Embodiments of the present disclosure generally relate to microsurgical cutting devices for ophthalmic procedures. In certain embodiments, a cutting tool assembly includes a first blade in a fixed position and a second blade configured to move relative to the first blade to perform a cutting motion. The first blade includes a first longitudinal body portion and a first end portion extending laterally from the first body portion. A distal surface of the first end portion has a bowed morphology to match a curvature of a retinal surface and is further coated with a first coating to reduce damage to ocular tissues during use. The second blade includes a second longitudinal body portion and a second end portion extending laterally from the second body portion. A distal surface of the second end portion includes a cutting edge for cutting tissues, while a proximal surface thereof is coated with a second coating.

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.

In some embodiments, a vitrectomy probe may include an inner cutting tube reciprocating in an outer tube. The outer tube includes a side port and the inner tube includes a distal cutting port, and, in some embodiments, an additional side port. In some embodiments, the inner tube may also include a flat upper edge that cuts across the outer tube side port. In some embodiments, a diaphragm drives the inner tube and may have an open-stroke side with a lower hardness material than a closed-stroke side. In some embodiments, an aspiration tube coupled to the vitrectomy probe may include a first aspiration tubing and a second aspiration tubing with a lower hardness than the first aspiration tubing. In some embodiments, the vitrectomy probe may be coupled to pneumatic tubing that is stepped or tapered.

A vitrector cutting instrument includes a first needle supported by a tool body, the first needle having an inside and outside diameter and a cut window disposed near the distal end, a second needle housed concentrically within the first needle, the second needle chucked in a spring-tensioned needle chuck connected to at least one diaphragm connected by an airline to a switch-controlled pneumatic machine having a control console, the second needle operated from the control console to advance into the cut window and retract from the cut window repetitively defining a cutting process, an illumination module containing at least one light emitting diode (LED) fixed at the distal end of the first needle beyond the cut window, and a power trace extending from the illumination module to a power source. The illumination module may be powered on to aid in illuminating the posterior ocular chamber surrounding the area of cutting.

A method for identifying saline solution in an aspirated fluid mixture during vitrectomy or another vitreoretinal surgery includes estimating a fluid property value of the mixture via an electronic control unit (ECU). The mixture includes saline solution and either vitreous or silicone oil. The method includes identifying the saline solution as a primary constituent fluid of the fluid mixture, via the ECU, based on the fluid property value, and activating an indicator device in response to the primary constituent fluid being the saline solution. An automated system for identifying saline solution in the aspirated fluid mixture includes the indicator device and the ECU. A computer-readable medium includes instructions, executable by a processor to identify an aspirated fluid mixture during a vitreoretinal surgery, with execution of the instructions by the processor causing the processor to perform the method.

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.

In some embodiments, a fluid dynamics system includes a solenoid valve including a valve body including ports including an inlet port and an outlet port, and a valve cavity having a direction of elongation and configured to provide fluid connectivity between respective ones of the ports, a solenoid coil disposed in the valve body around valve cavity, and a plunger comprising a permanent magnet, and configured to move back-and-forth along the direction of elongation between a first position and a second position in the valve cavity selectively controlling the fluid connectivity between respective ones of the ports, and a controller configured to apply at least one current to the solenoid coil to selectively move the plunger between the first position and the second position, and to selectively maintain the plunger in the first position and the second position.

In one embodiment, a phacoemulsification system includes a phacoemulsification probe configured to be inserted into an eye, and including a needle, a horn configured to support the needle, and an ultrasonic actuator connected to the horn and configured to vibrate the needle to emulsify a lens of the eye, an aspiration line partially disposed in the needle, a pumping sub-system connected to the aspiration line and configured to remove fluid and waste matter from the eye via the aspiration line, a valve disposed in the aspiration line and configured to control fluid connectivity in the aspiration line, a sensor configured to provide a signal indicative of a fluid metric in the aspiration line, and a controller configured to find an activation status of the ultrasonic actuator, and selectively control the valve responsively to the fluid metric and the activation status of the ultrasonic actuator.

An apparatus for use in tissue removal from a body organ is presented. The apparatus comprises a hand-held probe device, a rotating motor device and a connection assembly configured for removably interconnecting between the hand-held probe device and the rotating motor device. The hand-held probe device is disposable and comprises a housing having proximal and distal ends, a rotatable cutting tool extending distally from the distal end of the housing and being configured for cutting and removing tissue during rotation, and a transmission assembly passing inside the housing between the proximal and distal ends and being configured for transmitting rotational power to the rotatable cutting tool. The connection assembly is configured for engaging between the rotating motor device and the transmission assembly to thereby controllably rotate the cutting tool and remove tissue. In some embodiments, the apparatus includes a control unit for controlling operation of the apparatus, the control unit comprises an activation mechanism for activating the rotatable cutting tool, and a controller configured for operating the activation mechanism to generate a single fixed activation signal of a known intensity and duration during a predetermined time interval, thereby restricting operation of the cutting tool during the time interval to the single activation signal only.

An illuminated microsurgical instrument comprises a distally projecting tubular member arranged to perform a medical procedure at an interventional site, a sheath member surrounding a portion of the tubular member, and an optical fiber extending along a length of the outer surface of the tubular member between the tubular member and the sheath member. A method of manufacturing an illuminated microsurgical instrument comprises placing an optical fiber on a positioning member, placing a sheath member around the optical fiber and positioning member and securing the sheath member to the optical fiber, removing material from a distal end of the sheath member and optical fiber at a non-perpendicular angle with respect to a longitudinal axis of the positioning member, removing the positioning member from within the sheath member, and placing the sheath member with the optical fiber secured thereto around a distally projecting tubular member.