Devices and methods for cutting a lens in the eye are provided with a specific application being for cutting a lens while contained within the capsular bag. The device has an elongate element which forms a loop. The loop is advanced into a space between the lens and the capsular bag. The device may be used with, or incorporated into, fluid handling devices such as irrigation and aspiration devices and phacoemulsification hand pieces and disposables.

Provided herein are devices, systems, and methods for biological sample collection. In particular, provided herein are devices, systems, and methods that employ small, hand-held devices that collect small volumes of biological samples, such as vitreous from the eye, for diagnostic and other purposes.

A surgical apparatus for performing a microsurgery including a cannula having an intraocular portion. The intraocular portion 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. The vitreous cutter includes 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. The vitreoretinal cutter has a scissor-like or forceps-like mechanism. The vitreoretinal cutter holds and/or cuts a membrane in the eye during the microsurgery.

A small gauge surgical instrument is shown with advantages such as diminished “play” at the tip. A surgical instrument assembly is also shown with support along a length of the instrument that can be selected by the surgeon. Devices and method described provide adjustability of the instrument without protruding into a gripping surface of the instrument.

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 diaphragm driven vitrectomy probe employing multiple diaphragms. The probe includes multiple diaphragms providing added areas to which hydraulic air may be delivered in reciprocating a cutter of the probe. Thus, the diaphragms and the probe housing may be reduced in size without sacrifice to force driving cutter reciprocation. Additionally, the amount of force attained and the rate of cutter reciprocation may be increased through the use of multiple diaphragms. Alternatively, the use of added diaphragms may allow for the rate of cutter reciprocation to be maintained even while the air pressure utilized may be reduced.

An apparatus, system and method for a phacoemulsification handpiece. The handpiece may include: a proximal portion having a longitudinal axis, and first and second ends, wherein at least aspiration, irrigation and power inputs enter the first end; a distal portion along the longitudinal axis and comprising, at a distalmost portion thereof from the proximal portion a needle configured to be vibrated by a transducer powered by the power input, the transducer residing within the distal portion and being associated with a horn having a circumferential flange proximal portion. The handpiece further includes a thumb wheel circumferentially associated with the circumferential flange within the distal portion, and having a portion thereof extending out of the distal portion to allow for rotational actuation of the extending portion. Rotational actuation of the thumb wheel thus affects a rotation of the circumferential flange and in turn, the horn and needle coupled therewith.

A device for intraocular surgery includes a handle, a needle, and a stroboscopic illumination device. The handle includes a vibrator that is configured to vibrate at a first frequency in response to a signal received from an oscillator. The needle is mechanically coupled with the vibrator and is configured to be inserted into an eye and to apply vibrations of the vibrator to the eye for emulsifying tissue. The stroboscopic illumination device is coupled with the needle and is configured to output stroboscopic light pulses at a second frequency that is set based on the first frequency, for visualizing at least a portion of the eye during emulsification by the needle.

In some embodiments, an illuminated microsurgical instrument system includes a microsurgical instrument having a distally projecting tubular member arranged to perform a medical procedure. The tubular member has a distal tip and an outer surface, the outer surface having a flat surface formed therein. The instrument includes a sheath member surrounding a portion of the tubular member and extending toward the distal tip of the tubular member and an optical fiber extending along a length of the flat surface between the tubular member and the sheath member. The instrument may include an opening such as a slot in the distal end of the sheath member to direct exiting air away from the tip of the optical fiber. The instrument may further include a slack chamber, collar structure, and fiber guard member to support and guide the optical fiber to the distal tip.

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.