Devices, systems, and methods for performing an ophthalmic procedure in an eye are disclosed. The devices include a hand-held portion and a distal, elongate member coupled to the hand-held portion having a lumen operatively coupled to a vacuum source. A drive mechanism operatively coupled to the elongate member is configured to oscillate the elongate member. When in use, the device is configured to aspirate ocular material from the eye through the lumen. The drive mechanism retracts the elongate member with a retraction speed profile and advances the elongate member with an extension speed profile. The retraction speed profile is different from the extension speed profile.

A pneumatic valve directs pressurized air to and air exhaust from a surgical implement, such as a dual actuation vitreous probe. The pneumatic valve includes an axially symmetric valve body configured to rotate from a first position, in which the pneumatic valve places a first port of the surgical implement in fluid communication with the pressurized air and a second port of the surgical implement in fluid communication with the air exhaust, to a second position, in which the pneumatic valve places the first port in fluid communication with the air exhaust and the second port in fluid communication with the pressurized air, and back to the first position, in one rotational direction. As such, the axially symmetric valve body continuously rotates in one rotational direction to alternate the pressurized air and the air exhaust between the two ports of the surgical implement to drive the dual actuation operation.

A system for preparation of an implant and ab interno insertion of the implant into an eye including a handle having one or more actuators and an elongated shaft having an outer sheath and an elongate member positioned within a lumen of the tubular outer sheath. The system includes a recess sized for holding a patch of material fixed relative to the handle and a cutting member movable relative to the handle and to the recess. The cutting member cuts the patch of material into an implant as the cutting member moves towards a cutting configuration. The implant, once cut, is axially aligned with the lumen of the tubular outer sheath. The inner elongate member is movable relative to the tubular outer sheath to advance the implant into a deployment position in the lumen of the tubular outer sheath for delivery into the eye. Related devices and methods are provided.

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.

Certain embodiments provide a high-frequency vitrector including a handpiece having an outer tube mounted thereto with an oscillating inner tube within the outer tube and coupled to a drive diaphragm. Extension and retraction pneumatically controlled valves receive pressure from extension and retraction channels and control flow of gas from a pressurized gas source to the extension and retraction sides, respectively, of a chamber containing the drive diaphragm. The handpiece may include an input diaphragm coupled to a valve stem to which the extension and retraction valves are connected. One side of a chamber containing the input diaphragm is coupled to the extension channel and the other to the retraction channel. An aspiration line passes through the input diaphragm and valve stem and has an end in fluid communication with the inner tube.

A self-contained ocular surgery instrument, including a power module having a body presenting a mating coupler and including a compressed gas supply; a fluid reservoir; an aspiration pump; an aspirated material reservoir and a control panel. The mating coupler is structured to receive and couple to at least one module that facilitates performance of an eye surgery task. The compressed gas supply is coupled to the aspiration pump and the aspirated material reservoir is in fluid communication with the aspiration pump to receive aspirated material from the mating coupler. The fluid reservoir is in fluid communication with the mating coupler such that fluid is supplied under pressure to the mating coupler and thus to the at least one module that facilitates performance of an eye surgery task. The control panel is in controlling communication with the compressed gas supply, the aspiration pump and the aspirated material reservoir.

Medical devices and methods for removing a predetermined portion of soft tissue from a target tissue layer, thereby creating a channel between two side walls of the target tissue layer, are described. The medical device is a cutting tool comprising: an elongated round body extending along a longitudinal axis and having a uniform outer cross-section at a proximal side thereof; a cutting portion at a distal side of the elongated body, comprising at a distal end thereof a cutting edge of a first cross-section being smaller than said outer cross-section, and a distally and continuously decreasing outer cross-section; and a chamber extending along the longitudinal axis inside the cutting tool from said cutting portion, the chamber having dimensions enabling storing of the removed soft tissue portion inside the chamber thereby providing a validation to the channel creation.

An ophthalmic apparatus for performing an ocular surgery may include an ophthalmic probe body having an inner cutting member at least partially disposed within and moveable relative to an aspiration tube within the probe body to facilitate flow of aspiration fluid. A motor within the body may be configured to actuate the inner cutting member relative to the aspiration tube.

A cutting operation is performed with an apparatus having an elongated sleeve with a port in its distal section. The sleeve is connected to a vacuum source and a rotating shaft is disposed in the lumen of the sleeve. The shaft has a cutting blade at its distal end opposite the port. The blade has two cutting edges, a gear assembly operative to alternately rotate the shaft in a first direction and a second direction about the axis of symmetry of the shaft, and a motor for powering the gear assembly.

An eye surgical cutting tool includes a tubular outer part with a closed distal end and an opening in the tube of the outer part near the closed end. The opening is bounded by an edge profile formed in the tube, which has a distal cutting edge and an opposite proximal cutting edge. A tubular inner part has an open distal end and is arranged in the tubular outer part so as to be movable in an axial direction. A suction is configured to extend ocular tissue through the opening of the outer part into the interior of the outer part and to convey severed tissue via the interior of the inner part to a proximal end of the inner part.