Ophthalmic interface apparatus, method of interfacing a surgical laser with an eye, and support ring for use with a suction ring

• US 9,724,238 B2
• Filed: 11/25/2013
• Issued: 08/08/2017
• Est. Priority Date: 11/30/2012
• Status: Active Grant

• Current Assignee: AMO Development LLC (Johnson & Johnson)
• Original Assignee: AMO Development LLC (Johnson & Johnson)
• Inventors: Heitel, Robert
• Primary Examiner(s): Shi, Katherine M
• Assistant Examiner(s): Gabr, Mohamed
• Application Number:
  US14/089,326
• Publication Number:
  US 20140222050A1
• Time in Patent Office: 1,352 Days
• Field of Search: 606166
• 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

Apparatus and methods are provided for interfacing a surgical laser with an eye using a patient interface device that minimizes aberrations through a combination of a contact lens surface positioning and a liquid medium between an anterior surface of the eye and the contact lens surface. Further, support rings, ocular stability devices, and methods for interfacing an eye during laser surgery are provided. In an embodiment, by way of example only, a support ring includes a first end surface, a second end surface opposite the first end surface, and an outer surface extending between the first end surface and the second end surface. The second end surface has a width that is greater than a width of the first end surface and extends toward a central opening in the support ring to define a concave curvature configured to substantially match a curvature of a patient'"'"'s eye. The outer surface includes an annular groove formed adjacent the first end surface and a plurality of exterior vacuum channels spaced around the annular groove and extends axially from the annular groove to the second end surface.

Claims

1. A support ring for use with a suction ring of an ocular stability device, the support ring comprising:

a first end surface;

a second end surface opposite the first end surface having a width that is greater than a width of the first end surface, the second end surface extending toward a central opening in the support ring to define a concave curvature configured to substantially match a curvature of a patient'"'"'s eye; and

an outer surface extending between the first end surface and the second end surface, the outer surface including an annular groove formed adjacent the first end surface and a plurality of exterior vacuum channels spaced around the annular groove and extending axially from the annular groove to the second end surface,

wherein the first end surface includes a plurality of notches each radially aligned with a corresponding one of the plurality of exterior vacuum channels.

2. The support ring of claim 1, wherein the second end surface is configured to enhance frictional forces between the support ring and the patient'"'"'s eye when the second end surface is in contact with the patient'"'"'s eye.

3. The support ring of claim 1, wherein each notch of the plurality of notches is substantially equal in width to the corresponding one of the plurality of exterior vacuum channels.

4. The support ring of claim 1, further comprising an inner surface opposite the outer surface and including a plurality of interior vacuum channels each aligned with a corresponding notch of the plurality of notches.

5. The support ring of claim 4, wherein at least a portion of the inner surface is concave.

6. A support ring for use with a suction ring of an ocular stability device, the support ring comprising:

a first end surface;

a second end surface opposite the first end surface having a width that is greater than a width of the first end surface, the second end surface extending toward a central opening in the support ring to define a concave curvature configured to substantially match a curvature of a patient'"'"'s eye; and

an outer surface extending between the first end surface and the second end surface, the outer surface including a first annular groove formed adjacent the first end surface and a plurality of exterior vacuum channels spaced around the first annular groove and extending axially from the first annular groove to the second end surface,

wherein the second end surface includes a plurality of radially outwardly extending grooves each aligned with a corresponding one of the plurality of exterior vacuum channels and a second annular groove, the plurality of radially outwardly extending grooves intersecting the second annular groove.

7. The support ring of claim 6, wherein each groove of the plurality of radially outwardly extending grooves includes a widened outer mouth in communication with the corresponding one of the plurality of exterior vacuum channels.

8. The support ring of claim 7, wherein each groove of the plurality of radially outwardly extending grooves includes a widened inner mouth opposite the widened outer mouth.

9. The support ring of claim 6, wherein the inner surface includes an annular ridge, and the plurality of interior vacuum channels initiate at and extend radially inwardly along the annular ridge.

10. An ocular stability device comprising:

a suction ring including an outer annular wall, an inner annular wall, a radial surface extending between the outer annular wall and the inner annular wall, the outer annular wall, the inner annular wall, and the radial surface defining a cavity, and a tube extending radially outwardly from the outer annular wall defining an orifice in communication with the cavity; and

a support ring disposed in the cavity, the support ring defining a central opening and including;

a first end surface;

a second end surface opposite the first end surface having a width that is greater than a width of the first end surface, the second end surface extending toward the central opening of the support ring with a concave curvature configured to substantially match a curvature of a patient'"'"'s eye; and

an outer surface extending between the first end surface and the second end surface, the outer surface including an annular groove and a plurality of exterior vacuum channels, the annular groove being formed adjacent the first end surface in communication with the orifice, and the plurality of exterior vacuum channels being spaced around the annular groove and extending axially from the annular groove to the second end surface,

wherein the first end surface includes a plurality of notches each radially aligned with a corresponding one of the plurality of exterior vacuum channels.

11. The ocular stability device of claim 10, wherein the first end surface of the support ring contacts an interior-facing portion of the radial surface of the suction ring.

12. The ocular stability device of claim 10, wherein the second end surface of the support ring is textured.

13. The ocular stability device of claim 10, wherein the plurality of notches extend axially inwardly from the first end surface toward a corresponding one of the plurality of exterior vacuum channels.

14. The ocular stability device of claim 13, wherein the support ring further includes an interior surface including a plurality of interior vacuum channels each aligned with a corresponding notch of the plurality of notches.

15. The ocular stability device of claim 14, wherein at least a portion of the interior surface is concave.

16. The ocular stability device of claim 15, wherein the interior surface includes an annular ridge, and the plurality of interior vacuum channels initiate at and extend along the annular ridge.

17. The ocular stability device of claim 10, further comprising a gripper component including an annular receptacle receiving the suction ring and defining a central orifice.

18. The ocular stability device of claim 17, further comprising a lens cone including an apex ring, a base ring spaced apart from and having a diameter larger than a diameter of the apex ring, and struts extending between the apex ring and the base ring, wherein the apex ring is disposed in the central orifice of the gripper component.