公开(公告)号：US20210128358A1

公开(公告)日：2021-05-06

申请号：US17095722

申请日：2020-11-11

Applicant: AMO DEVELOPMENT, LLC

Inventor： Hong Fu ,  Alireza Malek Tabrizi ,  Nima Khatibzadeh

IPC: A61F9/008

Abstract: An ophthalmic surgical laser system and method for forming a lenticule in a subject's eye using “fast-scan-slow-sweep” scanning scheme. A high frequency scanner forms a fast scan line, which is placed by the XY and Z scanners at a location tangential to a parallel of latitude of the surface of the lenticule. The XY and Z scanners then move the scan line in a slow sweep trajectory along a meridian of longitude of the surface of the lenticule in one sweep. Multiple sweeps are performed along different meridians to form the entire lenticule surface, and a prism is used to change the orientation of the scan line of the high frequency scanner between successive sweeps. In each sweep, the sweeping speed along the meridian is variable, being the slowest at the edge of the lenticule and the fastest near the apex.

公开(公告)号：US12005001B2

公开(公告)日：2024-06-11

申请号：US17445308

申请日：2021-08-17

Applicant: AMO Development, LLC

Inventor： Andrew Voorhees ,  Alireza Malek Tabrizi ,  Hong Fu ,  Cynthia Villanueva ,  Nima Khatibzadeh ,  Deepali Mehta-Hurt ,  James Hill ,  Li Chen ,  Li Bing

IPC: A61F9/008

CPC classification number: A61F9/00827 ,  A61F2009/00872 ,  A61F2009/00897

Abstract: In laser-assisted corneal lenticule extraction procedures, the lenticule incision profile includes anterior and posterior lenticule incisions, with one or more of the following features: plano transition zone outside the optical zone, to improve mating of anterior and posterior incision surfaces after lenticule extraction; shallow arcuate incisions above the anterior incision and near the lenticule edge, to improve surface mating; separate ring cut intersecting the anterior and posterior incisions in the transition zone, to reduce tissue bridges and minimize tear at the lenticule edges and facilitate easy lenticule extraction; larger posterior incision, which includes a pocket zone outside the lenticule edge, for better surface mating and bubble management during cutting; and a separate ring shaped pocket cut intersecting the pocket zone of the posterior incision, for bubble management. An entry cut can intersect either the pocket zone of the posterior incision or an entry extension zone of the anterior incision.

公开(公告)号：US20240335323A1

公开(公告)日：2024-10-10

申请号：US18737900

申请日：2024-06-07

Applicant: AMO Development, LLC

Inventor： Andrew Voorhees ,  Alireza Malek Tabrizi ,  Hong Fu ,  Cynthia Villanueva ,  Nima Khatibzadeh ,  Deepali Mehta-Hurt ,  James Hill ,  Li Chen ,  Li Bing

IPC: A61F9/008

CPC classification number: A61F9/00827 ,  A61F2009/00872 ,  A61F2009/00897

Abstract: In laser-assisted corneal lenticule extraction procedures, the lenticule incision profile includes anterior and posterior lenticule incisions, with one or more of the following features: plano transition zone outside the optical zone, to improve mating of anterior and posterior incision surfaces after lenticule extraction; shallow arcuate incisions above the anterior incision and near the lenticule edge, to improve surface mating; separate ring cut intersecting the anterior and posterior incisions in the transition zone, to reduce tissue bridges and minimize tear at the lenticule edges and facilitate easy lenticule extraction; larger posterior incision, which includes a pocket zone outside the lenticule edge, for better surface mating and bubble management during cutting; and a separate ring shaped pocket cut intersecting the pocket zone of the posterior incision, for bubble management. An entry cut can intersect either the pocket zone of the posterior incision or an entry extension zone of the anterior incision.

公开(公告)号：US20220054316A1

公开(公告)日：2022-02-24

申请号：US17445308

申请日：2021-08-17

Applicant: AMO Development, LLC

Inventor： Andrew Voorhees ,  Alireza Malek Tabrizi ,  Hong Fu ,  Cynthia Villanueva ,  Nima Khatibzadeh ,  Deepali Mehta-Hurt ,  James Hill ,  Li Chen ,  Li Bing

IPC: A61F9/008

Abstract: In laser-assisted corneal lenticule extraction procedures, the lenticule incision profile includes anterior and posterior lenticule incisions, with one or more of the following features: plano transition zone outside the optical zone, to improve mating of anterior and posterior incision surfaces after lenticule extraction; shallow arcuate incisions above the anterior incision and near the lenticule edge, to improve surface mating; separate ring cut intersecting the anterior and posterior incisions in the transition zone, to reduce tissue bridges and minimize tear at the lenticule edges and facilitate easy lenticule extraction; larger posterior incision, which includes a pocket zone outside the lenticule edge, for better surface mating and bubble management during cutting; and a separate ring shaped pocket cut intersecting the pocket zone of the posterior incision, for bubble management. An entry cut can intersect either the pocket zone of the posterior incision or an entry extension zone of the anterior incision.

公开(公告)号：US20200069470A1

公开(公告)日：2020-03-05

申请号：US16121482

申请日：2018-09-04

Applicant: AMO Development, LLC

Inventor： Hong Fu ,  Alireza Malek Tabrizi ,  Nima Khatibzadeh ,  James Hill

IPC: A61F9/008

Abstract: An ophthalmic laser procedure for forming a lenticule in a cornea and extracting the lenticule from the cornea to accomplish vision correction. An ophthalmic laser system is used to form top and bottom lenticule incisions defining a lenticule in between, and further to form top and/or bottom entry cuts that respectively end unambiguously near the top or bottom lenticule surface. The bottom entry cut intersects both the top and bottom lenticule incisions but ends near the bottom lenticule incision. The entry cuts allow the surgeon to insert a surgical tool which reaches the intended top or bottom lenticule surface without ambiguity. The lenticule has an optical zone in the center that defines the optical power of the lenticule, and a transition zone in the periphery, where the end points of the entry cuts are located in the transition zone.

公开(公告)号：US20250073080A1

公开(公告)日：2025-03-06

申请号：US18951058

申请日：2024-11-18

Applicant: AMO Development, LLC

Inventor： Nima Khatibzadeh ,  Li Bing ,  Hong Fu

IPC: A61F9/008 ,  A61B18/20

Abstract: An ophthalmic surgical laser system and method for forming a lenticule in a subject's eye using “fast-scan-slow-sweep” scanning scheme. A high frequency scanner forms a fast scan line, which is placed tangential to a parallel of latitude of the surface of the lenticule and then then moved in a slow sweep trajectory along a meridian of longitude of the surface of the lenticule in one sweep. Multiple sweeps are performed along different meridians to form the entire lenticule surface, with the orientation of the scan line rotated between successive sweeps. To generate tissue bridge free incisions without leaving laser-induced marks in the eye, a laser pulse energy between 40 nJ to 70 nJ is used, and the sweeping speed is controlled such that the scan line step (the distance between the centers of consecutive scan lines) is between 1.7 μm and 2.3 μm.

公开(公告)号：US11903878B2

公开(公告)日：2024-02-20

申请号：US17457419

申请日：2021-12-02

Applicant: AMO Development, LLC

Inventor： Andrew Voorhees ,  Harvey Liu ,  Hong Fu ,  Alireza Malek Tabrizi ,  Nima Khatibzadeh ,  Deepali Mehta-Hurt ,  Cynthia Villanueva ,  James Hill ,  Alisyn Facemire

IPC: A61F9/008 ,  A61B18/20 ,  A61B18/00

CPC classification number: A61F9/00836 ,  A61B2018/00779 ,  A61B2018/20353 ,  A61B2018/20355 ,  A61F2009/00872 ,  A61F2009/00897

Abstract: A method implemented in an ophthalmic surgical laser system that employs a resonant scanner, scan line rotator, and XY- and Z-scanners, for forming a corneal flap in a patient's eye with improved bubble management during each step of the flap creation process. A pocket cut is formed first below bed level, followed by the bed connected to the pocket cut, then by a side cut extending from the bed to the anterior corneal surface. The pocket cut includes a pocket region located below the bed level and a ramp region connecting the pocket region to the bed. The bed is formed by a hinge cut and a first ring cut at lower laser energies, followed by a bed cut and then a second ring cut, which ensures that any location in the flap bed is cut twice to minimize tissue adhesion. The side cut is formed by multiple side-cut layers at different depths which are joined together. All cuts are formed by scanning a laser scan line generated by the resonant scanner.

公开(公告)号：US11654052B2

公开(公告)日：2023-05-23

申请号：US17095722

申请日：2020-11-11

Applicant: AMO DEVELOPMENT, LLC

Inventor： Hong Fu ,  Alireza Malek Tabrizi ,  Nima Khatibzadeh

IPC: A61F9/008 ,  A61B18/20

CPC classification number: A61F9/00804 ,  A61F9/00814 ,  A61B2018/20353 ,  A61B2018/20553 ,  A61B2018/205547 ,  A61F9/00827 ,  A61F2009/0087 ,  A61F2009/00897

Abstract: An ophthalmic surgical laser system and method for forming a lenticule in a subject's eye using “fast-scan-slow-sweep” scanning scheme. A high frequency scanner forms a fast scan line, which is placed by the XY and Z scanners at a location tangential to a parallel of latitude of the surface of the lenticule. The XY and Z scanners then move the scan line in a slow sweep trajectory along a meridian of longitude of the surface of the lenticule in one sweep. Multiple sweeps are performed along different meridians to form the entire lenticule surface, and a prism is used to change the orientation of the scan line of the high frequency scanner between successive sweeps. In each sweep, the sweeping speed along the meridian is variable, being the slowest at the edge of the lenticule and the fastest near the apex.

公开(公告)号：US20220378615A1

公开(公告)日：2022-12-01

申请号：US17664034

申请日：2022-05-18

Applicant: AMO Development, LLC

Inventor： Alireza Malek Tabrizi ,  James Hill ,  Nima Khatibzadeh ,  Pavel Vodkin ,  Harvey Liu ,  Hong Fu ,  Griffith Altmann

IPC: A61F9/008

Abstract: A method implemented in an ophthalmic surgical laser system for forming a corneal flap in a patient's eye with improved bubble management. The flap includes a horizontal bed and a vertical or near vertical side cut around the periphery of the bed except for an uncut hinge area. The side cut has a bubble barrier layer that can prevent bubbles formed by the laser-tissue interaction from escaping into an interface between the corneal and the patient interface lens. In some embodiments, the bubble barrier layer is a thin uncut layer, located in the epithelium of the cornea, that separates the side cut into two portions. In other embodiments, the side cut does not reach the anterior corneal surface, leaving an uncut bubble barrier layer located with the epithelium. In other embodiments, an additional side cut portion is formed through the uncut bubble barrier layer as the last step.

公开(公告)号：US20220175581A1

公开(公告)日：2022-06-09

申请号：US17457419

申请日：2021-12-02

Applicant: AMO Development, LLC

Inventor： Andrew Voorhees ,  Harvey Liu ,  Hong Fu ,  Alireza Malek Tabrizi ,  Nima Khatibzadeh ,  Deepali Mehta-Hurt ,  Cynthia Villanueva ,  James Hill ,  Alisyn Facemire

IPC: A61F9/008

Abstract: A method implemented in an ophthalmic surgical laser system that employs a resonant scanner, scan line rotator, and XY- and Z-scanners, for forming a corneal flap in a patient's eye with improved bubble management during each step of the flap creation process. A pocket cut is formed first below bed level, followed by the bed connected to the pocket cut, then by a side cut extending from the bed to the anterior corneal surface. The pocket cut includes a pocket region located below the bed level and a ramp region connecting the pocket region to the bed. The bed is formed by a hinge cut and a first ring cut at lower laser energies, followed by a bed cut and then a second ring cut, which ensures that any location in the flap bed is cut twice to minimize tissue adhesion. The side cut is formed by multiple side-cut layers at different depths which are joined together. All cuts are formed by scanning a laser scan line generated by the resonant scanner.