EP1061865A1 - Protecteur de lentille pour dispositif d'insertion de lentille intra-oculaire - Google Patents

Protecteur de lentille pour dispositif d'insertion de lentille intra-oculaire

Info

Publication number
EP1061865A1
EP1061865A1 EP99909556A EP99909556A EP1061865A1 EP 1061865 A1 EP1061865 A1 EP 1061865A1 EP 99909556 A EP99909556 A EP 99909556A EP 99909556 A EP99909556 A EP 99909556A EP 1061865 A1 EP1061865 A1 EP 1061865A1
Authority
EP
European Patent Office
Prior art keywords
injector rod
force
injector
transfer assembly
rod
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.)
Withdrawn
Application number
EP99909556A
Other languages
German (de)
English (en)
Inventor
Jim Deacon
Thomas M. Mcnicholas
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.)
Johnson and Johnson Surgical Vision Inc
Original Assignee
Allergan Sales LLC
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 Allergan Sales LLC filed Critical Allergan Sales LLC
Publication of EP1061865A1 publication Critical patent/EP1061865A1/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16—Intraocular lenses
    • A61F2/1662—Instruments for inserting intraocular lenses into the eye
    • A61F2/1664—Instruments for inserting intraocular lenses into the eye for manual insertion during surgery, e.g. forceps-like instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/48—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests having means for varying, regulating, indicating or limiting injection pressure
    • A61M5/488—Limiting injection pressure

Definitions

  • the present invention relates generally to the field of intraocular lenses (IOLs) , more particularly to mechanical devices for inserting IOLs in patients' eyes, and still more particularly to mechanical devices having force-limiting mechanisms incorporated into the advancing mechanisms of these devices.
  • IOLs intraocular lenses
  • cataracts A leading cause of partial or total blindness in humans, especially the elderly, is cataracts -- which is defined as a condition of opacity of the eye's naturally transparent lens through which light entering the eye is focused to the fovis centralis of the retina to form images of viewed objects. As cataracts progress, opacity of the afflicted lens increases and less and less light is transmitted through the lens to the retina, thereby causing an individual's sight to deteriorate, in worst case, to complete blindness.
  • these new silicone IOLs When suitably deformed by folding or rolling, these new silicone IOLs could be implanted through the small ocular incision used for the phacoemulsification procedure. After being implanted in the deformed condition, these elastic silicone IOLs would, upon release, return to their original size and condition. Since the time of introduction of the first silicone IOLs other lens materials have been utilized; these include acrylates and the like materials.
  • IOL inserter or injector devices still require the preliminary use of forceps for folding or loading the IOLs, or for holding the IOL while it is being deformed and/or for introducing the IOL or its haptics, if present, into the inserter or injector device prior to insertion.
  • Haptics are small wire-like arms of biocompatible material which radiate out from the edge of certain IOLs and serve to hold the optic of the IOL in position inside the eye
  • a typical IOL comprises two haptics disposed on opposite sides of a substantially circular lens optic.
  • Representative examples of a few of the above- mentioned types of IOL injector or inserters are disclosed in U.S. Patent No. 4,681,102 to Bartell; U.S. Patent No. 4,880,000 to Holmes; U.S. Patent No.'s 5,066,297, 4,976,716 and 4,862,885 to Cumming; and U.S. Patent No.'s 5,494,484 and 5,582,614 to Feingold.
  • Virtually all, if not all, insertion devices have an elongate, slender insertion tube or nozzle at the distal end, designed to be inserted into and through the same, identically sized ocular incision made for phacoemulsification and removal of the natural lens.
  • Proximal to this insertion tube is a region in which the IOL to be implanted is held in a pre-implant, deformed, folded or compressed condition.
  • Proximal as used in this application indicates that portion of the inserter held by or closest to the physician and distal is used to describe that portion closest to or inside the eye.
  • the IOL and the inserter sleeve are lubricated with a sterile, lubricous liquid, such as a viscoelastic, to ease resistance to advancing the IOL through the narrow sleeve.
  • a slender axial shaft is provided in the handle of the insertion device for pushing the folded, rolled or otherwise deformed IOL from the holding region through the nozzle and out the distal end into the eye.
  • the nozzle piece of the inserter is actually placed through the incision in the sclera (the tough white cover of the eye) and typically into the part of the capsular bag that remains after removal of the natural lens .
  • the force applied to the inserter can become excessive to the point that the IOL is damaged.
  • the IOL can become adhered to or otherwise difficult to advance through the inserter. Applying too much force to the inserter can result in the s IOL becoming damaged.
  • the optic of the IOL Once released into the eye the optic of the IOL will return to its original shape or configuration whether damaged or not . Removal of a damaged IOL from inside the eye is awkward, time consuming and can result in unwanted surgical complications such as infection or trauma to the cornea of the eye, or the necessity to enlarge the incision in the tissue of the eye. Therefore, it is highly advantageous to avoid damaging the IOL during implantation in the eye.
  • the surgeon can sense the resistance to turning or pushing the handle of the inserter while advancing the IOL through the inserter and ascertain if the IOL is advancing properly through the inserter.
  • the surgeon is often concerned with many other aspects of the surgery, which include looking into the eye through a microscope, giving instructions, and positioning and holding the inserter in place through the small incision. Since the procedure is performed by observing the placement of the inserter and then lens inside the eye through a microscope, the surgeon is focused on the process as it occurs within the eye, and so potentially is not fully cognizant of the resistance on the inserter handle piece.
  • an acrylate IOL often requires more force to move through an inserter than does a silicone IOL, and even lenses made of the same or similar materials when made by different processes and/or manufacturers differ in their degree of surface lubricity.
  • apparatus for inserting IOLs through an incision into an eye comprise a tube, an injector rod and a force transfer assembly.
  • the tube defines a hollow passage and has an ejection port through which the IOL is passed from the hollow passage into the eye.
  • the injector rod is longitudinally movable within the hollow passage and has a distal portion adapted to contact the IOL within the hollow passage of the tube to urge the IOL distally through the hollow passage.
  • the force transfer assembly is coupled to the injector rod, is adapted to transfer sufficient force to the injector rod to effect the longitudinal movement of the injector rod, and further is adapted to prevent the transfer of sufficient force to the injector rod to effect the longitudinal movement of the injector rod in response to an increased amount of force being applied to the force transfer assembly.
  • the force transfer assembly is adapted to allow the injector rod to move in a longitudinal direction to cause the IOL to pass through the hollow passage into the eye provided that such force is not excessive, for example, is not sufficient to cause damage to the IOL.
  • the force transfer assembly provides an audible and/or tactile indication that the increased amount of force had been applied to the force transfer assembly so as to prevent the longitudinal movement of the injector rod.
  • This embodiment can be analogized to the ratcheting action of a ratchet in that although a portion of the force transfer assembly is caused to move, for example, rotate, the longitudinal movement of the injector rod is prevented.
  • the amount of force required to prevent the longitudinal movement of the injector rod preferably is adjustable, for example, to take into account the differences in the level of non-damaging force that can be applied when inserting different IOLs.
  • the present invention can be effectively employed to limit the amount of force applied to the injector rod to that amount of force which will not damage the IOL being inserted.
  • the force transfer assembly may be considered as a combination of an actuator and a coupling/decoupling means.
  • the coupling/decoupling means is configured for coupling the actuator to the injector rod for causing the rod to advance through the tube and push the installed IOL through the tube and out the injection port or distal end of the tube in response to the application of a normal IOL advancing force to the actuator.
  • the coupling/decoupling means is configured for decoupling the actuator from the injector rod in response to the application of an IOL advancing force to the actuator that is substantially greater than the normal IOL advancing force; or when the installed IOL becomes stuck in the tube and an IOL advancing force substantially greater than the normal IOL advancing force is applied to the actuator.
  • the coupling/decoupling means preferably is additionally configured for coupling the actuator to the injector rod for enabling of movement of the injector rod in the tube in an axial direction opposite to the IOL advancing direction.
  • the injector rod includes a proximal end portion having at least one radially extending projection, preferably in the form of an axially extending spline.
  • the force transfer assembly includes a member having an inner surface defining a recess. The member is adapted to be placed on the proximal end portion of the injector rod with the projection located in the recess when the force transfer assembly is effective to transfer sufficient force to the injector rod to effect the longitudinal movement of the injector rod. An excessive amount of force applied to the force transfer assembly causes the projection to leave the recess and prevents the transfer of sufficient force to the injector rod to effect the longitudinal movement of the injector rod.
  • the proximal end portion preferably includes a plurality of the radially extending projections and the inner surface of the cap member preferably defines a corresponding plurality of the recesses .
  • the projection(s) and/or the recess (es) preferably are asymmetric, in particular radially asymmetric.
  • the projection (s) and the recess (es) are asymmetrically configured so that a given projection leaves a given recess in response to more force as the injector rod is being withdrawn from the hollow passage relative to the force needed to cause the projection to leave the recess as the injector rod is being passed into the hollow passage. This feature allows one to advantageously use more force and still effect longitudinal movement of the injector rod out of the hollow passage.
  • the force transfer assembly can be used to pass the injector rod longitudinally backwardly or proximally out of the hollow passage even though the same or greater amount of force is applied to the force transfer assembly that caused the injector rod to not be able to be moved longitudinally forward.
  • This "greater back-out-force" feature allows the apparatus to be relatively easily unstuck, rather than being hopelessly jammed.
  • the injector rod preferably is adapted to be repeatedly reused, while the force transfer assembly is adapted to be disposed of after a single use.
  • the force transfer assembly or member is made of flexible or deformable polymeric material, whereas the injector rod is made of a more durable material, for example, a metal.
  • the member or force transfer assembly is placed on the injector rod and is used to cause the injector rod to move longitudinally within the hollow passage. After this use, the force transfer assembly is removed from the injector rod and disposed of.
  • the injector rod and other reusable portions of the apparatus are sterilized or otherwise treated to be ready for reuse.
  • the force transfer assembly includes a coupling element and a spring member effective in transferring sufficient force to the injector rod to effect the longitudinal movement of the injector rod.
  • the spring element is adapted to be rendered ineffective, thereby preventing the transfer of sufficient force to effect the longitudinal movement of the injector rod.
  • the coupling element and the spring member may be secured to the injector rod or to the force transfer assembly.
  • the apparatus preferably includes two of the coupling elements and two of the spring members .
  • the force transfer assembly includes a cap portion adapted to be placed on the proximal end of the injector rod.
  • the cap portion includes an inner surface which defines at least one recess into which the coupling element extends when the force from the transfer assembly is effective to transfer sufficient force to the injector rod to effect the longitudinal movement.
  • the inner surface defines a plurality of the recesses, each of which more preferably is asymmetric, for example, to provide the "greater back-out-force" feature described elsewhere herein.
  • the cap portion can be secured to the injector rod.
  • the injector rod preferably is adapted to be rotated to effect the longitudinal movement of the injector rod.
  • the coupling element and the spring member are secured to the force transfer assembly.
  • the injector rod may include at least one groove into which the coupling element extends when the force transfer assembly is effective to transfer sufficient force to the injector rod to effect longitudinal movement of the injector rod.
  • the injector rod preferably includes a plurality of the grooves axially spaced apart from each other. In one embodiment, the groove or grooves are annular.
  • the groove or grooves preferably are asymmetrically configured so that the coupling element leaves the groove or grooves in response to more force as the injector rod is being withdrawn from the hollow passage relative to the force needed to cause the coupling element to leave the groove or grooves as the injector rod is being passed into the hollow passage.
  • the injector rod may include a proximal end portion configured to prevent the injector rod from decoupling from the force transfer assembly.
  • conventional clips or other fasteners may be employed to prevent the injector rod from decoupling from the force transfer assembly.
  • the force transfer assembly includes a cap element, a cap insert located with the cap element, and a cap spring member located between the cap element and the cap insert and biased to keep the cap element and the cap insert spaced apart .
  • the cap insert includes an outwardly extending face having at least one projection or recess.
  • the injector rod includes a proximal end face including at least one of the other of a recess or a projection.
  • the cap member is adapted to be placed on the proximal end of the injector rod with a projection or a recess of the outwardly extending face in mating relationship with the recess or the projection of the proximal end face when the force transfer assembly is effective to transfer effective force to the injector rod to effect longitudinal movement.
  • the outwardly extending face and the proximal end force define a plurality of the projections or the recesses.
  • the projection (s) and/or the recess (es) of the outwardly extending face and the proximal end face are asymmetric, for example, to provide the "greater back-out- force" feature described elsewhere herein.
  • Fig. 1 is a side perspective view, partially cut away, of an IOL insertion apparatus in accordance with the present invention.
  • Fig. 2 is a side plan view of the injector rod assembly removed from the body of the insertion apparatus shown in Fig. 1.
  • Fig. 3 is a cross-sectional view taken generally along line 3-3 of Fig. 2.
  • Fig. 4 is a perspective view of a folding device shown in the open position.
  • Fig. 5 is a schematic perspective drawing showing the placement of the distal portion of the insertion tube in the eye .
  • Fig. 6 is a partial side plan view of another embodiment of an apparatus in accordance with the present invention.
  • Fig. 7 is a cross-sectional view of the embodiment shown in Fig. 6.
  • Fig. 8 is a plan view of the inner top surface of the cap member shown in Figs . 6 and 7.
  • Fig. 9 is a top side view, in perspective, of the proximal end portion of the push rod assembly shown in Figs . 6 and 7.
  • Fig. 10 is a top side view, in perspective, of the spring member shown in Figs . 6 and 7.
  • Fig. 11 is a side plan view, partly in cross-section, of a portion of further embodiment an apparatus in accordance with the present invention.
  • Fig. 12 is a side plan view of a portion of the injector rod assembly shown in Fig. 11.
  • Fig. 13 is a cross-sectional view of a portion of an additional embodiment of an apparatus in accordance with the present invention.
  • IOL insertion apparatus shown generally at 10 includes an IOL folder cartridge 12, a hollow tubular body 14, an injector rod assembly 16, and a force transfer member or actuator 18.
  • Cartridge 12 is used to fold an IOL and to be placed in the hollow passage 20 defined by hollow body 14.
  • Cartridge 12 includes a hollow insertion tube 21 having distal portion 22 and a distal end opening 24. In use, at least a portion of distal portion 22 is inserted through an incision in the eye so that the IOL from cartridge 12 can be passed through distal opening 24 into the eye.
  • the proximal end portion 26 of body 14 includes interior threads 28 which are adapted to matingly engage threads 30 on the threaded portion 32 of injector rod assembly 16.
  • injector rod assembly 16 is shown in more detail in Figs. 2 and 3.
  • injector rod assembly 16 includes threaded portion 32, elongate tubular member 34 which is coupled to the threaded portion at coupling 33 and proximal end portion 36, which is formed integrally with the threaded portion.
  • Tubular member 34 includes a distal tip 38 which comes in contact with the IOL in folder 12 as injector rod assembly 16 is advanced through the hollow passage 20 of body 14. This advancement is effected by rotating proximal end portion 36 to cause the entire injector rod assembly 16 to move forward or distally.
  • Proximal end portion 36 of injector rod assembly 16 includes a series of splines 40 which extend outwardly.
  • splines 40 extend longitudinally along substantially the entire length of proximal end portion 36.
  • Splines 40 are asymmetrically configured, as will be discussed hereinafter.
  • Injector rod assembly 16 and tubular body 14 are reusable, that is these components can be reused multiple times to insert multiple IOLs. These components preferably are made of surgical grade metal, for example, stainless steel, which can be repeatedly sterilized between uses to provide protection against cross-patient contamination.
  • the folder cartridge 12 is disposable after a single use and is made of a suitable polymeric material.
  • the distal tip 38 of injector rod assembly 16 maybe a polymer. The use of a polymeric or soft material for the distal tip 38 is effective to protect against damaging the IOL and useful in controlling the insertion of the IOL into the eye. If a soft polymeric material is used to produce tip 38, that portion of the push rod assembly 16 preferably is disposed of after a single use.
  • the force transfer member 18 is made of a polymeric material, preferably a flexible or deformable polymeric material, and includes a series of coupling/decoupling recesses 42 which correspond in number to the splines 40. Each of the recesses 42 extends longitudinally along substantially the entire length of force transfer member 18. Each of these recesses 42 is asymmetrically configured to be complimentary to the asymmetric configuration of each of the splines 40.
  • the force transfer member 18 is positioned to cover substantially the entire outer sidewall surface 45 of proximal end portion 36.
  • the force transfer member 18 preferably is disposed of after a single use, that is after a single IOL is inserted into an eye using apparatus 10.
  • Force transfer member 18 includes a number of longitudinally, outwardly extending gripping projections 44 which extend along substantially the entire length of the force transfer member. Such gripping projections 44 are effective in facilitating the manual rotation of the force transfer member 18, for example, by a surgeon using apparatus 10.
  • Force transfer member 18 is employed by being rotated. A certain amount of rotational force applied to the force transfer assembly 18 causes the proximal end portion 36 of injector rod assembly 16 to rotate, thus causing the injector rod assembly to move distally through hollow passage 20 of tubular body 14. This movement of injector rod assembly 16 is effected when each of the splines 40 is located in a different recess 42, as shown in Fig. 3. So long as excessive force is not applied to the force transfer member 18, the proximal end portion 36 of the injector rod assembly 16 continues to rotate in response to the rotation of the force transfer member.
  • the asymmetric configurations of the splines 40 and recesses 42, as shown in Fig. 3, are such that more force is required for the splines to leave the recesses when the injector rod assembly is being passed backwardly or proximally through the hollow passage 20 of tubular body 14 relative to the amount of force required for the splines to leave the recesses if the injector rod assembly 14 is being moved distally in the hollow passage.
  • This feature allows the user to remove the injector rod assembly 16 from the hollow passage 20 even with relatively large amounts of force. This is beneficial to allow the apparatus 10 to be reused, even though the IOL and other disposable components may need to be discarded.
  • Fig. 4 illustrates the manner in which cartridge 12 produces the desired result of folding IOL 50.
  • Hinge folding leaves 52 and 54 are used to open and close folding members 56 and 58, respectively.
  • IOL 50 (in an unfolded state) is placed on folding members 56 and 58 by forceps 60.
  • Superior haptic 62 is placed forward of optic 64, while the other haptic 66 trails the optic.
  • Hinged folding leaves 52 and 54 are moved together, which folds the flexible, foldable optic 64 of IOL 50 in half.
  • the closed loading cartridge 12, containing the folded IOL 50 is then loaded into tubular body 14 of apparatus 10, through opening 19. Insertion apparatus 10 is operated and functions as follows.
  • the apparatus 10 and IOL are placed in a configuration as shown in Fig. 1.
  • the IOL is to be placed in the eye 70 into an area formerly occupied by the natural lens of the eye .
  • the distal portion 22 of insertion tube 21 is ready for insertion through an incision in the sclera of eye 70.
  • Capsular bag 72 protects the posterior segment of the eye 70.
  • the injector rod assembly 16 is advanced distally, which in turn moves the IOL distally into insertion tube 21. As long as no excessive force is required to be applied to force transfer member 18 to maintain the rotation of the injector rod assembly 16, no indication is given that the IOL 50 is possibly damaged by such excessive force.
  • the IOL emerges from the distal end opening 24 and is positioned in the eye with reduced risk that the IOL itself has been damaged.
  • Fig. 5 shows the eye 70 having an incision in the sclera through which the distal portion 22 is passed.
  • the incision can be made through the cornea.
  • Distal portion 22 has a sufficiently small cross-section to pass into the eye 70 through a 3.0 mm incision in the sclera.
  • Folding leaves 52 and 54 in contact with each other when lens folding cartridge 12 is in the closed position, can be grasped by an operator and used to guide and position distal portion tube into its desired position within the eye .
  • distal portion 22 is removed from the eye. If needed, the IOL can be repositioned in the eye by a small, bent needle or similar tool inserted into the same incision.
  • Figs. 6 to 10 illustrate another embodiment of the present invention. Except as expressly described herein, this other insertion apparatus, identified generally as 210, includes the same components and is structured and functions similarly to the insertion apparatus 10. Components of the other apparatus 210 corresponding to components of the apparatus 10 are identified by the same reference numerals increased by 200.
  • the primary differences between the apparatus 210 and apparatus 10 relate to the force transfer member or assembly and the proximal end of the injector rod assembly.
  • the force transfer member 18 is replaced by force transfer assembly, shown generally at 218, and described in detail hereinafter.
  • the proximal end portion of the injector rod assembly 216 has an enlarged flattened head 80 including groves 82 and 84 which cross each other centrally. At the center of the flattened head 80 is a fastener hole 86.
  • Force transfer assembly 218 includes a cap 88 which is secured to the injector rod assembly 216 by a clip 90 which is coupled to the cap and extends inwardly to entrap flattened head 80.
  • a spring element 92 (Fig. 10) is provided including two generally flat and opposing legs 94 and two generally upwardly extending and opposing legs 96.
  • a contact pin 98 is secured, for example, welded, to each of the upwardly extending legs 96, as shown in Fig. 10.
  • a fastener hole 100 is located through the center of spring element 92.
  • Spring element 92 is fitted to the flattened head 80 using fastener 102. In this manner, the flat legs 94 extend into grove 82 and upwardly extending legs 96 are placed at least partially in groves 84.
  • the inner top surface 104 of cap 88 includes a series of asymmetric recesses 106.
  • Forced transfer assembly 118 functions as follows.
  • the cap 88 and spring member 92 are positioned so that the pins 98 fit in two of the recesses 106.
  • the rotation of cap 88 results in the rotation of flattened head 80 and the entire injector rod assembly 116.
  • the push rod assembly 116 can be advanced through the hollow passage of the hollow tubular body of apparatus 210, in a manner substantially similar to the functioning of apparatus 10 discussed above, to insert an IOL into an eye. If excessive force is applied to cap 88, the pins 98 leave the recesses 106 so that no further rotation of the push rod assembly 116 occurs even though the cap continues to be rotated.
  • the recesses 106 are asymmetrically configured so that more force is required before the pins 98 leave the recesses 106 when the cap member 88 is being rotated to withdraw the injector rod assembly 216 from the hollow space of the hollow tube.
  • apparatus 210 can be reset rather than being stuck in a situation where the injector rod assembly 216 does not rotate either in or out of the hollow passage of this tubular body.
  • Figs . 11 and 12 illustrate a further embodiment of the present invention unless .
  • this further insertion apparatus identified generally as 310 includes the same components and is structured and functions similarly to apparatus 10.
  • Components of the further apparatus 310 corresponding to components of apparatus 10 are indicated by the same reference number increased by 300.
  • the primary differences between further apparatus 310 and apparatus 10 relate to the structure of the force transfer assembly and the proximal end portion of the injector rod assembly.
  • the force transfer assembly 310 includes a grip element 111 which defines a thumb hole 113.
  • force transfer assembly 318 includes a centrally located bore 115 in which the proximal end portion 117 of injector rod assembly 316 is located.
  • a spring 119 is situated in a side bore 121 located in the lower sidewall 123 of force transfer assembly 318.
  • a pin 125 is affixed to the spring 119 and extends into the opening 115.
  • the proximal end portion 117 of the injector rod assembly 316 includes a series of annular grooves 131.
  • the proximal end member 133 of injector rod assembly 316 has a somewhat larger cross-sectional area than the largest portion of the groves 131.
  • Apparatus 310 functions as follows. The proximal end portion of push rod assembly 316 is placed in the hole 115 of force transfer assembly 318, the spring 119 element is placed so that the pin 125 extends into one of the grooves 131. With this configuration, force transfer assembly 318 is directly pushed in or pulled out (rather than being rotated as with forced transfer assembly 118) to provide for forward or distal movement of injector rod assembly 316 in the hollow passage of the tubular body of apparatus 310 or the withdrawal of injector rod assembly 316 from the hollow passage of the tubular body of apparatus 310. As long as no excessive force is applied to force transfer assembly 318, the pin 125 remains in groove 131 and the injector rod assembly moves directly with the force transfer assembly 318.
  • the grooves 131 are asymmetrically configured so that less force is required to have the pin 125 leave the grooves as the injector rod assembly 316 is being moved forward into the apparatus 310 relative to the amount of force required for the pin to leave the grove when the injector rod assembly is being withdrawn from the apparatus 310. As before, this feature is effective to avoid the apparatus 310 being permanently stuck.
  • the enlarged proximal end member 133 is structured to be sufficiently large so that the pin 125 does not allow member 133 to leave the bore 115.
  • member 133 is effective in coupling the injector rod assembly 316 to the force transfer assembly 318.
  • Fig. 13 illustrates yet another embodiment of the present invention. Except as expressly described herein, this additional apparatus, identified generally as 410, includes the same components and is structured and functions similarly to apparatus 10. Components of the additional apparatus 410 which correspond to components of apparatus 10 are identified by the same reference number increased by 400.
  • force transfer assembly 418 includes a cap member 141 including an inner surface 143 to which is secured spring member 145.
  • spring member 145 is coupled to cap insert 147 which includes a series of recesses 149.
  • the proximal end 151 of injector rod assembly 416 is relatively enlarged and includes a proximal surface 153 including a series of projections 155. The projections 155 are adapted to mate or fit into recesses 149.
  • Cap member 141 is secured to the proximal end 151 of injector rod assembly 416 using a clip 157 which is coupled to the cap member and extends upwardly to entrap the enlarged proximal end.
  • the projections 149 and recesses 155 are asymmetrical configured so that more force is required to remove the projections from the recesses as cap member 141 is being rotated to withdraw the injector rod assembly 416 from apparatus 410 relative to the force required to remove the projections from the recesses as the cap member is being moved distally into the apparatus 410 the eye.
  • Force transfer assembly 418 functions as follows. When it is desired to insert an IOL into an eye, cap member 141 is rotated so as to advance injector rod assembly 416 forward toward to eye. So long as no excessive force is applied to cap member 141, the projections 155 remain in the recesses 149. However, if excessive force is applied to cap member 141, the projections 149 leave the recesses 155 and result in push rod assembly 416 not being advanced even though the cap member 141 continues to be rotated. At this point, this situation is tactually signaled and possibly even audibly signaled to the user of apparatus 410. In this instance, the rotation of the cap member is reversed to withdraw the injector rod assembly 416 so that the IOL can be inspected to determine if any damage has occurred.

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  • Health & Medical Sciences (AREA)
  • Ophthalmology & Optometry (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (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)

Abstract

Appareil permettant d'introduire une lentille intra-oculaire par une incision réalisée dans un oeil, qui comporte un tube définissant un passage creux, une tige d'injecteur mobile longitudinalement à l'intérieur du passage creux et un ensemble de transfert de force couplé à la tige d'injecteur. Ladite tige possède une partie distale adaptée pour venir en contact avec la lentille intra-oculaire à l'intérieur du passage creux du tube pour pousser ladite lentille distalement dans le passage creux. L'ensemble de transfert de force est adapté pour impartir une force suffisante à la tige d'injecteur de manière que ladite force provoque le mouvement longitudinal de la tige d'injecteur et il est en outre adapté pour empêcher le transfert d'une force suffisante à la tige d'injecteur de manière que ladite force provoque le mouvement longitudinal de la tige d'injecteur, en réponse à l'application d'une force accrue à l'ensemble de transfert de force.
EP99909556A 1999-02-22 1999-02-22 Protecteur de lentille pour dispositif d'insertion de lentille intra-oculaire Withdrawn EP1061865A1 (fr)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/US1999/003877 WO2000049975A1 (fr) 1999-02-22 1999-02-22 Protecteur de lentille pour dispositif d'insertion de lentille intra-oculaire

Publications (1)

Publication Number Publication Date
EP1061865A1 true EP1061865A1 (fr) 2000-12-27

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EP99909556A Withdrawn EP1061865A1 (fr) 1999-02-22 1999-02-22 Protecteur de lentille pour dispositif d'insertion de lentille intra-oculaire

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EP (1) EP1061865A1 (fr)
JP (1) JP2003504094A (fr)
WO (1) WO2000049975A1 (fr)

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Publication number Priority date Publication date Assignee Title
EP1419748B1 (fr) * 2002-11-18 2006-07-19 Anton Meyer & Co.AG Dispositif d'injection de lentille avec bague
CN100411597C (zh) * 2003-02-08 2008-08-20 佳能星股份有限公司 用于可变形眼内晶状体的插入装置
US20070005135A1 (en) * 2005-07-01 2007-01-04 Harish Makker Intraocular lens insertion plunger with low stimulus soft tip
KR101030689B1 (ko) 2009-08-26 2011-04-22 장세창 백내장 시술 후 안구 내에 렌즈를 삽입하기 위한 주입기
EP2567674B1 (fr) * 2011-09-07 2015-05-06 SDI Surgical Device International GmbH Injecteur modulaire de lentille intra-oculaire
GB2517921B (en) * 2013-09-04 2015-12-16 Duckworth & Kent Ltd Device for use in a delivery of ophthalmic lenses
SG11201607021VA (en) 2014-02-26 2016-09-29 Allergan Inc Intraocular implant delivery apparatus and methods of use thereof
JP6407619B2 (ja) * 2014-08-11 2018-10-17 京セラ株式会社 人工関節手術器具用グリップおよびシェルポジショナー

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US4681102A (en) 1985-09-11 1987-07-21 Bartell Michael T Apparatus and method for insertion of an intra-ocular lens
US4880000A (en) 1987-12-15 1989-11-14 Iolab Corporation Lens insertion instrument
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US5213115A (en) * 1990-10-23 1993-05-25 Burron Cardiovascular, A Division Of B. Braun Medical, Inc. Inflation system for a balloon catheter
EP0723429B1 (fr) 1992-09-30 2002-04-10 FEINGOLD, Vladimir Systeme d'insertion de cristallins intraoculaires
US5425734A (en) * 1993-07-02 1995-06-20 Iovision, Inc. Intraocular lens injector
EP0830083B1 (fr) * 1995-05-24 2007-03-07 Staar Surgical Company Systeme d'injection pour une lentille intra-oculaire deformable
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See references of WO0049975A1 *

Also Published As

Publication number Publication date
JP2003504094A (ja) 2003-02-04
WO2000049975A1 (fr) 2000-08-31

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