BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a perspective view of an exemplary insertion device or trocar embodying aspects of the invention.
FIG. 2A is a side view of the needle of the device of FIG. 1.
FIG. 2B is a top view of the needle of the device of FIG. 1.
FIG. 3 is a perspective view of a knife that may be used in conjunction with the insertion device of FIG. 1.
FIG. 4 is a perspective view of the insertion device of FIG. 1 and the knife of FIG. 3 used in a surgical procedure performed on an eye.
FIG. 5 is another perspective view of the insertion device of FIG. 1 and the knife of FIG. 3 shown in a second position when used in a surgical procedure on an eye.
FIG. 5A is a detailed view of the mating of the concave surface of the insertion device of FIG. 1 with the convex surface of the knife of FIG. 3.
FIG. 6 is a perspective view of the insertion device of FIG. 1 as used to place a cannula in an incision made in an eye.
FIG. 6A is a perspective view of the eye following insertion of the cannula.
Before any embodiments of the invention are explained in detail, it is to be understood that the invention is not limited in its application to the details of construction and the arrangement of components set forth in the following description or illustrated in the following drawings. The invention is capable of other embodiments and of being practiced or of being carried out in various ways. Also, it is to be understood that the phraseology and terminology used herein is for the purpose of illustration and description of one or more examples of the invention and should not be regarded as limiting. It is possible that the invention could be embodied in forms not specifically described herein.
DETAILED DESCRIPTION
With reference to FIG. 1, there is shown an insertion apparatus 10 for use with an ophthalmic cannula. The insertion apparatus 10 comprises a needle 14. The needle 14 is a hollow tube with a manipulation portion 18 and an insertion portion 22 disposed at opposite ends of the needle 14. The insertion portion 22 further includes a receiving side 26 and a tip 30. The receiving side 26 has a concave surface 34. The receiving side 26 is manufactured with a polished, smooth, or machine-finished surface. The receiving side 26 is configured to slidingly receive another instrument, such as a cutting implement described below. In some embodiments, a handle 38 may be coupled to the manipulation portion 18 to facilitate easier maneuvering and manipulation of the apparatus 10 by a user.
In some embodiments and as illustrated in FIG. 2A, the insertion portion 22 has an s-curve shape 42 when viewed from the side. The s-curve shape 42 can be machined into the needle 14. In particular, when viewed from the side, the needle sidewalls 50 (shown in FIG. 2B) resemble an s-curve shape 42. An s-curve shape 42 generally has a two c-shape curves, each c-shape curving in a direction opposite to the other curve. In other embodiments, the insertion portion 22 can have other shapes corresponding to the concave surface 34 of the insertion portion 22 and which complements other instruments that may be used in conjunction with the insertion apparatus 10. In some embodiments, the insertion portion 22 has a wedge-shaped tip 30. In other embodiments, the tip 30 can be other shapes that facilitate insertion into an opening, such as an opening in the sclera of an eye 66.
In the embodiments illustrated in FIGS. 4-6A, the insertion apparatus 10 includes features that facilitate its use in conjunction with another instrument. In some embodiments and as illustrated in FIG. 4, a cutting implement or knife 46 is used to make an opening. As illustrated in FIG. 3, the knife 46 has a blade 54 and a convex surface 58. The blade 54 of the knife 46 has a double bend 62 to facilitate using one or more instruments simultaneously within the same opening.
As illustrated in FIG. 4, the knife 46 is used to make an incision through both the conjunctival and scleral membranes of an eye 66. In one method of using the insertion apparatus 10 and the knife 46, after the blade 54 of the knife 46 penetrates the conjunctiva and the sclera, the knife 46 is partially withdrawn from the incision so that the blade 54 remains in the scleral incision. At this point and as illustrated in FIG. 5, the tip of the insertion apparatus 10 is inserted into the conjunctival and scleral incisions.
As illustrated in FIG. 5, a cannula 70 or similar device can be positioned on the needle 14. The diameter of the central opening of the cannula 70 is slightly larger than that of the needle 14 so that the cannula 70 may be slid over the needle 14 and held in place on the needle 14 by frictional forces. The cannula 70 is further positioned on the needle 14 to be slid into the scleral opening upon placement of the insertion apparatus 10 into the opening. In some embodiments, the needle is sized or dimensioned such that when the cannula 70 is positioned on the needle 14, the needle 14 extends approximately 3.5 millimeters beyond the end of the cannula 70. Dimensioning the needle 14 in this manner is useful because the distance from the edge of the cornea to the optimal location of the incision on the average eye is approximately 3.5 millimeters. Thus, when so dimensioned, the needle 14 can be used as a guide to insure proper location of an incision. In other embodiments, the needle 14 can extend more or less than 3.5 millimeters beyond the end of the cannula 70.
illustrated in FIGS. 5 and 5A, as the insertion apparatus 10 is positioned for insertion into the conjunctival and scleral incisions, the concave surface 34 of the receiving side 26 of the insertion portion 22 is slidingly received on the convex surface 58 of the knife 46. The concave surface 34 of the receiving side 26 of the insertion portion 22 is configured to slidingly receive the convex surface 58 of the knife 46. The mating of the concave surface 34 of the insertion portion 22 with the convex surface 58 of the knife 46 facilitates the guiding of the insertion apparatus 10 into the opening.
Once the tip 30 of the needle 14 is moved into the scleral incision, the knife 46 is gradually removed from the scleral incision. As illustrated in FIG. 6, the handle 38 of the insertion apparatus 10 is then pressed forward to further drive the needle 14 and the cannula 70 into the eye 66. As illustrated in FIG. 6A, once the cannula 70 is properly in place, the insertion apparatus 10 is removed from the eye 66.
Various features of the invention are set forth in the following claims.
Patent Application
20080077157
