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EP-3700456-B1 - SYSTEMS FOR COMBINED FEMTO-PHACO SURGERY

EP3700456B1EP 3700456 B1EP3700456 B1EP 3700456B1EP-3700456-B1

Inventors

  • PATTON, DOUGLAS

Dates

Publication Date
20260506
Application Date
20181003

Claims (10)

  1. A combination Femto and Phaco surgical device (100), comprising: a housing (102) defining a vertical axis and having a plurality of articulating segments (5-7), wherein each of the segments is rotatable around the vertical axis and thereby rotatable with respect to the housing (102); wherein the housing (102) comprises a femto laser surgery device (110), a phacoemulsification device (19), interfaces and a controller for controlling both the femto laser surgery device and the phacoemulsification device; wherein a first segment (5) of the plurality of articulating segments is coupled to the femto laser surgery device (110) via an articulating arm (9); wherein a second segment (6) of the plurality of articulating segments is coupled to a tray (16) configured to hold a set of hand pieces for use with the phacoemulsification device (19); wherein a third segment (7) of the plurality of articulating segments is coupled with a keyboard (8) or keyboard tray; a display (1) disposed on a portion of the housing; and wherein the first segment (5) and the second segment (6) are independently rotatable about the vertical axis of the housing; wherein each of the first and the second segments are rotatable around the vertical axis between a first position away from the patient and a second position adjacent to the patient; whereby the device can be configured. without repositioning the housing with respect to a patient, to perform a laser procedure or phacoemulsification procedure.
  2. The device of claim 1, wherein the tray is configured to hold a Phaco hand piece, a vitrectomy hand piece, an irrigation hand piece and an aspiration hand piece.
  3. The device of claim 1, wherein the tray is configured to articulate along X and Y axes or at any angle, such that the tray can be placed into the surgical field at or about a patient's eye height for a Phaco surgical procedure without requiring movement of the patient.
  4. The device of claim 1, further comprising a microscope integrated into the housing that is movable along x and y axes or at any angle such that the microscope can move in or out of position for a Phaco procedure, wherein the microscope is preferably coupled with the housing via a fourth articulating segment that permits rotational movement of the segment and microscope about the housing.
  5. The device of claim 1, wherein the housing comprises first and second portions, and wherein the femto laser surgery device or tray is stored about the first portion when not in use.
  6. The device of claim 1, wherein the femto laser surgery device and tray are each configured to articulate from a central column of the housing to permit articulation from a central point and allow the femto laser surgery device and tray to be placed into surgical position before, during and after surgery without requiring movement of a patient, wherein the articulation is preferably circular in the horizontal.
  7. The device of claim 1, wherein the femto laser surgery device and tray is extendable and retractable relative to the housing in a vertical movement and can extend or retract and at any angle.
  8. The device of claim 1, wherein the housing comprises a cylindrical shape having a central axis, and wherein each of the plurality of articulating segments are configured to articulate or rotate about the central axis.
  9. The device of claim 8, wherein the first segment has a first diameter and the second segment has a second diameter equal to the first diameter.
  10. The device of claim 8, wherein each of the plurality of articulating segments have a cylindrical shape.

Description

Field of the Invention The field of the invention is Femto-Phaco Surgery. Background The following description includes information that may be useful in understanding the present invention. It is not an admission that any of the information provided herein is prior art or relevant to the presently claimed invention, or that any publication specifically or implicitly referenced is prior art. Typically, a patient undergoing cataract surgery that involves a Femto laser and Phacoemulsification has to be wheeled from one operating room where the Femto laser is located then to finish the surgery to another room where the Phaco machine is located. This is obviously not good for the patient. In addition, Applicant is unaware of any system that shares procedural patient data information between the Femto machine and Phaco machine. Because of this deficiency, a surgeon is not permitted to build on previous surgery data or combine procedures between the two machines. In addition, there exists is no way to easily transition between the two machines during surgery for detail patient modifications. Although great work has been done to address these problems, such as described in U.S. Patent no. 8,986,290 to Patton, more work needs to be done to improve the patient outcome and eliminate the above problems. Another laser instrument for eye therapy is described in document US 2014/0046308 A1. Thus, there is still a need for an all-in-one machine that can eliminate the need to move patients during procedures and that allows for the sharing of patient data information for both procedures. Summary of the Invention The invention is set out in the appended claims. In particular the inventive subject matter provides apparatus and systems for a combined Femto-Phaco surgical apparatus - e.g., a machine or system that can utilizes both a Femto laser and Phacoemulsification without requiring movement of the patient and that allows for patient information obtained before or during a first procedure to be used in the subsequent procedure. Contemplated systems advantageously employ swivel technology that allows a practitioner to easily articulate radially the Femto and Phaco arms into position during surgery without requiring patient movement. The two arms are also not required to articulate over the main housing. This combination Femto-Phaco surgical apparatus as described herein is the future of ophthalmology, and has application and benefits for every surgery. The core of the system is the swivel technology that allows a surgeon or other professional to easily articulate radially the Femto and Phaco arms into position during surgery, without requiring movement of the patient or the device itself. The arms are not required articulate over the main housing. Various objects, features, aspects and advantages of the inventive subject matter will become more apparent from the following detailed description of preferred embodiments, along with the accompanying drawing figures in which like numerals represent like components. Brief Description of The Drawings Figs. 1-4 illustrate various views of one embodiment of a combination surgical device in cataract Phaco mode.Figs. 5-8 illustrate various views of the combination surgical device of Figure 1 in Femto mode.Figs. 9-11 illustrate various views of one embodiment of a graphical user interface for a combination Femto-Phaco surgical device.Figs. 12-13 illustrate various views of the combination surgical device of Figure 1 in Femto mode.Figs. 14-15 illustrate various views of the combination surgical device of Figure 1 in Femto mode.Fig. 16 illustrates a wireframe view of the components disposed within the housing of the combination surgical device of Figure 1. Detailed Description Throughout the following discussion, numerous references will be made regarding servers, services, interfaces, portals, platforms, or other systems formed from computing devices. It should be appreciated that the use of such terms is deemed to represent one or more computing devices having at least one processor configured to execute software instructions stored on a computer readable tangible, non-transitory medium. For example, a server can include one or more computers operating as a web server, database server, or other type of computer server in a manner to fulfill described roles, responsibilities, or functions. The following discussion provides many example embodiments of the inventive subject matter. Although each embodiment represents a single combination of inventive elements, the inventive subject matter is considered to include all possible combinations of the disclosed elements. Thus if one embodiment comprises elements A, B, and C, and a second embodiment comprises elements B and D, then the inventive subject matter is also considered to include other remaining combinations of A, B, C, or D, even if not explicitly disclosed. Figures 1-8 illustrate various views of one embodiment of a combination surgic