# US 10,500,095 B2 · Grid pattern laser treatment and methods

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- Number: US 10,500,095 B2
- Document ID: US10500095B2
- Status: Granted
- Kind: B2
- Application number: 15/643,324
- Filed: 2017-07-06
- Published: 2017-10-26
- Granted: 2019-12-10
- Earliest claimed: 2011-10-19
- Assignees: IRIDEX Corporation
- Applicants: IRIDEX Corporation
- Inventors: Kingman Yee
- Web page: https://patentgrep.com/patent/US10500095B2

## CPC

- A61F 9/00821: {for coagulation}
- A61F 9/008: using laser
- A61F 9/00823: {Laser features or special beam parameters therefor}
- A61B 2018/00315: {for treatment of particular body parts}
- A61B 2018/00589: {Coagulation}
- A61F 2009/00863: {Retina}
- A61F 2009/00897: {Scanning mechanisms or algorithms}
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

Embodiments of the invention provide systems and methods for treating the retina and/or other areas of a patient's eye. The procedures may involve using one or more treatment beams (e.g., lasers) to cause photocoagulation or laser coagulation to finely cauterize ocular blood vessels and/or prevent blood vessel growth to induce one or more therapeutic benefits. In other embodiments, a series of short duration light pulses (e.g., between 5-15 microseconds) may be delivered to the retinal tissue with a thermal relaxation time delay between the pulse to limit the temperature rise of the target retinal tissue and thereby limit a thermal effect to only the retinal pigment epithelial layer. Such procedures may be used to treat diabetic retinopathy, macular edema, and/or other conditions of the eye. The treatment beam may be delivered within a treatment boundary or pattern defined on the retina of the patient's eye.

## Claims

### Claim 1

A system for providing a therapeutic treatment to a patient's eye, the system comprising:
an aiming beam light source configured to transmit an aiming beam along a first optical path;
a treatment beam light source configured to transmit a treatment beam along a second optical path that is different from the first optical path of the aiming beam;
an aiming device disposed along the first and second optical paths that is configured to direct the aiming beam and the treatment beam onto retinal tissue of the patient's eye; and
a processor coupled to the aiming device and configured to:
define, via the aiming beam, a treatment pattern on the retinal tissue of the patient's eye, the treatment pattern comprising a plurality of continuous and connected geometric shapes; and
deliver the therapeutic treatment via the treatment beam to retinal tissue of the patient's eye within the plurality of continuous and connected geometric shapes of the treatment pattern, the delivered therapeutic treatment comprising a delivery of the treatment beam to a plurality of treatment spots within the defined treatment pattern at durations configured to minimize damage to the retinal tissue.

### Claim 2 (depends on 1)

The system of claim 1, wherein the treatment beam is sequentially directed within each of the geometric shapes.

### Claim 3 (depends on 1)

The system of claim 1, wherein each of the plurality of continuous and connected geometric shapes defines an area within which the treatment beam is directed to deliver the therapeutic treatment.

### Claim 4 (depends on 1)

The system of claim 1, wherein the therapeutic treatment is delivered so that no visible effects of the therapeutic treatment are present on the retinal tissue.

### Claim 5 (depends on 1)

The system of claim 1, wherein the system comprises an adapter device that is removably coupleable with a laser eye treatment system.

### Claim 6 (depends on 1)

The system of claim 1, wherein the aiming beam redefines the treatment pattern on the retinal tissue during delivery of the therapeutic treatment so that a resulting visual effect is a solid or semi-solid treatment pattern of the plurality of continuous and connected geometric shapes on the retinal tissue.

### Claim 7 (depends on 1)

The system of claim 1, wherein the treatment beam comprises one or more of the following:
a grid having a plurality of squares; and
a grid having a plurality of rectangles.

### Claim 8 (depends on 1)

The system of claim 1, wherein the treatment pattern comprises one or more of the following:
an array of geometric shapes in a curved pattern; and
an array of hexagonal shapes in a honeycomb pattern of circles.

### Claim 9 (depends on 1)

The system of claim 1, wherein the treatment beam is delivered at a geometric center of each of the geometric shapes.

### Claim 10 (depends on 1)

The system of claim 1, wherein the processor is further configured to adjust an orientation of the treatment pattern with respect to the retinal tissue.

### Claim 11

A system for providing a therapeutic treatment to a patient's eye, the system comprising:
a first beam light source configured to transmit a first beam along a first beam path;
a second beam light source configured to transmit a second beam along a second beam path;
an aiming device disposed along the first and second beam paths and configured to scan the first beam and the second beam along a retina of the patient's eye; and
a processor coupled to the aiming device and configured to:
define, via the first beam, a treatment pattern on the retina, the treatment pattern comprising a plurality of continuous and connected geometric shapes; and
direct the second beam onto the retina within one or more of the plurality of continuous and connected geometric shapes of the treatment pattern so as to deliver the therapeutic treatment to the retina.

### Claim 12 (depends on 11)

The system of claim 11, wherein the second beam is sequentially directed within each of the geometric shapes.

### Claim 13 (depends on 11)

The system of claim 11, wherein each of the plurality of continuous and connected geometric shapes defines an area within which the second beam is directed to deliver the therapeutic treatment.

### Claim 14 (depends on 11)

The system of claim 11, wherein the therapeutic treatment is delivered so that no visible effects of the therapeutic treatment are present on the retina.

### Claim 15 (depends on 11)

The system of claim 11, wherein the system comprises an adapter device that is removably coupleable with a laser eye treatment system.

### Claim 16 (depends on 11)

The system of claim 11, wherein the first beam redefines the treatment pattern on the retina during delivery of the therapeutic treatment so that a resulting visual effect is a solid or semi-solid treatment pattern of the plurality of continuous and connected geometric shapes on the retina.

### Claim 17 (depends on 11)

The system of claim 11, wherein the treatment pattern comprises one or more of the following:
a grid having a plurality of squares; and
a grid having a plurality of rectangles.

### Claim 18 (depends on 11)

The system of claim 11, wherein the treatment pattern comprises one or more of the following:
an array of geometric shapes in a curved pattern; and
an array of hexagonal shapes in a honeycomb pattern of circles.

### Claim 19 (depends on 11)

The system of claim 11, wherein the second beam is delivered at a geometric center of each of the geometric shapes.

### Claim 20 (depends on 11)

The system of claim 11, wherein the processor is further configured to adjust an orientation of the treatment pattern with respect to the retina.