# US 12,178,752 B2 · Laser eye surgery system calibration > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 12,178,752 B2 - Document ID: US12178752B2 - Status: Granted - Kind: B2 - Application number: 17/305,037 - Filed: 2021-06-29 - Published: 2021-10-21 - Granted: 2024-12-31 - Earliest claimed: 2013-10-08 - Assignees: AMO Development, LLC - Applicants: Amo Development, LLC - Inventors: Bruce Woodley; Javier Gonzalez - Web page: https://patentgrep.com/patent/US12178752B2 ## CPC - A61F 9/008: using laser - A61B 3/102: {for optical coherence tomography [OCT]} - A61F 9/00804: {Refractive treatments} - A61F 9/00827: {Refractive correction, e.g. lenticle} - A61F 9/0084: {Laser features or special beam parameters therefor} - G01B 9/02091: Tomographic interferometers, e.g. based on optical coherence - A61F 2009/00851: {Optical coherence topography [OCT]} - A61F 2009/00855: {Calibration of the laser system} - A61F 2009/00882: {based on topography} - 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) - G01B: MEASURING LENGTH, THICKNESS OR SIMILAR LINEAR DIMENSIONS; MEASURING ANGLES; MEASURING AREAS; MEASURING IRREGULARITIES OF SURFACES OR CONTOURS ## Abstract A laser system is calibrated with a tomography system capable of measuring locations of structure within an optically transmissive material such as a tissue of an eye. Alternatively or in combination, the tomography system can be used to track the location of the eye and adjust the treatment in response to one or more of the location or an orientation of the eye. In many embodiments, in situ calibration and tracking of an optically transmissive tissue structure such as an eye can be provided. The optically transmissive material may comprise one or more optically transmissive structures of the eye, or a non-ocular optically transmissive material such as a calibration gel in a container or an optically transmissive material of a machined part. ## Claims ### Claim 1 A method implemented in a laser system for treating an eye with a laser beam, the eye having first and second optically transmissive materials having differing indices of refraction, the method comprising: by a laser, generating the laser beam; by a processor, controlling the laser and an optical delivery system to deliver the laser beam to the eye to form a plurality of marks in both the first material and the second material per a plurality of target locations, wherein the marks in the first material and the second material together define a three dimensional calibration volume in the eye that includes both the first material and the second material; by a measurement system, measuring a plurality of locations of the marks in the first material and the second material; by the processor, determining a calibration of the laser system for the calibration volume by comparing the target locations and the measured locations of the marks using the indices of refraction of the first and second materials; and by the processor, and based on the calibration, controlling the laser and the optical delivery system to deliver the laser beam to a treatment target located within the calibration volume within the eye. ### Claim 2 (depends on 1) The method of claim 1, wherein the step of determining the calibration includes adjusting one or more machine parameters related to one or more of the laser, the optical delivery system, or the measurement system in response to comparison of the target locations with measured locations of the marks. ### Claim 3 (depends on 1) The method of claim 1, further comprising: by the processor, adjusting positions of the laser beam in response to the comparison of the corresponding target location with the measured location for each of the plurality of marks to track and correct for movement of the eye with the laser system. ### Claim 4 (depends on 3) The method of claim 3, wherein the step of adjusting positions of the laser beam includes comparing the location of each of the plurality of marks with a prior location of each of the plurality of marks to determine the movement of the eye. ### Claim 5 (depends on 4) The method of claim 4, wherein the plurality of marks comprises three or more marks and wherein the movement of the eye comprises rotation of the eye around one or more dimensions of a coordinate reference system of the eye, and wherein the positions are adjusted in response to translation along the one or more dimensions, and wherein the movement of the eye comprises translation of the eye along one or more dimensions of the coordinate reference system of the eye and wherein the positions are adjusted in response to translation along the one or more dimensions. ### Claim 6 (depends on 5) The method of claim 5, wherein the one or more dimensions comprises three dimensions, and wherein the treatment is adjusted in response to rotation around the three dimensions and translation along the three dimensions. ### Claim 7 (depends on 1) The method of claim 1, wherein the plurality of marks in both the first material and the second material include a plurality of marks in the first material, the method further comprising: comparing the location of each of the plurality of marks in the first material with a prior location of each of the plurality of marks in the first material; and in response to the comparison, adjusting positions of the laser beam for treatment in the second material. ### Claim 8 (depends on 1) The method of claim 1, wherein the marks are bubbles formed in the first material and the second material. ### Claim 9 (depends on 1) The method of claim 1, wherein the measurement system comprises one or more of an optical coherence tomography system, a spectral domain optical coherence tomography system, a time domain optical coherence tomography system, a Scheimpflug tomography system, a confocal tomography system, or a low coherence reflectometry system. ### Claim 10 A method implemented in a laser system, comprising: providing an object selected from the group consisting of an eye, a fluid of a patient interface above the eye, a calibration apparatus comprising one or more structures similar to a structures of the eye, and a combination thereof, the object including first and second optically transmissive materials having differing indices of refraction; by a laser, generating a laser beam; by a processor, controlling the laser and an optical delivery system to deliver the laser beam to the object to form a plurality of marks in both the first material and the second material per a plurality of target locations, wherein the marks in the first material and the second material together define a three dimensional calibration volume in the object that includes both the first material and the second material; by a measurement system, measuring a plurality of locations of the marks in the first material and the second material; and by the processor, determining a calibration of the laser system for the calibration volume by comparing the target locations and the measured locations of the marks using the indices of refraction of the first and second materials. ### Claim 11 (depends on 10) The method of claim 10, wherein the step of determining the calibration includes adjusting one or more machine parameters related to one or more of the laser, the optical delivery system, or the measurement system in response to comparison of the target locations with measured locations of the marks. ### Claim 12 (depends on 10) The method of claim 10, wherein the marks are bubbles formed in the first material and the second material. ### Claim 13 (depends on 10) The method of claim 10, wherein the measurement system comprises one or more of an optical coherence tomography system, a spectral domain optical coherence tomography system, a time domain optical coherence tomography system, a Scheimpflug tomography system, a confocal tomography system, or a low coherence reflectometry system. ### Claim 14 (depends on 10) The method of claim 10, further comprising detecting optical breakdown in response to an amount of energy of the laser beam using an acoustic transducer. ### Claim 15 A laser system, comprising: a laser configured to generate a laser beam; a measurement system configured to measure first and second optically transmissive materials of an object selected from the group consisting of an eye, a fluid of a patient interface above the eye, a calibration apparatus comprising one or more structures similar to a structures of the eye, and a combination thereof, the first and second optically transmissive materials having differing indices of refraction; an optical delivery system coupled to the laser to deliver the laser beam to the second material through the first material of the object; and a processor coupled to the measurement system and the optical delivery system, the processor configured to form a plurality of marks in both the first material and the second material with the laser beam per a plurality of target locations, wherein the marks in the first material and the second material together define a three dimensional calibration volume in the object that includes both the first material and the second material, to measure a plurality of locations of the marks with the measurement system, and to calibrate the system for the calibration volume by comparing the target locations and the measured locations of the marks using the indices of refraction. ### Claim 16 (depends on 15) The system of claim 15, wherein the processor is configured to calibrate the system by adjusting one or more machine parameters related to one or more of the laser, the optical delivery system, or the measurement system in response to comparison of the target locations with measured locations of the marks. ### Claim 17 (depends on 15) The system of claim 15, wherein the marks are bubbles formed in the first material and the second material. ### Claim 18 (depends on 15) The system of claim 15, wherein the measurement system comprises one or more of an optical coherence tomography system, a spectral domain optical coherence tomography system, a time domain optical coherence tomography system, a Scheimpflug tomography system, a confocal tomography system, or a low coherence reflectometry system. ### Claim 19 (depends on 15) The system of claim 15, wherein the object is a calibration apparatus which further comprises an acoustic transducer configured to detect optical breakdown in response to an amount of energy of the laser beam.