CN114099134B - 用于切割晶状体组织的装置和方法 - Google Patents

用于切割晶状体组织的装置和方法 Download PDF

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Publication number
CN114099134B
CN114099134B CN202111436799.5A CN202111436799A CN114099134B CN 114099134 B CN114099134 B CN 114099134B CN 202111436799 A CN202111436799 A CN 202111436799A CN 114099134 B CN114099134 B CN 114099134B
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China
Prior art keywords
lens
sectioning element
configuration
shaft
sectioning
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CN202111436799.5A
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Chinese (zh)
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CN114099134A (zh
Inventor
L·W·克劳森
M·T·古古驰科瓦
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Carl Zeiss Cataract Medical Technology
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Carl Zeiss Cataract Medical Technology
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Priority claimed from US15/073,177 external-priority patent/US9629747B2/en
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Priority to CN202111436799.5A priority Critical patent/CN114099134B/zh
Publication of CN114099134A publication Critical patent/CN114099134A/zh
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/32056Surgical snare instruments
    • 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
    • A61F9/00736Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
    • 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
    • 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
    • A61F9/00736Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
    • A61F9/00754Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments for cutting or perforating the anterior lens capsule, e.g. capsulotomes
    • 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
    • A61F9/0008Introducing ophthalmic products into the ocular cavity or retaining products therein
    • A61F9/0017Introducing ophthalmic products into the ocular cavity or retaining products therein implantable in, or in contact with, the eye, e.g. ocular inserts
    • 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
    • A61F9/00736Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
    • A61F9/00763Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments with rotating or reciprocating cutting elements, e.g. concentric cutting needles
    • 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
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F9/00825Methods or devices for eye surgery using laser for photodisruption
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/00296Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00358Snares for grasping
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00389Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector
    • A61B2017/00393Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector with means for switching between functions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A61B2017/2212Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop
    • 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
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F2009/00861Methods or devices for eye surgery using laser adapted for treatment at a particular location
    • A61F2009/0087Lens
    • 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
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F2009/00885Methods or devices for eye surgery using laser for treating a particular disease
    • A61F2009/00887Cataract
    • A61F2009/00889Capsulotomy
    • 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
    • A61F2230/00Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004Rounded shapes, e.g. with rounded corners
    • A61F2230/0008Rounded shapes, e.g. with rounded corners elliptical or oval

Landscapes

  • Health & Medical Sciences (AREA)
  • Ophthalmology & Optometry (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)
  • Turning (AREA)
  • Endoscopes (AREA)
  • Eyeglasses (AREA)
CN202111436799.5A 2016-03-17 2017-03-16 用于切割晶状体组织的装置和方法 Active CN114099134B (zh)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202111436799.5A CN114099134B (zh) 2016-03-17 2017-03-16 用于切割晶状体组织的装置和方法

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US15/073,177 2016-03-17
US15/073,177 US9629747B2 (en) 2014-09-17 2016-03-17 Devices and methods for cutting lenticular tissue
PCT/US2017/022612 WO2017161062A2 (en) 2016-03-17 2017-03-16 Devices and methods for cutting lenticular tissue
CN201780030667.8A CN109195536B (zh) 2016-03-17 2017-03-16 用于切割晶状体组织的装置和方法
CN202111436799.5A CN114099134B (zh) 2016-03-17 2017-03-16 用于切割晶状体组织的装置和方法

Related Parent Applications (1)

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CN201780030667.8A Division CN109195536B (zh) 2016-03-17 2017-03-16 用于切割晶状体组织的装置和方法

Publications (2)

Publication Number Publication Date
CN114099134A CN114099134A (zh) 2022-03-01
CN114099134B true CN114099134B (zh) 2024-04-12

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CN201780030667.8A Active CN109195536B (zh) 2016-03-17 2017-03-16 用于切割晶状体组织的装置和方法

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EP (1) EP3429490B1 (enExample)
JP (1) JP7079732B2 (enExample)
KR (1) KR102406828B1 (enExample)
CN (2) CN114099134B (enExample)
AU (1) AU2017232627B2 (enExample)
BR (1) BR112018068537B1 (enExample)
CA (1) CA3017771A1 (enExample)
ES (1) ES2925073T3 (enExample)
IL (1) IL261736B2 (enExample)
RU (1) RU2739878C2 (enExample)
WO (1) WO2017161062A2 (enExample)

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10624785B2 (en) 2016-01-30 2020-04-21 Carl Zeiss Meditec Cataract Technology Inc. Devices and methods for ocular surgery
CN114569326B (zh) 2017-05-04 2024-06-25 卡尔蔡司白内障医疗技术公司 用于眼外科手术的装置和方法
US11259961B2 (en) * 2019-07-22 2022-03-01 Iantrek, Inc. Methods and devices for increasing aqueous drainage of the eye
CN110755198A (zh) * 2019-11-28 2020-02-07 中南大学湘雅二医院 眼内晶状体囊膜切除装置及手术器械
IT202000015139A1 (it) * 2020-06-24 2021-12-24 Studio Oculistico Dr Ssa Antonietta Carbone S N C Strumento per il trattamento chirurgico della cataratta, finalizzato all'estrazione del nucleo del cristallino
US12310892B2 (en) 2021-09-10 2025-05-27 Iantrek, Inc. Methods and devices for increasing aqueous drainage of the eye
CN116138950B (zh) * 2022-03-26 2025-03-11 马宏杰 一种眼球内溶物可控变形清除器
WO2025196616A1 (en) * 2024-03-20 2025-09-25 Alcon Inc. Surgical instruments for membrane peeling

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US4869716A (en) * 1988-10-24 1989-09-26 Smirmaul Heinz J Surgical instrument and method for cutting the lens of an eye
US5123906A (en) * 1991-06-20 1992-06-23 Kelman Charles D Surgical toroidal snare
JP3069723U (ja) * 1999-10-07 2000-06-30 秀雄 木村 ル―プカッタ―
WO2007011302A1 (en) * 2005-07-18 2007-01-25 Phacotreat Ab Methods and devices for eye surgery
CN202665790U (zh) * 2012-07-12 2013-01-16 西安市第四医院 一种环形连续性切除晶状体前囊膜的手术刀

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US4538611A (en) * 1983-06-13 1985-09-03 Kelman Charles D Surgical instrument and method of cutting a lens of an eye
US4732150A (en) * 1984-06-14 1988-03-22 Keener Jr Gerald T Process for cataract extraction
US4766897A (en) * 1987-06-16 1988-08-30 Heinz Smirmaul Capsulectomy surgical instrument
US6120496A (en) * 1998-05-05 2000-09-19 Scimed Life Systems, Inc. Surgical method and apparatus for positioning a diagnostic or therapeutic element within the body and coupling device for use with same
US6743228B2 (en) * 2001-09-12 2004-06-01 Manoa Medical, Inc. Devices and methods for tissue severing and removal
US6554843B1 (en) * 2001-10-15 2003-04-29 Universal Optical Co., Ltd. Cataract instrument
US8235978B2 (en) * 2007-11-01 2012-08-07 Valens Associated Inc. Thermal capsulotomy tool and system
US8464430B2 (en) 2008-02-07 2013-06-18 Beaver-Visitec International (Us), Inc. Retractable safety knife
US9125720B2 (en) * 2008-10-13 2015-09-08 Alcon Research, Ltd. Capsularhexis device with flexible heating element
US20100312252A1 (en) * 2009-06-03 2010-12-09 Guangyao Jia Capsularhexis device with flexible heating element having an angled transitional neck
WO2014035862A1 (en) * 2012-08-28 2014-03-06 The Regents Of The University Of Colorado, A Body Corporate Ophthalmic surgical device with adjustable filament and method of use
CA2854507C (en) * 2013-06-21 2017-01-03 Peter Triebel An apparatus for performing ophthalmic surgery using a contact element
CN106659587A (zh) * 2014-09-04 2017-05-10 爱尔康制药有限公司 用于白内障去除的外科手持件
CN107072814B (zh) * 2014-09-17 2021-01-26 卡尔蔡司白内障医疗技术公司 用于取出晶状体组织的装置和方法

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4869716A (en) * 1988-10-24 1989-09-26 Smirmaul Heinz J Surgical instrument and method for cutting the lens of an eye
US5123906A (en) * 1991-06-20 1992-06-23 Kelman Charles D Surgical toroidal snare
JP3069723U (ja) * 1999-10-07 2000-06-30 秀雄 木村 ル―プカッタ―
WO2007011302A1 (en) * 2005-07-18 2007-01-25 Phacotreat Ab Methods and devices for eye surgery
CN202665790U (zh) * 2012-07-12 2013-01-16 西安市第四医院 一种环形连续性切除晶状体前囊膜的手术刀

Also Published As

Publication number Publication date
ES2925073T3 (es) 2022-10-13
KR20190007414A (ko) 2019-01-22
EP3429490B1 (en) 2022-06-08
AU2017232627B2 (en) 2021-07-29
RU2018136361A (ru) 2020-04-17
CN109195536B (zh) 2021-12-07
AU2017232627A1 (en) 2018-10-04
CN109195536A (zh) 2019-01-11
EP3429490A4 (en) 2019-11-13
RU2018136361A3 (enExample) 2020-07-17
RU2739878C2 (ru) 2020-12-29
BR112018068537B1 (pt) 2023-05-02
RU2020141695A (ru) 2021-05-13
BR112018068537A2 (pt) 2019-01-29
IL261736B2 (en) 2023-06-01
IL261736A (en) 2018-10-31
JP2019508177A (ja) 2019-03-28
WO2017161062A2 (en) 2017-09-21
WO2017161062A3 (en) 2017-10-26
KR102406828B1 (ko) 2022-06-10
CA3017771A1 (en) 2017-09-21
CN114099134A (zh) 2022-03-01
EP3429490A2 (en) 2019-01-23
JP7079732B2 (ja) 2022-06-02

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