Injector with two partial injector bodies and two partial pistons and packaging with the injector

Abstract

Injector for introducing an intraocular lens (13) into the capsular bag of an eye, comprising an injector body (2), a piston (3) arranged longitudinally displaceable in the injector body (2) in an insertion direction (11) in which the intraocular lens (13) is to be moved out of the injector (1) for insertion into the capsular bag, and a joint (8), wherein the injector body (2) comprises a first partial injector body (4) having a tip (9) with a tip opening (10), and a second partial injector body (5) having a proximal end (18) of the injector body (2) and being pivotably attached to the first partial injector body (4) by means of the joint (8), thereby enabling the injector body (2) to be positioned in a working state in which the proximal end (18) is located away from the tip opening (10) and a storage state. is pivotable in that the injector body (2) has a shorter extension in the insertion direction (11) than in the operating state,wherein the injector body (2) can be brought from the storage state to the operating state by pivoting the proximal end (18) away from the tip opening (10), wherein the piston (3) has a first partial piston (6) which is arranged longitudinally displaceable on the first partial injector body (4), and a second partial piston (7) which is arranged spaced apart from the first partial piston (6) in the storage state and which, in the operating state, is configured to displace the first partial piston (6) in the insertion direction (11) by longitudinally displacing the second partial piston (7) in the insertion direction (11).

Description

[0001] The invention relates to an injector comprising a first partial injector body and a second partial injector body, as well as a first partial piston and a second partial piston. The invention also relates to a package containing the injector.

[0002] During cataract treatment, conventionally only a small incision is made in the cornea of ​​the eye, large enough to allow the tip of an injector to be inserted into the eye through the incision. After the incision has been made in the cornea, the lens of the eye is usually crushed using phacoemulsification and then suctioned out of the capsular bag of the eye. An intraocular lens is then inserted into the eye using the injector. The injector is conventionally supplied in sterile packaging, which is opened at the earliest shortly before the cataract treatment. The packaging must then be disposed of. However, this disadvantageously generates a large amount of waste. DE 10 2020 115 489 A1 discloses an injector arrangement for inserting an intraocular lens. DE 600 03 908 T2 discloses a holding device for intraocular lenses and injection devices, as well as methods for their use.

[0003] The object of the invention is therefore to provide an injector for inserting an intraocular lens into the capsular bag of an eye and a packaging with the injector, which generate only a small amount of waste.

[0004] The injector according to the invention for inserting an intraocular lens into the capsular bag of an eye comprises an injector body, a piston, and a joint. The piston is arranged in the injector body so as to be longitudinally displaceable in an insertion direction in which the intraocular lens is to be displaced out of the injector for insertion into the capsular bag. The injector body comprises a first partial injector body having a tip with a tip opening, and a second partial injector body having a proximal end of the injector body and pivotably attached to the first partial injector body by means of the joint, whereby the injector body can be pivoted into a use state in which the proximal end is arranged facing away from the tip opening, and a storage state in which the injector body has a shorter extension in the insertion direction than in the use state.By pivoting the proximal end away from the tip opening, the injector body can be brought from the storage state into the use state. The piston has a first partial piston, which is arranged longitudinally displaceably on the first partial injector body, and a second partial piston, which in the storage state is arranged at a distance from the first partial piston and which, in the use state, is configured to displace the first partial piston in the insertion direction by longitudinally displacing the second partial piston in the insertion direction.

[0005] By arranging the injector with the injector body in its storage state in a package, the package can be provided with a different surface to volume ratio than a conventional package with a conventional injector whose injector body cannot be pivoted from the storage state to the use state. For example, in a case where the volume of the package is equal to the volume of the conventional package, the surface of the package can be made smaller than the surface of the conventional package. In a comparative example, the package and the conventional package can each have the shape of a cuboid, wherein a height of the cuboid is oriented in the insertion direction, a width of the cuboid is oriented transversely to the insertion direction, and a depth of the cuboid is oriented perpendicular to the height and perpendicular to the width. In the comparative example, the height for the conventional package is 5 wE(arbitrary units), width 2 wE, and depth 1 wE. For the same volume of the package as the conventional package, the height of the package is 3 wE, the width 2 / 0.6≈3.33 wE, and the depth 1 wE. In this comparative example, the surface area of ​​the package is 96% of the surface area of ​​the conventional package.

[0006] The injector body preferably has a locking mechanism that is configured to lock into place in the use state, thus preventing the injector body from pivoting out of the use state. This advantageously prevents the injector body from pivoting out of the use state, particularly while the intraocular lens is being inserted into the capsular bag.

[0007] It is preferred that the injector comprises a folding wedge configured to fold the intraocular lens before the intraocular lens is displaced out of the injector.

[0008] It is particularly preferred that the folding wedge is coupled to the second partial injector body and / or to the second partial piston in such a way that pivoting the proximal end out of the storage state and toward the tip opening of the folding wedge folds the intraocular lens. The folding wedge can be attached to the second partial piston and protrude from the second partial piston, and / or the folding wedge can be attached to the second partial injector body and protrude from the second partial injector body.

[0009] Alternatively, it is particularly preferred that the folding wedge is coupled to the second partial injector body and / or to the second partial piston in such a way that pivoting the proximal end out of the storage state and away from the tip opening of the folding wedge folds the intraocular lens. The injector can have a tension element that is attached to the second partial piston and / or to the second partial injector body and is attached to the folding wedge and by means of which the folding wedge is coupled to the second partial injector body and / or to the second partial piston. The tension element can be, for example, a cable or a rod.

[0010] The injector preferably has the intraocular lens arranged in the first injector body and in the insertion direction between the first partial piston and the tip opening.

[0011] It is preferred that the injector is configured to wet the intraocular lens with a fluid when the injector body is pivoted from the storage state to the use state. Wetting the intraocular lens with the fluid can prevent damage to the intraocular lens when the intraocular lens is displaced by the piston. Because it is necessary to pivot the injector body into the use state before inserting the intraocular lens into the capsular bag, the intraocular lens is automatically wetted. The fluid can be, for example, an ophthalmic viscoelastic device (OVD) or a physiological saline solution.

[0012] It is preferred that the first partial injector body has a chamber in which the fluid is arranged and which has a chamber opening, wherein the second partial injector body and / or the second partial piston is configured to press the fluid out of the chamber via the chamber opening by pivoting the injector body from the storage state into the use state. By pressing the fluid out of the chamber, the intraocular lens can be wetted by the fluid. The injector preferably has a chamber piston which is arranged so as to be longitudinally displaceable in the chamber. In the storage state, the fluid is preferably arranged in the insertion direction between the chamber piston and the chamber opening.The second partial injector body and / or the second partial piston can contact the chamber piston and displace it towards the chamber opening when the injector body is pivoted from the storage state to the use state, whereby the chamber piston pushes the fluid out of the chamber opening.

[0013] The injector preferably has a locking device that has a locking state, in which the locking device locks a longitudinal displacement of the first partial piston and / or the second partial piston, and an unlocking state, in which the locking device enables the longitudinal displacement of the first partial piston and / or the second partial piston. By providing the locking device, it is possible, for example, to prevent the first partial piston and / or the second partial piston from moving out of the injector housing outside of the use state. It is particularly preferred that the injector is configured to move the locking device from the locking state to the unlocking state by pivoting the injector body from the storage state to the use state. As a result, the locking device automatically moves into the unlocking state, making the injector particularly error-free during use.

[0014] It is preferred that the injector is configured such that the second partial piston displaces the first partial piston in the insertion direction when the injector body is pivoted from the storage state to the use state.

[0015] In the packaging according to the invention, the injector is arranged in the packaging and the injector body is arranged in the storage state.

[0016] The invention is explained in more detail below with reference to the attached schematic drawings. Fig. 1 a longitudinal section through a first embodiment of the injector according to the invention in a storage state of an injector body of the injector, Fig. 2 the longitudinal section Fig. 1 in a state of use of the injector body, Fig. 3 a side view of a second embodiment of the injector, Fig. 4 a longitudinal section of a third embodiment of the injector, Fig. 5 a longitudinal section of a fourth embodiment of the injector and Fig. 6 a plan view of a package with a fifth embodiment of the injector.

[0017] How it turns out Fig. 1 to 6, an injector 1 for inserting an intraocular lens 13 into the capsular bag of an eye comprises an injector body 2, a piston 3, and a joint 8. The piston 3 is arranged in the injector body 2 so as to be longitudinally displaceable in an insertion direction 11, in which the intraocular lens 13 is to be displaced out of the injector 1 for insertion into the capsular bag. The injector body 2 comprises a first partial injector body 4, which has a tip 9 with a tip opening 10, and a second partial injector body 5, which has a proximal end 18 of the injector body 2 and which is preferably pivotably attached to the first partial injector body 4 by means of the joint 8, whereby the injector body 2 can be brought into a use state (see Fig. 2), in which the proximal end 18 of the tip opening 10 is arranged facing away, and a storage state (see Fig. 1 and 3 to 6) in that the injector body 2 has a shorter extension in the insertion direction 11 than in the use state. By pivoting the proximal end 18 away from the tip opening 10, the injector body 2 can be brought from the storage state into the use state. The joint 8 can be a bearing with a pin element that is guided in a bearing sleeve. However, it can also be a flexible spring joint or film joint, or generally any element or group of elements that enables mutual mobility of the first partial injector body 4 relative to the second partial injector body 5.The piston 3 has a first partial piston 6, which is arranged so as to be longitudinally displaceable on the first partial injector body 4, and a second partial piston 7, which in the storage state is arranged at a distance from the first partial piston 6 and which, in the use state, is configured to displace the first partial piston 6 in the insertion direction 11 by longitudinally displacing the second partial piston 7 in the insertion direction 11. The intraocular lens 13 can be displaced by the piston 3 in the use state of the injector body 2 via the tip opening 10 out of the injector 1. The second partial piston 7 can be attached to the second partial injector body 5, in particular attached so as to be longitudinally displaceable on the second partial injector body 2.

[0018] The second partial piston 7 can, for example, be configured to contact the first partial piston 6 in order to displace the first partial piston 6 in the insertion direction 11, compare Fig. 2. The first partial piston 6 can have a coupling recess 19, into which the longitudinal end of the second partial piston 7 located in the insertion direction 11 in the use state engages when the second partial piston 7 displaces the first partial piston 6, compare Fig. 6. Alternatively, it is conceivable that the second partial piston 7 has a coupling recess 19, into which the longitudinal end of the first partial piston 6 located opposite to the insertion direction 11 engages when the second partial piston 7 displaces the first partial piston 6, compare Fig. 1, Fig. 2, Fig. 4 and Fig. 5. A locking element on the first partial piston 6 is also conceivable, which can engage with a counterpart in the second partial piston 7 or otherwise couple the first partial piston 6 to the second partial piston 7, for example, by magnetic force. The second partial piston 7 can have a thumb rest 12 at its longitudinal end, which is arranged facing away from the tip opening 10 in the use state. This thumb rest is formed by a thickening of the second partial piston 7.

[0019] In order to bring the injector body 2 from the storage state into the use state, a pivoting of the second partial injector body 5 relative to the first partial injector body 4 about the joint 8 of at least 90°, in particular at least 135° or at least 165° or at least 170°, may be necessary.

[0020] Fig. 1 and Fig. 2 show that the injector 1 can be configured such that the second partial piston 7 displaces the first partial piston 6 in the insertion direction 11 when the injector body 2 is pivoted from the storage state to the use state. For this purpose, in the storage state, the first partial piston 6 can protrude from the first partial injector body 4 opposite to the insertion direction 11, see Fig. 1. Alternatively or additionally, it is conceivable that the second partial piston 7, in the storage state, protrudes beyond the end of the second partial injector body 5 facing away from the proximal end 18. It is conceivable that the first partial injector body 4 has walls inclined relative to the insertion direction 11, along which the intraocular lens 13 slides when the injector body 2 is pivoted from the storage state to the use state, whereby the intraocular lens 13 is pre-folded.

[0021] Alternatively, it is conceivable that the first partial piston 6 is arranged completely within the first partial injector body 4 in the stored state, and that the second partial piston 7 does not protrude beyond the end of the second partial injector body 5 facing away from the proximal end 18 in the stored state. This allows a package in which the injector 1 is to be arranged to be designed to be particularly small.

[0022] Fig. 1 and Fig. 2 show that the injector body 2 can have a latching mechanism 21 that is configured to latch in the use state and thus locks pivoting of the injector body 2 out of the use state. For this purpose, the first partial injector body 4 can have a latching recess 22 and the second partial injector body 5 can have a latching projection 23 that is arranged in the latching recess 22 in the use state and outside the latching recess 22 when not in use. Alternatively, it is conceivable for the first partial injector body 4 to have a latching projection 23 and the second partial injector body 5 to have a latching recess 22, wherein the latching projection 23 is arranged in the latching recess 22 in the use state and outside the latching recess 22 when not in use.

[0023] How it turns out Fig. 3 and Fig. As can be seen in Figure 4, the injector 1 can have a folding wedge 30 configured to fold the intraocular lens 13 before the intraocular lens 13 is displaced out of the injector 1. For this purpose, the folding wedge 30 can be displaced in a direction transverse to the insertion direction 11, and the folding wedge 30 can contact the intraocular lens 13 centrally and thus bulge it. Fig. 3 shows that the folding wedge 30 can be coupled to the second partial injector body 5 and / or to the second partial piston 7 in such a way that by pivoting the proximal end 18 out of the storage state and toward the tip opening 10, the folding wedge 30 folds the intraocular lens 13. For example, the folding wedge 30 can be attached to the second partial piston 7 and protrude from the second partial piston 7 (cf. Fig. 3) and / or the folding wedge 30 can be attached to the second partial injector body 5 and protrude from the second partial injector body 5. Fig. 4 shows that the folding wedge 30 can be coupled to the second partial injector body 5 and / or to the second partial piston 7 in such a way that pivoting the proximal end 18 out of the storage state and away from the tip opening 10 causes the folding wedge 30 to fold the intraocular lens 13. For this purpose, the injector 1 can have a tension element 31 that is fastened to the second partial piston 7 and / or to the second partial injector body 5 and to the folding wedge 30 and by means of which the folding wedge 30 is coupled to the second partial injector body 5 and / or to the second partial piston 7. The tension element 31 can be, for example, a cable or a rod. The first partial injector body 4 can have a stop 32 that limits displacement of the folding wedge 30. The tension element 31 can, for example, be designed to tear when the folding wedge 30 strikes the stop 32.Alternatively, it is conceivable that the pulling element 31 is designed to be decoupled from the folding wedge 30, the second partial injector body 5 and / or the second partial piston 7, either manually or automatically, when the folding wedge 30 strikes the stop 32.

[0024] Fig. 5 shows that the injector 1 has a locking device 20, which has a locking state in which the locking device 20 locks a longitudinal displacement of the first partial piston 6 and / or the second partial piston 7, and an unlocking state in which the locking device 20 enables the longitudinal displacement of the first partial piston 6 and / or the second partial piston 7. The locking device 20 can be formed, for example, by a pin 14 that extends through an injector body through-hole 17 and engages in a piston recess 16 formed in the piston 3. The pin 14 can have a head 15, which is a thickened portion of the pin 14 and is arranged outside the injector body 2. By providing the head 15, the pin 14 can be easily grasped by one hand and thus removed from the piston recess 16, whereby the locking means 20 comes into the unlocked state.It is conceivable that the injector 1 is configured to move the locking device 20 from the locked state to the unlocked state by pivoting the injector body 2 from the storage state to the use state. For this purpose, the injector body 2 can, for example, have a projection that strikes the pin 14 when the injector body 2 pivots, thus causing it to break.

[0025] The injector 1 can comprise the intraocular lens 13, which is arranged in the first injector body 2 and in the insertion direction 11 between the first partial piston 6 and the tip opening 10, see Fig. 1, Fig. 2, Fig. 4 and Fig. 5. Fig. 5 shows that the injector 1 can be configured to wet the intraocular lens 13 with a fluid 42 when the injector body 2 is pivoted from the storage state into the use state. For this purpose, the first partial injector body 4 can have a chamber 40 in which the fluid 42 is arranged and which has a chamber opening 43, wherein the second partial injector body 5 and / or the second partial piston 7 is configured to press the fluid 42 out of the chamber 40 via the chamber opening 43 and thus to wet the intraocular lens 13 with the fluid 42 by pivoting the injector body 2 from the storage state into the use state. The chamber opening 43 can be sealed, for example, by a rupture disk or a membrane that is configured to burst when the fluid 42 is pressed out of the chamber 40.The injector 1 can have a chamber piston 41 that is arranged longitudinally displaceably in the chamber 40, wherein the fluid 42 is arranged between the chamber opening 43 and the chamber piston 41 in the insertion direction 11. The fluid can be, for example, an ophthalmic viscoelastic device (OVD) or a physiological saline solution.

[0026] How it turns out Fig. 6, the injector 1 can be arranged in a package 50, wherein the injector body 2 is arranged in the storage state. The package 50 can have a base 51, which can in particular have a recess 52, in which the injector 1 is arranged. The package 50 can also have a lid 53, which together with the base 51 delimits an interior space 55 of the package 50, wherein the injector 1 is arranged in the interior space 55. The base 51 and the lid 53 can contact each other in a completely circumferential sealing surface 54, so that the interior space 55 is hermetically sealed. The lid 53 can be transparent, as shown in Fig. 3 is shown for example. List of reference symbols 1 injector 2 injector bodies 3 pistons 4 first partial injector body 5 second partial injector body 6 first partial piston 7 second partial piston 8 joint 9 top 10 tip opening 11 Insertion direction 12 Thumb rest 13 Intraocular lens 14 pin 15 heads 16 Piston recess 17 Injector body through hole 18 proximal end 19 Coupling recess 20 locking device 21 locking mechanism 22 Snap-in recess 23 Snap-in projection 30 folding wedge 31 Tension element 32 stops 40 chambers 41 chamber pistons 42 Fluid 43 Chamber opening 50 packaging 51 Base 52 Deepening 53 lids 54 Sealing surface 55 Interior

Claims

[1] Injector for inserting an intraocular lens (13) into the capsular bag of an eye, comprising an injector body (2), a piston (3) which is arranged in the injector body (2) so as to be longitudinally displaceable in an insertion direction (11) in which the intraocular lens (13) is to be displaced out of the injector (1) for insertion into the capsular bag, and a joint (8), wherein the injector body (2) comprises a first partial injector body (4) which has a tip (9) with a tip opening (10), and a second partial injector body (5) which has a proximal end (18) of the injector body (2) and which is pivotably attached to the first partial injector body (4) by means of the joint (8), whereby the injector body (2) can be brought into a use state in which the proximal end (18) is arranged facing away from the tip opening (10), and a storage position can be swivelled,in which the injector body (2) has a shorter extension in the insertion direction (11) than in the use state, wherein the injector body (2) can be brought from the storage state into the use state by pivoting the proximal end (18) away from the tip opening (10), wherein the piston (3) has a first partial piston (6) which is arranged longitudinally displaceably on the first partial injector body (4), and a second partial piston (7) which, in the storage state, is arranged at a distance from the first partial piston (6) and which, in the use state, is configured to displace the first partial piston (6) in the insertion direction (11) by longitudinally displacing the second partial piston (7) in the insertion direction (11). [2] Injector according to claim 1, wherein the injector (1) comprises a folding wedge (30) configured to fold the intraocular lens (13) before the intraocular lens (13) is displaced out of the injector (1). [3] Injector according to claim 2, wherein the folding wedge (30) is coupled to the second partial injector body (5) and / or to the second partial piston (7) in such a way that by pivoting the proximal end (18) out of the storage state and towards the tip opening (10) the folding wedge (30) folds the intraocular lens (13). [4] Injector according to claim 2, wherein the folding wedge (30) is coupled to the second partial injector body (5) and / or to the second partial piston (7) in such a way that by pivoting the proximal end (18) out of the storage state and away from the tip opening (10), the folding wedge (30) folds the intraocular lens (13). [5] Injector according to one of claims 1 to 4, wherein the injector (1) comprises the intraocular lens (13) arranged in the first injector body (2) and in the insertion direction (11) between the first partial piston (6) and the tip opening (10). [6] Injector according to claim 5, wherein the injector (1) is arranged to wet the intraocular lens (13) with a fluid (42) when the injector body (2) is pivoted from the storage state to the use state. [7] Injector according to claim 6, wherein the first partial injector body (4) has a chamber (40) in which the fluid (42) is arranged and which has a chamber opening (43), wherein the second partial injector body (5) and / or the second partial piston (7) is arranged to press the fluid (42) out of the chamber (40) via the chamber opening (43) by pivoting the injector body (2) from the storage state into the use state. [8] Injector according to one of claims 1 to 7, wherein the injector (1) has a locking device (20) which has a locking state in which the locking device (20) locks a longitudinal displacement of the first partial piston (6) and / or the second partial piston (7), and an unlocking state in which the locking device (20) enables the longitudinal displacement of the first partial piston (6) and / or the second partial piston (7). [9] Injector according to one of claims 1 to 8, wherein the injector (1) is arranged such that the second partial piston (7) displaces the first partial piston (6) in the insertion direction (11) when the injector body (2) is pivoted from the storage state to the use state. [10] Packaging with the injector (1) according to one of claims 1 to 9, wherein the injector (1) is arranged in the packaging (50) and the injector body (2) is arranged in the storage state.

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