Laser treatment apparatus

Patent metadata

Field	Value
Publication number	US-10357397-B2
Application number	US-201414264424-A
Country	US
Kind code	B2
Filing date	Apr 29, 2014
Priority date	Apr 30, 2013
Publication date	Jul 23, 2019
Grant date	Jul 23, 2019

Abstract

A laser treatment apparatus configured to emit laser light onto a tissue of a patient's eye, the laser treatment apparatus includes: a laser scanner configured to scan laser light emitted from a laser light source and switch a position of the tissue onto which laser light is emitted; a processor; and memory storing computer readable instructions, which are executed by the processor, causing the laser treatment apparatus to: (a) emit the laser light onto a first spot; (b) stop emitting the laser light onto the first spot for a stop time; (c) emit the laser light onto at least one second spot other than the first spot during the stop time; (d) emit the laser light onto the first spot again after the stop time elapses; and repeat (b), (c) and (d) several times to execute intermittent irradiation treatment onto a plurality of spots multiple times.

First claim

What is claimed is:

1. A laser treatment apparatus configured to emit laser light onto a tissue of a patient's eye, the laser treatment apparatus comprising:
a laser light source;
a laser scanner configured to scan laser light emitted from the laser light source and switch a position of the tissue onto which laser light is emitted;
a processor; and
memory storing computer readable instructions comprises a first mode, which when executed by the processor, causes the laser treatment apparatus to:
(a) emit the laser light onto a first spot;
(b) stop emitting the laser light onto the first spot for a stop time;
(c) emit the laser light onto a second spot during the stop time;
(d) emit the laser light onto the first spot again after the stop time elapses; and
repeat (b), (c) and (d) a plurality of times to execute intermittent irradiation treatment onto the first spot and the second spot multiple times;
wherein the emitted laser light is a treatment laser light; and
wherein the computer readable instructions further comprises a second mode, which when executed by the processor, causes the laser treatment apparatus to execute a single irradiation treatment in which laser light has energy higher than laser light emitted onto the tissue during the first mode and in which the intermittent irradiation treatment is emitted onto each spot once; and
wherein the laser light emitted during the intermittent irradiation treatment in the first mode and the laser light emitted during the single irradiation treatment in the second mode are emitted from the same laser light source and scanned by the same laser scanner configured to output at both a high energy and a low energy.

2. The laser treatment apparatus according to claim 1 , wherein
the computer readable instructions when executed identify a third spot; and wherein
a distance between the first spot to the second spot is greater than a distance between the first spot and the third spot.

3. The laser treatment apparatus according to claim 1 ,
wherein, in each irradiation cycle defined by a period between (a) and (d), the number of spots onto which laser light is emitted is equal to or less than 6.

4. The laser treatment apparatus according to claim 1 ,
wherein, in each irradiation cycle defined by a period between (a) and (d), the number of spots onto which laser light is emitted is equal to or less than 3.

5. The laser treatment apparatus according to claim 1 further comprising:
a pattern setter configured to set an arrangement pattern defining an arrangement of each of the treatment spots onto which laser light is emitted,
wherein, when the treatment spots are included in the arrangement pattern set by the pattern setter, the computer readable instructions when executed by the processor causes the laser treatment apparatus to execute parallel irradiation control for causing laser light to be emitted onto two or more of the treatment spots in one irradiation cycle defined by a period between (a) and (d).

6. The laser treatment apparatus according to claim 5 , wherein
at least one spot group having two or more of the treatment spots, onto which laser light is emitted in the same irradiation cycle, are set in each arrangement pattern, and
when the treatment spots are included in the arrangement pattern set by the pattern setter, the computer readable instructions when executed by the processor causes the laser treatment apparatus to execute the parallel irradiation control for each spot group set in the arrangement pattern.

7. The laser treatment apparatus according to claim 5 , further comprising:
an aiming light source configured to emit aiming light indicating a position of the treatment spot,
wherein the computer readable instructions when executed by the processor causes the laser treatment apparatus to:
control operation of the laser scanner to cause the aiming light to be emitted onto the tissue in an arrangement pattern set by the pattern setter.

8. The laser treatment apparatus according to claim 1 , wherein
when the intermittent irradiation treatment is executed, laser light emitted from the laser light source is emitted onto the tissue in a pulsed manner by alternately repeating on and off the laser light source, and the laser scanner scans the pulse of laser light emitted onto the tissue.

9. The laser treatment apparatus according to claim 8 , wherein
the computer readable instructions when executed by the processor causes the laser treatment apparatus to emit the pulse of laser light onto at least one spot at a constant time interval multiple times when the intermittent irradiation treatment is executed.

10. The laser treatment apparatus according to claim 8 ,
wherein the computer readable instructions when executed by the processor causes the laser treatment apparatus to adjust a repetition frequency of a pulse emitted from the laser light source according to the number of spots onto which laser light is emitted in each irradiation cycle defined by a period between (a) and (d).

11. The laser treatment apparatus according to claim 8 , wherein
the computer readable instructions when executed by the processor causes the laser treatment apparatus to carry out the following additional steps following steps (d):
(e) emit the laser light onto a third spot,
(f) stop emitting the laser light onto the third spot for a stop time,
(g) emit the laser light onto a fourth spot during the stop time;
(h) emit the laser light onto the third spot again after the stop time elapses; and
(i) repeat (f), (g) and (h) a plurality of times to execute intermittent irradiation treatment onto the third and fourth spots multiple times.

12. The laser treatment apparatus according to claim 11 , wherein
the first spot is adjacent to the third spot,
a distance between the first spot and the second spot is set greater than a distance between the first spot and the third spot.

13. The laser treatment apparatus according to claim 11 , wherein
a plurality of spots which includes the first, second, third and fourth spots are arranged,
the first spot is not disposed adjacent to the second spot,
the third spot is not disposed adjacent to the fourth spot.

14. The laser treatment apparatus according to claim 1 , wherein the laser scanner includes at least one galvanomirror configured to scan the laser light by rotating the galvanomirrors around an oscillation axis.

15. The laser treatment apparatus according to claim 14 , wherein at least one of the galvanomirrors is rotatable at equal to or greater than 1.5 degrees based on an origin position.

16. The laser treatment apparatus according to claim 15 , wherein a reflection surface of at least one of the galvanomirrors has a size equal to or greater than 8 mm in an axial direction of the oscillation axis.

17. A method of controlling the laser treatment apparatus according to claim 1 , comprising:
(a) emitting the laser light onto the first spot;
(b) stopping emitting the laser light onto the first spot for the stop time;
(c) emitting the laser light onto the second spot during the stop time;
(d) emitting the laser light onto the first spot again after the stop time elapses; and
repeating (b), (c) and (d) several times to execute intermittent irradiation treatment onto plurality of spots multiple times.

Assignees

• Nidek Kk

Inventors

• Abe Hitoshi

Classifications

• A61F2009/00863

  Retina · CPC title

• A61F2009/00897

  Scanning mechanisms or algorithms · CPC title

• A61F2009/00868

  Ciliary muscles or trabecular meshwork · CPC title

• A61F9/008 Primary

  using laser · CPC title