A microsurgical device and methods of its use can be used for treatment of various conditions including eye diseases, such as glaucoma, using minimally invasive surgical techniques. A dual-blade device can be used for cutting the trabecular meshwork (“TM”) in the eye. The device tip provides entry into the Schlemm's canal via its size (i.e., for example, 0.2-0.3 mm width) and configuration where a ramp elevates the TM away from the outer wall of the Schlemm's canal and guides the TM to first and second lateral elements for creating first and second incisions through the TM. The dimensions and configuration of the blade is such that an entire strip of TM is removed without leaving TM leaflets behind and without causing collateral damage to adjacent tissues.

A device for directly detecting pressure variations of a fluid within a body cavity is provided. The device has a pressure transducer, a pressure transmission device extending between a distal tip suitable for partial insertion into the body cavity and a proximal port in direct contact with a sensing surface of the pressure transducer. The distal tip forms an access port that places the pressure transducer outside the body cavity into direct fluid communication with the inside of the body cavity. The pressure transmission device has, between the distal tip and the proximal port, a flexible cannula having a length sufficient to allow anchoring of an intermediate stretch of the flexible cannula and/or the pressure transducer to an anchoring zone distant from the body cavity.

The present disclosure generally relates to surgical instruments having adjustable stiffness, and more particularly, surgical instruments having adjustable stiffness for ophthalmic surgical procedures. In one embodiment, a surgical instrument includes a probe, a slidable support sleeve, and a rotatable knob. A stiffness level of the probe may be adjusted by rotating the knob, thereby causing linear displacement of the support sleeve along a length of the probe. The knob may further include a dial depicting a series of settings representing different eye sizes and corresponding to preset positions of the support sleeve relative to the probe. Thus, a user may select an optimal stiffness of the probe for a particular eye size by rotating the knob to the corresponding setting.

In one embodiment, an irrigated medical system includes a medical tool, an irrigation line configured to fluidically connect an irrigation reservoir storing irrigation fluid to the medical tool, and provide at least some of the irrigation fluid to the medical tool, a force sensor configured to be coupled with the irrigation reservoir, and provide a signal responsively to a force exerted by the irrigation reservoir on the force sensor over time as irrigation fluid in the irrigation reservoir is depleted, and a controller configured to find an irrigation rate of the irrigation fluid flowing in the irrigation line responsively to the signal.

Surgical apparatus for performing in pars plana vitrectomy microsurgery including a cannula having an intraocular portion that connects to an infusion tube. The intraocular portion includes fenestrations at its distal end. The intraocular portion receives fluid through the infusion tube and dispenses the fluid through the fenestrations lessening the flow at an infusion site in an eye. The surgical apparatus includes a vitreous cutter having a suction tube at one end and a shaft at another end. The cutting port cuts vitreous into smaller pieces or a laser that liquefies the vitreous. The shaft receives the cut vitreous pieces and the suction tube draws out the cut vitreous pieces from the eye. The surgical apparatus includes a vitreoretinal surgical tool having a vitreoretinal cutter having a scissor-like or forceps-like mechanism. The vitreoretinal cutter holds and/or cuts a membrane in the eye during the microsurgery.

A device for reducing the incidence of surgical debris migration within a mammalian eye comprising an anterior portion, the anterior portion with an anterior inner surface and an opposing anterior outer surface, the anterior inner surface and the anterior outer surface terminating at an anterior edge that defines an open anterior end; and a posterior portion, with a posterior inner surface and an opposing posterior outer surface, the posterior inner surface and the posterior outer surface terminating at a posterior edge, the posterior edge defining an open posterior end; and a waist connecting the anterior portion and the posterior portion, the waist comprising a waist inner surface and an opposing waist outer surface; and an aperture extending from the open anterior end, through the waist, and to the open posterior end, the aperture bounded by the anterior inner surface, the waist inner surface, and the posterior inner surface.

Projection of visible, non-treatment light onto an eye to illuminate specific areas of the surgical field is disclosed herein. A surgical system may include a surgical console; a microscope communicatively coupled to the surgical console; a camera communicatively coupled to the surgical console; and a projector operable to project light onto an eye. The projector may be communicatively coupled to the surgical console. A method for light projection may include collecting information from an eye using a camera; determining the light projection based, at least in part, on the collected information; and projecting visible, non-treatment light onto the eye using a projector.

A depth detection apparatus, in particular in intracorneal dissection, provides a perforating tubular element suitable for being inserted into the cornea, a reciprocally moving air volume generator (14) connected to the perforating tubular element, a pressure sensor for detecting the pressure along the connection between the volumetric generator and the perforating element in the reciprocal movement of the volumetric generator, a microcontroller connected to the pressure sensor to detect pressure variations with the depth advancement into the cornea of the perforating element, a signaller connected to the microcontroller to signal that a preset pressure variation has been reached. The apparatus enables a correct position to be determined for performing intracorneal dissection.

An apparatus includes a base, including two motors and a mechanical coupling mechanism, and a cartridge shaped to define two stators and respective pairs of ports in fluidic communication with the stators. The cartridge is removably insertable into the base and includes two rotors disposed, respectively, within the stators. The mechanical coupling mechanism is configured to mechanically couple the rotors to the motors, respectively, such that, following insertion of the cartridge into the base, the motors rotate the rotors, thereby pumping fluid through the pairs of ports. Other embodiments are also described.

In some embodiments, a vitrectomy probe may include an inner cutting tube reciprocating in an outer tube. The outer tube includes a side port and the inner tube includes a distal cutting port, and, in some embodiments, an additional side port. In some embodiments, the inner tube may also include a flat upper edge that cuts across the outer tube side port. In some embodiments, a diaphragm drives the inner tube and may have an open-stroke side with a lower hardness material than a closed-stroke side. In some embodiments, an aspiration tube coupled to the vitrectomy probe may include a first aspiration tubing and a second aspiration tubing with a lower hardness than the first aspiration tubing. In some embodiments, the vitrectomy probe may be coupled to pneumatic tubing that is stepped or tapered.