摘要:
Methods, devices, and systems for laser eye surgery generally make use of a console that interchangeably accepts multiple types of eye treatment cassettes. The cassettes enable one or both of displacement-based or vacuum-based aspiration. The console and the cassette may communicate to establish the functionality of the installed cassette by utilizing a component indigenous to the operation of the cassette. A dual-mode cassette may include a separable holding tank for enabling vacuum-based aspiration. A displacement-based pump may be provided to drain the holding tank while the vacuum system continues to aspirate fluids. A vacuum sensor for controlling the flow of aspirated fluids may have three ports for communicating with a handpiece, a displacement-based pump, a vacuum-based pump, or an irrigation source. The handpiece may be vented during vacuum-based aspiration by opening a vent valve interposed between the handpiece and the vacuum source.
摘要:
Methods, devices, and systems for laser eye surgery generally make use of a console that interchangeably accepts multiple types of eye treatment cassettes. The cassettes enable one or both of displacement-based or vacuum-based aspiration. The console and the cassette may communicate to establish the functionality of the installed cassette by utilizing a component indigenous to the operation of the cassette. A dual-mode cassette may include a separable holding tank for enabling vacuum-based aspiration. A displacement-based pump may be provided to drain the holding tank while the vacuum system continues to aspirate fluids. A vacuum sensor for controlling the flow of aspirated fluids may have three ports for communicating with a handpiece, a displacement-based pump, a vacuum-based pump, or an irrigation source. The handpiece may be vented during vacuum-based aspiration by opening a vent valve interposed between the handpiece and the vacuum source.
摘要:
The present application relates to a fluidics cassette (26, 26a, 26b), comprising a housing (32); an irrigation line (37) and an aspiration line (38), the lines configured to provided irrigation and aspiration functions for an eye treatment probe (22); a ramp (54) configured for transferring fluid through a resilient channel (56) when the resilient channel is engaged by a pump head (50, 70), the ramp comprising: a central portion (80) characterized by a first base curvature (C central ); an entrance portion (82) characterized by a base curvature (C entrance ) that is different from the first base curvature; and an exit portion (84) characterized by a base curvature (C exit ) that is different from the first base curvature; the arcuate extent of the entrance portion being unequal to the arcuate extent of the exit portion.
摘要:
Devices, systems, and methods interface a cassette with an eye treatment system console to provide coupling between the console and an eye treatment probe. The console may receive the cassette using a driven axial translation linkage that inhibits rotation of the cassette. The cassette may facilitate accurately positioning of a pressure sensor relative to a the console by allowing sliding movement between the sensor and a cassette body. Multiple peristaltic drives may be mounted to the console so that their rotors rotate about a common axis. An integrated mount structure may support and/or position components of the console which will interface with cassette, and an axially compressible vacuum connector of the console seal to a tapered vacuum coupler of the cassette.
摘要:
Devices, systems, and methods interface a cassette with an eye treatment system console to provide coupling between the console and an eye treatment probe. The console may receive the cassette using a driven axial translation linkage that inhibits rotation of the cassette. The cassette may facilitate accurately positioning of a pressure sensor relative to a the console by allowing sliding movement between the sensor and a cassette body. Multiple peristaltic drives may be mounted to the console so that their rotors rotate about a common axis. An integrated mount structure may support and/or position components of the console which will interface with cassette, and an axially compressible vacuum connector of the console seal to a tapered vacuum coupler of the cassette.
摘要:
The present invention is generally directed to improved methods, devices, and systems for eye surgery. In some embodiments, the invention may provide new and/or improved devices, systems, and methods for detecting surgical fluids in a fluidics cassette, particularly cassettes which are used to couple an eye treatment probe to an eye treatment console. Rather than relaying on internal reflection by a gas-liquid interface, the fluid detection techniques described herein may make use of the changes in propagation of light through a portion of the holding tank when the portion varies between empty and full. For example, light may propagate directly through the holding tank portion when there is no surgical fluid, but may be directed away from a light detector when the portion of the holding tank is filled with surgical fluid. As the light may be controllably refracted using the interface between the transparent holding tank material and the surgical fluid, the propagation properties of the light may be more reliably predicted and controlled. While the sensor may not determine the actual liquid level within the holding tank, a plurality of individual liquid detectors may be sufficient to determine when it is appropriate to (for example) turn drain pumps on and off, when the holding tank is in danger of being overfilled, and the like. Other aspects of the invention may provide devices, systems, and methods for producing different types of fluidics cassette using a single cassette body type.
摘要:
An eye treatment system is configured for performing an ocular surgical procedure and includes an eye treatment probe (22), a treatment console (24) including a controller (30), and an eye treatment cassette (26) for coupling the eye treatment probe (22) with the treatment console (24). The eye treatment probe is configured to provide at least irrigation fluid to, and aspiration of fluid from, a subject eye (E). The cassette comprises a cassette body, first and second arcuate ramps (46, 49), and a holding tank (43). The cassette (26) has an engagement axis (AE) along which elements of the cassette are configured to generally engage with mating elements of the treatment console. The cassette's first arcuate ramp (46) is proximal a first fluidics channel (45) configured to form a first volumetric pump (41) upon engagement with the treatment console (24). Also the cassette's second arcuate ramp (49) is proximal a second fluidics channel (48) configured to form a second volumetric pump (42) upon engagement with the treatment console. The cassette also includes a holding tank fluidly that is coupled to the volumetric pumps (41, 42).
摘要:
Devices, systems, and methods for treatment of an eye alter aspiration flow from the eye in response to an occlusion of the aspiration conduit pathway. Where aspiration is drawn from the eye using a volumetric pump, the pump can be reversed so as to induce fluid reflux from the aspiration conduit pathway into the eye to help clear the occlusion. The pump may vary the reverse flow in response to sensed aspiration pressure or the like, and the reverse flow may be halted before the pressure within the aspiration conduit pathway adjacent the eye significantly exceeds the irrigation fluid pressure and/or the pressure within the eye. Reflux may alternatively be generated by modulating a vent valve disposed between an irrigation conduit pathway and the aspiration conduit pathway.