Cannula for use in corrective laser eye surgery

• US 6,135,984 A
• Filed: 01/06/1999
• Issued: 10/24/2000
• Est. Priority Date: 01/06/1999
• Status: Expired due to Fees

• Current Assignee: Jon G. Dishler
• Original Assignee: Jon G. Dishler
• Inventors: Dishler, Jon G.
• Primary Examiner(s): Kennedy, Sharon
• Assistant Examiner(s): RODRIGUEZ, CRIS LOIREN
• Application Number:
  US09/226,376
• Time in Patent Office: 657 Days
• Field of Search: 604/264, 604/47, 604/239-243, 604/257, 604/275, 604/523, 604/911, 604/181, 604/187, 222/566, 222/565, 222/572, 222/575, 606/162
• US Class Current: 604/264
• CPC Class Codes: A61F 2009/00872 Cornea
• CPC Class Codes: A61F 9/007 Methods or devices for eye surgery
• CPC Class Codes: A61F 9/00802 for photoablation
• CPC Class Codes: A61M 3/0262 manually, e.g. by squeezing a bulb
• CPC Class Codes: A61M 3/0279 Cannula; Nozzles; Tips; their connection means

Abstract

A cannula for use in conjunction with a fluid source to irrigate a corneal surface of an eye, comprises a connector adapted to attach to the fluid source; and an elongated, hollow prong element having a proximal end supported by said connector and a distal tip opposite proximal end. The prong element includes an arcuate distal section formed in a plane along a curvature and having a fluid passageway therein that is surrounded by a sidewall with the fluid passageway being in fluid communication with the fluid source when the connector is fastened thereto. A port in the distal section of the prong extends from the fluid passageway through the sidewall whereby fluid from the fluid source may be ejected out of the port and onto the corneal surface during use.

Claims

1. A cannula for use in conjunction with a fluid source and operative to irrigate a corneal surface of an eye, comprising:

(a) a connector adapted to attach to the fluid source, said connector oriented along a longitudinal axis; and

(b) an elongated hollow prong element having a proximal end supported by said connector and a distal tip opposite said proximal end, said prong element preformed to include an arcuate distal section formed in a plane along a curvature, wherein a contact surface of said arcuate distal section is oriented toward said longitudinal axis, said contact surface having a portion thereof which is adapted to be coextensive with the corneal surface of an eye, and wherein said prong element has a fluid passageway therein that is surrounded by a sidewall with the fluid passageway being in fluid communication with the fluid source when said connector is fastened thereto, said prong element having a port in said distal section that extends from the fluid passageway through said sidewall whereby fluid from the fluid source may be ejected out of the port and onto the corneal surface during use.

2. A cannula according to claim 1 wherein said connector is adapted to mount on a connector tip of a syringe that contains the fluid source.

3. A cannula according to claim 1 wherein said prong element has a plurality of ports in said distal section, each of the ports extending from the passageway through said sidewall.

4. A cannula according to claim 3 wherein adjacent ones of the ports are equidistantly spaced from one another.

5. A cannula according to claim 3 wherein at least two of the ports open toward opposite sides of the plane of said distal section.

6. A cannula according to claim 5 wherein at least two of the ports are diametrically opposite one another.

7. A cannula according to claim 3 wherein at least two of the ports open toward a common side of the plane of said distal section.

8. A cannula according to claim 3 having a greater number of ports opening toward a first side of the plane of said distal section relative to the number of ports opening toward a second side of the plane of said distal section.

9. A cannula according to claim 3 wherein said ports are circular in cross-section.

10. A cannula according to claim 9 wherein each of the ports has a diameter of approximately 0.14 millimeters.

11. A cannula according to claim 1 wherein the port is operative to eject fluid in an ejection direction and at an ejection angle that is at a large acute angle relative to the plane of said distal section.

12. A cannula according to claim 11 wherein the ejection angle is between about 70°

and 90°

, inclusively.

13. A cannula according to claim 1 wherein said prong element includes a linear proximal section oriented along said longitudinal axis with said proximal section and said distal section being connected at a juncture.

14. A cannula according to claim 13 wherein said distal tip and said juncture are separated by an arc of between about 0.75 radians and 0.96 radians.

15. A cannula according to claim 13 wherein said distal section is canted with respect to said proximal section such that a line extending through said juncture and said distal tip is oriented at an obtuse angle with respect to the proximal section.

16. A cannula according to claim 15 wherein the obtuse angle is between about 110°

and 140°

, inclusively.

17. A cannula according to claim 1 wherein said distal section is formed along a radius of curvature of between about 9.0 millimeters to 10.3 millimeters, inclusively.

18. A cannula according to claim 17 wherein said prong element has a plurality of ports in said distal section, each of the ports extending from the passageway through said sidewall and adjacent ones of the ports being separated by about 10°

of arc.

19. A cannula according to claim 1 wherein said prong element is circular in cross-section.

20. A cannula according to claim 1 wherein said distal tip is closed.

21. A cannula according to claim 20 wherein said distal tip is rounded.

22. A cannula according to claim 1 wherein said connector is composed of polymeric material and said prong element is composed of metal.

23. A cannula according to claim 1 wherein said connector and said prong element are integrally constructed of a polymeric material.

24. A cannula according to claim 1 wherein said arcuate distal section is formed along a fixed radius of curvature.

25. A cannula according to claim 1 wherein said prong element is rigid.

26. An apparatus adapted for use in irrigating a corneal surface during surgical procedures thereon, comprising:

(a) a syringe body including an elongated hollow barrel having a barrel interior surrounded by a barrel sidewall, an opening at a first end thereof and a connector tip opposite the opening, said connector tip having a bore therethrough in fluid communication with the barrel interior;

(b) a plunger received in the barrel interior and moveable therein between a withdrawn position and a depressed position; and

(c) a cannula supported by said connector tip and including;

(i) a connector oriented along a longitudinal axis and having a first passageway therethrough and adapted to mount to the connector tip in fluid communication with the bore thereof; and

(ii) an elongated hollow prong element having a proximal end secured to said connector and a distal tip opposite the proximal end, said prong element preformed to include an arcuate distal section formed in a plane along a curvature and defined by a radius in said plane that passes through said longitudinal axis, said prong element having a fluid passageway therein that is surrounded by a prong element sidewall, with the fluid passageway being in fluid communication with the barrel interior when said connector is fastened to the connector tip and having a port in said distal section that extends from the fluid passageway through said prong element sidewall whereby fluid received in the barrel interior when said plunger is in the withdrawn position may be ejected out of the port and onto the corneal surface by moving said plunger toward the depressed position.

27. An apparatus according to claim 26 wherein the prong element is sized and adapted to follow the outer curvature of a cornea.

28. An apparatus according to claim 26 wherein the prong element includes a proximal section oriented along said longitudinal axis, with said proximal section and said distal section being connected at a juncture.

29. An apparatus according to claim 28 wherein the distal section is canted with respect to said proximal section such that a line extending through said juncture and said distal tip is oriented at an obtuse angle with respect to said proximal section.

30. An apparatus according to claim 28 wherein said proximal section is linear.

31. A cannula for use in conjunction with a fluid source and operative to irrigate a corneal surface of an eye, comprising:

(a) a connector adapted to attach to the fluid source, said connector oriented along a longitudinal axis; and

(b) an elongated hollow prong element having a proximal end supported by said connector and a distal tip opposite said proximal end, said prong element including an arcuate distal section formed in a plane along a curvature and defined by a radius in said plane that originates on one side of said longitudinal axis and terminates on an opposite side of said longitudinal axis, said prong element having a fluid passageway therein that is surrounded by a sidewall with the fluid passageway being in fluid communication with the fluid source when said connector is fastened thereto, said prong element having a port in said distal section that extends from the fluid passageway through said sidewall whereby fluid from the fluid source may be ejected out of the port and onto the corneal surface during use.

32. A cannula according to claim 31 wherein said radius is of a fixed length.

33. An apparatus adapted for use in irrigating a corneal surface during surgical procedures thereon, comprising:

(a) a syringe body including an elongated hollow barrel having a barrel interior surrounded by a barrel sidewall, an opening at a first end thereof and a connector tip opposite the opening, said connector tip having a bore therethrough in fluid communication with the barrel interior;

(b) a plunger received in the barrel interior and moveable therein between a withdrawn position and a depressed position; and

(c) a cannula supported by said connector tip and including;

(i) a connector having a first passageway therethrough and adapted to mount to the connector tip in fluid communication with the bore thereof; and

(ii) an elongated hollow prong element having a proximal end secured to said connector and a distal tip opposite the proximal end, said prong element preformed to include a linear proximal section connected at a juncture to an arcuate distal section formed in a plane along a curvature, said prong element having a fluid passageway therein that is surrounded by a prong element sidewall, with the fluid passageway being in fluid communication with the barrel interior when said connector is fastened to the connector tip and having a port in said distal section that extends from the fluid passageway through said prong element sidewall whereby fluid received in the barrel interior when said plunger is in the withdrawn position may be ejected out of the port and onto the corneal surface by moving said plunger toward the depressed position.

34. A cannula for use in conjunction with a fluid source and operative to irrigate a corneal surface of an eye, comprising:

(a) a connector adapted to attach to the fluid source, said connector oriented along a longitudinal axis; and

(b) an elongated hollow prong element having a surrounding sidewall that includes a proximal end supported by said connector and a distal tip opposite said proximal end, said prong element including an arcuate distal section formed in a plane along a curvature, wherein said arcuate distal section has a first sidewall portion extending along a first radius of curvature to define a contact surface facing said longitudinal axis, and a second sidewall portion extending along a second radius of curvature that is larger than said first radius of curvature, and wherein said prong element has a fluid passageway therein that is surrounded by said sidewall with the fluid passageway being in fluid communication with the fluid source when said connector is fastened thereto, said prong element having a port in said distal section that extends from the fluid passageway through said sidewall whereby fluid from the fluid source may be ejected out of the port and onto the corneal surface during use.

35. A cannula according to claim 34 wherein said prong element is substantially inflexible.

36. A cannula according to claim 35 wherein said arcuate distal section extends along a fixed radius of curvature.