JP7150784B2 - 眼内レンズの収容および載置装置ならびにその使用方法 - Google Patents
眼内レンズの収容および載置装置ならびにその使用方法 Download PDFInfo
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- JP7150784B2 JP7150784B2 JP2020101639A JP2020101639A JP7150784B2 JP 7150784 B2 JP7150784 B2 JP 7150784B2 JP 2020101639 A JP2020101639 A JP 2020101639A JP 2020101639 A JP2020101639 A JP 2020101639A JP 7150784 B2 JP7150784 B2 JP 7150784B2
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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
- A61F2/1678—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
-
- 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
- A61F2/167—Instruments for inserting intraocular lenses into the eye with pushable plungers
-
- 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
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- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Public Health (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Transplantation (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Surgery (AREA)
- Prostheses (AREA)
Description
本出願は、2013年3月15日に出願された米国仮特許出願番号第61/799,755号の優先権を主張し、その開示内容が参照により本明細書に組み込まれる。
明細書に記載されるすべての出版物および特許出願が、あたかもそれぞれの出版物または特許出願が具体的かつ個々に、参照により組み込まれると示されるがごとく、同程度に参照により本明細書に組み込まれる。
なお、本願発明の参考実施形態として、以下のものも含まれる。
〔実施形態1〕
装置内に眼内レンズを配置する方法であって、前記眼内レンズの前方触覚部の自由端が前記装置のチャネルの第1側面により近く、近位方向に直接作動するためにアクセス可能なように、前記装置内の眼内レンズ受入領域内に前記眼内レンズを配置することを含む、方法。
〔実施形態2〕
前記前方触覚部の前記自由端は、近位に面する、実施形態2に記載の方法。
3 IOL
4 前方触覚部
6 後方触覚部
10 キャリア
11 停止部
12 ベース
13 ポケット
14 後方触覚部誘導
15 チャネル
20 拡張部材
22 載置部材
24 フィンガ
30 カートリッジ
40 載置部材
300 キャリア
310 ベース
311 誘導
312 仕切り
313 ロックアウト
314 眼内レンズ受入領域
315 後方触覚部受入領域
316 拡張部材停止部
317 支柱ガイド
318 バットレストラクションパッド
319 ポート
320 拡張部材
321 遠位部
322 第1延長部
323 解除具
324 第2延長部
330 載置部材
331 遠位端
332 第1拡張
333 本体
334 拡張
335 ヒンジ
337 間隙
340 レンズ
341 触覚部
342 触覚部
343 光学部
345 領域
350 リッド
352 底面
353 支柱
354 プローブ開口
355 スポーク
356 スロット
360 カートリッジ
372 タブ
374 タブ
382 開口
384 開口
399 符号
400 キャリア
410 ベース
412 ロック
414 ロック
441 前方触覚部
442 後方触覚部
450 リッド
452 リッドプラグ
454 ベースプラグ
456 窓
480 プラグ
481 流体ポート
482 出口流体ポート
484 要素
Claims (25)
- 眼内レンズを送達するための準備として前記眼内レンズを再構成するための装置であって、
前記装置の眼内レンズ受入領域内に配置された眼内レンズの前方触覚部を係合し広げるように構成された拡張部材を備え、
前記前方触覚部を広げるときに、前記拡張部材の遠位端が前記眼内レンズ受入領域の中心に並ばない、
装置。 - 前記前方触覚部を広げるときに、前記拡張部材の遠位端が前記眼内レンズ受入領域の片側に配置される、請求項1に記載の装置。
- 前記拡張部材が分岐状の遠位端を有する、請求項1に記載の装置。
- 前記装置が、さらに遠位方向に移動するのを妨げるために、前記分岐状の遠位端と合致するように構成された停止要素を有する、請求項3に記載の装置。
- 前記拡張部材が前記装置のチャネルの第1側壁に係合し、その上で摺動可能である、請求項1に記載の装置。
- 送達孔と、
前記前方触覚部が広げられた後、前記送達孔に向かって前記眼内レンズを前進させるように構成された載置部材と、を備える、請求項1に記載の装置。 - 前記載置部材が前記装置の長手軸に沿って移動可能なように構成された、請求項6に記載の装置。
- 前記拡張部材および前記載置部材が前記装置において互いに半径方向に片寄っている、請求項6に記載の装置。
- 前記装置が前記拡張部材および前記載置部材の相対的な半径方向の配置を維持する分離要素を備える、請求項8に記載の装置。
- 前記載置部材は、載置部材体の上面から遠位方向に延在する第1延長部と、前記第1延長部の下で前記載置部材体から遠位方向に延在する第2延長部とを備え、前記第1延長部は前記第2延長部の長さよりも大きな長さを有する、請求項6に記載の装置。
- 前記第1延長部が前記載置部材体から遠位方向に、かつ上方向に延在する、請求項10に記載の装置。
- 前記第1延長部が前記載置部材体から上方向に延在するところで曲がるように構成される、請求項10に記載の装置。
- 前記載置部材が前記眼内レンズを前進させるために遠位方向に前進されるとき、前記第1延長部は、前記眼内レンズ受入領域の中心領域上に配置される、請求項10に記載の装置。
- 前記装置がさらに、前記眼内レンズ受入領域上に固定されるように構成されたリッドを備え、前記リッドは、前記載置部材が遠位方向に前進する際には、係合して前記第1延長部の低下を生じるよう構成された誘導要素を備える、請求項10に記載の装置。
- 前記装置が、ロックアウトが移動されるまで前記載置部材が作動されるのを防止する載置部材ロックアウトを備え、前記拡張部材は、前記ロックアウトを移動するための解除を備える、請求項6に記載の装置。
- 前記装置が、一般に前記装置のチャネルに対して半径方向に延在する後方触覚部受入部を備える、請求項1に記載の装置。
- 前記装置に複数の対応する支柱誘導が配置されるように構成された複数の支柱を備えるリッドをさらに備える、請求項1に記載の装置。
- 前記リッドが、前記リッドの底面から下方向に延在する複数の圧縮スポークを備え、前記圧縮スポークは触覚部をわずかに圧縮して前記眼内レンズの前方触覚部および後方触覚部に係合するように構成された、請求項17に記載の装置。
- 少なくとも2つの圧縮スポークが、前方触覚部および後方触覚部のそれぞれに係合する、請求項18に記載の装置。
- 眼内レンズを送達する準備として眼内レンズの第1触覚部および第2触覚部を広げる方法であって、
作動可能な拡張部材で前記眼内レンズの光学部に対して前記第1触覚部を広げるステップと、
前記光学部に対して前記第2触覚部を広げるステップと、
を含み、
前記第1触覚部を広げるステップが、前記第2触覚部を広げ始める前に開始されることを特徴とする方法。 - 前記第1触覚部を広げるステップが、前記第2触覚部を広げ始める前に完了される、請求項20に記載の方法。
- 前記眼内レンズを送達孔へと載置することをさらに含む、請求項20に記載の方法。
- 前記第2触覚部を広げるステップが、作動可能な載置部材で前記光学部を遠位方向に前進させる結果として生じ、前記作動可能な載置部材の遠位端は、前記第2触覚部の自由端に係合しない、請求項20に記載の方法。
- 眼内レンズを送達するために準備として前記眼内レンズの触覚部を広げる方法であって、前記眼内レンズの前方触覚部を第1の拡張部材によって能動的に広げるステップと、前記眼内レンズの後方触覚部を第2の拡張部材によって受動的に広げるステップとを含み、前記後方触覚部を受動的に広げるステップが、前記第2の拡張部材が前記後方触覚部の遠位端以外の前記眼内レンズの部分に力を加えた結果として生じる、方法。
- 前記能動的に広げるステップが、前記第1の拡張部材によって前記前方触覚部の遠位端を係合し移動することにより、前記前方触覚部の遠位端を広げることを含む、請求項24に記載の方法。
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JP2022155431A JP7443449B2 (ja) | 2013-03-15 | 2022-09-28 | 眼内レンズの収容および載置装置ならびにその使用方法 |
JP2024024286A JP2024056980A (ja) | 2013-03-15 | 2024-02-21 | 眼内レンズの収容および載置装置ならびにその使用方法 |
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JP2020101639A Active JP7150784B2 (ja) | 2013-03-15 | 2020-06-11 | 眼内レンズの収容および載置装置ならびにその使用方法 |
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WO2015094485A1 (en) | 2013-12-20 | 2015-06-25 | Novartis Ag | Accommodating intraocular lens |
JP6839100B2 (ja) | 2015-06-10 | 2021-03-03 | アルコン インコーポレイティド | 眼内レンズ材料及び部材 |
CN108348328B (zh) | 2015-11-06 | 2020-04-10 | 力景公司 | 可调节人工晶状体和制造方法 |
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US20050143750A1 (en) | 2003-12-30 | 2005-06-30 | Edward Vaquero | IOL inserter plunger |
WO2011061791A1 (ja) | 2009-11-17 | 2011-05-26 | 株式会社メニコン | 眼内レンズ挿入器具 |
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JP2024056980A (ja) | 2024-04-23 |
US11071622B2 (en) | 2021-07-27 |
EP3785668A1 (en) | 2021-03-03 |
US10195020B2 (en) | 2019-02-05 |
US20240008974A1 (en) | 2024-01-11 |
ES2834479T3 (es) | 2021-06-17 |
WO2014145562A1 (en) | 2014-09-18 |
JP6717740B2 (ja) | 2020-07-01 |
JP2020146526A (ja) | 2020-09-17 |
US11793627B2 (en) | 2023-10-24 |
JP7443449B2 (ja) | 2024-03-05 |
EP2967842A4 (en) | 2016-12-07 |
US20210315688A1 (en) | 2021-10-14 |
JP2022173436A (ja) | 2022-11-18 |
JP2016513573A (ja) | 2016-05-16 |
US20160038278A1 (en) | 2016-02-11 |
EP2967842B1 (en) | 2020-11-04 |
US20190167417A1 (en) | 2019-06-06 |
EP2967842A1 (en) | 2016-01-20 |
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