CA2938862C - Confocal detection to minimize capsulotomy overcut while dynamically running on the capsular surface - Google Patents
Confocal detection to minimize capsulotomy overcut while dynamically running on the capsular surface Download PDFInfo
- Publication number
- CA2938862C CA2938862C CA2938862A CA2938862A CA2938862C CA 2938862 C CA2938862 C CA 2938862C CA 2938862 A CA2938862 A CA 2938862A CA 2938862 A CA2938862 A CA 2938862A CA 2938862 C CA2938862 C CA 2938862C
- Authority
- CA
- Canada
- Prior art keywords
- focal point
- location
- eye
- electromagnetic radiation
- scan
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
- 238000001514 detection method Methods 0.000 title abstract description 40
- 230000005670 electromagnetic radiation Effects 0.000 claims abstract description 90
- 238000003384 imaging method Methods 0.000 claims abstract description 29
- 239000002775 capsule Substances 0.000 claims description 68
- 230000004044 response Effects 0.000 claims description 7
- 238000007667 floating Methods 0.000 abstract description 19
- 230000007246 mechanism Effects 0.000 abstract description 18
- 210000000695 crystalline len Anatomy 0.000 description 92
- 238000000034 method Methods 0.000 description 58
- 210000001519 tissue Anatomy 0.000 description 25
- 238000002430 laser surgery Methods 0.000 description 23
- 230000003287 optical effect Effects 0.000 description 20
- 238000001356 surgical procedure Methods 0.000 description 14
- 238000010586 diagram Methods 0.000 description 13
- 210000004087 cornea Anatomy 0.000 description 12
- 230000015654 memory Effects 0.000 description 9
- 230000010287 polarization Effects 0.000 description 9
- 210000001742 aqueous humor Anatomy 0.000 description 8
- 239000000463 material Substances 0.000 description 7
- 238000012545 processing Methods 0.000 description 7
- 208000002177 Cataract Diseases 0.000 description 6
- 238000004891 communication Methods 0.000 description 5
- 238000005286 illumination Methods 0.000 description 4
- 238000012986 modification Methods 0.000 description 4
- 230000004048 modification Effects 0.000 description 4
- 238000003860 storage Methods 0.000 description 4
- 230000001902 propagating effect Effects 0.000 description 3
- 230000008859 change Effects 0.000 description 2
- 230000003750 conditioning effect Effects 0.000 description 2
- 230000003247 decreasing effect Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 230000004424 eye movement Effects 0.000 description 2
- 230000005855 radiation Effects 0.000 description 2
- 206010020675 Hypermetropia Diseases 0.000 description 1
- 238000002679 ablation Methods 0.000 description 1
- 230000003044 adaptive effect Effects 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 230000002238 attenuated effect Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 238000004364 calculation method Methods 0.000 description 1
- 238000010226 confocal imaging Methods 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 238000012937 correction Methods 0.000 description 1
- 230000003292 diminished effect Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000003038 endothelium Anatomy 0.000 description 1
- 210000003560 epithelium corneal Anatomy 0.000 description 1
- 230000004907 flux Effects 0.000 description 1
- 201000006318 hyperopia Diseases 0.000 description 1
- 230000004305 hyperopia Effects 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 238000011065 in-situ storage Methods 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 230000005055 memory storage Effects 0.000 description 1
- 208000001491 myopia Diseases 0.000 description 1
- 230000004379 myopia Effects 0.000 description 1
- 230000002085 persistent effect Effects 0.000 description 1
- 230000000644 propagated effect Effects 0.000 description 1
- 208000014733 refractive error Diseases 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
- 238000012795 verification Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F9/00802—Methods or devices for eye surgery using laser for photoablation
- A61F9/00804—Refractive treatments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F9/00825—Methods or devices for eye surgery using laser for photodisruption
- A61F9/00834—Inlays; Onlays; Intraocular lenses [IOL]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/013—Instruments for compensation of ocular refraction ; Instruments for use in cornea removal, for reshaping or performing incisions in the cornea
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00861—Methods or devices for eye surgery using laser adapted for treatment at a particular location
- A61F2009/0087—Lens
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00861—Methods or devices for eye surgery using laser adapted for treatment at a particular location
- A61F2009/00872—Cornea
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00878—Planning
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00885—Methods or devices for eye surgery using laser for treating a particular disease
- A61F2009/00887—Cataract
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00885—Methods or devices for eye surgery using laser for treating a particular disease
- A61F2009/00887—Cataract
- A61F2009/00889—Capsulotomy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00897—Scanning mechanisms or algorithms
Landscapes
- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Veterinary Medicine (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Physics & Mathematics (AREA)
- Optics & Photonics (AREA)
- Prostheses (AREA)
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201461935478P | 2014-02-04 | 2014-02-04 | |
| US61/935,478 | 2014-02-04 | ||
| US201461950416P | 2014-03-10 | 2014-03-10 | |
| US61/950,416 | 2014-03-10 | ||
| PCT/US2015/014086 WO2015119888A1 (en) | 2014-02-04 | 2015-02-02 | Confocal detection to minimize capsulotomy overcut while dynamically running on the capsular surface |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2938862A1 CA2938862A1 (en) | 2015-08-13 |
| CA2938862C true CA2938862C (en) | 2022-07-05 |
Family
ID=52464621
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2938862A Active CA2938862C (en) | 2014-02-04 | 2015-02-02 | Confocal detection to minimize capsulotomy overcut while dynamically running on the capsular surface |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US11406536B2 (enExample) |
| EP (1) | EP3102167B1 (enExample) |
| JP (2) | JP2017506944A (enExample) |
| AU (1) | AU2015214443B2 (enExample) |
| CA (1) | CA2938862C (enExample) |
| WO (1) | WO2015119888A1 (enExample) |
Families Citing this family (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE102015219277A1 (de) | 2015-10-06 | 2017-04-06 | Schaeffler Technologies AG & Co. KG | Käfigsegment eines Wälzlagers |
| US20180085256A1 (en) * | 2016-09-12 | 2018-03-29 | Lensar, Inc. | Laser methods and systems for the aligned insertion of devices into a structure of the eye |
| WO2022018525A1 (en) | 2020-07-19 | 2022-01-27 | Belkin Vision Ltd. | Automated capsulotomy |
| JP2023544319A (ja) * | 2020-09-30 | 2023-10-23 | エーエムオー ディベロップメント エルエルシー | フェムト秒眼科用レーザシステムを使用する再治療オプションを有する再治療可能な角膜レンチクル切開 |
| WO2024231890A1 (en) * | 2023-05-11 | 2024-11-14 | Amo Development, Llc | Monitoring laser-tissue interaction during femtosecond laser incision in cornea using back-reflected treatment light |
Family Cites Families (27)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5984916A (en) | 1993-04-20 | 1999-11-16 | Lai; Shui T. | Ophthalmic surgical laser and method |
| US5743902A (en) | 1995-01-23 | 1998-04-28 | Coherent, Inc. | Hand-held laser scanner |
| US6454761B1 (en) | 1995-01-30 | 2002-09-24 | Philip D. Freedman | Laser surgery device and method |
| US5720894A (en) | 1996-01-11 | 1998-02-24 | The Regents Of The University Of California | Ultrashort pulse high repetition rate laser system for biological tissue processing |
| US7655002B2 (en) | 1996-03-21 | 2010-02-02 | Second Sight Laser Technologies, Inc. | Lenticular refractive surgery of presbyopia, other refractive errors, and cataract retardation |
| US6019472A (en) | 1997-05-12 | 2000-02-01 | Koester; Charles J. | Contact lens element for examination or treatment of ocular tissues |
| JP4708050B2 (ja) | 2005-03-02 | 2011-06-22 | 株式会社ニデック | 角膜手術装置 |
| US8262646B2 (en) | 2006-01-20 | 2012-09-11 | Lensar, Inc. | System and method for providing the shaped structural weakening of the human lens with a laser |
| US20110319875A1 (en) | 2007-01-19 | 2011-12-29 | Frieder Loesel | Apparatus and Method for Morphing a Three-Dimensional Target Surface into a Two-Dimensional Image for Use in Guiding a Laser Beam in Ocular Surgery |
| CN104287888B (zh) * | 2007-03-13 | 2016-11-09 | 眼科医疗公司 | 用于创建眼睛手术和松弛切口的装置 |
| DE102007028042B3 (de) | 2007-06-14 | 2008-08-07 | Universität Zu Lübeck | Verfahren zur Laserbearbeitung transparenter Materialien |
| US7717907B2 (en) | 2007-12-17 | 2010-05-18 | Technolas Perfect Vision Gmbh | Method for intrastromal refractive surgery |
| DE102008027358A1 (de) * | 2008-06-05 | 2009-12-10 | Carl Zeiss Meditec Ag | Ophthalmologisches Lasersystem und Betriebsverfahren |
| US8852175B2 (en) * | 2008-11-21 | 2014-10-07 | Amo Development Llc | Apparatus, system and method for precision depth measurement |
| EP2456385B1 (en) * | 2009-07-24 | 2015-07-22 | Lensar, Inc. | System for performing ladar assisted procedures on the lens of an eye |
| US8382745B2 (en) | 2009-07-24 | 2013-02-26 | Lensar, Inc. | Laser system and method for astigmatic corrections in association with cataract treatment |
| US20110184395A1 (en) * | 2009-12-23 | 2011-07-28 | Optimedica Corporation | Method for laser capsulotomy and lens conditioning |
| WO2011085274A1 (en) * | 2010-01-08 | 2011-07-14 | Optimedica Corporation | System for modifying eye tissue and intraocular lenses |
| WO2011097647A1 (en) * | 2010-02-08 | 2011-08-11 | Optimedica Corporation | System for plasma-mediated modification of tissue |
| US8414564B2 (en) | 2010-02-18 | 2013-04-09 | Alcon Lensx, Inc. | Optical coherence tomographic system for ophthalmic surgery |
| US8845624B2 (en) | 2010-06-25 | 2014-09-30 | Alcon LexSx, Inc. | Adaptive patient interface |
| DE102010055966B4 (de) * | 2010-12-23 | 2013-07-11 | Rowiak Gmbh | Vorrichtung zur Materialbearbeitung eines Werkstücks und Verfahren zum Kalibrieren einer solchen Vorrichtung |
| WO2012135073A2 (en) * | 2011-03-25 | 2012-10-04 | Board Of Trustees Of Michigan State University | Adaptive laser system for ophthalmic use |
| DE102011109058A1 (de) * | 2011-07-29 | 2013-01-31 | Carl Zeiss Meditec Ag | "Ophthalmologische Laservorrichtung und Verfahren zur Prävention und zur Behandlung von Nachstar" |
| JP5997450B2 (ja) * | 2012-02-08 | 2016-09-28 | キヤノン株式会社 | 収差補正方法、および収差補正装置 |
| US9987165B2 (en) | 2012-11-02 | 2018-06-05 | Optimedica Corporation | Liquid optical interface for laser eye surgery system |
| EP2968000B1 (en) * | 2013-03-13 | 2018-08-15 | Optimedica Corporation | Laser eye surgery system |
-
2015
- 2015-02-02 WO PCT/US2015/014086 patent/WO2015119888A1/en not_active Ceased
- 2015-02-02 AU AU2015214443A patent/AU2015214443B2/en not_active Ceased
- 2015-02-02 JP JP2016550187A patent/JP2017506944A/ja active Pending
- 2015-02-02 EP EP15703716.9A patent/EP3102167B1/en active Active
- 2015-02-02 CA CA2938862A patent/CA2938862C/en active Active
-
2019
- 2019-07-25 US US16/522,404 patent/US11406536B2/en active Active
- 2019-10-09 JP JP2019185837A patent/JP6830989B2/ja active Active
Also Published As
| Publication number | Publication date |
|---|---|
| CA2938862A1 (en) | 2015-08-13 |
| AU2015214443B2 (en) | 2019-11-28 |
| JP2020072848A (ja) | 2020-05-14 |
| WO2015119888A1 (en) | 2015-08-13 |
| JP6830989B2 (ja) | 2021-02-17 |
| EP3102167A1 (en) | 2016-12-14 |
| AU2015214443A1 (en) | 2016-08-18 |
| EP3102167B1 (en) | 2024-10-23 |
| JP2017506944A (ja) | 2017-03-16 |
| US20190343684A1 (en) | 2019-11-14 |
| US11406536B2 (en) | 2022-08-09 |
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| US10363173B2 (en) | Confocal detection to minimize capsulotomy overcut while dynamically running on the capsular surface |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request |
Effective date: 20191220 |
|
| EEER | Examination request |
Effective date: 20191220 |