Abstract: Various systems, apparatuses, and processes may be used for performing intraocular lens surgery. In some implementations, a system for intraocular lens surgery may include a first body, a second body, and flexible joint. The first body may be adapted to receive an intraocular lens, and the second body may include a passage adapted to facilitate folding the intraocular lens as the lens is advanced through the passage. The flexible joint may be interposed in a gap between the first body and the second body.

Abstract: Disclosed are a device for loading a flexible intraocular lens into an injection cartridge capable of serving as a packaging support, an injection cartridge and a set formed by said loading device and an injection cartridge. The loading device comprises a tubular element (1) having an internal passage (10), said passage comprising a receiving section (11), an intermediate truncated folding section (12) and an end section (13) capable of receiving an injection cartridge detachably, a supporting element (3) mounted in said receiving section, capable of supporting a lens in a non-folded state, and a plunger (5) capable of pushing a lens (9) positioned in the receiving section through the truncated intermediate folding section to fold said lens gradually, then in the receiving chamber of an injection cartridge placed in the end section.

Abstract: There is provided an intraocular lens insertion device capable of more easily inserting an intraocular lens into an eye. An intraocular lens insertion device 1 comprises a main body 2, an operation portion 5 and a cartridge 4 attached to the main body 2. The operation portion 5 has a plunger 6 integrally provided thereon and serving as a transmitting member, and a rod 7 provided on a distal end of the plunger 6 and serving to push out the intraocular lens. The intraocular lens insertion device 1 further comprises a restraint portion 10, and thus allows the rod 7 to first push an intraocular lens 8 by a predetermined distance and then be temporarily stopped before the intraocular lens 8 is released from the cartridge 4 toward the outside.

Abstract: An assembly for implanting ocular implants into a mammalian eye is provided. The assembly generally includes a cannula having a curved distal end, an injector mechanism coupled to the cannula for linearly moving one or more implant segments in the cannula toward the curved distal end, and a rotator mechanism for rotating the cannula about a longitudinal axis thereof.

Abstract: The present invention relates to an apparatus 10 for ophthalmological laser surgery, with an optical imaging system for imaging a treatment laser beam 14 onto a focal point, with a temperature-measuring device for measuring a temperature assigned to the imaging system, and with an electronic control arrangement (22) connected to the temperature-measuring device, which is configured to control the focal-point setting in a manner depending on the measured temperature. The present invention further relates also to an associated method.

Abstract: An intraocular lens implanting device capable of inserting an intraocular lens surely in safety into an eyeball and having an ophthalmic hooking function capable of adjusting the position of the intraocular lens. The intraocular lens implanting device for inserting an intraocular lens into an eyeball through an incision in the eyeball tissue comprises a tubular main body, a storage part for the intraocular lens integrated with the main body or separated therefrom, and a plunger for pressing the intraocular lens placed in the containing section and discharging it into the eyeball, wherein the distal end of the plunger has a base part and a protuberance.

Abstract: The insertion device (2) for inserting an intraocular lens (1) into an eye includes a main body (12) including a lens housing portion (12b) in which the lens is housed and a nozzle portion (12c) for ejecting the lens into the eye, a pushing shaft (16) moving the lens from the lens housing portion and pushes out the lens into the eye through a front end opening (12j) of the nozzle portion, a first flow path configured to cause liquid to flow between the front end opening of the nozzle portion and an opening other than the front end opening, and a second flow path configured to cause liquid to flow between a portion (30a) protruding from the front end opening of the nozzle portion and an outside of the insertion device.

Abstract: An embodiment in accordance with the present invention provides an apparatus and method for inserting a lens into a flap or pocket in the cornea. The apparatus includes a handle, a plunger extending movably through the lumen of the handle, wherein the plunger includes a distal segment which extends beyond the distal end of the handle, an actuator coupled to the plunger configured to provide movement to the plunger, and a leaf extending from the distal end of the handle and configured to hold the lens to be inserted into the eye, wherein the leaf defines a slot configured to enable loading the lens onto the inserter.

Abstract: Apparatus for performing intraocular implant surgery, including surgical apparatus for performing intraocular implant surgery, an autorefraction device associated with the surgical apparatus, wherein the autorefraction device is configured to perform autorefraction on the aphakic eye to provide one or more aphakic refraction measurements, and a processor connected to the autorefraction device, wherein the processor is configured to process the aphakic refraction measurements and provide the user of the apparatus with information regarding the power of the intraocular lens.

Abstract: Phacoemulsification apparatus includes a phacoemulsification handpiece having a needle and an electrical system for ultrasonically vibrating said needle along with a power source for providing pulsed electrical power to the handpiece electrical system. Irrigation fluid is provided to the handpiece needle and aspirating fluid is removed from the handpiece needle. A determination of a voltage current phase relationship of the provided electrical power is made and in response thereto a control system varies a power level duty cycle provided to the handpiece electrical system from the power source and/or modify the aspiration flow rate. In addition, a separate input enables manual control of pulse amplitude. The control system provides a pulsed electrical power of less than 20 millisecond pulse duration.

Abstract: A phacoemulsifcation needle has a central aspiration passageway extending through a needle body. A hollow shell is attached to and covers at least a portion of the needle body, creating an annular space between the inner surface of the shell and the outer surface of the needle body. At least one port is formed through the needle body communicating between the aspiration passageway and the annular space to create a flow path. The openings to the needle body and the shell may be coplanar or may lie in different planes.

Abstract: A phacoemulsification probe includes a first portion for interconnecting the probe with a phacoemulsification machine. A probe tip has a first end connected with the first portion and a second end curved up to a predetermined angle. The probe tip defines a channel therein for aspirating material through the probe tip from a surgical region.

Abstract: A system for easily transferring an intraocular lens (IOL) from a lens case to an inserter, and then into a patient's eye. The lens case has a transfer mechanism therein which retains the IOL until engagement with the inserter. The transfer mechanism may include jaws having a closed configuration for retaining the IOL and an open configuration for releasing the IOL. Engagement of the inserter with the lens case automatically opens the jaws and transfers the IOL to the inserter. The IOL is transferred into a load chamber of a nosepiece rotatably coupled to a handpiece. After transfer of the IOL, the nosepiece is rotated from a load position to a delivery position. The IOL may have an optic and a haptic coupled to the optic, and the lens case may be capable of configuring the haptic as desired to facilitate its transfer into an inserter and/or into the eye. For instance, the lens case may fold one or both of the haptics over the optic.

Abstract: Described herein are delivery devices and methods of using the devices for delivering an ocular implant into a suprachoroidal space without use of a goniolens. The delivery device includes a handle including a channel extending from a proximal end of the handle to a distal end of the handle, an applier coupled to the handle, the applier including a blunt distal tip and an elongate, flexible wire insertable through a fluid channel of an ocular implant, and a fiber optic image bundle reversibly inserted through the channel such that the fiber optic image bundle extends to a region proximal to the blunt distal tip of the applier.

Abstract: A method for charging a deformable intraocular lens into a receptacle through a slit or opening in the receptacle periphery, the lens in un-deformed state comprising a) a roughly disc shaped optic part configured to act as a lens when inserted into an eye and b) at least two elongated haptic legs, each leg having an inner end attached to the optic part, an outer end being free and intermediate points in between the inner end and the free end, each leg being curved in unstressed state and being flexible to at least a less curved configuration under stress. The method comprises the steps of i) stretching the legs to align the legs along a substantially straight line, ii) aligning or maintaining the substantially straight line over and substantially parallel with the slit or opening of the receptacle, and iii) transferring at least the two legs through the slit or opening into the receptacle.

Abstract: An ocular implant is provided. In some embodiments, the ocular implant includes a body that is curved about a longitudinal central axis and a distal body portion that defines a longitudinal channel including a channel opening. The implant is sized and configured such that the ocular implant assumes an orientation in which the channel opening is adjacent a major side of Schlemm's canal when the ocular implant is disposed in Schlemm's canal. Methods for delivering ocular implants into Schlemm's canal are also provided. Some methods include covering openings in the ocular implant, advancing the implant into Schlemm's canal while at least some of the openings are covered, and uncovering the openings while the distal portion of the implant is disposed in Schlemm's canal.

Abstract: A phacoemulsification needle has a polygonally-shaped tip with an axis that is offset from the axis of the needle body. The material forming the tip is non-uniformly distributed, adding to the motion of the tip when it is vibrated torsionally. In one embodiment, the tip has tip wall segments of varying thicknesses. In another embodiment, the tip has a series of external ribs formed on the tip wall segments, on the wall segment, at the apex where adjacent wall segments meet, or both.

Abstract: The intraocular lens (IOL) fixation device includes an elongate handle having a slender, elongate neck extending therefrom. The neck terminates at a head section. The head section includes a rotator, upon which a plurality of radiating vacuum holding legs extends outward, the end of each leg having a suction cup attached thereto. The legs and the suction cups include hollow channels that communicate with a source of vacuum in order to facilitate gripping of the IOL. Upon insertion of the IOL and proper placement of the head over the IOL, activation of vacuum firmly holds the IOL through the suction cups. The rotator is rotated to accurately align the IOL within the capsular bag. The IOL fixation device also includes irrigation means for selective irrigation of the target area.

Abstract: Proper selection and centering of an intraocular lens (IOL) is provided. An image of an eye, which may be captured during pre-operative tests and provided to a program operable to calculate the power and axis orientation of the IOL, is used to determine the location and orientation of the IOL. This produces an output or placement guide used to properly center and orient an IOL within the eye.

Abstract: An intraocular lens injection instrument including: an injection part formed with an inner wall for folding the soft IOL and a front end for injecting the IOL folded along the inner wall into an eye; a cylinder body part provided with the injection part at its end portion; a push member for pushing the IOL toward the front end of the injection part, a restriction member attached to the cylinder body part to restrict movement of the IOL which is placed outside the axis; and a release member for releasing the restriction member and pushing the IOL onto the axis, wherein the release member includes a contact portion to be brought into contact with the IOL when the restriction by the restriction member is released, the contact portion having a setting surface to be brought into contact with the IOL placed on the axis.

Abstract: Various systems, apparatuses, and processes may be used for intraocular lens surgery. In particular implementations, a system for intraocular lens surgery may include an intraocular lens insertion cartridge and an intraocular lens interface adapted to engage an intraocular lens for advancement through the intraocular lens insertion cartridge. The system may also include a bracket that is detachably attached to the intraocular lens insertion cartridge and that facilitates securing the intraocular lens interface relative to the intraocular lens insertion cartridge.

Abstract: Disclosed are apparatus for delivering an accommodating intraocular lens to an eye. One apparatus includes an injector with a longitudinal injection passage that has a longitudinal injection axis. The apparatus also includes an accommodating intraocular lens having two interconnected viewing elements. The injector has a member for moving the lens into the injection passage of the apparatus. The accommodating intraocular lens has a longitudinal bisection axis and is initially disposed within the injector with the longitudinal bisection axis at an angle which is non-parallel and non-perpendicular to the injection axis. Additional apparatus and methods are disclosed as well.

Abstract: A lens and cartridge packaging system and method of use which simplify the removal and transfer of an IOL to an IOL insertion device is disclosed. The packaging system enables a user to easily load an IOL into a cartridge without the use of forceps. In addition, the packaging system also allows a user to fold and insert the IOL into a cartridge without damaging the IOL and/or compromising IOL sterility. In addition, the related methods of use minimize and/or eliminate damage to the IOL during unpackaging, folding, transfer and loading procedures.

Abstract: A surgical tool whose shaft terminates into a tip having a smooth, rounded edge and that has pores on its top or side, but none one the underside of its base. There may be a flattened base indicative of the shape of a bubble, basket, funnel, circular disc, oblong shape, Maltese cross or mulberry. The pores may be directed backward. A spring spiral may be provided within the shaft to exert a spring bias. The globe may be in the form of a sleeve fitted over a conventional phacoemulsification tip and needs to be positioned to keep the phacoemulsification tip from contacting the sleeve during operation. Alternatively, the globe may be part of a tip itself.

Abstract: A system for preparing an intraocular lens (IOL) injector for receipt of an IOL. A manifold mates with an injector cartridge and easily distributes a lubricating agent to a load chamber of the cartridge. The IOL is then transferred into the load chamber. The cartridge may be rotatably coupled to the handpiece, and then converted from a preparation and load position to a delivery position. The manifold may remain external to the load chamber or fit within the load chamber and include a handle that remains outside. One or more internal channels in the manifold lead from one or more inlet ports to surfaces in the load chamber than contact the IOL.

Abstract: A high voltage generation circuit for laser puncture in which the voltage for laser puncture can be boosted up to the laser oscillation level in a short time with low power loss. The high voltage generation circuit drives a laser unit for puncturing the skin by oscillating laser light. In the high voltage generation circuit, a capacitor is charged to supply power to the laser unit. A booster circuit supplies a current to the capacitor, and a voltage measurer measures the voltage of the capacitor. A controller controls the booster circuit based on an instruction from a user or the voltage of the capacitor to start precharge of the capacitor with a first current value at a first timing, and to start main charging of the capacitor with a second current value higher than the first current value at a second timing, later than the first timing.

Abstract: An injector for inserting an intraocular lens into an eye, comprising a main body (10) and a plunger (50). A guide element (30) is connected to the distal end of the plunger to laterally guide the plunger during movement along a longitudinal axis (L). The distal end of the guide element has a structure for fastening a plunger needle to the guide element. A radial guide pin (40) is in aligned radial bores of the guide element and plunger and extends into a longitudinal slot (17) of the main body to prevent twisting and to secure the guide element to the plunger. A retaining element (24) interacts with a running surface on the perimeter of the plunger, the running surface having a variable radial distance from the longitudinal axis so as to cause an axial resistance force which depends on the axial position of the plunger.

Abstract: An embodiment of the invention relates to a flat-type integral preloaded injector with an intraocular lens fixing device, and more particularly, to a flat-type integral preloaded injector which is provided with an intraocular lens fixing device for injecting an intraocular lens used in a cataract surgery.

Abstract: An eye-manipulator can include an applicator-arm and an eye-contact element, the applicator-arm providing mechanical control over the eye-contact element, and the eye-contact element, connected to the applicator-arm, can be configured to make contact with an eye. A method of manipulating an eye includes aligning the eye-contact element with an eye by adjusting the applicator-arm of the eye-manipulator; contacting the eye with the eye-contact element of the eye-manipulator; and manipulating the eye with the eye-manipulator to assist a docking of a patient interface of an ophthalmic system onto the eye.

Abstract: An embodiment in accordance with the present invention provides an apparatus and method for injecting a lens into a flap or pocket in the cornea. This lens or pocket preferably is created by a laser used in conventional lasik surgery. The apparatus includes a syringe or handle, a plunger extending movably through the lumen of the syringe, and a paddle. The paddle extends from the distal end of the syringe and is configured to hold the lens to be injected into the eye. The paddle also defines a fluid flow path in fluid communication with the lumen of the syringe and configured to allow saline to flow onto the paddle to lift the lens from the paddle, such that the lens can be inserted into the eye.

Abstract: Shunt devices and a method for continuously decompressing elevated intraocular pressure in eyes affected by glaucoma by diverting excess aqueous humor from the anterior chamber of the eye into Schlemm's canal where post-operative patency can be maintained with an indwelling shunt device which surgically connects the canal with the anterior chamber. The shunt devices provide uni- or bi-directional flow of aqueous humor into Schlemm's canal.

Abstract: A ring that can maintain a pupil in an extended position d˜ring an ophthalmic procedure. The ring has a plurality of loops that capture iris tissue. The ring is configured to extend the pupil when iris tissue is inserted into each loop. An ophthalmic procedure such as phacoemulsification can then be performed on the patient. The ring has a center opening that provides a wide view of the ocular chamber during the procedure.

Abstract: There is provided an intraocular lens insertion device capable of easily positioning a circumference of an optical portion of an intraocular lens with respect to a distal end of a plunger. An intraocular lens insertion device 1 comprises: a cartridge 3 having a lens placement section 16 in which an intraocular lens 2 is to be placed; an insertion device main body 4 having a plunger 5 for pushing out the intraocular lens 2 with the cartridge 3 being attached to the insertion device main body 4; and a deforming means 6 for deforming the lens placement section 16. A slit 21 is formed on the lens placement section 16, and the deforming means 6 deforms the lens placement section 16 in a diameter-decreasing direction thereof when attaching the cartridge 3 to the insertion device main body 4.

Abstract: An intraocular lens delivery system includes an injector body having a bore surrounded by an inner wall. The system further includes a plunger configured to fit within the bore. The system also includes a plurality of deflectable members connected to the plunger and configured to contact the inner wall and to be deflected when the plunger is inserted within the bore. The deflectable members center the shaft and, when inserted within the injector body, contribute to producing a predetermined force resisting advancement of the plunger when deflected in the bore.

Abstract: Described herein are devices and methods for treating eye conditions. Described is an ocular implant including an elongate member having an internal lumen forming a flow pathway, at least one inflow port communicating with the flow pathway, and at least one outflow port communicating with the flow pathway. The elongate member is adapted to be positioned in the eye such that at least one inflow port communicates with the anterior chamber, at least one outflow port communicates with the suprachoroidal space to provide a fluid pathway between the anterior chamber and the suprachoroidal space when the elongate member is implanted in the eye. The elongate member has a wall material imparting a stiffness to the elongate member. The stiffness is selected such that after implantation the elongate member deforms eye tissue surrounding the suprachoroidal space forming a tented volume.

Abstract: Injector apparatus (100a, 100b) including a syringe-like injector (200a, 200b), an intraocular lens support arrangement (207, 301) for initially supporting an intraocular lens (10) and a pair of compression members (208a, 208b, 302a, 302b). The syringe-like injector includes an elongated injector base (202) having a trailing handheld end (203, 3070) and a leading delivery end (204), and a hand operated injector plunger (207, 276) slidingly mountable on the injector base for manual urging from an initial outward set-up position to a final inward injection position for injecting the intraocular lens. The compression members compress the intraocular lens at the leading delivery end prior to manually urging the injector plunger to its final inward injection position for injecting the intraocular lens.

Abstract: A system for perfusion management that monitors, maintains, diagnoses, or treats perfusion deficiencies.

Abstract: A system for perfusion management that monitors, maintains, diagnoses, or treats perfusion deficiencies.

Abstract: A system for perfusion management that monitors, maintains, diagnoses, or treats perfusion deficiencies.

Abstract: Corneal implant retaining devices and their methods of use. The retaining devices can be a cap adapted to be disposed over a portion of a corneal implant insertion device.

Abstract: In one aspect of the invention, a multi-purpose phacoemulsification needle comprises a needle body disposed about a centerline and has a lumen disposed therein. The lumen has a first cross-sectional area that is normal to the centerline. The needle further comprises a distal tip comprising an arcuate surface and a face with a port therein. The port has a second cross-sectional area in a plane generally parallel to the face and is in fluid communication with an internal cavity that has a third cross-sectional area normal to the centerline, the internal cavity being in fluid communication with the lumen. The needle is configured such that the third cross-sectional area is greater than either the first cross-sectional area or the second cross-sectional area. In another aspect of the invention, the needle comprises a plurality of fins projecting inwardly from the lumen.

Abstract: The embodiments herein provide an intra-ocular lens injecting device for implanting the same through an incision into an eye of a subject. The device comprises a cartridge for loading at least one intra ocular lens and a delivery tube operably coupled to the cartridge for delivery of the intra ocular lens through the incision. The delivery tube has a rigid first section and a flexible second section. The rigid first section and the flexible second section are configured to have a uniform and a substantially oval cross-sectional area. The configuration of the delivery tube reduces trauma and the incision size, to the subject during implantation. The device also includes a plurality of projections provided on the flexible second section of the delivery tube.

Abstract: Ocular implant insertion apparatus configured for screw-type and push-type operation and associated methods. Such insertion apparatus includes a main body defining a longitudinal axis and a plunger, movable relative to the main body, including a rod portion and an operational portion rotatably mounted on the rod portion. One of the main body and the plunger operational portion includes a helical slot and at least one longitudinally extending clearance groove that intersects the helical slot and the other of the main body and the operational portion includes at least one protrusion that is sized and shaped to fit within the helical slot and within the at least one longitudinally extending clearance groove.

Abstract: A method and related apparatus to treat a cataract where the cataractous lens is pierced and the resulting opening is mechanically maintained using a lens system device such as a pinhole device, expandable tubular lens, a stent or similar small diameter device, some of which are capable of supporting a secondary intraocular lens. The resulting passageway or lumen created in the cataractous lens allows visible light to better reach the retina, thus improving vision. This lens system device that can be placed into an in situ cataract provides for a much simpler surgical technique and reduces related pre and post operative procedures and potential complications. Intraocular lenses may also be used in concert with this invention. The apparatus and technique can be applied to humans as well as animals.

Abstract: A ring that can maintain a pupil in an extended position during an ophthalmic procedure. The ring has a plurality of loops that capture iris tissue. The ring is configured to extend the pupil when iris tissue is inserted into each loop. An ophthalmic procedure such as phacoemulsification can then be performed on the patient. The ring has a center opening that provides a wide view of the ocular chamber during the procedure.

Abstract: Soft, flexible highly lubricious coatings for polymeric IOL insertion cartridges that allow IOLs to be easily inserted through small bore cartridges suitable for use with small (less than 3 mm) incisions are provided. These lubricious coatings allow IOLs to be inserted into the eye of a patient without the risk of lens damage or transfer of lubricants to the lens surface during implantation. Specifically, polymeric coatings comprising a matrix polymer having an equivalent weight greater than 5000 g/eq are used to form interpenetrating networks (IPN) on the surface of hydrophobic structural polymers. The IPNs thus formed entrap highly lubricious hydrophilic compounds within the IPN using multi-functional cross linkers.

Abstract: A plunger for an IOL injector device includes a shaft with a distal tip and a compressible sleeve positioned about the shaft with the tip extending forwardly of the sleeve. In a first stage of IOL advancement through the injector device, the plunger tip engages and pushes the IOL through a first section of the injector body. In a second stage of IOL advancement, the sleeve enters the narrowing section of the injector body toward the open tip thereof with the IOL and sleeve both undergoing compression. The sleeve compresses and lengthens in a forward direction ultimately enveloping the plunger distal tip. Viscoelastic applied inside the injector accumulates between the leading edge of the compressed sleeve and the compressed IOL thereby creating hydraulic pressure which pushes the compressed IOL through the remainder of the injector body and out the open distal tip thereof.

Abstract: An intraocular lens (IOL) assembly packaged for shipping, comprising an IOL injector component having a lumen wall, and an IOL, at least one of the lumen wall and the optic comprising a first lens retention feature for impeding progress of the lens through said lumen toward the distal end. An IOL injector for injecting an IOL, comprising at least two projections extending from said lumen wall, the projections being configured and arranged to interfere with said soft tip prior to and during engagement of said soft tip with the IOL. An intraocular lens storage system, comprising a receptacle within the container, and a tapered portion, the tapered portion and the receptacle permitting a user's fingers to extend into the container to grasp a portion of a shuttle in the receptacle and remove the shuttle form the container.

Abstract: A phacoemulsification tip is formed from a tube that encloses an aspiration lumen surrounded by and generally concentric with a structure section. The structure section has a plurality of structures (ridges, vanes, ribs, or fins). The plurality of structures project inward from an inner wall of the tube at the distal end of the tube. The plurality of the structures are disposed at an angle with respect to a face of the distal end of the tube. Alternatively, the plurality of the structures are disposed at a non-perpendicular angle with respect to a plane that is tangent to a curved outer surface of the tube.

Abstract: A small gauge surgical instrument assembly is shown with advantages such as diminished “play” at the tip. A surgical instrument assembly is also shown with support along a length of the instrument that can be selected by the surgeon. In particular, very small and flexible instruments for vitreous surgery are shown with selectable stiffness, thus providing control as well as access to all parts of the vitreous cavity. Embodiments as shown are safer, and increase the variety of cases for which these instruments can be used.