Apparatus and method for irrigation and aspiration of interior regions of the human eye

• US 5,084,012 A
• Filed: 02/22/1991
• Issued: 01/28/1992
• Est. Priority Date: 03/22/1991
• Status: Expired due to Term

• Current Assignee: Allergan SPA (Abbvie Incorporated), Ann G. Kelman, Abbott Medical Optics Incorporated (Johnson & Johnson)
• Original Assignee: Charles D. Kelman
• Inventors: Kelman, Charles D.
• Primary Examiner(s): Grieb, William H.
• Application Number:
  US07/673,985
• Time in Patent Office: 340 Days
• Field of Search: 604/35, 604/43, 604/22, 604/27, 604/28, 128/3, 128/4, 128/5, 128/6
• US Class Current: 604/35
• CPC Class Codes: A61B 2017/00331 with preformed bends
• 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: A61M 1/85 with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants for negative pressure wound therapy A61M1/92, A61M1/94; combined with tracheal tubes A61M16/0463; dental instruments with combined rinsing and aspirating A61C17/0208

Abstract

An instrument for aspirating and irrigating unwanted material from all regions of the capsule of the eye, especially suitable for cataract removal, including an instrument having a hooked tip portion at the operative end thereof. The hooked tip portion is capable of being deformed into a straightened portion for entering the eye. The straightened portion resiliently returning to its hooked configuration upon release of an outside force, whereby the hooked tip portion is capable of access to inner peripheral regions of the posterior capsule which previously were accessible only with great difficulty. The instrument is capable of supplying treatment fluid to the region of the eye in question for irrigating the region and the instrument is capable of aspirating the region for removal of fluid and unwanted tissue.

Claims

1. A surgical instrument for aspirating and irrigating material at substantially all interior regions of the posterior capsule of an eye in which at least peripheral portions of the anterior wall of the capsule remain intact, comprising;

a hollow tube member;

said hollow tube member having an elongated resiliently deformable tip portion with a fluid conduit extending therethrough to the region of the tip thereof, said tip portion being deformable from a relaxed hooked condition in which said tip portion has a hooked shape into a deformed condition in which said tip portion is straight;

a sleeve member surrounding and being reciprocally slidable longitudinally on said tube for deforming and thereby straightening said tip portion thereof when the latter is in said relaxed hooked condition for insertion into the eye;

said tip portion comprising a material having a memory for resiliently returning to said relaxed hooked condition thereof in response to said sleeve member being moved along said tube away from said tip portion thereof;

means in one of said members for supplying an irrigation fluid to the region of the capsule to be aspirated; and

fluid suction means in said tip portion for aspirating fluid from the interior of the capsule.

2. The apparatus of claim 1 further comprising control means for selectively controlling the position of said sleeve on said tube.

3. The apparatus of claim 1 wherein said tip portion, in hooked configuration thereof, has a bend of about 180 degrees.

4. The apparatus of claim 1 wherein said means for supplying an irrigation fluid is coupled to said tip portion of said tube member.

5. The apparatus of claim 1 further comprising a elongated handpiece having an end operatively connected to said tube member at the end of said tube spaced from said flexible tip portion.

6. The apparatus of claim 5 wherein said tube member has a more flexible portion at the tip end thereof and a more rigid portion at the opposite end thereof connected to said handpiece.

7. The apparatus of claim 6 wherein said more flexible portion is polypropylene and said more rigid portion is polymethylmethacrylate.

8. The apparatus of claim 5 further comprising a control means on said handpiece, said control means operatively connected to said sleeve for sliding said sleeve member onto and off said flexible tip portion in response to operation of said control means.

9. The apparatus of claim 1 wherein said sleeve member is tubular and is formed of relatively rigid plastic material.

10. The apparatus of claim 9 wherein said tubular sleeve is formed of polymethylmethacrylate.

11. A method for aspirating and irrigating tissue at substantially all interior regions of the posterior capsule of an eye in which at least peripheral portions of the anterior wall of the capsule remain intact comprising the steps of:

providing an instrument having a hollow tube having a resiliently deformable tip portion

deforming the tip portion from a relaxed condition in which the tip portion has a hooked shape, to a deformed condition in which the tip portion is straight by sliding a tubular sleeve onto the tip portion;

inserting the tip portion and sleeve in said straight deformed condition of the tip portion, thru an incision in the cornea and into the posterior capsule;

sliding the tubular sleeve back from the tip portion so as to allow the tip portion to resiliently return to its relaxed condition, the tip portion including a material having a memory for returning it to its relaxed condition;

supplying irrigation fluid to the region of the capsule to be aspirated through the sleeve portion; and

aspirating fluid from the interior of the capsule through the tip portion.

12. The method of claim 11 wherein the step of sliding the sleeve includes operating a control member for sliding the tubular sleeve on the hollow tube.