FR2830186A1 - Instrument for making incision in sclera of eye for inserting infusion cannula that is held in place during surgical operation - Google Patents

Instrument for making incision in sclera of eye for inserting infusion cannula that is held in place during surgical operation Download PDF

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Publication number
FR2830186A1
FR2830186A1 FR0112714A FR0112714A FR2830186A1 FR 2830186 A1 FR2830186 A1 FR 2830186A1 FR 0112714 A FR0112714 A FR 0112714A FR 0112714 A FR0112714 A FR 0112714A FR 2830186 A1 FR2830186 A1 FR 2830186A1
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FR
France
Prior art keywords
sclera
shoulder
tip
infusion cannula
incision
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Granted
Application number
FR0112714A
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French (fr)
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FR2830186B1 (en
Inventor
Didier Ducournau
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Individual
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Individual
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Priority to FR0112714A priority Critical patent/FR2830186B1/en
Publication of FR2830186A1 publication Critical patent/FR2830186A1/en
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Publication of FR2830186B1 publication Critical patent/FR2830186B1/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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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
    • 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
    • A61F9/00736—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
    • A61F9/00754—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments for cutting or perforating the anterior lens capsule, e.g. capsulotomes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/3209—Incision instruments
    • A61B17/3211—Surgical scalpels, knives; Accessories therefor
    • A61B2017/32113—Surgical scalpels, knives; Accessories therefor with extendable or retractable guard or blade
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
    • 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
    • A61F9/00781—Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment

Abstract

The instrument consists of a handle and a cutting tip with two inclined cutting surfaces, designed to make an incision in the sclera of the eye to receive an infusion cannula in the form of a tube (10) with a flange (16) and a hollow needle (12). The needle and flange are connected by a cylinder (15) that is shorter than the cutting instrument tip, so that during use it fits in the sclera incision with the hollow needle on the inside of the sclera and the flange on the outside.

Description

<Desc/Clms Page number 1> <Desc / Clms Page number 1>

La présente invention se rapporte à un outil destiné à pratiquer dans la sclérotique une incision pour la mise en place d'une canule d'infusion.  The present invention relates to a tool intended to make an incision in the sclera for the placement of an infusion cannula.

L'invention vise également une canule d'infusion pour la chirurgie du pôle postérieur de l'oeil.  The invention also relates to an infusion cannula for surgery of the posterior pole of the eye.

L'un des buts de l'invention est de réaliser, d'une part, un outil permettant d'effectuer une incision facilitant la mise en place de la canule et, d'autre part, une canule aisée à mettre en place et qui assure son maintien durant l'opération chirurgicale.  One of the aims of the invention is to produce, on the one hand, a tool making it possible to make an incision facilitating the positioning of the cannula and, on the other hand, a cannula which is easy to put in place and which ensures its maintenance during the surgical operation.

A cet effet, l'outil pour l'incision de la sclérotique pour la mise en place d'une canule d'infusion est du type comprenant un manche à une extrémité duquel s'étend une pointe coupante et est caractérisé en ce que la pointe est montée dans un embout surmoulé présentant un épaulement, ladite pointe présentant un bord incliné tranchant sur les deux faces et un dos situé sensiblement dans l'axe du manche.  For this purpose, the tool for the incision of the sclera for the establishment of an infusion cannula is of the type comprising a handle at one end of which extends a cutting point and is characterized in that the point is mounted in an overmolded tip having a shoulder, said tip having a sharp inclined edge on both sides and a back located substantially in the axis of the handle.

La canule destinée à être utilisée avec un tel outil est caractérisée en ce qu'elle comporte un tube présentant, à une extrémité, un raccord pour son branchement sur un flacon, tandis que l'autre extrémité comporte une virole à partir de laquelle s'étend un élément tubulaire de plus faible section que le tube et prolongé par une aiguille creuse avec une extrémité en biseau, l'aiguille creuse étant raccordée à l'élément tubulaire par un épaulement.  The cannula intended to be used with such a tool is characterized in that it comprises a tube having, at one end, a connector for its connection to a bottle, while the other end comprises a ferrule from which extends a tubular element of smaller cross section than the tube and extended by a hollow needle with a beveled end, the hollow needle being connected to the tubular element by a shoulder.

Grâce à cette disposition, la canule se trouve automatiquement fixée lorsqu'elle est engagée dans la sclère.  Thanks to this arrangement, the cannula is automatically fixed when it is engaged in the sclera.

<Desc/Clms Page number 2> <Desc / Clms Page number 2>

Suivant une caractéristique particulière, la longueur de l'élément tubulaire est inférieure à la longueur de la pointe coupante et la largeur de cette dernière, au voisinage de l'épaulement de l'embout, correspond sensiblement aux dimensions de l'aiguille creuse au droit de l'épaulement de celle-ci.  According to a particular characteristic, the length of the tubular element is less than the length of the cutting tip and the width of the latter, in the vicinity of the shoulder of the end piece, corresponds substantially to the dimensions of the hollow needle at right of the shoulder thereof.

De préférence, la canule comporte un bourrelet situé contre la virole du côté opposé à celui à partir duquel s'étend l'élément tubulaire.  Preferably, the cannula comprises a bead situated against the ferrule on the side opposite to that from which extends the tubular element.

<Desc/Clms Page number 3> <Desc / Clms Page number 3>

L'invention va maintenant être décrite avec plus de détails en se référant à un mode de réalisation particulier donné à titre d'exemple seulement et représenté aux dessins annexés, dans lesquels :
Figure 1 est une vue en élévation de l'outil. The invention will now be described in more detail with reference to a particular embodiment given by way of example only and shown in the accompanying drawings, in which:
Figure 1 is an elevational view of the tool.

Figure 2 montre en élévation la canule, selon l'invention.  Figure 2 shows in elevation the cannula according to the invention.

Figure 3 est une vue en élévation à plus grande échelle de la canule.  Figure 3 is an elevational view on a larger scale of the cannula.

Figures 4,5 et 6 sont des vues schématiques montrant la pose de la canule.  Figures 4,5 and 6 are schematic views showing the placement of the cannula.

L'outil, représenté à la figure 1, est constitué d'un manche 1 en matière plastique terminé par un embout 2 à l'extrémité duquel fait saillie une pointe métallique 3.  The tool, shown in FIG. 1, consists of a plastic handle 1 terminated by a tip 2 at the end of which a metal point 3 projects.

La pointe métallique 3 présente, le long d'un bord, un tranchant 4 sur ses deux faces, tandis que le dos 5 est situé dans l'axe du corps.  The metal tip 3 has, along an edge, a cutting edge 4 on its two faces, while the back 5 is located in the axis of the body.

L'embout 2 forme, à son extrémité à partir de laquelle fait saillie la pointe 3, un épaulement 6, tandis que la partie du manche 1, située au voisinage de l'embout, est pourvue de rainures, striures ou autres 7 afin de faciliter la tenue de l'outil.  The end piece 2 forms, at its end from which the point 3 protrudes, a shoulder 6, while the part of the handle 1, located in the vicinity of the end piece, is provided with grooves, striations or the like 7 in order to facilitate the holding of the tool.

A la figure 2, on a représenté une canule d'infusion permettant, au cours d'une intervention, d'irriguer le globe oculaire pour le maintenir dans sa forme.  In Figure 2, there is shown an infusion cannula for, during an intervention, to irrigate the eyeball to keep it in its shape.

<Desc/Clms Page number 4> <Desc / Clms Page number 4>

Cette canule comprend un tuyau souple 10 transparent de préférence et terminé, à une extrémité, par un raccord 11 permettant de la relier à un récipient contenant le liquide d'irrigation du globe oculaire. A l'autre extrémité, la canule est pourvue d'un bourrelet 17 contre lequel s'étend une virole 16. Du côté opposé au bourrelet 17, la virole 16 est solidaire d'un élément tubulaire 15 de plus faible section que le tuyau souple 10, lui même prolongé par une aiguille creuse 12 dont l'extrémité libre 13 est taillée en biseau.  This cannula comprises a flexible tube 10 preferably transparent and terminated, at one end, by a connector 11 allowing it to be connected to a container containing the liquid for irrigating the eyeball. At the other end, the cannula is provided with a bead 17 against which extends a ferrule 16. On the side opposite to the bead 17, the ferrule 16 is integral with a tubular element 15 of smaller cross section than the flexible pipe 10, itself extended by a hollow needle 12 whose free end 13 is bevelled.

L'aiguille creuse 12, à son extrémité opposée à celle taillée en biseau, est pourvue d'un épaulement 14, ladite aiguille creuse affectant une forme générale tronconique dont la grande base est constituée par l'épaulement.  The hollow needle 12, at its end opposite to that cut in a bevel, is provided with a shoulder 14, said hollow needle having a generally frustoconical shape whose large base is formed by the shoulder.

Les figures 4,5 et 6 montrent schématiquement l'utilisation de l'outil et de la canule.  Figures 4,5 and 6 schematically show the use of the tool and the cannula.

La pointe 3 est engagée dans la sclérotique 21 et cet engagement est limité par l'épaulement 6 de l'embout 2.  The tip 3 is engaged in the sclera 21 and this engagement is limited by the shoulder 6 of the nozzle 2.

La pointe 3 a une longueur supérieure à la longueur de l'élément tubulaire 15, mais sa configuration est telle que, du côté de l'embout 2, sa largeur est légèrement supérieure à la partie de l'aiguille creuse 12 adjacente à l'épaulement 14, tandis que sa longueur est telle que l'incision 18 de la sclérotique du côté du corps vitré 20 a des dimensions inférieures à celles de l'épaulement 14, la longueur de l'élément tubulaire 15 correspondant sensiblement à l'épaisseur de la sclérotique.  The tip 3 has a length greater than the length of the tubular element 15, but its configuration is such that, on the side of the end piece 2, its width is slightly greater than the part of the hollow needle 12 adjacent to the shoulder 14, while its length is such that the incision 18 of the sclera on the side of the glazed body 20 has dimensions smaller than those of the shoulder 14, the length of the tubular element 15 corresponding substantially to the thickness of the sclera.

<Desc/Clms Page number 5> <Desc / Clms Page number 5>

Ainsi, après avoir effectué avec la pointe 3 l'incision 18, l'aiguille creuse 12 est engagée directement dans celle-ci et est poussée jusqu'à ce que la virole 16 porte contre la sclérotique.  Thus, after having made the incision with the tip 3, the hollow needle 12 is engaged directly in the latter and is pushed until the ferrule 16 bears against the sclera.

Dans cette position, l'épaulement 14 de l'aiguille creuse 12 coopère avec l'extrémité 20 de l'incision 18 du côté du corps vitré et la canule est parfaitement ancrée.  In this position, the shoulder 14 of the hollow needle 12 cooperates with the end 20 of the incision 18 on the side of the vitreous body and the cannula is perfectly anchored.

Lorsque l'opération est terminée, la canule peut aisément être retirée.  When the operation is finished, the cannula can easily be removed.

Bien entendu, l'invention n'est pas limitée au mode de réalisation qui vient d'être décrit et représenté. On pourra y apporter de nombreuses modifications de détail sans sortir pour cela du cadre de l'invention. Of course, the invention is not limited to the embodiment which has just been described and shown. Many detailed modifications can be made without departing from the scope of the invention.

Claims (3)

REVENDICATIONS 1. Outil pour l'incision de la sclérotique pour la mise en place d'une canule d'infusion et du type comprenant un manche (1) à une extrémité duquel s'étend une pointe coupante (3), caractérisé en ce que la pointe est montée dans un embout surmoulé présentant un épaulement (6), ladite pointe présentant un bord incliné tranchant sur les deux faces et un dos situé sensiblement dans l'axe du manche (1). 1. Tool for the incision of the sclera for the establishment of an infusion cannula and of the type comprising a handle (1) at one end of which extends a cutting point (3), characterized in that the tip is mounted in an overmolded tip having a shoulder (6), said tip having a sharp inclined edge on both sides and a back located substantially in the axis of the handle (1). 2. Canule d'infusion destinée à être utilisée avec l'outil, selon la revendication 1, caractérisée en ce qu'elle comporte un tube (10) présentant, à une extrémité, un raccord pour son branchement sur un flacon, tandis que l'autre extrémité comporte une virole (16) à partir de laquelle s'étend un élément tubulaire (15) de plus faible section que le tube (10) et prolongé par une aiguille creuse (12) avec une extrémité en biseau (13), l'aiguille creuse étant raccordée à l'élément tubulaire par un épaulement (14), la longueur de l'élément tubulaire (15) étant inférieure à la longueur de la pointe coupante (3) de l'outil d'incision et la largeur de cette dernière, au voisinage de l'épaulement (6) de l'embout, correspondant sensiblement aux dimensions de l'aiguille creuse (12) au droit de l'épaulement (14) de celle-ci.  2. Infusion cannula intended for use with the tool, according to claim 1, characterized in that it comprises a tube (10) having, at one end, a connector for its connection to a bottle, while the the other end comprises a ferrule (16) from which extends a tubular element (15) of smaller section than the tube (10) and extended by a hollow needle (12) with a beveled end (13), the hollow needle being connected to the tubular element by a shoulder (14), the length of the tubular element (15) being less than the length of the cutting tip (3) of the incision tool and the width of the latter, in the vicinity of the shoulder (6) of the nozzle, corresponding substantially to the dimensions of the hollow needle (12) in line with the shoulder (14) thereof. 3. Canule d'infusion selon la revendication 2 destinée à être utilisée avec l'outil, selon la revendication 1, caractérisée en ce qu'elle comporte un bourrelet (17) situé contre la virole du côté opposé à celui à partir duquel s'étend l'élément tubulaire (15).  3. Infusion cannula according to claim 2 intended to be used with the tool, according to claim 1, characterized in that it comprises a bead (17) located against the ferrule on the side opposite to that from which s' extends the tubular member (15).
Figure img00060001
Figure img00060001
 1 1
FR0112714A 2001-10-03 2001-10-03 TOOL FOR THE INCISION OF SCLEROTICS FOR THE PLACEMENT OF A BREWING CANNULA AND CORRESPONDING BREWING CANNULA Expired - Fee Related FR2830186B1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
FR0112714A FR2830186B1 (en) 2001-10-03 2001-10-03 TOOL FOR THE INCISION OF SCLEROTICS FOR THE PLACEMENT OF A BREWING CANNULA AND CORRESPONDING BREWING CANNULA

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR0112714A FR2830186B1 (en) 2001-10-03 2001-10-03 TOOL FOR THE INCISION OF SCLEROTICS FOR THE PLACEMENT OF A BREWING CANNULA AND CORRESPONDING BREWING CANNULA

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FR2830186A1 true FR2830186A1 (en) 2003-04-04
FR2830186B1 FR2830186B1 (en) 2004-06-11

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Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8137344B2 (en) 2008-12-10 2012-03-20 Alcon Research, Ltd. Flexible, automated capsulorhexis device
US8157797B2 (en) 2009-01-12 2012-04-17 Alcon Research, Ltd. Capsularhexis device with retractable bipolar electrodes
EP2476399A1 (en) * 2011-01-18 2012-07-18 France Chirurgie Instrumentation SAS-FCI Self-blocking nozzle
USD707818S1 (en) 2013-03-05 2014-06-24 Alcon Research Ltd. Capsulorhexis handpiece
US8814854B2 (en) 2009-06-03 2014-08-26 Alcon Research, Ltd. Capsulotomy repair device and method for capsulotomy repair
USD737438S1 (en) 2014-03-04 2015-08-25 Novartis Ag Capsulorhexis handpiece
US9125720B2 (en) 2008-10-13 2015-09-08 Alcon Research, Ltd. Capsularhexis device with flexible heating element
US9149388B2 (en) 2010-09-29 2015-10-06 Alcon Research, Ltd. Attenuated RF power for automated capsulorhexis
US9241755B2 (en) 2010-05-11 2016-01-26 Alcon Research, Ltd. Capsule polishing device and method for capsule polishing
CN115177433A (en) * 2022-09-13 2022-10-14 山东百多安医疗器械股份有限公司 Degradable zinc alloy glaucoma drainage stent

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3967377A (en) * 1975-03-17 1976-07-06 Wells Royzell F Precision positioning device for tool blades and the like
US4759363A (en) * 1985-09-17 1988-07-26 Jensen Ronald P Scalpel with removable depth guard
US5423840A (en) * 1992-04-08 1995-06-13 Chiron Vision Corporation Keratorefractive diamond blade and surgical method
US5891084A (en) * 1994-12-27 1999-04-06 Lee; Vincent W. Multiple chamber catheter delivery system
WO1999065432A1 (en) * 1998-06-17 1999-12-23 Raymond Sjaarda Surgical infusion tool with flow diffuser
WO2000072788A1 (en) * 1999-06-02 2000-12-07 Optonol Ltd. Flow control device, introducer and method of implanting

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3967377A (en) * 1975-03-17 1976-07-06 Wells Royzell F Precision positioning device for tool blades and the like
US4759363A (en) * 1985-09-17 1988-07-26 Jensen Ronald P Scalpel with removable depth guard
US5423840A (en) * 1992-04-08 1995-06-13 Chiron Vision Corporation Keratorefractive diamond blade and surgical method
US5891084A (en) * 1994-12-27 1999-04-06 Lee; Vincent W. Multiple chamber catheter delivery system
WO1999065432A1 (en) * 1998-06-17 1999-12-23 Raymond Sjaarda Surgical infusion tool with flow diffuser
WO2000072788A1 (en) * 1999-06-02 2000-12-07 Optonol Ltd. Flow control device, introducer and method of implanting

Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9125720B2 (en) 2008-10-13 2015-09-08 Alcon Research, Ltd. Capsularhexis device with flexible heating element
US8137344B2 (en) 2008-12-10 2012-03-20 Alcon Research, Ltd. Flexible, automated capsulorhexis device
US8157797B2 (en) 2009-01-12 2012-04-17 Alcon Research, Ltd. Capsularhexis device with retractable bipolar electrodes
US8814854B2 (en) 2009-06-03 2014-08-26 Alcon Research, Ltd. Capsulotomy repair device and method for capsulotomy repair
US9241755B2 (en) 2010-05-11 2016-01-26 Alcon Research, Ltd. Capsule polishing device and method for capsule polishing
US9351872B2 (en) 2010-09-29 2016-05-31 Alcon Research, Ltd. Attenuated RF power for automated capsulorhexis
US9149388B2 (en) 2010-09-29 2015-10-06 Alcon Research, Ltd. Attenuated RF power for automated capsulorhexis
FR2970412A1 (en) * 2011-01-18 2012-07-20 France Chirurgie Instr SELF-LOCKING CANNULA
EP2476399A1 (en) * 2011-01-18 2012-07-18 France Chirurgie Instrumentation SAS-FCI Self-blocking nozzle
USD707818S1 (en) 2013-03-05 2014-06-24 Alcon Research Ltd. Capsulorhexis handpiece
USD737438S1 (en) 2014-03-04 2015-08-25 Novartis Ag Capsulorhexis handpiece
CN115177433A (en) * 2022-09-13 2022-10-14 山东百多安医疗器械股份有限公司 Degradable zinc alloy glaucoma drainage stent
CN115177433B (en) * 2022-09-13 2022-11-18 山东百多安医疗器械股份有限公司 Degradable zinc alloy glaucoma drainage stent

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