CN115251821B - 用于感测眼的层之间的位置的方法和设备 - Google Patents

用于感测眼的层之间的位置的方法和设备 Download PDF

Info

Publication number
CN115251821B
CN115251821B CN202210979195.3A CN202210979195A CN115251821B CN 115251821 B CN115251821 B CN 115251821B CN 202210979195 A CN202210979195 A CN 202210979195A CN 115251821 B CN115251821 B CN 115251821B
Authority
CN
China
Prior art keywords
needle
eye
cannula
operable
choroid
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.)
Active
Application number
CN202210979195.3A
Other languages
English (en)
Chinese (zh)
Other versions
CN115251821A (zh
Inventor
D·W·普莱斯
B·J·奥伯基尔彻
S·索科罕沃尔
D·J·亚赛瓦克
M·布鲁威尔
L·R·索菲
G·W·约翰森
W·D·丹纳赫
S·特罗勒
U·G·施内尔
J-C·鲁莱特
A·索雷尔
M·F·基恩
C·D·雷曼
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.)
Genentech Inc
Original Assignee
Genentech Inc
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 Genentech Inc filed Critical Genentech Inc
Publication of CN115251821A publication Critical patent/CN115251821A/zh
Application granted granted Critical
Publication of CN115251821B publication Critical patent/CN115251821B/zh
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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
    • A61F9/0008Introducing ophthalmic products into the ocular cavity or retaining products therein
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/02Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0231Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for eye surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3478Endoscopic needles, e.g. for infusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/0016Operational features thereof
    • A61B3/0041Operational features thereof characterised by display arrangements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/10Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
    • A61B3/102Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for optical coherence tomography [OCT]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/10Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
    • A61B3/12Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for looking at the eye fundus, e.g. ophthalmoscopes
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • A61B2090/3614Image-producing devices, e.g. surgical cameras using optical fibre
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/373Surgical systems with images on a monitor during operation using light, e.g. by using optical scanners
    • A61B2090/3735Optical coherence tomography [OCT]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/20Surgical microscopes characterised by non-optical aspects
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • GPHYSICS
    • G02OPTICS
    • G02BOPTICAL ELEMENTS, SYSTEMS OR APPARATUS
    • G02B3/00Simple or compound lenses
    • G02B3/0087Simple or compound lenses with index gradient

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Eye Examination Apparatus (AREA)
  • Moulds For Moulding Plastics Or The Like (AREA)
  • Length Measuring Devices By Optical Means (AREA)
  • Prostheses (AREA)
CN202210979195.3A 2014-09-11 2015-09-10 用于感测眼的层之间的位置的方法和设备 Active CN115251821B (zh)

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US201462049079P 2014-09-11 2014-09-11
US62/049,079 2014-09-11
US14/842,035 2015-09-01
US14/842,035 US10322028B2 (en) 2014-09-11 2015-09-01 Method and apparatus for sensing position between layers of an eye
CN201580061184.5A CN107427385A (zh) 2014-09-11 2015-09-10 用于感测眼的层之间的位置的方法和设备
PCT/US2015/049425 WO2016040631A1 (en) 2014-09-11 2015-09-10 Method and apparatus for sensing position between layers of an eye

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
CN201580061184.5A Division CN107427385A (zh) 2014-09-11 2015-09-10 用于感测眼的层之间的位置的方法和设备

Publications (2)

Publication Number Publication Date
CN115251821A CN115251821A (zh) 2022-11-01
CN115251821B true CN115251821B (zh) 2025-04-08

Family

ID=55453675

Family Applications (2)

Application Number Title Priority Date Filing Date
CN202210979195.3A Active CN115251821B (zh) 2014-09-11 2015-09-10 用于感测眼的层之间的位置的方法和设备
CN201580061184.5A Pending CN107427385A (zh) 2014-09-11 2015-09-10 用于感测眼的层之间的位置的方法和设备

Family Applications After (1)

Application Number Title Priority Date Filing Date
CN201580061184.5A Pending CN107427385A (zh) 2014-09-11 2015-09-10 用于感测眼的层之间的位置的方法和设备

Country Status (16)

Country Link
US (1) US10322028B2 (https=)
EP (1) EP3191032B1 (https=)
JP (1) JP6608434B2 (https=)
KR (1) KR20170052664A (https=)
CN (2) CN115251821B (https=)
AU (1) AU2015315040A1 (https=)
BR (1) BR112017004822B1 (https=)
CA (1) CA2960962A1 (https=)
ES (1) ES2936721T3 (https=)
MA (1) MA40632A (https=)
MX (1) MX2017003249A (https=)
PH (1) PH12017500462A1 (https=)
RU (1) RU2017111587A (https=)
SG (1) SG11201701973VA (https=)
WO (1) WO2016040631A1 (https=)
ZA (1) ZA201702521B (https=)

Families Citing this family (25)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20210353456A1 (en) * 2013-08-02 2021-11-18 Tel Hashomer Medical Research Infrastructure And Services Ltd. Method for delivery of compositions to the eye
WO2015126694A1 (en) 2014-02-12 2015-08-27 Ethicon Endo-Surgery, Inc. Method and apparatus for suprachoroidal administration of therapeutic agent
US10258502B2 (en) 2014-09-18 2019-04-16 Orbit Biomedical Limited Therapeutic agent delivery device
US10478553B2 (en) 2016-03-09 2019-11-19 Orbit Biomedical Limited Apparatus for subretinal administration of therapeutic agent via a curved needle
US11000410B2 (en) 2016-06-17 2021-05-11 Gyroscope Therapeutics Limited Guide apparatus for tangential entry into suprachoroidal space
US10806629B2 (en) 2016-06-17 2020-10-20 Gyroscope Therapeutics Limited Injection device for subretinal delivery of therapeutic agent
US10646374B2 (en) * 2016-06-17 2020-05-12 Orbit Biomedical Limited Apparatus and method to form entry bleb for subretinal delivery of therapeutic agent
US20190216645A1 (en) * 2016-09-23 2019-07-18 The Regents Of The University Of California Surgical device for ab-externo sub-retinal fluid drainage
US11110005B2 (en) 2016-11-17 2021-09-07 Alcon Inc. Medical instrument with an integrated optical fiber
US10478266B2 (en) 2016-12-15 2019-11-19 Novartis Ag Illuminated surgical probe having multiple optical fibers
US11273072B2 (en) 2017-01-13 2022-03-15 Gyroscope Therapeutics Limited Suprachoroidal injection device
US11076984B2 (en) 2017-03-13 2021-08-03 Gyroscope Therapeutics Limited Method of performing subretinal drainage and agent delivery
IL251684B (en) * 2017-04-09 2019-01-31 Tel Hashomer Medical Res Infrastructure & Services Ltd Device and method for creating a channel in soft tissue
WO2019135130A1 (en) 2018-01-05 2019-07-11 Novartis Ag Multiple illumination transmission through optical fiber
CN111819417B (zh) * 2018-03-01 2022-03-22 爱尔康公司 用于稳定光学相干断层扫描成像的共光路波导
EP3920859B1 (en) * 2019-02-06 2025-09-03 The Johns Hopkins University External and internal intraoperative optical coherence tomography imaging for subretinal material delivery
US11759355B1 (en) 2019-02-26 2023-09-19 Gyroscope Therapeutics Limited Method of delivering leading blebs and agent to subretinal space
IL292024B1 (en) 2019-10-11 2026-01-01 Gyroscope Therapeutics Ltd Syringe Dosing Cartridge Assembly
CN114848145B (zh) * 2022-04-15 2024-07-16 西安交通大学 一种带增敏触觉检测的眼科手术机器人末端执行器
WO2024052733A1 (en) 2022-09-06 2024-03-14 Gyroscope Therapeutics Limited Apparatus for subretinal administration of therapeutic agent via dual-curved needle
EP4648726A2 (en) 2023-01-13 2025-11-19 Genentech, Inc. Dose dock for syringe
TW202529711A (zh) 2023-09-29 2025-08-01 美商建南德克公司 眼插管導引器、施用器及標記器械
DE102024105565A1 (de) 2024-02-28 2025-08-28 Carl Zeiss Meditec Ag Steuervorrichtung, robotische Anordnung und Operationsmikroskop für die Mikrochirurgie
DE102024105566A1 (de) 2024-02-28 2025-08-28 Carl Zeiss Meditec Ag Steuervorrichtung, robotische Anordnung, Operationsmikroskop und Verfahren zum Steuern der Bewegung eines chirurgischen Instruments
TW202602405A (zh) 2024-03-27 2026-01-16 美商建南德克公司 用於視網膜下注射裝置的扭矩環

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101052434A (zh) * 2004-04-29 2007-10-10 I科学干预公司 用于治疗眼睛的装置和方法
CN101360523A (zh) * 2006-01-17 2009-02-04 创森德医疗设备公司 青光眼治疗装置

Family Cites Families (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6564087B1 (en) * 1991-04-29 2003-05-13 Massachusetts Institute Of Technology Fiber optic needle probes for optical coherence tomography imaging
US5217452A (en) * 1992-05-18 1993-06-08 Donnell Francis E O Transscleral laser treatment of subretinal neovascularization
US6309374B1 (en) 1998-08-03 2001-10-30 Insite Vision Incorporated Injection apparatus and method of using same
EP2399990B1 (en) 2003-06-27 2015-07-22 DePuy Synthes Products, Inc. Cells derived from post-partum umbilical cord for use in treatment of disease of the heart and circulatory system
US7922654B2 (en) * 2004-08-09 2011-04-12 Boston Scientific Scimed, Inc. Fiber optic imaging catheter
US20100173866A1 (en) 2004-04-29 2010-07-08 Iscience Interventional Corporation Apparatus and method for ocular treatment
US7704246B2 (en) * 2004-04-30 2010-04-27 Connor Christopher S Shielded intraocular probe for improved illumination or therapeutic application of light
US7483147B2 (en) * 2004-11-10 2009-01-27 Korea Advanced Institute Of Science And Technology (Kaist) Apparatus and method for measuring thickness and profile of transparent thin film using white-light interferometer
US7824089B2 (en) * 2006-10-03 2010-11-02 Alcon, Inc. Gradient index surgical illuminator
US8894637B2 (en) * 2008-01-22 2014-11-25 Board Of Regents, The University Of Texas System Systems, devices and methods for imaging and surgery
CN201295248Y (zh) * 2008-11-06 2009-08-26 上海瑞影医疗科技有限公司 带焦点指示的超声探头
WO2010104752A2 (en) * 2009-03-08 2010-09-16 Oprobe, Llc Multi-function optical probe system for medical and veterinary applications
CN102458509B (zh) * 2009-05-15 2015-04-22 I科学干预公司 用于视网膜下导管插入的装置
US10045882B2 (en) * 2009-10-30 2018-08-14 The Johns Hopkins University Surgical instrument and systems with integrated optical sensor
CN103220963A (zh) * 2010-06-10 2013-07-24 R·S·米尔拉伊 具有摄影机的集成光纤眼科眼内手术装置
WO2015126694A1 (en) 2014-02-12 2015-08-27 Ethicon Endo-Surgery, Inc. Method and apparatus for suprachoroidal administration of therapeutic agent

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101052434A (zh) * 2004-04-29 2007-10-10 I科学干预公司 用于治疗眼睛的装置和方法
CN101360523A (zh) * 2006-01-17 2009-02-04 创森德医疗设备公司 青光眼治疗装置

Also Published As

Publication number Publication date
AU2015315040A1 (en) 2017-03-30
JP2017527384A (ja) 2017-09-21
BR112017004822B1 (pt) 2022-04-19
EP3191032B1 (en) 2022-11-02
CN107427385A (zh) 2017-12-01
ES2936721T3 (es) 2023-03-21
WO2016040631A1 (en) 2016-03-17
US20160074212A1 (en) 2016-03-17
MA40632A (fr) 2016-03-17
PH12017500462A1 (en) 2017-07-31
SG11201701973VA (en) 2017-04-27
CA2960962A1 (en) 2016-03-17
RU2017111587A (ru) 2018-10-11
MX2017003249A (es) 2018-02-12
KR20170052664A (ko) 2017-05-12
US10322028B2 (en) 2019-06-18
JP6608434B2 (ja) 2019-11-20
CN115251821A (zh) 2022-11-01
EP3191032A1 (en) 2017-07-19
BR112017004822A2 (pt) 2017-12-12
ZA201702521B (en) 2019-06-26

Similar Documents

Publication Publication Date Title
CN115251821B (zh) 用于感测眼的层之间的位置的方法和设备
US20230355432A1 (en) Sub-retinal tangential needle catheter guide and introducer
JP7297849B2 (ja) Octガイド緑内障手術のための方法およびシステム
EP3191033B1 (en) Motorized suprachoroidal injection of therapeutic agent
JP2025170310A (ja) 緑内障手術のための画像誘導方法および装置
KR20180122653A (ko) 곡침을 통해 치료제를 망막하 투여하기 위한 장치
US20240041654A1 (en) Assembly for laser treatment of ocular opacities
WO2024173940A1 (en) Three dimensional imaging for surgery

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
TA01 Transfer of patent application right
TA01 Transfer of patent application right

Effective date of registration: 20241125

Address after: Basel, SUI

Applicant after: F. HOFFMANN-LA ROCHE AG

Country or region after: Switzerland

Address before: London, England, England

Applicant before: Gyroscope therapeutics Co.,Ltd.

Country or region before: Britain

TA01 Transfer of patent application right
TA01 Transfer of patent application right

Effective date of registration: 20241210

Address after: California, USA

Applicant after: GENENTECH, Inc.

Country or region after: U.S.A.

Address before: Basel, SUI

Applicant before: F. HOFFMANN-LA ROCHE AG

Country or region before: Switzerland

GR01 Patent grant
GR01 Patent grant