JP2021137638A - 調節式眼内レンズデバイス - Google Patents
調節式眼内レンズデバイス Download PDFInfo
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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
- A61F9/00736—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
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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
- A61F2/1613—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
- A61F2/1624—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus having adjustable focus; power activated variable focus means, e.g. mechanically or electrically by the ciliary muscle or from the outside
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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
-
- 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
- A61F2/1613—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
- A61F2/1648—Multipart lenses
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- B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
- B29D—PRODUCING PARTICULAR ARTICLES FROM PLASTICS OR FROM SUBSTANCES IN A PLASTIC STATE
- B29D11/00—Producing optical elements, e.g. lenses or prisms
- B29D11/02—Artificial eyes from organic plastic material
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- B—PERFORMING OPERATIONS; TRANSPORTING
- B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
- B29D—PRODUCING PARTICULAR ARTICLES FROM PLASTICS OR FROM SUBSTANCES IN A PLASTIC STATE
- B29D11/00—Producing optical elements, e.g. lenses or prisms
- B29D11/02—Artificial eyes from organic plastic material
- B29D11/023—Implants for natural eyes
- B29D11/026—Comprising more than one lens
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- G—PHYSICS
- G02—OPTICS
- G02C—SPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
- G02C7/00—Optical parts
- G02C7/02—Lenses; Lens systems ; Methods of designing lenses
- G02C7/04—Contact lenses for the eyes
-
- G—PHYSICS
- G02—OPTICS
- G02C—SPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
- G02C7/00—Optical parts
- G02C7/02—Lenses; Lens systems ; Methods of designing lenses
- G02C7/08—Auxiliary lenses; Arrangements for varying focal length
-
- 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
- A61F2002/1681—Intraocular lenses having supporting structure for lens, e.g. haptics
-
- 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
- A61F2002/1681—Intraocular lenses having supporting structure for lens, e.g. haptics
- A61F2002/1682—Intraocular lenses having supporting structure for lens, e.g. haptics having mechanical force transfer mechanism to the lens, e.g. for accommodating lenses
-
- 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
- A61F2002/1681—Intraocular lenses having supporting structure for lens, e.g. haptics
- A61F2002/169—Surrounding optic
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
-
- G—PHYSICS
- G02—OPTICS
- G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
- G02B3/00—Simple or compound lenses
- G02B3/12—Fluid-filled or evacuated lenses
- G02B3/14—Fluid-filled or evacuated lenses of variable focal length
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Surgery (AREA)
- Prostheses (AREA)
Abstract
Description
別の任意選択的な態様において、ベースはベースレンズを含み得る。
別の任意選択的な態様において、ベースは、2つの閉鎖端を有する不完全なリングとして形成され得る。貯蔵器は、ベースの外周の一部の周りに約90〜約350度で延在し得る。
別の任意選択的な態様において、貯蔵器は流体を含む。流体は、シリコーン油、フッ素化シリコーン油、ポリフェニルエーテル、およびフッ素化ポリフェニルエーテルからなる群から選択される任意の1つまたは組合せであってもよい。フッ素化ポリフェニルエーテルは、ペンタフルオロm−フェノキシフェニルエーテルおよびm(ペンタフルオロフェノキシ)フェニルm−フェノキシフェニルエーテルの1つまたは組合せであってもよい。
別の任意選択的な態様において、屈折力レンズは、オプティックを周縁エッジに結合するために、円周方向周縁エッジを起点として配置されたオプティック結合器をさらに含み得る。オプティック結合器は、可撓性膜に向かってオプティックを湾曲させるために角度付けられている。
別の任意選択的な態様において、可撓性膜、オプティック、および円周方向周縁エッジが屈折力レンズ内に閉鎖空洞を画定する。閉鎖空洞は、流体を含むように構成され得る。流体は、シリコーン油、フッ素化シリコーン油、ポリフェニルエーテル、およびフッ素化ポリフェニルエーテルからなる群から選択される任意の1つまたは組合せであってもよい。フッ素化ポリフェニルエーテルは、ペンタフルオロm−フェノキシフェニルエーテルおよびm(ペンタフルオロフェノキシ)フェニルm−フェノキシフェニルエーテルの1つまたは組合せであってもよい。
別の任意選択的な態様において、より大きい構造的可撓性は、少なくとも1つの領域の厚さを低減することによって提供され得る。
別の任意選択的な態様において、円形のハプティックは、外周の半径方向外向きに延在する2つの部分を含み得る。2つの領域は、円形のハプティックの両側にあってもよい。
別の任意選択的な態様において、調節式眼内レンズデバイスは、外周から半径方向内向きに延在する1つまたは複数のタブをさらに含み得る。
別の任意選択的な態様において、実質的に円形のハプティックの非対称的変形によって、ベースレンズおよび屈折力レンズの両方においてトーリック屈折力変化が提供される。
別の任意選択的な態様において、保持システムは、屈折力レンズの周縁エッジから延在する複数のフィンと、ハプティックの内周内に画定された複数の対応する凹部とを含み得る。複数の凹部は、隆起部と隆起部の少なくとも一方の側にある進入経路とによってそれぞれ画定され得る。
別の任意選択的な態様において、ハプティックは実質的に円形である。
別の任意選択的な態様において、屈折力レンズの一部は、実質的に円形のハプティックに取り付けられ得る。屈折力レンズの、実質的に円形のハプティックに取り付けられる一部は、屈折力レンズの円周方向周縁エッジまたは後方エッジの一方または両方であり得る。
ここで、本発明の特定の非限定的な実施形態が図面を参照して説明される。そのような実施形態は一例であり、本発明の範囲内にあるごく少数の実施形態を例示するためのものに過ぎないことを理解されたい。本発明が関連する技術分野の当業者に明らかな様々な変化形態および修正形態は、本発明の趣旨、範囲および意図内にあるとみなされる。
図9Aは、ベース組立体900と、ベース組立体910に結合された屈折力レンズ920とを含む調節式眼内レンズ900の斜視図を示す。図8Aのベース組立体800と比べると、調節式IOL900のベース組立体900は、屈折力レンズ920をベース組立体910内のより深く、ベース組立体910のベースレンズのより近くに配置するように構成される。図9Bは調節式IOLの上面図を提供し、図9Cは、ベース組立体900と屈折力レンズ920とを含む調節式IOLの断面図を提供する。調節式IOLは、屈折力レンズ920であって、ベース組立体900に固定され、部分的に、ベース組立体900からベース組立体900内の中央空洞内へ半径方向内向きに延在する複数のタブ930により適所に保持された屈折力レンズ920を含む。タブ930の底面は、図8Cの場合と同様に、屈折力レンズの第1側920に接触する。図9Cにおいて最も明らかに見ることができるとおり、屈折力レンズ920はベースレンズ940に近接して配置される。図示の実施形態において、屈折力レンズ920は、可撓性膜950と、屈折力レンズオプティック960とを含む。可撓性膜950および屈折力レンズオプティックは離間されており、流体が2つの間の空間を充填する。屈折力レンズオプティック960およびベースレンズ940は互いに近接している。
図10A〜10Dは、低プロファイル調節式IOL1000の別の実施形態を示し、ここで低プロファイルベース組立体1010は、特定のIOL構成で可能なより大きい範囲の光学的屈折力を作り出すために、屈折力レンズ1020をベース組立体1010内のより深く、ベースレンズ1030に近接して置くように構成される。低プロファイル調節式IOL1000は、ベース組立体1010と、ベース組立体1010内に固定されるように構成された屈折力レンズ1020とを含む。ベース組立体1010は、ハプティック部分1015を含み、ハプティック部分1015は、ハプティック部分1015の周辺部に印加された力を屈折力レンズ1020に伝達する。
Claims (1)
- 調節式眼内レンズデバイスであって、
第1開放端と、ベースレンズに結合された第2端と、中央空洞を囲むハプティックとを含むベース組立体であって、前記ハプティックが、外周と、内面と、第1エッジと第2エッジとの間の高さとを含む、前記ベース組立体と、
前記中央空洞内に嵌合するように構成された屈折力レンズであって、第1側と、第2側と、前記第1側および前記第2側を結合する周縁エッジと、流体を収納するように構成された閉鎖空洞とを含む前記屈折力レンズと
を備え、
前記屈折力レンズの前記第1側が前記ハプティックの前記第1エッジから所定の距離に配置される、調節式眼内レンズデバイス。
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US201562261790P | 2015-12-01 | 2015-12-01 | |
US62/261,790 | 2015-12-01 | ||
JP2018528019A JP6900376B2 (ja) | 2015-12-01 | 2016-12-01 | 調節式眼内レンズデバイス |
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JP2018528019A Division JP6900376B2 (ja) | 2015-12-01 | 2016-12-01 | 調節式眼内レンズデバイス |
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JP2021137638A true JP2021137638A (ja) | 2021-09-16 |
JP2021137638A5 JP2021137638A5 (ja) | 2021-11-25 |
JP7260592B2 JP7260592B2 (ja) | 2023-04-18 |
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JP2021099928A Active JP7260592B2 (ja) | 2015-12-01 | 2021-06-16 | 調節式眼内レンズデバイス |
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US (3) | US11065107B2 (ja) |
EP (1) | EP3383320A4 (ja) |
JP (2) | JP6900376B2 (ja) |
CN (2) | CN108778185B (ja) |
AU (2) | AU2016362384B2 (ja) |
WO (1) | WO2017096087A1 (ja) |
Families Citing this family (36)
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EP2563275A4 (en) | 2010-04-27 | 2017-11-22 | Lensgen, Inc | Accommodating intraocular lens device |
US9220590B2 (en) | 2010-06-10 | 2015-12-29 | Z Lens, Llc | Accommodative intraocular lens and method of improving accommodation |
US9364318B2 (en) | 2012-05-10 | 2016-06-14 | Z Lens, Llc | Accommodative-disaccommodative intraocular lens |
WO2015066502A1 (en) | 2013-11-01 | 2015-05-07 | Thomas Silvestrini | Accomodating intraocular lens device |
JP2016534816A (ja) | 2013-11-01 | 2016-11-10 | レンスゲン、インコーポレイテッド | 2部分調節性眼内レンズデバイス |
US9668916B2 (en) | 2013-11-04 | 2017-06-06 | Vance M. Thompson | Conjunctival cover and methods therefor |
US10285805B2 (en) | 2014-03-28 | 2019-05-14 | Forsight Labs, Llc | Accommodating intraocular lens |
US10004596B2 (en) | 2014-07-31 | 2018-06-26 | Lensgen, Inc. | Accommodating intraocular lens device |
US10647831B2 (en) | 2014-09-23 | 2020-05-12 | LensGens, Inc. | Polymeric material for accommodating intraocular lenses |
US9869883B2 (en) | 2015-03-11 | 2018-01-16 | Vance M. Thompson | Tear shaping for refractive correction |
EP3383320A4 (en) | 2015-12-01 | 2019-08-21 | Lensgen, Inc | AKKOMODATIVE INTRAOCULAR LENS DEVICE |
CN109789012A (zh) | 2016-05-27 | 2019-05-21 | 雷恩斯根公司 | 用于眼内晶状体装置的具有窄分子量分布的晶状体油 |
KR102220676B1 (ko) | 2016-08-24 | 2021-03-02 | 칼 짜이스 메디텍 아게 | 이중 모드 조절성-비조절성 안내 수정체 |
US10353220B2 (en) | 2016-10-17 | 2019-07-16 | Vance M. Thompson | Tear shaping for refractive correction |
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CN108778185A (zh) | 2018-11-09 |
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CN113180886A (zh) | 2021-07-30 |
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