Patient interface for ophthalmologic diagnostic and interventional procedures

• US 10,456,296 B2
• Filed: 12/28/2015
• Issued: 10/29/2019
• Est. Priority Date: 09/02/2010
• Status: Active Grant

• Current Assignee: AMO Development LLC (Johnson & Johnson)
• Original Assignee: OptiMedica Corporation (Johnson & Johnson)
• Inventors: Gooding, Phillip H., Angeley, David
• Primary Examiner(s): Farah, Ahmed M
• Application Number:
  US14/979,593
• Publication Number:
  US 20160151203A1
• Time in Patent Office: 1,401 Days
• Field of Search: 606 4- 6, 606166, 128898
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61F 2009/00887 Cataract
• CPC Class Codes: A61F 9/008 using laser
• CPC Class Codes: A61F 9/00802 for photoablation
• CPC Class Codes: A61F 9/009 Auxiliary devices making contact with the eyeball and coupling in laser light, e.g. goniolenses apparatus for eye examination A61B3/0008

Abstract

Configurations are described for conducting ophthalmic procedures to address cataract-related clinical challenges. In one embodiment, a one-piece patient contact interface may be utilized to couple a diagnostic and/or interventional system to a cornea of a patient; in another embodiment, a two-part configuration may be utilized; in another embodiment, a liquid interface two-part embodiment may be utilized.

Claims

1. A method for intercoupling an ophthalmologic interventional system to an eye of a patient via a patient interface system, the patient interface system comprising a top portion and a bottom portion, the bottom portion having a hollow reservoir housing defining an interior volume and having proximal and distal ends, the top portion having proximal and distal ends and an optical element, the optical element occupying a portion of the interior volume defined by the hollow reservoir, the method comprising:

a. removably and sealably coupling the distal end of the bottom portion to the eye of the patient;

b. mechanically interfacing the proximal end of the top portion with the interventional system;

c. coupling the top portion with the bottom portion while keeping an open access between the top portion and the bottom portion to provide access to the interior volume for transporting liquids or gases in or out of the interior volume;

d. forming a liquid layer within the interior volume above the eye; and

e. applying one or more loads to the liquid layer, such that the liquid layer is positioned within the interior volume and is located between the optical element and the eye.

2. The method of claim 1, wherein the distal end of the bottom portion comprises an eye interface surface, and the step of coupling the distal end of the bottom portion to the eye comprises forming a compliant circumferential seal between the eye and the eye interface surface of the distal end.

3. The method of claim 2, wherein the circumferential seal is produced by applying a vacuum load to a vacuum space formed by contacting the eye interface surface to the eye.

4. The method of claim 3, where in the vacuum space is further defined by two circumferential layers coupled to the eye interface surface.

5. The method of claim 4, wherein at least one of the circumferential layers has a tapered cross section.

6. The method of claim 4, wherein at least one of the circumferential layers comprises a shape that is at least partially spherical.

7. The method of claim 3, wherein the vacuum load is between 200 mm of mercury and 600 mm of mercury.

8. The method of claim 1, further comprising:

positioning the patient in a substantially horizontal position prior to coupling the distal end of the bottom portion to the eye of the patient.

9. The method of claim 8, further comprising:

performing one or more diagnostic procedures on the eye of the patient prior to positioning the patient in the substantially horizontal position.

10. The method of claim 1, further comprising:

performing one or more ophthalmologic procedures on the eye of the patient with intraoperative imaging, the ophthalmologic procedure comprising the application of laser energy to the eye.

11. The method of claim 10, wherein the one or more ophthalmologic procedures comprises a capsulorhexis.

12. The method of claim 1, further comprising:

decoupling the distal end of the bottom portion from the eye of the patient.

13. The method of claim 1, wherein the top portion and the bottom portion are removably coupled to each other by one or more of:

a vacuum, an interference fit, electromagnetism, or mechanical connection.

14. The method of claim 1, wherein the liquid layer is formed with 2 cubic centimeters in volume of liquid.

15. The method of claim 1, wherein the liquid layer comprises a material selected from:

water, saline, oil, viscoelastic gel, and perfluorocarbon liquid.

16. The method of claim 1, wherein the liquid layer directly contacts the optical element.