公开(公告)号：US11672419B2

公开(公告)日：2023-06-13

申请号：US17103907

申请日：2020-11-24

Applicant: AMO Development, LLC

Inventor： David A. Dewey ,  Javier G. Gonzalez ,  Georg Schuele ,  David D. Scott

IPC: A61F9/008 ,  A61B3/103 ,  A61B3/10 ,  A61B3/00 ,  A61B3/107 ,  G01M11/02 ,  G01N21/45

CPC classification number: A61B3/103 ,  A61B3/0025 ,  A61B3/10 ,  A61B3/107 ,  A61F9/00825 ,  A61F9/00827 ,  A61B3/102 ,  A61B3/1005 ,  A61F9/00834 ,  A61F2009/0087 ,  A61F2009/00851 ,  A61F2009/00872 ,  A61F2009/00882 ,  A61F2009/00887 ,  G01M11/0228 ,  G01N21/45

Abstract: An ophthalmic measurement and laser surgery system includes: a laser source; a corneal topography subsystem; an axis determining subsystem; a ranging subsystem comprising an Optical Coherence Tomographer (OCT); and a refractive index determining subsystem. All of the subsystems are under the operative control of a controller. The controller is configure to: operate the corneal topography subsystem to obtain corneal surface information; operate the axis determining subsystem to identify one or more ophthalmic axes of the eye; operate the OCT to sequentially scan the eye in a plurality of OCT scan patterns, the plurality of scan patterns configured to determine an axial length of the eye; operate the refractive index determining subsystem so to determine an index of refraction of one or more ophthalmic tissues, wherein at least one of the corneal surface information, ophthalmic axis information, and axial length is modified based on the determined index of refraction.

公开(公告)号：US20220287882A1

公开(公告)日：2022-09-15

申请号：US17804282

申请日：2022-05-26

Applicant: AMO DEVELOPMENT, LLC

Inventor： David D. Scott

IPC: A61F9/008 ,  A61B3/107 ,  A61F9/013

Abstract: A first image of the eye is generated when the cornea of the eye is exposed to a gas. The cornea is covered with an optic of a patient interface. A second image of the eye with the patient interface over the cornea is generated. In this second image, the patient interface distorts the second image of the eye. One or more of a position or an orientation of the eye is determined in response to the first image and the second image when the patient interface has been placed over the cornea.

公开(公告)号：US11337857B2

公开(公告)日：2022-05-24

申请号：US16530912

申请日：2019-08-02

Applicant: AMO DEVELOPMENT, LLC

Inventor： Rajeshwari Srinivasan ,  Jeffrey A. Golda ,  Javier G. Gonzalez ,  David D. Scott ,  David A. Dewey ,  Noah Bareket ,  Georg Schuele

IPC: A61F9/008 ,  A61B3/107

Abstract: A method of cataract surgery in an eye of a patient includes identifying a feature selected from the group consisting of an axis, a meridian, and a structure of an eye by corneal topography and forming fiducial mark incisions with a laser beam along the axis, meridian or structure in the cornea outside the optical zone of the eye. A laser cataract surgery system a laser source, a topography measurement system, an integrated optical subsystem, and a processor in operable communication with the laser source, corneal topography subsystem and the integrated optical system. The processor includes a tangible non-volatile computer readable medium comprising instructions to determine one of an axis, meridian and structure of an eye of the patient based on the measurements received from topography measurement system, and direct the treatment beam so as to incise radial fiducial mark incisions.

公开(公告)号：US20230000673A1

公开(公告)日：2023-01-05

申请号：US17929185

申请日：2022-09-01

Applicant: AMO DEVELOPMENT, LLC

Inventor： David D. Scott ,  David Dewey ,  Javier Gonzalez

IPC: A61F9/008 ,  A61F9/007 ,  A61B90/20 ,  A61B90/00 ,  A61F2/16

Abstract: A fiducial is generated on an internal anatomical structure of the eye of a patient with a surgical laser. A toric artificial intraocular lens (IOL) is positioned so that a marker of the toric IOL is in a predetermined positional relationship relative to the fiducial. This positioning aligns the toric IOL with the astigmatic or other axis of the eye. The toric IOL is then implanted in the eye of the patient with high accuracy.

公开(公告)号：US11446180B2

公开(公告)日：2022-09-20

申请号：US16292060

申请日：2019-03-04

Applicant: AMO DEVELOPMENT, LLC

Inventor： David D. Scott ,  David Dewey ,  Javier Gonzalez

IPC: A61F9/008 ,  A61F2/16 ,  A61F9/007 ,  A61B90/20 ,  A61B90/00

Abstract: A fiducial is generated on an internal anatomical structure of the eye of a patient with a surgical laser. A toric artificial intraocular lens (IOL) is positioned so that a marker of the toric IOL is in a predetermined positional relationship relative to the fiducial. This positioning aligns the toric IOL with the astigmatic or other axis of the eye. The toric IOL is then implanted in the eye of the patient with high accuracy.

公开(公告)号：US20220273493A1

公开(公告)日：2022-09-01

申请号：US17664216

申请日：2022-05-19

Applicant: AMO DEVELOPMENT, LLC

Inventor： Rajeshwari Srinivasan ,  Jeffrey A. Golda ,  Javier G. Gonzalez ,  David D. Scott ,  David A. Dewey ,  Noah Bareket ,  Georg Schuele

IPC: A61F9/008 ,  A61B3/107

Abstract: A method of cataract surgery in an eye of a patient includes identifying a feature selected from the group consisting of an axis, a meridian, and a structure of an eye by corneal topography and forming fiducial mark incisions with a laser beam along the axis, meridian or structure in the cornea outside the optical zone of the eye. A laser cataract surgery system a laser source, a topography measurement system, an integrated optical subsystem, and a processor in operable communication with the laser source, corneal topography subsystem and the integrated optical system. The processor includes a tangible non-volatile computer readable medium comprising instructions to determine one of an axis, meridian and structure of an eye of the patient based on the measurements received from topography measurement system, and direct the treatment beam so as to incise radial fiducial mark incisions.

公开(公告)号：US11344450B2

公开(公告)日：2022-05-31

申请号：US16138912

申请日：2018-09-21

Applicant: AMO Development, LLC

Inventor： David D. Scott

IPC: A61F9/00 ,  A61F9/008 ,  A61B3/107 ,  A61F9/013

Abstract: A first image of the eye is generated when the cornea of the eye is exposed to a gas. The cornea is covered with an optic of a patient interface. A second image of the eye with the patient interface over the cornea is generated. In this second image, the patient interface distorts the second image of the eye. One or more of a position or an orientation of the eye is determined in response to the first image and the second image when the patient interface has been placed over the cornea.

公开(公告)号：US11331220B2

公开(公告)日：2022-05-17

申请号：US14885824

申请日：2015-10-16

Applicant: AMO DEVELOPMENT, LLC

Inventor： Javier G. Gonzalez ,  David A. Dewey ,  Noah Bareket ,  Michael A. Campos ,  Yu-tai Ray Chen ,  David D. Scott

IPC: A61F9/009 ,  A61B5/00 ,  A61G15/02 ,  A61F9/008 ,  A61F9/007 ,  A61F9/00

Abstract: 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.