JP2010046241A - 眼内レンズ挿入器具 - Google Patents
眼内レンズ挿入器具 Download PDFInfo
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- JP2010046241A JP2010046241A JP2008212409A JP2008212409A JP2010046241A JP 2010046241 A JP2010046241 A JP 2010046241A JP 2008212409 A JP2008212409 A JP 2008212409A JP 2008212409 A JP2008212409 A JP 2008212409A JP 2010046241 A JP2010046241 A JP 2010046241A
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- intraocular lens
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- main body
- operation unit
- plunger
- Prior art date
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- 238000003780 insertion Methods 0.000 title claims abstract description 88
- 230000037431 insertion Effects 0.000 title claims abstract description 88
- 230000005540 biological transmission Effects 0.000 claims description 6
- 230000036316 preload Effects 0.000 claims description 2
- 210000000695 crystalline len Anatomy 0.000 description 190
- 238000001125 extrusion Methods 0.000 description 25
- 230000033001 locomotion Effects 0.000 description 18
- 238000009434 installation Methods 0.000 description 11
- 210000001508 eye Anatomy 0.000 description 9
- 230000007704 transition Effects 0.000 description 9
- 230000000694 effects Effects 0.000 description 4
- 230000003287 optical effect Effects 0.000 description 3
- 230000002093 peripheral effect Effects 0.000 description 3
- 239000004925 Acrylic resin Substances 0.000 description 2
- 229920000178 Acrylic resin Polymers 0.000 description 2
- 210000005252 bulbus oculi Anatomy 0.000 description 2
- 239000000017 hydrogel Substances 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 239000007779 soft material Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- XUIMIQQOPSSXEZ-UHFFFAOYSA-N Silicon Chemical compound [Si] XUIMIQQOPSSXEZ-UHFFFAOYSA-N 0.000 description 1
- 201000009310 astigmatism Diseases 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 238000004945 emulsification Methods 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 238000012966 insertion method Methods 0.000 description 1
- 239000012212 insulator Substances 0.000 description 1
- 230000009545 invasion Effects 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 239000011347 resin Substances 0.000 description 1
- 229920005989 resin Polymers 0.000 description 1
- 229910052710 silicon Inorganic materials 0.000 description 1
- 239000010703 silicon Substances 0.000 description 1
- 229920003002 synthetic resin Polymers 0.000 description 1
- 239000000057 synthetic resin Substances 0.000 description 1
- 229940006076 viscoelastic substance Drugs 0.000 description 1
- 239000003190 viscoelastic substance Substances 0.000 description 1
Images
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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
- A61F2/16—Intraocular lenses
- A61F2/1662—Instruments for inserting intraocular lenses into the eye
- A61F2/1672—Instruments for inserting intraocular lenses into the eye with a two-stage plunger, e.g. rotatable and pushable or rotatable at different speeds
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
- A61F2/16—Intraocular lenses
- A61F2/1662—Instruments for inserting intraocular lenses into the eye
- A61F2/1664—Instruments for inserting intraocular lenses into the eye for manual insertion during surgery, e.g. forceps-like instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
- A61F2/16—Intraocular lenses
- A61F2/1662—Instruments for inserting intraocular lenses into the eye
- A61F2/167—Instruments for inserting intraocular lenses into the eye with pushable plungers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
- A61F2/16—Intraocular lenses
- A61F2/1662—Instruments for inserting intraocular lenses into the eye
- A61F2/1678—Instruments for inserting intraocular lenses into the eye with a separate cartridge or other lens setting part for storage of a lens, e.g. preloadable for shipping
Landscapes
- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
【解決手段】眼内レンズ挿入器具1は、本体2と、当該本体2の一端2aに設けられた操作部3と、前記操作部3を前記本体2に対し進退可能とするノック機構4と、前記本体2の他端2aに取付けられた挿入筒としてのカートリッジ5とを備え、全体として、ノック機構4によって操作部3を繰り返し進退させ、カートリッジ5内に設置した眼内レンズ6を段階的に押出し得るように構成されている。ノック機構4は、前方へ押出された操作部3を退行方向へ移動させ、押出される前の元の位置へ自動的に戻し得るように構成されている。
【選択図】図1
Description
そこで、本発明は上記した問題点に鑑み、操作部の操作圧力を容易に制御することができる眼内レンズ挿入器具を提供することを目的とする。
(1)全体構成
図1に示す眼内レンズ挿入器具1は、本体2と、当該本体2の一端2aに設けられた操作部3と、前記操作部3を前記本体2に対し進退可能とするノック機構4と、前記本体2の他端2bに取付けられたカートリッジ5とを備え、全体として、ノック機構4によって操作部3を繰り返し進退させ、カートリッジ5内に設置した眼内レンズ6を段階的に押出し得るように構成されている。なお、使い捨てで使用される挿入筒で、手術時に術者または助手によりその内部に眼内レンズが設置されるタイプの挿入筒は一般的にカートリッジと呼ばれている。
上記の構成において、操作部3が原点にある状態(図1)から本体2に押し込まれる際、操作部3に加えられた前方向の外力により、突起25と本体2の固定凹部30との係合が解除される。そうすると、図4(a)に示すように、コイルバネ12を収縮させながらプランジャー10とロッド11が共に前方へ移動する。
(1)全体構成
本実施形態に係る眼内レンズ挿入器具40は、操作部を本体に押し込む動作を二回行うことにより眼内レンズを外部に放出する上記第1実施形態に対し、上記動作を三回行うことにより眼内レンズを外部に放出するように構成した点のみが異なる。尚、上記構成と同様の構成については、同様の符号を付し、簡略のため説明を省略する。
上記の構成において、操作部3が本体41に押し込まれる際、操作部3に加えられた前方向の外力により、突起25と本体41の固定凹部30との係合が解除されると、図6(a)に示すように、コイルバネ12を収縮させながらプランジャー10とロッド43が共に前方へ移動する。
本実施形態に係る眼内レンズ挿入器具は、上記第1実施形態に対し、挿入筒が挿入筒部である点のみが異なる。尚、上記構成と同様の構成については、同様の符号を付し、簡略のため説明を省略する。
上記した実施形態では、本体は、レンズ進行軸に直交する断面の内面形状が円形である場合について説明したが、本発明はこれに限らず、楕円形、四角形などの多角形でもよい。この場合、本体の内面形状に合わせてノック機構の他の部材、プランジャーの軸体及びロッドの摺動体は、同様の形状を選択し得る。
2 本体
3 操作部
4 ノック機構
5 カートリッジ(挿入筒)
6 眼内レンズ
9 ノズル部
10 プランジャー(伝達部)
12 コイルバネ(復帰手段)
22a レンズ接触部
28 スライド穴(停止手段)
40 眼内レンズ挿入器具
41 本体
50 眼内レンズ挿入器具
51 本体
52 挿入筒部
Claims (6)
- 操作部を押圧して眼内レンズを押出す眼内レンズ挿入器具において、押圧された前記操作部を操作可能位置に自動的に復帰させるノック機構を備えることを特徴とする眼内レンズ挿入器具。
- 前記眼内レンズを押出すレンズ接触部と、
前記操作部に加えられた外力を前記レンズ接触部へ伝達する伝達部と、
前記レンズ接触部によって押出された前記眼内レンズを外部へ放出する挿入筒とを備え、
前記ノック機構は、前記レンズ接触部が前記眼内レンズを押出し始めてから、前記眼内レンズを前記挿入筒から外部へ完全に放出する前に前記レンズ接触部を一旦停止させる停止手段と、
前記停止手段により前記レンズ接触部を一旦停止させた状態で、前記操作部を操作可能位置に復帰させる復帰手段と
を有することを特徴とする請求項1記載の眼内レンズ挿入器具。 - 前記挿入筒を一端に固定する本体を備え、
前記操作部は、前記本体の他端に設けられたことを特徴とする請求項1又は2に記載の眼内レンズ挿入器具。 - 前記眼内レンズが、予め設置されたプリロードタイプであることを特徴とする請求項1記載の眼内レンズ挿入器具。
- 前記復帰手段が、前記操作部を退行方向に付勢するコイルバネであることを特徴とする請求項2記載の眼内レンズ挿入器具。
- 前記停止手段は、前記眼内レンズが前記挿入筒の先端に設けられたノズル部内を通過する際に前記レンズ接触部を少なくとも1回停止させることを特徴とする請求項2記載の眼内レンズ挿入器具。
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2008212409A JP5323420B2 (ja) | 2008-08-21 | 2008-08-21 | 眼内レンズ挿入器具 |
EP09808290.2A EP2340786A4 (en) | 2008-08-21 | 2009-08-20 | Intraocular lens insertion instrument |
PCT/JP2009/064549 WO2010021354A1 (ja) | 2008-08-21 | 2009-08-20 | 眼内レンズ挿入器具 |
US13/059,401 US8702795B2 (en) | 2008-08-21 | 2009-08-20 | Intraocular lens inserting device |
CN200980132707.5A CN102131477B (zh) | 2008-08-21 | 2009-08-20 | 眼内透镜插入器具 |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2008212409A JP5323420B2 (ja) | 2008-08-21 | 2008-08-21 | 眼内レンズ挿入器具 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2010046241A true JP2010046241A (ja) | 2010-03-04 |
JP5323420B2 JP5323420B2 (ja) | 2013-10-23 |
Family
ID=41707228
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008212409A Active JP5323420B2 (ja) | 2008-08-21 | 2008-08-21 | 眼内レンズ挿入器具 |
Country Status (5)
Country | Link |
---|---|
US (1) | US8702795B2 (ja) |
EP (1) | EP2340786A4 (ja) |
JP (1) | JP5323420B2 (ja) |
CN (1) | CN102131477B (ja) |
WO (1) | WO2010021354A1 (ja) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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KR20150138175A (ko) * | 2013-04-03 | 2015-12-09 | 노바르티스 아게 | 자동식 안내 렌즈 인젝터 장치 |
JP2021531919A (ja) * | 2018-08-02 | 2021-11-25 | カール・ツアイス・メディテック・アーゲー | 眼科手術用注射器システム |
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EP1832247B1 (en) | 2004-12-27 | 2015-06-24 | Hoya Corporation | Intraocular lens implanting device |
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JP4836046B2 (ja) | 2005-02-24 | 2011-12-14 | Hoya株式会社 | 眼内レンズ挿入器具 |
US20070005075A1 (en) * | 2005-06-17 | 2007-01-04 | Bogert Roy B | Telescoping plunger assembly |
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JP2007503872A (ja) * | 2003-08-28 | 2007-03-01 | ボシュ・アンド・ロム・インコーポレイテッド | 事前装填されるiolインジェクター |
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JP7100760B2 (ja) | 2018-08-02 | 2022-07-13 | カール・ツアイス・メディテック・アーゲー | 眼科手術用注射器システム |
Also Published As
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US20110270264A1 (en) | 2011-11-03 |
EP2340786A1 (en) | 2011-07-06 |
WO2010021354A1 (ja) | 2010-02-25 |
EP2340786A4 (en) | 2017-11-22 |
JP5323420B2 (ja) | 2013-10-23 |
US8702795B2 (en) | 2014-04-22 |
CN102131477B (zh) | 2014-09-17 |
CN102131477A (zh) | 2011-07-20 |
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