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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
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.
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12.
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
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.
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13.
公开(公告)号:US20220031504A1
公开(公告)日:2022-02-03
申请号:US17451812
申请日:2021-10-21
Applicant: AMO Development, LLC
Inventor: Georg Schuele , Alexander Vankov , Jenny Wang , David A. Dewey , Tianheng Wang , Michael Wiltberger , Mihai State , Phillip Gooding
Abstract: A method of altering a refractive property of a crosslinked acrylic polymer material by irradiating the material with a high energy pulsed laser beam to change its refractive index. The method is used to alter the refractive property, and hence the optical power, of an implantable intraocular lens after implantation in the patient's eye. In some examples, the wavelength of the laser beam is in the far red and near IR range and the light is absorbed by the crosslinked acrylic polymer via two-photon absorption at high laser pulse energy. The method also includes designing laser beam scan patterns that compensate for effects of multiphone absorption such as a shift in the depth of the laser pulse absorption location, and compensate for effects caused by high laser pulse energy such as thermal lensing. The method can be used to form a Fresnel lens in the optical zone.
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公开(公告)号:US20220015948A1
公开(公告)日:2022-01-20
申请号:US17057689
申请日:2020-04-07
Applicant: AMO Development, LLC
Inventor: Richard Hofer , Alexander Vankov , Jenny Wang , David A. Dewey , Phillip Gooding , Georg Schuele
Abstract: Methods and related apparatus for real-time process monitoring during laser-based refractive index modification of an intraocular lens. During in situ laser treatment of the IOL to modify the refractive index of the IOL material, a signal from the IOL is measured to determine the processing effect of the refractive index modification, and based on the determination, to adjust the laser system parameters to achieve intended processing result. The signal measured from the IOL may be a fluorescent signal induced by the treatment laser, a fluorescent signal induced by an external illumination source, a temporary photodarkening effect, a color change, or a refractive index change directly measured by phase stabilized OCT.
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公开(公告)号:US20210196512A1
公开(公告)日:2021-07-01
申请号:US17058654
申请日:2019-08-28
Applicant: AMO DEVELOPMENT, LLC
Inventor: David A. Dewey , Frank D. Fellenz , Tianheng Wang
Abstract: A narrow angle illumination light source for an ophthalmic surgical laser system includes multiple light emitting diodes (LEDs), multiple corresponding ball lenses, multiple corresponding upper apertures located between the LEDs and the lenses (optional), and multiple corresponding lower apertures located below the lenses. The light passing through each upper aperture and corresponding lens forms a light cone having a defined divergence angle and cone axis angle; the light cone only illuminates the corneal and sclera of a docked eye without illuminating the patients nose and orbit. The lower apertures may have distinctive shapes to aid video focusing. The multiple LEDs are distributed uniformly in the circle, and may be divided into multiple independently controllable segments which allows directional illumination The LEDs also have controllable brightness to allow images of darker and brighter illuminations to be taken in short succession.
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公开(公告)号:US20200289317A1
公开(公告)日:2020-09-17
申请号:US16885252
申请日:2020-05-27
Applicant: AMO DEVELOPMENT, LLC
Inventor: Noah Bareket , David A. Dewey , Michael J. Simoneau
Abstract: A laser eye surgery system includes a computer which scans a focused laser beam in a trajectory over a reticle or target and determines beam quality via laser light reflected from the target. The target may have a grid pattern of lines, with the diameter of the focused laser beam determined based on a time interval for the scanned beam to move onto a line of the grid pattern. Methods for measuring beam quality in a laser eye surgery system provide a direct, quantitative quality measurement of the focused laser beam, and may be performed quickly and automatically. Using scanning mirror position information together with signals resulting from laser light reflected from the target, the laser eye surgery system may also be calibrated.
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公开(公告)号:US12109151B2
公开(公告)日:2024-10-08
申请号:US18145020
申请日:2022-12-22
Applicant: AMO Development, LLC
Inventor: Richard Hofer , Alexander Vankov , Jenny Wang , David A. Dewey , Phillip Gooding , Georg Schuele
CPC classification number: A61F9/00827 , A61F9/00834 , A61L27/16 , A61B2017/00061 , A61B2017/00154 , A61F2009/00844 , A61F2009/00851 , A61F2009/00897 , A61L2430/16
Abstract: Methods and related apparatus for real-time process monitoring during laser-based refractive index modification of an intraocular lens. During in situ laser treatment of the IOL to modify the refractive index of the IOL material, a signal from the IOL is measured to determine the processing effect of the refractive index modification, and based on the determination, to adjust the laser system parameters to achieve intended processing result. The signal measured from the IOL may be a fluorescent signal induced by the treatment laser, a fluorescent signal induced by an external illumination source, a temporary photodarkening effect, a color change, or a refractive index change directly measured by phase stabilized OCT.
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公开(公告)号:US20240164945A9
公开(公告)日:2024-05-23
申请号:US17662829
申请日:2022-05-10
Applicant: AMO Development, LLC
Inventor: Javier G. Gonzalez , David A. Dewey , Noah Bareket , Michael A. Campos , Yu-tai Ray Chen , David D. Scott
CPC classification number: G06F21/79 , G06F21/602 , G06F21/78 , G06F21/80 , H04L9/0822 , H04L9/0861 , H04L9/0894 , H04L9/14 , H04L9/3234 , H04L63/0428
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.
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19.
公开(公告)号:US20240122756A1
公开(公告)日:2024-04-18
申请号:US18393287
申请日:2023-12-21
Applicant: AMO Development, LLC
Inventor: Georg Schuele , David A. Dewey , Javier G. Gonzalez , Alexander Vankov
CPC classification number: A61F9/008 , A61B3/14 , A61B34/25 , A61F9/00825 , A61B2034/104 , A61F2009/00878 , A61F2009/00887 , A61F2009/00897
Abstract: A laser surgical method for performing a corneal incision while maintaining iris exposure below a predetermined exposure limit includes: determining an initial iris exposure based on an initial treatment scan, determining whether the initial iris exposure is less than the predetermined exposure limit; generating a revised treatment scan comprising one or more treatment scan modifying elements when the initial iris exposure is greater than the predetermined exposure limit, and scanning the focal zone of a pulsed laser beam according to the revised treatment scan, thereby performing the corneal incision, wherein the one or more treatment scan modifying elements causes the iris exposure to be smaller than the predetermined exposure limit.
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20.
公开(公告)号:US20240050276A1
公开(公告)日:2024-02-15
申请号:US18492772
申请日:2023-10-23
Applicant: AMO Development, LLC
Inventor: Georg Schuele , Alexander Vankov , Jenny Wang , David A. Dewey , Tianheng Wang , Michael Wiltberger , Mihai State , Phillip Gooding
CPC classification number: A61F9/008 , A61F2/164 , B29D11/023 , A61F2/1602 , B29C71/04 , A61F2/16 , G02C7/022 , A61F2/1627 , B29D11/00461 , A61F2250/0053 , A61F2/1635 , A61F2009/00851 , A61L2430/16 , A61F2/1648 , B29C2035/0838
Abstract: A method of altering a refractive property of a crosslinked acrylic polymer material by irradiating the material with a high energy pulsed laser beam to change its refractive index. The method is used to alter the refractive property, and hence the optical power, of an implantable intraocular lens after implantation in the patient's eye. In some examples, the wavelength of the laser beam is in the far red and near IR range and the light is absorbed by the crosslinked acrylic polymer via two-photon absorption at high laser pulse energy. The method also includes designing laser beam scan patterns that compensate for effects of multiphone absorption such as a shift in the depth of the laser pulse absorption location, and compensate for effects caused by high laser pulse energy such as thermal lensing. The method can be used to form a Fresnel lens in the optical zone.
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