System and method for positioning and stabilizing an eye

• US 8,512,236 B2
• Filed: 02/06/2008
• Issued: 08/20/2013
• Est. Priority Date: 01/11/2008
• Status: Active Grant

• Current Assignee: Carl Zeiss Meditec Incorporated (Carl-Zeiss-Stiftung)
• Original Assignee: Oraya Therapeutics, Inc.
• Inventors: Gertner, Michael, Arnoldussen, Mark, Herron, Matt
• Primary Examiner(s): Wax, Robert A.
• Assistant Examiner(s): Park, H. Sarah
• Application Number:
  US12/027,083
• Publication Number:
  US 20090182311A1
• Time in Patent Office: 2,022 Days
• Field of Search: None
• US Class Current: 600/236
• CPC Class Codes: A61B 17/0231 for eye surgery
• CPC Class Codes: A61F 2009/00863 Retina
• CPC Class Codes: A61F 2009/00865 Sclera
• CPC Class Codes: A61F 2009/00872 Cornea
• CPC Class Codes: A61F 2009/00895 Presbyopia
• CPC Class Codes: A61F 9/008 using laser
• CPC Class Codes: A61F 9/00804 Refractive treatments
• CPC Class Codes: A61F 9/00819 with photoablatable masks
• CPC Class Codes: A61F 9/00821 for coagulation
• 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: A61N 5/1017 Treatment of the eye, e.g. for "macular degeneration"

Abstract

A system for securing a patient eye at a known position in an external coordinate system is disclosed. The system includes a head support for supporting the patient'"'"'s head, an eye-contact device including a concave contact surface adapted to be placed against the front surface of a patient'"'"'s eye, and a port in fluid communication with the contact surface, by which a vacuum can be applied to the device to remove air between the eye and the contact surface, to stabilize the position of the eye with respect to the contact device, and a biasing mechanism operatively connected to the contact device for biasing the contact device against the eye with a force sufficient to the hold the contact device against the eye, when the eye is stabilized with respect to the device by removal of air between the eye and the device'"'"'s contact surface.

Claims

1. A system for securing a patient eye at a selected position comprising, in operative condition,

(a) a head support for supporting the patient'"'"'s head,

(b) an eye-contact device including an internal concave contact surface adapted to be placed against the front surface of a patient'"'"'s eye, an outer surface, a port in fluid communication with the contact surface, by which a negative pressure can be applied between a patient'"'"'s eye and the contact surface, to stabilize the position of the eye with respect to the contact device, and a connector carried on the outer surface of the eye-contact device, wherein the connector includes a swiveling and tiltable pivotal attachment that couples a positioning arm to the eye contact device,

(c) a biasing mechanism operatively connected to the contact device connector for biasing the eye-contact device against the eye with a force sufficient to the hold the contact device against the eye, when the eye is stabilized with respect to the device by application of a negative pressure between the eye and the device'"'"'s contact surface;

and

(d) a positioning assembly for positioning the contact device, with the contact device attached to a patient'"'"'s eye, at a selected position in an external coordinate system, including the arm attached to the eye-contact device connector for adjusting the position of the device, wherein the biasing mechanism acts on the arm to bias the contact device against the patient'"'"'s eye, and wherein the positioning assembly is operable (i) to adjust the orientation of the contact device with respect to the patient'"'"'s head, as a position detector detects the direction of a beam emanating from the contact device and (ii) to be adjusted automatically through motion controllers;

wherein the system is configured to place the position of a patient'"'"'s eye in an external coordinate system and further comprises the position detector for detecting the position of the contact device, and thus, the position of the eye attached to the contact device, in the external coordinate system;

wherein the position detector is operable (i) to determine the position of the contact device in the external coordinate system from the position of the positioning arm in the external coordinate system and (ii) to communicate with the eye-positioning assembly and said eye-positioning assembly is configured to be moved to a different position based on the signal from the position detector.

2. The system of claim 1, wherein the position detector includes a plurality of beam elements mounted on the contact device, for directing beams in accordance with the position and orientation of the beam elements, sensors for detecting the directions of the beams, and a processor for determining from the detected beam directions, the position of the contact device in the external coordinate system.

3. The system of claim 1, wherein the biasing mechanism is effective to bias the eye-contact device against the eye with a force of between 1-25 grams.

4. The system of claim 1, which further includes a vacuum source operable to apply a negative pressure of between about 20-50 mm Hg to the contact device contact surface.

5. The system of claim 1, wherein the eye contact device is a curved structure which is centered on a center axis extending through the contact device, substantially normal thereto, and said connector is disposed along the center axis of the contact device.

6. The system of claim 1, wherein the eye contact device is a curved structure which is centered on a center axis extending through the contact device, substantially normal thereto, and said connector is disposed along an axis offset from the center axis.

7. The system of claim 1, wherein the connector is detachably coupled to the biasing mechanism, allowing the mechanism to break away from the eye-contact device when an above-threshold force is applied by or to the eye.

8. The system of claim 1, wherein the pivotal attachment comprises a spherical bearing and a head, the spherical bearing being positioned in a hollow interior of the head.

9. The system of claim 8, wherein the head comprises a conical divot providing a mating fit with the spherical bearing.

10. The system of claim 9, wherein at least one of the spherical bearing and the conical divot is dimpled.

11. A system for securing a patient eye at a selected position comprising, in operative condition,

(a) a head support for supporting the patient'"'"'s head,

(b) a positioning arm,

(c) an eye-contact device including an internal concave contact surface adapted to be placed against the front surface of a patient'"'"'s eye, an outer surface, a port in fluid communication with the contact surface, by which a negative pressure can be applied between a patient'"'"'s eye and the contact surface, to stabilize the position of the eye with respect to the contact device, and a connector carried on the outer surface of the eye-contact device, and a connector carried on the outer surface of the device, wherein the connector includes a pivotal attachment that couples the positioning arm to the eye contact device, the pivotal attachment comprising a spherical bearing and a head, the spherical bearing being positioned in a hollow interior of the head,

(d) a biasing mechanism operatively connected to the contact device connector for biasing the eye-contact device against the eye with a force sufficient to the hold the contact device against the eye, when the eye is stabilized with respect to the device by application of a negative pressure between the eye and the device'"'"'s contact surface;

and

(e) a positioning assembly for positioning the contact device, with the contact device attached to a patient'"'"'s eye, at a selected position in an external coordinate system, including the arm attached to the eye-contact device connector for adjusting the position of the device, wherein the biasing mechanism acts on the arm to bias the contact device against the patient'"'"'s eye, and wherein the positioning assembly is operable (i) to adjust the orientation of the contact device with respect to the patient'"'"'s head, as the position detector detects the direction of a beam emanating from the contact device and (ii) to be adjusted automatically through motion controllers;

wherein the system is configured to place the position of a patient'"'"'s eye in an external coordinate system and further comprises a position detector for detecting the position of the contact device, and thus, the position of the eye attached to the contact device, in the external coordinate system;

wherein the position detector is operable (i) to determine the position of the contact device in the external coordinate system from the position of the positioning arm in the external coordinate system and (ii) to communicate with the eye-positioning assembly and said eye-positioning assembly is configured to be moved to a different position based on the signal from the position detector.

12. The system of claim 11, wherein the head comprises a conical divot providing a mating fit with the spherical bearing.

13. The system of claim 12, wherein at least one of the spherical bearing and the conical divot is dimpled.