Minimally invasive glaucoma surgical instrument and method
First Claim
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1. A device for forming an opening in the trabecular meshwork of the eye of a subject, said device comprising:
- an elongate probe having a distal end that is insertable into the anterior chamber of the eye;
a member extending from the distal end of the elongate probe, said member having opposing upper and lower sides and a cutting or ablating apparatus is located on the upper side thereof;
said member being insertable, while the elongate shaft extends through the anterior chamber of the eye, into the Schlemm'"'"'s canal of the eye so that the upper side of the member is in juxtaposition to the trabecular meshwork and the cutting or ablating apparatus is thereby useable to form an opening in the trabecular meshwork.
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Abstract
Apparatuses and methods for the treatment of glaucoma are provided. The instrument uses either cauterization, a laser to ablate, sonic or ultrasonic energy to emulsify, or mechanical cutting of a portion of the trabecular meshwork. The instrument may also be provided with irrigation, aspiration, and a footplate. The footplate is used to enter Schlemm'"'"'s canal, serves as a guide, and also protects Schlemm'"'"'s canal.
139 Citations
28 Claims
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1. A device for forming an opening in the trabecular meshwork of the eye of a subject, said device comprising:
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an elongate probe having a distal end that is insertable into the anterior chamber of the eye; a member extending from the distal end of the elongate probe, said member having opposing upper and lower sides and a cutting or ablating apparatus is located on the upper side thereof; said member being insertable, while the elongate shaft extends through the anterior chamber of the eye, into the Schlemm'"'"'s canal of the eye so that the upper side of the member is in juxtaposition to the trabecular meshwork and the cutting or ablating apparatus is thereby useable to form an opening in the trabecular meshwork. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17)
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18. A method for improving drainage of fluid from the anterior chamber of an eye of a subject, said method comprising the steps of:
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A) preparing a glaucoma treatment device that comprises i) an elongate probe having a distal end that is insertable into the anterior chamber of the eye, ii) a member extending from the distal end of the elongate probe, said member having opposing upper and lower sides and iii) a cutting or ablating apparatus located on the upper side of the member; B) inserting a distal portion of the elongate probe into the anterior chamber of the subject'"'"'s eye; C) with the distal portion of the probe positioned in the anterior chamber of the eye, positioning the member in Schlemm'"'"'s canal with the upper side of the member having the cutting or ablating apparatus thereon adjacent to the trabecular meshwork; and D) using the cutting or ablating apparatus to form an opening in trabecular meshwork of the eye through which fluid may drain from the anterior chamber into Schlemm'"'"'s canal. - View Dependent Claims (19, 20, 21, 22, 23, 24, 25, 26, 27, 28)
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Specification