92 results about "Vitrectomy" patented technology

Electric vitrectomy handpieces are provided. The handpiece includes a motor, a clutch mechanism, an oscillating drive mechanism, a cutting tip and a handle. The motor is attached to the clutch, and the clutch is attached to the oscillating drive mechanism. When the motor is operational, the clutch expands to engage the oscillating drive mechanism and the oscillating drive mechanism converts the rotational motion of the clutch to the reciprocating motion of the cutting tip. When the motor is at rest, the clutch retracts to allow aspiration.

An intraocular light probe has a mask or shield affixed at its distal end thereof which forms a directed light beam for intraocular illumination of target tissues or intraocular application of therapeutic light. The mask or shield serves to more fully focus, intensify and direct the beam toward the target tissues. The mask or shield also helps direct light away from other tissues and away from the eyes of the surgeon. This lessens unwanted glare. By placing a light probe beneath a surgical instrument such as a phacoemulsifier or vitrector, laser, cutting instrument (e.g., scissors or knife), forceps or probe / manipulator, whether as part of or separate from an infusion sleeve, a mask or shield effect is created. This has the same benefits of directing the beam toward target tissues, away from other tissues and away from the eyes of the surgeon. The mask or shield is opaque or semi-opaque and made of a soft, semi-rigid or rigid material. The shield can be rigid enough to serve as the shaft of an instrument with a probe or manipulator at its distal tip. It may also be reflective on the side adjacent to the fiber bundle to help direct, magnify, and intensify the beam of light. The shape of the shield can be flat, curved or circular with an opening along one side. The mask / shield can be removed from the fiberoptic light for sterilization. The device of the invention is preferably introduced into the eye via the primary or side-port incision to provide intraocular cross-lighting of tissues during surgical procedures such as cataract surgery, corneal surgery, vitrectomy, intraocular lens implantation, refractive surgery, glaucoma surgery and vitreo / retinal surgery.

A vitrectomy probe having a variable duty cycle cutting mechanism is disclosed. The probe includes a motor and a cam driver rotationally driven by the motor. The cam driver has a non-planar driver surface having surface features that vary at different radii. A follower mechanism is arranged to selectively interface with the driver surface at different radii on the driver surface in a manner to selectively interface with the varied surface features at the different radii. The follower is arranged to transfer rotational movement of the cam driver into linear movement of the follower mechanism.

Methods, devices and systems for draining fluid from the eye and / or for reducing intraocular pressure. A passageway (e.g., an opening, puncture or incision) is formed in the lamina cribosa or elsewhere to facilitate flow of fluid from the posterior chamber of the eye to either a) a subdural location within the optic nerve or b) a location within the subarachnoid space adjacent to the optic nerve. Fluid from the posterior chamber then drains into the optic nerve or directly into the subarachnoid space, where it becomes mixed with cerebrospinal fluid. In some cases, a tubular member (e.g., a shunt or stent) may be implanted in the passageway. A particular shunt device and shunt-introducer system is provided for such purpose. A vitrectomy or vitreous liquefaction procedure may be performed to remove some or all of the vitreous body, thereby facilitating creation of the passageway and / or placement of the tubular member as well as establishing a route for subsequent drainage of aqueous humor from the anterior chamber, though the posterior chamber and outwardly though the passageway where it becomes mixed with cerebrospinal fluid.

An infusion pressure monitoring system for a phacoemulsification or vitrectomy machine to be operated by a health care provider includes an irrigation path configured to carry an irrigation solution to a surgical site and a fluid sensor configured to detect a fluid parameter in the irrigation path. An input device receives a variable fluid flow command from the health care provider commanding an irrigation fluid flow through the irrigation path at a flow rate corresponding to the command. A controller communicates with both the fluid sensor and the input device. The controller determines an expected fluid pressure value and a dynamically variable threshold pressure value based upon the variable fluid flow command.

A method of controlling a surgical system using position feedback control, includes selectively operating a cutter having a cutting mechanism, with the cutting mechanism having an inner cutting tube and an outer cutting tube. The outer cutting tube has a tissue-receiving port formed therein, and the inner cutting tube has a cutting edge axially displaceable relative the tissue receiving port to cut tissue therein. The method also includes sensing the displacement of the inner cutting tube relative to the outer cutting tube with a sensor and changing operational timing of a probe driver based on the displacement sensed by the sensor.

A surgical system having feedback control for pneumatic actuators includes a pneumatic pressure source and a vitrectomy cutter having a cutting mechanism, a first pneumatic input port, and a second pneumatic input port. A pneumatic actuator is configured to direct pneumatic pressure to one of the first and second pneumatic input ports. A first pressure transducer is located and configured to detect actual pressure at the first pneumatic input port, and a second pressure transducer is located and configured to detect actual pressure at the second pneumatic input port. A controller communicates with the first and second pressure transducers and the pneumatic actuator. It is configured to change the pneumatic actuator actuation timing based on the data communicated from the first and second pressure transducers.

An enhanced flow ophthalmic surgical probe for ophthalmic microsurgery, such as vitrectomy, in an eye of a patient is disclosed. The enhanced flow probe includes a body, a needle, a cutter, and an optional stiffening sleeve. The needle, the cutter, and the optional stiffening sleeve each possess a widened diameter at its proximal portion relative to the diameter at its distal portion, thereby providing an enhanced ophthalmic surgical probe that allows adequate stiffness, reduced flow resistance, and an increased flow rate while maintaining a less invasive, large gauge diameter needle and cutter.

A system for a pneumatically-powered vitrectomy machine includes an output port, a venting valve, a venting manifold, a pressure transducer, and a controller. The output port provides pressurized gas to a vitrectomy probe. The venting valve is located close to the output port. The venting manifold fluidly connects the venting valve to a venting port. The venting port vents pressurized gas from the venting manifold. The pressure transducer is located near the output port. The pressure transducer is configured to read a pressure of a gas near the output port. The controller is adapted to receive information about the pressure and activate the venting valve. When the information received from the pressure transducer indicates a fault condition, the controller directs the venting valve to open.

A vitrectomy probe having a variable duty cycle cutting mechanism is disclosed. The probe includes a motor and a cam driver rotationally driven by the motor. The cam driver has a non-planar driver surface having surface features that vary at different radii. A follower mechanism is arranged to selectively interface with the driver surface at different radii on the driver surface in a manner to selectively interface with the varied surface features at the different radii. The follower is arranged to transfer rotational movement of the cam driver into linear movement of the follower mechanism.

An illuminated surgical instrument is disclosed. One embodiment of the present invention comprises an illuminated vitrectomy probe. The vitrectomy probe has a cutting port disposed at a distal end of a cannula. An array of optical fibers terminates near the cutting port. The array of optical fibers is located adjacent to the cannula and encircling the cannula. The array of optical fibers can comprise two sets of fibers, one for providing illumination in a direction along a longitudinal axis of the vitrectomy probe and another for providing illumination in a direction at an angle to the longitudinal direction of the vitrectomy probe. The light source providing light to each set of fibers can be independently controlled so as to provide illumination cooperatively or singly.

A vitrectomy probe has a disposable tip portion and a reusable hand piece portion. The disposable tip portion has a shaft terminating in a blade and a sleeve with an opening. The shaft is slideably disposed within the sleeve and capable of reciprocating in the sleeve. The reusable hand piece has a channel for receiving the shaft, first and second coils for driving the shaft in a reciprocating fashion, and a housing enclosing the channel and the first and second coils. The first and second coils are alternately energized to drive the shaft in a reciprocating fashion.

The present invention relates to compositions of microspheres suitable for application to ocular injuries and inflammation, and to methods of use of the compositions alone or in combination with other agents in the prevention and treatment of ocular injuries and inflammation. The compositions, which increase the rate of healing, can be used to treat injuries and inflammation, including but not limited to those caused by foreign bodies, infections, burns, lesions, lacerations, ischemia, injuries from blunt trauma, traumatic hyphema, sympathetic ophthalmia, injuries from radiant energy, cataracts, corneal erosions or optic nerve injuries, and in procedures such as post-trabeculectomy (filtering surgery), post pterygium surgery; post ocular adnexa trauma and surgery, post intraocular surgery, post vitrectomy, post retinal detachment or post retinotomylectomy.

A system of instruments is provided for vitrectomy surgery, comprising a sharp trochar, a cannula and a cannula valve cap. The sharp trochar provided also has applicability to other fields of surgery. The sharp trochar has a hollow-ground blade that reduces the force necessary for insertion and upon removal leaves a wound with improved healing characteristics. The trochar is selectably insertable in a cannula, and in a preferred embodiment the cannula and the trochar are adapted with mutually tapered exterior surfaces to as to define a smooth transition in diameter to further facilitate insertion. A sealing valve cap is also provided for the cannula, designed to provide sealing while reducing the force required in for inserting instruments into the cannula. A method for angled insertion of this assembly is also disclosed.

An infusion pressure monitoring system for a phacoemulsification or vitrectomy machine to be operated by a health care provider includes an irrigation path configured to carry an irrigation solution to a surgical site and a fluid sensor configured to detect a fluid parameter in the irrigation path. An input device receives a variable fluid flow command from the health care provider commanding an irrigation fluid flow through the irrigation path at a flow rate corresponding to the command. A controller communicates with both the fluid sensor and the input device. The controller determines an expected fluid pressure value and a dynamically variable threshold pressure value based upon the variable fluid flow command.

A probe for a vitrectomy tool is provided having a vitreous cutter tube having a blunt tip at a distal end and adapted to be coupled at a proximal end to a handpiece of a vitrectomy tool; a retractable outer trocar tube surrounding the vitreous cutter tube having an open distal end with a sharpened edge; and a retraction mechanism coupled to a proximal end of the outer trocar for selectively extending and retracting the outer trocar tube between a first extended position wherein the sharpened edge of the outer trocar is extended beyond the blunt tip of the vitreous cutter tube to facilitate insertion into the eye and a second retracted position wherein the sharpened edge of the outer trocar is retracted behind the blunt tip of the vitreous cutter tube to facilitate safe operation of the probe. A vitrectomy tool for removing material from an eye of a patient is provided having a housing having a proximal end and a distal end and a probe coupled to the proximal end of the housing.

A method of mitigating an intraoperative hypotony condition using experimental calibrations of different infusion cannulas and vitrectomy probes showing the relationship between infusion pressure, cut rate, and intraocular pressure for various levels of aspiration vacuum in an ophthalmic surgical system.

An improved method of operating a vitrectomy probe is disclosed in which the amount of time that the probe port is open during each cut cycle of the probe is fixed and minimized over all cut rates of the probe.

A vitrectomy probe includes a housing, a fluidic motor disposed within the housing, a needle extending from the housing, and a cutter assembly. The cutter assembly includes an inner cutting member disposed within and axially moveable relative to the needle, a drive shaft disposed within the housing and axially moveable relative to the housing, and a coupler disposed within the housing coupling the drive shaft and the inner cutting member. The motor is associated with the drive shaft in a manner that drives the cutter assembly in an oscillating manner. The probe also includes two or fewer seals within the housing in contact with the cutter assembly for sealing against fluid leakage.

Methods, devices and systems for draining fluid from the eye and / or for reducing intraocular pressure. A passageway (e.g., an opening, puncture or incision) is formed in the lamina cribosa or elsewhere to facilitate flow offluid from the posterior chamber of the eye to either a) a subdural location within the optic nerve or b) a location within the subarachnoid space adjacent to the optic nerve. Fluid from the posterior chamber then drains into the optic nerve or directly into the subarachnoid space, where it becomes mixed with cerebrospinal fluid. In some cases, a tubular member (e.g., a shunt or stent) may be implanted in the passageway. A particular shunt device and shunt-introducer system is provided for such purpose. A vitrectomy or vitreous liquefaction procedure may be performed to remove some or all of the vitreous body, thereby facilitating creation of the passageway and / or placement of the tubular member as well as establishing a route for subsequent drainage of aqueous humor from the anterior chamber, though the posterior chamber and outwardly though the passageway where it becomes mixed with cerebrospinal fluid.

Electric vitrectomy handpieces are provided. The handpiece includes a motor, a clutch mechanism, an oscillating drive mechanism, a cutting tip and a handle. The motor is attached to the clutch, and the clutch is attached to the oscillating drive mechanism. When the motor is operational, the clutch expands to engage the oscillating drive mechanism and the oscillating drive mechanism converts the rotational motion of the clutch to the reciprocating motion of the cutting tip. When the motor is at rest, the clutch retracts to allow aspiration.

The present invention relates to a phacoemulsification handpiece, comprising a needle and a microelectromechanical system (MEMS) device, wherein the needle is coupled with the MEMS device. The phacoemulsification handpiece may further comprise a horn, wherein the horn is coupled with the needle and the MEMS device. The MEMS device is capable of generating movement of the needle in at least one direction, wherein at least one direction is selected from the group consisting of transversal, torsional, and longitudinal. The present invention also relates to a method of generating movement, comprising providing a phacoemulsification handpiece, wherein the handpiece comprises a needle and one or more MEMS devices; applying a voltage or current to the one or more MEMS devices, wherein the MEMS devices are coupled with the needle; and moving the needle in at least one direction. The present invention also relates to a vitrectomy cutter comprising one or more MEMS devices.

An apparatus for cutting and aspirating tissue from the human body or animal body, particularly for application in vitrectomies, for retinal detachment, etc., having an outer tube (1) and an inner tube (5) which can slide back and forth concentrically in the outer tube (1) with minimal play, wherein the outer tube (1) is closed on the free end (2) thereof, and has a lateral opening (3) near the free end (2), with at least one inner cutting edge (4), wherein the inner tube (5) is open on the free end and has an outer cutting edge (6) at that position, and wherein the cutting edges (4, 6) work together in a cutting manner when the inner tube (5) is displaced, characterized in that the inner tube (5) has at least one lateral opening (7) with at least one further outer cutting edge (8) near the free end.

The invention relates to opthalmology surgical procedures, and specifically to vitreous retinal surgical procedures for marking positions for incision / injection sites on the scleral surface of the eye. The types of ophthalmic vitreous surgical procedures for which are applicable include but not limited to, vitrectomies performed in hospital operating rooms and vitreous injections are routinely performed in doctor's offices for a variety of procedures to treat abnormal eye conditions. The invention discloses a range of scleral limbal marker for adult human patients, pediatric patients, and domestic and other animals. The invention discloses markers in materials capable of sterilization and for markers in materials suitable for disposal and packaged in vacuum sealed packages.