Systems, apparatuses, and methods of and for an ophthalmic surgical system are disclosed. An ophthalmic surgical system may include a vitrectomy probe having a housing sized and shaped for grasping by a user. The vitrectomy probe may also include a cutter extending from the housing and being sized to penetrate and treat a patient eye. The cutter may include an outer cutting tube coupled to the housing. The outer cutting tube may have an outer port formed therein that is sized and shaped to receive tissue. The cutter may include a rotatable inner cutting member disposed within the outer cutting tube. The inner cutting member may include a first cutting surface that rotates across the outer port to cut the tissue when the inner cutting member is rotated. The vitrectomy probe may include a pneumatic vane actuator positioned within the housing and configured to rotate the inner cutting member.

In one exemplary aspect, the present disclosure is directed to a system. The system includes a pneumatic surgical instrument and a surgical console operable to provide compressed gas to the pneumatic surgical instrument. Additionally, the system includes a pneumatic drive line coupling the pneumatic surgical instrument to the surgical console. The pneumatic drive line has an internal bore configured to deliver the compressed gas to the pneumatic surgical instrument. The internal bore has a non-uniform cross-section along a length of the pneumatic drive line.

Medical devices and methods for removing a predetermined shape of soft tissue from a target tissue layer, thereby leaving a matching channel with predetermined geometry and orientation in the target tissue layer, are described. The medical device comprises coaxial outer and inner elongated members extending along axis X; said outer member comprises an open distal side and a first distal part configured for sticking to said target tissue layer during forward axial movement; said inner member comprises a second distal part configured to rotate and project distally through said open distal side to cut said predetermined shape of the soft tissue from the target tissue layer and create said channel formed as a hole across the target tissue layer.

A device to treat an ocular condition having a rotary housing located within an outer housing rotationally fixed to a rotary spindle and rotationally movable relative to the outer housing; an elongate shaft projecting distally from the distal end region of the outer housing along a central longitudinal axis, at least a distal end region of the elongate shaft being sized for insertion into an eye. The elongate shaft includes an outer shaft and an inner cutting tube. Upon actuation of the device, the rotary housing rotates causing the rotary spindle and the inner cutting tube to rotate around the central longitudinal axis while simultaneously causing axial extension of the inner cutting tube distally along the central longitudinal axis to advance the distal cutting surface through a target tissue forming a tissue slug. Related devices, systems, and methods are provided.

Systems, methods, and computer-readable media for enhancing the reliability of a pneumatically driven surgical tool by providing a redundant, backup pneumatic circuit for supplying the surgical tool with pneumatic pressure at a normal pressure.

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.

Provided are embodiments of systems, devices and methods to aid in or perform the capsulotomy procedure via access into an eye through a small incision. Embodiments of the present disclosure may employ the unique characteristics of shape-memory materials to enable device access into the eye through the requisite small incision size, and via simple mechanical means either to create a template for surgeons to follow in order to create an appropriately-sized capsulotomy, or to create such a capsulotomy via cutting, tearing, or abrading the lens capsule.

A depth detection apparatus, in particular in intracorneal dissection, provides a perforating tubular element suitable for being inserted into the cornea, a reciprocally moving air volume generator (14) connected to the perforating tubular element, a pressure sensor for detecting the pressure along the connection between the volumetric generator and the perforating element in the reciprocal movement of the volumetric generator, a microcontroller connected to the pressure sensor to detect pressure variations with the depth advancement into the cornea of the perforating element, a signaller connected to the microcontroller to signal that a preset pressure variation has been reached. The apparatus enables a correct position to be determined for performing intracorneal dissection.

Provided herein are vitrectomy instruments and related systems and methods in which the vitrectomy instruments may include a forward needle stop and a cutter stop to reduce dimensional variation of a cutter of the vitrectomy instruments, allowing for a location of the port formed in a needle of the cutter to be positioned closer to a distal tip of the cutter. With the port located closer to a distal end of the cutter, the port is able to be positioned closer to the retina of an eye.

Certain embodiments provide a vitrectomy probe including a housing, an actuator disposed inside the housing, a cutter coupled to the actuator and extending from the housing and an air turbine disposed inside the housing. The air turbine includes a rotor and a plurality of turbine blades coupled to the rotor. The vitrectomy probe includes a valve body interfacing with the rotor. During rotation of the air turbine, air is selectively routed to and from the actuator according to a rotational position of the rotor in relation to the valve body, thereby reciprocating the cutter.