Positioning assembly for retaining and positioning a cornea

• US 5,772,675 A
• Filed: 10/31/1996
• Issued: 06/30/1998
• Est. Priority Date: 10/31/1996
• Status: Expired due to Term

• Current Assignee: Chiron Vision Corp. (Novartis Ag)
• Original Assignee: Chiron Vision Corp. (Novartis Ag)
• Inventors: Hellenkamp, Johann F.
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Lewis, William W.
• Application Number:
  US08/741,955
• Time in Patent Office: 607 Days
• Field of Search: 606/1, 606/107, 606/166, 606/167, 606/4, 606/5, 606/161, 604/294
• US Class Current: 606/166
• CPC Class Codes: A61F 2009/00872 Cornea
• 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 9/013 Instruments for compensation of ocular refraction A61F9/008 takes precedence; Instruments for use in cornea removal, for reshaping or performing incisions in the cornea

Abstract

An improved positioning assembly for positioning and holding a cornea of an eye during surgery comprising a positioning ring, a suction force operably coupled to the positioning ring to temporarily attach it to the eye and a suction enhancement member. The positioning ring includes a retention plate, having an aperture defined therein to receive the cornea of the eye and an interior rim disposed in surrounding relation about the aperture, and a flange member extending downwardly from the retention plate in spaced, surrounding relation to the aperture. The positioning ring further includes a vacuum port in fluid flow communication with a point radially interior of the flange member such that a suction force applied therethrough secures the positioning ring to the eye with the cornea protruding through the aperture. The suction enhancement member preferably comprises a resilient material segment structured to engage the positioning ring at a point radially interior of the flange member, and disposed to define a suction channel between the suction enhancement member and the positioning ring, which channel is in fluid flow communication with the vacuum port. A plurality of suction ports are preferably defined in the segment and in fluid flow communication with the suction channel. When a suction force is applied to the positioning ring, the suction enhancement member effects an improved vacuum seal substantially about the eye and further, prevents partial or complete occlusion of the suction force.

Claims

1. A positioning assembly for retaining and positioning a cornea of a patient'"'"'s eye for cutting during a surgical operation, said assembly comprising:

a) a positioning ring having an aperture sized to receive and expose the cornea therethrough, said positioning ring including a vacuum port connected to and in fluid communication with a vacuum means for providing a suction force sufficient to temporarily attach said positioning ring to the eyeball about the cornea,

b) a suction enhancement member including a segment structured and disposed to engage the positioning ring, so as to be disposed at least partially between said vacuum port of said positioning ring and the eyeball to be cut during surgery;

c) said segment including at least one suction port and being structured to engage said positioning ring so as to define a suction channel between said positioning ring and said segment;

d) said suction channel being disposed in fluid flow communication with said vacuum port of said positioning ring such that upon actuation of the vacuum means, the suction force is applied through said vacuum port and to said suction channel; and

e) said segment being structured to maintain a flow-through integrity of said suction channel upon actuation of the vacuum means and temporary attachment of the positioning ring to the eyeball.

2. A positioning assembly as recited in claim 1 wherein said segment is structured to removably engage the positioning ring.

3. A positioning assembly as recited in claim 1 wherein said suction force is applied to the eyeball through said at least one suction port in said segment.

4. A positioning assembly as recited in claim 1, wherein said segment is structured to substantially surround the aperture of the positioning ring such that said suction channel extends substantially about the eyeball.

5. A positioning assembly as recited in claim 4 wherein said segment includes a plurality of said suction ports disposed throughout said segment, said suction ports being structured and disposed to permit the suction force to be applied therethrough, substantially about the eyeball, thereby enhancing the attachment of the positioning ring to the eyeball.

6. To be utilized to retain and properly expose and align a cornea of an eye during eye surgery, an improved eye positioning assembly comprising:

(i) a positioning ring, said positioning ring being substantially rigid and comprising;

a retention plate, said retention plate including an aperture defined therein and structured to receive the cornea of the eye therein,

said retention plate further including an interior rim disposed in surrounding relation about said aperture and structured to engage the eye disposed therein,

a flange member extending generally downwardly from said retention plate in spaced apart, generally surrounding relation to said aperture in said retention plate,

a lower edge of said flange member being structured to engage the eye,

a vacuum port disposed in fluid flow communication with a point radially interior of said flange member, and

vacuum means connected with said vacuum port and structured to provide a suction through said vacuum port, said suction being sufficient to secure said interior rim of said retention plate and said lower edge of said flange member to the eye such that the cornea of the eye is urged upwardly and protrudes through said aperture defined in said retention plate and is retained therein; and

(ii) a suction enhancement member, said suction enhancement member comprising;

a segment structured for fitted engagement with said positioning ring radially interior of said flange member,

said segment being structured and disposed to define a suction channel between said suction enhancement member and said positioning ring,

at least one suction port defined in said segment and extending into fluid flow communication with said suction channel,

said suction channel also being disposed in fluid flow communication with said vacuum port of said positioning ring such that said suction produced by said vacuum means acts on the eye through said at least one suction port defined in said segment, and

said segment being structured to resist a collapse thereof towards said positioning ring upon an interior surface of said segment engaging the eye, thereby maintaining a flow through integrity of said suction channel.

7. An improved eye positioning assembly as recited in claim 6 wherein said segment is formed of resilient material.

8. An improved eye positioning assembly as recited in claim 7 wherein said segment includes a generally ring like configuration structured to extend substantially about said aperture defined in said retention plate.

9. An improved eye positioning assembly as recited in claim 8 wherein said segment includes a gap defined therein and structured to permit a diameter of said segment to be temporarily compressed, thereby facilitating introduction and removal of said segment into and out of said engagement with said positioning ring.

10. An improved eye positioning assembly as recited in claim 9 wherein said gap is further structured to define said at least one suction port.

11. An improved eye positioning assembly as recited in claim 10 further including a plurality of said suction ports disposed along a length of said segment, thereby providing suction substantially about an entire perimeter of the eye.

12. An improved eye positioning assembly as recited in claim 8 wherein said segment is further structured to permit a diameter thereof to be temporarily compressed, thereby facilitating introduction and removal of said segment into and out of said engagement with said positioning ring.

13. An improved eye positioning assembly as recited in claim 8 further including a plurality of said suction ports disposed along a length of said segment, thereby providing suction substantially about an entire perimeter of the eye.

14. An improved eye positioning assembly as recited in claim 13 wherein said suction ports include a plurality of indentations defined along a top edge and a bottom edge of said segment and structured to maintain an overall strength of said segment.

15. An improved eye positioning assembly as recited in claim 14 wherein said segment includes and outward taper from said top edge to said bottom edge thereof.

16. An improved eye positioning assembly as recited in claim 15 wherein said outward taper is between generally about thirty (30) and forty (40) degrees.

17. An improved eye positioning assembly as recited in claim 15 wherein said outward taper is generally about thirty-five (35) degrees.

18. An improved eye positioning assembly as recited in claim 6 wherein said segment is structured to removably engage said positioning ring so as to facilitate effective cleaning of said positioning ring.

19. An improved eye positioning assembly as recited in claim 18 wherein a thickness of said segment is between generally about three-tenths (0.3 mm) and five-tenths (0.5 mm) millimeters.

20. An improved eye positioning assembly as recited in claim 18 wherein said flange member of said positioning ring includes means to secure said segment in said removable engagement with said positioning ring.

21. An improved eye positioning assembly as recited in claim 20 wherein said means to secure said segment includes an interior ridge disposed on said flange member of said positioning ring and structured to engage said bottom edge of said segment.

22. An improved eye positioning assembly as recited in claim 20 wherein said means to secure said segment includes an interior groove defined in said flange member of said positioning ring and structured to receive said bottom edge of said segment therein.

23. An improved eye positioning assembly as recited in claim 6 wherein said segment is structured to extend between said retention plate and said flange member of said positioning ring.

24. An improved eye positioning assembly as recited in claim 23 wherein said segment includes a top edge and a bottom edge, said bottom edge being structured to engage said flange member and said top edge being structured to engage said retention plate so as to define a suction channel between said suction enhancement member and said positioning ring.

25. An improved eye positioning assembly as recited in claim 6 wherein said suction member is disposable.

26. An improved eye positioning assembly as recited in claim 6 wherein said vacuum port is defined in said retention plate of said positioning ring and is structured to be in partial fluid flow communication with said suction channel.