System and method for removing cataract or other cells in an eye using water jet and suction

• US 7,041,078 B1
• Filed: 01/27/2003
• Issued: 05/09/2006
• Est. Priority Date: 06/19/2000
• Status: Expired due to Fees

• Current Assignee: Gholam A. Peyman
• Original Assignee: Gholam A. Peyman
• Inventors: Peyman, Gholam A.
• Primary Examiner(s): Trieu, Theresa
• Application Number:
  US10/351,587
• Time in Patent Office: 1,198 Days
• Field of Search: 604/22, 604/27, 604/35, 604/43, 606/4, 606/1, 606/6, 606/107
• US Class Current: 604/27
• CPC Class Codes: A61B 17/3203 Fluid jet cutting instruments
• CPC Class Codes: A61B 17/32053 Punch like cutting instruments, e.g. using a cylindrical or oval knife A61B17/326 takes precedence; trepans A61B17/1695; for use on the cornea A61F9/007
• CPC Class Codes: A61F 9/00736 Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments A61F9/008 takes 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
• CPC Class Codes: A61M 1/85 with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants for negative pressure wound therapy A61M1/92, A61M1/94; combined with tracheal tubes A61M16/0463; dental instruments with combined rinsing and aspirating A61C17/0208

Abstract

A system for removing cells from an interior portion of an eye, including a continuous passageway adapted to pass a fluid therethrough. A first cutting device is coupled to an exterior portion of the continuous passageway for dislodging cells from the interior portion of the eye. The first cutting device moves relative to the exterior portion of the continuous passageway due to the passing of the fluid through the continuous passageway.

Claims

1. A system for removing cells from an interior portion of an eye, comprising:

a continuous passageway adapted to pass a fluid therethrough;

a component for imparting fluid circulation flow through said continuous passageway; and

a movable first cutting edge coupled to an exterior portion of said continuous passageway for dislodging cells from the interior portion of the eye, said first cutting edge moving relative to said exterior portion of said continuous passageway due to the passing of said fluid through said continuous passageway.

2. A system according to claim 1, wherein

said continuous passageway has at least one aperture therethrough, said at least one aperture adapted to allow at least some of said cells to pass from the interior portion of the eye and into said continuous passageway.

3. A system according to claim 2, wherein

said continuous passageway has a second cutting edge situated therein.

4. A system according to claim 3, wherein

said first cutting edge is a first rotating blade positioned externally of said continuous passageway for dislodging cells from the interior portion of the eye.

5. A system according to claim 4, wherein

said second cutting edge is a second rotating blade.

6. A system according to claim 5, wherein

said second rotating blade rotates by said fluid passing through said continuous passageway.

7. A system according to claim 6, wherein

said first rotating blade is mechanically coupled to said second rotating blade, and said mechanically coupling causes said first rotating blade to rotate when said second rotating blade rotates.

8. A system according to claim 1, wherein

said first cutting edge is a first rotating blade.

9. A system according to claim 8, wherein

said continuous passageway has a second rotating blade situated therein.

10. A system according to claim 9, wherein

said first rotating blade is coupled to said second rotating blade, and said coupling causes said first rotating blade to rotate when said second rotating blade rotates.

11. A system according to claim 8, wherein

said first rotating blade rotates in response to fluid passing through the continuous passageway.

12. A system according to claim 1, wherein

said movable first cutting edge includes a drive member positioned in said continuous passageway and moving in response to fluid passing through said passageway, said drive member being operatively connected to said first cutting edge for moving said first cutting edge.

13. A system according to claim 1, wherein

said movable first cutting edge includes a movable blade that is fluid driven by fluid passing through said continuous passageway.

14. A system for removing cells from an interior portion of an eye, comprising:

a continuous passageway adapted to pass a fluid therethrough;

a component for imparting fluid circulation through said continuous passageway; and

a first cutting device coupled to an interior portion of said continuous passageway for dislodging cells from the interior portion of the eye, said first cutting device moving relative to said interior portion of said continuous passageway due to the passing of said fluid through said continuous passageway.

15. A system according to claim 14, wherein

said continuous passageway has at least one aperture therethrough, said at least one aperture adapted to allow at least some of said cells to pass from the interior portion of the eye and into said continuous passageway.

16. A system according to claim 14, wherein

said first cutting device includes a first rotating blade positioned externally from said continuous passageway for dislodging cells from the interior portion of the eye;

and

a second rotating blade positioned in said continuous passageway and being coupled to said first rotating blade for rotating said first rotating blade.

17. A system of claim 14, wherein

said first cutting device includes a movable blade positioned in said continuous passageway and is movable by said fluid passing through said continuous passageway.

18. A system of claim 17, wherein

said movable blade is coupled to a second movable cutting device, said second movable cutting device being movable in response to movement of said movable blade.

19. A system for removing cells from an interior of an eye, comprising:

an instrument adapted to pass through an incision in an eye and having a surface adapted to contact and dislodge cells from said interior of the eye;

said instrument including

a central axis,

a continuous passageway having a first tube portion, a second tube portion, and a substantially U-shaped end portion extending between said first tube portion and second tube portion,

a housing, and

a component for imparting fluid circulation through said continuous passageway;

said first tube portion adapted for infusing a fluid into the eye to dislodge at least some of the cells therein, said second tube for aspirating fluid and dislodging at least some of the cells out the eye;

said U-shaped end portion having at least one aperture adapted to allow fluid to pass between the interior of the eye and said continuous passageway;

said housing having an upper and a lower portion, said continuous passageway extending through said upper portion, said lower portion having therein a tank system in fluid communication with said continuous passageway;

at least one rotatable member coupled to said continuous passageway;

whereby said rotatable member induces further fluid circulation facilitating the dislodging of at least some of the cells from the interior of the eye.

20. A system according to claim 19, wherein

said at least one rotatable member includes a driver for rotating said continuous passageway.

21. A system according to claim 20, wherein

said fluid flowing through said continuous passageway flows adjacent said at least one aperture causing a suctioning force, said suctioning force being adapted to dislodge said at least some of the cells from the eye.

22. A system according to claim 21, wherein

said first and second tube portions are intertwined.

23. A system according to claim 22, wherein

said tank system is rotatably coupled with said continuous passageway.

24. A system according to claim 21, wherein

said first and second tube portions are substantially parallel.

25. A system according to claim 24, wherein

said tank system is rotatably coupled with said continuous passageway.

26. A system according to claim 19, wherein

said at least one rotatable member includes a first cutting edge coupled to an exterior portion of said continuous passageway for dislodging said at least some of the cells from the interior portion of the eye, said first cutting edge moving relative to said exterior portion of said continuous passageway due to the passing of said fluid through said continuous passageway.

27. A system according to claim 26, wherein

said continuous passageway has a second rotatable cutting edge coupled to an interior portion, said second rotatable cutting edge rotatable due to the passing of fluid through said continuous passageway.

28. A system according to claim 19, wherein

said at least one rotatable member includes a first cutting device coupled to an interior portion of said continuous passageway for dislodging said at least some of the cells from the interior portion of the eye, said first cutting device moving relative to said interior portion of said continuous passageway due to the passing of said fluid through said continuous passageway.

29. A system of claim 19, wherein

said first tube portion, second tube portion and U-shaped end portion are rotatable with respect to said housing and rotatable in response to said fluid passing through said continuous passageway.

30. A system of claim 19, wherein

said component for imparting fluid circulation induces fluid flow through said first tube portion to said U-shaped end portion and from said U-shaped end portion through said second tube portion.