Abstract: A method for entering soft tissue and bone of a body, the method includes sterilizing a scalp, injecting a spike, with a grommet thereabout, through a calvaria, and removing the spike and leaving the grommet inserted in the calvaria, the grommet providing intracranial access.

Abstract: A device for entering soft tissue and bone of a body, including a spike with a grommet thereabout.

Abstract: The invention provides a medical device having a thermister for temperature measurement, irrigation/aspiration ports for fluid exchange and application of therapeutic modalities, a pressure manometer for pressure measurement, and an external system for control of temperature, pressure, and flow rate. When applied to the central nervous system (CNS), this device can be used in hypothermia or hyperthermia applications, the exchange of cerebral spinal fluid (CSF), the application of treatment modalities, and the insertion of a ventriculostomy or ventriculostomy-like unit. When applied to spinal cord applications, this device can provide temperature control and a method for application of treatment modalities by using a venting device placed in the space surrounding the spinal cord, a device with similar instrumentation to measure temperature and pressure. A device for ultrasound localization of the CNS device is described. A device for a fiber optic endoscope for visualization and localization is also described.

Abstract: The invention provides a medical device having a thermister for temperature measurement, irrigation/aspiration ports for fluid exchange and application of therapeutic modalities, a pressure manometer for pressure measurement, and an external system for control of temperature, pressure, and flow rate. When applied to the central nervous system (CNS), this device can be used in hypothermia or hyperthermia applications, the exchange of cerebral spinal fluid (CSF), the application of treatment modalities, and the insertion of a ventriculostomy or ventriculostomy-like unit. When applied to spinal cord applications, this device can provide temperature control and a method for application of treatment modalities by using a venting device placed in the space surrounding the spinal cord, a device with similar instrumentation to measure temperature and pressure. A device for ultrasound localization of the CNS device is described. A device for a fiber optic endoscope for visualization and localization is also described.

Abstract: An intraocular lens includes an optic for focusing light and a movement assembly coupled to the optic. The movement assembly is adapted to cooperate with the eye to effect accommodating movement of the optic. The movement assembly includes a plurality of movement members and a suspension structure. The movement members are coupled to a periphery of the optic. The suspension structure is coupled to the movement members and is adapted to be in contact with a peripheral region of a capsular bag of an eye. The movement members are adapted to convert radial movement of the suspension structure caused by movement of the capsular bag to axial movement of the optic. The movement members are also adapted to amplify the radial movement of the suspension structure so that the optic moves axially a greater distance than the distance moved radially by the suspension structure.

Abstract: A phacoemulsification handpiece for ophthalmic surgical procedures includes a needle having a tip and connected to a source of ultrasonic energy, for cutting and/or fragmenting eye tissue along with a conduit for introducing irrigation fluid proximate the needle tip. The handpiece also includes separate structure for introducing a viscous fluid, such as a viscoelastic material, proximate the needle tip as well as bore through the needle and handpiece for aspirating irrigation fluid, viscoelastic material end cut and/or fragmented eye tissue. An accumulator, connected to the housing is provided for containing a supply of viscous fluid. A diaphragm assembly and a manual valve are provided for delivering viscous material to the needle tip.

Abstract: Phacoemulsification apparatus includes a handpiece having a needle and electrical apparatus for ultrasonically vibrating the needle. A power source provides electrical power to the handpiece electrical apparatus and irrigation fluid is provided to the handpiece needle and aspirated therefrom during phacoemulsification. Temperature sensors are provided for determining the temperature of the handpiece needle and a control unit is provided for varying a power level provided the handpiece electrical apparatus and the power source in response to the needle temperature. Alternatively, the control unit functions to vary either irrigation fluid flow or aspiration fluid flow from the handpiece in response to the needle temperature.

Abstract: A thin tip phaco needle is provided including a body having a longitudinal bore for enabling passage of debris from a surgical site, a threaded end for engaging an ultrasonic probe handpiece, and a tip, disposed at a distal end of the body, for cutting tissue. The tip includes a beveled, or stepped, edge having a wide proximal wall and a thin, distal, cutting wall of about half a width of the wide wall. The beveled edge functions to enhance cutting efficiency of the tip and increase force pressure by the tip on tissue such as to decrease ultrasonic energy required to cause the needle to penetrate hard tissue. The needle tip may be angled so as to define a cutting plane having a wide upper arc and a thin lower arc.

Abstract: A phacoemulsification handpiece for ophthalmic surgical procedures includes a needle having a tip and connected to a source of ultrasonic energy, for cutting and/or fragmenting eye tissue along with a conduit for introducing irrigation fluid proximate the needle tip. The handpiece also includes separate structure for introducing a viscous fluid, such as a viscoelastic material, proximate the needle tip as well as bore through the needle and handpiece for aspirating irrigation fluid, viscoelastic material end cut and/or fragmented eye tissue. An accumulator, connected to the housing is provided for containing a supply of viscous fluid. A diaphragm assembly and a manual valve are provided for delivering viscous material to the needle tip.

Abstract: Apparatus for insertion of intraocular lenses into the eye are disclosed. In one embodiment, the apparatus comprises a loading chamber and an injection portion. The loading chamber has a proximal end and a distally extending opening. The loading chamber defines a first lumen and is adapted to receive an intraocular lens in an unfolded state at the distally extending opening and to fold the intraocular lens and maintain the intraocular lens folded as the intraocular lens is placed in the first lumen. The injection portion defines a second lumen aligned with the first lumen and is adapted to receive the folded intraocular lens from the first lumen in the second lumen. The injection portion has an open distal end through which the folded intraocular lens from the second lumen passes to be inserted into an eye.

Abstract: A reusable cartridge assembly for a phaco machine includes a plurality of flexible tubes for handling of irrigation and aspiration fluids to and from a handpiece. A plate having a plurality of channels formed therein supports and removably holds the flexible tubes within said plate. Apertures in said plate aligned with said channel means are provided for enabling plunger access to the flexible tubes in order to regulate fluid flow therethrough.

Abstract: An irrigation/aspiration apparatus is provided for use with surgical instrumentation requiring irrigation and aspiration of fluids and a peristaltic pump. The apparatus includes a housing and a manifold for connecting a transfer tube with aspiration and irrigation lines from the surgical instrumentation and with waste and supply lines. An opening the housing enables access to the transfer tube in order to control fluid flow therein. A diaphragm mounted to the housing and in fluid communication with the aspiration tube enables both pressure measurement and pressure control in the tubing when the housing is inserted into a drawer in the console and in operative engagement with a peristaltic pump head disposed therein.

Abstract: Apparatus for inserting intraocular lenses (IOLs) into eyes are disclosed. The apparatus comprises an insertion tube, and an injector rod having a distal tip capable of engaging an intraocular lens. A rotating assembly is provided to controllably rotate the rod as it moves distally through the insertion tube. The rotation of the injector rod is imparted to the IOL in such a manner that the IOL is also rotated as it moves through the insertion tube. The degree of rotation of the IOL is controlled to place the IOL in an orientation for final implantation in the eye with reduced risk of damaging the eye. Methods for inserting an IOL into an eye using such apparatus are also disclosed and are within the scope of the present invention.

Abstract: An apparatus for insertion of intraocular lenses into the eye. In one embodiment, the apparatus includes a loading chamber and an injection portion. The loading chamber has a proximal end and a distally extending opening. The loading chamber defines a first lumen and is adapted to receive an intraocular lens in an unfolded state at the distally extending opening and to fold the intraocular lens and maintain the intraocular lens folded as the intraocular lens is placed in the first lumen. The injection portion defines a second lumen aligned with the first lumen and is adapted to receive the folded intraocular lens from the first lumen in the second lumen. The injection portion has an open distal end through which the folded intraocular lens from the second lumen passes to be inserted into an eye. The intraocular lens may be either pushed out, or pulled through the distal end into the eye.

Abstract: A reusable cartridge assembly for a phaco machine includes a first plate with a plurality of flow channels therein and a sealing gasket with a sheet for sealing against the first plate to prevent fluid from leaving the flow channels. In addition, a tube is provided, fixed to the sealing gasket and protruding therefrom, for enabling engagement between the tube and a pump head for circulation of fluid through flow channels. A second plate is provided for applying a sealing pressure between the sheet and the first plate. In addition, the sealing gasket may include a sensing element for determining pressure within the flow channels.

Abstract: An irrigation/aspiration apparatus is provided for use with surgical instrumentation requiring irrigation and aspiration of fluids and a peristaltic pump. The apparatus includes a housing and a manifold for connecting a transfer tube with aspiration and irrigation lines from the surgical instrumentation and with waste and supply lines. An opening the housing enables access to the transfer tube in order to control fluid flow therein. A diaphragm mounted to the housing and in fluid communication with the aspiration tube enables both pressure measurement and pressure control in the tubing when the housing is inserted into a drawer in the console and in operative engagement with a peristaltic pump head disposed therein.

Abstract: An ophthalmic instrument including an elongated tube having proximal and distal end portions, a distal end and an elongated passage opening at a distal opening at the distal end. The distal end portion is sized to be received through an incision into the eye. An elongated member having a resiliently deformable end portion is at least partially received in the elongated passage of the tube. The distal end portion of the inner member has a curved configuration in a relaxed condition and is capable of performing a function within the eye. The tube and the inner member are relatively movable longitudinally so that the distal end portion of the inner member can be caused to project through the distal opening a variable amount to change the length of the arc of the curved configuration projecting from the distal opening. A hollow ultrasound needle is positioned in the inner member which is movable relative to the needle.

Abstract: An ophthalmic instrument having an elongated tube having proximal and distal end portions, a distal end and an elongated passage opening at a distal opening at the distal end. The distal end portion is sized to be received through an incision into the eye. An elongated member having a resiliently deformable end portion is at least partially received in the elongated passage of the tube. The distal end portion of the inner member has a curved configuration in a relaxed condition and is capable of performing a function within the eye. The tube and the inner member are relatively movable longitudinally so that the distal end portion of the inner member can be caused to project through the distal opening a variable amount to change the length of the arc of the curved configuration projecting from the distal opening. A hollow ultrasound needle is positioned in the inner member which is movable relative to the needle.

Abstract: A sleeve useful on a surgical instrument, in particular an instrument for treating the eye such as a vitrectomy cutter, is disclosed. Such sleeve includes a hollow elongated sleeve portion with at least one fluid outlet at or near its distal end portion, and a hub secured to the sleeve portion and adapted to receive at least a portion of the surgical instrument. The present sleeve is made of one or more organic polymeric materials and provides substantial benefits, e.g., providing effective fluid seals and being non-irrigating in use, and being disposable after use.

Abstract: Apparatus for insertion of intraocular lenses into the eye are disclosed. In one embodiment, the apparatus comprises a loading chamber and an injection portion. The loading chamber has a proximal end and a distally extending opening. The loading chamber defines a first lumen and is adapted to receive an intraocular lens in an unfolded state at the distally extending opening and to fold the intraocular lens and maintain the intraocular lens folded as the intraocular lens is placed in the first lumen. The injection portion defines a second lumen aligned with the first lumen and is adapted to receive the folded intraocular lens from the first lumen in the second lumen. The injection portion has an open distal end through which the folded intraocular lens from the second lumen passes to be inserted into an eye.