Device for use in a surgical procedure on an eye of a living being, and method of retracting the iris

• US 6,561,974 B1
• Filed: 05/31/2000
• Issued: 05/13/2003
• Est. Priority Date: 05/31/2000
• Status: Expired due to Fees

• Current Assignee: Grieshaber & Company AG Schaffhausen
• Original Assignee: Grieshaber & Company AG Schaffhausen
• Inventors: Althoff, Gerhard, Maag, Werner, Grieshaber, Hans R.
• Primary Examiner(s): Smith, Jeffrey A.
• Application Number:
  US09/583,517
• Time in Patent Office: 1,077 Days
• Field of Search: 600/201, 600/206, 600/209, 600/210, 600/217, 600/235, 600/236
• US Class Current: 600/206
• CPC Class Codes: A61B 17/0231 for eye surgery
• CPC Class Codes: A61B 2017/00867 shape memory effect for prostheses A61F2210/0014
• CPC Class Codes: A61F 9/007 Methods or devices for eye surgery

Abstract

A device for use in a surgical procedure on an eye of a living being, includes a retraction member, destined for insertion into the anterior chamber of the eye. The retraction member has a hook-shaped engagement part for retracting the iris, whereby at least the engagement part of the retraction member is made of a deformable material with shape memory. Thus, the retraction member is insertable into the anterior chamber with the engagement part exhibiting a substantially straight configuration, and subsequently the engagement part is able to recover its original hook-shaped configuration as a consequence of its material characteristics.

Claims

1. A device for use in a surgical procedure on an eye of a living being, comprising a retraction member, destined for insertion into the anterior chamber of the eye, said retraction member made of a flexible filament and having a hook-shaped engagement part for retracting the iris, at least said engagement part of the retraction member being made of a deformable material with shape memory so that the retraction member is insertable into the anterior chamber with the engagement part in a substantially straight configuration, and subsequently the engagement part is able to recover its original hook-shaped configuration as a consequence of its material characteristics, to implement a retraction of the iris, wherein the engagement part of the retraction member is bendable into the straight configuration for insertion into the anterior chamber at a temperature below a temperature in the anterior chamber and recovers the hook-shaped configuration as a result of the temperature in the anterior chamber.

2. The device of claim 1, and further comprising an elongate tube insertable into the anterior chamber, said retraction member being so received in the tube that the engagement part has a straight configuration, wherein a relative movement in axial direction between the tube and the retraction member clears the engagement part to permit subsequent recovery of its hook-shaped configuration.

3. The device of claim 2 wherein the retraction member is a flexible filament made over its entire length of a metal with mechanical shape memory based on inherent elasticity.

4. The device of claim 3 wherein the metal is a nickel-titanium alloy.

5. The device of claim 2 wherein the tube and the retraction member have each a forward section insertable into the anterior chamber, at least said forward section of said tube and said retraction member being made of a material which is dyed with a warning color.

6. The device of claim 2 wherein the material has a homogenous hue which contrasts the hue of the iris.

7. The device of claim 2 wherein the tube and the retraction member are made over their entire length of a material having an optical warning color.

8. The device of claim 2, and further comprising a first fixation element slideable and clampable on the tube and a second fixation element slideable and clampable on the retraction member for securing the retraction member in position when the engagement part hooks onto the iris.

9. The device of claim 8 wherein the first and second fixation elements are made of a caoutchouc mixture exhibiting an optical warning color.

10. The device of claim 1, and further comprising an elongate tube, said retraction member having at least two such engagement parts and so received in the tube that the engagement parts have a straight configuration, wherein a relative movement in axial direction between the tube and the retraction member clears the engagement parts to permit subsequent recovery of their hook-shaped configuration, whereby the engagement parts diverge at an angle to one another to exhibit a Λ

-shaped configuration.

11. The device of claim 10 wherein the retraction member is a flexible filament made over its entire length of a metal with mechanical shape memory based on inherent elasticity.

12. The device of claim 11 wherein the metal is a nickel-titanium alloy.

13. The device of claim 10 wherein the tube and the retraction member have each a forward section insertable into the anterior chamber, at least said forward section of said tube and said retraction member being made of a material which is dyed with a warning color.

14. The device of claim 13 wherein the material has a homogenous hue which contrasts the hue of the iris.

15. The device of claim 10 wherein the tube and the retraction member are made over their entire length of a material having an optical warning color.

16. The device of claim 10, and further comprising a first fixation element slideable and clampable on the tube and a second fixation element slideable and clampable on the retraction member for securing the retraction member in position when the engagement part hooks onto the iris.

17. The device of claim 16 wherein the first and second fixation elements are made of a caoutchouc mixture exhibiting an optical warning color.

18. The device of claim 1 wherein at least the engagement part of the retraction member is made of a flexible, polymeric material with thermal shape memory.

19. The device of claim 18 wherein the engagement part of the retraction member is capable of recovering the hook-shaped configuration as a consequence of its inherent elasticity and thermal shape memory.

20. The device of claim 1 wherein the retraction member is a flexible filament made over its entire length of a flexible polymeric material with thermal shape memory.

21. The device of claim 20 wherein the flexible filament is made of thermoplastic material.

22. The device of claim 1 wherein at least the engagement part of the retraction member is made of a flexible metal with thermal shape memory.

23. The device of claim 22 wherein the metal is a nickel-titanium alloy.

24. The device of claim 1 wherein the retraction member is a flexible filament made over its entire length of a metal with thermal shape memory.

25. The device of claim 24 wherein the metal is a nickel-titanium alloy.

26. The device of claim 1 wherein the engagement part room is bendable into the straight configuration at a room temperature of about 18°

C. to 22°

C. and recovers the hook-shaped configuration when heated in the anterior chamber to a body temperature of the living being of about 35°

C. to 37°

C.

27. The device of claim 1 wherein the retraction member is a flexible filament dyed with an optical warning color from the engagement part at least in an area destined for placement above the iris.

28. The device of claim 1 wherein the retraction member is a flexible filament dyed over its entire length with an optical warning color.

29. The device of claim 1 wherein the retraction member is a flexible filament dyed with a homogenous hue which contrasts a hue of the iris.

30. The device of claim 1, and further comprising a sleeve destined for placement in the cornea for insertion of the retraction member, said sleeve having a tubular member projecting into the anterior chamber and providing an abutment for upward bending of the engagement part when the retraction member is withdrawn.

31. A device for use in a surgical procedure on an eye of a living being, comprising:

a retraction member, destined for insertion into the anterior chamber of the eye, said retraction member having a hook-shaped engagement part for retracting the iris, at least said engagement part of the retraction member being made of a deformable material with shape memory so that the retraction member is insertable into the anterior chamber with the engagement part in a substantially straight configuration, and subsequently the engagement part is able to recover its original hook-shaped configuration as a consequence of its material characteristics, to implement a retraction of the iris, wherein the engagement part of the retraction member is bendable into the straight configuration for insertion into the anterior chamber at a temperature below a temperature in the anterior chamber and recovers the hook-shaped configuration as a result of the temperature in the anterior chamber; and

a fixation element slideable and clampable on the retraction member for securing the retraction member in position when the engagement part hooks onto the iris, said fixation element having a disk-like configuration and is made of a caoutchouc mixture exhibiting an optical warning color.

32. A method of retracting the iris of an eye of a living being for a surgical procedure, comprising the steps of:

inserting a retraction member made of shape memory material in a substantially straight configuration through an incision in the cornea into the anterior chamber to permit a forward section of the retraction member to recover an original hooked end configuration, thereby forming an engagement part; and

attaching the engagement part to the iris.

33. A method of retracting the iris of an eye of a living being for a surgical procedure, comprising the steps of:

placing a retraction member made of shape memory material in a tube so that its hooked end is bent upwards into a forward section of straight configuration;

inserting the tube with contained retraction member through an incision in the cornea into the anterior chamber of the eye;

executing a relative movement between the retraction member and the tube to project the forward section beyond the tube to thereby permit the forward section of the retraction member to recover its original hooked end configuration; and

attaching the hooked end of the retraction member to the iris.

34. The method of claim 33 wherein the recovery of the forward section to its hooked end configuration is realized as a consequence of innate elasticity.

35. The method of claim 33 wherein the recovery of the forward section to its hooked end configuration is realized through exposure to a temperature which is elevated compared to an ambient room temperature.

36. The method of claim 35 wherein the recovery of its hooked end configuration is realized at a temperature of about 35°

C. to 37°

C.

37. An iris retractor, comprising a body portion made of a flexible filament and having an end section, at least the end section being made of a deformable material with shape memory so as to assume a hook-shaped configuration, when the end portion of the body portion is inserted into the anterior chamber of an eye, in response to a temperature prevailing in the anterior chamber.