CA2693446A1 - Rapid exchange iol insertion apparatus and methods of using - Google Patents

Rapid exchange iol insertion apparatus and methods of using Download PDF

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Publication number
CA2693446A1
CA2693446A1 CA2693446A CA2693446A CA2693446A1 CA 2693446 A1 CA2693446 A1 CA 2693446A1 CA 2693446 A CA2693446 A CA 2693446A CA 2693446 A CA2693446 A CA 2693446A CA 2693446 A1 CA2693446 A1 CA 2693446A1
Authority
CA
Canada
Prior art keywords
iol
nosepiece
lens case
transfer
inserter
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA2693446A
Other languages
French (fr)
Other versions
CA2693446C (en
Inventor
Mark S. Cole
Rod T. Peterson
Nicholas E. Martin
Steven R. Anderson
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Johnson and Johnson Surgical Vision Inc
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2693446A1 publication Critical patent/CA2693446A1/en
Application granted granted Critical
Publication of CA2693446C publication Critical patent/CA2693446C/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

Links

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
    • A61F2/1662—Instruments for inserting intraocular lenses into the eye
    • A61F2/1667—Instruments for inserting intraocular lenses into the eye with rotatable plungers
    • 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
    • A61F2/1662—Instruments for inserting intraocular lenses into the eye
    • A61F2/1664—Instruments for inserting intraocular lenses into the eye for manual insertion during surgery, e.g. forceps-like instruments
    • 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
    • A61F2/1662—Instruments for inserting intraocular lenses into the eye
    • A61F2/167—Instruments for inserting intraocular lenses into the eye with pushable plungers
    • 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
    • A61F2/1691—Packages or dispensers for intraocular lenses

Abstract

A system for easily transferring an intraocular lens (IOL) from a lens case to an inserter, and then into a patient's eye. The lens case has a transfer mechanism therein which retains the IOL until engagement with the inserter. The transfer mechanism may include jaws having a closed configuration for retaining the IOL and an open configuration for releasing the IOL. Engagement of the inserter with the lens case automatically opens the jaws and transfers the IOL to the inserter. The IOL is transferred into a load chamber of a nosepiece rotatably coupled to a handpiece. After transfer of the IOL, the nosepiece is rotated from a load position to a delivery position. The IOL may have an optic and a haptic coupled to the optic, and the lens case may be capable of configuring the haptic as desired to facilitate its transfer into an inserter and/or into the eye. For instance, the lens case may fold one or both of the haptics over the optic. Preferably, the lens case maintains the haptic in this position during transfer of the intraocular lens into an inserter and/or inserter cartridge. A manifold for easily distributing a viscoelastic medium to the load chamber of the inserter is also provided.

Claims (22)

1. A system for delivering an intraocular lens (IOL) into the eye of a subject, comprising:
an IOL inserter having a handpiece and a nosepiece, the nosepiece having a transfer interface for receiving an IOL, a load chamber open to the transfer interface, and an insertion tube open to the load chamber, the inserter further including a pushrod movable through the nosepiece for urging the IOL from the load chamber and through the insertion tube in a delivery procedure; and a lens case for storing the IOL prior to usage, the lens case having a transfer port that engages the transfer interface of the nosepiece and a transfer mechanism that automatically transfers the IOL to the load chamber upon engagement between the lens case and nosepiece, the transfer mechanism further permitting disengagement of the lens case from the nosepiece upon IOL transfer therebetween.
2. The system of claim 1, wherein the nosepiece is movable relative to the handpiece between a first position for loading the intraocular lens and a second position for delivering the intraocular lens into the subject's eye.
3. The system of claim 2, wherein the transfer interface of the nosepiece faces away from the handpiece in the first position, and the insertion tube faces away from the handpiece in the second position.
4. The system of claim 3, wherein the nosepiece rotates 180° about the handpiece between the first and second positions.
5. The system of claim 4, wherein the nosepiece includes a pivot shaft moveable between two ends of a slot in the handpiece, and wherein the pivot shaft is positioned at a first end in the first position of the nosepiece and at a second end in the second position of the nosepiece.
6. The system of claim 5, wherein the nosepiece is restrained from rotation about the handpiece when the pivot shaft is positioned at the first end.
7. The system of claim 1, further including a viscoelastic manifold adapted to engage the transfer interface of the nosepiece, the manifold having at least one inlet port leading to internal channels such that a viscoelastic medium injected into the inlet port is guided by the internal channels into the load chamber.
8. The system of claim 1, wherein the IOL comprises an optic configured to focus light onto the retina of an eye when placed inside the eye and a haptic coupled to the optic for holding the optic within the eye, and the lens case further includes a haptic folder configured to move the haptic to a predetermined position relative to the optic prior to IOL
transfer and then to transfer with the IOL to the inserter.
9. The system of claim 8, further including a cap for the lens case that displaces the haptic folder upon removal of the cap from the lens case such that the haptic folder moves the haptic to its predetermined position relative to the optic.
10. A method for delivering an intraocular lens (IOL) into the eye of a subject, comprising:
providing an IOL inserter having a nosepiece with a transfer interface for receiving an IOL and a load chamber open to the transfer interface;
providing a lens case for storing the IOL prior to delivery into the subject's eye, the lens case having a transfer port adapted to engage the transfer interface of the nosepiece and a transfer mechanism;
engaging the transfer port of the lens case with the transfer interface of the load chamber which automatically actuates the transfer mechanism and transfers the IOL to the load chamber of the nosepiece;
disengaging the lens case from the nosepiece; and delivering the IOL through the nosepiece into the subject's eye.
11. The method of claim 10, wherein the inserter comprises a handpiece and a nosepiece, and wherein the method includes placing the nosepiece in a first position relative to the handpiece for engaging the lens case, and then moving the nosepiece into a second position relative to the handpiece after disengaging the lens case for delivering the intraocular lens into the subject's eye.
12. The method of claim 11, wherein the inserter further comprises an insertion tube open to the load chamber and the nosepiece rotates 180° about the handpiece, and wherein the transfer interface of the nosepiece faces away from the handpiece in the first position and the insertion tube faces away from handpiece in the second position.
13. The method of claim 11, further including engaging a viscoelastic manifold with the transfer interface of the nosepiece in the first position, the manifold having at least one inlet port leading to internal channels, and injecting a viscoelastic medium into the inlet port to be guided by the internal channels into the load chamber.
14. The method of claim 10, wherein the IOL comprises an optic configured to focus light onto the retina of an eye when placed inside the eye and a haptic coupled to the optic for holding the optic within the eye, and the lens case further includes a movable haptic folder, the method including displacing the haptic folder to move the haptic to a predetermined position relative to the optic prior to IOL transfer, and transferring the haptic folder with the IOL to the inserter.
15. The method of claim 14, further including a cap for the lens case, the method including displacing the haptic folder by removing the cap.
16. An intraocular lens (IOL) and lens case combination for cooperating with an IOL inserter, comprising:
an intraocular lens comprising an optic configured to focus light onto the retina of an eye when placed inside the eye and a haptic coupled to the optic for holding the optic within the eye; and a lens case for storing the IOL prior to usage, the lens case having a transfer port adapted to engage the inserter and a transfer mechanism within the lens case that retains the IOL during storage and automatically releases the IOL upon engagement between the lens case and inserter, the transfer mechanism further permitting disengagement of the lens case from the inserter after IOL transfer therebetween, the lens case further having a haptic folder configured to move the haptic to a predetermined position relative to the optic prior to IOL transfer and then to transfer with the IOL to the inserter.
17. The combination of claim 16, further including a cap for the lens case that displaces the haptic folder upon removal of the cap from the lens case such that the haptic folder moves the haptic to its predetermined position relative to the optic.
18. The combination of claim 17, the transfer mechanism further including a haptic retention finger that displaces upon removal of the cap from the lens case.
19. The combination of claim 15, wherein the transfer mechanism comprises jaws that retain the IOL in a fixed location during storage and separate to release the IOL upon engagement of the transfer port with the inserter.
20. The combination of claim 19, wherein the jaws are molded and connected at a living hinge.
21. The combination of claim 16, wherein the haptic folder transfers to the inserter with the IOL.
22. The combination of claim 16, wherein the haptic folder includes an actuating arm and a ramp surface, the actuating arm contacting the haptic and camming it along the ramp surface to its predetermined position relative to the optic.
CA2693446A 2007-07-17 2008-07-17 Rapid exchange iol insertion apparatus and methods of using Expired - Fee Related CA2693446C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US11/779,230 US8435289B2 (en) 2005-02-11 2007-07-17 Rapid exchange IOL insertion apparatus and methods of using
US11/779,230 2007-07-17
PCT/US2008/070258 WO2009012351A2 (en) 2007-07-17 2008-07-17 Rapid exchange iol insertion apparatus and methods of using

Publications (2)

Publication Number Publication Date
CA2693446A1 true CA2693446A1 (en) 2009-01-22
CA2693446C CA2693446C (en) 2016-01-26

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
CA2693446A Expired - Fee Related CA2693446C (en) 2007-07-17 2008-07-17 Rapid exchange iol insertion apparatus and methods of using

Country Status (5)

Country Link
US (3) US8435289B2 (en)
EP (1) EP2175805B1 (en)
AU (1) AU2008276035B2 (en)
CA (1) CA2693446C (en)
WO (1) WO2009012351A2 (en)

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AU2008276035A1 (en) 2009-01-22
WO2009012351A3 (en) 2010-04-01
AU2008276035B2 (en) 2014-03-27
US20150320549A1 (en) 2015-11-12
US8435289B2 (en) 2013-05-07
US9861470B2 (en) 2018-01-09
US9017400B2 (en) 2015-04-28
CA2693446C (en) 2016-01-26
WO2009012351A2 (en) 2009-01-22
US20080058830A1 (en) 2008-03-06
EP2175805A2 (en) 2010-04-21
US20130345713A1 (en) 2013-12-26

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