of respective aspiration and irrigation channels of a phacoemulsification handpiece engaged in a phacoemulsification procedure in an eye. Upon detecting an increase in the vacuum readings and an increase in the pressure readings, a current level of the correlation is checked. Provided that the current level of the correlation is above a given value, an anti-vacuum surge (AVS) mechanism is activated, the AVS mechanism fluidly coupled with at least one of the irrigation and aspiration channels.
A system includes an ocular surgical handpiece including an irrigation conduit. The system further includes an irrigation tube, configured to establish fluidic communication between a supply of irrigation fluid and the irrigation conduit, such that the irrigation fluid flows distally from the supply, via the irrigation tube and the irrigation conduit, to an eye of a patient. The system further includes a pressure regulator, configured to regulate an intraocular pressure of the eye by regulating the flow of the irrigation fluid within the irrigation conduit, within the irrigation tube, or between the irrigation conduit and the irrigation tube. Other examples are also described.
An apparatus includes a compressor, which is configured to compress air and includes an input port and an output port, an output conduit coupled with the output port and configured to receive the air from the compressor, an input conduit coupled with the input port, a switching valve coupled with the output conduit and with the input conduit, and configured to couple a pneumatic surgical cutting tool, alternatingly, with the output conduit and with the input conduit, and a supply conduit coupled with the input conduit and configured to supply the air, to the input conduit, from a surrounding environment. The supply conduit includes a one- way valve configured to inhibit the air from escaping from the input conduit to the surrounding environment when the compressor is idle. Other examples are also described.
A system includes an anti-vacuum surge (AVS) mechanism and a processor. The AVS mechanism is configured to suppress a vacuum surge during the phacoemulsification procedure. The processor is configured to (i) during the phacoemulsification procedure, receive pressure readings from one or more sensors, (ii) using the pressure readings, estimate an occurrence of a vacuum surge, and (iii) upon estimating the occurrence of the vacuum surge, activate the AVS mechanism in a predefined pulsed manner to suppress the vacuum surge.
A phacoemulsification system, including a probe having an irrigation channel and an aspiration channel, and a distal end including a needle and a sleeve insertable into an eye. There is an irrigation pump pumping irrigation fluid via the irrigation channel into the eye, and an aspiration pump pumping aspiration fluid via the aspiration channel from the eye. A first pressure sensor is coupled with the irrigation fluid and provides a first signal of intraocular pressure ( TOP ) in the eye; a second pressure sensor is coupled with the aspiration fluid and provides a second signal of the TOP. A system processor receives the first and second signals, and responsively to at least one of the signals, identifies at least one frequency and an associated at least one phase of the TOP, and pumps at least one of the pumps at the identified frequency and in antiphase to the identified phase.
A phacoemulsification system, comprising: a handpiece comprising a piezoelectric element and a needle, the needle configured to be inserted into an eye and to be vibrated by the piezoelectric element to emulsify a lens of the eye; an irrigation module configured to supply a flow of irrigation fluid into the eye; an aspiration module configured for removing material from the eye; circuitry configured to determine whether at least a distal tip of the needle is inside the eye or is outside the eye; and a processor, which is configured to receive a determination from the circuitry as to whether the distal tip of the needle is inside or outside the eye, and to control operation of at least the irrigation module according to the determination.
A phacoemulsification system and an operation method thereof, the system including a handpiece having a piezoelectric element and a needle, wherein the needle is configured to be inserted into an eye and to be vibrated by the piezoelectric element to emulsify a lens of the eye; an irrigation module configured to supply a flow of irrigation fluid into the eye; an aspiration module configured for removing material from the eye; image capturing means for acquiring images which include the eye; an image analysis module configured to determine whether at least a distal tip of the needle is present in the captured images; and a processor, which is configured to receive a determination from the image analysis module as to whether the distal tip of the needle is present in the captured images, and to control operation of at least the irrigation module according to the determination.
A pumping system for a phacoemulsification system, consisting of : a phacoemulsification probe, an irrigation tube providing irrigation fluid into an eye, an irrigation pump pumping the irrigation fluid, an aspiration tube conveying aspiration fluid from the eye, an aspiration pump pumping the aspiration fluid from the eye, an aspiration pump sensor providing a first signal indicating activation of the aspiration pump, and a pressure sensor providing a second signal indicating intraocular pressure ( IOP ) in the eye. A controller receives the first signal and second signals, and in response controls the irrigation pump to alter a registered flow rate of the irrigation fluid to a preset adjusted flow rate until a threshold, dependent on at least one of a time of operation of the irrigation pump at the preset adjusted flow rate and the second signal, is crossed. When crossed the irrigation fluid is pumped at the registered flow rate.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
41.
PRESSURE SENSING ARRAY IN PHACOEMULSIFICATION HANDPIECE
A phacoemulsification system includes a phacoemulsification probe and a processor. The phacoemulsification probe has a distal end configured for insertion into an eye of a patient, the probe including ( i ) an irrigation chanel floor irrigating the eye with irrigation fluid, ( ii ) an aspiration channel for evacuating material from the eye, and ( iii ) at least one sensor array fluidly coupled to at least one of the irrigation channel and the aspiration channel, the at least one sensor array comprising multiple sensors configured to measure a parameter indicative of fluid pressure in the irrigation channel or the aspiration channel. The processor is configured to regulate at least one of irrigation flow and aspiration flow using the measured parameter.
A phacoemulsification system includes a phacoemulsification probe, an aspiration tube and an irrigation tube. The aspiration tube is connectable to the phacoemulsification probe to aspirate a cataract from an eye. The irrigation tube is connectable to the probe and, in one embodiment, has at least one integrated compliant tube section at an end near the phacoemulsification probe. Each integrated compliant tube section is less than 1% of the length of the irrigation tube, has a section diameter larger than a tube diameter of the irrigation tube, and is more compliant than a cornea of the eye. In another embodiment, a compliant tube section is connectable to an end of the irrigation tube and to the probe and is formed of a material more compliant than the irrigation tube.
A phacoemulsification probe includes an irrigation sleeve configured to fit over a hollow aspiration needle and a probe body, the irrigation sleeve to provide a fluid pathway for the flow of irrigation fluid between the needle and the walls of the irrigation sleeve, the sleeve having a distal end insertable into an incision made in an eye, the distal end having ports to release said irrigation fluid into said eye, where the walls of the irrigation sleeve have at least one anti- tortional element longitudinally placed along a length of the irrigation sleeve to provide structural support to prevent twisting of the sleeve and where the at least one anti-tortional element allows flattening of the irrigation sleeve for maneuvering of the sleeve within the eye while preserving the integrity of the incision.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
A method for assembling a vitrector, including : providing a distal housing portion for the vitrector, a transmission unit driving a needle into oscillation, an assembly pin to be inserted into the transmission unit to fix the needle in position, and a needle casing, having a lumen, the casing enclosing the needle within the lumen. The transmission unit is fixed to the distal housing portion, and the pin is inserted into the transmission unit to fix a distal tip of the needle at a most distal position of the oscillation. The transmission unit is inserted, with the assembly pin inserted, to a predetermined position in the distal housing portion. The casing is inserted into the distal housing portion so that the distal tip butts a termination of the casing. The casing is fixed to the distal housing portion, and the assembly pin is removed from the transmission unit.
Surgical apparatus, including a needle configured to be inserted into an organ of a human subject, a counterweight, and a needle driver. The needle driver includes a cylindrical cam configured to rotate about a cam axis and having a curved circumferential groove extending around a radial surface of the cam. There is a motor coupled to rotate the cylindrical cam about the cam axis. A first follower is mounted to travel in the groove at a first azimuthal location and is coupled to the needle so as to cause the needle to oscillate at a predefined frequency parallel to the cam axis as the cam rotates. A second follower is coupled to the counterweight and is mounted to travel in the groove at a second azimuthal location selected so as to cause the counterweight to oscillate parallel to the cam axis in antiphase to the needle.
A system includes a user interface and a processor. The user interface is configured to receive a user-selected confidence level of measurement of intraocular pressure ( TOP ) for detecting vacuum surge in a phacoemulsification system. The processor is configured to ( i ) based on the user-selected confidence level, calculate a number of TOP readings needed during phacoemulsification procedure to identify an imminent vacuum surge, ( ii ) during the phacoemulsification procedure, receiving sensor readings of TOP, ( iii ) upon reaching the calculated number of the readings, estimate whether a consistent drop in TOP occurred between the readings, and ( iv) upon estimating a consistent drop in TOP, activate an anti-vacuum surge (AVS ) mechanism to mitigate the imminent vacuum surge.
Methods and systems provide a disposable cutting section which is removably attachable from a multiple use motor section, to form a handpiece for use in ophthalmic procedures, such as vitrectomies. The motor section includes a motor for driving a needle of the cutting section.
A medical visualization apparatus includes two or more imaging devices and a processor. The two or more imaging devices are configured to acquire speckle images of an organ of a patient from multiple different directions. The processor is configured to ( a ) generate from the speckle images a three-dimensional ( 3D ) point cloud of locations, (b ) generate from the 3D point cloud of locations a 3D map of an anatomical surface of the organ, and ( c ) display the 3D map of the anatomical surface according to a requested gazing direction relative to the organ.
Disclosed are compositions which are produced from reactive monomer mixtures and which have both high refractive indexes and high Abbe numbers. These materials are well suited for use as implantable ophthalmic devices and have a refractive index which may be edited through the application of energy. When used for an intraocular lens, the high refractive index allows for a thin lens which compresses easily through a small incision. Some compositions are suitable for use as intraocular lenses, phakic intraocular lenses, contact lenses, orthokeratology lenses, rigid gas permeable lenses, corneal inlays, corneal outlays, or corneal inserts.
C08F 230/08 - Copolymers of compounds having one or more unsaturated aliphatic radicals, each having only one carbon-to-carbon double bond, and containing phosphorus, selenium, tellurium or a metal containing a metal containing silicon
C08L 33/14 - Homopolymers or copolymers of esters of esters containing halogen, nitrogen, sulfur, or oxygen atoms in addition to the carboxy oxygen
C08L 43/04 - Homopolymers or copolymers of monomers containing silicon
G02B 1/04 - Optical elements characterised by the material of which they are madeOptical coatings for optical elements made of organic materials, e.g. plastics
50.
APPARATUS AND METHOD FOR MECHANICALLY COUPLING A MOTOR TO A ROTOR OF A PROGRESSIVE CAVITY PUMP
An apparatus includes a proximal shaft configured to mechanically couple to a motor, a first universal joint, a middle shaft coupled to the proximal shaft via the first universal joint, a housing having a bore, a second universal joint within the bore, a distal shaft coupled to the middle shaft via the second universal joint, and a connector disposed over the distal shaft. The bore limits a downward tilt of the distal shaft such that, as a rotor approaches the distal shaft, the distal shaft becomes axially aligned with the rotor by virtue of the proximal end of the rotor entering the connector or vice versa. A spring connected proximally to the connector and distally to the second universal joint is configured to decompress, thereby reversibly coupling the connector to the proximal end of the rotor, upon the motor rotationally aligning the connector with the proximal end of the rotor.
In one exemplary mode, a phacoemulsification system includes a phacoemulsification probe to be inserted into an eye, an irrigation line to provide irrigation fluid into the eye, an aspiration line to convey aspiration fluid from the eye, an aspiration pump to pump the aspiration fluid from the eye, a pump controller to control a flow direction and rate of the aspiration pump, and an aspiration rate user input device to provide a signal indicative of user actuation of the aspiration rate user input device, wherein the pump controller is configured to receive the signal provided by the aspiration rate user input device, and reverse the flow direction and set the flow rate of the aspiration pump at which to pump the aspiration fluid into the eye, the flow rate in the reverse flow direction being set responsively to an actuation rate at which the aspiration rate user input device is actuated.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
A phacoemulsification system, method and computer program product, the system comprising: a phacoemulsification probe having at its distal end a needle to be inserted into an eye, the probe comprising an ultrasonic transducer; an optical fiber transferring light from a source and having a distal end positioned in proximity to the tip of the needle for emitting light of predetermined frequency or pattern; a light sensor for detecting the light; and a processor, for repeatedly: receive from the sensor an indication of the detected light; determine whether the detected light complies with a condition indicating contact between the needle and a lens of the eye; subject to determining compliance with the condition and that the ultrasonic transducer being inactive, toggle the ultrasonic transducer ON; and subject to determining that the detected light does not comply with the condition and that the ultrasonic transducer being active, toggle the ultrasonic transducer OFF.
In one exemplary mode, a phacoemulsification system includes a phacoemulsification probe, an irrigation tube to provide irrigation fluid into an eye, an irrigation pump to pump irrigation fluid into the eye, an aspiration tube convey aspiration fluid from the eye, an aspiration pump to pump the aspiration fluid from the eye, a sensor to provide a signal indicative of current intraocular pressure in the eye, and a pump controller to receive the signal provided by the sensor, compute a value of intraocular pressure at a future time responsively to the provided signal and an indicator of change in the intraocular pressure over time, and control the irrigation pump to adjust a flow rate of the irrigation fluid to maintain the intraocular pressure at a given intraocular pressure responsively to the computed value of the intraocular pressure at the future time.
A phacoemulsification method includes specifying a target intraocular pressure (IOP) level to be maintained in an eye of a patient during a phacoemulsification procedure. A phacoemulsification probe is inserted into the eye. The eye is irrigated with irrigation fluid and material is aspired from the eye while aiming to maintain the target IOP level, including controlling IOP fluctuations by (i) when an actual IOP in the eye is in a defined high range, limiting the IOP fluctuations to a given value, and (ii) when the actual IOP is in a defined low range that is lower than the high range, allowing the IOP fluctuations to exceed the given value.
A phacoemulsification system, method and computer program product, the system comprising: a phacoemulsification probe having a needle at its distal end, the needle configured to be inserted into an eye of a patient, the probe comprising an ultrasonic transducer; a signal generator, meter, and impedance determination module for determining an impedance between a tip of the needle and an electrode attached to the patient; and a processor, configured to repeatedly: obtain the impedance from the impedance detector; subject to the impedance complying with a condition and the ultrasonic transducer being inactive, toggling the ultrasonic transducer to transmit ultrasonic waves; and subject to the impedance not complying with a condition and the ultrasonic transducer being active, toggling the ultrasonic transducer to stop transmitting ultrasonic waves.
A method for providing automatic placement of a lens (110) in a cartridge (116) is provided. The method includes seizing, by a nozzle head (108) of a lifting tool (105), the lens (110) from a pick position (113) of a platform (114) based on an air flow (109) through the nozzle head (108) and depositing, by the lifting tool (105), the lens (110) at a delivery point (115) in the cartridge (116) by changing the air flow (109) through the nozzle head (108). The method includes determining, by a processor coupled to the lifting tool (105), a location of a haptic (111) of the lens (110) with respect to a feature (117) of the cartridge (116). The method includes adjusting, by the lifting tool (105), the haptic (111) from the location to a target orientation on the cartridge (116) when the location of the haptic (111) is determined to be misaligned with the feature (117). The method can be implemented as an apparatus, a system, and/or a computer program product.
Sterile packaging (20) for an intraocular lens (IOL) delivery system (22) includes a sealed container (32) with an IOL delivery system contained therein, with a cap (36) sealing the container. One or more tamper-evident solutions are provided on the packaging to ensure an indication of non-sterility. This configuration solves certain issues with prior packaging, such as clumsy transfers and bulky packaging which creates storage issues and mitigates sterility barrier risk associated with pouch or blister packaging or other non-rigid package types.
The present aspect of the disclosure uses software to monitor the fluid amount used and available to a surgical system and may inform a user when the available fluid approaches a depletion threshold so a user may take appropriate steps to minimize impact to the surgical operation.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
Irrigation sleeves which maximize irrigation outflow and have a reduced potential for snagging on incisions are disclosed. More particularly, disclosed irrigation sleeves comprise webbed irrigation ports, crossed irrigation ports, axially elongated irrigation ports, and/or centering dimples. The disclosed irrigation sleeves may further provide optimal irrigation outflow for maintaining chamber stability of the eye.
A phacoemulsification system having an imaging device configured to capture images of an eye and a phacoemulsification probe, a display, and a processor configured to receive an eye scan result providing a two-dimensional array of cataract thicknesses of the eye, find cutlines through which to cut the cataract into sections responsively to the two-dimensional array of cataract thicknesses, and render the images of the eye and the phacoemulsification probe with representations of the found cutlines through which to cut the cataract into sections to the display.
Methods and systems provide provides a vacuum surge protection system or an Anti-Vacuum Surge (AVS) module and a console-side connector that form an energy (power) and/or data transfer system, which passes the energy and/or data using a magnetic field, via non-contact magnetic induction, between the console-side connector and the AVS module. The AVS module typically powers a medical tool, such as a phacoemulsification handpiece, for ophthalmic procedures, such as cataract removal.
Methods and apparatuses provide a phacoemulsification probe, wherein the probe has a piezoelectric actuator coupled with a needle configured to be inserted into an eye of a patient; and a processor configured to sequentially drive the actuator electrically in a range of frequencies, to measure a respective electrical power input to the actuator at each of the frequencies in the range, to identify a frequency in the range of frequencies wherein a metric of the electrical power input is a maximum, and to estimate from the identified frequency a mechanical resonant frequency of the actuator, and to drive the actuator electrically at the mechanical resonant frequency.
A system and method for operating a medical probe, the method including driving a tip of the medical probe to cause rotation of the tip (i) in a clockwise trajectory in a plane perpendicular to a longitudinal axis during first time intervals, and (ii) in a counterclockwise trajectory in the plane during second time intervals that are interleaved with the first time intervals.
Inventory management cabinets, systems, and related methods are described herein. An example inventory management cabinet includes a housing defining a storage area, the storage area being configured to receive a product, and a plurality of slots arranged within the housing, each of the slots being configured to receive a respective unit of the product. The cabinet also includes at least one imaging device configured to capture information about the product. The cabinet further includes a controller operably coupled to the at least imaging device, where the controller includes a processor and a memory having computer-executable instructions stored thereon. The controller is configured to detect activity within the storage area of the housing, and control the at least one imaging device to initiate capture one or more images of the product in response to detecting activity within the storage area of the housing.
A system includes a jig and a processor. The jig includes a pressure wave damping element under test, and a sensor that is coupled with an aspiration line of a phacoemulsification system distally to the pressure wave damping element, the sensor configured to measure a pressure wave traveling distally in the aspiration line. The processor is coupled with the jig, the processor configured to analyze and display readings of the sensor, so as to allow a user to assess pressure wave damping performance of the pressure wave damping element.
A phacoemulsification probe includes a needle, an ultrasound transducer, a sensing element, and a microcontroller. The needle is configured for insertion into an eye of a patient. The ultrasound transducer is configured to vibrate the needle. The sensing element is configured to output an indication indicative of physical contact between the needle and a lens of the eye. The microcontroller is configured to receive the indication, and to activate and deactivate the ultrasound transducer according to the indication.
A phacoemulsification system includes a phacoemulsification handpiece, an irrigation line and an aspiration line connected to the phacoemulsification handpiece, an Anti-Vacuum Surge (AVS ) module inserted at least in the aspiration line, and a processor. The processor is configured to automatically detect whether an extension tubing is present in the aspiration line between the phacoemulsification handpiece and the AVS module, to set a first parameter setting, for detecting vacuum surges in the aspiration line, in response to detecting that the extension tubing is present, and, in response to detecting that the extension tubing is not present, to set a second parameter setting, different from the first parameter setting, for detecting the vacuum surges in the aspiration line.
Systems and methods are provided for detecting the actual tip or tip type being used on a handpiece of an ophthalmic instrument. By detecting the tip type being used, the correct system settings can be used during the surgical procedure, and the surgical system may operate safely.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
A61B 17/00 - Surgical instruments, devices or methods
69.
CONTROLLING CONSTANT INTRAOCULAR PRESSURE USING ADAPTIVE FLOW RATES OF IRRIGATION AND ASPIRATION FLUIDS
A phacoemulsification system includes a pump and a processor. The pump includes: (i) a first chamber having a first volume and configured to flow a first fluid at a first flow rate, between a first reservoir and an eye of a patient, and (ii) a second chamber having a second volume and configured to flow a second fluid at a second flow rate, between a second reservoir and the eye. The processor is configured to control the pump to: (i) set a first flow rate of the first fluid in the first volume, so as to obtain a predefined intra-ocular pressure (IOP) in the eye, (ii) based on the first and second volumes and on the first flow rate, calculate a second flow rate of the second fluid that maintains the predefined IOP constant, and (iii) set the calculated second flow rate to the second fluid.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
A phacoemulsification system includes a phacoemulsification probe with a distal end for insertion into an eye of a patient, an irrigation pump, an aspiration pump, and a processor. The probe includes an irrigation channel, an aspiration channel, an irrigation sensor, and an aspiration sensor. The irrigation pump is configured to flow irrigation fluid to the irrigation channel. The aspiration pump is configured to evacuate material from the aspiration channel. The processor is configured to detect a clogging of the aspiration channel using the aspiration sensor, to estimate an intra-ocular pressure (IOP) of the eye using the irrigation sensor, to set a reflux pressure for the aspiration pump depending on the estimated IOP, and to repel the clogging by controlling the aspiration pump to apply the reflux pressure.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
A medical device having a housing, an annular fixture contained in the housing and having a central opening, a needle having a proximal end contained within the central opening of the annular fixture and a distal end protruding out of the housing, a motion assembly, which is configured to move the needle longitudinally back and forth relative to the annular fixture and the housing, and a flexible diaphragm comprising a peripheral part that seals externally around the annular fixture and an inner sleeve that seals around the proximal end of the needle,whereby movement of the needle back and forth causes the sleeve to evert and invert within the central opening while maintaining a vacuum seal between the annular fixture and the needle.
A sealing assembly for a progressive cavity pump and a progressive cavity pump assembly having a retaining sleeve, a ring, and an elastic diaphragm terminating in a first end of the diaphragm in a first opening, and in a second end of the diaphragm, opposite the first end, in a second opening larger than the first opening. The second opening is held in contact with the retaining sleeve by the ring, and the first opening is configured to grip a rotor of the progressive cavity pump, and the ring is configured to hold the second opening fixed with respect to a stator of the progressive cavity pump.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
F04C 2/107 - Rotary-piston machines or pumps of intermeshing-engagement type, i.e. with engagement of co-operating members similar to that of toothed gearing of internal-axis type with the outer member having more teeth or tooth-equivalents, e.g. rollers, than the inner member with helical teeth
F04C 2/16 - Rotary-piston machines or pumps of intermeshing-engagement type, i.e. with engagement of co-operating members similar to that of toothed gearing of other than internal-axis type with toothed rotary pistons with helical teeth, e.g. chevron-shaped, screw type
F04C 15/00 - Component parts, details or accessories of machines, pumps or pumping installations, not provided for in groups
73.
EQUALIZING MULTI-CHANNEL DRIVING SIGNALS OF SEGMENTED PIEZOELECTRIC CRYSTALS
A system and method for driving a medical probe. The system including a processor configured to apply respective harmonic electrical signals to two or more piezoelectric crystals coupled with a tip of the medical probe so as to cause the tip to vibrate; and a balancer, which is configured to iteratively adjust the signals to equalize a selected parameter of the signals, so as to cause the tip to vibrate at a predefined trajectory. The method including applying respective harmonic electrical signals to two or more piezoelectric crystals coupled with a tip of the medical probe so as to cause the tip to vibrate. The signals are iteratively adjusted to equalize a selected parameter of the signals, so as to cause the tip to vibrate at a predefined trajectory.
An intraocular lens (IOL) injector cartridge (60) having one or more modifications from conventional designs which reduce stress and strain in the optic of the IOL during passage through the cartridge. One change includes adding axially-oriented ribs (75) in a funnel portion (72) of the cartridge to enable the cartridge wall to flex outward during passage of the IOL, which is compressed to a great degree in the cartridge lumen. Another modification involves providing a longitudinal step along a segment of the inner lumen which biases one free edge of the optic to tuck or dive under the other free edge and encourage spiral folding as the IOL progresses along the gradually narrowing lumen. The third option is modifying the shape of the lumen within the extreme distal end of the cartridge where the lumen is smallest so that it is neither circular nor oval. Each or all of these modifications may be incorporated into a single cartridge.
A phacoemulsification system includes a hollow needle, an aspiration line, and a protection valve inserted in the aspiration line. The needle is configured to emulsify a lens of an eye. The aspiration line is for evacuating material from the eye. The protection valve includes a chamber, a piston and a seal. The chamber has an inlet for receiving the material arriving from the needle, and an outlet for flowing the material along the aspiration line. The piston is configured to move in the chamber between a first position that enables material flow between the inlet and the outlet, and a second position that blocks the material flow. The seal is coupled with the inlet and is configured, when the piston is in the second position, to compress between the piston and the inlet in response to a pressure pulse that propagates in the aspiration line, thereby hermetically sealing the inlet.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
An eye surgery apparatus includes an eye surgery tool, an imaging system, a robotic arm, and a processor. The eye surgery tool has a distal end for insertion into an eye of a patient through an incision in the eye. The imaging system is configured to acquire images showing the incision and at least part of the eye surgery tool. The robotic arm is coupled with the eye surgery tool, which is configured to move the distal end of the eye surgery tool inside the eye according to one or more commands issued during an eye surgery. The processor is configured to, during the eye surgery (i) receive the images from the imaging system, (ii) monitor the commands issued to the robotic arm, (iii) detect, by analyzing the images, that a monitored command is expected to enlarge the incision, and (iv) initiate responsive action with respect to the detected command.
A system for controlling aspiration of a phacoemulsification probe inserted into an eye includes an anti-vacuum surge (AVS) module, one or more sensors, a vacuum relief valve, and a processor. The AVS module is coupled with an aspiration channel of the probe and is configured to mitigate vacuum surges in the channel by regulating flow via the channel. The one or more sensors are configured to measure fluid parameters in the channel. The vacuum relief valve, which is fluidly coupled with the channel, is configured to controllably relieve vacuum in the channel. The processor is configured to identify a change in at least one of the fluid parameters by reading at least one of the one or more sensors, and, responsively to an identified change in fluid parameters, operate the vacuum relief valve using pulse width modulation (PWM) to maintain a pressure in the channel within a predefined range.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
78.
SYSTEM FOR CONTROLLING ASPIRATION OF A PHACOEMULSIFICATION SYSTEM WITH A PRESSURE WAVE DAMPER
A system for controlling aspiration of a phacoemulsification system having (i) a device that is coupled with an aspiration line of the phacoemulsification system to regulate flow in the aspiration line, and (ii) a pressure wave damper, which is fluidly coupled with the aspiration line and includes an elastic element, the elastic element configured to undergo a change in shape in response to a pressure pulse created by the device, so as to suppress an amplitude of the pressure wave before the pressure pulse reaches the eye.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
A phacoemulsification system includes a phacoemulsification probe and one or more signal generators. The phacoemulsification probe includes (i) a piezoelectric actuator, (ii) a segmented electrode, including multiple electrode segments attached to respective angular sections of a face of the piezoelectric actuator, (iii) a common ground electrode attached to the piezoelectric actuator, and (iv) a needle configured to be inserted into a lens capsule of an eye and to be vibrated by the piezoelectric actuator. The one or more signal generators are configured to vibrate the piezoelectric actuator by applying multiple drive signals between the multiple respective electrode segments and the common ground electrode.
In one embodiment, a phacoemulsification system includes a phacoemulsification probe configured to be inserted into an eye, an ophthalmic curette, including a handle, a tube having a proximal end connected to a distal end of the handle, and having a distal tip configured to be inserted into the eye, an irrigation channel extending from the proximal end to the distal tip of the tube, and a pressure sensor disposed at the distal tip of the tube, and configured to be inserted into the eye and provide a signal responsively to intraocular pressure inside the eye, and comprising a sensing surface, and an irrigation-aspiration sub-system coupled with the irrigation channel and configured to convey irrigation fluid along the irrigation channel, and wherein the irrigation channel is shaped, and positioned with respect to the pressure sensor, to direct a flow of the irrigation fluid over the sensing surface of the pressure sensor.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
A method for tuning a phacoemulsification probe during a procedure for treating an eye. The method includes vibrating a piezoelectric actuator of the phacoemulsification probe, by applying to the piezoelectric actuator a tuning signal that (i) covers an operational bandwidth of the phacoemulsification probe and (ii) has an initial power level that is lower than a normal power level set for treating the eye. The tuning signal is measured during an initial signal tuning session. An operating frequency for the phacoemulsification probe is derived from the measured tuning signal. A driving signal, having the normal power level and the derived operating frequency, is applied to the piezoelectric actuator.
Described are implementations of systems and methods for an improved machine learning-based system that incorporates pre-operative and intraoperative measurements captured during surgery, as well as additional patient-specific data, to provide an individualized, highly accurate post-operative manifest refraction prediction. According to some embodiments, a determination engine generates a predictive feature set of one or more predictors associated with diagnostic measurements of one or more eyes and performs a recursive selection operation using one or more combinations within the predictive feature set and one or more models to produce a most predictive subset, the most predictive subset having a highest prediction accuracy among other predictive subsets for post-operative manifest refraction. The determination engine generates a determination model by refining and retraining the one or more models of the recursive selection operation utilizing the most predictive subset.
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 50/70 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
In one embodiment, a phacoemulsification system includes a phacoemulsification probe configured to be inserted into an eye, and including a needle, a horn configured to support the needle, and an ultrasonic actuator connected to the horn and configured to vibrate the needle to emulsify a lens of the eye, an aspiration line partially disposed in the needle, a pumping sub-system connected to the aspiration line and configured to remove fluid and waste matter from the eye via the aspiration line, a valve disposed in the aspiration line and configured to control fluid connectivity in the aspiration line, a sensor configured to provide a signal indicative of a fluid metric in the aspiration line, and a controller configured to find an activation status of the ultrasonic actuator, and selectively control the valve responsively to the fluid metric and the activation status of the ultrasonic actuator.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
An eye surgery apparatus includes a model surgical tool, a robotic arm coupled with an eye surgery tool, a tracking-system, and a processor. The model surgical tool is configured to be maneuvered by a physician. The robotic arm is coupled with an eye surgery tool and configured to be placed in proximity to an eye of a patient. The tracking-system is configured to track movements of at least the model surgical tool. The processor is configured to (i) receive the tracked movements of the model surgical tool from the tracking system, while the physician moves the model surgical tool to perform a model eye surgery on an oversized model eye, and (ii) apply to the robotic arm movements that mirror and scale-down the movements applied by the physician to the model surgical tool, to perform a surgical procedure on the eye of the patient using the eye surgery tool.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
85.
PHACOEMULSIFICATION IRRIGATION APPARATUS WITH LOAD CELL AND OPTICAL SENSOR
A system includes an enclosure, an irrigation retainer, one or more sensors, and a processor. The irrigation retainer is coupled with the enclosure and configured to accept an irrigation container holding irrigation fluid for pumping to a phacoemulsification handpiece. The one or more sensors are coupled with the irrigation retainer and configured to provide at least one signal indicative of a remining amount of the irrigation fluid. The processor is configured to receive the at least one signal, and in response to the at least one signal, output an estimation of the remaining amount of the irrigation fluid in the irrigation container or an estimation of the amount of irrigation fluid used.
An eye surgery system includes an Input/Output (I/O) device and a processor. The I/O device is configured to enable a user to define one or more eye surgery protocols, and further configured to, using the I/O device, present a graphical user interface (GUI) that displays one or more user defined eye surgery protocols. The processor is configured to (a) present the one or more user defined eye surgery protocols on the I/O device using the GUI, (b) test compatibility of the one or more user defined eye surgery protocols with the eye surgery system, and (c) provide an indication of the compatibility to a user of the eye surgery system.
A system and method that includes inserting a needle of a phacoemulsification handpiece into an eye of a patient and vibrating the needle in a first trajectory. Matter from the eye is aspirated via an aspiration line while the needle is vibrated in the first trajectory. An indication is received, of a vacuum level in the aspiration line. Determined is, that the vacuum level has changed by at least a preset vacuum level change, and in response vibrating the needle is switched to a second trajectory, different from the first trajectory.
A system and method include vibrating a needle of a phacoemulsification handpiece by driving one or more piezoelectric crystals in the handpiece with one or more electrical signals having different respective frequencies using one or more respective drive modules. The needle is inserted into an eye of a patient. The frequencies of the electrical signals are tuned to respective one or more target frequencies, and respective electrical impedances seen by the drive modules are registered. In response to an electrical impedance seen by at least one of the drive modules undergoing a change exceeding a preset impedance change, an indication is provided that material in the eye surrounding the needle has changed, a level of vibration of the needle is changed, and/or the frequency of at least one of the drive modules is adjusted to an electrical resonant frequency thereof.
A system includes a pump, an inlet sensor, an outlet sensor, and a controller. The pump is configured for pumping fluid in a phacoemulsification system. The inlet sensor is coupled with an inlet port of the pump and is configured to sense an inlet temperature of the fluid at the inlet port. The outlet sensor is coupled with an outlet port of the pump and is configured to sense an outlet temperature of the fluid at the outlet port. The controller is configured to take a responsive action based a difference between the inlet temperature and the outlet temperature crossing a defined threshold.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
In one embodiment, a fluid dynamics system includes a solenoid valve including a valve body, which includes a valve cavity having a direction of elongation, a first channel, and a second channel, a solenoid coil disposed in the valve body around the valve cavity, and a plunger comprising a magnetic element and configured to move back-and-forth along the direction of elongation between a first position and a second position in the valve cavity, selectively opening the first channel and closing the second channel when the plunger is in the first position, and closing the first channel and opening the second channel when the plunger is in the second position, and a controller configured to control the solenoid coil to selectively move the plunger between the first position and the second position, and to selectively maintain the plunger in the first position and the second position.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
F16K 11/07 - Multiple-way valves, e.g. mixing valvesPipe fittings incorporating such valvesArrangement of valves and flow lines specially adapted for mixing fluid with all movable sealing faces moving as one unit comprising only sliding valves with linearly sliding closure members with cylindrical slides
91.
ACCURATE IRRIGATION RATE MEASUREMENT SYSTEM AND METHOD
In one embodiment, an irrigated medical system includes a medical tool, an irrigation line configured to fluidically connect an irrigation reservoir storing irrigation fluid to the medical tool, and provide at least some of the irrigation fluid to the medical tool, a force sensor configured to be coupled with the irrigation reservoir, and provide a signal responsively to a force exerted by the irrigation reservoir on the force sensor over time as irrigation fluid in the irrigation reservoir is depleted, and a controller configured to find an irrigation rate of the irrigation fluid flowing in the irrigation line responsively to the signal.
In one example, a phacoemulsification system includes a phacoemulsification probe including a distal end comprising a needle, and a piezoelectric crystal configured to vibrate the needle so as to emulsify a lens of an eye, an irrigation reservoir configured to store irrigation fluid, an irrigation line extending from the irrigation reservoir to the distal end of phacoemulsification probe, a pumping sub-system configured to pump the irrigation fluid from the irrigation reservoir to the distal end of the phacoemulsification probe via the irrigation line, and a pressure damping insert disposed in the irrigation line between the pumping sub-system and the distal end, and comprising multiple paths therethrough configured to divide a flow of the irrigation fluid entering the pressure damping insert in order to dampen pressure elevations in the irrigation fluid exiting the pumping sub-system.
An apparatus includes a base, including two motors and a mechanical coupling mechanism, and a cartridge shaped to define two stators and respective pairs of ports in fluidic communication with the stators. The cartridge is removably insertable into the base and includes two rotors disposed, respectively, within the stators. The mechanical coupling mechanism is configured to mechanically couple the rotors to the motors, respectively, such that, following insertion of the cartridge into the base, the motors rotate the rotors, thereby pumping fluid through the pairs of ports. Other embodiments are also described.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
An apparatus for mechanically coupling a motor to a rotor includes an outer ring including an inner surface shaped to define multiple recesses, an inner ring disposed within the outer ring and shaped to define multiple compartments having respective outer openings, which face the outer ring, and respective inner openings opposite tthhee outer openings, and multiple gripping elements disposed within the compartments, respectively. The inner ring is configured to receive the rotor while the compartments are aligned with the of recesses, by virtue of the gripping elements sitting at least partially within the recesses. The outer ring is configured to couple with a shaft coupled with the motor such that rotation of the shaft by the motor causes the compartments to become misaligned with the recesses, thereby causing the outer ring to push the gripping elements, through the outer openings, against the rotor, through the inner openings.
F16D 41/067 - Freewheels or freewheel clutches with intermediate wedging coupling members between an inner and an outer surface the intermediate members wedging by rolling and having a circular cross-section, e.g. balls all members having the same size and only one of the two surfaces being cylindrical and the members being distributed by a separate cage encircling the axis of rotation
An apparatus for use with a cartridge having an outer surface shaped to define a ridge includes a rigid piece of material configured to lock the cartridge in place by resting against the ridge, a button, configured to move the rigid piece of material from the cartridge, thereby unlocking the cartridge, upon a pushing of the button, one or more motors, and a mechanical coupling mechanism, configured to mechanically couple the motors to the cartridge while the cartridge is locked in place. Other embodiments are also described.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
A61B 17/00 - Surgical instruments, devices or methods
In one embodiment, a fluid dynamics system includes a solenoid valve including a valve body including ports including an inlet and outlet port, and a valve cavity having a direction of elongation and configured to provide fluid connectivity between ones of the ports, a solenoid coil disposed around valve cavity, and a plunger including a permanent magnet, and configured to move back-and-forth along the direction of elongation between a first and a second position in the valve cavity selectively controlling the fluid connectivity between respective ones of the ports, the valve body including shock absorber(s) to soften striking of the plunger against the valve body in the direction of elongation, and a controller configured to apply at least one current to the solenoid coil to selectively move the plunger between the first and second position, and to selectively maintain the plunger in the first position and the second position.
A medical probe includes a probe body shaped to define a distal section of a fluid channel, a cartridge, which is shaped to define a proximal section of the fluid channel and comprises a valve configured to regulate flow of a fluid through the proximal section of the fluid channel, and a clip configured to reversibly couple the cartridge with the probe body by sliding over the probe body and the cartridge while the cartridge contacts the probe body such that the proximal section of the fluid channel is in fluidic communication with the distal section of the fluid channel. Other embodiments are also described.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
98.
CONTROLLING INTRAOCULAR PRESSURE DURING PHACOEMULSIFICATION PROCEDURE
A system includes (i) a solenoid valve, positioned between a handle of a probe, and an aspiration line coupled with the handle for aspirating fluids from the probe, the solenoid valve includes at least a solenoid coil and a plunger movable by the solenoid coil, (ii) a sensor, positioned between the handle and the aspiration line and configured to produce a signal indicative of a fluid metric in the aspiration line, and (iii) a controller, configured to identify, based on the signal, a vacuum surge in the aspiration line, and, in response to identifying the vacuum surge, to apply at least one current to the solenoid coil to selectively move the plunger between a first position and a second position, and to selectively maintain the plunger in the first position and the second position.
F16K 31/06 - Operating meansReleasing devices electricOperating meansReleasing devices magnetic using a magnet
F16K 31/08 - Operating meansReleasing devices electricOperating meansReleasing devices magnetic using a magnet using a permanent magnet
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
In some embodiments, a fluid dynamics system includes a solenoid valve including a valve body including ports including an inlet port and an outlet port, and a valve cavity having a direction of elongation and configured to provide fluid connectivity between respective ones of the ports, a solenoid coil disposed in the valve body around valve cavity, and a plunger comprising a permanent magnet, and configured to move back-and-forth along the direction of elongation between a first position and a second position in the valve cavity selectively controlling the fluid connectivity between respective ones of the ports, and a controller configured to apply at least one current to the solenoid coil to selectively move the plunger between the first position and the second position, and to selectively maintain the plunger in the first position and the second position.
A phacoemulsification simulation apparatus includes a trigger device, at least two sensors, and a processor. The trigger device configured to apply, to fluid at an inlet of a needle of a phacoemulsifier, a pressure profile as a function of time in response to an input waveform. The at least two sensors are configured to measure a pressure of the fluid at respective points in the phacoemulsification simulation apparatus. The processor is configured to (a) drive the trigger device with the input waveform, thereby causing the trigger device to apply the pressure profile to the inlet while the fluid is aspirated via an aspiration line, (b) receive measurements of the pressure of the fluid from the at least two sensors, and (c) analyze an aspiration performance of the phacoemulsifier in response to the measurements.
patents
