Visx, Inc.

Other

Phoenix Laser Systems, Inc.

Acufocus, Inc.

Carl F Knopp

Jan C Wysopal

William D Fountain

Jerzy Orkiszewski

H Alfred Sklar

Michael Persiantsev

Hanna J Hoffman

David C Knopp

Thomas A Silvestrini

Bruce Arthur Christie

Kevin F Hahnen

Charles F McMillan

Paul R Yoder, Jr

An apparatus is provided for aligning an implant with a visual axis of an eye of a patient. The apparatus has an instrument with an instrument axis and an aperture through which the patient may look along the instrument axis. The implant includes an aperture having an implant axis that can be positioned substantially collinear with the instrument axis. The implant further includes a substantially opaque annulus extending between the aperture and an outer periphery of the implant. The annulus has a nutrient transport structure for conveying nutrients between anterior and posterior surfaces of the implant.

Method and apparatus for aligning a mask with the visual axis of an eye

A method and system is described that greatly improves the safety and efficacy of ophthalmic laser surgery. The method and system are applicable to precise operations on a target subject to movement during the procedure. The system may comprise the following elements: (1) a user interface, (2) an imaging system, which may include a surgical microscope, (3) an automated tracking system that can follow the movements of an eye, (4) a laser, (5) a diagnostic system, and (6) a fast reliable safety means, for automatically interrupting the laser firing.

Automated laser workstation for high precision surgical and industrial interventions

A method, apparatus and system for template-controlled, precision laser interventions is described that greatly improves interventions such as laser microsurgery, particularly ophthalmic surgery, and industrial micromachining. The instrument and system are applicable to those specialties wherein the positioning accuracy of laser lesions is critical, such as whenever precise operations on a target or series of targets subject to movement during the procedure are to be effected. The system includes a user interface, wherein the user can either draw, adjust, or designate particular template patterns overlaid on a live video images of the target (such as the cornea) which are stabilized and produce an apparently stationary display of the target and provide the means for converting the template pattern into a sequence of automatic motion instructions to direct a laser beam to be sequentially applied replicating the designated template pattern into the corresponding surgical or industrial site.

A method, apparatus and system for a transverse tracker is described that can greatly improve the accuracy, speed, range, reliability, versatility, safety, and efficacy of interventions such as laser microsurgery, particularly ophthalmic surgery, and industrial micromachining. The instrument and system disclosed are applicable to those situations wherein the positioning accuracy of laser lesions is critical, and/or whenever precise operations on a target or series of targets subject to random movement during a procedure are to be effected. The present invention provides means for stabilizing the motion of targets in a plane perpendicular to the axial direction, thus allowing an imaging system, diagnostics illumination, and/or laser beam to maintain a lock on the target area, regardless of its movement. The invention also provides means for recording eye movements in real time and in which data can be stored and manipulated for the purpose of compensating for lateral target motion by either hardware or software means. Unique attributes provided in the tracking system include means for (1) sensing contrast in recognizable large scale boundaries such as the change between the cornea/sclera interface (limbus), thereby to determine the absolute location and orientation of these boundaries, all without having to resort to digital sampling techniques and (2) dual mode operation of an electronic control system compatible with all analog technologies, thereby substantially increasing the speed of operations over other, comparable digital method. The tracking system of the invention is at least comprised of illumination sources, imaging optics, a sensor such as a position-sensitive detector, a movable optical element such as a mirror, a two-dimensional logic board, and a dedicated microprocessor, including appropriate signal processing firmware and software. Additional optics can be incorporated to provide interface with other assemblies such as depth tracking, target viewing and/or laser surgery subsystems. The system of the invention affords considerable flexibility in selecting particular components such as the illuminators, detectors and servo devices, which, in turn, allows broad application of this system to tracking tasks in diverse medical surgical, diagnostic, and industrial settings.

System for detecting, measuring and compensating for lateral movements of a target

A method, apparatus and system for template-controlled, precision laser interventions is described that greatly improves the accuracy, speed, range, reliability, versatility, safety, and efficacy of interventions such as laser microsurgery, particularly ophthalmic surgery, and industrial micromachining. The instrument and system are applicable to those specialties wherein the positioning accuracy of laser lesions is critical, wherever accurate containment of the spatial extent of a laser lesion is desirable, and/or whenever precise operations on a target or series of targets subject to movement during the procedure are to be effected. The system thus comprises the following key elements: (1) a user interface, consisting of a video display, microprocessor and controls, (2) an imaging system, which may include a surgical video microscope with zoom capability, (3) an automated 3D target acquisition and tracking system that can follow the movements of the subject tissue, for example an eye, during the operation, thus allowing the surgeon/user to predetermine his firing patern based on an image which is automatically stabilized over time, (4) a laser, with which can be focused so that only the precise lesions described by the user interface are effected, (5) a diagnostic system, incorporating a mapping and topography means for measuring precise surface shapes prior to and subsequent to a procedure, said measurements to be executed on-line within time scales not limited to human response times, and (6) a fast reliable safety means, whereby the laser firing is interrupted automatically, should any conditions arise to warrant such interruption of the procedure.

Automated laser workstation for high precision surgical and industrial

An apparatus and method provides images of the anterior structure of the eye which can be captured. Various slit lamp projections are captured by a camera utilizing a CCD along the line of sight axis so that all images which are taken are referenced to the line of sight and are reproducible along that axis.

Apparatus and method of imaging interior structures of the eye

Apparatus and method for imaging anterior structures of the eye

A method, apparatus and system for a transverse tracker is described that can greatly improve the accuracy, speed, range, reliability, versatility, safety, and efficacy of interventions such as laser microsurgery. The present invention provides means for stabilizing the motion of targets in a plane perpendicular to the axial direction, thus allowing an imaging system, diagnostics illumination, and/or laser beam to maintain a lock on the target area, regardless of its movement. Unique attributes provided in the tracking system include means for (1) sensing contrast in recognizable large scale boundaries such as the change between the cornea/sclera interface (limbus), thereby to determine the absolute location and orientation of these boundaries, all without having to resort to digital sampling techniques and (2) dual mode operation of an electronic control system compatible with all analog technologies, thereby substantially increasing the speed of operations over other, comparable digital method. The tracking system of the invention is at least comprised of illumination sources, imaging optics, a sensor, a movable optical element, a two-dimensional logic board, and a dedicated microprocessor, including appropriate signal processing firmware and software. Additional optics can provide interface with depth tracking, target viewing and/or laser surgery subsystems. The invention affords considerable flexibility in selecting illuminators, detectors and servo devices, which, allows broad application of this system to diverse medical surgical, diagnostic, and industrial settings.

System for detecting, measuring and compensating for lateral movements

The invention relates to a method and apparatus for uniquely and unambiguously aligning a patient's visual line of sight (LOS) to the optical axis of an ophthalmic instrument such as may be used for laser surgery or diagnostics. By the method of the invention, two alignment targets are imaged at different distances along the optical axis of the ophthalmic instrument. Viewing along the optical axis, a patient moves his or her eye until the two imaged targets are in alignment. When the two imaged targets are viewed in alignment by the patient, the patient's LOS is precisely aligned with the optical axis of the apparatus. By relying on the patient's ability to self-align, this technique ensures that measurements are taken within a reproducible reference frame that is unique to each patient but independent of the type of machine used. The invention is applicable to many instruments and procedures which require precise tracking and positioning of the eye, especially ocular laser surgery devices and various diagnostic instruments employed in tissue imaging or surface topography measurements.

Method of establishing a unique machine independent reference frame for

In a laser beam delivery system for a surgical laser beam, steering and scanning of the laser beam along the target in transverse (X and Y) directions is accomplished in a mechanically simple and fast-responding manner. Closely adjacent to the objective lens assembly of the delivery system is a pair of prisms, i.e. a Risley prism or Herschel prism, positioned on the axis of the approaching laser beam. The two prisms, closely spaced, are mounted on separate rotating stages whereby they may be individually rotated about the beam axis. When the prisms are co-rotated, circular scans are produced on the target, in diameters depending on the angular phase between the prisms. Counter rotation of the prisms at equal and opposite speeds will produce a diametric line scan on the target. Any desired complex scan pattern can be achieved using combinations of rotations of the two prisms. Axial compactness and proximity to the objective lens assembly assure that virtually all of the angularly emerging beam from the prism pair passes through the objective lens assembly.

System for scanning a surgical laser beam

An improved apparatus and technique are disclosed for illuminating the cornea with points of light for analysis of the specularly reflected return light in determining the shape of the cornea. In combination with an optical illumination system which forms real images of points of light inside or in the path of the objective lens, the system of the invention includes a plurality of real light source points optically peripheral to the real image points and physically outside to the objective lens. The sources of the point light sources may be optical fibers or LEDs arranged in an array which optically extends radially outward from the objective lens, although the external points may be forward or back from the objective lens. The two types of point light sources are generally registered in a pattern and together form an ordered geometric array for providing paraxial reflections off the cornea over a wide area of the cornea, including both central and peripheral areas of the cornea.

Growing community of inventors

San Mateo, CA, United States of America

Carl F Knopp