Other

Kabushiki Kaisha Topcon

Richard F Spaide

Kinpui Chan

Zhenguo Wang

Charles A Reisman

Computer aided visualization and diagnosis by volume analysis of optical coherence tomography (OCT) angiographic data. In one embodiment, such analysis comprises acquiring an OCT dataset using a processor in conjunction with an imaging system; evaluating the dataset, with the processor, for flow information using amplitude or phase information; generating a matrix of voxel values, with the processor, representing flow occurring in vessels in the volume of tissue; performing volume rendering of these values, the volume rendering comprising deriving three dimensional position and vector information of the vessels with the processor; displaying the volume rendering information on a computer monitor; and assessing the vascularity, vascular density, and vascular flow parameters as derived from the volume rendered images.

Volume analysis and display of information in optical coherence tomography angiography

During scan capture with an OCT imaging system, the focal plane position can be simultaneously shifted over at least a portion of an image range. As a result, a plurality of image frames respectively corresponding to various focal plane positions is acquired. The image frames can be combined to generate a composite image having suitable resolution throughout the image range, including regions associated with weak-intensity or low-reflectance features. Further, windowed averaging can be performed prior to generation of the composite image so that the composite image incorporates weights given to image data in focus.

Optical coherence tomography with dynamic focus sweeping and windowed averaging

Steerable and flexibly curved probes are provided, primarily for surgical applications. A probe with flexible distal portion is inserted through an incision or cannula and the flexible distal portion may be selectively bent or steered using a guide wire. The guide wire is extended through the probe on a radially offset axis, and affixed at its distal end to the distal end of the flexible distal portion. The curvature of the nitinol wire is induced by extending or retracting the wire from the proximal end of the flexible distal portion while the distal end of the guide wire remains affixed to the distal end of the probe. The guide wire is activated by a finger-actuated mechanism. A further embodiment is provided in which the guide wire is fixed at both ends of the flexible distal portion of the probe and has a normally curved conformation, and assumes such conformation after insertion through a straight cannula. Other embodiments and applications are similarly disclosed.

Steerable and flexibly curved probes

Steerable and flexibly curved probes are provided, primarily for A surgical applications. A probe with flexible distal portion is inserted through an incision or cannula and the flexible distal portion may be selectively bent or steered using a guide wire. The guide wire is extended through the probe on a radially offset axis, and affixed at its distal end to the distal end of the flexible distal portion. The curvature of the nitinol wire is induced by extending or retracting the wire from the proximal end of the flexible distal portion while the distal end of the guide wire remains affixed to the distal end of the probe. The guide wire is activated by a finger-actuated mechanism. A further embodiment is provided in which the guide wire is fixed at both ends of the flexible distal portion of the probe and has a normally curved conformation, and assumes such conformation after insertion through a straight cannula. Other embodiments and applications are similarly disclosed.

A system of instruments is provided for vitrectomy surgery, comprising a sharp trochar, a cannula and a cannula valve cap. The sharp trochar provided also has applicability to other fields of surgery. The sharp trochar has a hollow-ground blade that reduces the force necessary for insertion and upon removal leaves a wound with improved healing characteristics. The trochar is selectably insertable in a cannula, and in a preferred embodiment the cannula and the trochar are adapted with mutually tapered exterior surfaces to as to define a smooth transition in diameter to further facilitate insertion. A sealing valve cap is also provided for the cannula, designed to provide sealing while reducing the force required in for inserting instruments into the cannula. A method for angled insertion of this assembly is also disclosed.

Sharp trochar for insertion of a cannula in vitrectomy surgery

Imaging apparatus and filters are provided for accurately imaging, assessing and measuring a patient's macular pigment. A multi-band filter is employed in combination with a color digital fundus camera to provide a method that operates with a single imaging exposure. The multiband filter has bandpass regions within spectral ranges of the red, green and blue detectors of the CCD array employed within the fundus camera, the bandpass regions being sufficiently sharply defined so as to avoid regions where the CCD detector responses spectrally overlap. This provides three discrete channels of grayscale data corresponding to the bandpass regions of the multiband filter, which can be used to calculate macular pigment topographically. Methods are also disclosed for calculating the optical density of the macular pigment and advantageously displaying the resulting data.

Reflectance measurement of macular pigment using multispectral imaging

Methods and apparatus are provided for accurately imaging, assessing and measuring a patient's macular pigment. A multiband filter is employed in combination with a color digital fundus camera to provide a method that operates with a single imaging exposure. The multiband filter has bandpass regions within spectral ranges of the red, green and blue detectors of the CCD array employed within the fundus camera, the bandpass regions being sufficiently sharply defined so as to avoid regions where the CCD detector responses spectrally overlap. This provides three discrete channels of grayscale data corresponding to the bandpass regions of the multiband filter, which can be used to calculate macular pigment topographically. Methods are also disclosed for calculating the optical density of the macular pigment and advantageously displaying the resulting data.

Methods and apparatus for taking autofluorescence images with a fundus camera capable of a field of view of at least 30 degrees and preferably 50 degrees or more using high quality thin film optical interference filters. In one embodiment, a filter set is disclosed for achieving this functionality. Using these methods and/or apparatus, a practitioner can (among other procedures, which are described) take high-quality autofluorescence images of the fundus using a CCD camera that does not have to be cooled, take such images without exciting damaging photochemical reactions in the retina, detect accumulation of fluorophores in the retina prior to the significant accumulation of fluorophores in the retinal pigment epithelium, and topographically localize and quantitate retinal abnormalities and retinal pigment epithelium abnormalities.

Growing community of inventors

New York, NY, United States of America

Richard F Spaide