Injector, intraocular lens system, and related methods

Abstract

To provide an injector for injecting an intraocular lens into an eye.SOLUTION: A first arm (72) includes a first hinge portion connecting the first arm to a central optic. A second arm (74) includes a second hinge portion connecting the second arm to the central optic.SELECTED DRAWING: Figure 2A

Description

[Technical Field]

[0001] CROSS-REFERENCE TO RELATED APPLICATIONS This patent application claims the benefit of priority to U.S. Patent Application No. 16 / 017,369, filed June 25, 2018, which claims the benefit of priority to U.S. Provisional Patent Application No. 62 / 525,317, filed June 27, 2017, and U.S. Provisional Patent Application No. 62 / 534,988, filed July 20, 2017. Each of the above related applications is incorporated herein by reference in its entirety.

[0002] The present disclosure relates generally to intraocular lens (IOL) systems and associated injectors. More specifically, the present disclosure relates to various embodiments of modular IOL systems and injector designs for improved injection of IOL components into the eye. [Background technology]

[0003] The human eye functions to provide vision by transmitting light through a clear outer portion called the cornea and focusing the image onto the retina via the lens. The quality of the focused image depends on many factors, including the size and shape of the eyeball and the transparency of the cornea and lens.

[0004] When the lens becomes less transparent (e.g., cloudy) due to aging or disease, vision is impaired because less light can pass through to the retina. This defect in the eye's lens is medically known as a cataract.

[0005] The accepted treatment for this condition is to surgically remove the lens from the capsular bag and place an artificial intraocular lens (IOL) in the bag. Cataractous lenses are removed through a surgical technique called phacoemulsification. During this procedure, an incision (capsulotomy) is made in the anterior surface of the lens capsule, and a thin phacoemulsification tip is inserted into the diseased lens and vibrated ultrasonically. The vibrating tip liquefies or emulsifies the lens, allowing it to be aspirated out of the capsule.

[0006] Once removed, the diseased lens is replaced with an IOL, which is inserted into the eye using an injector and placed into the empty capsular bag. In some cases, as in the case of a broken trailing IOL haptic, poor technique or training can result in the IOL getting caught in the injector or breaking. To address this issue, improved injector design is needed. Summary of the Invention [Means for solving the problem]

[0007] An embodiment of the present disclosure provides an injector for injecting one or more components of an IOL system into an eye, the injector having a housing, a cartridge for holding the IOL system components, a distal nozzle having a tapered lumen, and a plunger disposed within a channel of the housing and having a tip, the plunger tip may have two arms that change between an expanded configuration when disposed at the proximal end of the nozzle lumen and a contracted configuration when disposed at the distal end of the nozzle lumen.

[0008] The arms may have a gap between them that decreases as the arms pass through the nozzle. As the arms pass through the nozzle, the arms may remain in contact with the inner wall of the nozzle lumen. The distal ends of the arms may be free, for example, or may be attached to a collapsible linkage. The arms may include inwardly extending fingers that are offset relative to each other so that the arms bypass each other as they move toward each other. The fingers may be configured to prevent an IOL system component from passing through the gap between the arms.

[0009] The distal end of the arm or the distal end of the link may include a ramp with a distal-most edge and a distal-facing surface. The distal-facing surface may be configured to engage and press against an IOL system component. The distal-most edge may contact an inner wall of the nozzle lumen to prevent the IOL system component from passing between the arm and the inner wall as the IOL system component passes through the nozzle.

[0010] Embodiments of the present disclosure also provide a modular IOL system that includes a primary component, such as a base, and a secondary component, such as a lens.

[0011] According to one aspect of the present disclosure, an intraocular lens system may include a base that may include an annular body, an opening extending axially through the annular body, and a recess extending circumferentially around the opening. The system may also include a lens insertable into and removable from the recess. The lens may include a central optic, a first tab protruding radially away from the central optic, and a second tab protruding radially away from the central optic. The second tab may have a greater resistance to radial compression than the first tab. The first tab may include a first arm protruding radially away from the central optic, a second arm protruding radially away from the central optic and extending away from the first arm, and a third arm extending from the first arm to the second arm. Movement of one or more of the first, second, and third arms may result in deformation of the first tab.

[0012] According to another aspect of the present disclosure, an intraocular lens system may include a base including an annular body, an opening extending axially through the annular body, and a recess extending circumferentially around the opening. The system may also include a lens configured to be inserted into and removable from the recess. The lens may include a central optic, a first tab extending radially away from the central optic, and a second tab extending radially away from the central optic. The second tab may have a greater resistance to compression than the first tab. The first tab may include a first arm extending radially away from the central optic, a second arm extending radially away from the central optic, and a third arm extending between the first and second arms. One or more of the first, second, and third arms are configured to deform to move the first tab between a compressed state and an extended state. In the extended state of the first tab, an obtuse angle may be formed between the first arm and the second arm.

[0013] According to another aspect of the present disclosure, a method for assembling an intraocular lens system may include inserting one of (a) a first tab and (b) a second tab of a lens of the intraocular lens system into a recess in a base of the intraocular lens system. The second tab may have a greater resistance to compression than the first tab. The lens may include a central optic, a first tab extending radially away from the central optic, and a second tab extending radially from the central optic. The first tab may include a first arm extending radially away from the central optic, a second arm extending radially away from the central optic and away from the first arm, and a third arm connecting the first arm and the second arm. The base may include an annular body and an opening extending through the annular body axially of the annular body. The recess may extend circumferentially around the opening. The method may also include inserting the other of the first and second tabs into the recess. At least one of the first tab and the second tab may be inserted into the recess while the other of the first tab and the second tab is in the recess.

[0014] Various other aspects and advantages of embodiments of the present disclosure are set forth in the following detailed description and drawings. It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory only and are not restrictive of the invention, as claimed.

[0015] The accompanying drawings, which are incorporated in and constitute a part of this specification, depict exemplary embodiments of the present disclosure and, together with the description, serve to explain the principles of the present disclosure. The drawings are not necessarily to scale, may contain similar elements that are numbered the same, and may include dimensions (in millimeters) and angles (in degrees) by way of example, but not necessarily by way of limitation. [Brief explanation of the drawings]

[0016] [Figure 1A] FIG. 1 is an exploded view of an IOL system injector according to one embodiment of the present disclosure. [Figure 1B] FIG. 1B is an assembled view of the IOL system injector shown in FIG. 1A. [Figure 2] FIG. 2 is a side view of the plunger of the IOL system injector shown in FIGS. 1A and 1B. [Figure 2A] FIG. 3 is an enlarged side view of the tip of the plunger shown in FIG. 2. [Figure 2B] FIG. 3 is an enlarged end view of the tip of the plunger shown in FIG. 2. [Figure 2C] FIG. 3 is an enlarged perspective view of the tip of the plunger shown in FIG. 2. [Figure 3A] FIG. 10 is an enlarged perspective view of an alternative plunger tip. [Figure 3B] FIG. 10 is an enlarged perspective view of another alternative plunger tip. [Figures 4A-4C] 3 is a schematic diagram illustrating how the tip of the plunger of FIG. 2 is crushed as the tip passes through the nozzle. [Figure 5] FIG. 1 is a perspective view of the base of a modular IOL system. [Figure 5A] FIG. 6 is a cross-sectional view taken along line AA in FIG. 5. [Figure 6] FIG. 1 is a top view of a lens of a modular IOL system. [Figure 7] FIG. 2 is a perspective view of a loading cartridge for use with the IOL system injector shown in FIGS. 1A and 1B. [Figure 7A] FIG. 8 is an end view of the loading cartridge shown in FIG. 7. [Figure 7B] FIG. 8 is a cross-sectional view taken along line BB in FIG. 7. [Figure 7C] FIG. 7C is the same cross-sectional view as shown in FIG. 7B, with the base disposed therein. [Figure 8] 1. FIG. 3 is a perspective view of an alternative holder for use with the IOL system injector shown in FIG. [Figure 8A] FIG. 9 is an enlarged perspective view of the holder shown in FIG. 8. [Figure 8B] 9 is an enlarged perspective view of the holder shown in FIG. 8 with the base disposed therein. DETAILED DESCRIPTION OF THE INVENTION

[0017] overview The following detailed description describes various embodiments of the IOL system injector. Features described with reference to any one embodiment may be applied to and incorporated into other embodiments.

[0018] Exemplary Embodiments Referring to FIG. 1A, an IOL system injector 10 generally includes an injector housing 20, a plunger 30, a loading cartridge 40, a nozzle (also known as a cartridge tip) 50, and a spring 60. The housing 20 includes a finger grip 22, a nozzle holder 24, a cartridge holder 26, and an internal channel 28 extending therethrough. The plunger 30 includes a thumb pad 32, a proximal shaft 34, a distal shaft 36, and a plunger tip 70. The IOL system loading cartridge 40 includes a first folding wing 42, a second folding wing 44 having a locking mechanism, and a chamber 46 configured to hold the IOL system when the wings 42, 44 are closed. The nozzle 50 includes an internal lumen (not visible) having a cross-sectional area that decreases from proximal to distal. The nozzle 50 also includes a beveled tip 52 for insertion into an incision in the eye.

[0019] The injector 10 is modular in nature, such that the nozzle 50 may be inserted into the nozzle holder 24 of the housing 20, the cartridge may be inserted into the cartridge holder 26 of the housing 20, the spring 60 may be disposed on the distal shaft 36 of the plunger 30, and the plunger 30 together with the spring 60 may be inserted into the channel 28 of the housing 20, thereby forming the assembled IOL system injector 10, as shown in FIG. 1B.

[0020] In this configuration, an IOL system component may be loaded or preloaded into the chamber 46 of the loading cartridge 40. The loading cartridge 40 is placed in the cartridge holder 26 within the housing 20. The wings 42, 44 are then folded or closed, and the IOL system component is essentially rotated or folded, resulting in a reduced profile suitable for injection. Using one hand, with two fingers on the finger grip 22 of the housing 20 and a thumb on the thumb pad 32 of the plunger 30, the plunger 30 may be advanced distally through the channel 28 within the housing 20 until the tip 70 of the plunger 30 engages an IOL system component within the loading cartridge 40. With the nozzle tip 52 inserted into the incision in the eye, further advancement of the plunger 30 will force the IOL system component out of the loading cartridge 40 and into the nozzle 50. As the plunger tip 70 and IOL system component are pushed through the nozzle 50, the tapered lumen within the nozzle 50 further reduces the profile of the rolled-up IOL system component, making it suitable for injection through a small incision in the eye. The plunger 30 may then be further advanced until the IOL system component exits the tip 52 of the nozzle 50 and is delivered into the eye.

[0021] With the exception of plunger 30 and its associated features (and the alternative loading cartridge and holder described below), the other components of injector 10 may be similar to the injector sold under the trade name Accuject 2.2-HT by Medicel of Switzerland. As described in more detail below, plunger 30 has many unique attributes. Accordingly, features of plunger 30 may be incorporated into other injector designs known in the art.

[0022] Referring to Figure 2, the plunger 30 is shown in more detail. As described above, the plunger 30 includes the thumb pad 32, the proximal shaft 34, the distal shaft 36, and the tip 70. The tip 70 is shown in more detail in Figures 2A, 2B, and 2C. The plunger tip 70 includes a first (upper) arm 72 and a second (lower) arm 74. The arms 72, 74 are connected to and extend distally from the distal shaft 36. As shown, the distal ends of the arms 72, 74 may be free and have no connection therebetween.

[0023] The arms 72, 74 are flexible and pivot about their connection to the distal shaft 36, allowing them to change between an extended configuration when disposed at the proximal end of the lumen within the nozzle 50 and a retracted configuration when disposed at the distal end of the lumen within the nozzle 50. The arms 72, 74 have a gap between them that decreases as the arms 72, 74 pass through the nozzle 50. In other words, the arms 72, 74 are squeezed together as the tip 70 passes through the nozzle 50. The outward facing surfaces of the arms 72, 74 remain in contact with the inner wall of the lumen of the nozzle 50 as they pass through the lumen.

[0024] Fingers 76, 78 extend inwardly in a curved proximal direction from arms 72, 74, respectively. As shown, the proximal ends of fingers 76, 78 may be attached to arms 72, 74 at positions set back from the distal-most ends of arms 72, 74, and the distal ends of fingers 76, 78 may be free. As best shown in FIG. 2B, fingers 76, 78 may be laterally offset relative to one another so as to bypass one another when arms 72, 74 are crushed together.

[0025] 2B , the profiles of arms 72, 74 may be configured (e.g., a rectangular profile having a height greater than its width when viewed end-on) so that the upper side of upper arm 72 and the lower side of lower arm 74 remain in contact with the interior walls defining the lumen within nozzle 50, but the sides of arms 72, 74 do not. This configuration allows arms 72, 74, along with fingers 76, 78, to span the entire lumen within nozzle 50 in one direction, preventing tip 70 from bypassing IOL system components as tip 70 advances through nozzle 50, which could otherwise cause the IOL to become stuck within nozzle 50. Additionally, because the sides of arms 72, 74 do not contact the interior walls defining the lumen within nozzle 50, even when plunger tip 70 bypasses an IOL system component, space is provided for the trailing haptics of the IOL system component to release as the haptics exit tip 52 of nozzle 50, thus preventing the IOL system component from becoming caught within nozzle 50. This configuration also reduces friction between tip 70 and the interior walls defining the lumen within nozzle 50, because only the upper and lower sides of arms 72, 74 contact the interior walls, not the sides.

[0026] 2A and 2B, dimensions are provided by way of example and not necessarily limitation. The arms 72, 74 have an expanded (unconstrained) height that is greater than the inner diameter of the lumen within the nozzle 50 and greater than the outer diameter of the distal plunger shaft 36, thereby allowing them to flare outward and distally. Each arm 72, 74 may have an overall length at least twice as large as its expanded height. The height and width of each arm 72, 74 may be at least five times less than their overall length, and their height may taper along their length. The arms 72, 74 may be diametrically opposed (i.e., 180 degrees apart), and their overall lengths may be approximately equal.

[0027] As best seen in FIG. 2C , one or both of arms 72, 74 may include a ramp 80 at the distal end. Ramped portion 80 may include a distal-most edge 82 and a distally-facing surface 84. Ramped portion 80 may be angled proximally and inwardly away from the inner wall of the lumen of nozzle 50 so that edge 82 contacts the inner wall and the slope of ramp 80 biases IOL system components away from the inner wall. This configuration reduces snagging of IOL system components between tip 70 and the inner wall of the lumen within nozzle 50 as tip 70 advances through nozzle 50.

[0028] Referring to FIG. 3A, an alternative plunger tip 70 is shown in detail. In this embodiment, the plunger tip 70 does not include fingers 76, 78, but rather includes a link 90 extending from and between the distal ends of the arms 72, 74. Other aspects of the plunger tip 70 may be the same or similar to those described above. The link 90 may include a hinge and / or be formed of a highly flexible material such that it can collapse when the arms 72, 74 are squeezed together as they advance through the nozzle 50. This configuration allows the arms 72, 74, along with the link 90, to span the entire lumen within the nozzle 50 in one direction, preventing the tip 70 from bypassing IOL system components that might otherwise become stuck within the nozzle 50 as the tip 70 advances through the nozzle 50. The link 90 may also include a ramp 80 that functions as described above.

[0029] 3B, another alternative plunger tip 70 is shown in detail. In this embodiment, the plunger tip 70 does not include fingers 76, 78, but rather includes a tongue 96 extending from arm 74 and into a groove defined by walls 92, 94 extending from arm 72. Other aspects of the plunger tip 70 may be the same or similar to those previously described. This tongue and groove configuration may serve the same or similar purpose as the fingers 76, 78.

[0030] 4A-4C, the advancement of plunger tip 70 through a lumen within nozzle (or cartridge tip) 50 is shown step-by-step and schematic. For this purpose, nozzle 50 is shown in perspective with distal beveled tip 52, distal opening 54, and through lumen 56, with only the distal portion of plunger 30, including tip 70, being shown. As previously noted, the cross-sectional area or diameter of lumen 56 within nozzle 50 gradually decreases from the proximal end to the distal end. Thus, arms 72, 74 gradually collapse together as the tip and IOL (not shown) pass through nozzle 50. In FIG. 4A, arms 72, 74 are in an expanded state when in the proximal portion of nozzle 50. In FIG. 4B, as tip 70 advances, arms 72, 74 are collapsed by the inner wall defining nozzle lumen 56, changing to a compressed or contracted state. In Figure 4C, arms 72, 74 are in a retracted state when in the proximal portion of nozzle 50. Note that in Figure 4A, the distal ends of fingers 76, 78 bypass each other, in Figure 4B they abut the inner surfaces of arms 72, 74, and in Figure 4C they bend inward. All the while, arms 72, 74, along with fingers 76, 78, span lumen 56 in at least one direction (but not all directions), keeping IOL system components in front of tip 70 and preventing them from getting caught between tip 70 and the inner wall of nozzle lumen 56. It will be apparent that in a plane orthogonal to the plane shown, the sides of arms 72, 74 and fingers 76, 78 do not contact the inner wall of nozzle lumen 56, thereby reducing friction.

[0031] The injector 10 may be used with a wide variety of IOL system components, including modular IOL system components and non-modular IOLs (e.g., one-piece and / or monolithic IOLs). By way of example and not limitation, the injector may be used to inject base and optic components that, when assembled, form a modular IOL system. The base and optic may be injected separately into the eye and assembled in the eye, or may be assembled outside the eye and injected together into the eye. Exemplary base component 400 5 and 5A, and an exemplary optical component 500 is described with reference to FIG. 6. Further details regarding similar modular IOL system configurations are described in U.S. Non-Provisional Patent Application No. 15 / 585,901, filed May 3, 2017, entitled "Intraocular Lens Designs for Improved Stability," which is incorporated herein by reference.

[0032] 5, base 400 includes an annular ring 402 defining a central bore 404. A pair of haptics 406 extend radially outward from annular ring 402. Annular ring 402 includes a lower rim 408, an upper rim 410, and an inwardly facing recess 412 into which lens 500 can be inserted to form a modular IOL system.

[0033] The lower rim 408 may include a pair of diametrically opposed (180-degree) folding notches 414, and the upper rim 410 may include a corresponding pair of folding notches 416. The folding notches 414, 416 may align with a mid-portion of the haptics 406 and are configured to provide a natural crease for folding the base in half within the loading cartridge 40 of the injector 10, thereby aligning the mid-portion of the haptics with the plunger tip 70. The notches 414, 416 can also provide access for a probe (e.g., a Thinskey hook) during surgery, thereby allowing the base 400 to be more easily manipulated. The haptics 406 may include holes 415 adjacent the annular ring 402 for intra-operative manipulation with a probe. A series of vent holes 413 may be distributed around the upper rim 410.

[0034] 5A , which is a cross-sectional view taken along line AA in FIG. 5 , the recess 412 may have a tapered profile defined by a horizontal posterior surface 418, a vertical side or outer surface 422, and a flared anterior surface 426 extending radially inward and anteriorly outward from the vertical outer surface 422. The inner diameter of the posterior rim 408 may be smaller than the inner diameter of the anterior rim 410. With this configuration, the lens 500 may be placed through the circular opening 404 defined by the anterior rim 410 and rest on the posterior rim 408, with the flared anterior wall 426, together with the flared posterior wall 428, acting as a funnel to guide the tabs 504 and 506 of the lens 500 into the depth of the recess 412. A pair of square edges 417 may extend around the posterior periphery of the annular ring 402 to help reduce cellular growth (posterior capsule opacification or PCO) on the lens 500.

[0035] Referring to FIG. 6 , a top (front) view of lens 500 is shown. Lens 500 may include an optic portion 502 and one or more tabs 504 and 506. As shown, tab 504 is fixed, while tab 506 may be actuated. In one example, tab 504 has a higher resistance to radial deformation (e.g., compression and / or expansion) than tab 506. Fixed tab 504 may include a through-hole 508 so that a probe (e.g., a Thinskey hook) or similar device may be used to engage hole 508 and manipulate tab 504. Actuable tab 506 may be actuated between a compressed position for delivery into hole 404 of base 400 and a non-compressed, extended position (as shown) for deployment into recess 412 of base 400, thereby forming an interlocking connection between base 400 and lens 500. It is also contemplated that the actuatable tab 506 may be inserted into the recess 412 and may be actuated between a compressed position that facilitates entry of the locking tab 504 into the recess 412 and a non-compressed, extended position that further inserts the locking tab 504 into the recess 412 to form an interlocking connection between the base 400 and the lens 500.

[0036] The actuatable tab 506 may include two arms 510 and 512 extending radially outward in different (e.g., opposite) directions. In one example, an obtuse angle may be formed between the directions. Each arm 510, 512 may have one end connected to an edge of the optic 502 and the other end connected to the intermediate arm 511. A hinge portion may connect the ends of the arms 510 and 512 to the optic 502 and the other ends of the arms 510 and 512 to the intermediate arm 511. Each of the arms 510, 511, and 512 may include one or more straight portions. In one example, the intermediate arm 511 may include two straight portions that meet at a midpoint of the intermediate arm 511. The intermediate arm 511 may be angled radially inward to have an apex at its midpoint, as shown. The apex may be a hinge portion. A portion of optic 502 and arms 510, 511, and 512 may form a ring around a hole through actuatable tab 506. The dimensions of that hole may change as actuatable tab 506 moves between compressed and extended states.

[0037] In this configuration, actuatable tab 506 may bend along all three arms 510, 511, 512 and / or along hinged portions as it moves between its compressed and extended states, but may provide a single portion (the apex of middle arm 511) for initial insertion into recess 412 in base 400. Rim 514 may extend around the periphery of optic 502 and terminate away from arms 510 and 512, thereby allowing arms 510 and 512 to be fully compressed against the edge of optic 502. The edge of optic 502 may be planar and may contact one or more flat surfaces of arms 510 and / or 512. The rim 514 of the lens 500 may have an outer diameter that is larger than the inner diameter of the rear rim 408 of the base 400, so that the lens 500 will not fall through the opening 404 in the base 400 and so that the lens 500 is supported circumferentially around its periphery by the rear rim 408 of the base 400. A gusset with a guide hole 516 may be disposed between the two arms 510 and 512 to facilitate manipulation by a probe. Similarly, the locking tab 504 may be provided with a guide hole 508 to provide access for a probe (e.g., a Thinskey hook) or similar device to manipulate the locking tab 504 into the recess 412 of the base 400. A notch 518 may be provided in the locking tab 504 to provide an asymmetry that visually indicates that the front side is up (rather than down) when the notch is in a counterclockwise direction of the hole 508.

[0038] The base 400 and lens 500, including alternative embodiments described herein, may be formed by cryogenically machining and polishing a hydrophobic acrylic material. Optionally, the base 400 may be manufactured by forming two components (anterior and posterior) and connecting them together with an adhesive. For example, the two components may be cryogenically machined from hydrophilic acrylic connected together with a UV-curable adhesive. Alternatively, the two components may be formed from different materials connected together with an adhesive. For example, the anterior component may be formed from a hydrophilic acrylic that does not adhere to ocular tissue, and the posterior component may be formed from a hydrophobic acrylic that adheres to ocular tissue.

[0039] As a further alternative, base 400 may be manufactured by cryogenically machining a first component and overmolding a second component. The first component may include geometric features that mate when overmolded, thereby eliminating the need for adhesives to connect the components. For example, base 400 may be manufactured by cryogenically machining a hydrophilic acrylic to form the rear component and overmolding a front component of a moldable material such as silicone.

[0040] Whether made from a single component, two components connected with an adhesive, or two components molded one over the other, all or a portion of the annular ring 402 may include coloring to enhance the visibility of the tabs 504, 506 relative to the recess 412 and to better determine whether the tabs 504, 506 are in front of, within, or behind the recess 412. In this embodiment, the annular ring 402 may be a first color and the tabs 504, 506 may be a second (different) color. Alternatively, if the annular ring 402 includes a front component and a rear component, either or both of the front and rear components may be a first color and the tabs 504, 506 may be a second (different) color. By way of example, the annular ring 402 may be blue (blue dye monomer additive) and the tabs 504, 506 may be a natural (clear) color. In this example, when viewed from front to rear, the anterior rim 410 has a larger inner diameter than the posterior rim 408, so the inner portion of the posterior rim 408 may appear light blue, and the overlap between the anterior rim 410 and the posterior rim 408 may appear dark blue. This color difference makes the location of the tabs 504, 506 relative to the recess 412 more visually apparent and may facilitate easier assembly of the optical component 500 onto the base 400.

[0041] As will be appreciated from the foregoing, optic 500 may be sized similarly to a conventional IOL, and base 400 may be slightly larger to allow optic 500 to fit within it. A conventional loading cartridge may be used for both base 400 and optic 500. However, it may be desirable to use a modified loading cartridge 40 with the base, as described with reference to Figures 7-7C.

[0042] With particular reference to FIGS. 7 and 7A, the loading cartridge 40 includes a first folding wing 42, a second folding wing 44 having a locking mechanism, and a chamber 46 configured to hold the base 400 when the wings 42, 44 are closed. Referring to FIG. 7B, a cross-sectional view taken along line BB in FIG. 7A, the sides of the chamber 46 may include shoulders 48 such that the proximal width of the chamber 46 is wider than the distal width of the chamber 46. By way of example and not limitation, the proximal width may be approximately 7.9 mm and the distal width may be approximately 6.6 mm. This configuration defines a tapered chamber lumen, such that as the plunger 30 pushes the base 400 distally, the relatively large base 400 gradually compresses into the proximal portion of the nozzle lumen 56. 7C, shoulder 48 abuts annular ring 402 of base 400, thereby providing a backstop for base 400 to maintain the axial (longitudinal) position of base 400 within loading cartridge 40, particularly when tip 70 of plunger 30 proximally engages base 400. Folding notch 414 in base 400 may be aligned with the longitudinal axis of loading cartridge 40 to provide a hinge for uniform diametric folding of base 400 when wings 42, 44 of loading cartridge 40 are closed.

[0043] As described above, the base 400 and / or optical element 500 may be loaded or pre-loaded into the chamber 46 of the loaded cartridge 40. If pre-loaded, a holder 100 may be used to hold the base 400 or optical element 500 in the chamber 46 of the loaded cartridge 40 during packaging and shipping, as shown in FIGS. 8-8B . The holder 100 may include a retaining plate 102, a connector portion 104, an arm 106, and a retaining pin 108. The retaining plate 102 may cover all or a portion of the base 400 or optical element 500 in the chamber 46. The connector portion 104 may be attached to a wing 42 of the cartridge 44, and the arm 106 may engage the other wing 42 of the cartridge 40 via one or more slots. The retaining pin 108 may extend from a side edge of the retainer plate 102 at a position set back from the proximal edge of the retainer plate 102 so as to be located between the annular ring 402 and the trailing or proximal haptic 402 of the base 400, as shown in Figure 8B. This configuration, when combined with the cartridge shoulder 48, retains the base 400 and limits movement in any direction during packaging and shipping.

[0044] The foregoing discussion of the present disclosure has been presented for purposes of illustration and description. The foregoing is not intended to limit the present disclosure to the form disclosed herein. While the present disclosure includes one or more embodiments and descriptions of certain variations and modifications, other variations and modifications are within the scope of the present disclosure, for example, as would be within the skill and knowledge of one of ordinary skill in the art after understanding the present disclosure. The intention is to claim the right to include, to the extent permitted, alternative embodiments, including alternative, interchangeable, and / or equivalent structures, functions, ranges, or steps, whether or not such alternative, interchangeable, and / or equivalent structures, functions, ranges, or steps are disclosed herein, and without intending to offer any patentable subject matter to the public.

[0045] While the principles of the present disclosure have been described herein with reference to illustrative embodiments for particular applications, it should be understood that the disclosure is not limited thereto. Those skilled in the art and having access to the teachings provided herein will recognize that all additional modifications, applications, embodiments, and equivalent substitutions are within the scope of the embodiments described herein. Accordingly, the present invention should not be deemed limited by the foregoing description. The present disclosure also includes the following inventions. The first aspect is cyclic bodies, an opening extending through the annular body in an axial direction of the annular body; and a base including a recess extending circumferentially around the opening; a lens insertable into and removable from the recess, the lens comprising: Central optics, a first tab projecting radially away from the central optic; and a second tab projecting radially away from the central optic and having a greater resistance to radial compression than the first tab; The first tab includes: a first arm projecting radially away from the central optic; a second arm projecting radially away from the central optic and extending away from the first arm; and a third arm extending from the first arm to the second arm; a lens, wherein movement of one or more of the first, second, and third arms results in deformation of the first tab; The intraocular lens system includes a first hinge portion connecting the first arm to the central optic, and a second hinge portion connecting the second arm to the central optic. The second aspect is The intraocular lens system of the first aspect, wherein the central portion of the third arm includes an apex of the third arm, the apex being the radially outermost portion of the third arm. The third aspect is The intraocular lens system of the first aspect, wherein each of the first, second, and third arms has at least one straight segment. The fourth aspect is In a third aspect of the intraocular lens system, the third arm has a first linear segment and a second linear segment, and the first linear segment and the second linear segment are connected at an apex. The fifth aspect is An intraocular lens system according to a third aspect, wherein an obtuse angle is formed between the first linear segment and the second linear segment. The sixth aspect is An intraocular lens system in a first aspect, wherein the first arm extends from the central optical component in a first direction, the second arm extends from the central optical component in a second direction, the second direction is different from the first direction, and an obtuse angle is formed between the first direction and the second direction. A seventh aspect is The second tab a first side surface protruding from a first radially outer surface of the central optic, the first side surface forming a first angle with the first radially outer surface; a second side surface protruding from a second radially outer surface of the central optic, wherein a second angle is formed between the second side surface and the second radially outer surface; In a first aspect, the intraocular lens system has a different magnitude of the first angle and the second angle. The eighth aspect is cyclic bodies, an opening extending through the annular body in an axial direction of the annular body; and a base including a recess extending circumferentially around the opening; a lens configured to be inserted into and removable from the recess, the lens comprising: Central optics, a first tab extending radially away from the central optic; and a second tab extending radially away from the central optic and having a greater resistance to compression than the first tab; The first tab includes: a first arm extending radially away from the central optic; a second arm extending radially away from the central optic; and a third arm extending between the first arm and the second arm; one or more of the first, second, and third arms are configured to deform to move the first tab between a compressed state and an extended state; a lens, wherein an obtuse angle is formed between the first arm and the second arm in the extended state of the first tab; The intraocular lens system includes a first hinge portion connecting the first arm to the central optic, and a second hinge portion connecting the second arm to the central optic. A ninth aspect is the first tab includes a first flat surface; An intraocular lens system according to an eighth aspect, wherein the central optic includes a second planar surface. A tenth aspect is 10. The intraocular lens system of claim 9, wherein in the extended state of the first tab, an acute angle is formed between the first plane and the second plane. An eleventh aspect is An intraocular lens system according to a ninth aspect, wherein the first plane and the second plane are configured to move toward each other as the first tab moves from the extended state to the compressed state. A twelfth aspect is An intraocular lens system according to an eighth aspect, wherein the central optical component includes a flat surface, and in the compressed state, one of the first arm and the second arm abuts the flat surface. A thirteenth aspect is the third arm includes a third hinge portion; In an eighth aspect of the intraocular lens system, the first, second, and third hinge portions are configured to bend as the first tab moves between the extended state and the compressed state. A fourteenth aspect is the first, second, and third arms and the central optic form a closed ring surrounding the aperture; An eighth aspect of the intraocular lens system, wherein the width of the hole narrows as the first tab moves to the compressed state. A fifteenth aspect is An intraocular lens system including a base and a lens, The base is an annular body including an upper rim and a lower rim; an opening extending through the annular body in the axial direction of the annular body; a first pair of diametrically opposed folding notches in the upper rim and a second pair of diametrically opposed folding notches in the lower rim configured to provide creases for folding the base; a recess extending circumferentially around the opening, the lens is insertable into and removable from the recess; a central optic; a first tab projecting radially away from the central optic; a second tab projecting radially away from the central optic and having a greater resistance to radial compression than the first tab; The first tab includes: a first arm projecting radially away from the central optic; a second arm projecting radially away from the central optic and extending away from the first arm; a third arm extending from the first arm to the second arm; movement of one or more of the first, second, and third arms results in deformation of the first tab; The intraocular lens system includes a first hinge portion connecting the first arm to the central optic, and a second hinge portion connecting the second arm to the central optic. A sixteenth aspect is 15. An intraocular lens system according to claim 15, wherein the central portion of the third arm includes an apex of the third arm, the apex being the radially outermost portion of the third arm. A seventeenth aspect is The intraocular lens system of a fifteenth aspect, wherein each of the first, second, and third arms has at least one straight segment. An eighteenth aspect is In a sixteenth aspect of the intraocular lens system, the third arm has a first straight section and a second straight section, and the first straight section and the second straight section are connected at a vertex. A nineteenth aspect is An intraocular lens system according to a seventeenth aspect, wherein an obtuse angle is formed between the first linear segment and the second linear segment. The twentieth aspect is An intraocular lens system in a fifteenth aspect, wherein the first arm extends from the central optical component in a first direction, the second arm extends from the central optical component in a second direction, the second direction is different from the first direction, and an obtuse angle is formed between the first direction and the second direction. A twenty-first aspect is The second tab a first side surface protruding from a first radially outer surface of the central optic, the first side surface forming a first angle with the first radially outer surface; a second side surface protruding from a second radially outer surface of the central optic, wherein a second angle is formed between the second side surface and the second radially outer surface; In a fifteenth aspect of the intraocular lens system, the first angle and the second angle have different magnitudes.

Claims

1. 1. An injector for injecting an intraocular lens into an eye, said injector comprising: a housing forming a channel therein; a nozzle connected to a distal portion of the housing, the nozzle defining a nozzle tip and a nozzle lumen extending therethrough from a proximal end to a distal end, the nozzle lumen tapering from a relatively large cross-sectional area at the proximal end to a relatively small cross-sectional area at the distal end; a plunger disposed within the channel of the housing, the plunger comprising a shaft and a plunger tip, the plunger tip attached to the shaft and comprising a plurality of arms extending distally from the shaft, the arms having an expanded configuration when disposed at the proximal end of the nozzle lumen and a contracted configuration when disposed at the distal end of the nozzle lumen, the arms having proximal and distal ends, at least one of the arms having a sloped portion at its distal free end, the sloped portion forming a distal-most edge and a distal-facing surface, the distal-facing surface configured to press against the intraocular lens, and each of the arms comprising an inwardly extending intermediate finger.

2. 2. The injector of claim 1, wherein the arms define gaps therebetween that decrease as the arms pass from the proximal end to the distal end of the nozzle lumen.

3. 3. The injector of claim 2, wherein the arms remain in contact with an interior wall defining the nozzle lumen as they pass from the proximal end to the distal end of the nozzle lumen.

4. The injector of claim 3 , wherein the proximal ends of the arms are attached to the shaft and the distal ends of the arms are free.

5. 5. The injector of claim 4, wherein the fingers have proximal and distal ends, the proximal ends of the fingers attached to the plurality of arms and the distal ends of the fingers being free.

6. 6. The injector of claim 5, wherein the fingers are offset relative to one another, and the fingers bypass one another when the plurality of arms change from the extended configuration to the retracted configuration.

7. 7. The injector of claim 6, wherein the inclined portion is inclined proximally and inwardly, and the distal-most edge of the inclined portion contacts the inner wall of the nozzle lumen to prevent the intraocular lens from passing between the arm and the inner wall as the arm passes from the proximal end to the distal end.

8. The injector of claim 7 , wherein the fingers are configured to prevent the intraocular lens from passing through the gaps between the arms.

9. 9. The injector of claim 8, wherein the plurality of arms and fingers have a collective cross-sectional height and a collective cross-sectional width, the collective cross-sectional height being greater than the collective cross-sectional width.

10. 10. The injector of claim 9, wherein the arms and fingers collectively extend in a first cross-sectional direction across the nozzle lumen, and the arms and fingers collectively extend in a second cross-sectional direction across less than the nozzle lumen, the first cross-sectional direction being orthogonal to the second cross-sectional direction.

11. 4. The injector of claim 3, wherein the proximal ends of the arms are attached to the shaft and the distal ends of the arms are attached to a collapsible link extending therebetween.

12. 12. The injector of claim 11, wherein the link is attached to the ramp, and the distal-most edge of the ramp contacts the inner wall of the nozzle lumen to prevent the intraocular lens from passing between the arms and the inner wall as the arms pass from the proximal end to the distal end of the nozzle lumen.

13. The injector of claim 12 , wherein the link is configured to prevent the intraocular lens from passing through the gaps between the arms.

14. 14. The injector of claim 13, wherein the link has a cross-sectional height and a cross-sectional width, the cross-sectional height being greater than the cross-sectional width.

15. 15. The injector of claim 14, wherein the link extends in a first cross-sectional direction across the entire nozzle lumen, and the link extends in a second cross-sectional direction across less than the entire nozzle lumen, the first cross-sectional direction being orthogonal to the second cross-sectional direction.

16. The injector of claim 1 , further comprising a cartridge disposed within the housing proximal to the nozzle, the cartridge configured to house the intraocular lens.

17. 1. An injector for injecting an intraocular lens into an eye, the intraocular lens including two haptics extending from an optic, the injector comprising: a) a housing forming a channel therein; b) a nozzle connected to a distal portion of the housing, the nozzle defining a nozzle tip and an extending nozzle lumen; c) a plunger disposed within the channel of the housing, the plunger comprising a shaft and a plunger tip, the plunger tip comprising a plurality of arms attached to and extending distally from the shaft, the arms having an expanded configuration when disposed at a proximal end of the nozzle lumen and a contracted configuration when disposed at a distal end of the nozzle lumen, the arms having proximal and distal ends, at least one of the arms having a ramp at its distal free end, the ramp forming a distal-most edge and a distal-facing surface, the distal-facing surface configured to press against the intraocular lens, each of the arms comprising an inwardly extending intermediate finger; d) a cartridge disposed within the housing proximal to the nozzle, the cartridge having two wings having an open position and a closed position, the wings configured to fold relative to each other to form a chamber for holding the intraocular lens, the chamber having walls configured to position the intraocular lens so that the plunger tip engages an intermediate portion of a trailing haptic of the intraocular lens, the walls forming a bottom surface, a first side wall and a second side wall when the wings are in the open position, a first distance between the side walls at a proximal portion of the cartridge being greater than a second distance between the side walls at a distal portion of the cartridge.

18. 18. The injector of claim 17, wherein the second distance between the sidewalls is less than a diameter of the optic and the first distance between the sidewalls is approximately equal to the diameter of the optic.

19. 18. The injector of claim 17, wherein the wall is configured to place the intraocular lens on the bottom surface with the trailing haptic extending into the proximal portion of the cartridge such that the first and second side walls extend the first distance from each other, the leading haptic extending into the distal portion of the cartridge such that the first and second side walls extend the second distance from each other, and the optical component positioned between the trailing haptic and the leading haptic such that the optical component contacts the first and second side walls at a position where the distance between the first and second side walls transitions from the first distance to the second distance.

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