Ophthalmic surgical device for capsulotomy
A surgical device and procedure are provided for performing microsurgery, including a capsulotomy of a lens capsule of an eye. The device has an elastically deformable cutting element mounted within an elastomeric suction cup. The suction cup is attached to an arm for manipulating the device. The device can be inserted into the anterior chamber of the eye, through a corneal incision, to cut a piece from the anterior portion of the lens capsule of the eye. The device is secured against the lens capsule using suction applied by one or more suction elements. The device is then removed from the eye, with the cut piece of membrane retained within the device by suction.
1. A surgical device for excising a corneal tissue of an eye, the device comprising:
a cutting element including an annular ring shape with a cross section having an inner edge and an outer edge, wherein the cutting element is collapsible for insertion through an incision in a tissue layer to access the tissue for excision, and wherein the cutting element is configured to return to the annular ring shape after the insertion through the incision, the cutting element forming a circular enclosed interior space within the cutting element and configured to contain the excised tissue;
two electrical leads attached to the cutting element such that, when an electrical pulse is applied, the electrical pulse is capable of traveling around the entire annular ring shape of the cutting element and is exposed only at a bottom surface of the cutting element; and
an arm attached to the cutting element and configured for manipulating the cutting element.
2. The device of claim 1 , wherein the two electrical leads are disposed within the arm.
3. The device of claim 1 , wherein the two electrical leads are connected to the electrical cutting element on two different sides of an insulating gap in the cutting element such that, when an electrical pulse is applied, the electrical pulse is capable of traveling from a first of the two electrical leads around the entire annular ring shape of the cutting element to a second of the two electrical leads to excise the tissue.
4. The device of claim 3 , wherein the two electrical leads are adjacent to each other where the two electrical leads are connected to the cutting element.
5. The device of claim 1 , further comprising a polymeric support, wherein the cutting element comprises metal sputtered onto the polymeric support.
6. The device of claim 1 , wherein the cutting element is collapsible to a size that permits insertion through the incision in the tissue layer, the incision having a length of less than 3.0 mm.
7. The device of claim 1 , wherein the cutting element has a diameter between 4.5 mm and 7 mm.
8. The device of claim 1 , wherein the cutting element has an axial height of less than 1.5 mm.
9. The device of claim 1 , wherein an axial height of the cutting element from a bottom edge to a top edge of the cutting element exceeds a thickness of the cutting element from the inner edge to the outer edge of the cutting element.
10. The device of claim 1 , further comprising a nonconducting layer on at least one of the inner edge and the outer edge of the cutting element, the nonconducting layer configured to focus heat at the bottom surface of the cutting element.
11. A surgical device for excising tissue of an eye, the device comprising:
a cutting element including an annular ring shape, wherein the cutting element is collapsible for insertion through an incision in a tissue layer to access a tissue for excision, and wherein the cutting element is configured to return to the annular ring shape after the insertion through the incision, the cutting element forming a circular enclosed interior space within the cutting element and configured to contain the excised tissue;
two electrical leads attached to the cutting element such that, when an electrical pulse is applied, the electrical pulse is capable of traveling around the entire annular ring shape of the cutting element; and
an arm attached to the cutting element and configured for manipulating the cutting element.
12. The device of claim 11 , wherein the annular ring shape is configured to create a circular opening in the lens capsule.
13. The device of claim 12 , wherein the two electrical leads that are disposed within the arm.
14. The device of claim 11 , further comprising a nonconducting layer on a surface of the cutting element, the nonconducting layer configured to focus heat at a bottom edge of the cutting element, the heat generated by an electrical pulse.
15. The device of claim 11 , wherein the cutting element is collapsible to a size that permits insertion through the incision in the cornea having a length of less than 3 . 0 mm.
16. The device of claim 11 , wherein the cutting element has a diameter between 4.5 mm and 7 mm.
17. The device of claim 11 , wherein the height of the annular ring shape is less than 1.5 mm.
18. The device of claim 11 , wherein the thickness of the annular ring shape is about 25 microns.
19. The device of claim 11 , further comprising an insertion tube configured to contain the cutting element, wherein the device is configured such that the cutting element is collapsible before retraction into the insertion tube.
20. The device of claim 11 , wherein the cutting element comprises metal sputtered onto a polymeric support, the polymeric support being a suction cup mounted to the cutting element.