WO2004054471A2 - Accommodating intraocular lens system and method - Google Patents
Accommodating intraocular lens system and method Download PDFInfo
- Publication number
- WO2004054471A2 WO2004054471A2 PCT/US2003/039546 US0339546W WO2004054471A2 WO 2004054471 A2 WO2004054471 A2 WO 2004054471A2 US 0339546 W US0339546 W US 0339546W WO 2004054471 A2 WO2004054471 A2 WO 2004054471A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- lens
- fluid
- intraocular lens
- reservoir
- chamber
- Prior art date
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Classifications
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
- A61F2/16—Intraocular lenses
- A61F2/1613—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
- A61F2/1616—Pseudo-accommodative, e.g. multifocal or enabling monovision
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
- A61F2/16—Intraocular lenses
- A61F2/1613—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
- A61F2/1624—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus having adjustable focus; power activated variable focus means, e.g. mechanically or electrically by the ciliary muscle or from the outside
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
- A61F2/16—Intraocular lenses
- A61F2/1613—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
- A61F2/1624—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus having adjustable focus; power activated variable focus means, e.g. mechanically or electrically by the ciliary muscle or from the outside
- A61F2/1635—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus having adjustable focus; power activated variable focus means, e.g. mechanically or electrically by the ciliary muscle or from the outside for changing shape
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
- A61F2/16—Intraocular lenses
- A61F2/1613—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
- A61F2/1648—Multipart lenses
-
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/14—Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
- A61F2/16—Intraocular lenses
- A61F2/1613—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
- A61F2/1624—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus having adjustable focus; power activated variable focus means, e.g. mechanically or electrically by the ciliary muscle or from the outside
- A61F2/1627—Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus having adjustable focus; power activated variable focus means, e.g. mechanically or electrically by the ciliary muscle or from the outside for changing index of refraction, e.g. by external means or by tilting
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
- A61F2250/0053—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in optical properties
Definitions
- the relaxed capsule and lens take on a spherical shape.
- the capsule is connected around its circumference by approximately 70 tiny ligament fibers to the ciliary muscles, which in turn are attached to an inner surface of the eyeball.
- the ciliary muscles that support the lens and capsule therefore are believed to act in a sphincter muscular mode. Accordingly, when the ciliary muscles are relaxed, the capsule and lens are pulled about the circumference to a larger diameter, thereby flattening the lens, whereas when the ciliary muscles are contracted the lens and capsule relax somewhat and assume a smaller diameter that approaches a more spherical shape. This mechanism, called the "ciliary process" increases the diopter power of the lens.
- U.S. Pat. No. 5,443,506 to Garabet describes an accommodating fluid-filled lens wherein electrical potentials generated by contraction of the ciliary muscles cause changes in the index of refraction of fluid carried within a central optic portion.
- U.S. Pat. No. 5,443,506 to Garabet describes an accommodating fluid-filled lens wherein electrical potentials generated by contraction of the ciliary muscles cause changes in the index of refraction of fluid carried within a central optic portion.
- Substrate 41 preferably comprises a sturdy transparent polymer and includes haptics 46, central chamber 47, reservoirs 48, passageways 49 and relief chambers 50 formed in each of upper surface 51 and lower surface 52.
- Central chamber 47 communicates with reservoirs 48 disposed on the ends of haptics 46 via passageways 49.
- Central chamber 47, reservoirs 48 and passageways 49 are filled with transparent fluid 54, such as silicone.
- the outwardly directed surfaces of haptics 46 preferably comprise a resilient elastic material that permits force applied to those surfaces by the ciliary muscles to cause fluid to move from reservoirs 48 through passageways 49 into central chamber 47.
- Anterior element 43 preferably comprises a rigid transparent material, and includes anterior lens 55, and relief reservoirs 56. The interior surface of anterior element 43 is convex and forms upper chamber 57, which accommodates upward motion of flexible transparent layer 42, as described hereinbelow.
- Relief reservoirs 56 are disposed in alignment with relief chambers 50 in substrate 41, outside the optical path of anterior lens
- tops 165 of cells 163 to contract, and flexible layer 166 resiliently contracts to its original position.
- fluid is forced into the cells by ciliary forces acting on the reservoirs through the haptics, so that the actuator works in a direction parallel to the optical axis of the lens.
- cells 163 of the embodiment of FIGS. 10 act not only to deflect flexible layer 166, but also serve as fulcrum contact points.
Landscapes
- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
Description
Claims
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CA2507694A CA2507694C (en) | 2002-12-12 | 2003-12-12 | Accommodating intraocular lens system and method |
EP03813397A EP1585563A4 (en) | 2002-12-12 | 2003-12-12 | Accommodating intraocular lens system and method |
AU2003300879A AU2003300879B2 (en) | 2002-12-12 | 2003-12-12 | Accommodating intraocular lens system and method |
JP2004560806A JP4480585B2 (en) | 2002-12-12 | 2003-12-12 | Intraocular lens adjustment and method |
AU2010235988A AU2010235988A1 (en) | 2002-12-12 | 2010-10-22 | Accommodating intraocular lens system and method |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US43304602P | 2002-12-12 | 2002-12-12 | |
US60/433,046 | 2002-12-12 |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2004054471A2 true WO2004054471A2 (en) | 2004-07-01 |
WO2004054471A3 WO2004054471A3 (en) | 2009-02-26 |
Family
ID=32595110
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2003/039546 WO2004054471A2 (en) | 2002-12-12 | 2003-12-12 | Accommodating intraocular lens system and method |
Country Status (6)
Country | Link |
---|---|
US (2) | US7122053B2 (en) |
EP (2) | EP1585563A4 (en) |
JP (1) | JP4480585B2 (en) |
AU (2) | AU2003300879B2 (en) |
CA (1) | CA2507694C (en) |
WO (1) | WO2004054471A2 (en) |
Cited By (44)
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EP1816984A2 (en) * | 2004-10-22 | 2007-08-15 | PowerVision | Accomodating intraocular lens system and method |
JP2007532162A (en) * | 2004-04-07 | 2007-11-15 | カール ツァイス ズルギカル ゲーエムベーハー | Artificial lens for focusable eye |
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JP2008544817A (en) * | 2005-07-01 | 2008-12-11 | パワーヴィジョン・インコーポレーテッド | Accommodating intraocular lens system and method |
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US20070088433A1 (en) * | 2005-10-17 | 2007-04-19 | Powervision | Accommodating intraocular lens system utilizing direct force transfer from zonules and method of use |
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2003
- 2003-12-12 EP EP03813397A patent/EP1585563A4/en not_active Withdrawn
- 2003-12-12 AU AU2003300879A patent/AU2003300879B2/en not_active Ceased
- 2003-12-12 CA CA2507694A patent/CA2507694C/en not_active Expired - Fee Related
- 2003-12-12 JP JP2004560806A patent/JP4480585B2/en not_active Expired - Lifetime
- 2003-12-12 EP EP12181876.9A patent/EP2559405A3/en not_active Withdrawn
- 2003-12-12 US US10/734,514 patent/US7122053B2/en active Active
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2006
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2010
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Also Published As
Publication number | Publication date |
---|---|
CA2507694C (en) | 2012-07-31 |
US20070010880A1 (en) | 2007-01-11 |
US7122053B2 (en) | 2006-10-17 |
WO2004054471A3 (en) | 2009-02-26 |
AU2010235988A1 (en) | 2010-11-11 |
AU2003300879B2 (en) | 2010-07-22 |
JP2006518222A (en) | 2006-08-10 |
US7485144B2 (en) | 2009-02-03 |
EP1585563A2 (en) | 2005-10-19 |
EP2559405A2 (en) | 2013-02-20 |
CA2507694A1 (en) | 2004-07-01 |
EP2559405A3 (en) | 2013-06-26 |
AU2003300879A1 (en) | 2004-07-09 |
JP4480585B2 (en) | 2010-06-16 |
US20040169816A1 (en) | 2004-09-02 |
EP1585563A4 (en) | 2012-03-21 |
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