JP5346346B2 - 眼の治療装置を位置決めするシステムおよび方法 - Google Patents
眼の治療装置を位置決めするシステムおよび方法 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
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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
- A61F9/008—Methods or devices for eye surgery using laser
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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
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/30—Surgical pincettes without pivotal connections
- A61B2017/306—Surgical pincettes without pivotal connections holding by means of suction
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- 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
- A61B90/10—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 for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—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 for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
-
- 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
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00853—Laser thermal keratoplasty or radial keratotomy
-
- 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
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00861—Methods or devices for eye surgery using laser adapted for treatment at a particular location
- A61F2009/00872—Cornea
-
- 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
- A61F9/0079—Methods or devices for eye surgery using non-laser electromagnetic radiation, e.g. non-coherent light or microwaves
-
- 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
- A61F9/008—Methods or devices for eye surgery using laser
- A61F9/009—Auxiliary devices making contact with the eyeball and coupling in laser light, e.g. goniolenses
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- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
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Description
[0068]図12Aでは、調節システム500はモーター510を含み、そのモーター510は、ねじ262と係合する1つまたは複数の歯車520を駆動するように構成される。歯車520がモーター510によって駆動すると、ねじ262は回転しねじ切り通路226中を通って横方向に移動する。歯車520とねじ262の組み合わせにより、ウォーム歯車構成と同様に動作する。このようにして、上述のように、X軸に沿った受取り要素250の位置を調節することができる。
Claims (8)
- 眼の治療機器(eye therapy instrument)を眼の特徴物(feature)の上(over)に位置合わせ(aligning)するシステムであって、
眼の表面に着脱可能に取り付けられるように構成された取付け要素(attachment element)であって、当該取付け要素を貫通する第1の通路を規定する第1の開口(aperture)を有するものと、
前記取付け要素に動作可能に連結され(coupled)前記取付け要素に対して(relative to)移動可能である受取り要素(receiving element)とを備え、
前記受取り要素が、前記受取り要素を貫通する第2の通路を規定する第2の開口を有し、
前記第1の通路と前記第2の通路が、眼の特徴物へのアクセスを提供し、
前記受取り要素が、眼の治療機器を前記受取り要素に動作可能に連結(operably couple)し前記眼の治療機器を前記取付け要素に対して(with respect to)調節可能に配置(adjustably position)するように構成された連結要素(coupling element)を有し、
前記第1の通路及び第2の通路が、前記第1の通路及び第2の通路において前記眼の治療機器を受取るように構成され、
前記受取り要素が、2つの軸に沿って移動可能である、
システム。 - 前記取付け要素が、前記眼の前記表面と真空連結する(create a vacuum connection)ように構成された真空リング(vacuum ring)を含む、請求項1に記載のシステム。
- 前記取付け要素が内側の空間(inner space)を画定(defines)し、前記受取り要素が前記内側の空間内で調節可能(adjustably)に位置決めされる(positioned)、請求項1から2のいずれかに記載のシステム。
- 前記取付け要素と前記眼の前記表面との間で真空連結(vacuum connection)するために、前記取付け要素に着脱可能に連結された真空源をさらに備え、
前記取付け要素が、
前記眼の前記表面に接触するための眼との接触部分(eye contact portion)と、
前記真空連結のための真空が作られる内部チャネル(interior channel)と、
前記内部チャネルに連結され、前記眼との接触部分に位置決めされる(positioned)複数の開口部とを備える、請求項1から3のいずれかに記載のシステム。 - 前記受取り要素の移動を案内(guiding)し、前記眼の治療機器を前記眼の特徴物(feature)の上(over)に位置決めする(positioning)、指示器(indicator)を備える照準装置(targeting device)をさらに備える、請求項1から4のいずれかに記載のシステム。
- 眼の治療機器(eye therapy instrument)を眼の特徴物(feature)の上(over)に位置合わせ(aligning)するシステムであって、
眼の表面に着脱可能に取り付けられるように構成された取付け要素(attachment element)であって、当該取付け要素を貫通する第1の通路を規定する第1の開口(aperture)を有するものと、
前記取付け要素に動作可能に連結され(coupled)前記取付け要素に対して(relative to)移動可能である受取り要素(receiving element)とを備え、
前記受取り要素が、前記受取り要素を貫通する第2の通路を規定する第2の開口を有し、
前記第1の通路と前記第2の通路が、眼の特徴物へのアクセスを提供し、
前記受取り要素が、眼の治療機器を前記受取り要素に動作可能に連結(operably couple)し前記眼の治療機器を前記取付け要素に対して(with respect to)調節可能に配置(adjustably position)するように構成された連結要素(coupling element)を有し、
前記第1の通路及び第2の通路が、前記第1の通路及び第2の通路において前記眼の治療機器を受取るように構成され、
前記取付け要素に対する(about)前記受取り要素の移動を選択的に防止するためにロック機構をさらに備える、システム。 - 眼の治療機器(eye therapy instrument)を眼の特徴物(feature)の上(over)に位置合わせ(aligning)するシステムであって、
眼の表面に着脱可能に取り付けられるように構成された取付け要素(attachment element)であって、当該取付け要素を貫通する第1の通路を規定する第1の開口(aperture)を有するものと、
前記取付け要素に動作可能に連結され(coupled)前記取付け要素に対して(relative to)移動可能である受取り要素(receiving element)とを備え、
前記受取り要素が、前記受取り要素を貫通する第2の通路を規定する第2の開口を有し、
前記第1の通路と前記第2の通路が、眼の特徴物へのアクセスを提供し、
前記受取り要素が、眼の治療機器を前記受取り要素に動作可能に連結(operably couple)し前記眼の治療機器を前記取付け要素に対して(with respect to)調節可能に配置(adjustably position)するように構成された連結要素(coupling element)を有し、
前記第1の通路及び第2の通路が、前記第1の通路及び第2の通路において前記眼の治療機器を受取るように構成され、
前記受取りシステムに動作可能に連結された調節システムをさらに備え、前記調節システムが、前記取付け要素に対する前記受取り要素の移動を制御する、システム。 - 前記調節システムが、ユーザー制御可能な電気機械式(electromechanical)装置を含む、請求項7に記載のシステム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12/018,450 | 2008-01-18 | ||
US12/018,450 US8469952B2 (en) | 2008-01-23 | 2008-01-23 | System and method for positioning an eye therapy device |
PCT/US2009/031716 WO2009094468A1 (en) | 2008-01-23 | 2009-01-22 | System and method for positioning an eye therapy device |
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JP2011509811A JP2011509811A (ja) | 2011-03-31 |
JP2011509811A5 JP2011509811A5 (ja) | 2012-01-19 |
JP5346346B2 true JP5346346B2 (ja) | 2013-11-20 |
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JP2010544421A Expired - Fee Related JP5346346B2 (ja) | 2008-01-23 | 2009-01-22 | 眼の治療装置を位置決めするシステムおよび方法 |
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US (1) | US8469952B2 (ja) |
EP (1) | EP2240106A4 (ja) |
JP (1) | JP5346346B2 (ja) |
WO (1) | WO2009094468A1 (ja) |
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-
2008
- 2008-01-23 US US12/018,450 patent/US8469952B2/en not_active Expired - Fee Related
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2009
- 2009-01-22 JP JP2010544421A patent/JP5346346B2/ja not_active Expired - Fee Related
- 2009-01-22 WO PCT/US2009/031716 patent/WO2009094468A1/en active Application Filing
- 2009-01-22 EP EP09704081A patent/EP2240106A4/en not_active Withdrawn
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EP2240106A1 (en) | 2010-10-20 |
EP2240106A4 (en) | 2013-01-02 |
WO2009094468A1 (en) | 2009-07-30 |
US8469952B2 (en) | 2013-06-25 |
US20090187178A1 (en) | 2009-07-23 |
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