Means and method for facilitating folding of an intraocular lens

• US 5,100,410 A
• Filed: 01/28/1991
• Issued: 03/31/1992
• Est. Priority Date: 01/28/1991
• Status: Expired due to Fees

• Current Assignee: Allergan Therapeudics, Andrew Tool Company
• Original Assignee: Andrew Tool Company
• Inventors: Dulebohn, David H.
• Primary Examiner(s): SHAY, RANDY CITRIN
• Application Number:
  US07/647,517
• Time in Patent Office: 428 Days
• Field of Search: 623/6, 606/107, 206/5.1, 206/438
• US Class Current: 606/107
• CPC Class Codes: A61F 2/1664 for manual insertion during surgery, e.g. forceps-like instruments

Abstract

A system for facilitating folding a soft intraocular lens. A supporting and positioning structure associated with a base or frame presents the lens so that forceps tips are automatically positioned near opposite sides of the lens and maintained in that position. A forming means automatically moves the forceps tips with respect to the lens to fold the optic portion of the lens within the tips. The lens is accurately and reliably folded in the forceps tips to securely grip the lens in a desired position with reduced risk of damage to the optic portion of the lens.

Claims

1. A means for facilitating folding of an intraocular lens, having a lens optic to prepare the lens for insertion through a small incision in the eye, comprising:

a base means;

translateable supporting means associated with the base means for supporting at least a portion of the perimeter of a lens optic;

positioning means associated with the supporting means generally for receiving and positioning opposite tips of a forceps near opposite sides of the perimeter of the lens optic when the lens optic is supported on the supporting means;

manually moveable means associated with the base means for translateably moving the supporting and positioning means towards one another, folding the lens optic within the forceps tips while simultaneously maintaining the forceps tips in a desired position to the lens optic as the lens optic is folded.

2. The means of claim 1 wherein the supporting and positioning means comprises curved jaws adapted to be adjacent to opposite diametric sides of the optic, and the manually moveable means comprises extension means for allowing mechanical force to be transferred to the curved jaws to converge the forceps tips towards one another to allow the opposite sides of the lens optic to be folded onto one another and the forceps tips to grip the lens optic at a desired position.

3. The means of claim 1 wherein the extension means of the manually moveable means comprises rigid frame members connected to the base, which is comprised of resilient frame members, so that manual inward pressure on the resilient frame members of the base causes convergence of the rigid frame members which in turn causes folding of the lens optic within the forceps tips.

4. The means of claim 1 wherein the manually moveable means comprises moveable members within the base means to simultaneously push opposite sides of the lens towards one another as forceps tips are closing upon one another to fold the lens optic within the forceps tips.

5. The means of claim 1 further including an intraocular lens optic received in the supporting means, the optic being a plano-convex member.

6. The means of claim 1 further including an intraocular lens optic received in the supporting means, the optic being foldable.

7. The means of claim 6 further including an intraocular lens optic received in the supporting means, the optic being soft.

8. The means of claim 7 further including an intraocular lens optic received in the supporting means, the optic being made of silicone.

9. The means of claim 7 further including an intraocular lens optic received in the supporting means, the optic being made of a plastic material.

10. A means for folding a soft intraocular lens wherein the lens is folded within forceps tips that are then used to insert the lens into the eye, comprising:

a base means;

opposite jaw means associated with said base means including;

first means to position and hold a lens, and second means to allow insertion of and to position the forceps tips with respect to a desired position on top of the lens near opposite diametrical sides of the lens when the lens is positioned in the first means; and

manually moveable means connected to the jaw means to manually converge the jaw means to guide the forceps tips with respect to the lens as it is being folded in the forceps tips by movement of the jaw means toward one another.

11. The means of claim 10 wherein the manually moveable means are integrally connected and formed with the base means, and the base means has at least portions which are resilient to allow manual movement of the resilient portion of the base means to move the jaw means.

12. The means of claim 10 wherein the first means of the opposite jaw means comprises a stepped and curved portion which can position and support a portion of the bottom perimeter of the optic of a lens.

13. The means of claim 10 wherein the second means comprises a raised member from the first means to provide a landing for the vertical insertion of forceps tips to an area adapted to be adjacent opposite diametrical portions of the top of a optic portion of a lens when the lens is positioned in the first means.

14. The means of claim 10 wherein the first and second means are curved to conform generally to curvature of an optic portion of the lens.

15. The means of claim 10 wherein the first and second means are flat surfaces.

16. The means of claim 10 wherein the manually moveable means are independent arms extending through bore in the base means along an axis, the arms moving the jaw means when manually moved along an axis.

17. A device for folding a soft intraocular lens within forceps comprising:

a frame means including a closed resilient rail means defining an interior area, and aligned inwardly extending arms connecting to the rail means;

spaced apart jaw members positioned at the facing ends of the arms including,

first curved inwardly extending ledges means for supporting opposite bottom portions of a lens near the perimeter of the lens;

second concentric curved ledge means positioned on top of the first curled ledge means and extending inwardly but less than the first curved ledge means for abutting opposite portions of the perimeter of the lens and providing a landing for placement of forceps tips;

the spacing between jaw members being such that in a first normal position the diametrical distance between opposite first curved ledge means is less than the diameter of the lens, the diametrical distance between opposite second curved ledge means being slightly greater than the diameter of the lens, and converging movement, of the jaw members urging a less received between the jaw member to fold upwardly along a center axis which is generally perpendicular to an axis between jaw members and midway between jaw members, the converging movement also folding the lens within the forceps tips.

18. The device of claim 17 wherein the frame means is made of a plastic material.

19. The device of claim 17 wherein the first and second curved ledge means have radii of curvature which are generally similar to the radii of curvature of the optic portion of the lens.

20. A means of folding an optic portion of a soft intraocular lens along a first axis formed by a diameter of the lens, comprising:

a base means having top, bottom, and opposite side walls;

an opening extending through the top wall to receive a lens within the base means;

said opposite arms moveable positioned within bores through opposite side walls of the base means along a second axis;

inner ends of the arms being moveable towards one another within the opening in the base means;

jaw member configured on each inner end of the arms, the jaw member including a flat and inwardly extending horizontal surface and an upwardly angled surface form the horizontal surface forming an acute angle with the horizontal surface;

the horizontal surface being adapted to support opposite bottom portions of the perimeter of the optic when the arms are in a first position, the angled surface being adapted to hold the lens in place generally along said second axis and accurately position the forceps tips with respect to the lens when the arms are in the first position;

convergence of the jaw members by manual movement of one or more of the arms causing accurate upward folding of the lens within the forceps tips, divergence of the jaws allowing removal of the forceps tips gripping the folded optic.

21. A method of folding an optic portion of a soft intraocular lens along a fold line coincident with a diameter of the optic, comprising the steps of:

supporting opposite bottom, perimeter portions of the optic;

bringing jaw structures into abutment with the perimeter of the optic;

moving tips of a forceps within the jaws adjacent to the optic near the abutment of the jaw structure with the optic to accurately position the tips prior to folding of the lens;

converging the jaw structures to guide the forceps tips and concurrently fold the optic within the forceps tips so that the optic is gripped thereby;

diverging the jaw structures to enable removal of the forceps tips while the tips are gripping the folded optic.