Eye therapy system

• US 8,460,278 B2
• Filed: 10/01/2009
• Issued: 06/11/2013
• Est. Priority Date: 10/01/2008
• Status: Expired due to Fees

• Current Assignee: Avedro, Inc. (Glaukos Corporation)
• Original Assignee: Avedro, Inc. (Glaukos Corporation)
• Inventors: Muller, David
• Primary Examiner(s): Dvorak, Linda
• Assistant Examiner(s): Ram, Jocelyn D
• Application Number:
  US12/572,019
• Publication Number:
  US 20100094280A1
• Time in Patent Office: 1,349 Days
• Field of Search: 606/4, 606/5, 606/6, 606/33, 606/41, 607/141
• US Class Current: 606/4
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 2018/00005 Cooling or heating of the probe or tissue immediately surrounding the probe
• CPC Class Codes: A61B 2018/00755 Resistance or impedance
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61F 9/0079 using non-laser electromagnetic radiation, e.g. non-coherent light or microwaves
• CPC Class Codes: A61F 9/013 Instruments for compensation of ocular refraction A61F9/008 takes precedence; Instruments for use in cornea removal, for reshaping or performing incisions in the cornea

Abstract

A system includes a conducting element that conducts energy from an energy source to apply therapy to an eye. The system includes a covering configured to be removably attached to the conducting element. The covering has an interface surface that is positionable at an eye. At least a portion of the interface surface includes one or more dielectric materials. Energy is deliverable to the eye through the interface surface. In one aspect, the covering provides an electrical insulator to minimize the concentration of electrical current in the area of contact with the eye. In another aspect, the covering allows the eye to be cooled during the application of energy without directly applying coolant to the eye. In another aspect, the covering includes a dielectric layer that may provide varying impedances that allow different patterns for energy delivery. In another aspect, the sheath promotes hygienic use of the conducting element.

Claims

1. An energy conducting system for applying therapy to an eye, the system comprising:

a conducting element, the conducting element being configured to conduct energy from an energy source to a distal end to apply therapy to an eye, the conducting element including a first electrode and a second electrode separated by a gap; and

a covering configured to be removably attached to the distal end of the conducting element such that at least one of a distal end of the first electrode and a distal end of the second electrode are in direct contact with the covering, the covering having an interface surface positionable at the eye, at least a portion of the interface surface including one or more dielectric materials, the energy from the energy conducting element being deliverable to the eye through the interface surface, the covering being a flexible sheath structure prior to being removably attached to the distal end of the conducting element, the covering being configured to be removed from the distal end of the conducting element as the flexible sheath structure,

wherein the covering is one of a plurality of removably attachable coverings.

2. The system of claim 1, wherein the covering forms an enclosure over a portion of the conducting element.

3. The system of claim 2, further comprising a coolant delivery system, the coolant delivery system being operable to deliver coolant within the enclosure to cool the interface surface of the covering and the eye, and the enclosure preventing the coolant from directly contacting the eye.

4. The system of claim 1, wherein the covering forms a cavity that receives the conducting element.

5. The system of claim 1, wherein the interface surface is concave.

6. The system of claim 1, wherein the one or more dielectric materials includes polyurethane.

7. The system of claim 1, wherein the energy is delivered through the interface surface according to a pattern defined by the one or more dielectric materials, the one or more dielectric materials providing varying impedances for the interface surface.

8. The system of claim 7, wherein varying impedances are based on the thicknesses of the one or more dielectric materials.

9. The system of claim 7, wherein the interface surface includes sections of high impedance that prevent an electrode pair from forming between corresponding sections of the first electrode and the second electrode.

10. The system of claim 7, wherein the pattern is asymmetric.

11. The system of claim 7, wherein the pattern is non-annular.

12. The system of claim 1, wherein the plurality of removably attachable coverings provide a plurality of patterns for delivering energy through the interface surface.

13. An energy conducting system for applying therapy to an eye, the system comprising:

a conducting element including a first electrode and a second electrode, the first electrode and the second electrode being separated by a gap, the conducting element being configured to deliver energy from an energy source to a distal end; and

a covering disposed at the distal end of the conducting element such that at least a portion of the covering extends from the first electrode to the second electrode enclosing the gap at the distal end, the covering being in direct contact with at least one of the first electrode and the second electrode and defining an interface surface positionable at a surface of the eye, the interface surface including one or more dielectric materials and one or more conductive materials, energy from the conducting element being deliverable to the eye through the interface surface,

wherein the covering is one of a plurality of removably attachable coverings.

14. The system of claim 13, wherein the interface surface includes at least two conductive layers formed by the one or more conductive materials, the one or more dielectric materials separating the conductive layers.

15. The system of claim 14, wherein the conductive layers include a first conductive layer and a second conductive layer, the first conductive layer being aligned at least partially with the first electrode and the second conductive layer being aligned at least partially with the second electrode, and the one or more dielectric materials separating the first and second conductive layers.

16. The system of claim 13, wherein the interface surface includes one or more conductive layers formed by the one or more conductive materials, the one or more conductive layers being aligned at least partially with at least one of the first electrode and the second electrode.

17. The system of claim 13, wherein the interface surface includes a single conductive layer formed by the one or more conductive materials, the single conductive layer being aligned at least partially with one of the first electrode and the second electrode, the one or more dielectric materials forming the remainder of the interface surface.

18. The system of claim 13, wherein the one or more dielectric materials form a dielectric layer that is aligned at least partially with the gap between the first electrode and the second electrode.

19. The system of claim 13, wherein the first electrode is substantially tubular, the second electrode is substantially cylindrical and disposed in the first electrode, and the gap between the first and second electrode is annular.

20. The system of claim 19, wherein the interface surface includes a single conductive layer formed by the one or more conductive materials, the single conductive layer being aligned at least partially with the first electrode or the second electrode, the one or more dielectric materials forming the remainder of the interface surface.

21. The system of claim 19, wherein the interface surface includes a first conductive layer and a second conductive layer formed by the one or more conductive materials, the first conductive layer being aligned with the first electrode and the second conductive layer being aligned with the second electrode, the one or more dielectric materials forming an annular dielectric layer separating the first and second conductive layers.

22. The system of claim 13, wherein the covering forms an enclosure over the distal end of the conducting element.

23. The system of claim 22, further comprising a coolant delivery system, the coolant delivery system being operable to deliver coolant within the enclosure to cool the interface surface of the covering and the eye, and the enclosure preventing the coolant from directly contacting the eye.

24. The system of claim 13, wherein the covering forms a cavity that receives the conducting element.

25. The system of claim 13, wherein the interface surface is concave.

26. The system of claim 13, wherein the energy is delivered through the interface surface according to a pattern defined by the one or more dielectric materials, the one or more dielectric materials providing varying impedances for the interface surface.

27. The system of claim 26, wherein the varying impedances are based on the thicknesses of the one or more dielectric materials.

28. The system of claim 26, wherein the interface surface includes sections of high impedance that prevent an electrode pair from forming between corresponding sections of the first electrode and the second electrode.

29. The system of claim 26, wherein the pattern is asymmetric.

30. The system of claim 26, wherein the pattern is non-annular.

31. The system of claim 13, wherein the plurality of removably attachable coverings provide a plurality of patterns for delivering energy through the interface surface.

32. An energy conducting system for applying therapy to an eye, the system comprising:

a conducting element including a first electrode and a second electrode, the first electrode and the second electrode being separated by a gap, the conducting element being configured to deliver energy from an energy source to a distal end;

a covering including a contact surface and a wall, the contact surface and the wall defining a cavity, the distal end of the conducting element being disposed within the cavity such that the contact surface is in direct contact with at least one of the first electrode and the second electrode, at least a portion of the contact surface is aligned over the gap at the distal end, the contact surface being positionable at a surface of the eye, the covering including one or more dielectric materials, energy from the conducting element being deliverable to the eye through the contact surface; and

a coolant delivery system, the coolant delivery system being operable to deliver a coolant to the contact surface of the covering, the covering preventing the coolant from directly contacting the eye, the coolant delivery system being positioned to deliver the coolant in the gap between first electrode and the second electrode.

33. The system of claim 32, wherein the covering has a cup shape.

34. The system of claim 32, wherein the contact surface has a concave shape.

35. The system of claim 32, wherein the contact surface has a substantially uniform thickness.

36. The system of claim 32, wherein the wall is disposed along a portion of an exterior surface of the first electrode.

37. The system of claim 32, wherein the first electrode is substantially tubular, the second electrode is substantially cylindrical and disposed in the first electrode, and the gap between the first and second electrode is annular.

38. The system of claim 32, wherein the covering is one of a plurality of removably attachable coverings.

39. The system of claim 38, wherein the plurality of removably attachable coverings provide a plurality of patterns for delivering energy through the interface surface.

40. The system of claim 32, wherein the energy is delivered through the interface surface according to a pattern defined by the one or more dielectric materials, the one or more dielectric materials providing varying impedances for the interface surface.

41. The system of claim 40, wherein varying impedances are based on the thicknesses of the one or more dielectric materials.

42. The system of claim 40, wherein the interface surface includes sections of high impedance that prevent an electrode pair from forming between corresponding sections of the first electrode and the second electrode.

43. The system of claim 40, wherein the pattern is asymmetric.

44. The system of claim 40, wherein the pattern is non-annular.