An incisional instrument and method of use for creating accurate, reproducible surgical incisions. An exemplary embodiment includes an incisional instrument configured for attachment to a patient's eye and for use performing arcuate limbal relaxing incisions (LRIs). The incisional instrument is made up of two coaxial, interconnecting pieces: a docking piece and a cutting piece. The docking piece includes a suction mechanism and is configured for being secured to a patient's eye just outside the corneal limbus. The cutting piece is configured to fit flush within the docking piece and includes cutting blades and one or more handles for rotating the cutting piece relative to the docking piece. When assembled, the cutting blades extend into a patient's eye a desired LRI depth. An embodiment further includes an arcuate guide template with stoppers for providing lateral, arcuate stops for precise cuts in the desired LRI locations. An LRI method includes the steps of utilizing the incisional instrument in an ophthalmologic LRI procedure.

Methods and devices are adapted for implanting into the eye. An incision is formed in the cornea of the eye and a shunt is inserted through the incision into the anterior chamber of the eye. The shunt includes a fluid passageway. The shunt is passed along a pathway from the anterior chamber through the scleral spur of the eye into the suprachoroidal space and positioned in a first position such that a first portion of the fluid passageway communicates with the anterior chamber and a second portion of the fluid passageway communicates with the suprachoroidal space to provide a fluid passageway between the suprachoroidal space and the anterior chamber.

A device comprising: an elongated head having a distal end formed by an elongated edge of a cutting blade positioned in parallel with an elongated edge of a control blade, wherein the elongated edges of the respective control and cutting blades are separated by a uniform gap forming the distal opening to a channel running from an anterior end to a posterior end of the head, wherein the elongated edge of the cutting blade extends distally beyond the elongated edge of the control blade providing a height differential between the edge of the cutting blade and the edge of the control blade, wherein the edge of the cutting blade is sharp and configured to cut a bodily tissue, and wherein the edge of the control blade is dull and forms a barrier that limits the depth of penetration of the edge of the cutting blade into the bodily tissue.

The shaped corneal/other tissue/bioengineered material trephines can create single or combination of shaped cuts and sections in cornea, sclera or any other tissue or bioengineered material of desired shapes, thickness, width, depth, radius, sizes/dimensions, measurements and configurations. It can create certain patterned or shaped cuts in tissue including but not limited to cornea and sclera/bioengineered material without using the femtosecond laser, especially in the case of cornea where at present the femtosecond laser is required for this purpose. A manual or motorized trephine allows creating cuts in different shapes, thicknesses, width, depth, radius, sizes/dimensions, configurations and measurements with single/multiple or combination of cuts. These configurable cuts give the advantage of creating shaped incisions/sections in the body of a subject as well as give the ability to create donor and recipient sections of cornea, sclera or any other tissue or bioengineered material of specific shapes and dimensions. It therefore gives the ability to create these shaped cuts and sections of tissue without the need for a femtosecond laser and also ability to cut through tissue that is not necessarily transparent.

The present invention relates to an ophthalmic knife and methods of its use for treatment of various conditions including eye diseases, such as glaucoma, using minimally invasive surgical techniques. The invention relates to a multi-blade device for cutting the tissues within the eye, for example, a trabecular meshwork (TM).

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 medical knife includes a blade plate and a blade portion formed at the distal end of the blade plate. Cutting edges extend from the distal end to the proximal end of the blade portion. Two blade surfaces in the width direction of a back-face portion of the blade portion are formed to gradually increase a distance between opposite side and cutting edge from one of the distal end and the proximal end to the other. The two blade surfaces in the width direction of a front-face portion of the blade portion are formed such that the distance between the opposite side and the cutting edge becomes equal in a zone corresponding to a distal end of the cutting edge and a zone corresponding to a proximal end of the cutting edge, over the entire cutting edge from the distal end to the proximal end of the cutting edge.

An apparatus to treat a cataract where the cataractous lens is pierced and the resulting opening is mechanically maintained using a lens system device such as a cylindrical lens, tubular lens, pinhole device, a stent or similar small diameter device, or where the device itself is the lens. The resulting passageway for visible light created in the cataractous lens allows light to better reach the retina, thus improving vision. This lens system device that can be placed into an in situ cataract provides for a much simpler surgical technique and reduces related pre and post operative procedures and potential complications. Intraocular lenses may also be used in concert with this invention. The apparatus and related methods can be applied to humans as well as animals.

A surgical knife safety device having a handle, a blade connected to the handle, and a guard carried by the handle for sliding movement between a retracted position in which the blade is exposed for use, and an extended position for covering the sharp cutting edge of the blade. In the retracted position, an enlarged guard radius is provided at the distal end of the handle to allow improved handle control and blade orientation. The enlarged guard radius is positioned to allow the user to firmly grip a large distal handle portion which is preferably molded as a single piece with the blade holder, preventing unwanted blade or handle movement due to guard mechanism tolerances. A spring, such as leaf spring or a cantilever beam, and a pair of detents or slots are provided to fix the guard in the extended or retracted position and to provide resistance during movement between the two positions. Additionally, a pushback prevention mechanism, a user operable lock and a drop-force operable lock are provided to prevent accidental retraction of the guard from the fully extended and guarded position.

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.