WO2011071775A1 - Phacoemulsification hand piece with integrated aspiration pump - Google Patents

Phacoemulsification hand piece with integrated aspiration pump Download PDF

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Publication number
WO2011071775A1
WO2011071775A1 PCT/US2010/058931 US2010058931W WO2011071775A1 WO 2011071775 A1 WO2011071775 A1 WO 2011071775A1 US 2010058931 W US2010058931 W US 2010058931W WO 2011071775 A1 WO2011071775 A1 WO 2011071775A1
Authority
WO
WIPO (PCT)
Prior art keywords
aspiration
hand piece
needle
aspiration pump
pump
Prior art date
Application number
PCT/US2010/058931
Other languages
English (en)
French (fr)
Inventor
Gary P. Sorensen
Glenn Robert Sussman
Original Assignee
Alcon Research, Ltd.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to JP2012543171A priority Critical patent/JP2013512760A/ja
Priority to CN201080061345.8A priority patent/CN102740905B/zh
Application filed by Alcon Research, Ltd. filed Critical Alcon Research, Ltd.
Priority to KR1020127017536A priority patent/KR101531829B1/ko
Priority to SI201030909T priority patent/SI2509659T1/sl
Priority to BR112012013848A priority patent/BR112012013848A2/pt
Priority to AU2010328436A priority patent/AU2010328436B2/en
Priority to EP10836456.3A priority patent/EP2509659B1/en
Priority to MX2012006474A priority patent/MX341706B/es
Priority to DK10836456.3T priority patent/DK2509659T3/en
Priority to PL10836456T priority patent/PL2509659T3/pl
Priority to RU2012128589/14A priority patent/RU2557911C2/ru
Priority to CA2783155A priority patent/CA2783155C/en
Priority to ES10836456T priority patent/ES2530735T3/es
Priority to RS20150067A priority patent/RS53810B1/en
Publication of WO2011071775A1 publication Critical patent/WO2011071775A1/en
Priority to AU2013257535A priority patent/AU2013257535B2/en
Priority to HRP20150152TT priority patent/HRP20150152T1/hr
Priority to SM201500100T priority patent/SMT201500100B/xx

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142—Pressure infusion, e.g. using pumps
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142—Pressure infusion, e.g. using pumps
    • A61M5/14212—Pumping with an aspiration and an expulsion action
    • A61M5/14228—Pumping with an aspiration and an expulsion action with linear peristaltic action, i.e. comprising at least three pressurising members or a helical member

Definitions

  • the present invention relates to phacoemulsification surgery and more particularly to a device that better regulates pressure experienced in the eye during cataract surgery.
  • the human eye functions to provide vision by transmitting light through a clear outer portion called the cornea, and focusing the image by way of a crystalline lens onto a retina.
  • the quality of the focused image depends on many factors including the size and shape of the eye, and the transparency of the cornea and the lens.
  • age or disease causes the lens to become less transparent, vision deteriorates because of the diminished light which can be transmitted to the retina.
  • This deficiency in the lens of the eye is medically known as a cataract.
  • An accepted treatment for this condition is surgical removal of the lens and replacement of the lens function by an artificial intraocular lens (IOL).
  • IOL intraocular lens
  • a typical surgical hand piece suitable for phacoemulsification procedures consists of an ultrasonically driven
  • the hand piece assembly is attached to the control console by an electric cable and flexible tubing. Through the electric cable, the console varies the power level transmitted by the hand piece to the attached cutting needle.
  • the flexible tubing supplies irrigation fluid to the surgical site and draws aspiration fluid from the eye through the hand piece assembly.
  • the operative part in a typical hand piece is a centrally located, hollow resonating bar or horn directly attached to a set of piezoelectric crystals. The crystals supply the required ultrasonic vibration needed to drive both the horn and the attached cutting needle during phacoemulsification, and are controlled by the console.
  • the crystal/horn assembly is suspended within the hollow body or shell of the hand piece by flexible mountings.
  • the hand piece body terminates in a reduced diameter portion or nosecone at the body's distal end.
  • the nosecone is externally threaded to accept the hollow irrigation sleeve, which surrounds most of the length of the cutting needle.
  • the horn bore is internally threaded at its distal end to receive the external threads of the cutting tip.
  • the irrigation sleeve also has an internally threaded bore that is screwed onto the external threads of the nosecone. The cutting needle is adjusted so that its tip projects only a predetermined amount past the open end of the irrigating sleeve.
  • the tip of the cutting needle and the end of the irrigation sleeve are inserted into the anterior segment of the eye through a small incision in the outer tissue of the eye.
  • the surgeon brings the tip of the cutting needle into contact with the lens of the eye, so that the vibrating tip fragments the lens.
  • the resulting fragments are aspirated out of the eye through the interior bore of the cutting needle, along with irrigation solution provided to the eye during the procedure, and into a waste reservoir.
  • irrigating fluid is pumped into the eye, passing between the irrigation sleeve and the cutting needle and exiting into the eye at the tip of the irrigation sleeve and/or from one or more ports, or openings, cut into the irrigation sleeve near its end.
  • This irrigating fluid is critical, as it prevents the collapse of the eye during the removal of the emulsified lens.
  • the irrigating fluid also protects the eye tissues from the heat generated by the vibrating of the ultrasonic cutting needle. Furthermore, the irrigating fluid suspends the fragments of the emulsified lens for aspiration from the eye.
  • a common phenomenon during a phacoemulsification procedure arises from the varying flow rates that occur throughout the surgical procedure. Varying flow rates result in varying pressure losses in the irrigation fluid path from the irrigation fluid supply to the eye, thus causing changes in pressure in the anterior chamber (also referred to as Intra-Ocular Pressure or IOP.) Higher flow rates result in greater pressure losses and lower IOP. As IOP lowers, the operating space within the eye diminishes.
  • the present invention is an ophthalmic surgical hand piece comprising a driver coupled to a horn, the horn coupled to a needle an aspiration pump integral with the hand piece, the aspiration pump located close to the needle; and a rigid length of aspiration line located between the aspiration pump and the needle.
  • the present invention is an ophthalmic surgical hand piece comprising a driver coupled to a horn, the horn coupled to a needle an aspiration pump integral with the hand piece, the aspiration pump located close to the needle; a disposable segment coupled to the aspiration pump; and a rigid length of aspiration line located between the aspiration pump and the needle.
  • Figure 1 is a diagram of the components in the fluid path of a phacoemulsification system including a hand piece with an integrated aspiration pump according to the principles of the present invention.
  • Figure 2 is a block diagram of a phacoemulsification hand piece with an integrated aspiration pump according to the principles of the present invention.
  • Figure 3 is a block diagram of a phacoemulsification hand piece with an integrated aspiration pump according to the principles of the present invention.
  • Figure 4 is a side view of a portion of a phacoemulsification hand piece with an integrated aspiration pump according to the principles of the present invention.
  • Figure 5 is a cross section view of a portion of a phacoemulsification hand piece with an integrated aspiration pump according to the principles of the present invention.
  • Figure 6 is a side view of a removable cartridge for use with a phacoemulsification hand piece with an integrated aspiration pump according to the principles of the present invention.
  • Figures 7 is a perspective view of a removable cartridge for use with a phacoemulsification hand piece with an integrated aspiration pump according to the principles of the present invention.
  • Figure 1 is a diagram of the components in the fluid path of a phacoemulsification system including a hand piece with an integrated aspiration pump according to the principles of the present invention.
  • Figure 1 depicts the fluid path through the eye 145 during cataract surgery.
  • the components include an irrigation source 120, an optional irrigation pressure sensor 130, an optional irrigation valve 135, an irrigation line 140, a hand piece 150, an aspiration line 155, an optional aspiration pressure sensor 160, an optional vent valve 165, a pump 170, a reservoir 1 75 and a drain bag 180.
  • the irrigation line 140 provides irrigation fluid to the eye 145 during cataract surgery.
  • the aspiration line 155 removes fluid and emulsified lens particles from the eye during cataract surgery.
  • irrigation pressure sensor 130 measures the pressure of the irrigation fluid in irrigation line 140.
  • An optional irrigation valve 135 is also provided for on/off control of irrigation. Irrigation pressure sensor 130 is implemented by any of a number of commercially available fluid pressure sensors.
  • a hand piece 150 is placed in relation to the eye 145 during a phacoemulsification procedure.
  • the hand piece 150 has a hollow needle (270 in Figs. 2 & 3) that is ultrasonically vibrated in the eye to break up the diseased lens.
  • a sleeve located around the needle provides irrigation fluid from irrigation line 140. The irrigation fluid passes through the space between the outside of the needle and the inside of the sleeve. Fluid and lens particles are aspirated through the hollow needle. In this manner, the interior passage of the hollow needle is fluidly coupled to aspiration line 155.
  • Pump 170 draws the aspirated fluid from the eye 145.
  • An optional aspiration pressure sensor 160 measures the pressure in the aspiration line.
  • An optional vent valve can be used to vent the vacuum created by pump 170.
  • the aspirated fluid passes through reservoir 175 and into drain bag 1 80.
  • Figure 2 is a block diagram of a phacoemulsification hand piece with an integrated aspiration pump according to the principles of the present invention.
  • hand piece 150 comprises motor 210, shaft 220, removable cartridge 230, optional aspiration pressure sensor 160, driver 250, horn 260, needle 270, and aspiration line 280.
  • Motor 210 rotates shaft 220.
  • removable cartridge 230 is held against shaft 220.
  • Aspiration pressure sensor 160 is located between removable cartridge 230 and the eye 145.
  • the pump 170 comprises motor 210, shaft 220, and flexible tubing in removable cartridge 230.
  • shaft 220 has a spiral structure that presses against the flexible tubing in removable cartridge 230.
  • a screw-type or scroll-type aspiration pump is implemented with motor 21 0, shaft 220, and flexible tubing in removable cartridge 230. This is more clearly shown and described in Figures 4 and 5. While pump 170 is described as a screw-type pump, other types of pumps may also be used.
  • Aspiration line 280 is fluidly coupled to removable cartridge 230. Aspiration line also extends through or around drive 250, horn 260, and needle 270. A lumen in needle 270 is fluidly coupled to aspiration line 280. As described above, fluid and lens particles are aspirated through the lumen of needle 270. Aspiration pump 170 draws fluid and lens particles through the lumen of needle 270.
  • Driver 250 is typically an ultrasonic driver that produces ultrasonic vibrations in horn 260.
  • Horn 260 is typically a mass of metal that is coupled to driver 250 and needle 270. In this manner, vibrations produced by driver 250 are transferred to horn 260 and to needle 270. Needle 270 is placed in the eye and vibrated to fragment a cataractous lens.
  • Aspiration pressure sensor 160 measures the aspiration pressure in aspiration line 280. While shown as located between removable cartridge 230 and driver 250, aspiration pressure sensor may be located at any location between pump 170 and the eye 145. Aspiration pressure sensor 160 may be implemented by any of a number of known pressure sensor devices.
  • FIG 3 is a block diagram of a phacoemulsification hand piece with an integrated aspiration pump according to the principles of the present invention.
  • the example of Figure 3 has the elements of Figure 2 plus an optional vent valve 165.
  • optional vent valve 165 acts to provide a venting path for the aspiration pump 170. In this manner, pump 170 can be vented, for example, to atmosphere when vent valve 165 is opened.
  • aspiration line 280 has two paths - one path that goes through removable cartridge 230, and another path that goes around removable cartridge 230. This second path (that goes around removable cartridge 230) and associated vent valve 165 may also be incorporated into removable cartridge 230.
  • FIGS 4 and 5 are side and cross section views, respectively, of a portion of a phacoemulsification hand piece with an integrated aspiration pump according to the principles of the present invention. Figures 4 and 5 more clearly show the details of one example of a removable cartridge 230 and pump 170.
  • removable cartridge 230 comprises aspiration line coupling 405, first tubing coupling 420, tubing holder 440, and lever 430. These components are integrated into a frame as shown. Removable cartridge 230 can be removed from the remainder of the hand piece.
  • aspiration line coupling 405 can be attached to aspiration tubing that is coupled to the surgical console. In this manner, aspiration line coupling 405 is near the end of the hand piece that is connected to the surgical console.
  • a tube extends from aspiration line coupling 405 to first tubing coupling 420. This tube is a part of the aspiration line 280 shown in Figures 2 and 3.
  • Tubing holder 440 holds a flexible tube (not shown) that is located between shaft 220 and tubing holder 440. Shaft 220 presses the flexible tubing against tubing holder 440. As shaft 220 rotates, the spiral protrusion on shaft 220 pumps fluid through the flexible tubing (thus implementing a screw-type or scroll-type pump).
  • Tubing holder 440 is made of a rigid material that is suitable for holding flexible tubing. One end of the flexible tubing is flu idly coupled to first tubing coupling 420, and the other end of the flexible tubing is fluidly coupled to second tubing coupling 425. In this manner, the flexible tubing is a part of the aspiration line 280.
  • Lever 430 operates to secure removable cartridge 230 to the remainder of the hand piece. While shown as a lever, other mechanisms can be employed to secure removable cartridge to the remainder of the hand piece.
  • Motor 210 is coupled to shaft 220 and serves to rotate shaft 220. Motor 210 can be controlled to control the movement of shaft 220 as more clearly described below. Motor 210 is typically a DC motor but can be any type of motor or driver suitable for rotating shaft 220.
  • a connector 450 connects the flexible tubing held by tubing holder 440 to the hand piece coupling 415.
  • Connector coupling 410 interfaces with hand piece coupling 415 - either directly or via another part.
  • the aspiration path passes through hand piece coupling 415, connector coupling 410, connector 450, second tubing coupling 425, the flexible tubing held by tubing holder 440, first tubing coupling 420 and aspiration line coupling 405.
  • Connector 450 is connected to an end of shaft 220. In this manner, connector 450, shaft 220, and motor 210 (along with the frame that holds these parts) is attached to the driver 250 (which is coupled to the horn 260 and the needle 270).
  • the length of aspiration line between the pump and the eye is minimal (on the order of inches).
  • this length of aspiration line between the pump and the eye may be non- compliant (i.e. it can be rigid). Having a small length of non-compliant tubing between the pump 170 and the eye eliminates the surge associated with prior art systems.
  • motor 210 rotates shaft 220.
  • a controller (not shown) controls the operation of motor 210.
  • shaft 220 may be rotated at any desired speed to produce any desired vacuum.
  • shaft 220 may be stopped or rotated in an opposite direction if desired..
  • motor 210 may be controlled to rotate shaft 220 in either direction. When rotated, shaft 220 draws fluid through the flexible tube and acts to pump the fluid through the aspiration line.
  • shaft 220 can be moved toward and away from tubing holder 440.
  • the space between tubing holder 440 and shaft 220 can be varied so that the flexible tubing can be pinched to different degrees between shaft 220 and tubing holder 440.
  • shaft 220 can pinch the flexible tubing held by tubing holder 440 very tightly to produce pumping action that does not allow for leakage.
  • the flexible tubing is pinched less tightly thus leading to a leakage and less of a vacuum or pumping force.
  • the position of shaft 220 with respect to tubing holder 440 can be variably controlled to adjust the leakage through the flexible tubing, and in turn adjust the vacuum produced by the pump.
  • vent valve 165 can be variably controlled to control the amount of vacuum that is present in the aspiration line (by controlling the amount of leakage through vent valve 165).
  • the control of aspiration vacuum can be based on a reading from aspiration pressure sensor 160.
  • Aspiration pressure sensor 160 is located between the pump and the eye. In this manner, aspiration pressure sensor 160 accurately reads the pressure conditions in the aspiration line very close to the eye. Such a reading can be used to precisely control the aspiration vacuum that is applied to the eye.
  • Figures 6 and 7 are side and perspective views, respectively, of a removable cartridge for use with a phacoemulsification hand piece with an integrated aspiration pump according to the principles of the present invention.
  • the removable cartridge comprises aspiration line coupling, 405, first tubing coupling 420, tubing holder 440, lever 430, and opening 605. Opening 605 interfaces with second tubing coupling 425 as shown in Figure 5.
  • a piece of flexible tubing is located between first tubing coupling 420 and opening 605.
  • the removable cartridge 230 of Figures 6 and 7 can be reusable or disposable. In one example, the removable cartridge is reusable and the flexible tubing in disposable. In another example, the removable cartridge is disposable along with the flexible tubing.
  • the design of the present invention allows for the aspiration pump 170 to be very close to the eye 145.
  • the distance between the aspiration pump 170 and the eye 145 can be made to be very small - on the order of inches. Placing the aspiration pump 170 close to the eye 145 allows for a very short length of aspiration line to be located between the pump 170 and the eye 145.
  • the length of aspiration line located between the pump 170 and the eye 145 can be rigid (for example, it can be made of stainless steel). This short length of non-compliant material that makes up the aspiration line between the pump 170 and the eye 145 eliminates any surge effect associated with conventional phacoemulsification systems.
  • the aspiration pump In conventional phacoemulsification systems, the aspiration pump is located in a console. A relatively long length of flexible tubing (six feet or more) is located between the aspiration pump and the eye. This relatively long length of flexible tubing has a lot of compliance - it can stretch in response to changes in vacuum pressure. This compliance results in surges as previously described. By incorporating the aspiration pump in the hand piece (and placing it very close to the eye) and having a very short length of non-compliant tubing between the aspiration pump and the eye, these surges can be eliminated, thus resulting in a safer and more efficient surgery.
  • the present invention provides a pressurized infusion system for phacoemulsification surgery.
  • the present invention provides an irrigation squeeze band device that more precisely controls fluid pressure.
  • the present invention is illustrated herein by example, and various modifications may be made by a person of ordinary skill in the art.

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  • Health & Medical Sciences (AREA)
  • Ophthalmology & Optometry (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Surgery (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • External Artificial Organs (AREA)
  • Surgical Instruments (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Saccharide Compounds (AREA)
PCT/US2010/058931 2009-12-08 2010-12-03 Phacoemulsification hand piece with integrated aspiration pump WO2011071775A1 (en)

Priority Applications (17)

Application Number Priority Date Filing Date Title
ES10836456T ES2530735T3 (es) 2009-12-08 2010-12-03 Pieza de mano de facoemulsificación con bomba de aspiración integrada
MX2012006474A MX341706B (es) 2009-12-08 2010-12-03 Pieza de mano para facoemulsificacion con bomba de aspiracion integrada.
KR1020127017536A KR101531829B1 (ko) 2009-12-08 2010-12-03 일체형 흡인 펌프를 구비한 수정체 유화 핸드피스
SI201030909T SI2509659T1 (sl) 2009-12-08 2010-12-03 Fakoemulzifikacijski ročnik z integrirano sesalno črpalko
BR112012013848A BR112012013848A2 (pt) 2009-12-08 2010-12-03 peça de mão para facoemulsificação com bomba de aspiração integrada.
AU2010328436A AU2010328436B2 (en) 2009-12-08 2010-12-03 Phacoemulsification hand piece with integrated aspiration pump
EP10836456.3A EP2509659B1 (en) 2009-12-08 2010-12-03 Phacoemulsification hand piece with integrated aspiration pump
JP2012543171A JP2013512760A (ja) 2009-12-08 2010-12-03 一体型吸引ポンプを備えた水晶体乳化用ハンドピース
DK10836456.3T DK2509659T3 (en) 2009-12-08 2010-12-03 PHACOEMULSIFICATION HAND PIECE WITH INTEGRATED SUCTION PUMP
RU2012128589/14A RU2557911C2 (ru) 2009-12-08 2010-12-03 Ручной блок для факоэмульсификации со встроенным аспирационным насосом
PL10836456T PL2509659T3 (pl) 2009-12-08 2010-12-03 Rękojeść do fakoemulsyfikacji ze zintegrowaną pompą aspiracyjną
CA2783155A CA2783155C (en) 2009-12-08 2010-12-03 Phacoemulsification hand piece with integrated aspiration pump
CN201080061345.8A CN102740905B (zh) 2009-12-08 2010-12-03 带有一体式抽吸泵的晶状体乳化机头
RS20150067A RS53810B1 (en) 2009-12-08 2010-12-03 FACOEMULSIFICATION INSTRUMENT WITH INTEGRATED INLET PUMP
AU2013257535A AU2013257535B2 (en) 2009-12-08 2013-11-19 Phacoemulsification hand piece with integrated aspiration pump
HRP20150152TT HRP20150152T1 (hr) 2009-12-08 2015-02-06 Fakoemulzifikacijski ruäśni aparat s integriranom usisnom pumpom
SM201500100T SMT201500100B (it) 2009-12-08 2015-04-23 Strumento manuale per facoemulsificazione con pompa di aspirazione integrata

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US12/633,363 US20110137231A1 (en) 2009-12-08 2009-12-08 Phacoemulsification Hand Piece With Integrated Aspiration Pump
US12/633,363 2009-12-08

Publications (1)

Publication Number Publication Date
WO2011071775A1 true WO2011071775A1 (en) 2011-06-16

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ID=44082714

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2010/058931 WO2011071775A1 (en) 2009-12-08 2010-12-03 Phacoemulsification hand piece with integrated aspiration pump

Country Status (20)

Country Link
US (3) US20110137231A1 (ru)
EP (1) EP2509659B1 (ru)
JP (3) JP2013512760A (ru)
KR (1) KR101531829B1 (ru)
CN (1) CN102740905B (ru)
AU (2) AU2010328436B2 (ru)
BR (1) BR112012013848A2 (ru)
CA (1) CA2783155C (ru)
CY (1) CY1116140T1 (ru)
DK (1) DK2509659T3 (ru)
ES (1) ES2530735T3 (ru)
HR (1) HRP20150152T1 (ru)
MX (1) MX341706B (ru)
PL (1) PL2509659T3 (ru)
PT (1) PT2509659E (ru)
RS (1) RS53810B1 (ru)
RU (1) RU2557911C2 (ru)
SI (1) SI2509659T1 (ru)
SM (1) SMT201500100B (ru)
WO (1) WO2011071775A1 (ru)

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EP2512554A4 (en) * 2009-12-15 2013-05-29 Alcon Res Ltd PORTABLE PHAKOEMULSIFICATION UNIT WITH INTEGRATED SUCTION PUMP AND CARTRIDGE
US9126219B2 (en) 2013-03-15 2015-09-08 Alcon Research, Ltd. Acoustic streaming fluid ejector
JP2016516484A (ja) * 2013-03-15 2016-06-09 ノバルティス アーゲー 眼球手術のためのシステム及び方法
US9545337B2 (en) 2013-03-15 2017-01-17 Novartis Ag Acoustic streaming glaucoma drainage device
US9693896B2 (en) 2013-03-15 2017-07-04 Novartis Ag Systems and methods for ocular surgery
US9861522B2 (en) 2009-12-08 2018-01-09 Alcon Research, Ltd. Phacoemulsification hand piece with integrated aspiration pump
US9915274B2 (en) 2013-03-15 2018-03-13 Novartis Ag Acoustic pumps and systems
US9962288B2 (en) 2013-03-07 2018-05-08 Novartis Ag Active acoustic streaming in hand piece for occlusion surge mitigation
US10182940B2 (en) 2012-12-11 2019-01-22 Novartis Ag Phacoemulsification hand piece with integrated aspiration and irrigation pump
US11110218B2 (en) 2012-09-06 2021-09-07 D.O.R.C. Dutch Ophthalmic Research Center (International) B.V. Surgical cartridge, pump and surgical operating machine

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CA2715895A1 (en) * 2008-02-20 2009-08-27 Mayo Foundation For Medical Education And Research Ultrasound guided systems and methods
US9795404B2 (en) * 2009-12-31 2017-10-24 Tenex Health, Inc. System and method for minimally invasive ultrasonic musculoskeletal tissue treatment
US8939949B2 (en) 2011-08-15 2015-01-27 Alcon Research, Ltd. Stacked multi-disk ophthalmic pump
US9433725B2 (en) 2011-12-23 2016-09-06 Alcon Research, Ltd. Combined coaxial and bimanual irrigation/aspiration apparatus
US10213533B2 (en) * 2012-03-05 2019-02-26 Keith A. Walter Medical tools with aspiration tips suitable for cataract surgeries and related methods
US20130289469A1 (en) * 2012-04-26 2013-10-31 Karen T. Hong Infusion Sleeve With Motion Reduction Profile
US10220186B2 (en) 2012-05-23 2019-03-05 Becton, Dickinson And Company Collapse-resistant swellable catheter
US9149291B2 (en) * 2012-06-11 2015-10-06 Tenex Health, Inc. Systems and methods for tissue treatment
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US9861522B2 (en) 2018-01-09
DK2509659T3 (en) 2015-02-09
BR112012013848A2 (pt) 2017-09-26
KR20120104283A (ko) 2012-09-20
CN102740905B (zh) 2014-07-23
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US20180049921A1 (en) 2018-02-22
AU2010328436B2 (en) 2014-03-06
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US20120083728A1 (en) 2012-04-05
JP2017221695A (ja) 2017-12-21
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US20110137231A1 (en) 2011-06-09
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EP2509659A4 (en) 2013-05-01
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MX341706B (es) 2016-08-31
PT2509659E (pt) 2015-03-16
CA2783155C (en) 2017-03-21
EP2509659B1 (en) 2015-01-21
CN104055623A (zh) 2014-09-24
RU2557911C2 (ru) 2015-07-27
EP2509659A1 (en) 2012-10-17
JP6334787B2 (ja) 2018-05-30
SI2509659T1 (sl) 2015-05-29
KR101531829B1 (ko) 2015-06-26
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MX2012006474A (es) 2012-08-15
CY1116140T1 (el) 2017-02-08

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