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    • 3. 发明授权
    • Method and device for cornea reshaping by intrastromal tissue removal
    • 通过胸腔内组织去除角膜重塑的方法和装置
    • US08382744B2
    • 2013-02-26
    • US11843498
    • 2007-08-22
    • Szymon SuckewerPeter HershAlexander SmitsAnatoli Morozov
    • Szymon SuckewerPeter HershAlexander SmitsAnatoli Morozov
    • A61F9/007
    • A61F9/008A61F9/00827A61F2009/00872A61F2009/0088
    • A method and device for flapless, intrastromal keratomileusis for the correction of myopia, hyperopia and astigmatism, i.e., for vision correction by corneal reshaping without creating a flap. Ultra-short laser pulses are used to create a temporary micro-channel extending to an end point located within the cornea. A second series of ultra-short laser pulses are then delivered to photo-ablate material in the vicinity of the micro-channel end-point. The photo-ablated material may exit through the micro-channel used to deliver the laser pulses, or via a separate micro-channel. With the micro-channel oriented substantially normal to the optical axis of the cornea, and by continuing to supply the ultra-short laser pulses in the appropriate number while moving the point of ablation along the micro-channel, the photo-ablation of the intrastromal tissue may continue in a controlled fashion and the cornea reshaped in a predetermined manner without creating a flap.
    • 一种用于矫正近视,远视和散光的无瓣膜,基质内角膜磨镶术的方法和装置,即用于通过角膜重塑而不产生瓣片的视力矫正。 使用超短激光脉冲来产生延伸到位于角膜内的终点的临时微通道。 然后将第二系列的超短激光脉冲输送到微通道终点附近的光蚀刻材料。 光消融材料可以通过用于传递激光脉冲的微通道,或通过单独的微通道离开。 由于微通道取向为基本上垂直于角膜的光轴,并且通过在沿着微通道移动消融点的同时继续供应适当数量的超短激光脉冲,则基质内的光消融 组织可以以受控的方式继续,并且角膜以预定方式重新成形,而不产生瓣。
    • 4. 发明申请
    • Method and Device for Cornea Reshaping by Intrastromal Tissue Removal
    • 通过体内组织去除角膜重塑的方法和装置
    • US20080051772A1
    • 2008-02-28
    • US11843498
    • 2007-08-22
    • Szymon SuckewerPeter HershAlexander SmitsAnatoli Morozov
    • Szymon SuckewerPeter HershAlexander SmitsAnatoli Morozov
    • A61B18/20
    • A61F9/008A61F9/00827A61F2009/00872A61F2009/0088
    • A method and device for flapless, intrastromal keratomileusis for the correction of myopia, hyperopia and astigmatism, i.e., for vision correction by corneal reshaping without creating a flap. Ultra-short laser pulses are used to create a temporary micro-channel extending to an end point located within the cornea. A second series of ultra-short laser pulses are then delivered to photo-ablate material in the vicinity of the micro-channel end-point. The photo-ablated material may exit through the micro-channel used to deliver the laser pulses, or via a separate micro-channel. With the micro-channel oriented substantially normal to the optical axis of the cornea, and by continuing to supply the ultra-short laser pulses in the appropriate number while moving the point of ablation along the micro-channel, the photo-ablation of the intrastromal tissue may continue in a controlled fashion and the cornea reshaped in a predetermined manner without creating a flap.
    • 一种用于矫正近视,远视和散光的无瓣膜,基质内角膜磨镶术的方法和装置,即用于通过角膜重塑而不产生瓣片的视力矫正。 使用超短激光脉冲来产生延伸到位于角膜内的终点的临时微通道。 然后将第二系列的超短激光脉冲输送到微通道终点附近的光蚀刻材料。 光消融材料可以通过用于传递激光脉冲的微通道,或通过单独的微通道离开。 由于微通道取向为基本上垂直于角膜的光轴,并且通过在沿着微通道移动消融点的同时继续供应适当数量的超短激光脉冲,则基质内的光消融 组织可以以受控的方式继续,并且角膜以预定方式重新成形,而不产生瓣。
    • 5. 发明授权
    • Cataract removal using ultra-short pulse lasers
    • 使用超短脉冲激光去除白内障
    • US09351826B2
    • 2016-05-31
    • US14269170
    • 2014-05-04
    • Szymon SuckewerPeter HershAlexander SmitsRichard Register
    • Szymon SuckewerPeter HershAlexander SmitsRichard Register
    • A61B18/20A61F2/16A61F9/008
    • A61F2/1613A61F9/00834A61F2009/0087A61F2009/0088A61F2009/00887
    • A system and method of replacing a lens to treat a cataract is disclosed. Cataractous tissue is ablated via a multi-photon process using focused, ultra-short laser pulses. Multi-photon ablation requires an energy intensity between 1013 to 1015 W/cm2. Using lasers having femto-second duration pulses, this intensity is achieved with 50 micro-Joules of energy, allowing material disruption with very little heating or shock. The multi-photon ablated material is removed through a micro-channel that leads from the multi-photon ablated region to at least the surface of the eye. Once the material is removed a pre-polymer fluid is injected in to fill the void. This polymerizes into a gel once inside the lens. The polymerized, transformed material matches both the transparency to visible light and the Young's modulus of healthy lens.
    • 公开了一种更换镜片以治疗白内障的系统和方法。 白内障组织通过使用聚焦的超短激光脉冲的多光子过程消融。 多光子消融需要1013〜1015W / cm2的能量强度。 使用具有毫微微秒持续时间脉冲的激光器,以强度为50微焦的能量实现该强度,从而允许材料中断,非常少的加热或冲击。 通过从多光子烧蚀区域引导至至少眼睛表面的微通道去除多光子消融材料。 一旦去除材料,就注入预聚物流体以填充空隙。 透镜内聚合成凝胶。 聚合的转化材料与透明度与可见光和健康透镜的杨氏模量相匹配。
    • 7. 发明申请
    • Intrastromal Corneal Reshaping Method and Apparatus for Correction of Refractive Errors Using Ultra-Short and Ultra-Intensive Laser Pulses
    • 使用超短和超强激光脉冲校正折射误差的内膜角膜重塑方法和装置
    • US20160120700A1
    • 2016-05-05
    • US14874407
    • 2015-10-03
    • Taehee HanSzymon SuckewerPeter Hersh
    • Taehee HanSzymon SuckewerPeter Hersh
    • A61F9/013A61F9/008
    • A61F9/013A61F9/00827A61F2009/00872A61F2009/00897
    • Ultra-short, ultra-intense laser pulses from a first laser beam are applied to a patient's cornea, creating a temporary micro-channel extending from the cornea surface to an end-point within it. Further ultra-short ultra-intense laser pulses from a second laser beam, are then delivered to the endpoint along with further pulses from the first beam, but delayed by a few nanoseconds. The micro-channel acts as a light-guide for these pulses. At the end point, they are focused to sufficient intensity to multiphoton ablate surrounding stromal tissue. With a few small entrance holes and without the lamellar flap necessary in LASIK procedures, the cornea is reshaped by rotating the direction of the laser beam. The vertical location of ablation is adjusted precisely using an applanator on the corneal surface. The multiphoton ablated tissue is ejected via the micro-channels, allowing the cornea surface to collapse after the procedure, changing its refractive power.
    • 将来自第一激光束的超短激光脉冲施加到患者的角膜,从而产生从角膜表面延伸到其中的终点的临时微通道。 然后,来自第二激光束的另外的超短超强激光脉冲随着来自第一光束的进一步脉冲传送到端点,但延迟几纳秒。 微通道用作这些脉冲的光导。 在终点,他们集中在足够的强度,以遍布基质组织的多孔烧蚀。 在LASIK手术中需要几个小入口孔和无层片瓣,通过旋转激光束的方向重新形成角膜。 使用角膜表面上的压扁镜精确调整消融的垂直位置。 通过微通道喷射多光子消融组织,允许角膜表面在手术后塌陷,改变其屈光力。