CA2187373A1 - Procede et appareil permettant de localiser avec precision des points sur l'oeil - Google Patents

Procede et appareil permettant de localiser avec precision des points sur l'oeil

Info

Publication number
CA2187373A1
CA2187373A1 CA002187373A CA2187373A CA2187373A1 CA 2187373 A1 CA2187373 A1 CA 2187373A1 CA 002187373 A CA002187373 A CA 002187373A CA 2187373 A CA2187373 A CA 2187373A CA 2187373 A1 CA2187373 A1 CA 2187373A1
Authority
CA
Canada
Prior art keywords
eye
precise location
points
providing precise
aiming
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002187373A
Other languages
English (en)
Other versions
CA2187373C (fr
Inventor
Kristian Hohla
Stefan Lang
David R. Clonts
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Technolas GmbH
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US08/225,306 external-priority patent/US5645550A/en
Application filed by Individual filed Critical Individual
Publication of CA2187373A1 publication Critical patent/CA2187373A1/fr
Application granted granted Critical
Publication of CA2187373C publication Critical patent/CA2187373C/fr
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F9/00802—Methods or devices for eye surgery using laser for photoablation
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B23—MACHINE TOOLS; METAL-WORKING NOT OTHERWISE PROVIDED FOR
    • B23K—SOLDERING OR UNSOLDERING; WELDING; CLADDING OR PLATING BY SOLDERING OR WELDING; CUTTING BY APPLYING HEAT LOCALLY, e.g. FLAME CUTTING; WORKING BY LASER BEAM
    • B23K26/00—Working by laser beam, e.g. welding, cutting or boring
    • B23K26/02—Positioning or observing the workpiece, e.g. with respect to the point of impact; Aligning, aiming or focusing the laser beam
    • B23K26/04—Automatically aligning, aiming or focusing the laser beam, e.g. using the back-scattered light
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B23—MACHINE TOOLS; METAL-WORKING NOT OTHERWISE PROVIDED FOR
    • B23K—SOLDERING OR UNSOLDERING; WELDING; CLADDING OR PLATING BY SOLDERING OR WELDING; CUTTING BY APPLYING HEAT LOCALLY, e.g. FLAME CUTTING; WORKING BY LASER BEAM
    • B23K26/00—Working by laser beam, e.g. welding, cutting or boring
    • B23K26/02—Positioning or observing the workpiece, e.g. with respect to the point of impact; Aligning, aiming or focusing the laser beam
    • B23K26/04—Automatically aligning, aiming or focusing the laser beam, e.g. using the back-scattered light
    • B23K26/042—Automatically aligning the laser beam
    • B23K26/043—Automatically aligning the laser beam along the beam path, i.e. alignment of laser beam axis relative to laser beam apparatus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00057—Light
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00694—Aspects not otherwise provided for with means correcting for movement of or for synchronisation with the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B2018/2015—Miscellaneous features
    • A61B2018/2025—Miscellaneous features with a pilot laser
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F2009/00844—Feedback systems
    • A61F2009/00846—Eyetracking
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F2009/00855—Calibration of the laser system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F2009/00861—Methods or devices for eye surgery using laser adapted for treatment at a particular location
    • A61F2009/00872—Cornea
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A61F9/008—Methods or devices for eye surgery using laser
    • A61F9/009—Auxiliary devices making contact with the eyeball and coupling in laser light, e.g. goniolenses

Landscapes

  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Ophthalmology & Optometry (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Vascular Medicine (AREA)
  • Plasma & Fusion (AREA)
  • Mechanical Engineering (AREA)
  • Electromagnetism (AREA)
  • Otolaryngology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Laser Surgery Devices (AREA)
  • Eye Examination Apparatus (AREA)
CA002187373A 1994-04-08 1995-04-07 Procede et appareil permettant de localiser avec precision des points sur l'oeil Expired - Fee Related CA2187373C (fr)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US08/225,306 1994-04-08
US08/225,306 US5645550A (en) 1994-04-08 1994-04-08 Method and apparatus for providing precise location of points on the eye
US31065694A 1994-09-22 1994-09-22
US08/310,656 1994-09-22
PCT/EP1995/001287 WO1995027453A1 (fr) 1994-04-08 1995-04-07 Procede et appareil permettant de localiser avec precision des points sur l'×il

Publications (2)

Publication Number Publication Date
CA2187373A1 true CA2187373A1 (fr) 1995-10-19
CA2187373C CA2187373C (fr) 2001-06-05

Family

ID=26919490

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002187373A Expired - Fee Related CA2187373C (fr) 1994-04-08 1995-04-07 Procede et appareil permettant de localiser avec precision des points sur l'oeil

Country Status (5)

Country Link
EP (1) EP0754019A1 (fr)
JP (1) JPH10501707A (fr)
AU (1) AU697055B2 (fr)
CA (1) CA2187373C (fr)
WO (1) WO1995027453A1 (fr)

Families Citing this family (36)

* Cited by examiner, † Cited by third party
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US5782822A (en) * 1995-10-27 1998-07-21 Ir Vision, Inc. Method and apparatus for removing corneal tissue with infrared laser radiation
AU723120B2 (en) * 1996-04-17 2000-08-17 Lions Eye Institute Limited A system for ocular ultramicrosurgery
AUPN929096A0 (en) * 1996-04-17 1996-05-09 Lions Eye Institute A system for ocular ultramicrosurgery
DE19618883A1 (de) * 1996-05-10 1997-11-20 Jurca Optoelektronik Gmbh Vorrichtung und Verfahren zur photorefraktiven Korrektur von Fehlsichtigkeiten
JP3828626B2 (ja) * 1996-12-27 2006-10-04 株式会社ニデック 眼科手術装置
DE19710906B4 (de) * 1997-03-15 2004-02-19 Carl Zeiss Operationsmikroskop mit einer Pupillenlageerffassungsanordnung
US6090102A (en) * 1997-05-12 2000-07-18 Irvision, Inc. Short pulse mid-infrared laser source for surgery
US6299307B1 (en) 1997-10-10 2001-10-09 Visx, Incorporated Eye tracking device for laser eye surgery using corneal margin detection
US6283954B1 (en) 1998-04-21 2001-09-04 Visx, Incorporated Linear array eye tracker
US6245059B1 (en) 1999-04-07 2001-06-12 Visx, Incorporated Offset ablation profiles for treatment of irregular astigmation
US6322216B1 (en) 1999-10-07 2001-11-27 Visx, Inc Two camera off-axis eye tracker for laser eye surgery
WO2001028476A1 (fr) 1999-10-21 2001-04-26 Technolas Gmbh Ophthalmologische Systeme Reconnaissance et suivi de l'iris en vue d'un traitement optique
DE19962107A1 (de) 1999-12-22 2001-06-28 Wavelight Laser Technologie Ag Vorrichtung für die photorefraktive Keratektomie des Auges mit Zentrierung
WO2001089373A2 (fr) * 2000-05-20 2001-11-29 Sensomotoric Instruments Gmbh Procede et appareil d'adaptation controlee de la cornee
WO2001089438A2 (fr) * 2000-05-20 2001-11-29 Sensomotoric Instruments Gmbh Methodes et dispositif permettant de determiner et de reduire les erreurs de positionnement dynamique d'un laser d'ablation durant une intervention chirurgicale refractive par laser
CN100442006C (zh) 2002-05-30 2008-12-10 维思克斯公司 跟踪扭转的眼睛的方向和位置
US7458683B2 (en) 2003-06-16 2008-12-02 Amo Manufacturing Usa, Llc Methods and devices for registering optical measurement datasets of an optical system
US7766903B2 (en) 2003-12-24 2010-08-03 The Board Of Trustees Of The Leland Stanford Junior University Patterned laser treatment of the retina
AU2005216183B2 (en) 2004-02-20 2010-03-18 Amo Manufacturing Usa, Llc Volumetric point spread function for eye diagnosis and treatment
US7452080B2 (en) 2004-06-10 2008-11-18 Optimedica Corporation Scanning ophthalmic fixation method and apparatus
US11026860B2 (en) 2004-06-28 2021-06-08 Iridex Method and device for optical ophthalmic therapy
JP5227023B2 (ja) 2004-09-21 2013-07-03 ディジタル シグナル コーポレイション 生理学的機能を遠隔的にモニターするシステムおよび方法
DE102005046130A1 (de) * 2005-09-27 2007-03-29 Bausch & Lomb Inc. System und Verfahren zur Behandlung eines Auges eines Patienten, das mit hoher Geschwindigkeit arbeitet
DE102005054691A1 (de) 2005-11-16 2007-05-24 Bausch & Lomb Inc. Verfahren und Vorrichtung zur Bestimmung der Sehschärfe eines Auges
US9681985B2 (en) 2005-12-01 2017-06-20 Topcon Medical Laser Systems, Inc. System and method for minimally traumatic ophthalmic photomedicine
CN101437440B (zh) * 2005-12-14 2011-09-07 数字信号公司 跟踪眼球运动的***和方法
US8081670B2 (en) 2006-02-14 2011-12-20 Digital Signal Corporation System and method for providing chirped electromagnetic radiation
US20080108933A1 (en) 2006-06-30 2008-05-08 Dao-Yi Yu Methods, Systems and Apparatus for Relieving Pressure in an Organ
US7620147B2 (en) 2006-12-13 2009-11-17 Oraya Therapeutics, Inc. Orthovoltage radiotherapy
US7496174B2 (en) 2006-10-16 2009-02-24 Oraya Therapeutics, Inc. Portable orthovoltage radiotherapy
US8568393B2 (en) 2007-03-13 2013-10-29 Topcon Medical Laser Systems, Inc. Computer guided patterned laser trabeculoplasty
US8506558B2 (en) 2008-01-11 2013-08-13 Oraya Therapeutics, Inc. System and method for performing an ocular irradiation procedure
US8363783B2 (en) * 2007-06-04 2013-01-29 Oraya Therapeutics, Inc. Method and device for ocular alignment and coupling of ocular structures
US7792249B2 (en) 2007-12-23 2010-09-07 Oraya Therapeutics, Inc. Methods and devices for detecting, controlling, and predicting radiation delivery
US7801271B2 (en) 2007-12-23 2010-09-21 Oraya Therapeutics, Inc. Methods and devices for orthovoltage ocular radiotherapy and treatment planning
AU2010257107B2 (en) 2009-02-20 2015-07-09 Digital Signal Corporation System and method for generating three dimensional images using lidar and video measurements

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US3902036A (en) * 1974-05-02 1975-08-26 Western Electric Co Control system using multiplexed laser beams
US4396285A (en) * 1980-08-25 1983-08-02 Coherent, Inc. Laser system and its method of use
ATE71505T1 (de) * 1986-03-08 1992-02-15 Rodenstock Instr Vorrichtung zur beobachtung und laserbehandlung des auges.
US4848340A (en) * 1988-02-10 1989-07-18 Intelligent Surgical Lasers Eyetracker and method of use
IL89874A0 (en) * 1989-04-06 1989-12-15 Nissim Nejat Danon Apparatus for computerized laser surgery
DE4320579C2 (de) * 1992-06-15 2000-06-15 Topcon Corp Operationsmikroskop

Also Published As

Publication number Publication date
AU697055B2 (en) 1998-09-24
JPH10501707A (ja) 1998-02-17
EP0754019A1 (fr) 1997-01-22
AU2305395A (en) 1995-10-30
WO1995027453A1 (fr) 1995-10-19
CA2187373C (fr) 2001-06-05

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