Prosthetic capsular devices, systems, and methods

• US 9,925,037 B2
• Filed: 08/14/2017
• Issued: 03/27/2018
• Est. Priority Date: 02/10/2015
• Status: Active Grant

• Current Assignee: Omega Ophthalmics LLC
• Original Assignee: Omega Ophthalmics LLC
• Inventors: Wortz, Gary N., Ifland, Rick William
• Primary Examiner(s): Willse, David H
• Assistant Examiner(s): BLANCO, JAVIER G
• Application Number:
  US15/676,101
• Publication Number:
  US 20180055625A1
• Time in Patent Office: 225 Days
• CPC Class Codes: A61F 2/14 Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
• CPC Class Codes: A61F 2/16 Intraocular lenses
• CPC Class Codes: A61F 2/1648 Multipart lenses
• CPC Class Codes: A61F 2/1691 Packages or dispensers for intraocular lenses for contact lenses A45C11/005
• CPC Class Codes: A61F 2/1694 Capsular bag spreaders therefor
• CPC Class Codes: A61F 2002/1681 having supporting structure for lens, e.g. haptics
• CPC Class Codes: A61F 2002/1689 having plate-haptics
• CPC Class Codes: A61F 2002/169 Surrounding optic
• CPC Class Codes: A61F 2002/16901 Supporting structure conforms to shape of capsular bag
• CPC Class Codes: A61F 2002/16902 Separable from intraocular lens
• CPC Class Codes: A61F 2210/0014 using shape memory or superelastic materials, e.g. nitinol
• CPC Class Codes: A61F 2220/0033 made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2220/0075 sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
• CPC Class Codes: A61F 2250/0068 the pharmaceutical product being in a reservoir
• CPC Class Codes: A61F 9/0017 implantable in, or in contact with, the eye, e.g. ocular inserts

Abstract

A prosthetic capsular device configured to be inserted in an eye includes a housing structure and a ring structure. The housing structure includes a first side, a second side opposite the first side, a third side, a fourth side opposite the third side, a posterior side including a refractive surface, an anterior side opposite the posterior side, and a longitudinal axis. The first side, the second side, the third side, the fourth side, the posterior side, and the anterior side at least partially define a cavity configured to contain an intraocular device (e.g., an IOL). The anterior side includes an opening. The ring structure includes a ring structure portion extending radially outward from proximate one of an end of the first side and an end of the second side.

Claims

1. A prosthetic capsular device for insertion into a natural capsular bag of an eye after removal of a cataract, the device comprising a housing configured to receive at least one of an intraocular lens (IOL) and/or a technology device secured within said housing;

the housing having a compatible shape to the shape of a natural capsular bag of an eye and comprising;

an anterior central opening having a first perimeter capable of allowing at least one or more of insertion, removal, or replacement of the at least one of an intraocular lens (IOL) and/or a technology device, the anterior opening surrounded by a continuous anterior wall defining a capsular-engaging surface, wherein the anterior central opening is configured to receive a second intraocular lens (IOL) for positioning in or on the anterior central opening, wherein the second IOL substantially encloses the anterior central opening upon securement therein;

a posterior central opening having a second perimeter configured to accommodate a distinct refractive surface, the posterior opening surrounded by a continuous posterior wall defining a capsular-engaging surface;

a curvilinear, solid, and discoidal continuous equatorial portion interposed amid the continuous anterior wall and the continuous posterior wall and defining a capsular-engaging surface, wherein the continuous anterior wall and the continuous posterior wall extend to the continuous equatorial portion, wherein the continuous anterior wall, continuous posterior wall, and continuous equatorial portion are integrally-formed as a single-piece structure, wherein the continuous anterior wall, continuous posterior wall, and continuous equatorial portion substantially enclose the housing except at said anterior central opening and posterior central opening;

an anterior transition point positioned between the continuous equatorial portion and the anterior central opening, the anterior transition point dividing the continuous anterior wall into an anterior straight-walled portion and a radially inner anterior portion, wherein the anterior straight-walled portion is substantially orthogonal to the continuous anterior wall;

a posterior transition point positioned between the continuous equatorial portion and the posterior central opening, the posterior transition point dividing the continuous posterior wall into a posterior straight-walled portion and a radially inner posterior portion, wherein the posterior straight-walled portion is substantially orthogonal to the continuous posterior wall; and

a first inflection point, wherein the first inflection point is defined between the continuous equatorial portion and the anterior central opening, the first inflection point dividing the continuous anterior wall into a radially inner anterior concavity portion that is concave toward an interior of the housing and a radially outer anterior concavity portion that is concave away from the interior of the housing; and

a distinct refractive surface configured to be inserted into the housing and directly secured to the posterior central opening after the housing is inserted in the eye, wherein the distinct refractive surface substantially encloses the posterior central opening upon securement therein,

wherein the continuous equatorial portion protrudes radially beyond the anterior straight-walled portion and the posterior straight-walled portion relative to a longitudinal axis of the housing,

wherein the radially inner anterior portion tapers radially inwardly toward the anterior central opening,

wherein the continuous equatorial portion comprises a third perimeter defined relative to the longitudinal axis, the third perimeter being greater than the first and second perimeters such that a continuous cavity is at least partially defined by the continuous anterior wall, the continuous posterior wall, and the continuous equatorial portion,

wherein the continuous cavity is configured to accommodate the at least one of an intraocular lens (IOL) and/or a technology device,

wherein the housing is self-expandable when inserted into the natural capsular bag of the eye,

wherein the anterior central opening having a diameter ranging from about 5 mm to about 7 mm, and

wherein the housing does not comprise haptics.

2. The prosthetic capsular device of claim 1, wherein the prosthetic capsular device is symmetric about the longitudinal axis and a transverse axis.

3. The prosthetic capsular device of claim 1, wherein the technology device comprises an intraocular pressure sensor.

4. The prosthetic capsular device of claim 1, wherein the technology device comprises at least one of a computer, virtual reality device, augmented reality device, head-mounted display, device with Wifi and/or internet connectivity, image receiver, game device, projector, GPS device, biometric measurement device, retinal prostheses, camera, e-mail sender, or e-mail receiver.

5. The prosthetic capsular device of claim 1, wherein dimensions of the prosthetic capsular device closely matches dimensions of the natural capsular bag of the eye in which the cataract has been removed.

6. The prosthetic capsular device of claim 1, wherein a distance between the continuous anterior wall and the continuous posterior wall is between about 1.5 mm and about 5.5 mm.

7. The prosthetic capsular device of claim 1, wherein a distance between the continuous anterior wall and the continuous posterior wall is about 2.5 mm.

8. The prosthetic capsular device of claim 1, wherein the radially inner posterior portion tapers radially inwardly toward the posterior central opening.

9. The prosthetic capsular device of claim 1, wherein the anterior central opening has a diameter of about 6 mm.

10. The prosthetic capsular device of claim 1, wherein the housing comprises a transparent material.

11. The prosthetic capsular device of claim 1, wherein the prosthetic capsular device is deformable so as to be folded and inserted via an injection system.

12. The prosthetic capsular device of claim 1, wherein the anterior central opening is configured to receive and secure the intraocular lens (IOL) on or in the anterior central opening.

13. The prosthetic capsular device of claim 1, wherein the distinct refractive surface in the posterior central opening is an intraocular lens (IOL).

14. The prosthetic capsular device of claim 1, wherein the intraocular lens (IOL) has a positive diopter value of +35 D or above.

15. The prosthetic capsular device of claim 1, wherein the intraocular lens (IOL) has a negative diopter value of −

35 D or below.

16. The prosthetic capsular device of claim 1, wherein the anterior central opening has a diameter of about 6 mm.

17. The prosthetic capsular device of claim 1, wherein the technology device provides at least one of biometric measurement functions, computer functions, image generation and projection onto the retina, or internet/WiFi capabilities.

18. The prosthetic capsular device of claim 1, wherein the technology device is used to control at least one property of the intraocular lens (IOL).

19. The prosthetic capsular device of claim 1, wherein the housing comprises a material configured to shield the eye from electromagnetic waves or heat generated by the technology device.

20. The prosthetic capsular device of claim 1, wherein the housing comprises at least one of silicone, silicone derivatives, acrylic, acrylic derivatives, collamer, biocompatible methacrylates, biocompatible polymers, olefins, or polyimide.