A smart automated phacoemulsification surgical system for reducing variables significantly by introducing a relationship among related variables that share the same functionalities or where they depend on each other. The system optimizes power applied and and when the power reaches its maximum targeted value while the occlusion persists for an extended period of time. An automatic venting subsystem is configured to release cataract particles from the tip of the surgical instrument. An ultrasound power setting is configured to be reset to overcome power and occlusion stagnation in order to prevent applying too much ultrasound power and harming the eye tissues of a patient.

A foot pedal device configured to provide force feedback to an operator during ophthalmic surgery is described. The foot pedal device includes a processor and a memory containing instructions which, when executed by the processor, cause the processor to transmit, in response to a movement of a moveable member, a control signal to a surgical console for initiating an action of an ophthalmic surgery tool coupled with the surgical console. The foot pedal device includes a force feedback mechanism configured to selectively apply a resistance force in opposition to the movement of the movable member. The memory contains instructions which, when executed by the processor, cause the processor to receive, from the surgical console, a trigger signal, and send a force feedback signal to the force feedback mechanism. The force feedback mechanism is configured to apply the resistance force to the movable member upon receiving the force feedback signal.

An apparatus, system and method of controlling the flow rate of an irrigation fluid. The apparatus, system and method include modifying a pressure gravitationally above the irrigation fluid in a fluid reservoir to increase the flow rate through a surgical pack by iteratively controlling infusion of gas to the fluid reservoir. The iteratively controlling comprises sensing an in-range response to said modifying, wherein the infusion of gas is enabled; and sensing an out-of-range response to said modifying. If, based on prior ones of said modifying: the out-of-range response poses no danger to a patient, the infusion of gas is enabled; the out-of-range response poses a substantial danger to the patient, the infusion of gas is disabled; or the out-of-range response poses no substantial danger to the patient, the iteratively controlling comprises applying a successive series of modifications to correct the out-of-range response.

A method for tuning a phacoemulsification probe during a procedure for treating an eye. The method includes vibrating a piezoelectric actuator of the phacoemulsification probe, by applying to the piezoelectric actuator a tuning signal that (i) covers an operational bandwidth of the phacoemulsification probe and (ii) has an initial power level that is lower than a normal power level set for treating the eye. The tuning signal is measured during an initial signal tuning session. An operating frequency for the phacoemulsification probe is derived from the measured tuning signal. A driving signal, having the normal power level and the derived operating frequency, is applied to the piezoelectric actuator.

The present disclosure relates to ultrasound imaging and treatment of an eye and in particular directed to an apparatus and method for reducing intraocular pressure by 1) ablating the ciliary process which is the structure responsible for production of aqueous humor and 2) by vibrating the trabecular mesh to stimulate better drainage of fluid through the trabecular mesh and out of the eye. The present disclosure describes an apparatus and method for forming a high precision image of the eye wherein the resolution is sufficient to image, for example, ciliary body and region around the trabecular mesh. The present disclosure further discloses an imaging transducer and an irradiating therapeutic transducer that can be mounted such that they are movable between a plurality of positions.

A vibrating tissue separator suitable for use in separating a lenticule established by a femtosecond laser during a smile procedure may include a surgical implement such as a blunt spatula mounted on a handle that carries a haptic actuator for applying vibratory motion to the surgical implement. A damping arrangement may be provided to isolate the surgeons hand from the vibrations which would otherwise be transmitted through the handle. The actuator may apply a linear vibration along the axis of the handle which applies a lifting and chopping motion to the tip of a surgical implement having a bend. The tip may be suitable to the tissue being separated. For example, for SMILE lenticule separation, a blunt or semi-sharp spatula, blunted wire or loop may be used. The direction of vibration at the tip may be changed by rotating the implement in a plane other than the plane of the bend or by rotating an actuator such as an LRA with respect to the handle.

An ultrasonic cutting tool for use in an ultrasonic instrument, the tool being a blade manufactured from a tubular blank by flattening a section of the blank. The blade includes a flat section designed to be used for cutting, a tubular section, and a transition section joining the flat section to the tubular section. The tubular section is joined to or includes an attachment section for attaching the blade to an ultrasonic generator and serving as a conduit to bring a cooling fluid to the distal end or to suck particles into the hand tool.

A phacoemulsification system that includes a hand-graspable body and a phacoemulsification needle extending from a distal portion of the body is disclosed herein. The phacoemulsification system may also include an impeller pump carried by the hand-graspable body and configured to convey an aspiration fluid from a surgical site. The impeller pump may include an aspiration motor and a flexible impeller coupled to and rotatably driven by the aspiration motor. The flexible impeller may be arranged to aspirate fluid and emulsified lens tissue from the surgical site.

A system for controlling aspiration of a phacoemulsification probe inserted into an eye includes an anti-vacuum surge (AVS) module, one or more sensors, a vacuum relief valve, and a processor. The AVS module is coupled with an aspiration channel of the probe and is configured to mitigate vacuum surges in the channel by regulating flow via the channel. The one or more sensors are configured to measure fluid parameters in the channel. The vacuum relief valve, which is fluidly coupled with the channel, is configured to controllably relieve vacuum in the channel. The processor is configured to identify a change in at least one of the fluid parameters by reading at least one of the one or more sensors, and, responsively to an identified change in fluid parameters, operate the vacuum relief valve using pulse width modulation (PWM) to maintain a pressure in the channel within a predefined range.

A surgical system comprises a pressurized irrigation fluid source; an irrigation line fluidly coupled to the pressurized irrigation fluid source; a hand piece fluidly coupled to the irrigation line; an irrigation pressure sensor located at or along the pressurized irrigation fluid source or irrigation line; and a controller for controlling the pressurized irrigation fluid source. The controller controls the pressurized irrigation fluid source based on a reading from the irrigation pressure sensor and an estimated flow value modified by a compensation factor.