A surgical cassette/pack usage tracker for tracking a number of uses for a cassette/pack to prohibit uses from exceeding a maximum amount. A usage tracker system engages with or scans a portion of the cassette/pack to determine the number of uses. In illustrative embodiments, an implement interacts with a film in the cassette after each use and determines remaining uses for the cassette/pack. In other embodiments, an implement interacts with a rotatable wheel that rotates with each use, the implement configured to permit the tracker to identify the number uses and determine remaining uses for the cassette/pack. When a maximum usage amount is reached, the tracker system may issue a warning, eject or reject the cassette/pack and/or disable the surgical device from further use.

What is provided are methods of analyzing at least one image of the anterior segment of an eye and for selecting an intraocular lens (IOL). The methods may include detecting at least one image from an anterior segment of the eye; identifying a location of a reference structure on the eye using a plurality of points of a landmark on the anterior segment of the eye; and calculating at least one quantitative dimension of the anterior segment of the eye using the reference structure. The newly identified landmarks and quantifiable dimensions improve the characterization of the anterior segment in order to better predict the position and movement of the intraocular lens. The improved methods for analyzing the imaging of the anterior segment of the eye allows for improvements in the refractive outcomes of cataract surgery, glaucoma procedures, refractive outcomes, and other eye-related diseases.

An illuminated microsurgical instrument comprises a distally projecting tubular member arranged to perform a medical procedure at an interventional site, a sheath member surrounding a portion of the tubular member, and an optical fiber extending along a length of the outer surface of the tubular member between the tubular member and the sheath member. A method of manufacturing an illuminated microsurgical instrument comprises placing an optical fiber on a positioning member, placing a sheath member around the optical fiber and positioning member and securing the sheath member to the optical fiber, removing material from a distal end of the sheath member and optical fiber at a non-perpendicular angle with respect to a longitudinal axis of the positioning member, removing the positioning member from within the sheath member, and placing the sheath member with the optical fiber secured thereto around a distally projecting tubular member.

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.

An eye surgery apparatus includes a model surgical tool, a robotic arm coupled with an eye surgery tool, a tracking-system, and a processor. The model surgical tool is configured to be maneuvered by a physician. The robotic arm is coupled with an eye surgery tool and configured to be placed in proximity to an eye of a patient. The tracking-system is configured to track movements of at least the model surgical tool. The processor is configured to (i) receive the tracked movements of the model surgical tool from the tracking system, while the physician moves the model surgical tool to perform a model eye surgery on an oversized model eye, and (ii) apply to the robotic arm movements that mirror and scale-down the movements applied by the physician to the model surgical tool, to perform a surgical procedure on the eye of the patient using the eye surgery tool.

An ophthalmic surgical instrument for nucleus splitting includes an instrument handle having proximal and distal ends, wherein the distal end includes a pair of cooperating blade mounts which can be selectively moved relative to each other by manipulation of the handle. A pair of circular blade elements are respectively joined to the blade mounts at the distal end of the handle. Each of the blade elements have a lower cutting surface positioned generally beneath an axis defined by the respective blade mount. The lower cutting surfaces define a cutting edge for penetration of the nucleus of the eye when brought.

System for combined intraoperative aberrometry and optical coherence tomography (OCT). In an embodiment, the system comprises an OCT system, an aberrometer, a beam delivery system, and a beam splitter. The beam delivery system is configured to output a beam towards a target, wherein the beam has an outward path to the target and a return path after being reflected by the target. The beam splitter is positioned in the return path of the beam and configured to split the return path into a first path to the OCT system and a second path to the aberrometer. Thus, the OCT system and aberrometer can share a single beam delivery system.

Prostate treatment using fluid stream to resect prostate tissue, thereby relieving symptoms of conditions such as BPH, prostatitis, and prostatic carcinoma. A device having a fluid delivery element is positioned within a lumen of the urethra within the prostate. A fluid stream is directed outwardly from the fluid delivery element toward a wall of the urethral lumen. The fluid delivery element is moved to scan the fluid stream over the wall to remove a volume of tissue surrounding the lumen. The fluid may be combined with therapeutically active substances or with substances that increase resection efficiency. Fluid force may be adjusted to provide selective tissue resection such that soft tissue is removed while harder tissue is left undamaged. In order to gain a working space within the urethra, another fluid may be introduced to insufflate the urethra in the region of treatment.

The present disclosure generally relates to surgical instruments having variable stiffness, and more particularly, surgical instruments having variable stiffness for ophthalmic surgical procedures. In certain embodiments, a surgical instrument includes a base unit, a probe, a stiffener, and an actuation mechanism. The stiffener is formed of a hollow tubular member substantially surrounding at least a portion of a length of the probe. The actuation mechanism is configured to actuate the stiffener along the length of the probe and adjust the stiffness of the probe, thus providing a user better control of the surgical instrument. The actuation mechanism includes a stiffener biasing device configured to apply a first biasing force against the stiffener in the distal direction and, in some embodiments, a control member configured to lock the stiffener in a position along the length of the probe.

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.