Abstract: Methods and devices measure eye blinks and tear film lipid and aqueous layer thickness before and following ophthalmic formula application onto the ocular surface, especially wherein the ophthalmic formula is an artificial tear. The methods and devices are suitable for dry eye diagnosis. The methods and devices are suitable for use to evaluate ophthalmic formula effects on the tear film and to use such information to diagnose ophthalmic formula treatment of ocular disease conditions such as dry eye in the absence of contact lens wear or post-surgical eye drop treatment and diagnosis. The methods and devices are also suitable for use in the optimization of ophthalmic drug dosage forms and sustained drug release.

Abstract: Methods and devices measure eye blinks and tear film lipid and aqueous layer thickness before and following ophthalmic formula application onto the ocular surface, especially wherein the ophthalmic formula is an artificial tear. The methods and devices are suitable for dry eye diagnosis. The methods and devices are suitable for use to evaluate ophthalmic formula effects on the tear film and to use such information to diagnose ophthalmic formula treatment of ocular disease conditions such as dry eye in the absence of contact lens wear or post-surgical eye drop treatment and diagnosis. The methods and devices are also suitable for use in the optimization of ophthalmic drug dosage forms and sustained drug release.

Abstract: Apparatus for the removal of lens tissue includes a first instrument for inserting into a lens capsule and removing a cataract therein, the first instrument including a lumen for aspiration of cataract tissue and irrigation fluid from the lens capsule and manipulate the cataract until cataract is removed. The second instrument includes an irrigation port for introducing the irrigation fluid into the lens capsule.

Abstract: An intraocular lens for providing vision to an animal or human subject has anterior and posterior sides. The lens includes an optic body, one or more haptics, and one or more marks. Each mark has four or more features disposed along an imaginary line when viewed from the anterior side and/or the posterior side. The mark(s) may be used as an aid in angularly aligning the lens during use.

Abstract: A medical device fluid sensing system is provided. The system includes a transmitter array positioned in association with a fluid maintaining device, such as a reservoir in a cassette. Electrical circuitry is connected to the transmitter array and configured to cause the transmitter array to transmit light energy at a predetermined wavelength and producing a desired absorption coefficient based on expected conditions within the fluid maintaining device. The system also includes a receiver array configured to receive light energy transmitted through the fluid maintaining device and originating from the transmitter array, and a controller configured to determine fluid level in the fluid maintaining device based on conditions sensed by the receiver array. In one embodiment, three transmitters and three matching sensors are provided in a surgical cassette, and when optical energy having predetermined characteristics is provided to the transmitter array, the presence or absence of fluid is determined.

Abstract: A method and apparatus for delivering energy during a surgical procedure such as phacoemulsification is provided. The method and apparatus include applying energy during at least one pulsed energy on period, comprising applying energy during a series of short burst periods, the short burst periods interspersed by short rest periods. The method and apparatus further comprise delivering minimal energy during a long off period, the long off period comprising a relatively long period when minimal energy is applied, wherein one long off period follows each pulsed energy on period. The short burst periods and the short rest periods are relatively brief in duration as compared with the long off period.

Abstract: A cartridge for delivering an intraocular lens into the eye of a subject that comprises a body disposed along a longitudinal axis having a distal end and a proximal end, and a tapered lumen disposed along the longitudinal axis having an aperture at the distal end of the body. The aperture and at least a portion of the tapered lumen each consist of an upper portion and a lower portion. The upper portions of the aperture and lumen each have a first width and a cross-section that is generally arcuate. The lower portions of the aperture and lumen each have a cross-section that is generally horizontally disposed and have a second width that is greater than the first width of the aperture and lumen. The cartridge may be loaded with an intraocular lens using a packaging system. The intraocular lens may be placed into the eye of a subject using a corresponding inserter having a pushrod with a saddle disposed at the tip thereof. The intraocular lens is preferably draped over the saddle during insertion.

Abstract: A foot pedal control for a surgical system (e.g., an ophthalmic surgery system) that adjusts to a number of different sizes of user's shoes. The foot pedal control has a treadle on which a user places his or her foot and a sensor that tracks the movements thereof. Adjustable lateral guides mount to the treadle and conform to both sides of the foot. The guides are shaped and positioned to conform to a wide variety of feet or shoes, and may easily be adjusted between users. A retractable heel stop converts between up for reference and down to enhance movement of the user's foot. A convertible handle may be stowed in a down position parallel to a base or pivoted up over the treadle for protection and ease of movement of the foot pedal control. The foot pedal control may be wireless and have various other electronic controls, and may have a dual-control treadle.

Abstract: A system for performing an ocular surgical procedure is provided. The system includes a multiple frequency signal source, a configurable tuned output filter connected to the multiple frequency signal source, and a multiple frequency ultrasonic handpiece. The multiple frequency signal source operates at a first frequency and is configured to drive the configurable filter and the multiple frequency ultrasonic handpiece at the first frequency. The multiple frequency signal source operates at a second frequency and is configured to drive the configurable filter and the multiple frequency ultrasonic handpiece at the second frequency, and the design addresses third harmonic frequency issues for the multiple frequency ultrasonic handpiece. Switchable passive components, such as inductors, resistors, and/or capacitors may be employed in the configurable tuned output circuit, or alternately multiple similar circuits may be employed. Alternately, a multi-tap transformer may be provided.

Abstract: An apparatus for controlling vacuum pressure is provided. The apparatus includes a multiple axis controller, such as a dual axis footpedal, and a processing apparatus, such as an instrument host running software, configured to receive multiple axis data from the multiple axis controller. The apparatus also includes a first pump configured to provide nonzero fluid pressure at a first nonzero fluid pressure level based on a first axis state of the multiple axis controller and a second pump configured to provide nonzero fluid pressure at a second nonzero fluid pressure level based on a second axis state of the multiple axis controller. The processing apparatus causes switching between the first pump and the second pump based on the first axis state and the second axis state of the multiple axis controller.

Abstract: A device configured for use in an ocular surgical procedure is provided. The device, such as a sleeve or a needle, includes a proximal portion, a distal portion including at least one fluid opening formed at a predetermined orientation, and at least one visual marking provided at the proximal portion at a predetermined marking orientation relative to said predetermined orientation. The visual marking or markings provide a visual indication of orientation of the fluid opening when the device is employed in the ocular surgical procedure.

Abstract: A surgical cassette arrangement is provided. The arrangement includes a flow selector valve configured to operate with a handpiece to selectively irrigate and aspirate fluid with respect to an ocular region. The flow selector valve includes at least three ports, with one port fluidly connectable to the handpiece. The arrangement further includes a reservoir fluidly connected to a second port of the flow selector valve via a first flow segment and configured to receive fluid from the flow selector valve, and a collector fluidly connected to a third port of the flow selector valve via a second flow segment and configured to receive fluid from the flow selector valve and from the reservoir. The flow selector valve selectively controls irrigation and aspiration flow to the handpiece and ocular region.

Abstract: The present invention pertains to programming a foot pedal and switches located therewith that is used with a medical device and/or medical device system. A user may select any switch or directional movement available on the foot pedal for programming by activating the switch and/or moving a treadle located on the foot pedal or by selecting a foot pedal feature on a display. The programming options available for the selected switch or directional movement are displayed on the display screen. Using the foot pedal, the display screen, voice command or combinations thereof, the user can navigate through different options to select one or more options and confirm the chosen option(s) for the particular switch or directional movement. The control and feel of the movement of the treadle and/or switch provides the user with the ability to program custom settings that suit the user's foot position(s) and/or particular style of surgery.

Abstract: A method and apparatus for calibrating a medical device operable in at least one axis of movement, such as a footpedal or footswitch, is provided. The design includes instructing a user to operate the device to a first predetermined position in a first axis of movement while concurrently monitoring movement of the device to establish a set of movement responses, prompting the user to indicate when the first predetermined position in the first axis is attained modifying the set of movement responses when movement response irregularities are detected, thereby establishing a modified set of movement responses, and employing the modified set of movement responses during a medical procedure.

Abstract: A polymer material useful for manufacturing an intraocular lens (IOL) suitable for insertion through an IOL inserter barrel having an inner diameter of less than 3 mm is provided. Specifically, acrylic-silicone hybrids having a tensile strength of approximately 100 psi to 400 psi and a percent elongation at break of between 50% and 400% are disclosed.

Abstract: A controller for a phacoemulsification system having a handpiece; an irrigation fluid source configured to supply an irrigation fluid to the eye; an aspiration source configured to aspirate the irrigation fluid from the eye through the handpiece; and a controller comprising a duration timer configured to provide a duration of an occlusion, the controller configured to: sense a value of an occlusion indicating parameter corresponding to an occlusion of the handpiece; measure a time since the occlusion of the handpiece; and control the aspiration source to the handpiece based at least in part on the measured time since the occlusion. The occlusion indicating_parameter may be a vacuum level, an irrigation flow rate, and/or an aspiration flow rate.

Abstract: An ophthalmic lens for providing a plurality of foci has an optic including an anterior surface, a posterior surface, and an optical axis. The ophthalmic lens further includes a central phase plate, an intermediate phase plate surrounding the central phase plate, and an outer refractive region. The central phase plate comprises a first base curvature having a first radius of curvature and is configured such that the lens is able to direct light to a first focus and a second focus corresponding different diffraction orders of the phase plate. The intermediate phase plate is configured to change the overall resultant distribution of light directed to the second focus. The outer refractive region has no diffractive optical power and surrounds the intermediate phase plate. The outer refractive region is configured to direct light to the second focus and has an aspheric shape configured to reduce an optical aberration.

Abstract: The invention is generally directed to systems and methods for medical care, and more particularly to systems and methods for voice control of a medical device. A first embodiment includes a voice controlled surgical system, such as a phacoemulsification system, a microphone coupled to the surgical system, and a voice controlled computer interface coupled with the surgical system. The voice controlled interface is configured to receive a request to invoke a voice command via the microphone, to listen for a voice command upon receipt of a valid request to invoke a voice command, and to forward a valid voice command upon receipt of the valid voice command to the surgical system for execution.

Abstract: The accommodative properties of the natural lens of an eye, which tend to degrade with age, can be enhanced, restored, or otherwise improved using the in situ treatment techniques and methodologies provided here. One exemplary method of enhancing accommodative properties of the natural lens of an eye involves an initial step of specifying treatment areas of the natural lens. These treatment areas correspond to regions of the capsular bag or regions of the crystalline lens. The method continues by increasing stiffness of the treatment areas while all or portions of the natural lens remains in situ. This results in stiffened areas of the natural lens that enhance transfer of ciliary muscle forces to a center region of the crystalline lens.

Abstract: A method and apparatus for delivering energy during a surgical procedure such as phacoemulsification is provided. The method and apparatus include delivering energy during a surgical procedure, including applying energy at a level and for a time period sufficient to induce transient cavitation, and reducing applied energy after applying energy during a second nonzero lower energy period.