JP2002508678A - 角膜を切開するための改良された自動手術装置および制御アセンブリ - Google Patents
角膜を切開するための改良された自動手術装置および制御アセンブリInfo
- Publication number
- JP2002508678A JP2002508678A JP54722698A JP54722698A JP2002508678A JP 2002508678 A JP2002508678 A JP 2002508678A JP 54722698 A JP54722698 A JP 54722698A JP 54722698 A JP54722698 A JP 54722698A JP 2002508678 A JP2002508678 A JP 2002508678A
- Authority
- JP
- Japan
- Prior art keywords
- cornea
- head assembly
- assembly
- incision
- eye
- 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.)
- Granted
Links
Classifications
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- 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
- A61F9/013—Instruments for compensation of ocular refraction ; Instruments for use in cornea removal, for reshaping or performing incisions in the cornea
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
-
- 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
- A61F2009/0035—Devices for immobilising a patient's head with respect to the instrument
- A61F2009/0043—Devices for immobilising a patient's head with respect to the instrument by supporting the instrument on the patient's head, e.g. head bands
- A61F2009/0052—Devices for immobilising a patient's head with respect to the instrument by supporting the instrument on the patient's head, e.g. head bands the instrument being supported on the patient's eye
Landscapes
- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Surgery (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Knives (AREA)
- Prostheses (AREA)
- Perforating, Stamping-Out Or Severing By Means Other Than Cutting (AREA)
- Materials For Medical Uses (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
Description
Claims (1)
- 【特許請求の範囲】 1.患者の眼の角膜を実質的に横切って切開するための外科手術装置であって、 a)切開される角膜を囲む眼の部分に一時的に取り付けられるように構成され る位置決めリングと、 b)該角膜を囲む該眼の部分に該位置決めリングを一時的に取り付けるように 構成される吸引手段であって、該位置決めリングで吸引を引き起こす真空源を含 む吸引手段と、 c)切開ヘッドアセンブリであって、該切開ヘッドアセンブリに配置され、該 角膜を切開するための切開要素を含み、該位置決めリング、および従って、該患 者の眼を横切るように駆動されるように構成および配置される切開ヘッドアセン ブリと、 d)該切開ヘッドアセンブリに動作可能に接続され、該患者の眼を横切る該切 開ヘッドアセンブリの動きを引き起こすため、および、該切開要素の揺動(osci llating movement)を引き起こすための駆動手段と、 e)少なくとも該駆動手段と該吸引手段とを含む制御アセンブリであって、該 位置決めリングでの該吸引の損失を検出し、該駆動手段をすぐに遮断し、それに より該切開要素が不適切に角膜を切開するのを防ぐように構成される制御アセン ブリと、を含む、外科手術装置。 2.前記制御アセンブリの前記吸引手段が、前記真空源としての役割を果たしか つ前記位置決めリングでの前記吸引を提供するための真空ポンプと、真空を発生 しかつ該真空ポンプの遮断が起こった場合に該真空源としての役割を果たすよう に構成される予備真空タンクと、を含み、それにより、該位置決めリングでの吸 引が失われる前に、該位置決めリングおよび従って前記患者の眼を横切る前記切 開ヘッドアセンブリの切開通過の完了を可能にする、請求項1に記載の外科手術 装置。 3.前記制御アセンブリが、前記駆動手段の機能を調整するように構成されるプ ロセッサ制御であって、中断されるプロセッサ制御と、前記吸引手段の動作が開 始されると、該駆動手段の該機能を調整するように作動させられる独立した論理 制御と、をさらに含む、請求項1に記載の外科手術装置。 4.前記プロセッサ制御と前記独立した論理制御との間にラッチスイッチが配置 され、該ラッチスイッチが、前記吸引手段の動作が開始されると、積極的にリセ ットされるまで、該独立した論理制御による前記駆動手段の前記機能の調整を作 動させるように配置される、請求項3に記載の外科手術装置。 5.前記制御アセンブリの前記駆動手段が、所定の限界を越えるアンペア数の増 加を検出すると遮断するように構成される、請求項1に記載の外科手術装置。 6.前記制御アセンブリの前記駆動手段が、前記所定の限界を超えるアンペア数 の増加を検出すると動的にブレーキをかけるように構成される、請求項5に記載 の外科手術装置。 7.前記制御アセンブリが、前記吸引手段の再始動が試みられると、該吸引手段 の瞬間的真空解放を開始するように構成される光スイッチングアセンブリをさら に含み、それにより、該制御アセンブリの高電圧側を、該制御アセンブリの低電 圧側から完全に絶縁する、請求項1に記載の外科手術装置。 8.前記制御アセンブリの前記駆動手段が、モータを含み、該モータが電源に接 続される、請求項1に記載の外科手術装置。 9.前記駆動手段が、前記電源により供給される電力の損失が起こるとすぐに前 記モータに電力を供給するように構成されるバックアップ電源をさらに含む、請 求項8に記載の外科手術装置。 10.前記バックアップ電源が、前記制御アセンブリと一体に形成される、請求 項9に記載の外科手術装置。 11.前記切開ヘッドアセンブリが、概して弧状の経路で前記角膜を横切るよう に駆動され、該弓形の経路が、眼のまばたきの方向と実質的に整列された方向で 終わる、請求項1に記載の外科手術装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/845,171 US6051009A (en) | 1996-02-07 | 1997-04-25 | Automatic surgical device for cutting a cornea and a cutting blade assembly and control assembly |
US08/845,171 | 1997-04-25 | ||
PCT/US1998/008396 WO1998048748A2 (en) | 1997-04-25 | 1998-04-24 | Improved automatic surgical device and control assembly for cutting a cornea |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2002508678A true JP2002508678A (ja) | 2002-03-19 |
JP4021499B2 JP4021499B2 (ja) | 2007-12-12 |
Family
ID=25294571
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP54722698A Expired - Lifetime JP4021499B2 (ja) | 1997-04-25 | 1998-04-24 | 角膜を切開するための改良された自動手術装置および制御アセンブリ |
JP54719198A Pending JP2001517131A (ja) | 1997-04-25 | 1998-04-24 | 角膜を切開するための改良された自動手術装置、およびそのための切刃アセンブリおよび制御アセンブリ |
JP2004356083A Withdrawn JP2005103318A (ja) | 1997-04-25 | 2004-12-08 | 角膜を切開するための改良された自動手術装置、およびそのための切刃アセンブリおよび制御アセンブリ |
Family Applications After (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP54719198A Pending JP2001517131A (ja) | 1997-04-25 | 1998-04-24 | 角膜を切開するための改良された自動手術装置、およびそのための切刃アセンブリおよび制御アセンブリ |
JP2004356083A Withdrawn JP2005103318A (ja) | 1997-04-25 | 2004-12-08 | 角膜を切開するための改良された自動手術装置、およびそのための切刃アセンブリおよび制御アセンブリ |
Country Status (14)
Country | Link |
---|---|
US (2) | US6051009A (ja) |
EP (3) | EP1364633A3 (ja) |
JP (3) | JP4021499B2 (ja) |
CN (3) | CN1191043C (ja) |
AT (1) | ATE248564T1 (ja) |
AU (2) | AU7159698A (ja) |
BR (2) | BR9810400A (ja) |
CA (3) | CA2288134C (ja) |
DE (2) | DE69817800T3 (ja) |
DK (1) | DK0977532T3 (ja) |
ES (2) | ES2328874T3 (ja) |
HK (3) | HK1030348A1 (ja) |
PT (1) | PT977532E (ja) |
WO (2) | WO1998048747A2 (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP4859669B2 (ja) * | 2003-05-27 | 2012-01-25 | イッチエ シウイ | 目の角膜を切開するためのシステム |
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1998
- 1998-04-24 DE DE69817800T patent/DE69817800T3/de not_active Expired - Lifetime
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- 1998-04-24 JP JP54722698A patent/JP4021499B2/ja not_active Expired - Lifetime
- 1998-04-24 AU AU72590/98A patent/AU7259098A/en not_active Abandoned
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- 1998-04-24 EP EP03019543A patent/EP1364633A3/en not_active Ceased
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- 1998-04-24 BR BR9808690-1A patent/BR9808690A/pt not_active Application Discontinuation
- 1998-04-24 EP EP98918721A patent/EP0977532B2/en not_active Expired - Lifetime
- 1998-04-24 PT PT98918721T patent/PT977532E/pt unknown
- 1998-04-24 WO PCT/US1998/008396 patent/WO1998048748A2/en active Application Filing
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2000
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2001
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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JP4859669B2 (ja) * | 2003-05-27 | 2012-01-25 | イッチエ シウイ | 目の角膜を切開するためのシステム |
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