Abstract: Apparatus for the removal of lens tissue includes a first handpiece having a laser emitting probe sized for insertion into a lens capsule and radiating a lens therein. The laser emitting probe includes a lumen for introducing irrigation fluid into the lens capsule. A second handpiece includes a vibrated needle for insertion into the lens capsule and emulsifying laser eradiated lens tissue. The vibrated needle includes a lumen therethrough for aspiration of emulsified lens tissue and irrigation fluid.

Abstract: An instrument for providing illumination of intraocular tissue during surgery generally includes a hand held light source which includes a light emitting diode, a power source for driving the diode and a control switch for interconnecting the diode with the power source. At least one fiber optic having a proximal end in light communication with the LED and a distal end size for insertion into an eye for illumination of intraocular tissue is provided.

Abstract: Apparatus for the removal of lens tissue includes a first handpiece having a laser emitting probe sized for insertion into a lens capsule and radiating a lens therein. The laser emitting probe includes a lumen for introducing irrigation fluid into the lens capsule. A second handpiece includes a vibrated needle for insertion into the lens capsule and emulsifying laser eradiated lens tissue. The vibrated needle includes a lumen therethrough for aspiration of emulsified lens tissue and irrigation fluid.

Abstract: Apparatus for the phacoemulsification of lens tissue includes a first needle for introducing irrigation fluid into a lens capsule and a second ultrasonically vibrated needle for inserting into the lens needle and emulsifying the lens tissue therein. The second needle includes a lumen therethrough for aspiration of emulsified lens tissue and irrigation fluid from the lens capsule through a primary aspiration port defined by an end of the lumen. At least one secondary aspiration port is disposed in the second needle is a spaced apart relationship with the primary aspiration port for introducing emulsified lens and irrigation fluid into the lumen.

Abstract: To reduce damage to surrounding tissue while fragmenting some tissue such as for example not damaging the capsular wall while removing the lens during cataract removal surgery or not damaging artery or vein walls during bypass surgery while freeing the artery or vein to be transplanted, an incision is made for the insertion of surface—a handpiece tip. The tip is rotated and reciprocated ultrasonically at the same time so that tissue is fragmented by the combined motion of a fragmenting surface perpendicular to the surface and at an angle to the surface many times during a single revolution or part of a revolution.

Abstract: To reduce damage to surrounding tissue while fragmenting some tissue such as for example not damaging the capsular wall while removing the lens during cataract removal surgery or not damaging artery or vein walls during bypass surgery while freeing the artery or vein to be transplanted, an incision is made for the insertion of surface—a handpiece tip. The tip is rotated and reciprocated ultrasonically at the same time so that tissue is fragmented by the combined motion of a fragmenting surface perpendicular to the surface and at an angle to the surface many times during a single revolution or part of a revolution.

Abstract: A surgical sleeve which includes an array of spaced apart protuberances on an interior wall surface. The spaced protuberance reduce the surface contact between the sleeve and the tip and define a network of generally uniform channels through which fluid may flow, irrespective of pressure applied to the sleeve. As a result, the sleeve is able to provide fluid flow which is better able to remove heat from the tip and provide a more uniform irrigation of the eye.

Abstract: A surgical sleeve which includes a series of spaced apart rings on an interior wall surface encircling a slender cutting tip. The sleeve completely enshrouds the tip in an unstressed condition in order to avoid inadvertent injury to the interior portions of the eye. The sleeve, however, automatically retracts during use to expose the free end of the tip to effect emulsification of the natural lens. The spaced rings further reduce the surface contact between the sleeve and the tip and define a transverse channel through which fluid may flow when lateral pressure is applied to the sleeve. As a result, the sleeve is able to effectively remove heat from the tip even under adverse conditions and alleviate the risk of burning the corneal tissue.

Abstract: To reduce damage to surrounding tissue while fragmenting some tissue such as for example not damaging the capsular wall while removing the lens during cataract removal surgery or not damaging artery or vein walls during bypass surgery while freeing the artery or vein to be transplanted, an incision is made for the insertion of surface--a handpiece tip. The tip is rotated and reciprocated ultrasonically at the same time so that tissue is fragmented by the combined motion of a fragmenting surface perpendicular to the surface and at an angle to the surface many times during a single revolution or part of a revolution.

Abstract: A wrench for installing and removing a tip onto and from a tool comprises a rotary part and a locking hub. The tool includes a housing and a rotatable shaft which has a threaded bore. The tip includes a working portion and a threaded shank which is to be secured in the threaded bore of the shaft. The hub includes a projection which has a non-circular opening which engages a complementary surface on the shaft and a non-circular exterior surface which engages a complementary surface on the interior of the housing to prevent rotation of the shaft relative to the housing. The rotary part includes a passage which includes a non-circular portion which engages the tip to screw the tip into the shaft.

Abstract: An apparatus and method for zeroing, calibrating and setting a surgical knife. The surgical knife includes a blade that has a tip which can move relative to a footplate that extends from the body of the knife. The apparatus includes a calibration housing that is coupled to a surgical microscope. The calibration housing has a transparent sleeve coupled to a holder, which are both adapted to receive and support the surgical knife. The calibration housing is constructed so that the knife and sleeve are in the line of sight of the microscope. The knife typically has a sensor that can sense the position of the blade tip relative to the footplate. The sensor provides an output signal to a visual display which converts the signal to a visual readout. The visual display also has an input device that allows the surgeon to zero the visual display. To calibrate the knife, the surgeon inserts the knife into the calibration housing until the footplate is parallel with a marking on the sleeve.

Abstract: An apparatus and method for zeroing, calibrating and setting a surgical knife. The surgical knife includes a blade that has a tip which can move relative to a footplate that extends from the body of the knife. The apparatus includes a calibration housing that is coupled to a surgical microscope. The calibration housing has a transparent sleeve coupled to a holder, which are both adapted to receive and support the surgical knife. The calibration housing is constructed so that the knife and sleeve are in the line of sight of the microscope. The knife typically has a sensor that can sense the position of the blade tip relative to the footplate. The sensor provides an output signal to a visual display which converts the signal to a visual readout. The visual display also has an input device that allows the surgeon to zero the visual display. To calibrate the knife, the surgeon inserts the knife into the calibration housing until the footplate is parallel with a marking on the sleeve.

Abstract: A surgical suction cassette for use with a microsurgical apparatus having a surgical handpiece connected by tubing with a control cabinet contains a tank to receive aspirated material from the microsurgical site, fluid connections for the tubes providing suction, pressure and irrigation fluid to the handpiece, fluid connections for connecting sources of pressure, vacuum and vent within the cabinet, fluid connection for an external source of irrigation fluid, and internal tubing providing connections between the connections to the handpiece and the connections to the cabinet. Solenoid actuated occluders in the cabinet compress the tubing in the cassette to turn the various fluid streams on and off. The cassette is provided with a drain for automatically removing the contents without changing the cassette. A latch hook, centrally located between the fluid connections to the cabinet holds the cassette in the cabinet when in use.

Abstract: A fluid coupling has a male member having a generally rigid base and an attached, relatively resilient face with a first fluid flow path opening from the resilient face. A female member of the coupling has a generally cylindrical receptacle with an opening for admitting the male member and a second fluid flow path for communication with the first fluid flow path in the male member when the male member is inserted into and rotated in the receptacle. The male and female members have cooperating cam surfaces opposite the opening into the fluid flow path in the member for urging the members together with a force directed at the opening. The force compresses the resilient face of the male member against the receptacle to seal the fluid flow paths about the openings. The preferred embodiment is a T coupling in which the male member has a third fluid flow path extending through it and in communication with the first fluid flow path.