Apparatus for implanting an artifical meshwork in glaucoma surgery

• US 5,676,679 A
• Filed: 06/13/1996
• Issued: 10/14/1997
• Est. Priority Date: 03/19/1993
• Status: Expired due to Term

• Current Assignee: University of Miami
• Original Assignee: University of Miami
• Inventors: Lee, William, Parel, Jean-Marie, Simon, Gabriel, Legeais, Jean-Marc
• Primary Examiner(s): DAWSON, GLENN K
• Application Number:
  US08/663,542
• Time in Patent Office: 488 Days
• Field of Search: 606/1, 606/107, 606/160, 606/161-167, 606/184, 606/185, 606/170, 606/171
• US Class Current: 606/170
• CPC Class Codes: A61B 17/3213 with detachable blades
• CPC Class Codes: A61B 2090/3616 Magnifying glass
• CPC Class Codes: A61B 90/361 Image-producing devices, e.g. surgical cameras
• CPC Class Codes: A61F 2009/00865 Sclera
• CPC Class Codes: A61F 2009/00868 Ciliary muscles or trabecular meshwork
• CPC Class Codes: A61F 2009/00891 Glaucoma
• CPC Class Codes: A61F 9/00 Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand caps with means for protecting the eyes A42B1/018; visors for helmets A42B3/22; retractors A61B17/02; manipulators specially adapted for use in surgery A61B34/70; appliances to aid invalids to move about A61H3/00; exercisers for the eyes A61H5/00; eye baths A61H35/02; sunglasses or goggles having the same features as spectacles G02C
• CPC Class Codes: A61F 9/00781 Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment drainage implants in general A61M27/002
• CPC Class Codes: A61F 9/008 using laser
• CPC Class Codes: A61F 9/009 Auxiliary devices making contact with the eyeball and coupling in laser light, e.g. goniolenses apparatus for eye examination A61B3/0008
• CPC Class Codes: A61F 9/0133 Knives or scalpels specially adapted therefor

Abstract

A method and device which is used to insert an implant in order for treating an eye with glaucoma in order to lower the intraocular pressure of the eye. The implant is an artificial meshwork. The implant is attached to a guide knife which is inserted into the anterior chamber of the eye. The knife is then removed leaving the implant in place. During the operation, a prismatic lens with c-shaped vacuum ring is used to help assist the surgeon in viewing the anterior chamber of the eye and stabilizing the eye.

Claims

1. A guide knife assembly for inserting a filter member into an eye, comprising:

a guide knife apparatus, including;

a handle portion;

a blade portion projecting distally from a distal end of said handle portion, said blade portion terminating distally in a sharp distal end, said blade portion having first and second major side surfaces;

a flange element having proximal and distal ends and first and second generally parallel, major side faces, said flange element being coupled to one of said blade portion and said handle portion and extending distally in side by side generally parallel relation to said blade portion such that the first major side face thereof is in parallel, opposed facing relation to said first major side surface of said blade portion and defining a filtering member receiving space therebetween; and

a filtering member mounted to said guide knife apparatus so that at least a portion of said filtering member is disposed in said filter element receiving space, said filtering member comprising a sheet of polymer material which has been folded to define a front portion and a back portion, side edges of said front portion being coupled to respective side edges of the back portion.

2. A guide knife assembly as claimed in claim 1, wherein the blade portion has a window which allows light to pass therethrough.

3. A guide knife assembly as claimed in claim 1, wherein the blade portion is made at least in part from a transparent substance selected from the group consisting of plastic, sapphire, diamond, and glass.

4. A guide knife assembly as claimed in claim 1, wherein the flange element has a width smaller than that of the blade portion.

5. A guide knife assembly as claimed in claim 1, wherein the blade portion has a sharp point so as to be capable of piercing the sclera of an eye.

6. A guide knife assembly as claimed in claim 1, wherein the handle portion has a release mechanism to facilitate release of the filtering member when it is in a desired position in the eye.

7. A guide knife assembly as claimed in claim 1, wherein edges of said blade portion are sharp and straight.

8. A guide knife assembly as claimed in claim 1, wherein edges of said blade portion are sharp and convexly curved.

9. A guide knife as claimed in claim 1, wherein one of said flange, said handle, and said blade is configured so as to include structure for limiting proximal displacement of said filtering member in said space.

10. A guide knife as in claim 1, wherein said flange is substantially immovable relative to said blade portion.

11. A guide knife apparatus for inserting a filtering member into an eye, comprising:

a handle portion;

a blade portion projecting distally from a distal end of said handle portion, said blade portion terminating distally in a sharp distal end, said blade portion having first and second major side surfaces;

a flange element having proximal and distal ends and first and second generally parallel, major side faces, said flange element being coupled to one of said blade portion and said handle portion and extending distally in side by side generally parallel relation to said blade portion such that the first major side face thereof is in parallel, opposed facing relation to said first major side surface of said blade portion so as to define a filtering member receiving space therebetween; and

wherein the blade has a window which allows light to pass therethrough.

12. A guide knife for inserting a filtering member into an eye, comprising:

a handle portion;

a blade portion projecting distally from a distal end of said handle portion, said blade portion terminating distally in a sharp distal end, said blade portion having first and second major side surfaces;

a flange element having proximal and distal ends and first and second generally parallel, major side faces, said flange element being coupled to one of said blade portion and said handle portion and extending distally in side by side generally parallel relation to said blade portion such that the first major side face thereof is in parallel, opposed facing relation to said first major side surface of said blade portion so as to define a filtering member receiving space therebetween; and

wherein the flange has a maximum width measured across the widest portion of one of the major side faces which is smaller than a maximum width of the blade measured across the widest portion of one of the major side surfaces.

13. A guide knife as claimed in claim 12, wherein the handle has a release mechanism to facilitate release of the filtering member when it is in a desired position in the eye.