The present invention relates to a ring used in a ophthalmic surgical procedure.
There are various ophthalmic procedures that require the dilation of the pupil. For example, cataracteous lenses are typically replaced in a procedure commonly referred to as phacoemulsification or phaco for short. In a phaco procedure the lens is broken up with an instrument, typically with an ultrasonically driven tool. The instrument has an aspiration port that aspirates the broken lens material from the patient's ocular chamber.
It is desirable to extend the pupil during a phaco procedure to provide the surgeon with a wide view of the lens. One technique for extending the pupil includes pulling back the iris with a series of plastic hooks. It is has been found that using plastic hooks can cause damage to iris tissue.
A ring used to maintain a pupil in an extended position during an ophthalmic procedure. The ring has a plurality of loops.
Described herein is a method of implanting a continuous iris-expanding ring in an eye. The method can include drawing the continuous iris-expanding ring into a cannula, wherein the continuous iris expanding ring transitions from a first expanded configuration into a collapsed configuration in the cannula; inserting a distal end of the cannula into the eye; ejecting the continuous iris-expanding ring from the distal end of the cannula toward an iris of the eye; securing a distal portion of the continuous iris-expanding ring to the iris of the eye; and securing a proximal portion of the continuous iris-expanding ring to the iris of the eye. The iris surrounds a pupil, and the continuous iris-expanding ring is in a second expanded configuration when the proximal portion and the distal portion of the continuous iris-expanding ring are secured to the iris of the eye and extend across the pupil. The continuous iris-expanding ring can be fully expanded into the second expanded configuration from the collapsed configuration after securing the distal portion of the continuous iris-expanding ring to an iris of the eye. The method can further include securing a first lateral portion of the continuous iris expanding ring to the iris of the eye. The method can further include securing a second lateral portion of the continuous iris expanding ring to the iris of the eye. The first lateral portion of the continuous iris-expanding ring can be secured to the iris of the eye after the distal portion of the continuous iris-expanding ring is secured to the iris of the eye. The method can further include retracting a hook through the cannula, wherein the hook is configured to grasp the continuous iris-expanding ring and to draw the continuous iris-expanding ring into the cannula as the hook is retracted through the cannula. A proximal end of the cannula can be connected to an inserter handle and the method can further include sliding a slider on the inserter handle to retract the hook through the cannula. The method can further include moving the proximal portion of the continuous iris expanding ring away from the distal portion of the continuous iris-expanding ring while sliding the slider on the inserter handle. Inserting the distal end of the cannula into the eye can include inserting the distal end of the cannula into an anterior chamber of the eye.
Described herein is a method of implanting a continuous iris-expanding ring in an eye. The method can include ejecting the continuous iris-expanding ring from a distal end of a cannula toward an iris of the eye, wherein the continuous iris-expanding ring is in a collapsed configuration in the cannula prior to being ejected; following ejecting the continuous iris-expanding ring from the distal end of the cannula, securing a distal portion of the continuous iris-expanding ring to the iris of the eye; and securing a proximal portion of the continuous iris-expanding ring to the iris of the eye. The iris surrounds a pupil, and the continuous iris-expanding ring is in an expanded configuration when the proximal portion and the distal portion of the continuous iris-expanding ring are secured to the iris of the eye and extend across the pupil. The method can further include inserting the distal end of the cannula into the eye. Inserting the distal end of the cannula into the eye can include inserting the distal end of the cannula into an anterior chamber of the eye. A distance between the proximal portion and the distal portion of the continuous iris-expanding ring in the collapsed configuration can be different from the distance between the proximal portion and the distal portion of the continuous iris expanding ring in the expanded configuration. The continuous iris-expanding ring can be fully expanded into the expanded configuration from the collapsed configuration after securing the distal portion of the continuous iris-expanding ring to the iris of the eye. The method can further include securing a first lateral portion of the continuous iris expanding ring to the iris of the eye. The method can further include securing a second lateral portion of the continuous iris expanding ring to the iris of the eye. The first lateral portion of the continuous iris-expanding ring can be secured to the iris of the eye after the distal portion of the continuous iris-expanding ring is secured to the iris of the eye. A proximal end of the cannula can be connected to an inserter handle and the method can further include sliding a slider on the inserter handle to retract the hook through the cannula. The method can further include moving the proximal portion of the continuous iris expanding ring away from the distal portion of the continuous iris-expanding ring while sliding the slider on the inserter.
The foregoing will be apparent from the following more particular description of example embodiments of the invention, as illustrated in the accompanying drawings in which like reference characters refer to the same parts throughout the different views. The drawings are not necessarily to scale, emphasis instead being placed upon illustrating embodiments of the present invention.
A description of example embodiments of the invention follows.
Described is a ring that can maintain a pupil in an extended position during an ophthalmic procedure. The ring has a plurality of loops that capture iris tissue. The ring is configured to extend the pupil when iris tissue is inserted into each loop. An ophthalmic procedure such as phacoemulsification can then be performed on the patient. The ring has a center opening that provides a wide view of the ocular chamber during the procedure.
Referring to the drawings more particularly by reference numbers,
The ring 10 preferably has a square configuration such that the sides 20, 22, 24 and 26 are of equal dimension. Although a square ring is shown and described, it is to be understood that the ring may have a rectangular configuration where all sides 20, 22, 24 and 26 are not of equal dimension. Additionally, the ring may have a nonrectangular shape. For example, the ring 10 may be shaped as a triangle that has three sides and three loops located at the ring corners. Although three and four sided rings have been described, it is to be understood that the ring may have any number of side and loops. The ring 10 is preferably constructed from a molded plastic material, although it is to be understood that other materials such as metal or plastic coated metal may be employed.
As shown in
As shown in
The injector 100 includes a cannula 120 attached to a handle 122. Within the cannula 120 is a wire hook 124. The wire hook 124 is connected to an inner slide tube 126 located within the handle 122. A button 128 is attached to the inner slide tube 126. The injector 100 may also have a pair of guide pins 130 that are attached to the handle 122 and cooperate with corresponding channel features 132 of the base plate 106 to properly align the injector 100 when the cannula 120 is inserted into the base plate channel 110.
In operation, the cannula 120 is inserted into the base plate channel 110. When fully inserted the wire hook 124 extends to approximately the center of the ring 10. The cover 104 may have an opening 134 that allows an operator to visually see the hook 124 within the ring opening. An operator then pulls the button 128 in the direction indicated by the arrow. Pulling the button 128 causes the hook 124 to grasp the ring loops and pull the ring 10 into the cannula 120. The recess 112 has tapered walls 136 to assist in the ring collapsing within the channel 110 for insertion into the cannula 120. Once loaded, the ring 10 can be injected into a patient's eye by pushing the button 128 in the opposite direction.
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.
This application is a continuation of U.S. application Ser. No. 13/661,982, now U.S. Pat. No. 10,537,470, filed Oct. 26, 2012, which is a continuation of U.S. application Ser. No. 12/074,742, now U.S. Pat. No. 8,323,296, filed Mar. 5, 2008, which claims the benefit of U.S. Provisional Application No. 60/918,405 filed on Mar. 15, 2007. The entire teachings of the above applications are incorporated herein by reference.
Number | Name | Date | Kind |
---|---|---|---|
1506186 | Owen et al. | Aug 1924 | A |
2761457 | Wood | Sep 1956 | A |
3975779 | Richards et al. | Aug 1976 | A |
4037589 | McReynolds | Jul 1977 | A |
4177802 | Ogami | Dec 1979 | A |
4203168 | Rainin et al. | May 1980 | A |
4321916 | McKee | Mar 1982 | A |
4387706 | Glass | Jun 1983 | A |
4412532 | Anthony | Nov 1983 | A |
4428746 | Mendez | Jan 1984 | A |
4446582 | Hanna | May 1984 | A |
4782820 | Woods | Nov 1988 | A |
4991567 | McCuen et al. | Feb 1991 | A |
5163419 | Goldman | Nov 1992 | A |
5267553 | Graether | Dec 1993 | A |
5290292 | Householder | Mar 1994 | A |
5299564 | Sabatino | Apr 1994 | A |
5318011 | Federman et al. | Jun 1994 | A |
5322054 | Graether | Jun 1994 | A |
5334217 | Das | Aug 1994 | A |
5374272 | Arpa et al. | Dec 1994 | A |
5427088 | Graether | Jun 1995 | A |
5441045 | Federman et al. | Aug 1995 | A |
5456274 | Selbee | Oct 1995 | A |
5489295 | Piplani | Feb 1996 | A |
5634884 | Graether | Jun 1997 | A |
5693085 | Buirge | Dec 1997 | A |
5951565 | Freeman | Sep 1999 | A |
6068643 | Milverton | May 2000 | A |
6200336 | Pavcnik | Mar 2001 | B1 |
6231583 | Lee | May 2001 | B1 |
6332866 | Grieshaber | Dec 2001 | B1 |
6497724 | Stevens | Dec 2002 | B1 |
6620098 | Milverton | Sep 2003 | B1 |
6814748 | Baker | Nov 2004 | B1 |
7305996 | Kraft | Dec 2007 | B2 |
7412993 | Tzeng | Aug 2008 | B2 |
7985180 | Brown | Jul 2011 | B2 |
7985190 | Gruber | Jul 2011 | B2 |
8257256 | Krolman | Sep 2012 | B1 |
8323296 | Malyugin | Dec 2012 | B2 |
8376743 | Bukhary | Feb 2013 | B1 |
8439833 | Christensen et al. | May 2013 | B2 |
8439933 | Akahoshi | May 2013 | B2 |
8496583 | Reynard | Jul 2013 | B1 |
8900136 | Cote | Dec 2014 | B2 |
9089397 | Clarke | Jul 2015 | B2 |
D735857 | Dykes | Aug 2015 | S |
9504459 | Nallakrishnan | Nov 2016 | B1 |
9763653 | Malyugin | Sep 2017 | B2 |
9918710 | Malyugin | Mar 2018 | B2 |
9974688 | Malyugin | May 2018 | B2 |
9980852 | Malyugin | May 2018 | B2 |
10080558 | Bhattacharjee | Sep 2018 | B2 |
10357235 | Dykes | Jul 2019 | B2 |
10517582 | Malyugin | Dec 2019 | B2 |
10537470 | Malyugin | Jan 2020 | B2 |
10537473 | Malyugin | Jan 2020 | B2 |
11219438 | Malyugin | Jan 2022 | B2 |
20020004676 | Wallace | Jan 2002 | A1 |
20020120277 | Hauschild | Aug 2002 | A1 |
20030092970 | Lee | May 2003 | A1 |
20050192606 | Paul, Jr. | Sep 2005 | A1 |
20070239141 | Hartley | Oct 2007 | A1 |
20080108879 | Brown | May 2008 | A1 |
20080243139 | Dusek | Oct 2008 | A1 |
20080262592 | Jordan | Oct 2008 | A1 |
20080269888 | Malyugin | Oct 2008 | A1 |
20080275461 | Nallakrishnan | Nov 2008 | A1 |
20090259260 | Bentley | Oct 2009 | A1 |
20100274257 | Neusidl | Oct 2010 | A1 |
20120136322 | Alster | May 2012 | A1 |
20120289786 | Dusek | Nov 2012 | A1 |
20130053860 | Malyugin | Feb 2013 | A1 |
20130096386 | Christensen | Apr 2013 | A1 |
20130131458 | Malyugin | May 2013 | A1 |
20130267988 | Sussman | Oct 2013 | A1 |
20130331939 | Stevens | Dec 2013 | A1 |
20140221759 | Mackool | Aug 2014 | A1 |
20140378773 | Dykes | Dec 2014 | A1 |
20150164658 | Jones | Jun 2015 | A1 |
20150164685 | Bhattachaijee | Jun 2015 | A1 |
20150265269 | Malyugin | Sep 2015 | A1 |
20170265851 | Kahook | Sep 2017 | A1 |
20170312126 | Malyugin | Nov 2017 | A1 |
20170312127 | Malyugin | Nov 2017 | A1 |
20180303474 | Malyugin | Oct 2018 | A1 |
20180333301 | Malyugin | Nov 2018 | A1 |
20200305857 | Malyugin | Oct 2020 | A1 |
20220125422 | Malyugin | Apr 2022 | A1 |
20220313237 | Cote | Oct 2022 | A1 |
Number | Date | Country |
---|---|---|
2512606 | Aug 2004 | CA |
93 20 127 | Apr 1994 | DE |
14506 | Feb 2000 | RU |
14505 | Sep 2000 | RU |
2326630 | Jun 2008 | RU |
WO 9515120 | Jun 1995 | WO |
WO 0032141 | Jun 2000 | WO |
2008115454 | Sep 2008 | WO |
WO 2008115455 | Sep 2008 | WO |
Entry |
---|
Specification of U.S. Appl. No. 60/918,405. (Year: 2007). |
Drawings of U.S. Appl. No. 60/918,405. (Year: 2007). |
Cimberle, M., “New Pupil Expander Easier to Implant, Gentle on the Iris,” Ocular Surgery News Europe Asia Edition, [online], May 2006 [retrieved on Mar. 27, 2013]. Retrieved from the Internet URL: http://www.osnsupersite.com/view.aspx?rid=16863. |
He et al., “Distribution and Heritability of Iris Thickness and Pupil Size in Chinese: Tire Guangzhou Twin Eye Study”, Apr. 2009, IOVS ARVO Journal, vol. 50, Issue 4, pp. 1593-1597. |
International Search Report dated Jul. 23, 2008 for International Application No. PCT/US2008/003472, entitled “Ring Used in a Small Pupil Phacoemulsification Procedure”. |
International Preliminary Report on Patentability dated Sep. 15, 2009 for International Application No. PCT/US2008/003472,entitled “Ring Used in a Small Pupil Phacoemulsification Procedure”. |
Ma et al., “Technique for removal of a capsular tension ring from the vitreous,” Ophthalmology, pp. 1142-1144, 2003. |
Number | Date | Country | |
---|---|---|---|
20200315845 A1 | Oct 2020 | US |
Number | Date | Country | |
---|---|---|---|
60918405 | Mar 2007 | US |
Number | Date | Country | |
---|---|---|---|
Parent | 13661982 | Oct 2012 | US |
Child | 16745668 | US | |
Parent | 12074742 | Mar 2008 | US |
Child | 13661982 | US |