Device and assembly for positioning and stabilizing an eye

• US 8,920,406 B2
• Filed: 02/06/2008
• Issued: 12/30/2014
• 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): Park, H. Sarah
• Application Number:
  US12/027,094
• Publication Number:
  US 20090182312A1
• Time in Patent Office: 2,519 Days
• Field of Search: None
• US Class Current: 606/4
• 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

An eye contact device and assembly for stabilizing a human eye at a selected position in an external coordinate system is disclosed. The device includes an eye-contact member having an inner contact surface for contacting a front surface of an eye, and a vacuum port formed within the eye-contact member by which a negative pressure can be applied between the eye and the contact surface, to stabilize the position of the eye with respect to the device. The device, which is adapted to be biased against the patient'"'"'s eye, to secure the device to the eye, may be pivotally coupled to a positioning arm, and may carry one or more beam-directing elements by which the position of the device in an external coordinate system can be determined.

Claims

1. An eye contact device for stabilizing a patient'"'"'s eye at a selected position in an external coordinate system, comprising

(a) an eye-contact member having an inner contact surface for contacting a front surface of a patient'"'"'s eye and an outer surface,

(b) a vacuum port formed within said eye-contact member by which a negative pressure can be applied between a patient'"'"'s eye and the contact surface, to stabilize a position of a patient'"'"'s eye with respect to the contact device,

(c) a positioning assembly comprising a positioning arm for positioning the eye-contact member at a selected position, with the patient'"'"'s eye stabilized therein,

(d) a connector carried on the outer surface of the eye-contact member by which the positioning arm can be coupled to the device, for accommodating movement of the arm relative to the device, as the device is moved by the arm to place the device at the selected position in an external coordinate system, with the patient'"'"'s eye being stabilized in the device,

(e) a control unit, configured to control the positioning arm, wherein, when a force threshold of a force between the patient'"'"'s eye and the eye-contact member is reached, the control unit restricts further movement of the positioning arm and the eye-contact member toward the eye while the patient'"'"'s eye remains stabilized in the eye-contact member;

and

(f) a force gauge operatively coupled to the positioning assembly for determining and reporting to the control unit a force between the eye and the eye-contact member resulting from movement by the patient during a treatment procedure; and

(g) a position detector (i) for detecting the position of the eye-contact member, and thus, the position of the eye attached to the eye-contact member, in the external coordinate system, (ii) being operable to detect an angle of a beam emanating from the eye-contact member and (iii) being operable to communicate with the positioning assembly;

wherein the positioning assembly is operable to adjust the orientation of the eye-contact member with respect to the patient'"'"'s head; and

wherein the positioning assembly is configured to be moved to a different position based on a signal from the position detector.

2. The device of claim 1, wherein the eye-contact member is a curved structure which is centered on an axis extending through the contact member, substantially normal thereto, and the inner contact surface of the contact member is dimensioned to make contact with the sclera of the patient'"'"'s eye, with the contact member centered on the eye.

3. The device of claim 2, which further includes a reflecting surface normal to and intersected by the center axis of the eye contact member, by which the orientation of the device, and thus the orientation of the patient'"'"'s eye, in an external coordinate system can be determined, by directing an optical beam onto the surface and measuring the angle of the beam reflected from said surface.

4. The device of claim 1, which further includes a surface which is detectable by the imaging camera.

5. The device of claim 1, which further includes a plurality of fiducials by which the position of the eye-contact device in an external coordinate system can be determined.

6. The device of claim 1, including a plurality of beam elements mounted on the contact device, for directing beams in accordance with the position of the device in an external coordinate system, as determined 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.

16. The device of claim 2, wherein said connector is disposed along the center axis of the contact member.

17. The device of claim 2, wherein the connector is disposed along an axis offset from the center axis.

18. The device of claim 1, wherein the connector includes a pivotal attachment by which a positioning arm can be coupled to the eye contact member.

19. The device of claim 1, wherein the connector is adapted to be detachably coupled to the positioning arm, allowing the arm to break away from the eye-contact member when an above-threshold force is applied by or to the eye.

7. An eye-contact assembly for stabilizing a patient'"'"'s eye at a selected position in an external coordinate system, comprising

(a) an eye-contact member having (i) an inner contact surface for contacting a front surface of a patient'"'"'s eye, and an outer surface and (ii) a vacuum port formed within said eye-contact member, 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,

(b) a positioning assembly comprising a positioning arm for positioning the eye-contact member at a selected position, with a patient eye stabilized therein, and

(c) releasable coupling members carried on the contact member and positioning arm for releasably coupling the device to the arm with a release force sufficient to allow the device and a patient eye stabilized therein to be moved by the arm, and to release from one another when an above-threshold force is applied by or to the eye,

(d) a control unit, configured to control the positioning arm, wherein, when a force threshold of a force, caused by patient movement and being between the patient'"'"'s eye and the eye-contact member is reached, the control unit restricts further movement of the positioning arm and the eye-contact member toward the eye while the patient'"'"'s eye remains stabilized in the eye-contact member;

and

(f) a force gauge operatively coupled to the positioning assembly for determining and reporting to the control unit a force between the eye and the eye-contact member resulting from movement by the patient during a treatment procedure.

8. The assembly of claim 7, wherein one of the releasable coupling members includes a pivot joint to accommodate angular movement between the contact device and positioning arm as the contact device is moved by the arm.

9. The assembly of claim 7, wherein the releasable coupling members include magnets that engage one another with said threshold release force.

10. The assembly of claim 7, wherein the releasable coupling members are deformable plastic members with complementary interlocking shapes.

11. The assembly of claim 7, wherein the eye-contact member is a curved structure which is centered on an axis extending through the contact member, substantially normal thereto, which further includes a reflecting surface normal to and intersected by the center axis of the eye contact member, by which the orientation of the device in an external coordinate system can be determined, by directed an optical beam onto the surface and measuring the angle of the beam reflected from said surface.

20. The device of claim 7, further comprising:

(g) a position detector (i) for detecting the position of the eye-contact member, and thus, the position of the eye attached to the eye-contact member, in the external coordinate system, (ii) being operable to detect an angle of a beam emanating from the eye-contact member and (iii) being operable to communicate with the positioning assembly;

wherein the positioning assembly is operable (i) to adjust the orientation of the eye-contact member with respect to the patient'"'"'s head;

wherein the positioning assembly is configured to be moved to a different position based on a signal from the position detector.

12. A eye contact assembly for stabilizing a patient'"'"'s eye at a selected position in an external coordinate system, comprising

(a) an eye-contact member having (i) an inner contact surface for contacting a front surface of an eye and an outer contact surface and (ii) a vacuum port formed within the eye-contact member 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,

(b) a biasing mechanism for biasing the eye-contact member against the eye with a biasing force of between 1-25 grams, thereby to stabilize the position of the eye and hold the assembly in position against the eye when a negative pressure of between 20-50 mmHg is applied to the vacuum port,

(c) a positioning assembly comprising a positioning arm for positioning the eye-contact member at a selected position, with a patient'"'"'s eye stabilized therein, and

(d) releasable coupling members on the contact member and positioning arm for coupling the contact member to the arm with a release force sufficient (i) to allow the contact member and a patient'"'"'s eye stabilized therein to be moved by the arm, and (ii) to allow the releasable coupling members to release from one another when a force exceeding the release force is applied by the patient to the eye-contact member, resulting in the eye-contact member breaking away from the remainder of the contact assembly, wherein the release force is greater than the biasing force.

21. The device of claim 12, further comprising:

(e) a position detector (i) for detecting the position of the eye-contact member, and thus, the position of the eye attached to the eye-contact member, in the external coordinate system, (ii) being operable to detect an angle of a beam emanating from the eye-contact member and (iii) being operable to communicate with the positioning assembly;

wherein the positioning assembly is operable (i) to adjust the orientation of the eye-contact member with respect to the patient'"'"'s head;

wherein the positioning assembly is configured to be moved to a different position based on a signal from the position detector.

13. An eye-contact device for stabilizing a patient'"'"'s eye at a selected position in an external coordinate system, comprising

(a) an eye-contact member having an inner contact surface for contacting a front surface of an eye and an outer surface,

(b) a vacuum port formed within said eye-contact by which a negative pressure can be applied between a patient'"'"'s eye and the contact surface, to stabilize the position of a patient'"'"'s eye with respect to the contact device, when the device is biased against eye,

(c) a position detector comprising one of more beam-directing elements attached to the eye-contact member by which the position of the eye-contact member, and thus the position of a patient'"'"'s eye stabilized in the device, in an external coordinate system can be determined by one or more external beam sensors positioned in the external coordinate system,

(d) a biasing mechanism for biasing the eye-contact member against the eye with a biasing force toward the eye, thereby to stabilize the position of the eye and hold the assembly in position against the eye when a negative pressure is applied to the vacuum port,

(e) a positioning assembly comprising a positioning arm for positioning the eye-contact member at a selected position, with a patient'"'"'s eye stabilized therein, and

(f) releasable coupling members on the contact member and positioning arm for coupling the contact member to the arm with a release force sufficient (i) to allow the contact member and a patient'"'"'s eye stabilized therein to be moved by the arm, and (ii) to allow the releasable coupling members to release from one another when a force exceeding the release force is applied by the patient to the eye-contact member, resulting in the eye-contact member breaking away from the remainder of the contact assembly, wherein the release force is greater than the biasing force.

14. The device of claim 13, wherein the eye-contact member is a curved structure which is centered on an axis extending through the contact member, substantially normal thereto, the inner contact surface the contact member is dimensioned to make contact with the sclera of the patient'"'"'s eye, and the beam-directing element includes a reflecting surface normal to and intersected by the center axis of the eye contact member, by which the orientation of the device in an external coordinate system can be determined, by directing an optical beam onto the reflecting surface and measuring the angle of the beam reflected from said surface.

15. The device of claim 13, wherein the beam-directing elements a plurality of beam elements mounted on the contact device, for directing beams in accordance with the position of the device in an external coordinate system, as determined 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.

22. The device of claim 13, further comprising:

wherein the positioning assembly is operable (i) to adjust the orientation of the eye-contact member with respect to the patient'"'"'s head;

wherein the positioning assembly is configured to be moved to a different position based on a signal from the position detector.