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US5697945A Expired / Lapsed US ⏱️ 0.0 years remaining

Corneal surface marker and marking method for reducing irregular astigmatism during lamellar (LASIK) corneal surgery

Assignee: Black Hills Regional Eye Institute
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Filing: 1995-11-22
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Granted: 1997-12-16
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Expires: 2015-11-22
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Abstract

Abstract A corneal surface marker is used to improve centration and repositioning of a corneal cap or flap in lamellar corneal surgery. The marker has inner and outer concentric rings with marking radial and pararadials extending off the rings to provide adequate reference points for marking indicia to be placed on the corneal surface. The method involves preoperatively marking the corneal surface with suitable indicia in a pattern of radial and pararadial lines extending over the area of the cornea through which an incision will be made to excise a cap or flap and, after the keratotomy is performed, the cap or flap is replaced by realignment of the radial and pararadial lines with the area of the cornea surrounding the incision.

Inventors

  • 👤 Michiel S. Kritzinger
  • 👤 Stephen A. Updegraff

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 19:40
CPC Classifications
A; A61; A61F; A61F9/00; A61F9/007; A61F9/008; A61F9/009; A61B; A61B90/00; A61B90/39; A61F9/00802; A61F9/013; A61F9/0133; A61F9/0136; A61B2090/3937; A61B2090/395; A61F2009/00861; A61F2009/00872; A61M; A61M2210/00; A61M2210/06; A61M2210/0612

Claims Analysis

Total Claims: 25
Claim 1
Independent Claim 80 words
A corneal surface marker to improve centration and repositioning of a corneal cop or flap in lamellar corneal surgery comprising inner and outer concentric rings ensuring centration of said marker, a marking radial and pararadial extending off said rings thereby providing adequate reference points for marking indicia on the corneal surface, said marking radial and pararadial converging upon each other at an angle within said outer concentric ring thereby permitting accurate anatomic repositioning of a free corneal cap or flap.
Claim 2
Dependent Claim 80 words
A corneal surface marker to improve centration and repositioning of a corneal cop or flap in lamellar corneal surgery comprising inner and outer concentric rings ensuring centration of said marker, a marking radial and pararadial extending off said rings thereby providing adequate reference points for marking indicia on the corneal surface, said marking radial and pararadial converging upon each other at an angle within said outer concentric ring thereby permitting accurate anatomic repositioning of a free corneal cap or flap.
Claim 3
Dependent Claim 15 words
The corneal surface marker of claim 1 having a handle for manipulation of said marker.
Claim 4
Dependent Claim 24 words
The corneal surface marker of claim 1 sized to be placed over the human eye for centration of the marking indicia and surgical instrumentation.
Claim 5
Dependent Claim 24 words
The corneal surface marker of claim 3 wherein said inner concentric ring has a crosshair in its interior for accurate centration over the eye.
Claim 6
Dependent Claim 31 words
The corneal surface marker of claim 1 wherein at least one of said marking radial and pararadial varies in width permitting accurate anatomic repositioning of a free corneal cap or flap.
Claim 7
Dependent Claim 120 words
A corneal surface marker to improve centration and repositioning of a corneal cap or flap in lamellar corneal surgery comprising: a handle for manipulation, and a marking surface, said marking surface having two concentric rings ensuring centration of said marker and subsequent centration of other instrumentation with the inner ring of said concentric rings having a cross-hair in its interior and marking radials and pararadials extending off said inner ring providing adequate reference points for marking indicia on the corneal surface, said radials and pararadials varying in width and extending beyond the outer concentric ring thereby permitting accurate anatomic repositioning of a free corneal cap or flap while preventing placement of said cap or flap with the epithelial surface down.
Claim 8
Dependent Claim 120 words
A corneal surface marker to improve centration and repositioning of a corneal cap or flap in lamellar corneal surgery comprising: a handle for manipulation, and a marking surface, said marking surface having two concentric rings ensuring centration of said marker and subsequent centration of other instrumentation with the inner ring of said concentric rings having a cross-hair in its interior and marking radials and pararadials extending off said inner ring providing adequate reference points for marking indicia on the corneal surface, said radials and pararadials varying in width and extending beyond the outer concentric ring thereby permitting accurate anatomic repositioning of a free corneal cap or flap while preventing placement of said cap or flap with the epithelial surface down.
Claim 9
Dependent Claim 44 words
The corneal surface marker of claim 6 wherein said inner and outer concentric rings are circumferentially sized to outline the corneal surface and the optical zone of said corneal surface ensuring accurate centration of said marker for marking the corneal surface with suitable indicia.
Claim 10
Dependent Claim 22 words
The corneal surface marker of claim 7 wherein said inner and outer concentric rings are approximately 5 mm and 10 mm, respectively.
Claim 11
Dependent Claim 40 words
The corneal surface marker of claim 6 wherein said marking radials and pararadials are sufficiently circumferentially spaced around said concentric rings to provide adequate reference points for the marking indicia and the area of the corneal surface to be marked.
Claim 12
Dependent Claim 32 words
The corneal surface marker of claim 6 wherein said pararadials include two pararadials extending off said inner concentric ring from a common point at a 90° angle with respect to each other.
Claim 13
Dependent Claim 39 words
The corneal surface marker of claim 10 wherein said two pararadials are of unequal width, one pararadial being at least about twice as wide as the other pararadial permitting accurate anatomic repositioning of a free corneal cap or flap.
Claim 14
Dependent Claim 17 words
The corneal surface marker of claim 6 having a plurality of radials and at least one pararadial.
Claim 15
Dependent Claim 10 words
The corneal surface marker of claim 12 having two pararadials.
Claim 16
Independent Claim 146 words
A method of marking the corneal surface during corneal surgery for repositioning a corneal cap or flap comprising: preoperatively marking the corneal surface with suitable indicia in a pattern of radial and pararadial lines extending over the area of the cornea through which an incision will be made to excise a cap or flap, at least one radial line and at least one pararadial line converging upon each other at an angle within said area, circumferentially incising said corneal surface across said radial and pararadial lines to form said cap or flap, removing said cap or flap from said surface having said radial and pararadial lines remaining on the cap or flap and the corneal surface beyond said circumferential incision for postoperative realignment, and realigning said remaining radial and pararadial lines of said cap or flap with those on the corneal surface beyond said circumferential incision.
Claim 17
Independent Claim 146 words
A method of marking the corneal surface during corneal surgery for repositioning a corneal cap or flap comprising: preoperatively marking the corneal surface with suitable indicia in a pattern of radial and pararadial lines extending over the area of the cornea through which an incision will be made to excise a cap or flap, at least one radial line and at least one pararadial line converging upon each other at an angle within said area, circumferentially incising said corneal surface across said radial and pararadial lines to form said cap or flap, removing said cap or flap from said surface having said radial and pararadial lines remaining on the cap or flap and the corneal surface beyond said circumferential incision for postoperative realignment, and realigning said remaining radial and pararadial lines of said cap or flap with those on the corneal surface beyond said circumferential incision.
Claim 18
Independent Claim 118 words
A method of marking the corneal surface comprising: placing a corneal surface marker over the area of the cornea to be marked, said marker having two concentric rings ensuring centration of said marker, a marking radial and pararadial extending off said rings thereby providing adequate reference points for the marking indicia to be placed on the corneal surface, said radial and pararadial varying in width, preoperatively marking the corneal surface with suitable indicia in accordance with the radial and pararadial of said marker thereby permitting accurate anatomic repositioning of a free corneal cap or flap while preventing placement of said cap or flap with epithelial surface down onto said corneal bed after surgical reshaping of the corneal stroma.
Claim 19
Independent Claim 118 words
A method of marking the corneal surface comprising: placing a corneal surface marker over the area of the cornea to be marked, said marker having two concentric rings ensuring centration of said marker, a marking radial and pararadial extending off said rings thereby providing adequate reference points for the marking indicia to be placed on the corneal surface, said radial and pararadial varying in width, preoperatively marking the corneal surface with suitable indicia in accordance with the radial and pararadial of said marker thereby permitting accurate anatomic repositioning of a free corneal cap or flap while preventing placement of said cap or flap with epithelial surface down onto said corneal bed after surgical reshaping of the corneal stroma.
Claim 20
Dependent Claim 27 words
A method of marking the corneal surface according to claim 15 wherein said suitable indicia used for preoperatively marking the corneal surface is a pharmacologically safe dye.
Claim 21
Dependent Claim 40 words
A method of marking the corneal surface according to claim 15 by marking with the radial and pararadial extending beyond the outer concentric ring and varying in width thereby permitting accurate anatomic repositioning of a free corneal cap or flap.
Claim 22
Dependent Claim 28 words
A method of marking the corneal surface according to claim 15 by marking with said inner and outer concentric rings of approximately 5 mm and 10 mm, respectively.
Claim 23
Dependent Claim 42 words
A method of marking the corneal surface according to claim 15 by marking radials and pararadials sufficiently circumferentially spaced around said concentric rings to provide adequate reference points for the marking indicia and the area of the corneal surface to be marked.
Claim 24
Dependent Claim 34 words
A method of marking the corneal surface according to claim 15 marking with two pararadials extending off said inner concentric ring from a common point at a 90° angle with respect to each other.
Claim 25
Dependent Claim 43 words
A method of marking the corneal surface according to claim 15 by marking two pararadials of unequal width, one pararadial being at least about twice as wide as the other pararadial thereby permitting accurate anatomic repositioning of a free corneal cap or flap.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2000-12-15 2001-06-16 2001-12-16 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2004-12-15 2005-06-16 2005-12-16 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2008-12-15 2009-06-16 2009-12-16 $7700.00 Window Closed / Lapsed

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