Abstract: The present invention is directed to the provision of an intraocular lens delivery device having a plunger with a multi-part plunger tip. The plunger tip includes a first part and a second part wherein the first part releases from the second part during travel of the plunger through the body of a delivery cartridge.

Abstract: A method for inserting a lens into a corneal pocket or flap includes providing a lens inserter device, opening a first leaf and a second leaf of the device, positioning a slot of each one of a first and a second lens shaped portion over a post on a packaging of the lens, positioning the lens between the first leaf and the second leaf, inserting the lens into the corneal pocket, and releasing the lens from the lens inserter device.

Abstract: Various systems, apparatuses, and processes may be used for intraocular lens surgery. In particular implementations, a system for intraocular lens surgery may include a shell, a plunger, and a deformable sleeve. The shell may, for example, include an outer wall and an inner wall, wherein the inner wall defines a passage through the body. The plunger may be adapted to move within the passage and include first end adapted to be engaged by a user for advancing the plunger within the passage and a second end adapted to interface with an intraocular lens. The deformable sleeve may be sized to fit around the plunger and adapted to engage with the shell and the plunger to provide force feedback to advancing the plunger through the passage.

Abstract: A shipping system for a medical device, such as implantable lens for an eye, is provided that may be reconfigured from a shipping mode into an injection mode without manually handling the contained lens or other device. Upon manufacture, a lens may be placed within the system assembly in the shipping configuration. While in the shipping configuration, the lens is kept in its desired shape and within a selected environment. Upon arrival at the destination, the user may attach fittings for injection of the device into a body. The process of changing from the shipping to the injection mode deforms the device into a shape suitable for injection. A new assembly for insertion of a medical device utilizing the shipping systems is also disclosed which includes a resilient ring through which a plunger extends to provide digital feedback as the medical device is inserted.

Abstract: An injector for inserting an intraocular lens into an eye includes a lumen. The lumen can include a terminal portion at a distal end and a proximal portion juxtaposed with the terminal portion. An injector plunger can be disposed within the lumen for generating a driving force on the intraocular lens. The injector can include a lens frictional force that has a first value when the lens is at a first location within the proximal portion and a second value when the lens is at a second location within the terminal portion. The first value can be smaller than the second value. In some embodiments, the lens frictional force increases abruptly from the first value to the second value as the lens approaches the distal end of the lumen.

Abstract: An IOL injector device allows for both powered and manual delivery of an IOL. The injector has a tubular housing. A plunger is longitudinally disposed within the housing and has first and second ends. The first end is disposed towards the front end of the housing. A drive system is coupled to the housing. The drive system causes longitudinal translation of the plunger along the primary axis of the housing. A normally engaged clutch system is coupled to the drive system. The normally engaged clutch system allows manual disengagement of the drive system. A knob coupled to the plunger allows for manual operation of the injector.

Abstract: A cystotome device that includes a cystotome loop utilized to ablate one or more cataracts and a shaft, the cystotome loop coupled to a first end of the shaft and a shaft connection housing coupled to a second end of the shaft. The cystotome device also includes a hand piece body, a first end of the hand piece body coupled to the shaft connection housing, wherein the hand piece body is grasped by a user to maneuver and position the cystotome device. The cystotome device also includes one or more piezoelectric crystals disposed within the hand piece body, the one or more piezoelectric crystals produces ultrasonic waves directed and applied to the one or more cataracts and a power supply cord coupled to the second end of the hand piece body, the power supply cord providing an electrical conduit of electrical power to power the one or more piezoelectric crystals.

Abstract: This device for stretching the haptics of an intraocular lens has at least two haptic guiding surfaces, a seat arranged with respect to the guiding surfaces so as to allow contact between a first point on each haptic and its corresponding guiding surface, and a lens guiding arrangement operable to allow the lens positioned in the seat to be moved along a path in the optic axis direction to bring at least a second point on each haptic into contact with, or closer to, its corresponding guiding surface and to orient each haptic in a less curved state, wherein the guiding surfaces extend in opposite directions from a channel operable to receive the lens.

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: An intraocular lens insertion device for inserting an intraocular lens capable of securely and safely pushing out the lens by a simple structure. An intraocular lens insertion device (1) comprises: a main body (3) having a lens placement portion (8) on which the lens (2) with a pair of loop parts (2b) at its optic part (2a) is placed, a transition portion (12) deforming the lens (2), and a nozzle portion (11) discharging the lens (2); and a lens push-out mechanism (4) pushing out the lens (2) placed on the lens placement portion (8). The lens push-out mechanism (4) comprises a plunger (16) pushing out the lens (2) and a slider (15) having a lens contact part (20) larger than the plunger (16). The slider (15) comprises an operating part (23) projected to the outside of the body (3).

Abstract: A needle 20 for use with a torsional or transverse ultrasound surgical phacoemulsification instrument comprises a hollow elongated needle body 22 having a needle tip 24 at a distal end for cutting lens material. The needle tip 24 is flared in one plane to produce a substantially elliptical tip mouth 26. The elliptical tip mouth 26 has a major axis ‘X’ larger than an outer diameter of the needle body and a minor axis ‘Y’ smaller than the major axis so as to form a spade-shaped tip. The eccentricity of the elliptical tip mouth 26 can be varied, however for practical purposes it is preferred that the major axis of the tip mouth is about 1.5 to 2.5 times longer than the minor axis. The spade-shaped tip 24 provides an improved cutting action, particularly with torsional ultrasonic vibration, the cutting action being analogous to that of a spade drill bit used in woodworking.

Abstract: A surgical apparatus for use by a surgeon can include a tray and a plurality of surgical instruments. The tray can have a plurality of structures located on an upper side of the tray for receiving the plurality of surgical instruments. The tray can receive a separate control unit. The tray can also have a fluid reservoir receiver for receiving a bottle or container of fluid, such as balanced salt solution. The fluid reservoir receiver can include one or more features, including, a spike, an air vent, and a light. A separate container can be used to place the bottle or container of fluid into the fluid reservoir receiver on the tray. This separate container can include a collapsible section.

Abstract: The present invention relates to a phacoemulsification handpiece, comprising a needle and a microelectromechanical system (MEMS) device, wherein the needle is coupled with the MEMS device. The phacoemulsification handpiece may further comprise a horn, wherein the horn is coupled with the needle and the MEMS device. The MEMS device is capable of generating movement of the needle in at least one direction, wherein at least one direction is selected from the group consisting of transversal, torsional, and longitudinal. The present invention also relates to a method of generating movement, comprising providing a phacoemulsification handpiece, wherein the handpiece comprises a needle and one or more MEMS devices; applying a voltage or current to the one or more MEMS devices, wherein the MEMS devices are coupled with the needle; and moving the needle in at least one direction. The present invention also relates to a vitrectomy cutter comprising one or more MEMS devices.

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: An IOL injector body including an injector body segment defining a portion of a lumen, and a first loading chamber component coupled to the injector body segments and a second loading chamber component hingedly coupled to the first loading chamber component. The second loading chamber component is capable of rotating about an axis that is parallel to the lumen. An IOL vial including a vial base and an injector guide rotatably mounted in said base, whereby an injector can be inserted along the injector guide and rotated such that a folded IOL can be obtained in the injector. A method of loading an IOL injector with an IOL the method that comprises inserting the IOL injector body into a vial and rotating the IOL injector body relative to the vial to obtain the IOL in the IOL injector body.

Abstract: The actuator comprises a barrel and a plunger received within the barrel. A clutch mechanism is operable between the plunger and the barrel. The clutch mechanism includes a driven member and a fixed member having respective castellations. The driven member carries pins which engage a three-start thread on the plunger. The castellations are urged into engagement by three annular springs. In the engaged condition of the clutch, the plunger is advanced by rotation relative to the barrel. An axial load on the plunger disengages the clutch mechanism, allowing the plunger to be advanced axially whilst rotating the driven member. Two-handed or one-handed operation according to a user's choice is therefore possible. The actuator can be used in combination with a lens delivery device.

Abstract: A device 1500 for performing an anterior capsulotomy procedure, wherein the device includes a body 1504 having proximal and distal ends. A cutting element 1010 having at least one surgical blade 1014 is rotatably disposed on a distal end of the body. The cutting element is attached to a pinion 1300 comprising a plurality of gear teeth 1310. The gear teeth on the pinion intermesh with gear teeth 1204 disposed on a distal end of a shaft assembly 1202. As the shaft assembly 1202 is moved laterally within the body 1504, the pinion 1300 is caused to rotate.

Abstract: A control device for an ophthalmic surgical system includes a flow determination device for determining an actual value of fluid flow in an aspiration line. The aspiration line is coupled to a handpiece for phacoemulsification of an eye lens and an occlusion determination device determines whether there is an occlusion because of a particle of the eye lens at a suction opening of the aspiration line. An evaluation unit establishes a hardness of the particle in dependence on the determined actual value of the fluid flow in the aspiration line should the occlusion determination device have determined that an occlusion is present, and, dependent on the hardness, determines a first value of ultrasound energy, which can be supplied to the handpiece by an energy source. A control unit actuates the energy source, during the occlusion, so that it outputs the determined first value of the ultrasound energy.

Abstract: An intraocular insertion device capable of safely performing discharge operation of a lens by a simpler construction. The intraocular lens insertion device has a body provided with a lens placement section where the lens is placed and a tube section for inserting the lens into an eye and has a plunger for discharging the lens placed on the lens placement section. The lens placement section has an upper holding member and a lower holding member. The upper holding member has a rib projecting on advancement axis A, to the lower side of the lens placement section. The lower holding member has a U-shaped cross-section and is constituted of a left and right pair of uprising sections and a pressing section uniting the uprising sections at their lower ends.

Abstract: In various embodiments, an ophthalmic surgical instrument may include an aspiration tube, an irrigation/aspiration tip (formed of a first material such as plastic), and a patch, coupled to the irrigation/aspiration tip, made of a second material (e.g., silicone) having a higher coefficient of friction than the first material. In some embodiments, the patch may be placed on the irrigation/aspiration tip in a position to allow a user of the irrigation/aspiration tip to manipulate an intraocular lens (IOL) through contact between the patch and the IOL. For example, the patch may be positioned on a side of the irrigation/aspiration tip opposite an aspiration port or on a distal end of the irrigation/aspiration tip. In some embodiments, the patch may be formed separately and coupled to the irrigation/aspiration tip through an adhesive or may be molded onto the irrigation/aspiration tip. In some embodiments, the patch may include features to increase friction.

Abstract: An intraocular injector includes a syringe body having open-ended cone disposed in one end thereof along with a piston disposed in the body. A transparent implant holder having a lumen therein is aligned with an open-ended cone, a needle include a proximal end and a distal end with a bevel disposed on the distal end of the needle. A plunger affixed to the piston and slidable within a holder lumen and needle lumen is provided for injecting solid intraocular implants into an eye. A cylindrical syringe body shape facilitates control over the needle bevel orientation during injection of the implant into the eye.

Abstract: Systems and methods for delivering multiple ocular implants to reduce intraocular pressure are disclosed. The ocular implants can be implanted at multiple sites within a single human eye without requiring removal of the delivery apparatus from the eye. A system for delivering multiple ocular implants can include at least two implants preloaded within a delivery device and configured to be implanted within the eye, a metering device configured to transfer energy to the implants for delivery at selected locations within the eye, wherein the metering device is configured to meter a variable amount of energy for each implant delivery event in the eye. The system can further include an injector mechanism configured to serially engage and drive each of the implants.

Abstract: Devices that are adapted to insert corneal implants onto corneal tissue. Methods of using the devices include inserting the corneal implant into a pocket created in the cornea. Methods of use also include inserting the corneal implant onto corneal tissue after a flap has been created in the cornea. The devices can be adapted to deliver fluid to an implant holding space to at least assist in the deployment of the implant from the holding space and onto corneal tissue.

Abstract: Systems, devices and methods for performing small incision DLEK include providing a corneal transplantation donor tissue graft; then forming the tissue graft into an implantable configuration using the flexible substrate. Related medical kits and tools for forming a compact or rolled donor tissue graft are also described.

Abstract: Provided therein are apparatuses, systems and methods for storing and retrieving a corneal implant and for delivering the corneal implant in or on the cornea. In an embodiment, a insertion system comprises an inserter for delivering a corneal implant to a desired location in or on the cornea. The inserter has a holding space at its distal end for holding a corneal implant therein. A solution may substantially fill the holding space with the corneal implant to keep the implant hydrated and to hold the implant in the holding space by the surface tension of the solution. The corneal implant may be preloaded in the holding space of the inserter and stored in a storage container filled with storage fluid, e.g., saline, until use. To deliver the corneal implant, the inserter is positioned at the desired location, and the corneal implant released from the holding space of the inserter.

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: Various systems, apparatuses, and processes may be used for intraocular lens surgery. In particular implementations, a system for intraocular lens surgery may include a body and a plunger. The body may, for example, include an outer wall and an inner wall, where the inner wall defines a passage through the body and includes a first guide member. The plunger may, for example, be adapted to move within the passage and include a first end, a second end, and a second guide member. The first end may be adapted to be engaged by a user for moving the plunger within the passage, and the second end may include a tip adapted to interface with an intraocular lens and having an asymmetric cross-section. The second guide member may interact with the first guide member to rotate the tip when the plunger is moved through the body.

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: A device for injecting an intraocular lens (IOL) into an eye, the device having an injector body including a lumen and an open tip wherethrough the IOL is expressed from the device. An IOL loading bay is located in the passageway wherein the IOL is positioned and compressed. The injector tip is dimensioned to allow the surgeon to choose an insertion depth between first, second and third transition points defined on the tip, the first and second transition points having a larger diameter than the third transition point which is located closer to the open tend of the tip. If the surgeon wishes to insert through a very small incision size (e.g., about 2.4 mm), the surgeon will insert the tip only up to the third transition point. The injector is stable during delivery of the IOL therethrough due to a spreading of the tip within the eye which effectively anchors the tip during IOL delivery.

Abstract: An intraocular lens insertion device capable of folding an intraocular lens into a predetermined shape without giving a local stress to the intraocular lens. The intraocular lens insertion device 2 may include a lens disposing part 15 for disposing an intraocular lens 4, a slider 7 for pushing out the intraocular lens 4, a plunger 8 for further pushing out the intraocular lens pushed out by the slider 7, a transition part 31 for deforming the intraocular lens 4 pushed out by the slider and the plunger, and a nozzle 32 for ejecting out the deformed intraocular lens 4.

Abstract: Apparatus and methods for phacoemulsification combine a phacoemulsification needle having an offset feature with handpieces capable of producing various vibratory motions using motive systems that produce selected hybrid motions to create a hybrid phacoemulsification effect that is more efficient than conventional longitudinal handpiece-needle combinations and has been demonstrated under certain conditions to be more efficient than needles used with handpieces providing torsional motion. The phacoemulsification needle is of the type having a hollow passageway that terminates in a straight needle tip formed off-axis from the passageway, allowing the needle tip to move eccentrically when the needle is subjected to torsional or longitudinal vibratory motion. The tip may be flared or may be coextensive with the needle body. The tip may also be angled with respect to the needle body. The aspiration passageway formed through the needle body may be positioned or shaped to be off-axis from the needle body axis.

Abstract: An intraocular lens insertion instrument capable of smoothly pushing out a preset lens is provided. An intraocular lens insertion instrument comprises: a main body including a lens setting section on which a lens is set, a transition section that deforms the lens, and a nozzle piece that releases the lens; and a lens push-out mechanism that pushes out the lens set on the lens setting section. The instrument further includes a releasing means for releasing the lens pushed by the lens push-out mechanism from the lens setting section. The releasing means has a posture holding mount that holds the lens with a forward tilt relative to an axial line of lens movement. The posture holding mount has a passage through which the lens push-out mechanism passes.

Abstract: An intraocular lens inserting instrument capable of folding a lens and pressing it by a plunger to discharge it into an eye and alternatively capable of taking out the folded lens by tweezers. The intraocular lens inserting instrument for inserting a foldable intraocular lens into an eye has a tubular body for allowing the intraocular lens to pass through it and introducing it into the eye, and a plunger for pressing the intraocular lens to discharge it into the eye, wherein the intraocular lens is folded by a folding member provided at a lens placing section. The lens placing section has an open/close lid so that the folded intraocular lens is accessible to be held by the tweezers.

Abstract: A method of producing a medical instrument whereby a highly hydrophilic and lubricant coating layer having a high durability can be formed by a simple technique and thus highly hydrophilic and lubricant properties can be imparted to a surface of a medical instrument. An intraocular lens insertion instrument having been subjected to a surface treatment as described above is also provided. The method includes preparing a coating solution by mixing at least a water-insoluble polymer having carboxyl group and a polyfunctional reactive compound with an organic solvent; applying this solution on the surface of the medical instrument; conducting crosslinking; and performing a chemical reaction process. The coating layer is made hydrophilic. The intraocular lens insertion instrument is made hydrophilic by forming the coating layer as described above on an inner surface of an insertion tube portion, crosslinking and then performing the chemical reaction process.

Abstract: An exemplary ocular implant insertion system includes a case and a preloaded ocular implant insertion apparatus. The apparatus includes first and second movable structures that move the ocular implant in a predetermined sequence. The respective configurations of the case and the ocular implant insertion apparatus are such that the ocular implant insertion apparatus is not removable from the case when the ocular implant insertion apparatus is in the pre-use state and is removable after the first movable structure has moved at least a portion of the optical implant.

Abstract: An IOL (intraocular lens) injector system comprises an IOL injector (2); an IOL holder (3) for holding an IOL (4); and an IOL holder container (100) for holding said IOL holder holding said IOL.

Abstract: An ultrasonic horn for use with an ultrasonic surgical hand piece including a resonator comprises a contacting annulus having a plurality of angled lands. The lands are alternated around the annulus such that adjacent lands have opposite angles. As a result of the adjacent angled lands, a shear stress field is developed in contacted tissue due to the promotion of refracted longitudinal ultrasonic waves propagating in different directions at the interface to the coupled tissue. The shear stress field enhances the fragmentation and removal rate of fibrous, elastic, and tenacious tissue. The horn is hollow permitting suction to be applied to the tissue for controlling tissue contact with the lands.

Abstract: A shipping system for a medical device, such as implantable lens for an eye, is provided that may be reconfigured from a shipping mode into an injection mode without manually handling the contained lens or other device. Upon manufacture, a lens may be placed within the system assembly in the shipping configuration. While in the shipping configuration, the lens is kept in its desired shape and within a selected environment. Upon arrival at the destination, the user may attach fittings for injection of the device into a body. The process of changing from the shipping to the injection mode deforms the device into a shape suitable for injection. A new assembly for insertion of a medical device utilizing the shipping systems is also disclosed.

Abstract: The invention relates to devices and methods for deploying an implant. Preferably the device (10) deploys a flexible implant in an eye. In one embodiment, the device comprises a distal end and a proximal end, wherein the distal end is constructed and arranged to cause said implant to be flexed into a curved configuration when in a carried position and the device is configured to urge said flexed implant from said carried position to a deployed position. Embodiments with removable tips (13) and wheel actuators (14) are also disclosed.

Abstract: A control arrangement for an ophthalmic surgical system for phacoemulsification of an eye lens includes an optical system for generating an image of an object region. At least part of the eye lens to be emulsified and part of a needle of a phacoemulsification handpiece can be arranged in the image. An image evaluation unit evaluates the generated image in such a way that an evaluation variable is generated which is dependent on a property of a particle produced by phacoemulsification of the eye lens or is dependent on a relation of the particle to its surroundings. A control unit generates a control variable in dependence upon the evaluation variable and, with the control variable, the control unit controls an absolute value of ultrasound energy which is supplied to the phacoemulsification handpiece by an energy source for phacoemulsification of the eye lens.

Abstract: A surgical instrument for both chopping and splitting the nucleus of an eye has a handle housing a shaft mounted within a guide tube which slides into and out of the instrument to bring first and second jaws into and out of contact with one another. The jaws are planar and positioned approximately perpendicular with the axis of the handle. The bottom edges of the jaws are brought into alignment to form a cutting edge when the jaws are forced together, and separate to perform a splitting action within a cut when the jaws are moved apart.

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: An intraocular lens injector, comprising an injector body having a lumen wall defining a lumen, a plunger configured and arranged to move an IOL through the lumen, and a vibration source configured and arrange to vibrate at least one of the injector body and the plunger.

Abstract: A thin resilient strand, such as medical suture material, extends from a stiffer shank. The strand can form a resilient hook and/or it can have an arcuate free end to engage tissue such as the interior of a capsular bag at approximately its equator during ophthalmic surgery.

Abstract: An intraocular lens injection device comprises a tubular housing with a plunger longitudinally disposed within the tubular housing. An electric drive system longitudinally translates the plunger so that its tip engages an insertion cartridge to fold and displace an intraocular lens disposed within and to inject the folded lens into the lens capsule of an eye. A control circuit is configured to start translation of the plunger, responsive to user input, to detect at least one fault condition based on a counter-electromotive force produced by the electric motor, and to stop translation of the plunger assembly responsive to the detected fault condition, which may comprise excessive resistance to forward or rearward translation of the plunger or insufficient resistance to forward translation of the plunger.

Abstract: An intraocular lens injection device comprises a tubular housing with a plunger longitudinally disposed within the tubular housing. An electric drive system longitudinally translates the plunger so that its tip engages an insertion cartridge to fold and displace an intraocular lens disposed within and to inject the folded lens into the lens capsule of an eye. A control circuit is configured to start translation of the plunger, responsive to user input, to detect at least one fault condition based on a counter-electromotive force produced by the electric motor, and to stop translation of the plunger assembly responsive to the detected fault condition, which may comprise excessive resistance to forward or rearward translation of the plunger or insufficient resistance to forward translation of the plunger.

Abstract: A surgical microscopy system comprises microscopy optics for generating an image of an eye under surgery. A pattern generator generates a pattern to be superimposed with the image. An eye-tracker is provided for tracking a position of the superimposed pattern with respect to the image in case of a movement of the eye. The superimposed pattern comprises pattern elements that are equally distributed on first and second circles of different sizes, in order to give assistance when placing a suture during a corneal transplant. The superimposed pattern may also provide an assistance for orientating a toric intra-ocular lens.

Abstract: An implant includes a tube for permitting fluid flow. A flow controlling rod may be inserted within the tube passage. One or more holes around the circumference of the tube may be selectively permanently or temporarily occluded to give desired flow characteristics. A delivery device for implanting the implant may include a central bore in which a retractable wire is located. The retractable wire penetrates a tube passage of the implant. After the implant is in position in the eye, the retention wire is retracted out of the implant. In a method for manufacturing an implant, two tubes of different diameters are utilized. The smaller tube fits inside the longitudinal bore of the larger tube. When the tubes are cut, the smaller tube forms the tube of the implant and the remaining portions of the larger tube form the retention projection and/or disk of the implant.

Abstract: An instrument capable of providing large-area shielding within an isolated operating region, such as the eye, while being passable through a small incision in the region through which the instrument must be inserted. For example, an instrument capable of being passed through a typical 3 mm (or smaller) phacoemulsification incision without undue damage to ocular tissue, and which expands to provide large-area shielding, e.g. to occlude a large-diameter (e.g. approx. 6 mm) posterior capsule opening. The surgical instrument includes two or more leaves, the leaves being interconnected by at least one fastener in a manner that causes expansion of a leading or distal portion of the instrument when the following or proximal portions of each leaf are manipulated, whether by a user or through interaction with a wall of the incision.

Abstract: An intraocular lens insertion device capable of folding an intraocular lens into a predetermined shape without giving a local stress to the intraocular lens. The intraocular lens insertion device 2 includes a lens disposing part 15 for disposing an intraocular lens 4, a slider 7 for pushing out the intraocular lens 4, a plunger 8 for further pushing out the intraocular lens pushed out by the slider 7, a transition part 31 for deforming the intraocular lens 4 pushed out by the slider and the plunger, and a nozzle 32 for ejecting out the deformed intraocular lens 4. The slider 7 includes a lens push-out part 47 having a larger contact area than the plunger 8 and a lens holder 52 holding one face of an optical part 4b of the intraocular lens 4 in one direction. The transition part 31 deforms a portion of an outer edge of the intraocular lens 4 parallel to the lens traveling direction in an other direction opposite to the one direction.