Surgical device and surgical method

• US 9,913,752 B2
• Filed: 05/14/2012
• Issued: 03/13/2018
• Est. Priority Date: 11/13/2009
• Status: Active Grant

• Current Assignee: Carl Zeiss Meditec AG (Carl-Zeiss-Stiftung)
• Original Assignee: Carl Zeiss Meditec AG (Carl-Zeiss-Stiftung)
• Inventors: Hauger, Christoph
• Primary Examiner(s): LUAN, SCOTT
• Application Number:
  US13/470,680
• Publication Number:
  US 20120226267A1
• Time in Patent Office: 2,129 Days
• CPC Class Codes: A61B 3/1005 for measuring distances inside the eye, e.g. thickness of the cornea A61B3/11 takes precedence
• CPC Class Codes: A61B 3/102 for optical coherence tomography [OCT]
• CPC Class Codes: A61F 9/00745 using mechanical vibrations, e.g. ultrasonic

Abstract

A surgical instrument system for ophthalmic surgery in an eye is provided, comprising: an OCT apparatus including an interferometer; an optical fiber coupled to the OCT apparatus and extending a probe arm of the interferometer; a hand tool comprising: a hand piece, a tube extending away from the hand piece and comprising a distal end portion having a longitudinal axis, wherein a distal portion of the optical fiber is received within the tube; a beam emitter coupled to a tip end of the optical fiber and configured to emit an OCT measuring beam into an emission direction; and an actuator configured to change the emission direction of the OCT measuring beam relative to a tip end of the distal end portion.

Claims

1. A surgical instrument system for ophthalmic surgery in an interior of an eye, comprising:

an OCT apparatus including an interferometer;

an optical fiber coupled to the OCT apparatus and extending a probe arm of the interferometer, the optical fiber having a tip end;

a hand tool comprising;

a hand piece,

a tube extending away from the hand piece and comprising a distal end portion having a longitudinal axis and a tip end, wherein a distal portion of the optical fiber is received within the tube;

a beam emitter coupled to the tip end of the optical fiber and configured to emit an OCT measuring beam into an emission direction of the beam emitter; and

an actuator configured to change the emission direction of the OCT measuring beam relative to the tip end of the distal end portion;

wherein a first tangent to the longitudinal axis at a proximal end of the distal end portion and a second tangent to the longitudinal axis at the tip end of the distal end portion form a bending angle of the distal end portion of between 60 and 100 degrees; and

wherein a first distance between an intersection point of the first tangent with the second tangent and the proximal end is between 4.5 mm and 8 mm; and

wherein a second distance between the intersection point and the tip end of the distal end portion is between 3 mm and 9 mm.

2. The surgical instrument system according to claim 1, wherein the distal end portion comprises an axial end section having a transparent tubular section, which is transparent for measuring light of the OCT measuring beam, and

wherein a radius of curvature of the longitudinal axis at each point within the transparent tubular section is greater than 15 mm, or greater than 20 mm, or greater than 30 mm.

3. The surgical instrument system according to claim 2, wherein the beam emitter is located within the transparent tubular section and wherein the actuator is configured to displace the beam emitter relative to the tube along the longitudinal axis and over a length of the transparent tubular section.

4. The surgical instrument system according to claim 2, wherein a length of the transparent tubular section is within a range of 1 to 6 mm.

5. The surgical instrument system according to claim 1, wherein the hand piece is configured to rotate the distal end portion about a rotation axis which is aligned with the first tangent.

6. The surgical instrument system according to claim 1, wherein a bending stiffness of the distal end portion is such that the distal end portion is insertable into the interior of the eye through an opening in a cornea of the eye.

7. The surgical instrument system according to claim 1, wherein the tip end of the distal end portion is displaced by less than 1.5 mm or less than 1 mm, when a force of 0.25 N is applied to the tip end of the distal end portion and a proximal end of the distal end portion is held stationary.

8. The surgical instrument system according to claim 1, wherein the actuator is configured to rotate the optical fiber about the longitudinal axis.

9. The surgical instrument system according to claim 1, wherein the actuator is configured to rotate the optical fiber about the longitudinal axis and to move the optical fiber along the longitudinal axis relative to the tube.

10. The surgical instrument system according to claim 1, wherein the beam emitter comprises a GRIN lens.

11. The surgical instrument system according to claim 1, wherein the beam emitter comprises a reflector.

12. The surgical instrument system according to claim 1, wherein the beam emitter is configured to shape the OCT measuring beam such that it has a beam waist at a distance of between 4 mm and 9 mm or between 4 mm and 6 mm from the location of the beam emitter.

13. The surgical instrument system according to claim 1, wherein the optical fiber is retractable from within the tube.

14. The surgical instrument system according to claim 1, wherein the hand tool comprises a phacoemulsificator.

15. The surgical instrument of claim 1, wherein the distal end portion comprises a tubular curved axial section;

wherein within the distal end portion, the longitudinal axis of the fiber corresponds to the longitudinal axis of the distal end portion.

16. A surgical instrument system for ophthalmic surgery in an interior of an eye, comprising:

an OCT apparatus including an interferometer;

an optical fiber coupled to the OCT apparatus and extending a probe arm of the interferometer, the optical fiber having a tip end;

a hand tool comprising;

a hand piece,

a tube extending away from the hand piece and comprising a distal end portion having a longitudinal axis and a tip end, wherein a distal portion of the optical fiber is received within the tube;

a beam emitter coupled to the tip end of the optical fiber and configured to emit an OCT measuring beam into an emission direction of the beam emitter; and

an actuator configured to change the emission direction of the OCT measuring beam relative to the tip end of the distal end portion;

wherein a first tangent to the longitudinal axis at a proximal end of the distal end portion and a second tangent to the longitudinal axis at the tip end of the distal end portion form a bending angle of the distal end portion of between 60 and 100degrees; and

wherein the tip end of the distal end portion is displaced by less than 1.5 mm or less than 1 mm, when a force of 0.25 N is applied to the tip end of the distal end portion and the proximal end is held stationary.

17. The surgical instrument system according to claim 16, wherein a bending stiffness of the distal end portion is such that the distal end portion is insertable into the interior of the eye through an opening in a cornea of the eye.

18. The surgical instrument system according to claim 16, wherein the distal end portion comprises an axial end section having a transparent tubular section, which is transparent for measuring light of the OCT measuring beam, and

wherein a radius of curvature of the longitudinal axis at each point within the transparent tubular section is greater than 15 mm, or greater than 20 mm, or greater than 30 mm.

19. The surgical instrument system according to claim 18, wherein the beam emitter is located within the transparent tubular section and wherein the actuator is configured to displace the beam emitter relative to the tube along the longitudinal axis and over a length of the transparent tubular section.

20. The surgical instrument system according to claim 18, wherein a length of the transparent tubular section is within a range of 1 to 6 mm.

21. The surgical instrument system according to claim 16, wherein the hand piece is configured to rotate the distal end portion about a rotation axis which is aligned with the first tangent.

22. The surgical instrument system according to claim 16, wherein the actuator is configured to rotate the optical fiber about the longitudinal axis.

23. The surgical instrument system according to claim 16, wherein the actuator is configured to rotate the optical fiber about the longitudinal axis and to move the optical fiber along the longitudinal axis relative to the tube.

24. The surgical instrument system according to claim 16, wherein the beam emitter is configured to shape the OCT measuring beam such that it has a beam waist at a distance of between 4 mm and 9 mm or between 4 mm and 6 mm from the location of the beam emitter.

25. The surgical instrument of claim 16, wherein the distal end portion comprises a tubular curved axial section;

wherein within the distal end portion, the longitudinal axis of the fiber corresponds to the longitudinal axis of the distal end portion.

26. A method of conducting an ophthalmic surgery in an interior of an eye by using a surgical instrument system;

wherein the surgical instrument system comprises;

an OCT apparatus including an interferometer;

an optical fiber coupled to the OCT apparatus and extending a probe arm of the interferometer, the optical fiber having a tip end;

a hand tool comprising;

a hand piece,

a tube extending away from the hand piece and comprising a distal end portion having a longitudinal axis and a tip end, wherein a distal portion of the optical fiber is received within the tube;

a beam emitter coupled to the tip end of the optical fiber and configured to emit an OCT measuring beam into an emission direction of the beam emitter; and

an actuator configured to change the emission direction of the OCT measuring beam relative to the tip end of the distal end portion;

wherein a first tangent to the longitudinal axis at a proximal end of the distal end portion and a second tangent to the longitudinal axis at the tip end of the distal end portion form a bending angle of the distal end portion of between 60 and 100 degrees; and

wherein a first distance between an intersection point of the first tangent with the second tangent and the proximal end is between 4.5 mm and 8 mm; and

wherein a second distance between the intersection point and the tip end of the distal end portion is between 3 mm and 9 mm;

wherein the method comprises

inserting the distal end portion into the interior of the eye; and

emitting the OCT measuring beam from the beam emitter within the eye.

27. The surgical instrument of claim 26, wherein the distal end portion comprises a tubular curved axial section;

wherein within the distal end portion, the longitudinal axis of the fiber corresponds to the longitudinal axis of the distal end portion.

28. The surgical instrument system according to claim 26, wherein the distal end portion comprises an axial end section having a transparent tubular section, which is transparent for measuring light of the OCT measuring beam,

wherein a radius of curvature of the longitudinal axis at each point within the transparent tubular section is greater than 15 mm, or greater than 20 mm, or greater than 30 mm.

29. The surgical instrument system according to claim 28, wherein a length of the transparent tubular section is within a range of 1 to 6 mm.

30. A method of conducting an ophthalmic surgery in an interior of an eye by using a surgical instrument system;

wherein the surgical instrument system comprises;

an OCT apparatus including an interferometer;

an optical fiber coupled to the OCT apparatus and extending a probe arm of the interferometer, the optical fiber having a tip end;

a hand tool comprising;

a hand piece,

a tube extending away from the hand piece and comprising a distal end portion having a longitudinal axis and a tip end, wherein a distal portion of the optical fiber is received within the tube;

a beam emitter coupled to the tip end of the optical fiber and configured to emit an OCT measuring beam into an emission direction of the beam emitter; and

an actuator configured to change the emission direction of the OCT measuring beam relative to the tip end of the distal end portion;

wherein a first tangent to the longitudinal axis at a proximal end of the distal end portion and a second tangent to the longitudinal axis at the tip end of the distal end portion form a bending angle of the distal end portion of between 60 and 100 degrees; and

wherein the tip end of the distal end portion is displaced by less than 1.5 mm, when a force of 0.25 N is applied to the tip end of the distal end portion and the proximal end is held stationary;

wherein the method comprises

inserting the distal end portion into the interior of the eye; and

emitting the OCT measuring beam from the beam emitter within the eye.

31. The surgical instrument of claim 30, wherein the distal end portion comprises a tubular curved axial section;

wherein within the distal end portion, the longitudinal axis of the fiber corresponds to the longitudinal axis of the distal end portion.

32. The surgical instrument system according to claim 30, wherein the distal end portion comprises an axial end section having a transparent tubular section, which is transparent for measuring light of the OCT measuring beam;

wherein a radius of curvature of the longitudinal axis at each point within the transparent tubular section is greater than 15 mm, or greater than 20 mm, or greater than 30 mm.

33. The surgical instrument system according to claim 32, wherein a length of the transparent tubular section is within a range of 1 to 6 mm.