Medjet, Inc.

Parid Turdiu

Eugene I Gordon

Ronald B Odrich

Joel Hasen

Alan A Winter

A method and device for the high speed fluid (preferably water) jet removal of dental caries. The water jet is of a controlled upper and lower speed and pressure with a low speed and pressure being of at least 5 to 10 kpsi, sufficient to pierce and flush decayed tissue of a caries with a small beam fluid jet diameter. A pulsed or continuous fluid jet is used to remove and completely flush caries material from a tooth in a time period of under a second with a maximum stagnation pressure of about 30 kpsi, at which point healthy dentin is affected. A coherent or pseudo-coherent water jet operating at high stagnation pressure (range 10,000 to 20,000-psi and no more than 30-kpsi), in a brief burst (.apprxeq.1 second) and small beam diameter (30 to 100-.mu.m) will cleanly remove caries without damage to the tooth structure in particular the sound dentin at the boundary of the caries. No anaesthetic is accordingly required in the absence of a possible exposed nerve.

Removal of dental caries with high speed water jet

A method and device for the clean, non-traumatic removal of a diseased or otherwise eroded, cut, damaged, or dystrophied epithelium layer from the cornea of an eye, for the enhanced regeneration thereof or as the first step in a PRK procedure. The device includes a source for high speed, water-jet with sufficient speed and pressure to cleanly remove the epithelium layer from the Bowman's layer but at a speed which does not affect the harder, underlying Bowman's layer. The device further includes a preferably flat, impinging surface adapted to be directly placed on the epithelium with a laterally extending portion. The flat surface lightly applanates the cornea. The waterjet is adapted to impinge on the flat surface whereby the surface causes the waterjet to laterally radiate and continuously 'brush' off the epithelium until the Bowman's layer is reached. Continued waterjet impingement, for a limited period thereafter, does not affect the Bowman's layer and merely harmlessly irrigates the eye.

Removal of corneal epithelium

A method for improving integrity and accuracy of removal or hinged removal of elevated tissue layers particularly of a cornea. The area of tissue removal is isolated from remaining tissue by a shallow complete perimeter cut, substantially normal to the tissue surface. With a cornea, a perimeter in the form of a circumference is shallowly scored into the cornea tissue for a depth somewhat greater than that of the tissue to be removed (and of an appropriate diameter) by means of a surgical trephine. Corneal tissue, normally under tension tends to separate at the score site to form a groove with the circumscribed area becoming additionally slightly elevated from the adjacent corneal tissue because of release of tension across the groove site. Lateral edges of the circumscribed area are free of surface layer tissue which is harder to cut at an angle to the layer. Lateral cutting of the corneal tissue which extends above the groove is a perfect cut of a cylindrical slice with use of a cylindrical trephine. To form a hinged layer the lateral cutting is terminated before completion with the remaining tissue functioning as the hinge. Epithelium tissue is not carried into the slice or interface of the cut tissue and stroma.

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West New York, NJ, United States of America

Parid Turdiu