System and method for positioning an eye therapy device

• US 8,469,952 B2
• Filed: 01/23/2008
• Issued: 06/25/2013
• Est. Priority Date: 01/23/2008
• Status: Expired due to Fees

• Current Assignee: Avedro, Inc. (Glaukos Corporation)
• Original Assignee: Avedro, Inc. (Glaukos Corporation)
• Inventors: Muller, David, Thompson, Vance
• Primary Examiner(s): Peffley, Michael
• Assistant Examiner(s): VAHDAT, KHADIJEH A
• Application Number:
  US12/018,450
• Publication Number:
  US 20090187178A1
• Time in Patent Office: 1,980 Days
• Field of Search: 606 3- 7, 606 10- 20, 606 27- 41, 606/107, 606/130, 606/166, 604/20, 607/53, 198/898
• US Class Current: 606/41
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 2017/306 holding by means of suction
• CPC Class Codes: A61B 90/11 with guides for needles or instruments, e.g. arcuate slides or ball joints
• CPC Class Codes: A61F 2009/00853 Laser thermal keratoplasty or radial keratotomy
• CPC Class Codes: A61F 2009/00872 Cornea
• CPC Class Codes: A61F 9/0079 using non-laser electromagnetic radiation, e.g. non-coherent light or microwaves
• CPC Class Codes: A61F 9/008 using laser
• 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
• 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 for aligning an eye therapy instrument over a selected area or feature of an eye provides an attachment element that is removably attached to a surface of an eye. A receiving element is coupled to the attachment element and movable relative to the attachment element. The receiving element includes a coupling element configured to operably couple an eye therapy instrument to the receiving element and adjustably move the eye therapy instrument into a selected position with respect to the attachment element. The system makes adjustments to ensure accurate delivery of treatment from the eye therapy device to areas of the eye. In one embodiment, the receiving element allows lateral adjustments to be made along one or more axes. Additionally or alternatively, the receiving element allows angular or rotational adjustments to be made about one or more axes.

Claims

1. A system for aligning an eye therapy instrument over a feature of an eye, comprising:

an eye therapy instrument;

an attachment element configured to be removably attached to a surface of an eye, the attachment element having a first aperture defining a first passageway through the attachment element;

a receiving element operably coupled to the attachment element and movable relative to the attachment element, the receiving element having a second aperture defining a second passageway through the receiving element, the first passageway and the second passageway being configured to provide access to a feature of an eye, the receiving element having a coupling element configured to operably couple the eye therapy instrument to the receiving element and adjustably position the eye therapy instrument with respect to the attachment element, the eye therapy instrument being disposed in the first passageway and the second passageway when the eye therapy instrument is coupled to the receiving element, the receiving element being movable along at least two axes relative to the attachment element when the receiving element is coupled to the attachment element; and

a movement element coupling the receiving element and the attachment element and controlling the movement of the receiving element relative to the attachment element,

wherein the movement element includes at least one screw engaging the receiving element, the at least one screw being adjustable to move the receiving element along a direction defined by the at least one screw.

2. The system according to claim 1, wherein the at least one screw includes two orthogonal screws, and the receiving element moves along a direction defined by each screw.

3. A system for aligning an eye therapy instrument over a feature of an eye, comprising:

an eye therapy instrument;

an attachment element configured to be removably attached to a surface of an eye, the attachment element having a first aperture defining a first passageway through the attachment element;

a receiving element operably coupled to the attachment element and movable relative to the attachment element, the receiving element having a second aperture defining a second passageway through the receiving element, the first passageway and the second passageway being configured to provide access to a feature of an eye, the receiving element having a coupling element configured to operably couple the eye therapy instrument to the receiving element and adjustably position the eye therapy instrument with respect to the attachment element, the eye therapy instrument being disposed in the first passageway and the second passageway when the eye therapy instrument is coupled to the receiving element, the receiving element being movable along at least two axes relative to the attachment element when the receiving element is coupled to the attachment element; and

a movement element coupling the receiving element and the attachment element and controlling the movement of the receiving element relative to the attachment element,

wherein the movement element includes at least one axle engaging the receiving element, the receiving element being rotatable about an axis defined by the axle.

4. The system according to claim 3, wherein the at least one axle includes two orthogonal axles, and the receiving element is rotatable about axes defines by the two axles.

5. A method for aligning an eye therapy instrument over a feature of an eye, comprising:

removably attaching a positioning system to a surface of an eye, the positioning system including;

an attachment element configured to be removably attached to the surface of the eye, and

a receiving element operably coupled to the attachment element and movable relative to the attachment element along at least two axes when the receiving element is coupled to the attachment element;

removably attaching a targeting device to the receiving element;

moving the targeting device and the receiving element relative to the attachment element to position the receiving element over a feature of the eye;

in response to the receiving element being positioned over a feature of the eye, removing the targeting device from the receiving element; and

in response to the targeting device being removed from the receiving element, coupling an eye therapy instrument to the receiving element.

6. The method according to claim 5, wherein the feature of the eye is a pupil and the step of moving the targeting device and the receiving element comprises centering the receiving element over the pupil.

7. The method according to claim 5, wherein the step of positioning a receiving element comprises moving the targeting device and the receiving element relative to a center of a pupil or an apex of a cornea.

8. The method according to claim 5, wherein the step of moving the targeting device and the receiving element includes operating an adjustment system, the adjustment system operably coupled to the receiving element and controlling movement of the receiving element relative to the attachment element.

9. The method according to claim 8, wherein the adjustment system includes a user-controllable electromechanical device.

10. The method according to claim 9, wherein the user-controllable electromechanical device is a joystick.

11. The method according to claim 5, wherein the targeting device includes an indicator for guiding movement of the receiving element over a feature of the eye.

12. The method according to claim 11, wherein the indicator comprises at least one of a cross-hairs and a series of concentric circles.

13. The method according to claim 5, wherein the removably attaching the positioning system to the surface of the eye includes attaching the attachment element to the surface of the eye and coupling the receiving element to the attachment element, and the removably attaching the targeting device to the receiving element is in response to the removably attaching the positioning system to the surface of the eye.