EP3193737A1 - Écarteur d'iris - Google Patents

Écarteur d'iris

Info

Publication number
EP3193737A1
EP3193737A1 EP15842610.6A EP15842610A EP3193737A1 EP 3193737 A1 EP3193737 A1 EP 3193737A1 EP 15842610 A EP15842610 A EP 15842610A EP 3193737 A1 EP3193737 A1 EP 3193737A1
Authority
EP
European Patent Office
Prior art keywords
retractor
slender
iris
another embodiment
pivot
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Withdrawn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
EP15842610.6A
Other languages
German (de)
English (en)
Other versions
EP3193737A4 (fr
Inventor
Ehud Assia
Eliahu Eliachar
Nir Lilach
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.)
APX Ophthalmology Ltd
Original Assignee
APX Ophthalmology Ltd
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
Priority claimed from US14/488,393 external-priority patent/US9610072B2/en
Application filed by APX Ophthalmology Ltd filed Critical APX Ophthalmology Ltd
Publication of EP3193737A1 publication Critical patent/EP3193737A1/fr
Publication of EP3193737A4 publication Critical patent/EP3193737A4/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0231—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for eye surgery
    • 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
    • A61F9/00—Methods 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
    • A61F9/007—Methods or devices for eye surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00862—Material properties elastic or resilient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect

Definitions

  • the present invention relates generally to an iris retractor used in ophthalmic surgical procedures.
  • a retractor is a surgical instrument by which a surgeon can either actively separate the edges of a surgical incision or wound, or can hold back underlying organs and tissues, so that body parts under the incision are accessed.
  • retractor is also used to describe the distinct, hand-cranked devices such as rib spreaders (also known as thoracic retractors, or distractors) with which surgeons may forcefully drive tissues apart to obtain the exposure.
  • rib spreaders also known as thoracic retractors, or distractors
  • spinal surgery retractors have been fitted both with suction and with fiberoptic lights to keep a surgical wound dry and illuminated.
  • Retractors are available in many shapes, sizes, and styles.
  • the general term retractor usually describes a simple handheld steel tool possessing a curved, hooked, or angled blade fitted with a comfortable handle, that when in place maintains the desired position of a given region of tissue.
  • a lens with a cataract is typically removed from the eye by phacoemulsification.
  • This procedure breaks up the lens typically with an ultrasonically driven tool.
  • the tool has an aspiration port that aspirates the broken lens material from the patient's ocular-chamber.
  • One technique for expanding the pupil includes pulling back or retracting the iris with what is referred to as an iris retractor, and holding the iris at its outer edges.
  • the present invention seeks to provide an improved iris retractor, as described in more detail hereinbelow.
  • an iris retractor including a plurality of iris grabbing hooks disposed or formed at a distal end of slender elements, and a proximal handle at a proximal end of the slender elements, the slender elements resiliency moving between retracted and expanded positions by manipulation of the slender elements, wherein in the retracted position, the hooks are close to one another and the slender elements are close to one another, and wherein in the expanded position, the hooks are separate and spaced apart from each other and distal portions of the slender elements are separate and spaced apart from each other.
  • a retaining element retains the slender elements in the expanded position until the handle (located at the proximal portion or proximal end of a device such as described herein) is manipulated to move the slender elements to the retracted position.
  • a retaining element retains the slender elements in the retracted position until the handle is manipulated to allow the slender elements to move to the expanded position.
  • the retaining element comprises a spring.
  • a portion of the retaining element is coupled to the slender element within a groove formed in proximity to a handle.
  • the handle is received in the groove.
  • a first end of the retaining element is coupled to a first slender element within a groove formed in proximity to a handle and a second end of the retaining element is coupled to a second slender element within a groove formed in proximity to a handle.
  • the handle is received in the groove.
  • a retractor includes: a first slender element and a second slender element operatively coupled via a joining mechanism, wherein the first slender element and the second slender element comprise: a grabbing hook located at the distal portion of the first slender element and the second slender element; and a handle located at the proximal portion of the first slender element and the proximal portion of the second slender element, wherein the joining mechanism is configured to endow the iris retractor with at least two configuration: a retracted configuration and an expanded configuration, wherein the length of the first slender element and the second slender element is between 4 mm to 15 mm.
  • a retractor includes: only two slender elements operatively coupled and maneuvered via a pivot (joining mechanism).
  • a kit is provided, wherein the kit comprises a pair of retractors of the invention and possibly an instruction manual.
  • a method for dilating a pupil in a subject in need thereof comprising: performing two opposing 0.5 to 4mm long incisions in the cornea; inserting through each one of the incisions an iris retractor in a fully retracted configuration; positioning the distal end of the iris retractor behind the iris; expanding the iris retractor; wherein the iris retractor comprises: two slender elements operatively coupled via a joining mechanism, wherein each slender element comprises: an iris grabbing hook located at the distal portion of the slender element; and a handle located at the proximal portion of the slender element, wherein the joining mechanism is configured to endow said iris retractor with at least two configuration: a retracted configuration and an expanded configuration, wherein the length of each slender element is between 4 mm to 15 mm.
  • the slender elements are pivotally attached to one another at a pivot.
  • a tip of the slender element includes a U-shaped hook with a short distal extension.
  • a tip of the slender element extends from a proximal sleeve.
  • a method for retraction of an iris including providing an iris retractor that includes a plurality of hooks disposed or formed at a distal end of slender elements, and a proximal handle at a proximal end of the slender elements, the slender elements resiliency moving between retracted and expanded positions by manipulation of the handle, wherein in the retracted position, the hooks are close to one another and the slender elements are close to one another, and wherein in the expanded position, the hooks are separate and spaced apart from each other and the distal portions of the slender elements are separate and spaced apart from each other, inserting the slender elements in the retracted position through a small incision near a Limbus of an eye, manipulating the handle to move the slender elements to the expanded position, and grasping and retracting a portion of the iris with the hooks.
  • Two or more incision Two or more incision
  • FIGs. 1A-1C are simplified perspective, side-view and top-view illustrations, respectively, of an iris retractor 10, in a non-expanded orientation, constructed and operative in accordance with an embodiment of the present invention
  • Figs. ID-IE are simplified perspective and side-view illustrations, respectively, of the iris retractor 10 of Figs. 1A-1C used in pairs, in the non-expanded orientation positioned with the distal tip of retaining element (of each retractor) within the incision at the Limbus;
  • FIGs. 2A-2C are simplified perspective, side-view and top-view illustrations, respectively, of the iris retractor 10 of Figs. 1A-1C, in a partially expanded orientation, in accordance with an embodiment of the present invention
  • FIGs. 3A-3C are simplified perspective, side-view and top-view illustrations, respectively, of the iris retractor 10 of Figs. 1A-1C, in a fully expanded orientation, in accordance with an embodiment of the present invention
  • FIGs. 3D-3E are simplified side-view and perspective illustrations, respectively, of the iris retractor 10 of Figs. 3A-3C used in pairs, each retractor is positioned within the incision with the proximal portion extending outside of the eye and the slender elements within the eye are in the fully expanded orientation (dilated iris);
  • FIGs. 4A-4C are simplified perspective, side-view and top-view illustrations, respectively, of an iris retractor 30, in a non-expanded orientation, (such as but not limited to as when held by a designated tool for holding and placing an iris), constructed and operative in accordance with another embodiment of the present invention;
  • FIGs. 4D-4E are simplified perspective and side-view illustrations, respectively, of the iris retractor 30 of Figs. 4A-4C used in pairs, each retractor is positioned within and through the incision with the proximal portion outside of the eye and the slender elements within the eye in the non-expanded orientation (such as but not limited to as when held by a designated tool or forceps);
  • Figs. 5A-5C are simplified perspective, side-view and top-view illustrations, respectively, of the iris retractor 30 of Figs. 4A-4C, in an expanded orientation, the non restricted state, in accordance with an embodiment of the present invention;
  • FIGs. 5D-5E are simplified side-view and perspective illustrations, respectively, of the iris retractor 30 of Figs. 5A-5C used in pairs, each retractor is positioned within the incision with the proximal portion extending outside of the eye and the slender elements within the eye (dilating the iris) in the expanded orientation.;
  • FIGs. 6A-6B are simplified side-view and perspective illustrations, respectively, of a pair of iris retractors 50, in a non-expanded orientation, (such as but not limited to as when held by a designated tool or forceps), each retractor is constructed and operative in accordance with yet another embodiment of the present invention;
  • FIGS. 7A-7C are simplified perspective, side-view and top-view illustrations, respectively, of the iris retractor 50 of Figs. 6A-6B, in an expanded orientation, in accordance with an embodiment of the present invention
  • FIGs. 7D-7E are simplified side-view and perspective illustrations, respectively, of a pair of iris retractors 50 of Figs. 7A-7C, each retractor is positioned within (passed through) the incision with the proximal portion outside of the eye and the slender elements within the eye in the expanded orientation (dilated iris);
  • FIG. 8 is a simplified perspective illustrations of a pair of retractors each having a U-shaped tip 70 as a hook with a short distal extension 72;
  • FIGs. 9A-9F are simplified perspective and side-view illustrations of the iris retractor 170, constructed and operative in accordance with another embodiment of the present invention. As seen first slender element are inserted through a small incision at the limbus and are manipulated by the surgeon so that the rounded hooks 172 spread apart and retract the iris.
  • FIGs. 10A-10B and 10E-10F are simplified pictorial illustrations of an iris retractor 190, constructed and operative in accordance with still another embodiment of the present invention.
  • Figs. 11A-11D are simplified pictorial illustrations of an iris retractor 200, constructed and operative in accordance with another embodiment of the present invention.
  • Figs. 12A-12B are simplified pictorial illustrations of the iris retractor of Figs. 1A-1C providing additional views and measures.
  • Figs. 13A-13B are simplified pictorial illustrations of the iris retractor of Figs. 4A-4C providing additional views and measures.
  • FIGs. 14A-14D are simplified pictorial illustrations of an iris retractor, constructed and operative in accordance with another embodiment of the present invention.
  • a retractor of the invention is used for retracting and/or exposing a tissue.
  • a retractor of the invention is used for retracting and/or exposing a tissue within the eye.
  • an iris retractor of the invention is used for dilating a pupil.
  • the joining mechanism is the spring. In some embodiments, the joining mechanism is a pivot. In some embodiments, the term “pivot” is synonymous with the term “hinge”. In some embodiments, such as but not limited to figs. 1-3-pre shaped arms are formed from one elastic rod - element 20 join's and position's the two arms, In some embodiments, the arms (slender elements) expand when extended through element 18 due to their prior designed shape, this embodiment expanded or state is self-held according to the longitudinal position of the arms in element 18. In some retracted embodiments, such as but not limited to figs. 4-5 one elastic rod (such as element 40) - spring expands the arms.
  • retraction is achieved by applying squeezing at elements 37 or at the proximal handles (decreasing the distance between the handles) thus closing the retractor.
  • a pivot joins the slender elements; spring (such as 60) keeps the slender elements in an expanded orientation.
  • the retractor is one piece shaped retractor.
  • a pivot such as in figures 6, 7, 10, 11 and 14 joins the two slender elements.
  • a pivot and a spring such as in figures 6, 7, 10, 11 and 14 joins the two slender elements.
  • a spring is a coil spring.
  • a spring is a metal spring (such as 200/701).
  • the slender elements are elastic and/or deformable.
  • the spring is elastic and/or deformable.
  • an iris retractor comprising: two slender elements operatively coupled via a joining mechanism, wherein each slender element (arm) comprises: (1) an iris grabbing hook located at the distal portion or distal end of the slender element (also referred to as “distal hook”); and (2) a handle located at the proximal portion or proximal end of the slender element (also referred to as "proximal handle”), wherein the joining mechanism is configured to endow the iris retractor with at least two configuration: a retracted configuration and an expanded configuration, wherein the length of each slender element is between 2 mm to 18 mm.
  • each slender element comprises one distal hook and one proximal handle.
  • the handle is a portion of the slender element. In some embodiments, the handle defines the proximal end of a slender element. In some embodiments, the handle is adapted to maintain or anchor a spring element. In some embodiments, a handle has a round shape with a groove and/or opening (such as in fig. 14). In some embodiments, the groove is a rounded groove. In some embodiments, the opening is connected to the groove 0.7 mm or less. In some embodiments, the opening is 0.5 mm or less. In some embodiments, the opening is 0.15 mm or less. In some embodiments, the opening is 0.4 mm or less. In some embodiments, the opening is an insertion spot for a spring element.
  • each one of the round proximal end-handle is ear shaped. In some embodiments, each one of the round proximal ends- handles anchors one end of the spring element. In some embodiments, the handle is a groove with an opening wherein the groove anchors one end of the spring. In some embodiments, the proximal end of the retractor is the spring.
  • the length of each slender element is between 3 mm to 16 mm. In some embodiments, the length of each slender element is between 5 mm to 15 mm. In some embodiments, the length of each slender element is between 4 mm to 14 mm. In some embodiments, the length of each slender element is between 7 mm to 13 mm. In some embodiments, the length of each slender element is between 9 mm to 12 mm.
  • the length of each one of the slender elements within a retractor is identical.
  • a retractor comprises only two slender elements.
  • a retractor consists of two slender elements.
  • an iris retractor comprising: two slender elements coupled via a pivot (such as but not limited to element 705), wherein each slender element (arm) comprises: (1) an iris grabbing hook located at the distal end of the slender element; and (2) a handle located at the proximal end of the slender element, wherein the iris retractor is normally, naturally, and/or by default (no exertion of force) is in an expanded configuration, wherein the length of each slender element is between 4 mm to 15 mm.
  • an iris retractor comprising: two slender elements coupled via a pivot, wherein each slender element (arm) comprises: (1) an iris grabbing hook (such as formed by teeth 703 and 704) located at the distal end of the slender element; and (2) a handle located (such as but not limited to handle 707) at the proximal end of the slender element, wherein a spring coupled to the proximal end or portion of the slender elements maintains the retractor in a an expanded configuration, wherein the length of each slender element is between 4 mm to 15 mm.
  • FIG. 1A-3C illustrate an iris retractor 10, constructed and operative in accordance with a non-limiting embodiment of the present invention.
  • Iris retractor in some embodiments, includes a grabbing hook ending each slender element at its proximal end (such as element 12 (Figs. 2A-3C)) disposed or formed at a distal end or portion of one or more slender elements 14.
  • a grabbing hook protrudes 0.1 mm to 1.5 mm laterally from the lateral surface of the slender element.
  • a grabbing hook protrudes 0.25 mm to 1.5 mm laterally from the lateral surface of the slender element.
  • a grabbing hook protrudes 0.5 mm to 1.2 mm laterally from the lateral surface of the slender element.
  • the distal end of a grabbing hook protrudes outwardly from the expansion plane of the retractor.
  • the expansion plane of the retractor is the plane of retraction.
  • the distal end of a grabbing hook protrudes inwardly from the expansion plane of the retractor.
  • the distal end of a grabbing hook protrudes perpendicularly from the expansion plane of the retractor.
  • the distal end of a grabbing hook protrudes up to 90° from the expansion plane of the retractor.
  • the distal end of a grabbing hook protrudes up to 80° from the expansion plane of the retractor.
  • the distal end of a grabbing hook protrudes up to 70° from the expansion plane of the retractor. In another embodiment, the distal end of a grabbing hook protrudes up to 60° from the expansion plane of the retractor. In another embodiment, the distal end of a grabbing hook protrudes up to 50° from the expansion plane of the retractor. In another embodiment, the distal end of a grabbing hook protrudes at least 30° from the expansion plane of the retractor. In another embodiment, the distal end of a grabbing hook protrudes at least 40° from the expansion plane of the retractor. In another embodiment, the distal end of a grabbing hook protrudes at least 50° from the expansion plane of the retractor. In another embodiment, the distal end of a grabbing hook protrudes at least 60° from the expansion plane of the retractor. In another embodiment, the distal end of a grabbing hook protrudes at least 70° from the expansion plane of the retractor.
  • the maximal distance between the distal ends of the slender elements is 10 mm. In another embodiment, the maximal distance between the distal ends of the slender elements is 9 mm. In another embodiment, the maximal distance between the distal ends of the slender elements is 7 mm. In another embodiment, the maximal distance between the distal ends of the slender elements is 6 mm. In another embodiment, the maximal distance between the distal ends of the slender elements is 5 mm. In another embodiment, the maximal distance between the distal ends of the slender elements is 4 mm. In another embodiment, the maximal distance is obtained in the fully expanded position of the retractor.
  • the distal end of a grabbing hook is the distal end of the retractor.
  • the distal portion of the retractor is a portion of the retractor extending from the joining mechanism, pivot, and/or spring to the distal end of the retractor.
  • a grabbing hook defines a niche having a maximal depth 0.1 mm to 1.8 mm. In another embodiment, a grabbing hook defines a niche having a maximal depth 0.1 mm to 1.5 mm. In another embodiment, a grabbing hook defines a niche having a maximal depth 0.3 mm to 1.2 mm. In another embodiment, a grabbing hook defines a niche having a maximal depth 0.5 mm to 1 mm.
  • slender elements such as but not limited to 14
  • the slender elements 14 are arranged to move through a retaining element
  • proximal portion 18 of retaining element 16 is formed with a groove 19.
  • the proximal ends of slender elements 14 terminate in a proximal handle 20.
  • the slender elements 14 may be joined as a single element before connection to handle 20 or may be joined at the handle 20.
  • handle 20 In the fully expanded position, handle 20 is pushed completely into groove 19 and is squeezed and held in this position by the side walls of groove 19. (Alternatively, handle 20 may "click" into groove 19.
  • slender elements 14 there can be a fixed configuration, wherein handle 20 clicks into groove 19 and slender elements 14 have a fixed expansion, or an adjustable expansion configuration, wherein the more the slender elements 14 are inserted into the eye (such as proximal portion 18) the larger is their lateral expansion.
  • Retaining element 18 retains slender elements 14 in the retracted position until handle 20 is pushed towards groove 19.
  • the slender elements are retained by element 18 and are formed to expand.
  • Slender elements 14 and hooks 12 may be constructed of a metal or plastic wire, such as but not limited, NITINOL or stainless steel or a medically safe plastic with suitable resilience, e.g., a shape memory polymer plastic.
  • a retractor of the invention comprises two joined slender elements.
  • joined slender elements are directly or indirectly joined.
  • joined slender elements are joined by a pivot.
  • joined slender elements are joined by a spring.
  • the spring is a spring retaining element.
  • a spring retaining element retains the retractor in an expanded configuration/position.
  • joined slender elements are joined by a pivot and/or a spring.
  • joined is joined at the proximal portion of the slender elements.
  • the length of a slender element is divided to 2 equal (in length) parts a "proximal portion" (adjacent to the handle) and a “distal portion” (adjacent to the iris grabbing tooth or hook).
  • the retractor described herein substantially reduces the medical complications associated with intraocular surgery. In another embodiment, the retractor described herein substantially reduces the medical complications associated with cataract surgery.
  • the retractor described herein is utilized for pupil dilation, based on a concept different than any other device in the market.
  • the invention is utilized by using a pair of retractors which are inserted through two 19 Gauge or 0.3-5 mm side-port incisions, typically placed one opposite to the other.
  • the invention is utilized by using a pair of retractors which are inserted through two 19 Gauge or 0.3-3.5 mm side-port incisions, typically placed one opposite to the other.
  • the invention is utilized by using a pair of retractors which are inserted through two 0.5-2.5 mm side-port incisions.
  • the invention is utilized by using a pair of retractors which are inserted through two 1.5-2.5 mm side-port incisions.
  • each retractor is inserted with its two arms (also referred to a "slender elements") firmly closed, in a fully retracted configuration using designated forceps.
  • the bulge also referred to as ear
  • the bulge directly protrudes from a proximal handle.
  • the bulge is an integral part of the proximal handle.
  • each of the grabbing hooks anchor a pupillary margin.
  • the forceps are gently released to allow a smooth and control opening of the retractor to a fully expanded configuration.
  • this release of the retracted configuration to the expanded configuration results in dilating the pupil to create a 2x2 to 12x12 mm quadrangular opening.
  • this release of the retracted configuration to the expanded configuration results in dilating the pupil to create a 3x3 to 10x10 mm quadrangular opening.
  • the quadrangular opening is 6X6 mm +/- 40%.
  • a method for dilating a pupil in a subject in need thereof comprising: (a) performing two opposing 0.5 to 4mm long incisions in the cornea; (b) inserting through each one of the 0.5 to 4mm long incisions an iris retractor in a fully retracted configuration; (c) positioning the distal end of the iris retractor behind the iris; (d) expanding the iris retractor (by releasing the grip from the forceps and allowing the expansion of the retractor); wherein the iris retractor comprises: two slender elements operatively coupled via a joining mechanism, wherein each slender element comprises: an iris grabbing hook located at the distal portion of said slender element; and a handle located at the proximal portion of the slender element, wherein the joining mechanism is configured to endow the iris retractor with at least two configuration: a retracted configuration and an expanded configuration, wherein the length of each slender element is between
  • positioning the distal end includes partial expansion of the retractor.
  • expanding the iris retractor is fully expanding the iris retractor.
  • the actual degree of “fully expanding” is dependent on tissue expansion resistance of the iris or the retractor's mechanical limitation.
  • a method for dilating a pupil in a subject in need thereof comprising: (a) performing two opposing 0.5 to 4mm long incisions in the cornea; (b) inserting through each one of the 0.5 to 4mm long incisions an iris retractor in a fully retracted configuration; (c) positioning the distal end of the iris retractor behind the iris; (d) expanding said iris retractor; wherein the iris retractor comprises: two slender elements operatively connected to one another.
  • surgical maneuvers can then be performed using routine techniques under direct visualizations.
  • both retractors are removed using the forceps- the slender elements (two arms) are pushed to a fully retracted configuration and the retractor is simply pulled out via the aforementioned incision.
  • the location of the side port incisions determines the shape of the pupillary opening.
  • asymmetrical, non-opposite, location of the incisions results in a trapezoidal opening with its wider base facing the surgeon (this provides a wide "device free” area in which the slender elements do not impede with the access of surgical instruments.
  • side port incisions are done parallel to the iris plan.
  • the grabbing hooks are bent backward (protrude laterally).
  • the slender elements are only partially expanded to approximately the diameter of the constricted pupil, the grabbing hooks are positioned properly behind the iris and only then the device is released to its full expansion.
  • a device is released to its full expansion and/or extension is a fully expanded device.
  • expansion of the device is forced by the spring.
  • the spring's force is smaller than the tissue's tearing force.
  • the spring's force is smaller than the cornea's tearing force.
  • the distance between the distal ends of a fully expanded retractor is 4 to 15 mm. In another embodiment, the distance between the distal ends of a fully expanded retractor is 4 to 12 mm. In another embodiment, the distance between the distal ends of a fully expanded retractor is 5 to 10 mm. In another embodiment, the distance between the distal ends of a fully expanded retractor is 5.5 to 8 mm. In another embodiment, the distance between the distal ends of a fully expanded retractor is 2.5 to 6 mm.
  • the spring's force is 0.4 to 25 grams. In another embodiment, the spring's force is 0.5 to 20 grams. In another embodiment, the spring's force is 1 to 15 grams. In another embodiment, the spring's force is 1.5 to 15 grams. In another embodiment, the spring's force is 1 to 15 grams. In another embodiment, the spring's force is 1.5 to 6 grams.
  • the spring's force is 1 to 10 grams when the distance between the distal ends of the retractor is 4 to 10 mm. In another embodiment, the spring's force is 1 to 8 grams when the distance between the distal ends of the retractor is 5 to 8 mm. In another embodiment, the spring's force is 3 to 10 grams when the distance between the distal ends of the retractor is 5 to 7 mm. In another embodiment, the spring's force is 4 to 9 grams when the distance between the distal ends of the retractor is 4 to 7 mm. In another embodiment, the spring's force is 5 to 14 grams when the distance between the distal ends of the retractor is 4 to 6 mm.
  • the spring's force is 5 to 11 grams when the distance between the distal ends of the retractor is 3.5 to 5 mm. In another embodiment, the spring's force is 5 to 14 grams when the distance between the distal ends of the retractor is 3 to 4.5 mm. In another embodiment, the spring's force is 5 to 12 grams when the distance between the distal ends of the retractor is 3 to 4 mm. In another embodiment, the spring's force is 6 to 16 grams when the distance between the distal ends of the retractor is 3 to 3.8 mm. In another embodiment, the spring's force is 7 to 13 grams when the distance between the distal ends of the retractor is 3.3 to 3.8 mm.
  • the spring's force is 8 to 16 grams when the distance between the distal ends of the retractor is 2.7 to 3.8 mm. In another embodiment, the spring's force is 8 to 14grams when the distance between the distal ends of the retractor is 2.7 to 3.8 mm.
  • a slender element in case a slender element is not positioned properly, it is repositioned by maneuvering the external part of the same slender element.
  • the retractor of the invention spares the need to perform any intraocular manipulation during: insertion, reposition, or removal of the retractor.
  • a pair of retractors for dilating a pupil were used in a variety of medical cases including: pseudoexfoliation syndrome, uveitic cataract, post glaucoma filtration surgery, mature and hypermature densed nuclear cataract, patients with clinical IFIS, secondary implantation of PC-IOLs in aphakic eyes, and operations combined with pars plana vitrectomy.
  • a surgery performed with a pair of retractors as described herein are performed in superior, lateral and/or oblique approaches according to surgeons' preference.
  • a retractor as described herein is made of a medical grade material such as metal and/or plastic.
  • a spring includes a first end and a second end, wherein a first end of a spring is coupled to the proximal portion of a first slender element and a second end of a spring is coupled to a the proximal portion of a second slender element.
  • an end of the spring is coupled, connected, and/or fixed to a spring receiving groove located within a proximal portion of a slender element.
  • the spring is an extension of the proximal ends of the slender elements.
  • the spring receiving groove is located within or in proximity to a handle located in the proximal portion of each slender element.
  • a spring connects the slender elements.
  • a spring is a flexible clip.
  • a portion of the retaining element is coupled to the slender element within a groove formed in proximity to a handle.
  • the handle is received in the groove.
  • a first end of the retaining element is coupled to a first slender element within a groove formed in proximity to a handle and a second end of the retaining element is coupled to a second slender element within a groove formed in proximity to a handle.
  • the handle is received in the groove.
  • a spring retains the retractor in an expanded position.
  • the expanded position is the default position.
  • the retractor is adjusted to a non-expanded position be exerting force on the proximal ends of the slender elements which brings the proximal portion of each slender element into proximity, and the distal portion of the slender elements into proximity.
  • the retractor is adjusted to a non-expanded position be exerting force which brings the proximal portions of the two slender elements closer to one another.
  • the retractor is adjusted to a retracted position by exerting force which brings a proximal portion of the two slender elements into contact.
  • a non-expanded position is synonymous with the phrase "a non-retracted position".
  • "a non-expanded position” and “a non- retracted position” is any position between the retracted position and expanded position.
  • a retracted position is a position wherein an angle formed between the slender elements is zero or close to zero.
  • an expanded position is a position wherein an angle formed between the slender elements is the maximal angle reachable by an intact retractor of the invention.
  • an expanded position is a position wherein an angle formed between the slender elements is 90° or more.
  • the terms "position” and “configuration” are used interchangeably.
  • the spring loaded is a biasing means and/or a retaining means, such as but not limited to a coil spring or a flexible band or rod.
  • Figs. ID-IE illustrate a pair of iris retractors 10 in a non-expanded orientation (i.e., retracted position).
  • a portion of the slender element (such as 18) abuts against the cornea 22, in proximity of up to 8 mm from the limbus 23.
  • iris retractor 10 is inserted through a small incision (e.g., 0.5-4.5 mm incision) near the limbus 23.
  • the pivot is the narrowest portion of the iris retractor.
  • Bringing or squeezing the handles into proximity results in movment the slender elements towards one another- a retracted or a closed position.
  • hooks (such as 12) grab and hook onto the iris 24 and retract the iris 24 for exposing the lens 25 to provide a good working opening for the surgeon.
  • the spring anchors and/or holds the retractor in an expanded position by applying a counter force on the outside of the limbus and keeping the retractor in an expanded configuration.
  • Hooks are separate and spaced apart from each other upon distal movement of slender elements.
  • a single iris retractor provides spaced apart retraction points, as opposed to some prior art iris retractors which only work at a single point.
  • the present invention requires 2 iris retractors for providing a proper opening to the surgeon.
  • the present invention requires 2 iris retractors for providing a proper square shaped opening to the surgeon.
  • the present invention requires 2 iris retractors for providing a proper rectangle shaped opening to the surgeon.
  • the invention provides a kit comprising two or more iris retractor assemblies.
  • the invention provides a kit comprising: one or more iris retractor assemblies; a holder comprising one or more iris retractor assemblies or holding assemblies (the holding assemblies are configured to hold one or more iris retractor assemblies).
  • a pair of iris retractors as described herein is used in kits and in medical procedures as described herein.
  • an iris retractor is inserted in a non-expanded orientation (i.e., retracted position) and then placed within the eye.
  • the total width of the slender elements in each iris retractor is less than 3 mm wide. In another embodiment, the total with of the slender elements in a fully retracted position (Figs. 1A- 1C) is less than 2.5 mm wide. In another embodiment, the total with of the slender elements in a fully retracted position (Figs. 1A-1C) is less than 2 mm wide. In another embodiment, in a fully retracted position the total width of the slender elements enables the insertion of an iris retractor through a small incision in the limbus. In another embodiment, the small incision is 0.5 to 3.5 mm wide or long, 0.8 to 2.5 mm wide or long, or 0.7 to 1.8 mm wide or long.
  • figures 1 and 2 further describe a device of the invention similar to the device of fig. 1.
  • a hook as described herein includes a proximal end such as element 703 (fig. 14A) or element "a" in fig. 12A, B and fig. 13A, B.
  • a hook as described herein includes a midpoint such as element "b" in fig. 12A, B and fig. 13A, B.
  • a hook as described herein includes a distal end such as element 704 (fig. 14A) or element "c" in fig. 12A, B and fig. 13A, B.
  • a hook has an outer length of 0.1 to 2 mm long such as but not limited to "z” in fig. 12A or 13 A. In some embodiment, a hook has an outer length of 0.3 to 1 mm long such as but not limited to "z” in fig. In some embodiment, a hook has an outer length of 0.4 to 0.8 mm long such as but not limited to "z” in fig. 12A or 13A. In some embodiment, a hook is 0.1 to 2 mm deep such as but not limited to "y” in fig. 12A or 13A. In some embodiment, a hook is 0.4 to 1.6 mm deep such as but not limited to "y” in fig. 12A or 13A.
  • a hook is 0.3 to 1 mm deep such as but not limited to "y” in fig. 12A or 13A. In some embodiment, a hook is 0.3 to 1.2 mm deep such as but not limited to "y" in fig. 12A or 13A.
  • a hook at the distal end of the slender element bends or curves from the plane of the retractor.
  • the bending or curving degree is provided by measure “x" (Fig. 14A, 12B and 13B).
  • "x" is 0.1 to 1.5 mm.
  • "x" is 0.15 to 1.8 mm.
  • "x" is 0.2 to 0.7 mm.
  • "x" is 0.3 to 0.5 mm.
  • the bending or curving degree is provided by measure 1913 (Fig. 14D). In one embodiment, bending or curving degree 1913 is 0.3 to 1 mm. In one embodiment, bending or curving degree 1913 is 0.3 to 0.8 mm. In one embodiment, bending or curving degree 1913 is 0.3 to 0.7 mm. In one embodiment, bending or curving degree 1913 is 0.4 to 0.6 mm.
  • a pair of iris retractors is utilized in various ophthalmic procedures that require the dilation of the pupil.
  • a lens with a cataract is typically removed from the eye by phacoemulsification.
  • a pair of iris retractors is inserted (each retractor is inserted separately) into an affected eye thus extending/expanding the pupil during phacoemulsification thereby providing the surgeon with a wide view of the lens.
  • expanding and/or extending the pupil is retracting the iris with what is referred to as an iris retractor, and holding the iris at its outer edges.
  • the slender elements are adapted to expand and/or extend the pupil.
  • the distal ends of the two slender elements are adapted to expand and/or extend the pupil and/or hold the iris at its outer edges.
  • the proximal handles are not inserted through the cornea at the limbus incision.
  • the total width of the proximal handles is more than 2 mm wide. In another embodiment, the total width of the proximal handles is more than 2.5 mm wide. In another embodiment, the total width of the proximal handles is more than 3 mm wide. In another embodiment, the total width of the proximal handles is more than 3.5 mm wide. In another embodiment, the total width of the proximal handles is more than 4 mm wide. In another embodiment, the total width of the proximal handles is 2 to 5 mm wide.
  • FIG. 4A-5E illustrate an iris retractor 30, constructed and operative in accordance with another embodiment of the present invention.
  • Iris retractor 30 includes a plurality of hooks 32 disposed or formed at a distal end of one or more slender elements 34. In the illustrated embodiment, there are two slender elements 34. The proximal ends of slender elements 34 terminate in a proximal handle 40. Handle 40 and slender elements 34 are made of a resilient, flexible material (e.g., metal or plastic) to form a kind of resilient tweezers or pliers.
  • a resilient, flexible material e.g., metal or plastic
  • Figs. 4D-4E illustrate a pair of iris retractors 30 in a non-expanded orientation (i.e., retracted position) placed on the eye.
  • a portion of retaining element 36 (36 is the narrow neck positioned within the incision, its proximal part widens when expanded and abuts against the limbus) abuts against the cornea 22, typically but not necessarily at the limbus 23.
  • Handle (such as element 40) releases the slender element 34 that is initially caught in groove 38 of retaining element 36.
  • iris retractor 30 moves to the expanded position by releasing elements 37.
  • slender elements 34 spring outwards to the expanded position in Figs. 5A-5E.
  • iris retractor 30 enables expansion of hooks 32.
  • handle 40 is the spring that expands slender element 34.
  • groove 38 is the narrow neck that remains narrow following expansion in order not to lengthen the incision.
  • the devices is retracted using a tool and does not have a retracted holding function.
  • hooks 32 grab and hook onto the iris 24 and retract the iris 24 for exposing the lens 25 to provide a good working opening for the surgeon.
  • FIG. 6A-7E illustrate a pair of iris retractors 50, each retractor is constructed and operative in accordance with yet another embodiment of the present invention.
  • Iris retractor 50 includes a plurality of hooks 52 disposed or formed at a distal end of one or more slender elements 54.
  • slender elements 54 there are two slender elements 54, which pivot about a pivot 56.
  • the proximal ends of slender elements 54 terminate in a proximal handle 60.
  • Handle 60, pivot 56 and slender elements 54 form a kind of scissors.
  • Figs. 6A-6B illustrate a pair of iris retractors 50 in a non-expanded orientation (i.e., retracted position) placed within the incision, with their slender element within the tissue while the proximal handles remain and/or protrude outside.
  • a portion of iris retractor 50 e.g., near the pivot 56 abuts against the cornea 22, typically but not necessarily at the limbus 23.
  • Manipulating handle 60 "scissors out” the slender elements 54 to the expanded position in Figs. 7A-7E. As seen in Figs. 7D-7E, hooks 52 grab and hook onto the iris 24 and retract the iris 24 for exposing the lens 25 to provide a good working opening for the surgeon. A portion of iris retractor 50 (e.g., near the pivot 56) anchors the retractor 50 by applying a counter force on the outside of the limbus 23.
  • Figs. 8 illustrate different tips for the iris retractor of any of the above embodiments, in accordance with different embodiments of the present invention.
  • a tip 70 is shown that has a U-shaped hook with a short distal extension 72.
  • Iris retractor may include a plurality of hooks disposed or formed at distal ends of the slender elements.
  • a slender element may be adjustable in length.
  • Figs. 9A-9F illustrate an iris retractor 170, constructed and operative in accordance with another embodiment of the present invention. As seen first slender element are inserted through a small incision at the limbus and are manipulated by the surgeon so that the rounded hooks spread apart and retract the iris.
  • Iris retractor 170 includes a plurality of hooks 172 disposed or formed at a distal end of one or more slender elements 174.
  • slender elements 174 there are two slender elements 174.
  • the proximal ends of slender elements 174 terminate in a proximal spring (such as 176).
  • Handle/spring 176 and slender elements 174 are made of a resilient, flexible material (e.g., metal or plastic) to form a kind of resilient tweezers or pliers.
  • the hooks 172 in this embodiment curve back onto slender elements 174 and may optionally abut against slender elements 174.
  • a pair of iris retractors are inserted through a small incision at the limbus.
  • iris retractor 170 in an expanded orientation, the hooks 172 grab and hook onto the iris and retract the iris for exposing the lens to provide a good working opening for the surgeon.
  • FIG. 10A-14F illustrate an iris retractor 190, constructed and operative in accordance with another embodiment of the present invention.
  • Iris retractor 190 includes a plurality of hooks 192 disposed or formed at a distal end of one or more slender elements 194. In the illustrated embodiment, there are two slender elements 194. The proximal ends of slender elements 194 terminate in a proximal handle 196.
  • Handle 196 and slender elements 194 are made of a resilient, flexible material (e.g., metal or plastic or shape memory) to form a kind of resilient tweezers or pliers.
  • Handle 196 in this embodiment is sufficiently resilient such that it flattens into an oblong shape when squeezed, as seen in Fig. 10B. Handle 196 springs back to its original shape to move iris retractor 190 to the expanded orientation.
  • FIG. 10F illustrates iris retractor 190 in an expanded orientation, wherein hooks (elememnt 192 in 10A) grab and hook onto the iris 24 and retract the iris 24 for exposing the lens to provide a good working opening for the surgeon.
  • FIGs. 14A-14D illustrate an iris retractor 700, constructed and operative in accordance with another embodiment of the present invention.
  • the iris retractor is composed of two slender elements (702) joined by a pivot (705) and a spring at the proximal end (proximal spring 701).
  • each slender element ends with a hook formed by two teeth or extensions (703 and 704).
  • a tissue to be retracted according to the invention is placed in-between extensions (703 and 704).
  • a tissue to be retracted according to the invention is placed, positioned and/or anchored in a groove (niche) located within and/or between the distal teeth/extensions (703 and 704).
  • a tissue to be retracted according to the invention is anchored in- between extensions (703 and 704).
  • a tissue to be retracted according to the invention is placed over tooth 703 and under tooth 704. In another embodiment, a tissue to be retracted according to the invention is placed over tooth 704 and under tooth 703. In some embodiments, pivot (705) is divided to two equal portion by a dashed midline (fig. 14B).
  • an iris retractor comprising: a one piece elastic rod, formed/shaped as a double side by side "L" coupled forms, comprising two slender elements operatively coupled via the proximal section, wherein each slender element (arm) comprises: (1) an iris grabbing hook located at the distal portion or distal end of the slender elements; and (2) a handle located at the proximal portion or proximal end of each of the slender element; and optionally (3) a retaining element, wherein the retaining element is configured to endow the iris retractor with at least two configuration: a retracted configuration and an expanded configuration
  • a hook is a rounded hook or a crescent-like hook (such as but not limited to element 12 in figs. 2A-2C and/or figs. 3A-3E, element 192 in figs. 10A- 10B.
  • a hook is bended towards the eye or inwardly such as described herein (see fig. 3A and/or element 32 in fig. 5B).
  • a hook is fully rounded such as in element 172 in fig. 9.
  • FIG. 11A-11D illustrate an iris retractor 200, constructed and operative in accordance with another embodiment of the present invention.
  • Iris retractor 200 includes a plurality of hooks disposed or formed at a distal end of one or more slender elements.
  • the proximal ends of slender elements form a proximal handle that includes two scissor handles.
  • the spring may be loaded by a biasing device, such as a coil spring which has ends attached to each one of the slender elements.
  • Fig. 11B illustrates iris retractor 200 in a non-expanded orientation inserted through a small incision at the cornea 22, near the limbus 23. Handles are squeezed and held together so that slender elements are retracted together, as shown in Fig. 11B.
  • Fig. 11D illustrates iris retractor 200 in an expanded orientation, wherein hooks grab and hook onto the iris 24 and retract the iris 24 for exposing the lens 25 to provide a good working opening for the surgeon.
  • iris retractor and “iris retractor assembly” are used interchangeably.
  • the maximal distance between hooks in a fully expanded retractor is 12 mm. In another embodiment the maximal distance between hooks in a fully expanded retractor is 11 mm. In another embodiment the maximal distance between hooks in a fully expanded retractor is 10 mm. In another embodiment the maximal distance between hooks in a fully expanded retractor is 9 mm. In another embodiment the maximal distance between hooks in a fully expanded retractor is 8 mm. In another embodiment the maximal distance between hooks in a fully expanded retractor is 7 mm. In another embodiment the maximal distance between hooks in a fully expanded retractor is 6.5 mm. In another embodiment the maximal distance between hooks in a fully expanded retractor is 4 to 6.5 mm.
  • the maximal length of slender element of iris retractor is measured from protruding ear to distal tooth or.
  • the length of each one of the slender elements is 3.5 to 15 millimeters (mm).
  • the length of each one of the slender elements is 4.05 to 12.3 millimeters (mm).
  • the length of each one of the slender elements is 5.5 to 11 mm.
  • the length of each one of the slender elements is 7 to 9.5 mm.
  • the length of each one of the slender elements is 8 to 8.8 mm.
  • the length of each one of the slender elements is 8.1 to 8.3 mm.
  • the portion of said slender element extending from the pivot to the distal end (distal tooth) is between 1.5 mm to 8 mm.
  • the length of slender element 702 of iris retractor from pivot member to distal end (such as distal tooth) is 2.55 to 7.8 mm.
  • the length of slender element of iris retractor from pivot member to distal end is 3 to 7 mm.
  • the length of slender element of iris retractor from pivot member to distal end is 3.5 to 6.5 mm.
  • the length of slender element of iris retractor 700 from pivot member to distal end is 4.3 to 5.8 mm.
  • the length of slender element of iris retractor from pivot member to distal end is 5 to 5.4 mm.
  • the maximal length of slender element of iris retractor from pivot member to distal end is at least 30% of the entire length of the slender element. In another embodiment, the maximal length of slender element of iris retractor from pivot member to distal end is at least 35% of the entire length of the slender element. In another embodiment, the maximal length of slender element of iris retractor from pivot member to distal end is at least 40% of the entire length of the slender element. In another embodiment, the maximal length of slender element of iris retractor from pivot member to distal end is at least 45% of the entire length of the slender element.
  • the maximal length of slender element of iris retractor from pivot member to distal end is at least 50% of the entire length of the slender element. In another embodiment, the maximal length of slender element of iris retractor from pivot member to distal end is at least 55% of the entire length of the slender element. In another embodiment, the maximal length of slender element of iris retractor from pivot member to distal end is at least 60% of the entire length of the slender element. In another embodiment, the maximal length of slender element of iris retractor from pivot member to distal end is at least 65% of the entire length of the slender element. In another embodiment, the maximal length of slender element of iris retractor from pivot member to distal end is at least 70% of the entire length of the slender element.
  • the maximal width along the portion of a slender element extending from the pivot to the distal end is 2.5 mm. and keep 1.5 mm, 1.1, 1 to preferred. In another embodiment, the maximal width along the portion of a slender element extending from the pivot to the distal end is 2 mm. In another embodiment, the maximal width along the portion of a slender element extending from the pivot to the distal end is 1.8 mm. In another embodiment, the maximal width along the portion of a slender element extending from the pivot to the distal end is 1.5 mm. In another embodiment, the maximal width along the portion of a slender element extending from the pivot to the distal end is 1.3 mm.
  • the maximal width along the portion of a slender element extending from the pivot to the distal end is 1 mm. In another embodiment, the width along the portion of a slender element extending from the pivot to the distal end is 0.5 mm to 2 mm. In another embodiment, the maximal width along the portion of a slender element extending from the pivot to the distal end is at the distal tooth (also referred to as iris grabbing hook).
  • the grabbing hook protrudes laterally 0.25 mm to 1.2 mm from the lateral surface of a slender element at its distal end (see 188 in fig. 14 B). In another embodiment, the grabbing hook protrudes laterally 0.4 mm to 1.0 mm from the lateral surface of a slender element at its distal end. In another embodiment, the grabbing hook protrudes laterally 0.5 mm to 0.8 mm from the lateral surface of a slender element at its distal end. In another embodiment, the grabbing hook protrudes laterally 0. 5 mm to 0.7 mm from the lateral surface of a slender element at its distal end.
  • the minimal width of a portion of slender element of iris retractor extending from pivot member to the proximal end is 0.9 mm. In some embodiments, the minimal width of a portion of slender element of iris retractor extending from pivot member to the proximal end is 0.8 mm. In some embodiments, the minimal width of a portion of slender element of iris retractor extending from pivot member to the proximal end is 0.7 mm. In some embodiments, the minimal width of a portion of slender element of iris retractor extending from pivot member to the proximal end is 0.6 mm.
  • the minimal width of a portion of slender element of iris retractor extending from pivot member to the proximal end is 0.5 mm. In some embodiments, the minimal width of a portion of slender element of iris retractor extending from pivot member to the proximal end is 0.4 mm. In some embodiments, the minimal width of a portion of slender element of iris retractor extending from pivot member to the proximal end is 0.3 mm. In some embodiments, the minimal width of a portion of slender element of iris retractor extending from pivot member to the proximal end is 0.25 mm. In some embodiments, the minimal width of a portion of slender element of iris retractor extending from pivot member to the proximal end is 0.15 mm.
  • the distance between the inner edges of proximal teeth of the iris retractor when the slender elements are in a maximal extended orientation equals to 2.9 to 9.3 mm. In some embodiments, the distance between the inner edges of proximal teeth of the iris retractor when the slender elements are in a maximal extended orientation, equals to 3.6 to 8.5 mm. In some embodiments, the distance between the inner edges of proximal teeth of the iris retractor when the slender elements are in a maximal extended orientation, equals to 4.3 to 7.7 mm.
  • the distance between the inner edges of proximal teeth of the iris retractor when the slender elements are in a maximal extended orientation equals to 5.05 to 6.95 mm. In some embodiments, the distance between the inner edges of proximal teeth of the iris retractor when the slender elements are in a maximal extended orientation, equals to 5.8 to 6.2 mm.
  • the distance between the distal ends of each slender element of the iris retractor when the retractor is in a maximal extended orientation equals to 2.9 to 9.3 mm. In some embodiments the distance between the distal ends of each slender element of the iris retractor when the retractor is in a maximal extended orientation, equals to 3.6 to 8.5 mm. In some embodiments, the distance between the distal ends of each slender element of the iris retractor when the retractor is in a maximal extended orientation, equals to 4.3 to 7.7 mm.
  • the distance between the distal ends of each slender element of the iris retractor when the retractor is in a maximal extended orientation equals to 5.05 to 6.95 mm. In some embodiments, the distance between the distal ends of each slender element of the iris retractor when the retractor is in a maximal extended orientation, equals to 5.8 to 6.2 mm.
  • the distance between the inner edges of proximal teeth of iris retractor when retractor is in a maximal contracted orientation equals to 0.07 to 0.38 mm. In some embodiments, the distance between the inner edges of proximal teeth of iris retractor when retractor is in a maximal contracted orientation equals to 0.11 to 0.34 mm. In some embodiments, the distance between the inner edges of proximal teeth of iris retractor when retractor is in a maximal contracted orientation equals to 0.14 to 0.3 mm. In some embodiments, the distance between the inner edges of proximal teeth of iris retractor when retractor is in a maximal contracted orientation equals to 0.16 to 0.27 mm. In some embodiments, the distance between the inner edges of proximal teeth of iris retractor when slender element is in a maximal contracted orientation equals to 0.18 to 0.23 mm.
  • the distance between the proximal end and pivot member of the iris retractor when the retractor is in a maximal extended orientation equals to 0.45 to 1.44 mm. In some embodiments, the distance between the proximal end and pivot member of the iris retractor when the retractor is in a maximal extended orientation, equals to 0.55 to 1.34 mm. In some embodiments, the distance between the proximal end and pivot member of the iris retractor when the retractor is in a maximal extended orientation, equals to 0.65 to 1.25 mm. In some embodiments, the distance between the proximal end and pivot member of the iris retractor when the retractor is in a maximal extended orientation, equals to 0.75 to 1.15 mm. In some embodiments, the distance between the proximal end and pivot member of the iris retractor when the retractor is in a maximal extended orientation, equals to 0.85 to 1.04 mm.
  • the distance between the proximal end and pivot member of the iris retractor when the retractor is in a maximal contracted orientation/configuration equals to 1.47 to 4.56 mm. In some embodiments, the distance between the proximal end and pivot member of the iris retractor when the retractor is in a maximal contracted orientation, equals to 1.87 to 4.15 mm. In some embodiments, the distance between the proximal end and pivot member of the iris retractor when the retractor is in a maximal contracted orientation, equals to 2.2 to 3.75 mm. In some embodiments, the distance between the proximal end and pivot member of the iris retractor when the retractor is in a maximal contracted orientation, equals to 2.6 to 3.4 mm. In some embodiments, the distance between the proximal end and pivot member of the iris retractor when the retractor is in a maximal contracted orientation, equals to 2.8 to 3.3 mm.
  • the distance between pivot member and a distal edge of distal tooth of the iris retractor 700 (such as in fig. 14A) equals to 1.5 to 4.74 mm when retractor is in a maximal extended orientation (see for example measure 184 in fig. 14B).
  • the distance between pivot member and a distal edge of distal tooth of the iris retractor (such as in fig. 14) is 1.9 to 4.3 mm when retractor is in a maximal extended orientation.
  • the distance between pivot member and a distal edge of distal tooth of the iris retractor (such as in fig. 14) is 2.3 to 3.9 mm when retractor is in a maximal extended orientation.
  • the distance between pivot member and a distal edge of distal tooth of the iris retractor (such as in fig. 14) is 2.7 to 3.5 mm when retractor is in a maximal extended orientation. In some embodiments, the distance between pivot member and a distal edge of distal tooth of the iris retractor (such as in fig. 14) equals to 2.85 to 3.3 mm when retractor is in a maximal extended orientation.
  • the phrase "slender elements” means slender elements of a retractor. In some embodiments, the phrase “slender elements” is synonymous with the term "retractor”.
  • the distance between pivot member and a distal edge of distal tooth of the iris retractor (such as in fig. 14C, 1904) equals to 2.55 to 7.8 mm when retractor is in a maximal contracted orientation. In some embodiments, the distance between pivot member and a distal edge of a distal tooth of the iris retractor (such as in fig. 14) equals to 3.15 to 7.2 mm when retractor is in a maximal contracted orientation. In some embodiments, the distance between pivot member and a distal edge of distal tooth of the iris retractor (such as in fig. 14) equals to 3.75 to 6.6 mm when retractor is in a maximal contracted orientation.
  • the distance between pivot member and a distal edge of distal tooth of the iris retractor (such as in fig. 14) equals to 4.4 to 6 mm when retractor is in a maximal contracted orientation. In some embodiments, the distance between pivot member and a distal edge of distal tooth of the iris retractor (such as in fig. 14) equals to equals to 4.8 to 5.4 mm when retractor is in a maximal contracted orientation. In another embodiment, a distal edge of a
  • the bulge (see fig. 14) is a lateral protrusion coupled to the ear/handle at the proximal portion or proximal end of the retractor and is used for distal tooth is the distal end of a retractor.
  • a distal edge of a distal tooth is the distal end of each one of the slender elements.
  • the lateral protrusion of the bulge is 0.1 to 0.5 mm. In some embodiments, the lateral protrusion of the bulge is 0.18 to 0.45 mm. In some embodiments, the lateral protrusion of the bulge is 0.23 to 0.4 mm. In some embodiments, the lateral protrusion of the bulge is 0.25 to 0.4 mm. In some embodiments, the lateral protrusion of the bulge is 0.28 to 0.33 mm.
  • the length of the protruding ear of the handle is 0.2 to 0.9 mm. In some embodiments, the length of the protruding ear of the handle is 0.27 to 0.77 mm. In some embodiments, the length of the protruding ear of the handle is 0.32 to 0.71 mm. In some embodiments, the length of the protruding ear of the handle is 0.4 to 0.66 mm. In some embodiments, the length of the protruding ear of the handle is 0.45 to 0.58 mm. [00130] In some embodiments, the radius of a protruding ear (see fig. 14) is 0.5 to 1.5 mm.
  • the radius of a protruding ear is 1.1 mm. In some embodiments, the radius of a protruding ear (see fig. 14) is 0.8 to 1.0 mm. In some embodiments, the radius of a protruding ear (see fig. 14) is 0.86 to 0.9 mm.
  • the depth or thickness of two slender elements equals to 0.4 to 1.8 mm. In some embodiments, the depth or thickness of two slender elements equals to 0.6 to 1.5 mm. In some embodiments, the depth or thickness of two slender elements equals to 0.75 to 1.35 mm. In some embodiments, the depth or thickness of two slender elements equals to 0.85 to 1.2 mm. In some embodiments, the depth or thickness of two slender elements equals to 0.95 to 1.05 mm.
  • the depth or thickness of a middle portion of two slender elements of the retractor equals to 0.2 to 1.2 mm. In some embodiments, the depth or thickness of a middle portion of two slender elements of the retractor equals to 0.36 to 0.92 mm. In some embodiments, the depth or thickness of a middle portion of two slender elements of the retractor equals to 0.46 to 0.82 mm. In some embodiments, the depth or thickness of a middle portion of two slender elements of the retractor equals to 0.5 to 0.75 mm. In some embodiments, the depth or thickness of a middle portion of two slender elements of the retractor equals to 0.58 to 0.65 mm.
  • the depth or thickness of the upper (proximal) portion of the slender element (i.e., as held by a medical professional with respect to a treated iris) of two slender elements of the retractor equals to 0.14 to 0.48 mm. In some embodiments, the depth or thickness of the upper (proximal) portion of the slender element (i.e., as held by a medical professional with respect to a treated iris) of two slender elements of the retractor equals to 0.17 to 0.45 mm.
  • the depth or thickness of the upper (proximal) portion of the slender element (i.e., as held by a medical professional with respect to a treated iris) of two slender elements of the retractor equals to 0.2 to 0.42 mm. In some embodiments, the depth or thickness of the upper (proximal) portion of the slender element (i.e., as held by a medical professional with respect to a treated iris) of two slender elements of the retractor equals to 0.23 to 0.38 mm.
  • the depth or thickness of the upper (proximal) portion of the slender element (i.e., as held by a medical professional with respect to a treated iris) of two slender elements of the retractor equals to 0.25 to 0.32 mm.
  • the distance (181) between the protruding ears of a fully expanded retractor is 4-14 mm.
  • the distance (181) between the protruding ears of a fully expanded retractor is 4- 10 mm.
  • the distance (181) between the protruding ears of a fully expanded retractor is 5-8 mm.
  • the distance (181) between the protruding ears of a fully expanded retractor is 6- 7 mm.
  • the maximal distance (1900) between the distal teeth of a fully expanded retractor is 5-14 mm.
  • the maximal distance (1900) between the distal teeth of a fully expanded retractor is 6-12 mm.
  • the maximal distance (1900) between the distal teeth of a fully expanded retractor is 7-10 mm.
  • the maximal distance (1900) between the distal teeth of a fully expanded retractor is 8-10 mm.
  • the maximal width of the retractor at the slender elements joining spot ("the neck") such as the pivot (191) is 0.4-1.4 mm.
  • the maximal width of the retractor at the slenders joining spot such as the pivot (191) is 0.5-1.2 mm.
  • the maximal width of the retractor at the slenders joining spot such as the pivot (191) is 0.7-0.9 mm.
  • the maximal lateral protrusion of the hook or a portion thereof such as a tooth is 0.9 mm. In some embodiments, (such as fig. 14, figs. 9- 11) the maximal lateral protrusion of the hook or a portion thereof such as a tooth is 0.8 mm. In some embodiments, (such as fig. 14, figs. 9- 11) the maximal lateral protrusion of the hook or a portion thereof such as a tooth is 0.7 mm. In some embodiments, (such as fig. 14 (188), figs.
  • the lateral protrusion of the hook or a portion thereof such as a tooth is 0.3-0.9 mm.
  • the lateral protrusion of the hook or a portion thereof such as a tooth is 0.5-0.8 mm.
  • the maximal diameter of a hook or the maximal width of a niche bordered by teeth 703 and 704 of a hook is 0.2- 0.9 mm. In some embodiments, the maximal diameter of a hook or the maximal width of a niche bordered by teeth 703 and 704 of a hook (such as in figs. 13 and 14 (185) is 0.3- 0.8 mm. In some embodiments, the maximal diameter of a hook or the maximal width of a niche bordered by teeth 703 and 704 of a hook (such as in figs. 13 and 14 (185) is 0.4- 0.6 mm.
  • the distance between two proximal teeth of the fully expanded retractor of fig. 14 is 4-12 mm. In some embodiments, the distance between two proximal teeth of the fully expanded retractor of fig. 14 (distance 189) is 4-8 mm. In some embodiments, the distance between two proximal teeth of the fully expanded retractor of fig. 14 (distance 189) is 5-7 mm.
  • the distance between the distal ends of two slender elements in the fully expanded retractor of fig. 14 is 5 to 16 mm. In one embodiment, the distance between the distal ends of two slender elements in the fully expanded retractor of fig. 14 (distance 1900) is 6 to 13 mm. In some embodiments, the distance between the distal ends of two slender elements in the fully expanded retractor of fig. 14 (distance 1900) is 8 to 10 mm.
  • the maximal distance between the proximal end to the distal end of a fully expanded retractor of the invention is 2.5-10 mm. In some embodiments, the maximal distance between the proximal end to the distal end of a fully expanded retractor of the invention (such as element 182 in fig. 14) is 4-8 mm. In some embodiments, the maximal distance between the proximal end to the distal end of a fully expanded retractor of the invention (such as element 182 in fig. 14) is
  • the maximal distance between the proximal end to the distal end of a fully expanded retractor of the invention (such as element 182 in fig. 14) is
  • the length of the proximal portion of the fully extended retractor (extending from the pivot (or the slender elements joining spot) to the proximal end, such as distance 183 in fig. 14) is 1-6 mm. In some embodiments, the length of the proximal portion of the fully extended retractor (extending from the pivot (or the slender elements joining spot) to the proximal end, such as distance 183 in fig. 14) is 1-4.5 mm. In some embodiments, the length of the proximal portion of the fully extended retractor (extending from the pivot (or the slender elements joining spot) to the proximal end, such as distance 183 in fig. 14) is 2-4 mm.
  • the length of the proximal portion of the fully extended retractor (extending from the pivot (or the slender elements joining spot) to the proximal end, such as distance 183 in fig. 14) is 2-3.5 mm.
  • the length of the distal portion of the fully extended retractor (extending from the pivot (or the slender elements joining spot) to the distal end, such as distance 184 in fig. 14) is 1.5-6.5 mm.
  • the length of the distal portion of the fully extended retractor (extending from the pivot (or the slender elements joining spot) to the distal end, such as distance 184 in fig. 14) is 1.5-5.5 mm.
  • the length of the distal portion of the fully extended retractor (extending from the pivot (or the slender elements joining spot) to the distal end, such as distance 184 in fig. 14) is 2-5mm. In some embodiments, the length of the distal portion of the fully extended retractor (extending from the pivot (or the slender elements joining spot) to the distal end, such as distance 184 in fig. 14) is 2.5-4 mm. In another embodiment, any measure of a distance from or to the pivot refers to the pivot's midline or the pivot's horizontal midline as provided in dashed line in fig. 14B.
  • the distance from the pivot to the distal end of the handle (such as a handle housing or anchoring the spring) in the fully extended retractor, such as distance 186 in fig. 14 is +/- 20% of measure 1909. In one embodiment, the distance from the pivot to the distal end of the handle (such as a handle housing or anchoring the spring) in the fully extended retractor, such as distance 186 in fig. 14 is 0.1 to 0.8 mm. In one embodiment, the distance from the pivot to the distal end of the handle (such as a handle housing or anchoring the spring) in the fully extended retractor, such as distance 186 in fig. 14 is 0.1 to 0.6 mm.
  • the distance from the pivot to the distal end of the handle (such as a handle housing or anchoring the spring) in the fully extended retractor, such as distance 186 in fig. 14 is 0.15 to 0.5 mm. . In one embodiment, the distance from the pivot to the distal end of the handle (such as a handle housing or anchoring the spring) in the fully extended retractor, such as distance 186 in fig. 14 is 0.25 to 0.45 mm.
  • the distance or measure between the joining mean (such as the pivot) to the distal portion of the proximal extension or tooth (187, fig. 14B) is significant as the pivot such as in fig. 14 is in proximity or aligned with the incision and thus measure 187 represent an optimal range for anchoring the tissue to be retracted.
  • the distance or measure between the joining mean (such as the pivot) to the distal portion of the proximal extension or tooth (such as 187 in fig. 14B) is 1-6 mm.
  • the distance or measure between the joining mean (such as the pivot) to the distal portion of the proximal extension or tooth (such as 187 in fig. 14B) is 1-5 mm.
  • the distance or measure between the joining mean (such as the pivot) to the distal portion of the proximal extension or tooth (such as 187 in fig. 14B) is 2-5 mm. In another embodiment, the distance or measure between the joining mean (such as the pivot) to the distal portion of the proximal extension or tooth (such as 187 in fig. 14B) is 1.5-4 mm. In another embodiment, the distance or measure between the joining mean (such as the pivot) to the distal portion of the proximal extension or tooth (such as 187 in fig. 14B) is 2.2-4.5 mm.
  • a fully retracted or closed retractor of the invention has a maximal width of 5 mm (element 1901 in fig. 14C). In some embodiments, such as in fig. 14 or 14D a fully retracted or closed retractor of the invention has a maximal width of 4.5 mm (element 1901 in fig. 14C). In some embodiments, such as in fig. 14 or 14D a fully retracted or closed retractor of the invention has a maximal width of 4 mm (element 1901 in fig. 14C). In some embodiments, such as in fig.
  • a fully retracted or closed retractor of the invention has a maximal width of 3 mm (element 1901 in fig. 14C). In some embodiments, such as in fig. 14 or 14D a fully retracted or closed retractor of the invention has a width of between 1.2 to 5 mm (element 1901 in fig. 14C). In some embodiments, such as in fig. 14 or 14D a fully retracted or closed retractor of the invention has a width of between 1.8 to 4 mm (element 1901 in fig. 14C). In some embodiments, such as in fig. 14 or 14D a fully retracted or closed retractor of the invention has a width of between 2 to 3.5 mm (element 1901 in fig. 14C).
  • the length of the proximal portion of the fully retracted or closed retractor (extending from the pivot to the proximal end, such as distance 1903 in fig. 14C) is 2-10 mm. In some embodiments, the length of the proximal portion of the fully retracted or closed retractor (extending from the pivot to the proximal end, such as distance 1903 in fig. 14C) is 3-8 mm. In some embodiments, the length of the proximal portion of the fully retracted or closed retractor (extending from the pivot to the proximal end, such as distance 1903 in fig. 14C) is 3.5-7 mm. In some embodiments, the length of the proximal portion of the fully retracted or closed retractor (extending from the pivot to the proximal end, such as distance 1903 in fig. 14C) is 3.5-5.5 mm.
  • the distance between the proximal end to the distal end of a fully retracted or closed retractor of the invention is 5-18 mm. In some embodiments, the distance between the proximal end to the distal end of a fully retracted or closed retractor of the invention (such as element 1902 in fig. 14C) is 5-15 mm. In some embodiments, the distance between the proximal end to the distal end of a fully retracted or closed retractor of the invention (such as element 1902 in fig. 14C) is 7-15 mm. In some embodiments, the distance between the proximal end to the distal end of a fully retracted or closed retractor of the invention (such as element 1902 in fig. 14C) is 8-12 mm.
  • the distance between the distal end of the scissor-like handle or ear 707 to the pivot's midline (crosses the pivot and divides it in the middle such as in fig. 14C) is 1.2 to 2.4 mm. In some embodiments, the distance between the distal end of the scissor-like handle or ear 707 to the pivot's midline (crosses the pivot and divides it in the middle such as in fig. 14C) is 1.4 to 2.2 mm. In some embodiments, the distance between the distal end of the scissor-like handle or ear 707 to the pivot's midline (crosses the pivot and divides it in the middle such as in fig. 14C) is 1.8 to 2.2 mm.
  • the width of the distal portion of the retractor when fully retracted or closed is 0.5-2 mm. In one embodiment, the width of the distal portion of the retractor when fully retracted or closed (extending from the mid-pivot to the distal end, such as width 1906 in fig. 14C) is 0.7-1.8 mm. In one embodiment, the width of the distal portion of the retractor when fully retracted or closed (extending from the mid-pivot to the distal end, such as width 1906 in fig. 14C) is 0.8-1.2 mm.
  • the phrase "distal portion” is synonymous with the phrase “distal end”.
  • the restricted width of the distal portion 1906 enables the minimally invasive insertion of a retractor to the target site as described herein.
  • the restricted and uniform width of the distal portion 1906 enables the minimally invasive insertion of a retractor to the target site as described herein.
  • the hook or hooks are located at the "distal portion” or the “distal end”.
  • the handles/ears are located at the "proximal portion” or the “proximal end”.
  • a bend spring defines the "proximal end”.
  • a mid-portion of a bend spring defines the "proximal end”.
  • the ears/handles 707 define the "proximal end”.
  • the thickness of at least 50% of the length of the retractor in a retracted or closed position is between 0.2 to 1.6 mm (1910 or 1908 in fig. 14D).
  • the thickness of at least 50% of the length of the retractor in a retracted or closed position is between 0.2 to 1.4 mm (1910 or 1908 in fig. 14D. In one embodiment, the thickness of at least 50% of the length of the retractor in a retracted or closed position is between 0.3 to 1.0 mm (1910 or 1908 in fig. 14D. In one embodiment, the thickness of at least 50% of the length of the retractor in a retracted or closed position is between 0.4 to 0.8 mm (1908 in fig. 14D). In one embodiment, the thickness of at least 50% of the length of the retractor in a retracted or closed position is between 0.5 to 0.7 mm (1908 in fig. 14D).
  • the thickness of at least 50% of the length of a slender element is between 0.05 to 1 mm (1909 in fig. 14D). In one embodiment, the thickness of at least 50% of the length of a slender element is between 0.05 to 0.8 mm (1909 in fig. 14D). In one embodiment, the thickness of at least 50% of the length of a slender element is between 0.1 to 0.8 mm (1909 in fig. 14D). In one embodiment, the thickness of at least 50% of the length of a slender element is between 0.2 to 0.6 mm (1909 in fig. 14D). In one embodiment, the thickness of at least 50% of the length of a slender element is between 0.2 to 0.4 mm (1909 in fig. 14D).
  • the maximal thickness of the retractor in a retracted or closed position is 3 mm (1907 in fig. 14D). In one embodiment, the maximal thickness of the retractor in a retracted or closed position is 2.8 mm (1907 in fig. 14D). In one embodiment, the maximal thickness of the retractor in a retracted or closed position is 2.5 mm (1907 in fig. 14D). In one embodiment, the maximal thickness of the retractor in a retracted or closed position is 2.3 mm (1907 in fig. 14D). In one embodiment, the maximal thickness of the retractor in a retracted or closed position is 2.2 mm (1907 in fig. 14D).
  • the maximal thickness of the retractor in a retracted or closed position is 2.1 mm (1907 in fig. 14D). In one embodiment, the maximal thickness of the retractor in a retracted or closed position is 2.0 mm (1907 in fig. 14D). In one embodiment, the maximal thickness of the retractor in a retracted or closed position is 1.8 mm (1907 in fig. 14D). In one embodiment, the maximal thickness of the retractor in a retracted or closed position is 1.5 mm (1907 in fig. 14D). In one embodiment, the maximal thickness of the retractor in a retracted or closed position is 1.3 mm (1907 in fig. 14D).
  • the maximal thickness of the retractor in a retracted or closed position is 1.0 mm (1907 in fig. 14D). In one embodiment, the maximal thickness of the retractor in a retracted or closed position is 0.8 mm (1907 in fig. 14D).
  • the thickness of the proximal end of the retractor in a retracted or closed position is 1.2 to 3 mm (1907 in fig. 14D). In one embodiment, the thickness of the proximal end of the retractor in a retracted or closed position is 1.4 to 2.6 mm (1907 in fig. 14D). In one embodiment, the thickness of the proximal end of the retractor in a retracted or closed position is 1.6 to 2.4 mm (1907 in fig. 14D). In one embodiment, the thickness of the proximal end of the retractor in a retracted or closed position is 1.8 to 2.2 mm (1907 in fig. 14D).
  • the length of the distal portion of the fully retracted or closed retractor (extending from the mid-pivot to the distal end, such as distance 1904 in fig. 14C) is 2.5-9.5 mm. In some embodiments, the length of the distal portion of the fully retracted or closed retractor (extending from the mid-pivot to the distal end, such as distance 1904 in fig. 14C) is 3.5-8.5 mm. In some embodiments, the length of the distal portion of the fully retracted or closed retractor (extending from the pivot to the distal end, such as distance 1904 in fig. 14C) is 4-7 mm. In some embodiments, the length of the distal portion of the fully retracted or closed retractor (extending from the mid-pivot to the distal end, such as distance 1904 in fig. 14C) is 4.5-5.5 mm.
  • the length extending from the distal portion of the proximal handle or ear to the joining element (such as the mid-pivot of fig. 14) of a fully retracted or closed retractor (such as distance 1905 in fig. 14C) is 0.4-5.5 mm. In some embodiments, the length extending from the distal portion of the proximal handle or ear to the joining element (such as the mid-pivot of fig. 14) of a fully retracted or closed retractor (such as distance 1905 in fig. 14C) is 0.5-4 mm.
  • the length extending from the distal portion of the proximal handle or ear to the joining element (such as the mid-pivot of fig. 14) of a fully retracted or closed retractor (such as distance 1905 in fig. 14C) is 0.5-3.5 mm. In some embodiments, the length extending from the distal portion of the proximal handle or ear to the joining element (such as the mid-pivot of fig. 14) of a fully retracted or closed retractor (such as distance 1905 in fig. 14C) is 0.8-5.5 mm.
  • the length extending from the distal portion of the proximal handle or ear to the joining element (such as the mid-pivot of fig. 14) of a fully retracted or closed retractor (such as distance 1905 in fig. 14C) is 0.7-5.0 mm. In some embodiments, the length extending from the distal portion of the proximal handle or ear to the joining element (such as the mid-pivot of fig. 14) of a fully retracted or closed retractor (such as distance 1905 in fig. 14C) is 0.8-4.5 mm.
  • the length extending from the distal portion of the proximal handle or ear to the joining element (such as the mid-pivot of fig. 14) of a fully retracted or closed retractor (such as distance 1905 in fig. 14C) is 0.8-4.0 mm.
  • the maximal width of the distal portion (extending from the pivot to the distal end) of a fully retracted or closed retractor (such as in fig. 14C) is 4 mm. In some embodiments, the maximal width of the distal portion (extending from the pivot to the distal end) of a fully retracted or closed retractor is 3 mm. In some embodiments, the maximal width of the distal portion (extending from the pivot to the distal end) of a fully retracted or closed retractor is 2 mm. In some embodiments, the maximal width of the distal portion (extending from the pivot to the distal end) of a fully retracted or closed retractor is 1.5 mm.
  • the width of the distal portion (extending from the pivot to the distal end) of a fully retracted or closed retractor is 0.3-4 mm. In some embodiments, the width of the distal portion (extending from the pivot to the distal end) of a fully retracted or closed retractor is 0.5-2.5 mm. In some embodiments, the width of the distal portion (extending from the pivot to the distal end) of a fully retracted or closed retractor is 0.5-1.5 mm.
  • the maximal thickness of a fully retracted or closed retractor of the invention is 6 mm. In some embodiments, the thickness of a fully retracted or closed retractor of the invention (such as element 1907 in fig. 14D) is 4 mm. In some embodiments, the thickness of a fully retracted or closed retractor of the invention (such as element 1907 in fig. 14D) is 3 mm. In some embodiments, the thickness of a fully retracted or closed retractor of the invention (such as element 1907 in fig. 14D) is 2.5 mm.
  • the thickness of the proximal end of a fully retracted or closed retractor of the invention is 1-3 mm. In some embodiments, the thickness of a fully retracted or closed retractor of the invention (such as element 1907 in fig. 14D) is 0.3-3 mm. In some embodiments, the thickness of a fully retracted or closed retractor of the invention (such as element 1907 in fig. 14D) is 0.3-2.5 mm. In some embodiments, the thickness of a fully retracted or closed retractor of the invention (such as element 1907 in fig. 14D) is 1.5-2.5 mm.
  • the thickness of each of the slender elements is 0.1-1.4 mm. In some embodiments, the thickness of each of the slender elements (such as element 1911 in fig. 14D) is 0.1-0.8 mm. In some embodiments, the thickness of each of the slender elements (such as element 1911 in fig. 14D) is 0.1-0.6 mm.
  • devices of the invention (such as in fig. 14A) were made with a spring having differential force (F) along the expansion plane (in grams) according to the measures provided in table 1 or table 2:
  • a retractor has a mechanically limited maximal expansion, or alternatively the spring expansion is mechanically limited by the device.
  • the spring when the device has reached its maximal expansion the spring is still loaded, but cannot expand any further.
  • the device expands for as long as the spring expands.
  • the device's expansion stops when the spring reaches its maximal free expansion size (such as in table 2).
  • the slender elements when the retractor is in its maximal retracted position the slender elements are partially one above the other and form a narrow uniform assembly (Fig 14) with the smallest longitudinal section cut.
  • the distal end of the device is thus centered and arrow head like.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgery (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

L'invention concerne un écarteur d'iris constitué de deux éléments minces accouplés de façon fonctionnelle par l'intermédiaire d'un mécanisme de liaison, chaque élément mince ayant un crochet de préhension d'iris situé au niveau de son extrémité distale ; et une poignée située au niveau de l'extrémité proximale de l'élément mince, le mécanisme de liaison étant configuré pour doter l'écarteur d'iris avec au moins deux configurations : une configuration rétractée et une configuration déployée, la longueur de chaque élément mince étant comprise entre 4 mm et 14 mm.
EP15842610.6A 2014-09-17 2015-09-10 Écarteur d'iris Withdrawn EP3193737A4 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US14/488,393 US9610072B2 (en) 2009-11-02 2014-09-17 Iris retractor
PCT/IL2015/050932 WO2016042551A1 (fr) 2014-09-17 2015-09-10 Écarteur d'iris

Publications (2)

Publication Number Publication Date
EP3193737A1 true EP3193737A1 (fr) 2017-07-26
EP3193737A4 EP3193737A4 (fr) 2018-04-04

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WO (1) WO2016042551A1 (fr)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020002719A1 (fr) * 2018-06-27 2020-01-02 Palomino Munoz Antonio Dilatateur pupillaire pour interventions ophtalmologiques
CN110652325B (zh) * 2019-10-18 2022-05-24 何庆荣 一种方便耳朵上药的耳朵撑开装置
CN112022253B (zh) * 2020-09-27 2021-09-10 中国人民解放军32298部队 一种眼科手术专用泪腺牵开器

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4257406A (en) * 1979-05-18 1981-03-24 Schenk Alan G Iris retractor and pupil dilator
CH673938A5 (fr) * 1987-12-04 1990-04-30 Grounauer Pierre Alain
US5030224A (en) * 1989-09-25 1991-07-09 Pioneering Technologies, Inc. Coronary artery retraction clip
US5176129A (en) * 1991-03-01 1993-01-05 Tekdyne, Inc. Self-retaining refractor
US6332866B1 (en) * 2000-03-21 2001-12-25 Grieshaber & Co. Ag Schaffhausen Iris retractor for use in surgical procedure on the eye of a living being
KR20130006588A (ko) * 2009-11-02 2013-01-17 모르 리서치 애플리케이션즈 리미티드 홍채 견인기
EP2770939A2 (fr) * 2011-10-24 2014-09-03 APX Ophthalmology Ltd. Ensembles rétracteurs d'iris

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