Robotic Cataract Removal With Bimanual Laser and Aspiration Control

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Solution Overview

Problem

Existing cataract surgery methods, such as phacoemulsification and laser-based techniques, face challenges with precision control, extended procedure times, and safety concerns due to ultrasound energy propagation and fragile laser fibers, particularly in navigating complex eye structures.

Innovation Solution

A robotic system with a robotic tool and vision system for precise control, incorporating laser, ultrasonic, irrigation, and aspiration devices, allowing for real-time manipulation and preprogrammed patterns to optimize cataract removal, using a bimanual approach with interchangeable tools for improved access and reduced tissue damage.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Productivity

If phacoemulsification is used to remove cataract, then cataract can be emulsified and suctioned out, but ultrasound energy propagation causes safety concerns and extended procedure times

Engineering Contradiction:
Improveprocedure timeVSAvoidsafety concerns
Core Design Contradiction:
ProductivityVSReliability

Solution Approach 1:

The patent replaces the ultrasonic hand piece (mechanical/ultrasonic system) with a robotic system that uses irrigation and aspiration (fluid-based system) to remove cataract. This substitution eliminates ultrasound energy propagation concerns while maintaining effective cataract removal capability through controlled fluid flow and robotic precision.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Manufacturing precision

If laser-based techniques are used for cataract surgery, then precision can be improved, but laser fibers are fragile and difficult to navigate complex eye structures

Engineering Contradiction:
Improveprecision controlVSAvoidease of navigation
Core Design Contradiction:
Manufacturing precisionVSEase of operation

Solution Approach 1:

The patent replaces the fragile laser fiber (mechanical/optical system) with a robotic system using flexible catheters and fluid-based irrigation/aspiration. This substitution maintains precision through robotic control while improving ease of navigation by using soft, flexible tools that can safely navigate complex eye structures without the fragility of laser fibers.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The patent employs irrigation and aspiration (hydraulic system) as the core mechanism for cataract removal. Fluid flow through flexible catheters enables precise material removal while the flexibility of the catheters allows easy navigation through complex eye structures, resolving the contradiction between precision and ease of operation.

Inventive Principle:
Principle #29Pneumatics and hydraulics

3Productivity

If manual extraction is performed through large incision, then cataract can be removed, but tissue damage increases and surgical efficiency decreases

Engineering Contradiction:
Improvesurgical efficiencyVSAvoidtissue damage
Core Design Contradiction:
ProductivityVSObject-affected harmful factors

Solution Approach 1:

The patent extracts only the necessary minimal incision approach by using robotic-controlled irrigation and aspiration through small catheters. This allows cataract removal through minimal incisions rather than large openings, thereby reducing tissue damage while maintaining surgical efficiency through automated robotic operation.

Inventive Principle:
Principle #2Taking out (Extraction)

Solution Approach 2:

The robotic system performs self-service by automatically controlling irrigation flow and aspiration suction to efficiently remove cataract material through minimal incisions. The system autonomously manages the surgical process, reducing tissue damage while maintaining high surgical efficiency without requiring large incisions for manual extraction.

Inventive Principle:
Principle #25Self-service

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Enhances precision and reduces procedure time by enabling precise robotic control over laser and aspiration devices, minimizing tissue damage and improving surgical efficiency in cataract removal.

Implementation Method 1

a vision system configured to detect a position of at least one of an anatomical structure of a patient and the robotic tool tip, and generate a signal in response to changes to the position

Methodology Applied
Scientific EffectOptical detection: Light

Implementation Method 2

The robotic tool may comprise at least one of a laser device, an ultrasound device, an irrigation device, and an aspiration device

Methodology Applied
Scientific EffectLaser energy delivery: Laser

Implementation Method 3

a laser device, an ultrasound device, an irrigation device, and an aspiration device

Methodology Applied
Scientific EffectUltrasonic emulsification: Ultrasonic Vibration

Implementation Method 4

a laser device, an ultrasound device, an irrigation device, and an aspiration device

Methodology Applied
Scientific EffectAspiration: Suction

Data Source

PatentUS12521277B2Robotic assisted procedures
Publication Date: 2026.01.13 AURIS HEALTH INC
  • US12521277B2 patent drawing
  • US12521277B2 patent drawing
  • US12521277B2 patent drawing

AI summary

Techniques for facilitating the removal of material from an anatomical structure with a robotic system are discussed herein. For example, the robotic system can include a first robotic component configured to control movement of a first device and a second robotic component configured to control movement of a second device. The first device and the second device can be controlled within a chamber of the anatomical structure to remove material from the chamber. For instance, the first device can be controlled to emit energy to break up the material into pieces and the second device can be controlled to remove the pieces from the chamber. In some cases, the first device can be controlled to gradually vary a parameter associated with the first device between a first value and a second value.