Scleral prosthesis for treating presbyopia and other eye disorders and related devices and methods

• US 9,486,310 B2
• Filed: 12/15/2014
• Issued: 11/08/2016
• Est. Priority Date: 07/11/2006
• Status: Active Grant

• Current Assignee: Refocus Group Incorporated
• Original Assignee: Refocus Group Incorporated
• Inventors: Jacobson, Harry R. A., Griffis, Jack C. III, Cox, Mark A., Williamson, Douglas C., Zdenek, Gene W., Richardson, Peter J., Smolek, Michael K., Soloway, Barrie D., Bare, Rex O., Scherer, Andrew J., Payne, Timothy J.
• Primary Examiner(s): Willse, David H.
• Assistant Examiner(s): BLANCO, JAVIER G
• Application Number:
  US14/570,630
• Publication Number:
  US 20150094805A1
• Time in Patent Office: 694 Days
• Field of Search: 623/4.1, 604/8
• US Class Current: 1/1
• CPC Class Codes: A61B 17/083 Clips, e.g. resilient
• CPC Class Codes: A61B 17/10 for applying or removing wound clamps, e.g. containing only one clamp or staple A61B17/076 takes precedence; containing multiple wound clamps A61B17/068; Wound clamp magazines containers, packaging elements or packages specially adapted for particular articles or with special means for dispensing contents B65D83/00, B65D85/00
• CPC Class Codes: A61F 2/14 Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
• CPC Class Codes: A61F 2/147 Implants to be inserted in the stroma for refractive correction, e.g. ring-like implants
• CPC Class Codes: A61F 2/148 Implantation instruments specially adapted therefor
• CPC Class Codes: A61F 2/1624 having adjustable focus; power activated variable focus means, e.g. mechanically or electrically by the ciliary muscle or from the outside
• CPC Class Codes: A61F 2210/00 Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
• CPC Class Codes: A61F 2210/0023 operated at different temperatures whilst inside or touching the human body, heated or cooled by external energy source or cold supply
• CPC Class Codes: A61F 2210/009 magnetic
• CPC Class Codes: A61F 9/0017 implantable in, or in contact with, the eye, e.g. ocular inserts
• CPC Class Codes: A61F 9/00781 Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment drainage implants in general A61M27/002
• CPC Class Codes: A61K 9/0051 Ocular inserts, ocular implants

Abstract

A system includes a scleral prosthesis and an insert. The scleral prosthesis includes an elongated body having a first free end and a second free end opposite the first end. A maximum width of the body at each end is wider than a maximum width of the body between the ends. The body includes multiple first portions that form the first end of the body and a part of the body between the ends. The first portions are separated lengthwise along a substantial portion of a total length of the body. The first portions are biased so that they maintain separation from one another without external interference but are configured to be pushed towards each other. The insert is configured to be placed between the first portions to maintain a separation of the first portions. The body and/or the insert could be formed using one or more magnetic materials.

Claims

1. A scleral prosthesis comprising:

an elongated body configured to be implanted into scleral tissue of an eye and comprising (i) opposing first and second ends and (ii) a remainder of the body connecting the first and second ends, the remainder of the body narrower in width than the first and second ends; and

an insert;

wherein the body comprises multiple first portions that form the first end of the body and a substantial portion of the remainder of the body, the first portions separated lengthwise along the body by empty space such that the first portions meet at a point between the first and second ends of the body and are not connected to each other between that point and the first end of the body;

wherein the first portions are biased to maintain separation without external interference but are configured to be pushed towards each other in order to narrow a width of the first end of the body;

wherein the remainder of the body extends along at least half of a total length of the elongated body; and

wherein the insert is configured to be placed between the first portions of the body to maintain the separation of the first portions, the insert having a shape complementary to a shape of the empty space.

2. The scleral prosthesis of claim 1, wherein the ends project substantially perpendicular beyond sides of the remainder of the body.

3. The scleral prosthesis of claim 1, wherein the body further comprises multiple second portions that form the second end of the body and another part of the remainder of the body, the second portions separated lengthwise along the body by empty space.

4. The scleral prosthesis of claim 3, wherein:

the first portions run substantially parallel to one another along a length of the body; and

the second portions run substantially parallel to one another along the length of the body.

5. The scleral prosthesis of claim 3, wherein the second portions are separated along less than a quarter of the total length of the body.

6. The scleral prosthesis of claim 1, wherein the first portions are separated along at least half of the total length of the body.

7. The scleral prosthesis of claim 1, wherein:

the first portions include a right first portion and a left first portion;

the right first portion includes a first ridge extending inwardly from the right first portion towards the left first portion;

the left first portion includes a second ridge extending inwardly from the left first portion towards the right first portion; and

the ridges are configured to engage with slots of the insert.

8. The scleral prosthesis of claim 1, wherein the empty space tapers from a first larger width adjacent the first end to a smaller width and then expands to a second larger width adjacent the point where the first portions meet.

9. The scleral prosthesis of claim 1, wherein one side of the first end and one side of the second end are aligned along a straight side of the body.

10. A system comprising:

a scleral prosthesis configured to be implanted into scleral tissue of an eye, the scleral prosthesis comprising;

an elongated body comprising (i) opposing first and second ends and (ii) a remainder of the body connecting the first and second ends, the remainder of the body narrower in width than the first and second ends;

wherein the body comprises multiple first portions that form the first end of the body and a substantial portion of the remainder of the body, the first portions separated lengthwise along the body by empty space such that the first portions meet at a point between the first and second ends of the body and are not connected to each other between that point and the first end of the body;

wherein the first portions are biased to maintain separation without external interference but are configured to be pushed towards each other in order to narrow a width of the first end of the body; and

wherein the remainder of the body extends along at least half of a total length of the elongated body; and

an insert configured to be placed between the first portions of the body to maintain the separation of the first portions.

11. The system of claim 10, wherein the ends project substantially perpendicular beyond sides of the remainder of the body.

12. The system of claim 10, wherein the body further comprises multiple second portions that form the second end of the body and another part of the remainder of the body, the second portions separated lengthwise along the body.

13. The system of claim 12, wherein:

the first portions run substantially parallel to one another along a length of the body; and

the second portions run substantially parallel to one another along the length of the body.

14. The system of claim 12, wherein the second portions are separated along less than a quarter of the total length of the body.

15. The system of claim 10, wherein:

the first portions include a right first portion and a left first portion;

the right first portion includes a first ridge extending inwardly from the right first portion towards the left first portion;

the left first portion includes a second ridge extending inwardly from the left first portion towards the right first portion; and

the ridges are configured to engage with slots of the insert.

16. The system of claim 10, wherein the empty space tapers from a first larger width adjacent the first end to a smaller width and then expands to a second larger width adjacent the point where the first portions meet.

17. The system of claim 10, wherein the insert prior to insertion between the first portions has a complementary shape and length as the empty space between the first portions.

18. The system of claim 10, wherein one side of the first end and one side of the second end are aligned along a straight side of the body.

19. The system of claim 10, wherein the insert comprises a wider end portion that fits within a space proximate to the point where the first portions of the body meet.

20. The system of claim 10, wherein at least one of the body and the insert comprises one or more magnetic materials.

21. A method comprising:

forming a scleral prosthesis configured to be implanted into scleral tissue of an eye, the scleral prosthesis comprising;

an elongated body comprising (i) opposing first and second ends and (ii) a remainder of the body connecting the first and second ends, the remainder of the body narrower in width than the first and second ends;

wherein the body comprises multiple first portions that form the first end of the body and a substantial portion of the remainder of the body, the first portions separated lengthwise along the body by empty space such that the first portions meet at a point between the first and second ends of the body and are not connected to each other between that point and the first end of the body;

wherein the first portions are biased to maintain separation without external interference but are configured to be pushed towards each other in order to narrow a width of the first end of the body; and

wherein the remainder of the body extends along at least half of a total length of the elongated body; and

forming an insert configured to be placed between the first portions of the body to maintain the separation of the first portions.