Method and apparatus for facilitating removal of a corneal graft

Description

BACKGROUND OF THE INVENTION

1. Field of the Invention

The present invention relates to an artificial chamber that is used to support and pressurize a donor cornea to facilitate the removal of a corneal graft.

2. Background Information

There have been developed various techniques to correct the vision of a patient. For example, there is a medical procedure that varies the curvature of a cornea using a laser. This technique is commonly referred to as Las in situ Keratomileusis (LASIK).

A LASIK procedure is performed by initially cutting a flap in the cornea to expose the stroma layer of the eye. A laser beam is then directed onto the stroma to ablate corneal tissue. After ablation the flap is placed back onto the stroma. The result is a variation in the refractive characteristics of the eye.

The flap may become severed from the cornea either during or after the procedure. This may require obtaining another flap from a donor eye that must then be attached to the patient's cornea. To create a replicant corneal flap the donor corneal must be pressurized to create the proper radius of curvature. Therefore, to create a flap the donor cornea must not only be secured but also pressurized.

U.S. Pat. No. 6,045,563 issued to Duprat and assigned to Moria SA (“Moria”), discloses an artificial chamber that can be used to support and pressurize a cornea to extract a corneal graft. The Moria chamber includes a clamping cap that can be removed from a chamber stand to expose an internal stem. The donor cornea can be placed onto a pedestal portion of the internal stem. The clamping cap is then reattached to the stand.

An operator rotates a thumb wheel that moves the stem in an upward direction until the cornea engages the bottom surface of the clamping cap. The cornea is pressurized with air that flows through a center channel of the stem. A portion of the pressurized donor cornea extends through an opening in the clamping cap. A keratome can be attached to the cap and actuated to slice a graft from the cornea.

The Moria artificial chamber requires the operator to rotate the wheel until the cornea is secured to the clamping cap. This manual actuation may result in a deficient, or an excessive, clamping force on the cornea. It is desirable to have a clamping force that is the same for each procedure. The Moria patent discloses a second pneumatically actuated embodiment that would provide a repeatable clamping force, but the pressure required to move the stem may be less, or more, than the desired clamping force exerted onto the cornea. It would be desirable to provide an artificial chamber that can provide a repeatable desired clamping force on a cornea during a grafting procedure.

BRIEF SUMMARY OF THE INVENTION

One embodiment of the present invention is an artificial chamber that can be used to support and pressurize a cornea to extract a corneal graft. The artificial chamber may include a stem that is attached to a stand. The stem is adapted to support and pressurize a cornea. The chamber may further have an outer sleeve and a cap that can move relative to the stem. The sleeve and cap can be moved by an actuator to secure the cornea.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1

is a cross-sectional view of an embodiment of an artificial chamber of the present invention;

FIG. 2

is a cross-sectional view similar to

FIG. 1

showing a cornea secured by the chamber.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT

In general the present invention provides an artificial chamber that can support and pressurize a donor cornea to extract a corneal graft. The artificial chamber has a stationary stem that is adapted to support a cornea. The stem has an inner channel that allows air to pressurize the cornea. The artificial chamber has an outer cap that can be moved in a downward direction to secure the cornea. The cap has an opening that exposes a portion of the cornea to allow for the extraction of a corneal graft. The outer cap is attached to an outer sleeve that is moved by rotation of a cam. The chamber includes a spring that exerts a clamping force onto the cornea. The clamping force can be adjusted by rotating an adjustment wheel. The adjustable spring force allows an operator to set a desired clamping force that is then repeated for each grafting procedure.

Referring to the drawings more particularly by reference numbers,

FIG. 1

shows an embodiment of an artificial chamber

10

of the present invention. The artificial chamber

10

may include a stem

12

that is coupled to a stand

14

. The stem

12

is coupled in a manner to allow movement relative to the stand

14

. The stem

12

may have a countersunk opening

16

in a pedestal portion

17

. The countersink

16

and pedestal portion

17

are configured to support a cornea (not shown). The opening

16

may be in fluid communication with a center fluid channel

18

. The fluid channel

18

may be in fluid communication with inlet/outlet ports

20

and

22

. The inlet/outlet ports

20

and

22

are typically coupled to a source of pressurized air through a control valve (not shown). By way of example, the source of pressurized air may be an air line in a commercial building structure.

The artificial chamber

10

may further have an outer sleeve

24

that can move relative to the stem

12

. The stem

12

may have an outer upper bearing surface

26

to insure translational movement of the outer sleeve

24

. The outer sleeve

24

may include a slot

28

that receives an actuator

30

. The actuator

30

may include a threaded stem portion

32

that screws into a corresponding threaded aperture

34

of the stand

14

. The actuator

30

may also have a cam portion

36

that is off-center from the stem portion

32

so that rotation of the cam

36

moves the outer sleeve

24

in an up and down direction as indicated by the arrows.

An outer cap

38

is attached to the outer sleeve

24

. The cap

38

may have internal threads

40

that screw onto corresponding external threads

42

of the outer sleeve

24

. The cap

38

is adapted to engage and secure a donor cornea that is placed onto the pedestal portion

17

of the stem

12

. The cap

38

further has an opening

44

that allows a portion of the donor cornea to be exposed so that a graft can be extracted from the cornea. The cap

38

may have an external thread

45

that allows a keratome to be attached to the chamber

10

and actuated to create the corneal graft.

The chamber

10

may further have a spring

46

that exerts a spring force onto stem

12

. The spring force can be adjusted by rotating an adjustment wheel

48

that can vary the compression length of the spring

46

. The adjustment wheel

48

can be accessed through an opening

50

in the outer sleeve

24

. Rotating the wheel

48

varies the clamping force exerted by the cap

38

onto the cornea. The spring

46

and wheel

48

provide a mechanism to repeatedly provide a desired clamping force onto the cornea that is neither inadequate nor excessive.

In operation, the cap

38

is removed from the outer sleeve

24

and a cornea

52

is placed onto the pedestal portion

17

of the stem

12

. The cap

38

is then reattached to the outer sleeve

24

. As shown in

FIG. 2

, the actuator

30

is rotated to move the cap

38

down into the cornea

52

. Air is then introduced to the inner channel

18

to pressurize the cornea

52

. A portion of the cornea

52

will extend through the cap opening

44

. An external device such as a keratome (not shown) can be attached to the cap

38

and actuated to extract a graft from the cornea

52

. Once the graft is removed, the cornea

52

can be depressurized. The actuator

30

can then be rotated to move the cap

38

away from the donor cornea

52

, wherein the cap

38

can be detached from the outer sleeve

24

and the cornea

52

removed from the stem

12

to complete the procedure.

While certain exemplary embodiments have been described and shown in the accompanying drawings, it is to be understood that such embodiments are merely illustrative of and not restrictive on the broad invention, and that this invention not be limited to the specific constructions and arrangements shown and described, since various other modifications may occur to those ordinarily skilled in the art.

Claims

1. An artificial chamber that can support a cornea to create a corneal graft, comprising:a stand; a stem attached to said stand, said stem having a pedestal portion adapted to support the cornea and an air channel that can be in fluid communication with the cornea; an outer sleeve; a cap attached to said outer sleeve; and, an actuator that can create relative movement between said outer sleeve and said cap, and said stem.
2. The artificial chamber of claim 1, further comprising a spring that exerts a biasing force on said stem.
3. The artificial chamber of claim 2, further comprising an adjustment wheel that is coupled to said spring.
4. The artificial chamber of claim 1, wherein said actuator includes a cam.
5. The artificial chamber of claim 1, wherein said cap has an opening.
6. The artificial chamber of claim 3, wherein said outer sleeve has an opening that provides access to said adjustment wheel.
7. An artificial chamber that can support a cornea to create a corneal graft, comprising:a stand; a stem attached to said stand, said stem having a pedestal portion adapted to support the cornea and an air channel that can be in fluid communication with the cornea; an outer sleeve that can move relative to said stem; a cap attached to said outer sleeve, said cap having an opening that can expose a portion of the cornea; a spring that exerts a biasing force on said stem; and, a cam that can be rotated to move said cap into the cornea.
8. The artificial chamber of claim 7, further comprising an adjustment wheel that is coupled to said spring.
9. The artificial chamber of claim 8, wherein said outer sleeve has an opening that provides access to said adjustment wheel.
10. A method for removing a corneal graft from a cornea, comprising:placing the cornea on a stem; actuating an actuator to move an outer sleeve and a cap relative to the stem until the cap engages and secures the cornea; pressurizing the cornea; and, removing a corneal graft from the cornea.
11. The method of claim 10, wherein the outer sleeve and the cap are moved by rotating a cam.
12. The method of claim 10, further comprising moving the cap away from the cornea and removing the cornea from the stem.
13. The method of claim 10, further comprising adjusting a spring force that is exerted by the stem onto the cornea.
14. The method of claim 13, wherein the spring force is adjusted by rotating an adjustment wheel.

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Method and apparatus for facilitating removal of a corneal graft

Information

Patent Number

Date Filed

Date Issued

Inventors

Original Assignees

Examiners

Agents

CPC

US Classifications

Field of Search

US

International Classifications

Abstract

Description

Claims

US Referenced Citations (202)

Foreign Referenced Citations (3)

Non-Patent Literature Citations (24)