# US 8,771,300 B2 · Apparatuses and methods for forming incisions in ocular tissue

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- Number: US 8,771,300 B2
- Document ID: US8771300B2
- Status: Granted
- Kind: B2
- Application number: 13/274,145
- Filed: 2011-10-14
- Published: 2012-02-09
- Granted: 2014-07-08
- Earliest claimed: 2007-11-02
- Assignees: Refocus Ocular, Inc.
- Applicants: Rex O. Bare; Andrew J. Scherer; Timothy J. Payne; Mark A. Cox; Douglas C. Williamson
- Inventors: Rex O. Bare; Andrew J. Scherer; Timothy J. Payne; Mark A. Cox; Douglas C. Williamson
- Web page: https://patentgrep.com/patent/US8771300B2

## CPC

- A61F 9/0133: {Knives or scalpels specially adapted therefor}
- 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)

## Abstract

A surgical tool includes a surgical blade configured to be moved to form an incision. The surgical tool also includes a wire configured to cause movement of the surgical blade. The surgical tool further includes an actuator configured to shorten a length of the wire to cause the movement of the surgical blade. The surgical tool could be configured to move the surgical blade in a first direction and then in a second direction in response to a single shortening of the wire. Also, the wire could represent a first wire, the surgical tool could include a second wire, and the surgical tool could be configured to move the surgical blade in a first direction in response to shortening the first wire and to move the surgical blade in a second direction in response to shortening the second wire.

## Claims

### Claim 1

A surgical tool comprising:
a surgical blade configured to be rotated to form an incision;
a wire configured to cause bidirectional rotation of the surgical blade; and
an actuator configured to shorten a length of the wire by applying an electrical current to the wire to cause the bidirectional rotation of the surgical blade;
wherein the surgical tool is configured to rotate the surgical blade in a first direction and then in a second direction in response to a single shortening of the length of the wire.

### Claim 2 (depends on 1)

The surgical tool of claim 1, wherein the wire comprises a first wire, and wherein the surgical tool further comprises:
a locomotive wheel configured to turn in response to the shortening of the length of the first wire;
a plate coupled to a second wire, the second wire configured to rotate the surgical blade; and
a locomotive arm coupled to the locomotive wheel and the plate, wherein rotation of the locomotive wheel causes the locomotive arm to move the second wire.

### Claim 3

The surgical tool of claim l wherein the surgical tool further comprises:
a wireless transceiver configured to at least one of transmit data wirelessly and receive data wirelessly.

### Claim 4 (depends on 1)

The surgical tool of claim 1, wherein the surgical tool further comprises:
a projection configured to couple the surgical tool to an ocular fixation device.

### Claim 5 (depends on 1)

The surgical tool of claim 1, wherein the surgical blade comprises a curved cutting blade configured to be rotated into scleral tissue of a patient's eye.

### Claim 6 (depends on 1)

The surgical tool of claim 1, wherein the wire comprises flexible nitinol.

### Claim 7 (depends on 1)

The surgical tool of Claim 1, wherein the actuator comprises a printed circuit board configured to apply the electrical current to the wire.

### Claim 8 (depends on 7)

The surgical tool of claim 7, wherein the printed circuit board is further configured to trigger multiple audible, sensory, or visual notifications.

### Claim 9 (depends on 8)

The surgical tool of claim 8, wherein the audible, sensory, or visual notifications include notifications that:
the surgical tool is properly located and ready for use;
the surgical blade is moving in the first direction;
the surgical blade is moving in the second direction;
a cycle of the surgical blade in the first and second directions has been interrupted; and
the cycle of the surgical blade in the first and second directions has been successfully completed.

### Claim 10 (depends on 7)

The surgical tool of claim 7, wherein the printed circuit board is further configured to receive commands from an operator.

### Claim 11

A method comprising:
shortening a length of a wire in a surgical tool by applying an electrical current to the wire; and
imparting bidirectional rotation to a surgical blade of the surgical tool based on the shortening of the length of the wire;
wherein imparting the bidirectional rotation to the surgical blade comprises rotating the surgical blade in a first direction and then in a second direction in response to a single shortening of the length of the wire.

### Claim 12 (depends on 11)

The method of Claim 11, wherein the wire comprises flexible nitinol.

### Claim 13 (depends on 11)

The method of claim 11, wherein:
the wire comprises a first wire; and
imparting the bidirectional rotation to the surgical blade comprises:
turning a locomotive wheel in response to the shortening of the length of the first wire;
moving a locomotive arm that is coupled to the locomotive wheel and to a plate; and
moving a second wire coupled to the plate, the second wire causing the rotation of the surgical blade.

### Claim 14 (depends on 11)

The method of claim 11, further comprising:
placing a projection of the surgical tool into an ocular fixation device to mount the surgical tool on the ocular fixation device.

### Claim 15 (depends on 11)

The method of claim 11, wherein the surgical blade comprises a curved cutting blade configured to be rotated into scleral tissue of a patient's eye.

### Claim 16

A system comprising:
an ocular fixation device configured to be secured to ocular tissue of an eye; and
a surgical tool configured to be mounted on the ocular fixation device, the surgical tool comprising:
a surgical blade configured to be rotated to form an incision in the ocular tissue;
a wire configured to cause bidirectional rotation of the surgical blade; and
an actuator configured to shorten a length of the wire by applying an electrical current to the wire to cause the bidirectional rotation of the surgical blade;
wherein the surgical tool is configured to rotate the surgical blade in a first direction and then in a second direction in response to a single shortening of the length of the wire.

### Claim 17 (depends on 16)

The system of claim 16, wherein the actuator comprises a printed circuit board configured to apply the electrical current to the wire.

### Claim 18 (depends on 16)

The system of claim 16, wherein the wire comprises a first wire, and wherein the surgical tool further comprises:
a locomotive wheel configured to turn in response to the shortening of the length of the first wire;
a plate coupled to a second wire, the second wire configured to rotate the surgical blade; and
a locomotive atm coupled to the locomotive wheel and the plate, wherein rotation of the locomotive wheel causes the locomotive arm to move the second wire.

### Claim 19 (depends on 16)

The system of claim 16, wherein the surgical tool further comprises:
a wireless transceiver configured to at least one of transmit data wirelessly and receive data wirelessly.

### Claim 20 (depends on 16)

The system of claim 16, wherein the surgical tool further comprises:
a projection configured to couple the surgical tool to the ocular fixation device.

### Claim 21 (depends on 16)

The system of claim 16, wherein the surgical blade comprises a curved cutting blade configured to be rotated into scleral tissue of a patient's eye.

### Claim 22 (depends on 16)

The system of claim 16, wherein the wire comprises flexible nitinol.
