Abstract: Tissue implants configured to adhere to biological tissues when activated by electrical energy may include an electrically conductive structure, a connector releasably connected to the electrically conductive structure, and a thermally crosslinkable coating covering at least the exposed portion of the electrically conductive structure. These tissue implants may be used for welding tissues to other tissues, or for welding tissue to the implant, and thus may be used to attach implants within a body, or for therapeutic uses. These implants may be used for wound closure or to create occlusions. Thermal damage to the tissue may be minimized by use of the thermally-crosslinkable material having a resistivity higher than that of the adjacent tissue.

Abstract: The present invention provides a method of treating an ocular disease in a subject. In a first step, a nucleic acid is introduced into cells or a tissue. The nucleic acid is introduced by electron avalanche transfection. With this technique, a high electric field induces a vapor bubble and plasma discharge between an electrode and the surrounding medium. The formation of a vapor bubble generates mechanical stress. Plasma discharge through the ionized vapor in the bubble enables connectivity between the electrode and the surrounding medium, so that mechanical stress and electric field are applied simultaneously, which results in permeabilization of the cells or tissue. This permeabilization in turn allows the nucleic acid to enter the cell or tissue. Cells or tissue containing the nucleic acid are then transplanted into an ocular region of the subject.

Abstract: Improved optical therapy is provided. In a first aspect, improved dosimetry is provided by the use of spectrally resolved tissue reflectance as a real-time dosimetry signal. Spectrally resolving the reflectance substantially improves the sensitivity for dosimetry. An increase of spectrally resolved tissue reflectance (relative to a pre-treatment baseline) is indicative of a reversible tissue response to therapy, while a decrease of spectrally resolved tissue reflectance is indicative of approach to a threshold for irreversible tissue damage. In a second aspect, improved temperature uniformity within laser treated tissue is provided by using a treatment beam having an on-axis beam intensity substantially less than an off-axis beam intensity. The combined effects of heat flow within the treated tissue and illumination with such a beam profile can provide improved temperature uniformity compared to illumination with a conventional “top-hat” beam profile.

Abstract: System and method for making incisions in eye tissue at different depths. The system and method focuses light, possibly in a pattern, at various focal points which are at various depths within the eye tissue. A segmented lens can be used to create multiple focal points simultaneously. Optimal incisions can be achieved by sequentially or simultaneously focusing lights at different depths, creating an expanded column of plasma, and creating a beam with an elongated waist.

Abstract: An optically controlled microfluidic chip is provided for administering a fluid to a neuronal site. The chip is made of at least one unit or pixel, each of which constitutively emits fluid in the dark, and reduces emission of fluid in response to light. The individual pixels are capable of being individually controlled, thereby translating a spatial pattern of incident light into a spatial pattern of neuronal stimulation. Each pixel contains a housing, an aperture in the housing, and a reservoir containing fluid that is connected to the aperture. The aperture is designed to allow continuous emission of fluid from the reservoir through the aperture when the pixel is in the dark. Each pixel also includes an optical control, which reduces the emission of fluid from the reservoir through the aperture in response to light.

Abstract: Patterned laser treatment of the retina is provided. A visible alignment pattern having at least two separated spots is projected onto the retina. By triggering a laser subsystem, doses of laser energy are automatically provided to at least two treatment locations coincident with the alignment spots. All of the doses of laser energy may be delivered in less than about 1 second, which is a typical eye fixation time. A scanner can be used to sequentially move an alignment beam from spot to spot on the retina and to move a treatment laser beam from location to location on the retina.

Abstract: Microfluidic devices and methods for their use in producing pulsed microfluidic jets in a fluid environment are provided. The subject microfluidic devices are characterized by the presence of a microfluid chamber at their distal ends. The microfluid chamber is bounded by an opening at one end, a vapor producing means opposite the opening, and side walls between the opening and the vapor producing means. The microfluid chambers are further characterized in that the only way fluid can exit the microfluid chambers is through the opening. In using the subject devices to produce a fluid jet in a fluid environment, the chamber is first contacted with the fluid environment. The vapor producing means is then actuated in a manner sufficient to produce a vapor bubble in the chamber which, in turn, produces a microfluidic jet in the fluid environment. The subject devices and methods find use in a variety of different applications, e.g., cutting tissue, introducing fluid into a cell, and the like.

Abstract: An interface for selective excitation or sensing of neural cells in a biological neural network is provided. The interface includes a membrane with a number of channels passing through the membrane. Each channel has at least one electrode within it. Neural cells in the biological neural network grow or migrate into the channels, thereby coming into close proximity to the electrodes. Once one or more neural cells have grown or migrated into a channel, a voltage applied to the electrode within the channel selectively excites the neural cell(s) in that channel. The excitation of these neural cell(s) will then transmit throughout the neural network (i.e. cells and axons) that is associated with the neural cell(s) stimulated in the channel. An alternative interface provides cell excitation via an array of electrically conductive pillars on a substrate. The pillars have electrically insulated sides and exposed top surfaces, to provide selective cell excitation.

Abstract: Microfluidic devices and methods for their use in producing pulsed microfluidic jets in a fluid environment are provided. The subject microfluidic devices are characterized by the presence of a microfluid chamber at their distal ends. The microfluid chamber is bounded by an opening at one end, a vapor producing means opposite the opening, and side walls between the opening and the vapor producing means. The microfluid chambers are further characterized in that the only way fluid can exit the microfluid chambers is through the opening. In using the subject devices to produce a fluid jet in a fluid environment, the chamber is first contacted with the fluid environment. The vapor producing means is then actuated in a manner sufficient to produce a vapor bubble in the chamber which, in turn, produces a microfluidic jet in the fluid environment. The subject devices and methods find use in a variety of different applications, e.g., cutting tissue, introducing fluid into a cell, and the like.

Abstract: An interface for selective excitation of a biological neural network is provided. The interface includes a microelectromechanical (MEMS) device having a deformable membrane, and a tactile-sensitive neural cell disposed on the deformable membrane. The cell on the deformable membrane senses motion or deformation of the membrane and provides a signal, responsive to membrane motion or deformation, to the biological neural network. Preferably, the deformable membrane and cell have about equal areas, to provide selective excitation. An interface array including at least two such interfaces is also provided. A retinal prosthesis interface array having, in each element of the array, a photodiode within the MEMS device for electrostatically actuating the deformable membrane is also provided. For this alternative, the cells and deformable membranes are preferably transparent.

Abstract: A system having a retinal prosthesis inside a mammalian eye and an external imaging unit outside the eye is provided. The external imaging unit includes an imager which receives an input optical image and a display which provides a processed optical image derived from the input optical image as an input to the eye. The external imaging unit also includes a tracking subsystem, to determine the position of the retinal prosthesis relative to the display. The external imaging unit includes an image processor, which performs spatial processing dependent on the position of the retinal prosthesis relative to the display. Thus the processed image provided to the eye is spatially processed according to the position of the retinal prosthesis. The image processor can perform other kinds of image processing as well (e.g., temporal image processing). An external imaging unit for use in such a system is also provided.

Abstract: An ocular implant is provided with a substrate and a membranous tissue layer secured to the substrate. Cells such as IPE cells, RPE cells and stem cells are attached on the surface of the membranous tissue layer either in situ or in vivo through cells transplantation. The cells are separated into regions on the surface by creating a pattern on the surface enclosing regions for receiving the cells. The substrate is a bioabsorbable and/or polymeric substrate. Examples of membranous tissue layer are lens capsule, inner limiting membrane, corneal tissue, Bruch's membrane tissue, amniotic membrane tissue, serosal membrane tissue, mucosal membrane tissue and neurological tissue. The membranous tissue layer could have a micropattern of biomolecules. A microfluidic network could be placed onto the microfabricated membranous tissue layer.

Abstract: An electro-adhesive tissue manipulator capable of manipulating tissue with a single conducting element is provided. The manipulator includes a conducting element, an electrical means and a control means capable of generating a first and a second pulse on demand. The first pulse generates an adhesive state between the conducting element and the tissue layer strong enough to manipulate the tissue layer. The second pulse, which has higher pulse energy than the first pulse, generates a non-adhesive state to detach the adhered tissue layer from the conducting element. The electro-adhesive device could be combined with a medical instrument to enhance the capabilities of the medical instrument so that it can manipulate tissue. The advantage of the present invention, in contrast to mechanical tools, is that tissue can be manipulated with a single tip of a conducting element, without folding and piercing of the tissue, thus avoiding damage to the tissue.

Abstract: Microfluidic devices and methods for their use in producing pulsed microfluidic jets in a fluid environment are provided. The subject microfluidic devices are characterized by the presence of a microfluid chamber at their distal ends. The microfluid chamber is bounded by an opening at one end, a vapor producing means opposite the opening, and side walls between the opening and the vapor producing means. The microfluid chambers are further characterized in that the only way fluid can exit the microfluid chambers is through the opening. In using the subject devices to produce a fluid jet in a fluid environment, the chamber is first contacted with the fluid environment. The vapor producing means is then actuated in a manner sufficient to produce a vapor bubble in the chamber which, in turn, produces a microfluidic jet in the fluid environment. The subject devices and methods find use in a variety of different applications, e.g., cutting tissue, introducing fluid into a cell, and the like.

Abstract: A method and device for electrical emulation of pulsed laser is disclosed. The device utilizes high voltage electrical discharges of sub-microsecond duration in a liquid medium to produce cavitation bubbles of sub-millimeter size for use in high speed precision cutting. Such bubbles are produced by a micro-electrode (1.6) having a central wire having a diameter of 1 microns to 100 microns embedded in an insulator. A coaxial electrode (1.9) surrounds the insulator, and may be spaced from the outer surface of the insulator to provide a path for removing tissue.

Abstract: The invention includes the use of a beam homogenizer (scattering surface) at the input aperture of a tapered optical fiber to avoid hot spots (2) in the tapered section which would otherwise destroy the fiber (10).

Abstract: A method and apparatus for highly localized treatment of biological tissue by a laser includes a micropipette having a tip with a central opening having a diameter of less than about 10 microns. The micropipette is mounted on an articulated arm for precision motion with respect to tissue to be treated. Gas is supplied to the micropipette to prevent the entry of liquid, and laser light supplied through the articulated arm is directed into the pipette. The pipette is positioned in X, Y and Z directions with respect to the tissue to control the location and depth of treatment.A protective window may be positioned at the tip of the micropipette to prevent the entry of liquid.