Insertion tool for ocular implant and method for using same

• US 20040236343A1
• Filed: 05/23/2003
• Published: 11/25/2004
• Est. Priority Date: 05/23/2003
• Status: Abandoned Application

• Current Assignee: Becton, Dickinson & Co
• Original Assignee: Becton, Dickinson & Co
• Inventors: Morrill, Timothy J., Lee, Edwin G., Cote, Dana M., Taylor, Jon B., Mulhern, Margaret B.
• Application Number:
  US10/443,752
• Publication Number:
  US 20040236343A1
• Time in Patent Office: Days
• US Class Current: 606/108
• CPC Class Codes: A61F 9/007 Methods or devices for eye surgery
• CPC Class Codes: A61F 9/00781 Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment drainage implants in general A61M27/002

Abstract

An insertion tool containing an elastomeric band, ejection pin and cartridge assembly for holding a transcornea shunt during insertion procedures. The proximal flange of the shunt is gently held in a visible position within an adjustable opening in the elastomeric band at the distal end of the ejection pin. A slide mechanism is provided along the exterior surface of the insertion tool to drive the cartridge assembly which applies tension to the elastomeric band, increasing the opening diameter securing the shunt and allowing gentle release of the shunt when desired. Alternative embodiments of the insertion tool utilize severable fibers, a transparent split-mylar sheet or diaphragm, a cantilever fork, a collet assembly or an elastomeric grip collet to gently hold and release the shunt during insertion.

Claims

1. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications, comprising:

a handle body having a distal end, a proximal end, and a substantially cylindrical housing extending along a longitudinal axis between said distal and proximal ends of said handle body, said cylindrical housing defining a chamber therein and having at least one opening accessing said chamber, said chamber open at said distal end of said handle body;

a movable cartridge disposed in said chamber for longitudinal movement between a shunt securing position and a shunt releasing position with respect to said handle body, said cartridge having a proximal end and a distal end, said distal end of said cartridge securing a shunt when said cartridge is in said shunt securing position and releasing said shunt when said cartridge is in said shunt releasing position; and

a cartridge positioning mechanism slidably mounted along an outer surface of said handle body and engaged with said cartridge via said opening accessing said chamber for moving said cartridge from between said shunt securing position and said shunt releasing position.

2. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 1, wherein:

said proximal end of said handle body includes a rod extending along a longitudinal axis into said chamber.

3. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 2, wherein said movable cartridge comprises:

a cartridge body having a substantially cylindrical housing extending along a longitudinal axis between said distal and proximal ends of said cartridge;

said proximal end, having a first engagement mechanism for engaging said cartridge positioning mechanism, and having an access port allowing said rod to access said chamber;

said distal end, having a second engagement mechanism for engaging an outer sleeve;

an ejection pin, having a distal and proximal end, said access port allowing said rod to maintain said pin in a stationary position as said cartridge is moved; and

an elastomeric band, having at least one opening of an adjustable diameter and being disposed over said distal end of said ejection pin, said opening securing said shunt against said distal end of said ejection pin when said cartridge is in said shunt securing position and releasing said shunt when said cartridge is in said shunt releasing position.

4. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 3, wherein:

said elastomeric band includes a first and second end, said first and second end secured to said cartridge body, wherein said longitudinal movement of said cartridge body between said shunt securing position and said shunt releasing position varies a tension level in said elastomeric band and controls said adjustable diameter of said opening.

5. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 3, wherein:

said adjustable diameter of said opening is adjustable from between a first and second diameter based upon a tension level in said band, said first diameter sufficient to secure said shunt, and said second diameter sufficient to release said shunt.

6. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 3, wherein:

said distal end of said ejection pin is concave to receive said shunt.

7. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 3, wherein said securing said shunt comprises:

locating a shunt proximal flange between said distal end of said ejection pin and said elastomeric band;

locating a shunt distal flange and shunt body within said opening of an adjustable diameter, said shunt distal flange and shunt body extending through said opening and beyond said elastomeric band, said locating exposing said shunt distal flange and shunt body during installation; and

locating said cartridge body in said shunt securing position, said locating creating a nearly relaxed tension in said elastomeric band and providing a first diameter sufficient to secure said shunt proximal flange against said distal end of said ejection pin.

8. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 3, wherein said releasing said shunt comprises:

locating said cartridge body in said shunt releasing position, said locating creating a nearly maximum tension in said elastomeric band and providing a second diameter sufficient to release a shunt proximal flange from said distal end of said ejection pin.

9. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 3, wherein:

said distal end of said ejection pin includes a centering mechanism to receive said shunt, said centering mechanism comprised of a raised surface disposed on said distal end of said ejection pin.

10. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 3, wherein:

said cartridge body, ejection pin and elastomeric band comprise a soft interface for gently securing said shunt prior to and during installation and release.

11. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 10, wherein:

said soft interface prevents damage to said shunt prior to and during installation and release, and provides maximum shunt visibility during installation and release.

12. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 3, wherein:

at least one of said first and second engagement mechanism comprises a threaded fitting.

13. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 1, wherein:

said moving said cartridge from between said shunt securing position and said shunt releasing position is mechanically assisted.

14. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 13, wherein:

said mechanical assistance is a spring.

15. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 13, wherein:

said mechanical assistance includes a damper mechanism.

16. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 1, wherein:

said cartridge positioning mechanism comprises a user activated release engaged with said cartridge via said opening accessing said chamber.

17. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 1, wherein:

said movable cartridge and said cartridge positioning mechanism are adapted to release a plurality of fibers, said fibers securing said shunt.

18. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 1, wherein:

said movable cartridge and said cartridge positioning mechanism are adapted to release a split mylar sheet, said split mylar sheet securing said shunt.

19. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 18, wherein said split mylar sheet is of at least one of a transparent, semi-transparent and colored material.

20. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 1, wherein:

said movable cartridge and said cartridge positioning mechanism are adapted to release a split frame, said split frame securing said shunt.

21. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 20, wherein said split frame is of at least one of a transparent, semi-transparent and colored material.

22. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 1, wherein:

said movable cartridge and said cartridge positioning mechanism are adapted to release a cantilever, said cantilever securing said shunt.

23. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 22, wherein said cantilever is at least one of a transparent, semi-transparent and colored material.

24. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 1, wherein:

said movable cartridge and said cartridge positioning mechanism are adapted to release a collet jaw, said collet jaw securing said shunt.

25. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 1, wherein said insertion tool is used in transcorneal applications.

26. An insertion tool for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 1, wherein said insertion tool is used in transscleral applications.

27. An insertion cartridge for use with implants for ophthalmic and non-ophthalmic applications, wherein said cartridge comprises:

a cartridge body having a substantially cylindrical housing extending along a longitudinal axis between said distal and proximal ends of said cartridge;

an ejection pin, disposed within said cartridge body and having a distal and proximal end, said ejection pin remaining in a stationary position during longitudinal movement of said cartridge body; and

an elastomeric band, having at least one opening of an adjustable diameter and being disposed over said distal end of said ejection pin, said opening securing a shunt against said distal end of said ejection pin when said cartridge body is in said shunt securing position and releasing said shunt when said cartridge body is in said shunt releasing position.

28. An insertion cartridge for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 27, wherein:

said elastomeric band includes a first and second end, said first and second end secured to said cartridge body, wherein said longitudinal movement of said cartridge body between said shunt securing position and said shunt releasing position varies a tension level in said elastomeric band and controls said adjustable diameter of said opening.

29. An insertion cartridge for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 27, wherein:

said adjustable diameter of said opening is adjustable from between a first and second diameter based upon a tension level in said band, said first diameter sufficient to secure said shunt, and said second diameter sufficient to release said shunt.

30. An insertion cartridge for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 27, wherein:

said distal end of said ejection pin is concave to receive said shunt.

31. An insertion cartridge for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 27, wherein:

said distal end of said ejection pin includes a centering mechanism to receive said shunt, said centering mechanism comprised of a raised surface disposed on said distal end of said ejection pin.

32. An insertion cartridge for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 27, wherein said securing said shunt against said distal end of said ejection pin comprises:

locating a shunt proximal flange between said distal end of said ejection pin and said elastomeric band;

locating a shunt distal flange and shunt body within said opening of an adjustable diameter, said shunt distal flange and shunt body extending through said opening and beyond said elastomeric band, said locating exposing said shunt distal flange and shunt body during installation; and

locating said cartridge body in said shunt securing position, said locating creating a nearly relaxed tension in said elastomeric band and providing a first diameter sufficient to secure said shunt proximal flange against said distal end of said ejection pin.

33. An insertion cartridge for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 27, wherein said releasing said shunt comprises:

locating said cartridge body in said shunt releasing position, said locating creating a nearly maximum tension in said elastomeric band and providing a second diameter sufficient to release a shunt proximal flange from said distal end of said ejection pin.

34. An insertion cartridge for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 27, wherein:

said cartridge body, ejection pin and elastomeric band comprise a soft interface for gently securing said shunt prior to and during installation and release.

35. An insertion cartridge for use with implants for ophthalmic and non-ophthalmic applications as claimed in claim 34, wherein:

said soft interface prevents damage to said shunt prior to and during installation and release, and provides maximum shunt visibility during installation and release.

36. A method for releasably securing and installing an implant in ophthalmic and non-ophthalmic applications, the method comprising:

releasably securing a proximal portion of an implant to a handle body having a distal end, a proximal end, and a substantially cylindrical portion extending along a longitudinal axis between said distal and proximal ends of said handle body, said releasably securing of said proximal portion of said implant leaving said distal portion of said implant visible to a user;

positioning said implant within an implant location, said positioning effectively disposing said distal portion of said implant within said implant location and said releasable securing of said proximal portion of said implant allowing control of said implant during and after said positioning of said implant within said implant location; and

releasing said proximal portion of said implant.

37. A method for releasably securing and installing an implant in ophthalmic and non-ophthalmic applications as claimed in claim 36, wherein said releasably securing a proximal portion of an implant comprises a soft interface between said implant and said handle body.

38. A method for releasably securing and installing an implant in ophthalmic and non-ophthalmic applications as claimed in claim 37, wherein said soft interface includes at least one of an elastomeric band having a variable opening for receiving and securing said implant, and an ejection pin having a concave end for positioning said implant.