CA2165208A1 - Ophthalmoligical surgical equipment for use in correcting human eye ametropia and in performing lamella transplants - Google Patents

Ophthalmoligical surgical equipment for use in correcting human eye ametropia and in performing lamella transplants

Info

Publication number
CA2165208A1
CA2165208A1 CA002165208A CA2165208A CA2165208A1 CA 2165208 A1 CA2165208 A1 CA 2165208A1 CA 002165208 A CA002165208 A CA 002165208A CA 2165208 A CA2165208 A CA 2165208A CA 2165208 A1 CA2165208 A1 CA 2165208A1
Authority
CA
Canada
Prior art keywords
lamella
transplants
perform
fact
appropriate equipment
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
CA002165208A
Other languages
French (fr)
Inventor
Ednei Graciano Do Nascimento
Eleuterio Rocha Lima
Ricardo Queiroz Guimaraes
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2165208A1 publication Critical patent/CA2165208A1/en
Abandoned legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery
    • A61F9/013Instruments for compensation of ocular refraction ; Instruments for use in cornea removal, for reshaping or performing incisions in the cornea

Landscapes

  • Health & Medical Sciences (AREA)
  • Ophthalmology & Optometry (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Breeding Of Plants And Reproduction By Means Of Culturing (AREA)

Abstract

Set of devices mechanically linked to one another by a single set (01) that has the possibility of facilitating the lamella surgeries performed by ophthalmological surgeons without the need of removal from the eye at any time during the surgery, having control of the vacuum (13), leveling (02) and thickness of the cut (02 and 04) performed manually or automatically. This combination, non conventional, of the model presented here which is not conventional and adjusted technically, makes us believe that it is a sui generis Patent.

Description

~-- - 216~2~

.~

Descriptive Report of the Patent of the "APPROPRIATE EQUIPMENT TO CORRECT AMETROPIA AND
PERFO~M LAMELLA TRANSPLANTS" Utility Model.
This Patent refers to the "APPROPRIATE
s EQUIPMENT TO CORRECT AMETROP] A AND PERFORM
LAMELLA TRANSPLANTS" studied in its minimal details, so that it can outstand other similar products.
As it is knowledge of the specialized medical class that this equipment works as follow: the larnination process is done 10 by a micro plane called microceratomo that is driven automatically and manually after placing the rings and levelers to make the cut of the disc.
This process does not enable the surgeon to see the cut during the surgery, i.e., he does it blindly as he cannot see what he does.
With.the existing equipments the professional is obliged to change the levelers durillg the surgery. Such procedure is uncomfortable to him and to tlle patient as well.
With other equipments the set moves completely to make the lamella cut.
In some equipments there are several suction rings with variable height and in others the suction ring is adjustable for the placement of the levelers.
The suction ring purposes are: to fix the eye, project the cornea for leveling and lamella cut.
When perforrning the larnella cut it is necessary to put the microplane known as microceratomo, in the prism of the ring that causes a lot of difficulties to the surgeon.
This way, the frequent change of the suction rings, together with the levelers, expose the eyeball to a greater time of ~6~

suction that can cause damage due to th=e- increase of the inter-ocular pressure up to 180 seconds per application.
The blade, basically, helps accomplishing the cornea cut.
The existing ones have rectangular and circular shape.
The rectang~llar ones are stressed in size, weight and thickness of ovel- 20() micro that causes impert`ect corlleas cut.
Due to this shape and to the friction of the blade o with the microplane, it causes mechanical abrasion, releasing metal particles that will settle in the interface between the disc and the receptor cornea's stroma.
The placement of these blades is done through the particular blade supporter in its central part with about 3 0 micro of S looseness that can cause variations in the cut.
The circular ones always move rotatorly in the same direction that can damage the lamella cut.
In some existing kinds of equipment the vacuum is used in separated sets of microceratomo that obli~es the professional to use both hands during the surgery.
In other equipltlents the vncuulll wolks about ''~
inches of mercury, theref`c)re, e~;cessively incl easillg the inter-oc~lla pressure during the surgery.
In such case, the result of using the existing equipment causes the following basic problems: '~change of levelers during the surgery" and "no surgcry transparency" as the sulgeon cannot see what he does.
Therefore, analyzing these problems the inventors created and developed through many experiments and lab tests a new concept of appropriate equipment to correct Ametropias and perform Lamella Transplants.
This patent is made of new elements that are safer and easier to be assembled as you can see as follow.
The LEVELER VIEW FTNDER Ol PLAIN
BLADE(02), object of this model, is placed in to centralize it having plai 321~52~ .

lens without graduation to make the corneas leveling which will determine the diameter of the cornea's disc to be cut.
The LEVELER VIEW FINDER or PLAIN
BLADE(02), object of this model, has XY Axes Setting (02) to a colrect 5Visual Axis Determination.
The LEVELER VIEW FINDER (02) has also a Diameter Setting (02), varying from 4 to 10 mm, with a break of 1 mm.
Thc LEVELER VIEW FINDER (02), workillg as a Fixed Platt`orm (0~) can show in its lowel palt convexity or concaveness 10with the purpose of withdrawing the l.enticle as a di~ergent or con~ergent.
The LEVELER VTEW FINDER (02), working as a Fixed Platform (02) and can also show in its lower part a Pl e-Programmed Table to correct regular and irregulal astigmatisms.
l his disc COI l esponds to the back part of the 15cornea from the epithelium, Bowman membrane and the back part of the stroma.
Besides the above mentioned function the Leveler View Finder (02) works like a fixed support platform, placed horizontally at the cornea.
20TllerefOre, ill this patent, the FIXED VIEW
FINDER (02) means a worry !ess to the professional during the surgery.
The Leveler View Finder (02) controls the lamella's leveling diameter to be cut in its vertical movement.
The equipment has a parlicular feature: it has only 25one vacuum suction ring (03) which does not need any change, adjustment nor removal from the eye during the surgery.
An about 100 micro thick 420 stainless steel blade (04) is used according to the surgical specifications, 2 mm wide and 16.5 mm long and micro-sharpened having an oscillatory movement and 30fixed to the blade support.
The BLADE SUPPORT (05) is used with 2 (two) equidistant pressure supporters to fix the blade (04) performing the traction and its placing.
The BLAOE POSITIONER ~06), a device used to place the blades, is characterized by carlying out counler-pressule at the 2~

stems of the support of the blades (04), thus simplit`~illg its perfect placing and removal. ~ ' l''he calibratio!~ o'f the Thickness (08) will be determined by the Micrometric Button (0g) that regulates the distance of s the Blade (04) in the Transparent Fixed Platform (02).
The MAIN BED GUIDE BUTTON (11 ) is a device responsible for moving the Main Bed (09) together v~ith the Blade (04) to perform the ceratectomy.
This movement can be manual or automatic by o using a Nut Blank (06), Idler Pinion (07) and an Endless Thread (16).
The MAIN BED MOVEMENT SHOCK-ABSORBER (12) is a device that has the purpose of controlling the "~oes and comes" speed of the Main Bed as well ;ls cusl~ionillg the movemcnts.
l'he equipmellt is drivell by a l~ V DC single s micro-motor or AC transformer or Piezoelectric Crystal.
The MAIN BED (09) is a set that has the function of defining the adjustment of the Leveler View Finder (02), the Blade ~leight and the "goes and comes" movement of the Blade Support.
The VACWM TUBE (13) is a device that has a silicon hose coupled to a vacuum that produces suction to the eyeball~ of 15 inches of mercury (Hg) with the purpose of fixing the eyeball without increasing the inter-ocular pressure exceedingly.
This device works coupled to the Cable of the Motor Bearer (15).
The VERTICAL REGI)LATOR BUTTON (18) OF THE LEVER VIEW l;INDER (02) is a device that has the purpose of regulating the diameter of the lamella to be cut.
The Blade Support ~05), The Blade (04), the Leveler View Finder (02) and the Suction Ring (03) can be in only one disposable set (02,03,04 and 05).
Therefore, this present patent that now claims for homologation has the purpose of solving, or furthermore extinguishing all the problems that have remained unsolved for many years so far.
The materials used in this patent are all sel~
cleavable: stainless steel, anodized aluminum, tubes, silicon hoses, electrical cords resistant to high temperatures.

In order to make clear how this new kind of "APPROPRIATE EQUIPMENT TO CORREC`T AM~TROPIA AND
PERFORM LAMELLA TRANSPLANTS7', object of this Utility Model was made, drawings are below listed:
s Number 01 shows the equipment itsell`.
Number 02 shows the Leveler View Finder, with its XY Axes and the diameter settings from I to 10 mm.
Number 03 shows the Vacuum Suction Ring.
Number 04 shows the Blade with its dimensions.
o Number 05 shows the Blade Support.
Number 06 shows the Nut Blank.
Number 07 shows the Idler Pinion.
Number 08 shows the Micrometric Button.
Number 09 shows the Main Bed.
s Number 10 shows the View Finder Bearer.
Number 1 1 shows the Guide Button of the Main Bed.
Number 12 shows the Shock-Absorber.
Number 13 shows the Vacuum Tube.
Number 14 shows the Cable of the Motor Bearer.
Number 1 Sa, 1 Sb, I Sc, 1 Sd shows the View Finder with high-tech.
Number 16 shows the Endless Thread and its set.
Number 17 shows the Automation Set Base.
Number 18 shows the Regulator Button.
According to the illustrations and their details, the 2s "APPROPRIATE EQUIPMENT TO CORRECT AMETROPIA AND
PERFORM LAMELLA TRANSPLANTS' Utility Model is a set of materials that through the process of improvemenl and lab tests carried out in guinea-pig's eyes substitutes the existent currently ones used by the ophthalmologists.
Tn such case, this patent comes, according to its constitution, to simplify much of the lamella and ref~active surgical methods.
l`herefore, this patent, due to how it was made, has condition to become a Utility Model since it can improve the existing products of its kind.

Claims (10)

1. "APPROPRIATE EQUIPMENT TO
CORRECT AMETROPIA AND PERFORM LAMELLA
TRANSPLANTS", herein proposed, characterized by the fact that the Leveler View Finder (02) is fixed, transplant and adjustable to specify the disc diameter and the corneas lenticle has no need to be removed from the eye during the surgery, and it has no counterpart device in any other existent equipment.
2. "APPROPRIATE EQUIPMENT TO
CORRECT AMETROPIA AND PERFORM LAMELLA
TRANSPLANTS", characterized by the fact that the Leveler View Finder (02) works as a fixed platform in horizontal direction to support the eyeball, which helps to control the measurements of the thickness of the corneas lamella cuts.
3. "APPROPRIATE EQUIPMENT TO
CORRECT AMETROPIA AND PERFORM LAMELLA
TRANSPLANTS", characterized by the fact that the Leveler View Finder (02), besides working as a platform in horizontal direction to support the eyeball, has vertical movement which controls the leveling diameter according to surgical needs.
4. "APPROPRIATE EQUIPMENT TO
CORRECT AMETROPIA AND PERFORM LAMELLA
TRANSPLANTS", characterized by the fact that the Leveler View Finder (02), in its lower part, is plain, with convexity, concaveness or Pre-Programmed to correct regular and irregular astigmatisms.
5. "APPROPRIATE EQUIPMENT TO
CORRECT AMETROPIA AND PERFORM LAMELLA
TRANSPLANTS", characterized by the fact that the it has a single vacuum ring (03) which doesn't need any change or adjustment during the surgery.
6. "APPROPRIATE EQUIPMENT TO
CORRECT AMETROPIA AND PERFORM LAMELLA
TRANSPLANTS", characterized by the fact thatthe Blade Support (05) keeps fixed and tractioned, thus avoiding any looseness of the Blade (04) during the surgery.
7. "APPROPRIATE EQUIPMENT TO
CORRECT AMETROPIA AND PERFORM LAMELLA
TRANSPLANTS", characterized by the fact that the placement of the Blade (04) in the Support (05) is done by counter-pressure from the stems (07) of the Support (05), by using the Blade Positioner (06), and the Blade Support (05), the Blade (04), the Leveler View Finder (02) and the Suction Ring (03), as claimed in claim 04, can be in only one disposable set or not.
8. "APPROPRIATE EQUIPMENT TO
CORRECT AMETROPIA AND PERFORM LAMELLA
TRANSPLANTS", characterized by the fact that the 420 stainless steel Blade (04), 100 micro thick or less, 2 mm wide, makes the cut more precise, lessening its friction with the cornea, also, due to its oscillatory movement that is not limited, upwards or downwards, because of its equal parts.
9. "APPROPRIATE EQUIPMENT TO
CORRECT AMETROPIA AND PERFORM LAMELLA
TRANSPLANTS", characterized by the fact that the adjustment of the cut thickness is made by the Micrometric Button (08) that gives the surgeon the possibility of regulating the cut thickness for surgical need.
10. "APPROPRIATE EQUIPMENT TO
CORRECT AMETROPIA AND PERFORM LAMELLA
TRANSPLANTS", characterized by the fact that the Guide Button (11) of the Main Bed Command (09) together with the set of Movement Shock-Absorber (12) can initiate the "goes and comes" movement in the horizontal direction manually or automatically by the Nut Blank System (06), Idler Pinion (07), the Endless Thread ( 16) and the Base (17).
CA002165208A 1994-04-15 1995-02-24 Ophthalmoligical surgical equipment for use in correcting human eye ametropia and in performing lamella transplants Abandoned CA2165208A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
BRMU7400392-5 1994-04-15
BR7400392U BR7400392U (en) 1994-04-15 1994-04-15 Equipment to correct ametropias and perform lamellar transplants

Publications (1)

Publication Number Publication Date
CA2165208A1 true CA2165208A1 (en) 1995-11-02

Family

ID=3990085

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002165208A Abandoned CA2165208A1 (en) 1994-04-15 1995-02-24 Ophthalmoligical surgical equipment for use in correcting human eye ametropia and in performing lamella transplants

Country Status (3)

Country Link
BR (1) BR7400392U (en)
CA (1) CA2165208A1 (en)
WO (1) WO1995028871A2 (en)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA2311372C (en) 1997-11-21 2010-02-16 Hawken Industries, Inc. Ophthalmic surgical system and method
WO2002017834A2 (en) 2000-09-01 2002-03-07 Alexander Dybbs Ophthalmic surgical system and method

Also Published As

Publication number Publication date
BR7400392U (en) 1995-08-01
WO1995028871A2 (en) 1995-11-02
WO1995028871A3 (en) 1997-06-12

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Legal Events

Date Code Title Description
EEER Examination request
FZDE Discontinued
FZDE Discontinued

Effective date: 20010226