JP2010534521A - レンズ送出システム - Google Patents
レンズ送出システム Download PDFInfo
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- JP2010534521A JP2010534521A JP2010518366A JP2010518366A JP2010534521A JP 2010534521 A JP2010534521 A JP 2010534521A JP 2010518366 A JP2010518366 A JP 2010518366A JP 2010518366 A JP2010518366 A JP 2010518366A JP 2010534521 A JP2010534521 A JP 2010534521A
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- 238000000034 method Methods 0.000 claims description 48
- 230000015541 sensory perception of touch Effects 0.000 claims description 12
- 238000004891 communication Methods 0.000 claims description 6
- 239000000314 lubricant Substances 0.000 claims description 5
- 230000003213 activating effect Effects 0.000 claims 2
- 238000003780 insertion Methods 0.000 abstract description 32
- 230000037431 insertion Effects 0.000 abstract description 32
- 230000007246 mechanism Effects 0.000 description 15
- 239000002775 capsule Substances 0.000 description 11
- 239000000463 material Substances 0.000 description 8
- 230000008569 process Effects 0.000 description 8
- 230000035807 sensation Effects 0.000 description 5
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- 239000007788 liquid Substances 0.000 description 3
- 239000000853 adhesive Substances 0.000 description 2
- 230000001070 adhesive effect Effects 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 230000002572 peristaltic effect Effects 0.000 description 2
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- 229920002385 Sodium hyaluronate Polymers 0.000 description 1
- QAOWNCQODCNURD-UHFFFAOYSA-L Sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 1
- 239000007864 aqueous solution Substances 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 239000002131 composite material Substances 0.000 description 1
- 210000004087 cornea Anatomy 0.000 description 1
- 239000013536 elastomeric material Substances 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 230000009969 flowable effect Effects 0.000 description 1
- UFVKGYZPFZQRLF-UHFFFAOYSA-N hydroxypropyl methyl cellulose Chemical compound OC1C(O)C(OC)OC(CO)C1OC1C(O)C(O)C(OC2C(C(O)C(OC3C(C(O)C(O)C(CO)O3)O)C(CO)O2)O)C(CO)O1 UFVKGYZPFZQRLF-UHFFFAOYSA-N 0.000 description 1
- 235000010979 hydroxypropyl methyl cellulose Nutrition 0.000 description 1
- 229920003088 hydroxypropyl methyl cellulose Polymers 0.000 description 1
- 239000001866 hydroxypropyl methyl cellulose Substances 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
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- 239000002504 physiological saline solution Substances 0.000 description 1
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- YWIVKILSMZOHHF-QJZPQSOGSA-N sodium;(2s,3s,4s,5r,6r)-6-[(2s,3r,4r,5s,6r)-3-acetamido-2-[(2s,3s,4r,5r,6r)-6-[(2r,3r,4r,5s,6r)-3-acetamido-2,5-dihydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-2-carboxy-4,5-dihydroxyoxan-3-yl]oxy-5-hydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-3,4,5-trihydroxyoxane-2- Chemical compound [Na+].CC(=O)N[C@H]1[C@H](O)O[C@H](CO)[C@@H](O)[C@@H]1O[C@H]1[C@H](O)[C@@H](O)[C@H](O[C@H]2[C@@H]([C@@H](O[C@H]3[C@@H]([C@@H](O)[C@H](O)[C@H](O3)C(O)=O)O)[C@H](O)[C@@H](CO)O2)NC(C)=O)[C@@H](C(O)=O)O1 YWIVKILSMZOHHF-QJZPQSOGSA-N 0.000 description 1
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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
- A61F2/1675—Instruments for inserting intraocular lenses into the eye with a lubricated inner surface, e.g. the lubricant being coated on the inner surface or being injected through a port
-
- 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
Abstract
Description
4 挿入本体
5 遠位端部
6 パドロック
8 ベルト
10 開口部又は間隙
12 前方の触覚
14 後方の触覚
30 反転チューブ
32 切断部
34 遠位部分
40 シリンジ状装置
42 外側本体
44 内側本体
45 遠位端部
46 ハンドル
50 近位端部
52 遠位端部
60 送出装置
62 本体
64 挿入器
66 アクチュエータ、進行機構
70 送出装置
72 外側装置
73 シース
74 内側装置
76 ノブ
77 遠位端部
78 反転チューブ
80 人工眼内レンズ
82 後方の触覚
84 光学部分
86 前方の触覚
100 人工眼内レンズ
102 光学部分
104 触覚
210 人工眼内レンズ
212 触覚
214 触覚
216 上側要素
218 中間層
220 アクチュエータ
222 下側要素又は基部
224 内部容積
226 アクティブチャンネル
300 供給送出システム
302 高剛性の外側チューブ
304 可撓性を有する内側スリーブ
306 圧縮クリップ
310 眼内レンズ
312 触覚
314 光学部分
322 外側チューブアクチュエータ
324 内側スリーブアクチュエータ
400 供給システム
402 眼内レンズ
404 シリンジ
406 ピストン
408 供給チューブ
410 先細された内側表面
412 遠位領域
414 流体
600 液圧供給システム
602 眼内レンズ
603 光学部分
604 シリンジ
605 触覚
606 ピストン
608 供給チューブ
610 先細された区域
612 レンズチャンバー
614 流体
700 供給システム
702 高剛性大径チューブ
704 可撓性チューブ
706 高剛性小径チューブ
710 流体
Claims (27)
- 眼内レンズを送出システム内へ液圧的に供給する方法であって、
送出システムに近接して圧縮チャンバー内に眼内レンズを位置付けるステップであって、前記圧縮チャンバー及び前記送出装置が流体連通する、圧縮チャンバー内に眼内レンズを位置付けるステップと、
前記圧縮チャンバーを通じて前記送出装置内へ流体を流すステップと、
を備える方法において、
前記圧縮チャンバーを通じて前記流体を流すステップは、前記眼内レンズを前記送出装置内へ供給するステップを備えることを特徴とする、方法。 - 前記眼内レンズを前記送出装置内へ供給するステップは、応力を加えない拡張された構成から応力を加えられた送出構成へ前記眼内レンズを圧縮するステップを備えることを特徴とする請求項1に記載の方法。
- 前記眼内レンズを圧縮するステップは、前記眼内レンズの全長を増加させるステップを備えることを特徴とする請求項2に記載の方法。
- 前記眼内レンズは、その中に流体を備え、
前記眼内レンズを圧縮するステップは、前記眼内レンズとともに前記流体を再分配するステップを備えることを特徴とする請求項2に記載の方法。 - 前記眼内レンズは、光学部分と、第1の触覚と、第2の触覚と、を備え、
前記圧縮チャンバー内に前記眼内レンズを位置付けるステップは、前記光学部分に前記第1の触覚を位置付けるステップを備えることを特徴とする請求項1に記載の方法。 - 眼科装置を送出装置内へ供給するための液圧供給システムであって、
先細された内側表面を有する圧縮チャンバーであって、その中に流体を含有する圧縮チャンバーと、
細長い供給要素を備えている送出装置であって、前記細長い供給要素及び前記圧縮チャンバーが流体連通している送出装置と、
前記圧縮チャンバー内で第1の構成において配置された眼科装置と、
前記流体が前記圧縮チャンバーを通じて前記細長い供給要素内へ流れるために適合された供給装置において、それによって、前記細長い供給要素内へ前記眼科装置を供給する供給装置と、
を備えることを特徴とする液圧供給システム。 - 前記流体は、潤滑剤を含むことを特徴とする請求項6に記載の液圧供給システム。
- 前記眼科装置は、眼内レンズであることを特徴とする請求項6に記載の液圧供給システム。
- 前記供給装置は、前記圧縮チャンバーを通じて前記細長い供給要素内へ前記流体を方向付けるためのピストンを備えることを特徴とする請求項6に記載の液圧供給システム。
- 眼内レンズを送出装置内へ供給する方法であって、
反転チューブを備えている送出装置を準備するステップであって、前記反転チューブが内側チューブ部分及び外側チューブ部分を備え、前記反転チューブが第1の作動要素に連結される、送出装置を準備するステップと、
前記第1の作動要素を作動させることによって、前記反転チューブの端部内へ前記眼内レンズを供給するステップであって、前記第1の作動要素を作動させることが、前記反転チューブの前記端部に関して前記内側チューブ部分内へ前記外側チューブ部分の区域を反転させる、前記反転チューブの端部内へ前記眼内レンズを供給するステップと、
を備えることを特徴とする方法。 - 前記反転チューブの端部内へ前記眼内レンズを供給するステップは、前記内側チューブ部分内で前記眼内レンズを圧縮するステップを備えることを特徴とする請求項10に記載の方法。
- 前記反転チューブの端部内へ前記眼内レンズを供給するステップは、前記眼内レンズの光学部分を供給する前に、前記反転チューブの前記端部内へ第1の触覚を供給するステップを備えることを特徴とする請求項10に記載の方法。
- 前記反転チューブの前記端部内へ前記第1の触覚を供給するステップは、前記第1の触覚から前記光学部分内へ流体の容積を押し込むステップを備えることを特徴とする請求項12に記載の方法。
- 送出チューブの端部内へ前記眼内レンズを供給するステップは、前記眼内レンズ及び前記内側チューブ部分を係合するステップを備え、それによって、前記反転チューブが反転するにつれて、前記内側チューブ部分が前記眼内レンズを圧縮することを特徴とする請求項10に記載の方法。
- 前記第1の作動要素を作動させるステップは、近位方向又は遠位方向において前記第1の作動要素を移動させることを特徴とする請求項10に記載の方法。
- 眼内レンズを送出装置内へ供給する方法であって、
前記送出装置の第1の部分内で、第1の構成から第2の構成へ眼内レンズを圧縮するステップであって、前記送出装置の長手方向軸に対して略直交する方向において、前記眼内レンズに圧縮力を作用するステップを備える、前記眼内レンズを圧縮するステップと、
前記送出装置の前記長手方向軸に対して略平行な方向において、前記送出装置の前記第1の部分に対して相対的に前記送出装置の第2の部分を移動するために、前記送出装置の第2の部分を作動させるステップであって、前記送出装置内へ前記眼内レンズを供給する、前記第1の部分に対して相対的に第2の部分を作動させるステップと、
を備えることを特徴とする方法。 - 前記眼内レンズに圧縮力を作用させるステップは、前記眼内レンズの前記第1の部分に対して内側方向に前記圧縮力を作用させるステップを備えることを特徴とする請求項16に記載の方法。
- 前記眼内レンズに圧縮力を作用させるステップは、前記眼内レンズの第3の部分に直接的に前記圧縮力を作用させるステップを備え、
前記方法は、前記第3の部分及び前記第1の部分を係合するステップを備えることを特徴とする請求項16に記載の方法。 - 前記第1の部分及び前記第2の部分は、互いにスライド可能に係合し、
前記第2の部分を作動させるステップは、前記第1の部分に亘って前記第2の部分をスライドさせるステップを備えることを特徴とする請求項16に記載の方法。 - 前記送出装置は、前記第1の部分の外側表面に係合している第3の部分を備え、
前記第1の部分に亘って前記第2の部分をスライドさせるステップは、前記第1の部分から前記第3の部分を変位させることを特徴とする請求項19に記載の方法。 - 前記送出装置の第1の部分内で前記眼内レンズを圧縮するステップは、前記第1の部分の第2の半体に近接して前記第1の部分の第1の半体を移動するステップを備えることを特徴とする請求項16に記載の方法。
- 眼内レンズを送出装置内へ供給するための供給システムであって、
眼における切開を通じて挿入されるように適合された外側供給チューブと、
前記外側供給チューブとスライド可能に係合され、且つ前記外側供給チューブ内に配置されるように適合された内側スリーブであって、内側スリーブ内で眼内レンズを係合するように適合される内側スリーブと、
前記内側スリーブの外側表面に隣接して配置された圧縮部材と、
を備えることを特徴とする供給システム。 - 前記内側スリーブは、第1のスリーブ要素と、第2のスリーブ要素と、を備え、
前記第1のスリーブ要素と前記第2のスリーブ要素とは、第1の構成において互いから離隔して配置され、送出構成において互いに向けて移動され、
それによって、前記眼内レンズを圧縮することを特徴とする請求項22に記載の供給システム。 - 前記圧縮部材は、第1の圧縮要素と、第2の圧縮要素と、を備え、
前記第1の圧縮要素は、前記第1のスリーブ要素の外側表面を係合し、前記第2の圧縮要素は、前記第2のスリーブ要素の外側表面を係合することを特徴とする請求項23に記載の供給システム。 - 前記第1の圧縮要素及び前記第2の圧縮要素は、第1の構成において、互いから離隔して配置され、第2の構成において、互いに向けて移動されることを特徴とする請求項24に記載の供給システム。
- 前記外側供給チューブは、前記圧縮部材を変位させるために作動させるように適合されることを特徴とする請求項25に記載の供給システム。
- 前記外側供給チューブは、供給チューブアクチュエータに連結され、前記内側スリーブは、内側スリーブアクチュエータに連結され、
前記供給チューブアクチュエータ又は前記内側スリーブアクチュエータのいずれかの作動は、前記内側スリーブに対して相対的に前記外側供給チューブを移動することを特徴とする請求項22に記載の供給システム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US95143907P | 2007-07-23 | 2007-07-23 | |
US60/951,439 | 2007-07-23 | ||
PCT/US2008/070938 WO2009015240A2 (en) | 2007-07-23 | 2008-07-23 | Lens delivery system |
Publications (2)
Publication Number | Publication Date |
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JP2010534521A true JP2010534521A (ja) | 2010-11-11 |
JP5426547B2 JP5426547B2 (ja) | 2014-02-26 |
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Application Number | Title | Priority Date | Filing Date |
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JP2010518366A Active JP5426547B2 (ja) | 2007-07-23 | 2008-07-23 | レンズ送出システム |
Country Status (7)
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US (1) | US8956408B2 (ja) |
EP (2) | EP2647353B1 (ja) |
JP (1) | JP5426547B2 (ja) |
CN (2) | CN101754728B (ja) |
AU (1) | AU2008279173B2 (ja) |
CA (1) | CA2696450C (ja) |
WO (1) | WO2009015240A2 (ja) |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2014079630A (ja) * | 2013-11-25 | 2014-05-08 | Kowa Company Ltd | 眼内レンズ挿入器具 |
JP2014516273A (ja) * | 2011-03-24 | 2014-07-10 | パワーヴィジョン・インコーポレーテッド | 眼内レンズ装填システムおよび使用方法 |
JP2015510825A (ja) * | 2012-03-21 | 2015-04-13 | パワーヴィジョン・インコーポレーテッド | 眼内レンズ送達システムおよび使用方法 |
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AU2008279173A1 (en) | 2009-01-29 |
US20090030425A1 (en) | 2009-01-29 |
CN101754728A (zh) | 2010-06-23 |
EP2647353A1 (en) | 2013-10-09 |
EP2178464B1 (en) | 2013-08-21 |
CN103505305A (zh) | 2014-01-15 |
CN103505305B (zh) | 2016-06-22 |
CN101754728B (zh) | 2013-09-18 |
JP5426547B2 (ja) | 2014-02-26 |
WO2009015240A2 (en) | 2009-01-29 |
US8956408B2 (en) | 2015-02-17 |
CA2696450C (en) | 2016-02-16 |
EP2647353B1 (en) | 2014-12-31 |
WO2009015240A3 (en) | 2009-06-25 |
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