Disclosed is a surgical instrument for cataract eye surgery. The instrument generally includes a handpiece that delivers sub-ultrasonic and ultrasonic vibrations in either a steady-state emulsification mode or with on-off pulses that dynamically drives a hollow needle in either a pulsed fragmentation mode or a pulsed emulsification mode. The pulsed fragmentation mode is efficient at cutting lens tissue and the pulsed emulsification mode is efficient and emulsifying the cut lands tissue. The pulsed modes manage heat buildup from becoming excessive in the eye during the cataract surgery. While in the pulsed fragmentation mode, the hollow needle is never given the chance to vibrate at an established resonant frequency of the handpiece due to the short on-off period. In contrast, the pulsed emulsification mode has a long enough on-off period to permit an ultrasonic resonant frequency in the handpiece to develop thereby driving the hollow needle at a higher energy than the pulsed fragmentation mode.

A system and method that includes inserting a needle of a phacoemulsification handpiece into an eye of a patient and vibrating the needle in a first trajectory. Matter from the eye is aspirated via an aspiration line while the needle is vibrated in the first trajectory. An indication is received, of a vacuum level in the aspiration line. Determined is, that the vacuum level has changed by at least a preset vacuum level change, and in response vibrating the needle is switched to a second trajectory, different from the first trajectory.

Disclosed is a surgical instrument for cataract eye surgery. The instrument generally includes a handpiece that delivers sub-ultrasonic and ultrasonic vibrations in either a continuous emulsification mode or with on-off pulses that dynamically drive a hollow needle in either a pulsed fragmentation mode or a pulsed emulsification mode. The pulsed fragmentation mode is efficient at cutting lens tissue and the pulsed emulsification mode is efficient in emulsifying the cut lens tissue. The pulsed modes manage heat buildup from becoming excessive in the eye during the cataract surgery. While in the pulsed fragmentation mode, the hollow needle is never given the chance to vibrate at an established resonant frequency of the handpiece due to the short on-off period. In contrast, the pulsed emulsification mode has a long enough on-off period to permit an ultrasonic resonant frequency in the handpiece to develop, which drives the hollow needle at a higher energy than the pulsed fragmentation mode.

The present invention relates to a treatment device comprising: - an ultrasound generation unit (3) comprising an ultrasound module (32) including at least a transducer (321), - a hand-held part (2) comprising a gripping body (21), and a head (23) mounted on the body, the hand-held part and the ultrasound generation unit being designed to be joined together by contactless coupling means such that, when the hand-held part and the ultrasound generation unit are joined, the rotational movement of the upstream base between first and second positions causes the rotational movement of the ultrasound module between the first and second positions.

A fragmentation tip includes a shaft part and a fragmentation part. The shaft part has a tubular shape having a center axis that matches with a rotational axis of the fragmentation tip. The fragmentation part has a tubular shape and is connected to a distal end portion of the shaft part such that a center axis thereof is inclined to the rotational axis of the fragmentation tip. The fragmentation part and the shaft part form a suction passage therein. The fragmentation part has an annular open end at its distal end. The open end has a linear open end linearly formed when seen from a distal end side in the rotational axis. The linear open end is formed in a portion of the annular open end that is the closest to the rotational axis. The rotational axis passes through a region inside an outer circumference of the annular open end.

Aspects of embodiments pertain to an intraoperative ophthalmic tissue monitoring system, comprising at least one sensor configured to sense a physical quantity relating to an ophthalmic tissue characteristic of an eye. The system is further configured to provide, responsive to sensing the physical quantity, a sensor output relating to the sensed physical quantity. The system additionally comprises a processor, and a memory comprising for storing software executable by the processor for enabling the following: controlling, based on the sensor output, a characteristic of ultrasound energy for performing phacoemulsification of a lens of the eye.

A phacoemulsification system includes a hollow needle, an aspiration line, and a protection valve inserted in the aspiration line. The needle is configured to emulsify a lens of an eye. The aspiration line is for evacuating material from the eye. The protection valve includes a chamber, a piston and a seal. The chamber has an inlet for receiving the material arriving from the needle, and an outlet for flowing the material along the aspiration line. The piston is configured to move in the chamber between a first position that enables material flow between the inlet and the outlet, and a second position that blocks the material flow. The seal is coupled with the inlet and is configured, when the piston is in the second position, to compress between the piston and the inlet in response to a pressure pulse that propagates in the aspiration line, thereby hermetically sealing the inlet.

An eye surgery apparatus includes an eye surgery tool, an imaging system, a robotic arm, and a processor. The eye surgery tool has a distal end for insertion into an eye of a patient through an incision in the eye. The imaging system is configured to acquire images showing the incision and at least part of the eye surgery tool. The robotic arm is coupled with the eye surgery tool, which is configured to move the distal end of the eye surgery tool inside the eye according to one or more commands issued during an eye surgery. The processor is configured to, during the eye surgery (i) receive the images from the imaging system, (ii) monitor the commands issued to the robotic arm, (iii) detect, by analyzing the images, that a monitored command is expected to enlarge the incision, and (iv) initiate responsive action with respect to the detected command.

A disposable medical handpiece configured for phaco emulsification surgery includes an ultrasonic drive coupled to a phaco tip for vibrating the phaco tip at an ultrasonic frequency for emulsifying cataract. The phaco tip has an aspiration passage coupled to a cannula disposed within the ultrasonic drive for aspirating the emulsified cataract. The ultrasonic drive and the phaco tip are disposed in a housing having an integrated irrigation tube for irrigating the surgery site with an irrigation liquid. The disposable medical handpiece is configured to allow the ultrasonic drive to be reusable while the cannula and the housing to be disposable. The medical handpiece can include haptic feedback to allow the surgeon to know the status of the handpiece and the characteristics of the cataract. The medical handpiece can include a frequency selector to allow the surgeon to change the ultrasonic frequency based on the characteristics of the cataract.

A method and system for controlling an ultrasonically driven handpiece employable in an ocular surgical procedure is provided. The method includes operating the ultrasonically driven handpiece in a first tip displacement mode, such as a longitudinal mode according to a first set of operational parameters, and enabling a user to alter the ultrasonically driven handpiece to employ a second tip displacement mode, such as a transversal or torsional mode, using a second set of operational parameters. Enabling the user to alter performance of the handpiece comprises the user being enabled to dynamically select operational parameters for the first tip displacement mode relative to the second tip displacement mode by using, for example, a switching apparatus such as a footpedal.