JP6357418B2 - 眼の水晶体の破砕のためのシステム及び方法 - Google Patents
眼の水晶体の破砕のためのシステム及び方法 Download PDFInfo
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- JP6357418B2 JP6357418B2 JP2014534637A JP2014534637A JP6357418B2 JP 6357418 B2 JP6357418 B2 JP 6357418B2 JP 2014534637 A JP2014534637 A JP 2014534637A JP 2014534637 A JP2014534637 A JP 2014534637A JP 6357418 B2 JP6357418 B2 JP 6357418B2
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- Prior art keywords
- lens
- eye
- laser
- visible light
- light pattern
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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
- A61F9/00802—Methods or devices for eye surgery using laser for photoablation
-
- 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
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
-
- 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
-
- 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
- A61F9/00745—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments using mechanical vibrations, e.g. ultrasonic
-
- 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
- A61F9/00802—Methods or devices for eye surgery using laser for photoablation
- A61F9/00814—Laser features or special beam parameters therefor
-
- 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
- A61F9/00825—Methods or devices for eye surgery using laser for photodisruption
-
- 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
- A61F2009/0087—Lens
-
- 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
- A61F2009/00885—Methods or devices for eye surgery using laser for treating a particular disease
- A61F2009/00887—Cataract
-
- 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
- A61F2009/00885—Methods or devices for eye surgery using laser for treating a particular disease
- A61F2009/00887—Cataract
- A61F2009/00889—Capsulotomy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N5/00—Radiation therapy
- A61N5/06—Radiation therapy using light
- A61N5/0613—Apparatus adapted for a specific treatment
- A61N5/062—Photodynamic therapy, i.e. excitation of an agent
Description
本出願は、2011年10月3日出願の「水晶体破砕システム」という名称の米国特許仮出願第61/542,702号と2011年10月26日出願の「水晶体破砕システム」という名称の米国特許仮出願第61/551,826号との優先権を主張する2012年10月2日出願の「水晶体の破砕のためのシステム及び方法」という名称の米国特許出願第13/633,505号の優先権を主張するものであり、これらの全ては、本明細書にその全内容が引用により組み込まれている。
104 水晶体
110 接近切開部
112 レーザツール
114 パイ形状部分
Claims (8)
- 眼の水晶体を切除するための装置であって、
前記水晶体の外縁に沿った周経路に従う可視光パターンを前記眼の前記水晶体上に投影するように構成され及び配置された可視光パターン投影器と、
先端を備えたレーザハンドツールであって、該レーザハンドツールは、隣接する複数のポートを備え、該複数のポートは、
前記先端を通して前記先端から放出されたレーザエネルギのビームと交わるように水を差し向けるように構成され及び配置された潅注ポート及び吸入ポートを含み、
前記レーザエネルギは前記水と反応して前記水の微小膨張及び微小切除を生じさせ、前記周経路に沿って前記水晶体を複数の部分に切除し、
前記隣接する複数のポートのうち少なくとも一つが、前記レーザエネルギのビームに向けて角度がつけられている、
ことを特徴とする装置。 - 前記可視光パターン投影器は、実質的に円形の形状であり前記水晶体の外縁上又はその近くに位置する、前記可視光パターンの第1の部分を投影するように、構成され及び配置されている、
請求項1に記載の装置。 - 前記レーザハンドツールは、前記可視光パターンの第2の部分を、前記実質的に円形の第1の部分内に投影するように構成され及び配置されており、
前記可視光パターンの前記第2の部分は前記水晶体を複数の部分に切除するように構成され及び配置されている、
請求項2に記載の装置。 - 前記アクセス切開部は、前記水晶体の半径の外側の前記眼の結膜を通して作られた切開部を含む、
請求項1に記載の装置。 - 前記先端は、前記ツールから外側に突出した可撓性レーザチップを備える、
請求項1に記載の装置。 - 前記レーザハンドツールはさらに、前記水晶体の切除に続いて該水晶体の前記複数の部分を吸引によって除去するための吸引発生器を有する、
請求項1に記載の装置。 - 前記レーザハンドツールは、前記水晶体の切除に続いて、前記レーザエネルギを前記眼に残る発芽細胞付近に差し向けられた前記水に合焦させて該発芽細胞を切除するように構成され及び配置されている、
請求項1に記載の装置。 - 前記潅注ポート及び前記吸入ポートの少なくとも一つは、その隣接するポートに向けて角度がつけられている、
請求項1に記載の装置。
Applications Claiming Priority (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201161542702P | 2011-10-03 | 2011-10-03 | |
US61/542,702 | 2011-10-03 | ||
US201161551826P | 2011-10-26 | 2011-10-26 | |
US61/551,826 | 2011-10-26 | ||
PCT/US2012/058455 WO2013052481A1 (en) | 2011-10-03 | 2012-10-02 | Systems and methods for disruption of an eye lens |
US13/633,505 US9060845B2 (en) | 2011-10-03 | 2012-10-02 | Systems and methods for disruption of an eye lens |
US13/633,505 | 2012-10-02 |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2018115506A Division JP2018187402A (ja) | 2011-10-03 | 2018-06-18 | 眼の水晶体の破砕のためのシステム及び方法 |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2014531289A JP2014531289A (ja) | 2014-11-27 |
JP2014531289A5 JP2014531289A5 (ja) | 2015-11-19 |
JP6357418B2 true JP6357418B2 (ja) | 2018-07-11 |
Family
ID=47993297
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2014534637A Expired - Fee Related JP6357418B2 (ja) | 2011-10-03 | 2012-10-02 | 眼の水晶体の破砕のためのシステム及び方法 |
JP2018115506A Pending JP2018187402A (ja) | 2011-10-03 | 2018-06-18 | 眼の水晶体の破砕のためのシステム及び方法 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2018115506A Pending JP2018187402A (ja) | 2011-10-03 | 2018-06-18 | 眼の水晶体の破砕のためのシステム及び方法 |
Country Status (6)
Country | Link |
---|---|
US (2) | US9060845B2 (ja) |
EP (1) | EP2763636B1 (ja) |
JP (2) | JP6357418B2 (ja) |
CA (1) | CA2850494C (ja) |
ES (1) | ES2658360T3 (ja) |
WO (1) | WO2013052481A1 (ja) |
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-
2012
- 2012-10-02 ES ES12838722.2T patent/ES2658360T3/es active Active
- 2012-10-02 WO PCT/US2012/058455 patent/WO2013052481A1/en active Application Filing
- 2012-10-02 EP EP12838722.2A patent/EP2763636B1/en not_active Not-in-force
- 2012-10-02 JP JP2014534637A patent/JP6357418B2/ja not_active Expired - Fee Related
- 2012-10-02 US US13/633,505 patent/US9060845B2/en not_active Expired - Fee Related
- 2012-10-02 CA CA2850494A patent/CA2850494C/en not_active Expired - Fee Related
-
2015
- 2015-06-22 US US14/746,794 patent/US20150359672A1/en not_active Abandoned
-
2018
- 2018-06-18 JP JP2018115506A patent/JP2018187402A/ja active Pending
Also Published As
Publication number | Publication date |
---|---|
EP2763636A1 (en) | 2014-08-13 |
ES2658360T3 (es) | 2018-03-09 |
JP2018187402A (ja) | 2018-11-29 |
US9060845B2 (en) | 2015-06-23 |
CA2850494C (en) | 2017-06-06 |
US20130085482A1 (en) | 2013-04-04 |
CA2850494A1 (en) | 2013-04-11 |
US20150359672A1 (en) | 2015-12-17 |
WO2013052481A1 (en) | 2013-04-11 |
EP2763636B1 (en) | 2017-12-06 |
JP2014531289A (ja) | 2014-11-27 |
EP2763636A4 (en) | 2015-06-17 |
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