JP7312177B2 - 眼科手術のための装置および方法 - 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
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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
- A61F9/00754—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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
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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
- A61F9/00745—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments using mechanical vibrations, e.g. ultrasonic
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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
- 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
- A61F9/00781—Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment
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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
- A61F9/008—Methods or devices for eye surgery using laser
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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
- A61F9/013—Instruments for compensation of ocular refraction ; Instruments for use in cornea removal, for reshaping or performing incisions in the cornea
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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
- A61F9/013—Instruments for compensation of ocular refraction ; Instruments for use in cornea removal, for reshaping or performing incisions in the cornea
- A61F9/0133—Knives or scalpels specially adapted therefor
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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
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00115—Electrical control of surgical instruments with audible or visual output
- A61B2017/00119—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
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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
- A61F9/008—Methods or devices for eye surgery using laser
- A61F2009/00861—Methods or devices for eye surgery using laser adapted for treatment at a particular location
- A61F2009/0087—Lens
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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
- A61F9/008—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
- A61F2009/00889—Capsulotomy
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Description
この出願は、2017年12月14日に出願された「眼科手術のための装置および方法」というタイトルの同時係属中の米国仮特許出願番号62/598,857、および2018年7月11日に出願された「眼科手術のための装置および方法」というタイトルの62/696,769の優先権を主張する。これらの開示は、全ての目的のためにそれらの全体が参照により本明細書に組み込まれる。
Claims (15)
- 眼の水晶体嚢内でレンズを切断するための外科用装置であって、前記装置は、
前記装置の長手方向軸に沿ってハウジングから延びるシャフトであって、該シャフトは、管腔および遠位端を有する、シャフトと、
前記シャフトの管腔を通って移動可能な切断要素であって、該切断要素は、第1の端部、第2の端部、および前記第1の端部と前記第2の端部との間に形成された遠位ループを有する少なくとも第1の区分要素を備える、切断要素と、
前記切断要素に動作可能に結合され、前記ハウジングの長手方向軸に沿って移動可能なスライダと、
前記スライダに結合され、前記ハウジング内に含まれるストロークカウント機構と、を備え、
前記切断要素は、スライダの遠位伸長時に、第1の収縮構成から第2の拡張構成に移行するように構成され、
前記第2の拡張構成では、前記少なくとも第1の区分要素の遠位ループは、前記シャフトの遠位端の外側に位置する拡大開口領域を規定し、前記拡大開口領域は、前記シャフトの遠位端に対して遠位に前進する第1の脚および前記シャフトの遠位端の近位に配置される第2の脚を有し、
前記ストロークカウント機構は、前記スライダの遠位延長および/または近位延長を追跡し、前記スライダの遠位延長を防止するロックアウトイベントを引き起こすように構成される、装置。 - 前記ストロークカウント機構は、
複数のランプブロックを有する円筒形のカウントバレルと、
ハードストップと、
前記カウントバレルを前記装置の長手方向軸の周りで回転させるように、前記カウントバレル上の複数のランプブロックと係合するように形作られ配置された一対のスライダランプと、を備える、請求項1に記載の装置。 - 前記スライダの各遠位延長は、前記円筒形のカウントバレルを、前記装置の長手方向軸の周りの完全な回転の分数に回転させる、請求項2に記載の装置。
- 前記円筒形のカウントバレルは、前記ロックアウトイベントが発生する前に、最大で24分数になるように構成される、請求項3に記載の装置。
- 前記ロックアウトイベントは、前記ロックアウトイベント後に、前記スライダの近位への後退を可能にする、請求項1に記載の装置。
- 前記スライダは、前記ロックアウトイベントが発生して、前記スライダが後方位置にロックされる前に、遠位方向に3~30ストローク延びるように構成される、請求項1に記載の装置。
- 前記装置は、ロックアウト警告機能をさらに備える、請求項2に記載の装置。
- 前記ロックアウト警告機能は、前記ハウジングを通って延びるロックアウト警告窓を備え、前記ストロークカウント機構のハードストップに対する前記ハウジング内の前記カウントバレルの位置の可視表示を提供する、請求項7に記載の装置。
- 前記カウントバレルは、外面に一連のマーキングを有し、前記ロックアウト警告窓に対して軸方向に固定されている、請求項8に記載の装置。
- 前記一連のマーキングは、前記スライダによって実行されるいくつかの遠位延長を示す、請求項9に記載の装置。
- 前記スライダは、シャッタ窓をさらに備え、前記スライダが前記ハウジングの遠位端領域に向かって動かされると、前記スライダのシャッタ窓と前記ハウジングのロックアウト警告窓は整列し、前記バレルの一連のマーキングが表示され、前記スライダが前記ハウジングの遠位端領域から近位に離れて動かされると、前記スライダのシャッタ窓と前記ハウジングのロックアウト警告窓は整列せず、前記バレルの一連のマーキングは見えない、請求項8に記載の装置。
- 前記ストロークカウント機構は、前記装置の長手方向軸と同軸に整列された中心軸を有する円筒形のカウントバレルと、前記スライダの各遠位延長で前記バレルが前記中心軸の周りを回転するように対応するねじと係合する螺旋ねじと、を備える、請求項1に記載の装置。
- 前記装置は、前記対応するねじの終端を備えるハードストップを備える、請求項12に記載の装置。
- 前記ハウジング内の前記カウントバレルの位置は、前記ハウジングの窓を通して識別できる、請求項12に記載の装置。
- 前記カウントバレルの外面の少なくとも一部は、前記ロックアウトイベントが発生する前に利用可能な前記スライダの遠位延長の表示を提供する前記窓を通して見える色を有する、請求項14に記載の装置。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201762598857P | 2017-12-14 | 2017-12-14 | |
US62/598,857 | 2017-12-14 | ||
US201862696769P | 2018-07-11 | 2018-07-11 | |
US62/696,769 | 2018-07-11 | ||
PCT/US2018/065800 WO2019118901A2 (en) | 2017-12-14 | 2018-12-14 | Devices and methods for ocular surgery |
Publications (2)
Publication Number | Publication Date |
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JP2021506396A JP2021506396A (ja) | 2021-02-22 |
JP7312177B2 true JP7312177B2 (ja) | 2023-07-20 |
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JP2020532684A Active JP7312177B2 (ja) | 2017-12-14 | 2018-12-14 | 眼科手術のための装置および方法 |
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US (2) | US10932951B2 (ja) |
EP (1) | EP3723676B1 (ja) |
JP (1) | JP7312177B2 (ja) |
KR (1) | KR20200098599A (ja) |
CN (1) | CN111727025B (ja) |
AU (1) | AU2018385705B2 (ja) |
BR (1) | BR112020011860A2 (ja) |
CA (1) | CA3085339A1 (ja) |
IL (1) | IL275306A (ja) |
WO (1) | WO2019118901A2 (ja) |
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CA3041813A1 (en) | 2016-10-26 | 2018-05-03 | Carl Zeiss Meditec Cataract Technology Inc. | Methods and devices for cutting a lens in an eye |
AU2018261640B2 (en) | 2017-05-04 | 2023-04-27 | Carl Zeiss Meditec Cataract Technology Inc. | Devices and methods for ocular surgery |
CN111727025B (zh) * | 2017-12-14 | 2022-10-25 | 卡尔蔡司白内障医疗技术公司 | 眼科手术的装置 |
JP7325451B2 (ja) | 2018-06-05 | 2023-08-14 | カール・ツァイス・メディテック・キャタラクト・テクノロジー・インコーポレイテッド | 眼科顕微手術ツール、システム、および使用方法 |
US11684501B2 (en) | 2019-01-14 | 2023-06-27 | Cook Medical Technologies Llc | Multipurpose handle |
KR20210124298A (ko) | 2019-02-01 | 2021-10-14 | 칼 짜이스 메디텍 캐터랙트 테크놀로지 인크. | 일체형 흡인 펌프를 갖는 안과 절단 기구 |
AU2020277300A1 (en) | 2019-05-17 | 2021-12-16 | Carl Zeiss Meditec Cataract Technology Inc. | Ophthalmic cutting instruments having integrated aspiration pump |
WO2020247165A2 (en) | 2019-06-07 | 2020-12-10 | Carl Zeiss Meditec Cataract Technology Inc. | Multi-stage trigger for ophthalmology cutting tool |
ES2883999B2 (es) * | 2020-06-04 | 2022-12-15 | Marticorena Salinero Jose Joaquin | Instrumento quirurgico para cirugia de vitreoretina |
CN112883503B (zh) * | 2020-11-05 | 2021-08-03 | 中国长江三峡集团有限公司 | 基于ptfe膜对风机叶片气动特性影响的数值模拟方法 |
JP2022138079A (ja) * | 2021-03-09 | 2022-09-22 | ソニーグループ株式会社 | 手術システム並びに手術支援方法 |
DE102021109773A1 (de) | 2021-04-19 | 2022-10-20 | Carl Zeiss Ag | Phakoemulsifikationssystem |
IT202100013205A1 (it) * | 2021-05-20 | 2022-11-20 | Univ Degli Studi Cagliari | Strumento chirurgico oftalmologico |
USD1018842S1 (en) | 2021-11-24 | 2024-03-19 | Iantrek, Inc. | Cannula assembly for an ocular implant delivery device |
US11642246B1 (en) * | 2021-12-06 | 2023-05-09 | Jon Gordon Dishler | Vibrating surgical instrument |
WO2024127191A1 (en) * | 2022-12-14 | 2024-06-20 | Alcon Inc. | Grasping structures for membrane removal |
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IL275306A (en) | 2020-07-30 |
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US10932951B2 (en) | 2021-03-02 |
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