Amo Development, LLC

Optimedica Corporation

Abbott Medical Optics Inc.

Michael A Campos

Anthony W Dennison

Phillip Gooding

Brent Eikanas

Hong Fu

Zsolt Bor

Christine J Beltran

Javier G Gonzalez

Jan C Wysopal

Peter Patrick De Guzman

Rene Hugues

Teresa G Miller-Gadda

Peter-Patrick De Guzman

Anthony Dennison

David D Scott

David A Dewey

Noah Bareket

John Michael Tamkin

Yu-tai Ray Chen

Christine Beltran Ardema

Mikhail Levin

Phillip H Gooding

Apparatus to treat an eye with an ophthalmic laser system comprises a patient interface having an annular retention structure to couple to an anterior surface of the eye. The retention structure is coupled to a suction line to couple the retention structure to the eye with suction. Liquid is added above the eye to act as a transmissive medium. A coupling sensor is coupled to the suction line to determine coupling of the retention structure to the eye. A separate pressure monitoring circuit having a much smaller volume than the suction line is connected to the annular retention structure to measure suction pressure therein. A system processor coupled to the monitoring pressure sensor includes instructions to interrupt firing of a laser when the pressure measured with a monitoring pressure sensor rises above a threshold amount.

Vacuum loss detection during laser eye surgery

A laser eye surgery system that has a patient interface between the eye and the laser system relying on suction to hold the interface to the eye, the patient interface using liquid used as a transmission medium for the laser. During a laser procedure sensors monitor the level of liquid within the patient interface and send a signal to control electronics if the level drops below a threshold value. The sensor may be mounted on the inside of the patient interface, within a fluid chamber. Alternatively, a gas flow meter may be added to a suction circuit for the patient interface that detects abnormal suction levels indicating low fluid level.

Liquid loss detection during laser eye surgery

A laser eye surgery system that has a patient interface between the eye and the laser system relying on suction to hold the interface to the eye. The patient interface may be a liquid-filled interface, with liquid used as a transmission medium for the laser. During a laser procedure various inputs are monitored to detect a leak. The inputs may include a video feed of the eye looking for air bubbles in the liquid medium, the force sensors on the patient interface that detect patient movement, and vacuum sensors directly sensing the level of suction between the patient interface and the eye. The method may include combining three monitoring activities with a Bayesian algorithm that computes the probabilities of an imminent vacuum loss event.

Some embodiments disclosed here provide for a method fragmenting a cataractous lens of a patient's eye using an ultra-short pulsed laser. The method can include determining, within a lens of a patient's eye, a high NA zone where a cone angle of a laser beam with a high numerical aperture is not shadowed by the iris, and a low NA zone radially closer to the iris where the cone angle of the laser beam with a low numerical aperture is not shadowed by the iris. Laser lens fragmentation is accomplished by delivering the laser beam with the high numerical aperture to the high NA zone, and the laser beam with the low numerical aperture to the low NA zone. This can result in a more effective fragmentation of a nucleus of the lens without exposing the retina to radiation above safety standards.

Varying a numerical aperture of a laser during lens fragmentation in cataract surgery

A laser eye surgery system produces a treatment beam that includes a plurality of laser pulses. An optical coherence tomography (OCT) subsystem produces a source beam used to locate one or more structures of an eye. The OCT subsystem is used to sense the distance between a camera objective on the underside of the laser eye surgery system and the patient's eye. Control electronics compare the sensed distance with a pre-determined target distance, and reposition a movable patient support toward or away the camera objective until the sensed distance is at the pre-determined target distance. A subsequent measurement dependent upon the spacing between the camera objective and the patient's eye is performed, such as determining the astigmatic axis by observing the reflection of a plurality of point source LEDs arranged in concentric rings off the eye.

Automatic patient positioning within a laser eye surgery system

Systems and methods for locating the center of a lens in the eye are provided. These systems and methods can be used to improve the effectiveness of a wide variety of different ophthalmic procedures. In one embodiment, a system and method is provided for determining the center of eye lens by illuminating the eye with a set of light sources, and measuring the resulting first image of the light sources reflected from an anterior surface of the lens and the resulting second image of the light sources reflected from a posterior surface of the lens. The location of the center of the lens of the eye is then determined using the measurements. In one embodiment, the center of the lens is determined by interpolating between the measures of the images. Such a determination provides an accurate location of the geometric center of the lens.

System and method for eye orientation

Embodiments of this invention relate to systems and methods for automatic depth (or Z) detection before, during, or after laser-assisted ophthalmic surgery. When performing ophthalmic laser surgery, the operator (or surgeon) needs to make accurate and precise incisions using the laser beam. With the automatic depth detection systems and methods, the same laser used for the surgical procedure may be used for depth measurement of the surgical incisions. The surgical laser system may include a laser delivery system for delivering a pulsed laser beam to photoalter an eye, a mirror to transmit at least a portion of reflected light of the pulsed laser beam, a lens positioned to focus the transmitted reflected lighted on to a detector, (such as a CCD), and a depth encoder configured to automatically detect depth according to one or more of color, intensity, or shape of the focused spot on the CCD.

System and methods for depth detection in laser-assisted ophthalmic procedures

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Fremont, CA, United States of America

Michael A Campos