IMAGE GUIDANCE METHODS AND APPARATUS FOR GLAUCOMA SURGERY

    公开(公告)号:US20210361482A1

    公开(公告)日:2021-11-25

    申请号:US17303811

    申请日:2021-06-08

    申请人: Michael S. BERLIN

    发明人: Michael S. BERLIN

    摘要: An imaging probe comprises a camera or endoscope with an external detector array, in which the probe is sized and shaped for surgical placement in an eye to image the eye from an interior of the eye during treatment. The imaging probe and a treatment probe 500 can be coupled together with a fastener or contained within a housing. The imaging probe and the treatment probe 500 can be sized and shaped to enter the eye through an incision in the cornea and image one or more of the ciliary body band or the scleral spur. The treatment probe 500 may comprise a treatment optical fiber or a surgical placement device to deliver an implant. A processor coupled to the detector can be configured with instructions to identify a location of one or more of the ciliary body band, the scleral spur, Schwalbe's line, or Schlemm's canal from the image.

    Methods and apparatuses for the treatment of glaucoma using visible and infrared ultrashort laser pulses

    公开(公告)号:US11039958B2

    公开(公告)日:2021-06-22

    申请号:US16881934

    申请日:2020-05-22

    申请人: Michael S. Berlin

    发明人: Michael S. Berlin

    IPC分类号: A61F9/008 A61F9/009

    摘要: Transcorneal and fiberoptic laser delivery systems and methods for the treatment of eye diseases wherein energy is delivered by wavelengths transparent to the cornea to effect target tissues in the eye for the control of intraocular pressure in diseases such as glaucoma by delivery systems both external to and within ocular tissues. External delivery may be affected under gonioscopic control. Internal delivery may be controlled endoscopically or fiberoptically, both systems utilizing femtosecond laser energy to excise ocular tissue. The femtosecond light energy is delivered to the target tissues to be treated to effect precisely controlled photodisruption to enable portals for the outflow of aqueous fluid in the case of glaucoma in a manner which minimizes target tissue healing responses, inflammation and scarring.

    IMAGE GUIDANCE METHODS AND APPARATUS FOR GLAUCOMA SURGERY

    公开(公告)号:US20210145642A1

    公开(公告)日:2021-05-20

    申请号:US17248548

    申请日:2021-01-28

    申请人: Michael S. BERLIN

    发明人: Michael S. BERLIN

    IPC分类号: A61F9/007 A61B90/00 G06N20/00

    摘要: An imaging probe comprises a camera or endoscope with an external detector array, in which the probe is sized and shaped for surgical placement in an eye to image the eye from an interior of the eye during treatment. The imaging probe and a treatment probe 500 can be coupled together with a fastener or contained within a housing. The imaging probe and the treatment probe 500 can be sized and shaped to enter the eye through an incision in the cornea and image one or more of the ciliary body band or the scleral spur. The treatment probe 500 may comprise a treatment optical fiber or a surgical placement device to deliver an implant. A processor coupled to the detector can be configured with instructions to identify a location of one or more of the ciliary body band, the scleral spur, Schwalbe's line, or Schlemm's canal from the image.

    Methods and apparatuses for the treatment of glaucoma using visible and infrared ultrashort laser pulses

    公开(公告)号:US10765559B2

    公开(公告)日:2020-09-08

    申请号:US16008917

    申请日:2018-06-14

    申请人: Michael S. Berlin

    发明人: Michael S. Berlin

    IPC分类号: A61F9/008 A61F9/009 A61F9/00

    摘要: Transcorneal and fiberoptic laser delivery systems and methods for the treatment of eye diseases wherein energy is delivered by wavelengths transparent to the cornea to effect target tissues in the eye for the control of intraocular pressure in diseases such as glaucoma by delivery systems both external to and within ocular tissues. External delivery may be effected under gonioscopic control. Internal delivery may be controlled endoscopically or fiberoptically, both systems utilizing femtosecond laser energy to excise ocular tissue. The femtosecond light energy is delivered to the target tissues to be treated to effect precisely controlled photodisruption to enable portals for the outflow of aqueous fluid in the case of glaucoma in a manner which minimizes target tissue healing responses, inflammation and scarring.

    METHODS AND SYSTEMS FOR OCT GUIDED GLAUCOMA SURGERY

    公开(公告)号:US20180360655A1

    公开(公告)日:2018-12-20

    申请号:US15868904

    申请日:2018-01-11

    申请人: Michael S. Berlin

    发明人: Michael S. Berlin

    摘要: Disclosed herein is a system for aiding a physician to perform a surgical procedure on an eye. The operation procedure comprises inserting an elongate probe from an opening into the eye across an anterior chamber to a target tissue region comprising a trabecular meshwork and a Schlemm's canal. The system comprises: an optical microscope for the surgeon to view the eye with a microscope image during the procedure; an optical coherence tomography (OCT) apparatus configured to perform an OCT scans of one or more target locations in the target tissue region during the procedure; and an image processing apparatus configured to generate a plurality of augmented images by overlaying (1) one or more OCT images of the one or more target locations and (2) a plurality of graphical visual elements identifying the one or more target locations, wherein the plurality of graphical visual elements is registered with the microscope image to aid the physician in advancing a distal end of the elongate probe to the one or more target locations.

    METHODS AND APPARATUSES FOR THE TREATMENT OF GLAUCOMA USING VISIBLE AND INFRARED ULTRASHORT LASER PULSES
    10.
    发明申请
    METHODS AND APPARATUSES FOR THE TREATMENT OF GLAUCOMA USING VISIBLE AND INFRARED ULTRASHORT LASER PULSES 审中-公开
    使用可见和红外超声波激光脉冲处理玻璃体的方法和装置

    公开(公告)号:US20160095751A1

    公开(公告)日:2016-04-07

    申请号:US14732627

    申请日:2015-06-05

    申请人: Michael S. Berlin

    发明人: Michael S. Berlin

    IPC分类号: A61F9/008 A61F9/009

    摘要: Transcorneal and fiberoptic laser delivery systems and methods for the treatment of eye diseases wherein energy is delivered by wavelengths transparent to the cornea to effect target tissues in the eye for the control of intraocular pressure in diseases such as glaucoma by delivery systems both external to and within ocular tissues. External delivery may be effected under gonioscopic control. Internal delivery may be controlled endoscopically or fiberoptically, both systems utilizing femtosecond laser energy to excise ocular tissue. The femtosecond light energy is delivered to the target tissues to be treated to effect precisely controlled photodisruption to enable portals for the outflow of aqueous fluid in the case of glaucoma in a manner which minimizes target tissue healing responses, inflammation and scarring.

    摘要翻译: 经角膜和纤维激光递送系统和用于治疗眼部疾病的方法,其中能量通过对角膜透明的波长递送以影响眼睛中的靶组织,以通过外部和内部的递送系统控制诸如青光眼的疾病中的眼内压 眼组织。 外部输送可以在前镜下控制下进行。 内部输送可以内窥镜或纤维光学控制,两个利用飞秒激光能量的系统都可以切除眼组织。 将飞秒光能量输送到待治疗的靶组织以实现精确控制的光破坏,以使青光眼情况下的水性流体流出的门户能够以最小化靶组织愈合反应,炎症和瘢痕形成的方式。