Dual blade ophthalmologic surgery device

• US 9,820,885 B2
• Filed: 03/21/2016
• Issued: 11/21/2017
• Est. Priority Date: 06/10/2003
• Status: Active Grant

• Current Assignee: Microsurgical Technology Incorporated (Halma PLC)
• Original Assignee: Neomedix Corp.
• Inventors: Sorensen, John T., Mittelstein, Michael, Mirhashemi, Soheila
• Primary Examiner(s): WEISBERG, AMY REGINA
• Application Number:
  US15/076,624
• Publication Number:
  US 20160220418A1
• Time in Patent Office: 610 Days
• Field of Search: 606167, 606107, 606166, 606170, 606184, 606185, 600566-567, 30304-305, 30287
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 18/1482 having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
• CPC Class Codes: A61B 2017/320064 with tissue or sample retaining means
• CPC Class Codes: A61B 2018/00083 low, i.e. electrically insulating
• CPC Class Codes: A61B 2018/1497 Electrodes covering only part of the probe circumference
• CPC Class Codes: A61F 9/007 Methods or devices for eye surgery
• 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 9/00781 Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment drainage implants in general A61M27/002
• CPC Class Codes: A61F 9/0079 using non-laser electromagnetic radiation, e.g. non-coherent light or microwaves

Abstract

A dual blade device and method useable for performing an ab interno procedure within a human eye to remove a strip of trabecular meshwork tissue.

Claims

1. A method for cutting a strip of trabecular meshwork tissue within an eye of a subject, said eye having an anterior chamber, trabecular meshwork tissue and a Schlemm'"'"'s canal, said method comprising:

a) providing or obtaining a device which comprises;

an elongate probe that extends along a longitudinal axis;

a tip which extends laterally from an end of the probe, said tip comprising a platform which has a top surface, a bottom surface, a right side edge, a left side edge and a terminal end, the terminal end being configured to penetrate through trabecular meshwork tissue;

the tip having a transverse width from the right side edge to the left side edge, said transverse width being narrowest at the terminal end; and

first and second spaced-apart cutting edges positioned on the device so as to cut tissue that passes along the top surface of the tip and into contact with the cutting edges;

b) inserting the probe into the anterior chamber of the eye;

c) advancing the tip through trabecular meshwork tissue and into the Schlemm'"'"'s Canal of the eye such that trabecular meshwork tissue is in contact with the top surface;

d) moving the probe to cause the tip to advance through the Schlemm'"'"'s Canal such that trabecular meshwork tissue moves along the top surface of the tip and into contact with the first and second spaced-apart cutting edges, thereby cutting a strip of the trabecular meshwork tissue.

2. A method according to claim 1 further comprising the step of keeping the anterior chamber filled.

3. A method according to claim 2 wherein the device further comprises an infusion lumen and wherein fluid is infused through the infusion lumen to keep the anterior chamber filled.

4. A method according to claim 3 wherein step a comprises:

forming an incision in the eye;

causing fluid to flow out of the infusion lumen and into the incision, thereby spreading or opening the incision; and

thereafter inserting the probe through the incision and into the anterior chamber of the eye.

5. A method according to claim 3 wherein the device further comprises an aspiration lumen and the method further comprises aspirating fluid through the aspiration lumen.

6. A method according to claim 1 wherein the strip of trabecular meshwork tissue cut in step d has a length of about 2 to 10 millimeters.

7. A method according to claim 1 wherein, after cutting of the strip of trabecular meshwork tissue in step d, the strip of trabecular meshwork tissue remains connected to the eye and wherein the method further comprises the step of disconnecting the strip of strip of trabecular meshwork tissue from the eye.

8. A method according to claim 7 wherein the step of disconnecting the strip of trabecular meshwork tissue from the eye comprises using a tissue disconnecting apparatus to disconnect the strip of trabecular meshwork tissue from the eye.

9. A method according to claim 1 wherein the method is performed under direct visualization through a lens device positioned on an anterior aspect of the eye.

10. A method according to claim 1 wherein the tip extends laterally from said end of the probe at an angle of between approximately 30 and approximately 90 degrees relative to the longitudinal axis of the probe and wherein step d comprises moving the distal end of the probe laterally such that the tip advances through Schlemm'"'"'s Canal.

11. A method according to claim 1 wherein a curve is formed in the elongate probe proximal to the end of the probe from which the tip laterally extends.