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Capsulotomy device

A technology of capsulotomy and cutting elements, which is applied in the field of tissue microsurgery, and can solve the problems of difficult manipulation of instruments, tearing and damage at the incision site, etc.

Active Publication Date: 2014-08-27
セントリシティビジョンインコーポレイテッド
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

Microsurgical instruments are often not compact enough, or not streamlined enough in shape to make it difficult for physicians to minimize incision size, or there may be a risk of tearing or other damage at the incision site
Cutting elements or other sharp parts are sometimes exposed during insertion, requiring great precision from the physician and creating a further risk of collateral injury to tissue when inserting the instrument through the incision
In addition, such insertions often require multiple steps and sometimes complex manipulation of instruments by the physician, leaving little room for error
Once inserted, instruments are often not easy to maneuver and physicians are forced to handle and move multiple individual parts in a small space

Method used

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Examples

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Embodiment approach

[0138] As is current practice, cataract surgery is accomplished by filling the anterior chamber with a "viscoelastic material". Viscoelastic materials are materials that behave as elastic solids on short time scales and flow as viscous fluids on long time scales. Therefore, if it is timed as a short pulse that coincides with the discharge, the suction force can be greatly increased. The mechanical movement of the capsular membrane at the electrodes can be small (eg 0.005mm-0.05mm). The suction force is limited by cavitation, but cavitation takes time to develop, and the timing of the pulses is too short (eg, less than 0.010 seconds). So, according to one embodiment of the invention, the order of usage would be:

[0139] 1. Apply low level suction to establish a seal of the suction cup against the lens.

[0140] 2. Start high puff pulse (mechanical pulse will be slower than discharge).

[0141] 3. At the peak of the puff, discharge an electrical pulse.

[0142] 4. Switch o...

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PUM

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Abstract

A surgical device and procedure for accessing tissue to perform microsurgery, including a capsulotomy of a lens capsule of an eye. The device includes a handpiece with a tip for insertion into an incision. A sliding element is disposed within the handpiece and a suction cup is mounted to the sliding element. The sliding element can be translated to move the suction cup into and out of the handpiece. A compression mechanism associated with the suction cup and the handpiece compresses the suction cup for deployment through the tip of the handpiece. The suction cup can expand inside the anterior chamber into a cutting position. A cutting element mounted to the suction cup is used to cut a portion and to remove the portion. The cutting element may be mounted to a cutting element support structure in a way that prevents heating of the device.

Description

[0001] Inventor: CHRISTOPHER GUILD KELLER [0002] Cross References to Related Applications [0003] This application claims the benefit of US Provisional Patent Application No. 61 / 550,111, filed October 21, 2011, the disclosure of which is incorporated herein by reference. technical field [0004] The present invention relates generally to tissue microsurgery, and more particularly to procedures and devices for accessing tissue through another tissue layer to cut or otherwise manipulate tissue. For example, the procedures and devices may be used to deliver ophthalmic surgical devices through the cornea to the anterior lens capsule membrane in the anterior chamber of the eye. Background technique [0005] Lens cataracts are a leading cause of blindness worldwide, and surgical treatment by cataract removal is the treatment of choice. A cataract is a cloud that forms within the lens of the eye or its enclosure. The formation of opaque areas within the lens blocks light fro...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61F9/007
CPCA61B18/1402A61B2018/00291A61B2018/1407A61B18/14A61B2018/00321A61B2018/00601A61F9/00754A61F9/0017
Inventor C·G·科勒
Owner セントリシティビジョンインコーポレイテッド
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