Ophthalmic surgical instruments and methods of use thereof

• US 10,292,862 B1
• Filed: 05/03/2018
• Issued: 05/21/2019
• Est. Priority Date: 05/03/2018
• Status: Active Grant

• Current Assignee: Richard Mackool
• Original Assignee: Richard Mackool
• Inventors: Mackool, Richard
• Primary Examiner(s): Dang, Phong Son H
• Application Number:
  US15/970,145
• Time in Patent Office: 383 Days
• Field of Search: 606161
• CPC Class Codes: A61B 17/32056 Surgical snare instruments for removing or smashing calculi A61B2017/2212; tonsillotomes A61B17/26
• CPC Class Codes: A61B 2017/00544 pneumatically
• CPC Class Codes: A61F 9/00736 Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments A61F9/008 takes precedence
• CPC Class Codes: A61F 9/00754 for cutting or perforating the anterior lens capsule, e.g. capsulotomes
• CPC Class Codes: A61F 9/00763 with rotating or reciprocating cutting elements, e.g. concentric cutting needles atherectomy cutting instruments A61B17/3207; endoscopic cutting instruments A61B17/320016

Abstract

An ophthalmic surgical instrument includes a housing and a snare operably coupled to the housing. The snare is configured to transition between an insertion configuration and a deployed configuration, in which the snare is sized to encircle lenticular tissue. The ophthalmic surgical instrument is designed to prevent elevation and/or tilting of the lenticular tissue as the snare transitions toward the insertion configuration to divide the lenticular tissue.

Claims

1. An ophthalmic surgical instrument, comprising:

a housing including;

a handle body; and

a hollow shaft extending distally of the handle body and defining a longitudinal axis, the hollow shaft having a bottom surface configured to be oriented toward a human eye, the bottom surface defining an opening; and

a snare operably coupled to the housing and including a looped segment defining a length that is parallel with the longitudinal axis of the hollow shaft, the loop segment configured to move between a contracted configuration and a dilated configuration, in which the looped segment assumes a diameter approximating a diameter and shape of a lens of the human eye, wherein the looped segment is configured to sever the lens upon moving toward the contracted configuration, wherein the looped segment overlaps a portion of the bottom surface of the hollow shaft that is distal to the opening and a portion of the bottom surface of the hollow shaft that is proximal to the opening when the looped segment is in the dilated configuration, such that a majority of the length of the looped segment overlaps with the bottom surface of the hollow shaft when the looped segment is in the dilated configuration.

2. The ophthalmic surgical instrument according to claim 1, wherein a majority of the looped segment is disposed proximally of a distal end of the hollow shaft.

3. The ophthalmic surgical instrument according to claim 1, wherein the looped segment protrudes from the opening.

4. The ophthalmic surgical instrument according to claim 3, wherein the looped segment includes:

a proximal section disposed proximally of the opening; and

a distal section disposed distally of the opening.

5. The ophthalmic surgical instrument according to claim 4, wherein both the proximal and distal sections of the looped segment are disposed proximally of a distal end of the hollow shaft when the looped segment is in the contracted configuration.

6. The ophthalmic surgical instrument according to claim 4, wherein a majority of the distal section of the looped segment is disposed proximally of a distal end of the hollow shaft when the looped segment is in the contracted configuration.

7. The ophthalmic surgical instrument according to claim 4, wherein a majority of the proximal section overlaps the bottom surface of the hollow shaft when the looped segment is in the dilated configuration.

8. The ophthalmic surgical instrument according to claim 4, wherein a majority of the distal section overlaps the bottom surface of the hollow shaft when the looped segment is in the dilated configuration.

9. The ophthalmic surgical instrument according to claim 3, wherein a majority of the looped segment is disposed at least one of proximally or distally of the opening when the looped segment is in the dilated configuration.

10. The ophthalmic surgical instrument according to claim 1, wherein a majority of the looped segment overlaps with the bottom surface of the hollow shaft throughout the transition of the looped segment between the contracted and dilated configurations.

11. The ophthalmic surgical instrument according to claim 1, wherein a majority of the length of the looped segment is in side-by-side relation with the bottom surface of the hollow shaft.

12. The ophthalmic surgical instrument according to claim 1, wherein the snare is a wire having a first end portion configured to be coupled to a lever of the housing, and a second end portion fixed relative to the housing, the looped segment being formed between the first and second end portions of the wire.

13. The ophthalmic surgical instrument according to claim 1, wherein the hollow shaft is dimensioned for passage through a corneal incision.