JP7079732B2 - デバイスおよび水晶体組織を切断する方法 - Google Patents

デバイスおよび水晶体組織を切断する方法 Download PDF

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JP7079732B2
JP7079732B2 JP2018548840A JP2018548840A JP7079732B2 JP 7079732 B2 JP7079732 B2 JP 7079732B2 JP 2018548840 A JP2018548840 A JP 2018548840A JP 2018548840 A JP2018548840 A JP 2018548840A JP 7079732 B2 JP7079732 B2 JP 7079732B2
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Prior art keywords
lens
incision
incision element
shaft
capsular bag
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Japanese (ja)
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JP2019508177A5 (enExample
JP2019508177A (ja
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ルーク・ダブリュー・クローソン
マリア・ツォンチェバ・ググチコバ
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Carl Zeiss Meditec Cataract Technology Inc
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Carl Zeiss Meditec Cataract Technology Inc
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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
    • 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
    • A61F9/00754—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments for cutting or perforating the anterior lens capsule, e.g. capsulotomes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/32056—Surgical snare 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
    • A61F9/0008—Introducing ophthalmic products into the ocular cavity or retaining products therein
    • A61F9/0017—Introducing ophthalmic products into the ocular cavity or retaining products therein implantable in, or in contact with, the eye, e.g. ocular inserts
    • 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
    • A61F9/00763—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments with rotating or reciprocating cutting elements, e.g. concentric cutting needles
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/00296—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00358—Snares for grasping
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00389—Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector
    • A61B2017/00393—Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector with means for switching between functions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A61B2017/2212—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop
    • 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
    • A61F2009/00889—Capsulotomy
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004—Rounded shapes, e.g. with rounded corners
    • A61F2230/0008—Rounded shapes, e.g. with rounded corners elliptical or oval

Landscapes

  • Health & Medical Sciences (AREA)
  • Ophthalmology & Optometry (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)
  • Eyeglasses (AREA)
  • Turning (AREA)
JP2018548840A 2016-03-17 2017-03-16 デバイスおよび水晶体組織を切断する方法 Active JP7079732B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US15/073,177 2016-03-17
US15/073,177 US9629747B2 (en) 2014-09-17 2016-03-17 Devices and methods for cutting lenticular tissue
PCT/US2017/022612 WO2017161062A2 (en) 2016-03-17 2017-03-16 Devices and methods for cutting lenticular tissue

Publications (3)

Publication Number Publication Date
JP2019508177A JP2019508177A (ja) 2019-03-28
JP2019508177A5 JP2019508177A5 (enExample) 2020-04-23
JP7079732B2 true JP7079732B2 (ja) 2022-06-02

Family

ID=59851236

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2018548840A Active JP7079732B2 (ja) 2016-03-17 2017-03-16 デバイスおよび水晶体組織を切断する方法

Country Status (11)

Country Link
EP (1) EP3429490B1 (enExample)
JP (1) JP7079732B2 (enExample)
KR (1) KR102406828B1 (enExample)
CN (2) CN114099134B (enExample)
AU (1) AU2017232627B2 (enExample)
BR (1) BR112018068537B1 (enExample)
CA (1) CA3017771A1 (enExample)
ES (1) ES2925073T3 (enExample)
IL (1) IL261736B2 (enExample)
RU (1) RU2739878C2 (enExample)
WO (1) WO2017161062A2 (enExample)

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10624785B2 (en) 2016-01-30 2020-04-21 Carl Zeiss Meditec Cataract Technology Inc. Devices and methods for ocular surgery
EP4052685B1 (en) 2017-05-04 2025-07-02 Carl Zeiss Meditec Cataract Technology Inc. Devices for ocular surgery
US11259961B2 (en) * 2019-07-22 2022-03-01 Iantrek, Inc. Methods and devices for increasing aqueous drainage of the eye
CN110755198A (zh) * 2019-11-28 2020-02-07 中南大学湘雅二医院 眼内晶状体囊膜切除装置及手术器械
IT202000015139A1 (it) * 2020-06-24 2021-12-24 Studio Oculistico Dr Ssa Antonietta Carbone S N C Strumento per il trattamento chirurgico della cataratta, finalizzato all'estrazione del nucleo del cristallino
WO2023039133A1 (en) 2021-09-10 2023-03-16 Iantrek, Inc. Methods and devices for increasing aqueous drainage of the eye
CN116138950B (zh) * 2022-03-26 2025-03-11 马宏杰 一种眼球内溶物可控变形清除器
WO2025196616A1 (en) * 2024-03-20 2025-09-25 Alcon Inc. Surgical instruments for membrane peeling

Citations (3)

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Publication number Priority date Publication date Assignee Title
US20090054904A1 (en) 2005-07-18 2009-02-26 Phaco Treat Ab Methods and devices for eye surgery
JP2015533092A (ja) 2012-08-28 2015-11-19 ザ リージェンツ オブ ザ ユニバーシティ オブ コロラド，ア ボディー コーポレイトＴＨＥ ＲＥＧＥＮＴＳ ＯＦ ＴＨＥ ＵＮＩＶＥＲＳＩＴＹ ＯＦ ＣＯＬＯＲＡＤＯ，ａ ｂｏｄｙ ｃｏｒｐｏｒａｔｅ 調節可能フィラメントを伴う眼科外科手術用デバイス
WO2016044672A1 (en) 2014-09-17 2016-03-24 Iantech, Inc. Devices and methods for the removal of lenticular tissue

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US4538611A (en) * 1983-06-13 1985-09-03 Kelman Charles D Surgical instrument and method of cutting a lens of an eye
US4732150A (en) * 1984-06-14 1988-03-22 Keener Jr Gerald T Process for cataract extraction
US4766897A (en) * 1987-06-16 1988-08-30 Heinz Smirmaul Capsulectomy surgical instrument
US4869716A (en) * 1988-10-24 1989-09-26 Smirmaul Heinz J Surgical instrument and method for cutting the lens of an eye
US5123906A (en) * 1991-06-20 1992-06-23 Kelman Charles D Surgical toroidal snare
US6120496A (en) * 1998-05-05 2000-09-19 Scimed Life Systems, Inc. Surgical method and apparatus for positioning a diagnostic or therapeutic element within the body and coupling device for use with same
JP3069723U (ja) * 1999-10-07 2000-06-30 秀雄 木村 ル―プカッタ―
US6743228B2 (en) 2001-09-12 2004-06-01 Manoa Medical, Inc. Devices and methods for tissue severing and removal
US6554843B1 (en) * 2001-10-15 2003-04-29 Universal Optical Co., Ltd. Cataract instrument
US8235978B2 (en) * 2007-11-01 2012-08-07 Valens Associated Inc. Thermal capsulotomy tool and system
US8464430B2 (en) 2008-02-07 2013-06-18 Beaver-Visitec International (Us), Inc. Retractable safety knife
US9125720B2 (en) * 2008-10-13 2015-09-08 Alcon Research, Ltd. Capsularhexis device with flexible heating element
US20100312252A1 (en) * 2009-06-03 2010-12-09 Guangyao Jia Capsularhexis device with flexible heating element having an angled transitional neck
CN202665790U (zh) * 2012-07-12 2013-01-16 西安市第四医院 一种环形连续性切除晶状体前囊膜的手术刀
CA2854507C (en) * 2013-06-21 2017-01-03 Peter Triebel An apparatus for performing ophthalmic surgery using a contact element
AU2015312391A1 (en) * 2014-09-04 2017-03-16 Alcon Pharmaceuticals Ltd. Surgical hand piece for cataract removal

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090054904A1 (en) 2005-07-18 2009-02-26 Phaco Treat Ab Methods and devices for eye surgery
JP2015533092A (ja) 2012-08-28 2015-11-19 ザ リージェンツ オブ ザ ユニバーシティ オブ コロラド，ア ボディー コーポレイトＴＨＥ ＲＥＧＥＮＴＳ ＯＦ ＴＨＥ ＵＮＩＶＥＲＳＩＴＹ ＯＦ ＣＯＬＯＲＡＤＯ，ａ ｂｏｄｙ ｃｏｒｐｏｒａｔｅ 調節可能フィラメントを伴う眼科外科手術用デバイス
WO2016044672A1 (en) 2014-09-17 2016-03-24 Iantech, Inc. Devices and methods for the removal of lenticular tissue

Also Published As

Publication number Publication date
EP3429490A2 (en) 2019-01-23
RU2018136361A3 (enExample) 2020-07-17
WO2017161062A3 (en) 2017-10-26
RU2739878C2 (ru) 2020-12-29
CN114099134B (zh) 2024-04-12
ES2925073T3 (es) 2022-10-13
BR112018068537B1 (pt) 2023-05-02
CN109195536A (zh) 2019-01-11
WO2017161062A2 (en) 2017-09-21
EP3429490B1 (en) 2022-06-08
EP3429490A4 (en) 2019-11-13
BR112018068537A2 (pt) 2019-01-29
IL261736A (en) 2018-10-31
CA3017771A1 (en) 2017-09-21
RU2018136361A (ru) 2020-04-17
CN114099134A (zh) 2022-03-01
JP2019508177A (ja) 2019-03-28
KR20190007414A (ko) 2019-01-22
CN109195536B (zh) 2021-12-07
AU2017232627A1 (en) 2018-10-04
AU2017232627B2 (en) 2021-07-29
KR102406828B1 (ko) 2022-06-10
IL261736B2 (en) 2023-06-01
RU2020141695A (ru) 2021-05-13

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