JP7369254B2 - 眼科手術用デバイス及び方法 - Google Patents
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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
- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus 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
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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
- A61F9/007—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
- 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
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
- A61B2017/320024—Morcellators, e.g. having a hollow cutting tube with an annular cutter for morcellating and removing tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/32006—Surgical cutting instruments with a cutting strip, band or chain, e.g. like a chainsaw
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/005—Auxiliary appliance with suction drainage system
-
- 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
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- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Vascular Medicine (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Physics & Mathematics (AREA)
- Optics & Photonics (AREA)
- Surgical Instruments (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Materials For Medical Uses (AREA)
- Prostheses (AREA)
Description
Claims (15)
- 眼の水晶体嚢内から水晶体組織を切断及び吸引するための医療デバイスであって、
手の中に保持されるようにサイズ決めされたハウジングと、
前記ハウジング内の少なくとも1つの真空源と、
前記少なくとも1つの真空源に動作可能に連結された前記ハウジング内のモータと、
前記モータを作動させて前記少なくとも1つの真空源に動力を供給するための、前記ハウジングに設けられたアクチュエータと、
前記アクチュエータの作動に応じて前記モータの回転速度を変更するように構成された制御装置と、
前記眼の水晶体嚢内の水晶体にアクセスするように構成されたシャフトと、を備え、
前記シャフトは、前記少なくとも1つの真空源に流体連通するルーメンを有し、
前記ハウジングに設けられた前記アクチュエータの第1の作動位置への作動は、前記少なくとも1つの真空源に真空を生成させて真空のみの機能を提供し、
生成される真空の大きさは、前記第1の作動位置を超える前記アクチュエータの作動の程度に依存し、
前記ハウジングに設けられた前記アクチュエータの第2の作動位置への作動は、前記シャフトを振動させて真空プラス切断の機能を提供し、
達成される前記シャフトの振動周波数は、前記第2の作動位置を超える前記アクチュエータの作動の程度に依存する、
医療デバイス。 - 前記少なくとも1つの真空源は、前記水晶体組織を吸引するために前記ルーメンを通る不連続な負圧のパルスを生成する、請求項1に記載の医療デバイス。
- 前記少なくとも1つの真空源は、ピストンマニホールドに収容された複数のピストンを備える、請求項1に記載の医療デバイス。
- 前記ハウジングは、使い捨て部分に動作可能に連結された再利用可能部分を含む、請求項3に記載の医療デバイス。
- 前記ピストンマニホールドに収容された前記複数のピストンは、前記ハウジングの使い捨て部分の一部である、請求項4に記載の医療デバイス。
- 前記モータは、前記ハウジングの前記再利用可能部分に収容される、請求項4に記載の医療デバイス。
- 前記ピストンマニホールド内の前記複数のピストンのそれぞれの動きは、真空のパルスを生成する、請求項3に記載の医療デバイス。
- 前記モータの回転は、カムを回転させて、前記複数のピストンのそれぞれに前記真空のパルスを生成させる、請求項7に記載の医療デバイス。
- 前記アクチュエータは、トリガー、ボタン、スライダ、スイッチ、又はダイヤルである、請求項1に記載の医療デバイス。
- 前記アクチュエータと前記モータとの間に配置されたロッドを更に備え、
前記アクチュエータを様々な程度に作動することにより、前記ロッドは移動して、前記モータの回転速度を変更するように構成された要素と相互作用する、
請求項1に記載の医療デバイス。 - 前記モータの回転は、カムを回転させて前記シャフトを振動させ、
前記アクチュエータは、前記カムの回転と前記シャフトの前記振動周波数とを制御するために、作動の程度に応じて前記モータの回転数を変更するように構成されている、
請求項1に記載の医療デバイス。 - 前記シャフトの振動周波数は、前記ルーメンを通して適用される不連続な負圧のパルスの周波数より高い、請求項11に記載の医療デバイス。
- 第3の作動位置は、真空を継続させつつ前記シャフトの振動を一時停止させる、請求項1に記載の医療デバイス。
- 前記アクチュエータの作動に応じて前記眼に灌注液を送るための灌注液源に流体的に連結される、請求項1に記載の医療デバイス。
- 前記シャフトの遠位端領域の近くに配置された灌注スリーブを更に備え、
前記灌注スリーブは、前記灌注液源から前記眼に前記灌注液を送るように構成された灌注ルーメンと流体連通する1つ以上の開口部を含む、
請求項14に記載の医療デバイス。
Applications Claiming Priority (6)
Application Number | Priority Date | Filing Date | Title |
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US201762501710P | 2017-05-04 | 2017-05-04 | |
US62/501,710 | 2017-05-04 | ||
US201762597826P | 2017-12-12 | 2017-12-12 | |
US62/597,826 | 2017-12-12 | ||
JP2019559693A JP7127059B2 (ja) | 2017-05-04 | 2018-05-03 | 眼科手術用デバイス及び方法 |
PCT/US2018/030964 WO2018204699A1 (en) | 2017-05-04 | 2018-05-03 | Devices and methods for ocular surgery |
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JP2019559693A Division JP7127059B2 (ja) | 2017-05-04 | 2018-05-03 | 眼科手術用デバイス及び方法 |
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JP2022166213A JP2022166213A (ja) | 2022-11-01 |
JP7369254B2 true JP7369254B2 (ja) | 2023-10-25 |
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JP2022130252A Active JP7369254B2 (ja) | 2017-05-04 | 2022-08-17 | 眼科手術用デバイス及び方法 |
JP2022130245A Pending JP2022166212A (ja) | 2017-05-04 | 2022-08-17 | 眼科手術用デバイス及び方法 |
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US (7) | US11278450B2 (ja) |
EP (3) | EP3618784B1 (ja) |
JP (3) | JP7127059B2 (ja) |
CN (3) | CN114569326A (ja) |
AU (1) | AU2018261640B2 (ja) |
CA (1) | CA3060373A1 (ja) |
ES (1) | ES2914400T3 (ja) |
WO (1) | WO2018204699A1 (ja) |
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