Device for use in ophthalmologic procedures

• US 6,527,736 B1
• Filed: 10/23/2000
• Issued: 03/04/2003
• Est. Priority Date: 10/23/2000
• Status: Expired due to Term

• Current Assignee: Alcon Incorporated
• Original Assignee: Grieshaber & Company AG Schaffhausen (Alcon Incorporated)
• Inventors: Egli, Lorenz, Attinger, Jürg, Maag, Werner
• Primary Examiner(s): Walberg, Teresa
• Assistant Examiner(s): DAHBOUR, HENRY
• Application Number:
  US09/694,214
• Time in Patent Office: 862 Days
• Field of Search: 604/43, 604/35, 604/39, 604/22, 604/117, 604/118, 604/119, 604/164.02, 604/289, 604/290, 604/294, 604/27, 600/568, 606/170, 606/171
• US Class Current: 604/43
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61F 9/00763 with rotating or reciprocating cutting elements, e.g. concentric cutting needles atherectomy cutting instruments A61B17/3207; endoscopic cutting instruments A61B17/320016

Abstract

A cutting device for ophthalmologic surgery in the eye of a living being specifically for suctioning, cutting and removing portions of the vitreous humor of the eye and/or tissue particles, includes a housing and a probe disposed thereon for insertion into the vitreous humor with the probe including a guide tube with a suction opening at its distal end and an inner tube co-axially inserted therein which is slideably movable in axial direction relative to the suction opening, and a control member configured to translate a rotational movement of the drive into a linear movement of the inner tube to thereby move the inner tube in the guide tube in the direction of the longitudinal axis from the resting position to the closing position and back to the resting position while preventing a linear movement of the inner tube at rotating drive when the inner tube is in the resting position.

Claims

1. A device for use in ophthalmologic surgery for suctioning, cutting and removing portions of the vitreous humor and/or tissue particles, comprising:

a housing defining a longitudinal axis;

a guide tube disposed at the housing for insertion into a hollow space of the vitreous humor, said guide tube having a distal end forming a suction opening;

an inner tube received coaxially in the guide tube;

a drive; and

a control member operatively connected with the drive, and receiving the inner tube, for moving the inner tube in the direction of the longitudinal axis between a resting position in which the suction opening of the guide tube is cleared to allow withdrawing the vitreous humor and/or tissue particles and a closing position in which the suction opening is sealed, said control member being configured to allow a movement of the inner tube in the guide tube in the direction of the longitudinal axis from the resting position to the closing position and back to the resting position by translating a rotational movement of the drive into a linear movement of the inner tube, and to refrain from acting on the inner tube at rotational movement of the drive when the inner tube is in the resting position.

2. The device of claim 1, and further comprising a coupling member for linking the inner tube to the control member, and a rotation body having one end operatively connected to a shaft of the drive and another end operatively connected to the control member, whereby the control member is constrained at all times to rotate with the rotation body, said rotation body having a pin for engagement in a curved track formed about an outer periphery of the control member so as to implement a conjoint displacement in axial direction of the control member and the inner tube relative to the suction opening in dependence on the configuration of the curved track.

3. The device of claim 2, wherein at each rotation of the rotation body about the longitudinal axis at rotation angle from 0°

to 360°

, the inner tube is moved by the control member in axial direction at least once from the resting position to the closing position and back to the resting position.

4. The device of claim 3, wherein at each rotation of the rotation body about the longitudinal axis at rotation angle from 0°

to 360°

, the inner tube is moved by the control member in axial direction only at a rotation angle of the rotation body in the range approximately 90°

to 270°

.

5. The device of claim 2, wherein the rotation body includes two spaced-apart fork arms disposed at a side confronting the control member and directed towards the control member, said pin being secured to one of the fork arms for engagement in the curved track.

6. The device of claim 5, wherein the fork arms extend in axial direction over the control member and have confronting inner walls of a circular arc shaped configuration in correspondence to an outer diameter of the control member.

7. The device of claim 2, wherein the control member has a cylindrical core of a diameter which is smaller than an outer diameter of the control member, with the curved track on the control member bounded by the cylindrical core, and two side walls extending circumferentially in parallel relationship, said side walls configured with two semi-circular first segments and two curved semicircular second segments formed integrally with the first segments.

8. The device of claim 1, wherein the first segments extend orthogonal to the longitudinal axis and the second segments is so connected to the cylindrical core as to extend approximately curved at an inclination in the direction of a rear wall of the control member, with the first and second segments defining the circumferential side walls for the curved track.

9. The device of claim 2, and further comprising an intermediary piece mounted to the housing, and a headpiece mounted to the intermediary piece and accommodating the guide tube with contained inner tube, said headpiece configured for placement over the intermediary piece and secured by a rotation about the longitudinal axis via a quick release lock.

10. The device of claim 9, wherein the headpiece has a hollow cylindrical recess for engagement of the coupling member, said coupling member having one end operatively connected the control member and another end formed with a flange which is constraint to prevent the coupling piece from rotating.

11. The device of claim 10, wherein the coupling member has a plate for positive engagement of the plate in a groove of the control member, said headpiece forming with the coupling member a structural unit which is so movable in axial direction toward the intermediary piece that a conjoint rotation of the headpiece with the intermediary piece and the coupling piece about the longitudinal axis results in an interaction with the control member via the plate.

12. The device of claim 9, wherein the intermediary piece is configured for receiving the rotation body and the control member, said control member having an axial groove for engagement of a pin which is mounted to the intermediary piece for preventing a rotation of the control member.

13. The device of claim 9, wherein the coupling member is provided with a connection piece for attachment of an aspiration line, said intermediary piece having a slot-shaped axial recess and a bore in communication with the recess for guiding the aspiration line to the outside.

14. The device of claim 9, wherein the headpiece has a locking cam for positive engagement in a bore formed on an outer periphery of the intermediary piece when the headpiece is placed over the intermediary piece and turned about an angle of approximately 90°

.

15. The device of claim 2, wherein a revolution of the rotation member is subdivided in rotation phases, whereby

a) in a first rotation phase about a rotation angle between approximately 0° to 90°

, the control member remains idle so that the inner tube is stationary at a distance to the suction opening;

b) in a second rotation phase about a rotation angle from 90°

to 180°

, the control member is moved with the inner tube in axial direction in the closing position;

c) in a third rotation phase about a rotation angle from 180°

to 270°

, the control member returns with the inner tube to the starting position to clear the suction opening;

d) in a fourth rotation phase about a rotation angle from 270°

to 360°

, the control member remains in the starting position in which the inner tube is positioned at a distance to the suction opening.

16. The device of claim 15, and further comprising a rotation sensor which is operatively connected to the drive to control a movement pattern of the inner tube relative to the suction opening in correspondence with the rotation phases.

17. The device of claim 16, wherein the movement pattern of the inner tube is so controllable by the rotation sensor and the drive that the inner tube is retainable in the resting position in which the suction opening is cleared.

18. The device of claim 2, wherein the control member has an end face distal to the rotation body, and a recess extending inwardly in axial direction from the end face for receiving the coupling element.

19. The device of claim 18, wherein the coupling member has a plate, said control member provided with a groove arranged at a distance to the end face and extending transversely to a longitudinal extension of the recess for positive engagement of the plate.

20. The device of claim 18, wherein the coupling member is provided with a connection piece projecting into the recess of the control member for attachment of an aspiration line.

21. The device of claim 1, wherein the inner tube is in the resting position for a time period which is at least as long as a time period for the inner tube to move from the resting position to the closing position and back to the resting position.

22. The device of claim 1 wherein the drive is an electric motor.