An example lens management device can include a sleeve, a modular cartridge configured to house a lens, and a tray configured to transition from a first position to a second position. The tray can include a first tray component configured to removably hold the modular cartridge, and a second tray component movably attached to the first tray component. The modular cartridge can be 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 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.
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
4.
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
5.
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.
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
G01F 1/36 - Measuring the volume flow or mass flow of fluid or fluent solid material wherein the fluid passes through a meter in a continuous flow by using mechanical effects by measuring pressure or differential pressure the pressure or differential pressure being created by the use of flow constriction
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
6.
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
9.
Surgical System Priming With Pressure Calibration Utilizing Handpiece Orientation
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.
A61B 17/00 - Surgical instruments, devices or methods
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
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
10.
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.
A61B 17/00 - Surgical instruments, devices or methods
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
G16H 50/30 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indicesICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for individual health risk assessment
12.
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.
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.
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.
A61B 17/00 - Surgical instruments, devices or methods
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
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 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 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.
A61B 17/00 - Surgical instruments, devices or methods
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 90/20 - Surgical microscopes characterised by non-optical aspects
A61B 90/92 - Identification means for patients or instruments, e.g. tags coded with colour
G06V 10/75 - Organisation of the matching processes, e.g. simultaneous or sequential comparisons of image or video featuresCoarse-fine approaches, e.g. multi-scale approachesImage or video pattern matchingProximity measures in feature spaces using context analysisSelection of dictionaries
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.
A61F 9/008 - Methods or devices for eye surgery using laser
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 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 surgical system includes a replaceable surgical cassette that is configured to be received by a surgical console, the surgical cassette permitting fluid flow through the cassette, the surgical system controlling the flow of fluid through the cassette via one or more flexible valves actuated by one or more actuation plungers located on the surgical console. The one or more flexible valves of the surgical cassette and the one or more actuation plungers of the surgical console include a positioning feature configured to assist with positioning the one or more actuation plungers to apply uniform and symmetric pressure to the one or more valves during actuation.
A47B 81/00 - Cabinets, racks or shelf units specially adapted for other particular purposes, e.g. for storing guns or skis
A61B 3/16 - Objective types, i.e. instruments for examining the eyes independent of the patients perceptions or reactions for measuring intraocular pressure, e.g. tonometers
A61F 9/008 - Methods or devices for eye surgery using laser
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
A wrench assembly for attachment and removal of a tip to a handpiece of a surgical system includes a core and a shell including a central portion that defines a central bore. In various embodiments, the core includes an outer portion fixedly coupled to the shell and an inner portion configured for insertion into the central bore. The inner portion is removably coupled to the outer portion by a separation mechanism configured to facilitate separation of the inner portion from the outer portion at a predetermined torque.
A system for managing phacoemulsification surgery having a cassette with at least one pressure sensor and at least one fluid channel, wherein the at least one pressure sensor is fluidly coupled with the at least one fluid channel. The surgical console also having a controller and a cassette receiving area, for engaging with the cassette, wherein the controller is configured to compare at least one pressure measurement from the at least one pressure sensor to at least one predetermined value indicative of an identifiable cassette type.
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
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 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
26.
PHACOEMULSIFICATION HANDPIECE WITH INTEGRATED ANTI-VACUUM SURGE MODULE
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
An apparatus, system and method for a phacoemulsification handpiece. Included are: at least a first segment having a longitudinal axis, and a first end and a second end, wherein at least aspiration, irrigation and power inputs enter the first end; a second segment along the longitudinal axis and comprising, at a distalmost portion thereof from the first segment, a needle powered by the power input, an aspiration output, and an irrigation output; a rotating coupler capable of coupling the second end of the first segment and the second segment to enable independent axial rotation about the longitudinal axis of the first segment from the second segment; and a plurality of flexible tubing passing substantially along the longitudinal axis within both the first segment and the second segment. The plurality of flexible tubing flexes within the first and second segments and within the rotating coupler so as not to bind during the independent axial rotation.
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
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.
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.
F16K 3/26 - Gate valves or sliding valves, i.e. cut-off apparatus with closing members having a sliding movement along the seat for opening and closing with sealing faces shaped as surfaces of solids of revolution with cylindrical valve members with fluid passages in the valve member
F16K 31/08 - Operating meansReleasing devices electricOperating meansReleasing devices magnetic using a magnet using a permanent magnet
F16K 37/00 - Special means in or on valves or other cut-off apparatus for indicating or recording operation thereof, or for enabling an alarm to be given
31.
ANTI-VACUUM SURGE MODULE WITH RECTANGULAR VALVE CHAMBER
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
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
F04B 9/02 - Piston machines or pumps characterised by the driving or driven means to or from their working members the means being mechanical
F04B 15/00 - Pumps adapted to handle specific fluids, e.g. by selection of specific materials for pumps or pump parts
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 11/00 - Combinations of two or more machines or pumps, each being of rotary-piston or oscillating-piston typePumping installations
F04C 15/00 - Component parts, details or accessories of machines, pumps or pumping installations, not provided for in groups
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.
A61B 17/00 - Surgical instruments, devices or methods
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 apparatus includes an ultrasound transmitter, an irrigation-aspiration tool, a robotic arm, and a processor. The ultrasound transmitter is configured to generate and focus an ultrasound beam into a lens capsule of an eye of a patient, to emulsify a lens of the eye. The irrigation-aspiration tool having a distal end including an outlet of an irrigation channel for flowing irrigation fluid into the lens capsule, and an inlet of an aspiration channel for removing material from the lens capsule. The robotic arm is configured to move the distal end of the irrigation-aspiration tool inside the lens capsule. The processor is configured to control the ultrasound transmitter to irradiate one or more target locations in the eye capsule with the focused ultrasound beam, and control the robotic arm to move the distal end of the irrigation-aspiration tool in coordination with the target locations irradiated by the ultrasound transmitter.
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
37.
SYSTEMS AND METHODS FOR MASS AIR FLOW CONTROL IN VACUUM BASED ASPIRATION IN SURGICAL SYSTEM
A surgical system for the treatment of ocular problems including a surgical cassette, a surgical console operatively coupled to the surgical cassette and further including a processor, a vacuum source positioned in-line with a vacuum regulator and a mass air flow controller, and a tank fluidly connected to the mass air flow controller, wherein the processor is configured to calculate an air flow set point in accordance with a received at least one user-defined fluid flow rate set point; and wherein the mass air flow controller modulates air flow from the tank to the vacuum source in accordance with the received the air flow set point to meet a user-defined fluid flow rate.
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.
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 for delivering an intraocular lens (IOL) is disclosed, including: a handpiece including a barrel defining an elongate passage, a pushrod disposed inside the elongate passage, and a plunger coupled to the pushrod; and a delivery unit coupled to a first end of the barrel, the delivery unit including a delivery tube and a lens holder coupled to the delivery tube, the lens holder including a lead haptic shelf arranged to receive a lead haptic of an IOL that is contained inside the lens holder, wherein the lead haptic shelf is configured to fold the lead haptic of the IOL over a body of the IOL while permitting the IOL to travel under the lead haptic shelf when the IOL is displaced from the lens holder to the delivery tube by the pushrod during delivery of the IOL into a patient's eye.
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
44.
SYSTEM AND METHOD FOR REMOVAL OF CORNEAL SPECULAR REFLECTIONS IN EYE IMAGING
Methods and devices are disclosed for pulsed LED illumination, image capture processing to remove corneal specular reflections in torsion images for iris registration. A system may first and second infrared LED light sources and a torsion camera to capture images during illumination of a patient's eye based on a pulsed synchronization signal. Within a period of time, a first image is captured having a reflection from the first LED light source and then a second image is captured having a reflection from the second LED light source. The first and second images are processed to remove respective areas having corneal specular reflections and combined into a third image not including any specular reflections. Various embodiments are disclosed including implementations with excimer and femtosecond laser eye surgery platforms.
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 90/30 - Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
A61F 9/008 - Methods or devices for eye surgery using laser
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.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
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 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.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
Disclosed are hydrophobic, acrylic materials having both high refractive index and a high Abbe number. The materials may have an internal wetting agent, are well suited for use as implantable ophthalmic devices, and have a refractive index which may be edited through application of energy. When used for an intraocular lens, the high refractive index allows for a thin lens which compresses to allow a small incision size.
C08L 33/26 - Homopolymers or copolymers of acrylamide or methacrylamide
C08L 39/06 - Homopolymers or copolymers of N-vinyl-pyrrolidones
C08L 83/06 - Polysiloxanes containing silicon bound to oxygen-containing groups
G02B 1/00 - Optical elements characterised by the material of which they are madeOptical coatings for optical elements
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
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.
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 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.
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.
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.
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 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 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.
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 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, 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 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 (IOP) in the eye; a second pressure sensor is coupled with the aspiration fluid and provides a second signal of the IOP. 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 IOP, and pumps at least one of the pumps at the identified frequency and in antiphase to the identified phase.
A system for learning actual phacoemulsification energy setpoints at the time of occlusion breaks during ophthalmic surgery. Phacoemulsification energy setpoints may be recorded over different periods of time, such as during current cases and over a lifetime of cases. The recorded data would then be used to determine future phacoemulsification energy setting amounts.
A61B 17/00 - Surgical instruments, devices or methods
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
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 the 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.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
F16D 15/00 - Clutches with wedging balls or rollers or with other wedgeable separate clutching members
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
65.
Controlling vibration patterns of a phacoemulsification needle
A system includes a needle, an actuator assembly and a generator. The needle is configured to be vibrated so as to emulsify a lens of an eye. The actuator assembly, includes a first actuator, a second actuator and a third actuator, which are distributed around a longitudinal axis of the needle and are configured to vibrate along the longitudinal axis in response to a first driving signal, a second driving signal and a third driving signal, respectively. The generator is configured to generate the first driving signal, the second driving signal and the third driving signal, so as to vibrate the needle in accordance with a predefined pattern.
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.
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
68.
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
71.
Compositions with high refractive index and Abbe number
Disclosed are co-polymers which are produced from reactive monomer mixtures and which have both high refractive index and a high Abbe number. These materials are well suited for use as implantable ophthalmic devices and have a refractive index which may be edited through application of energy. When used for an intraocular lens, the high refractive index allows for a thin lens which compresses to allow a small incision size.
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
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.
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.
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 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 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 assembly 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.
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 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 channel for 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.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
79.
STABILIZING INTRA-OCULAR PRESSURE AT ONSET OF ASPIRATION
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
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.
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.
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
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 (IOP) 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 IOP readings needed during phacoemulsification procedure to identify an imminent vacuum surge, (ii) during the phacoemulsification procedure, receiving sensor readings of IOP, (iii) upon reaching the calculated number of the readings, estimate whether a consistent drop in IOP occurred between the readings, and (iv) upon estimating a consistent drop in IOP, activate an anti-vacuum surge (AVS) mechanism to mitigate the imminent vacuum surge.
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.
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
88.
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
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.
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.
A61M 1/00 - Suction or pumping devices for medical purposesDevices for carrying-off, for treatment of, or for carrying-over, body-liquidsDrainage systems
93.
Phacoemulsification probe stroke length maximization system
A phacoemulsification system including a phacoemulsification probe having a probe body, a horn disposed at least partially in the probe body, a needle coupled with the horn and configured to be inserted into an eye, and a piezoelectric actuator disposed in the probe body and configured to vibrate the horn and the needle in a first direction with a stroke length with respect to the probe body; a signal generator configured to generate a drive signal to drive a vibration of the piezoelectric actuator; a stroke measurement apparatus configured to provide indications of the stroke length of the needle over time; and a controller configured to dynamically adjust a frequency of the drive signal so as to maximize the stroke length and maintain mechanical resonance of the needle responsively to the provided indications of the stroke length.
A61B 17/00 - Surgical instruments, devices or methods
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
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 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.
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.
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 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 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.
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 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.
