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    • 82. 发明授权
    • Keratome for performing eye surgery and method for using same
    • 用于进行眼科手术的角膜刀及其使用方法
    • US5989272A
    • 1999-11-23
    • US166268
    • 1998-10-05
    • Mark B. BarronMilford Barron
    • Mark B. BarronMilford Barron
    • A61F9/013A61F9/00
    • A61F9/013
    • A keratome (10) and a method for using the keratome (10) for cutting a cornea of an eye (14) are provided which allow an operator to view the cutting operation as it occurs. The keratome (10) includes an annular housing (12) sized to contact the eye (14) and allow a portion (21) of the cornea to protrude therein. A motor housing (22) is mounted to the annular housing (12) for movement with respect thereto in a feed direction. A blade (36) is mounted by the motor housing (22) for movement in a cutting direction transverse to the feed direction, and a motor (26) mounted by the motor housing (22) is drivingly connected to the blade (36) to provide reciprocal movement thereof in the cutting direction. Movement of the motor housing (22) in the feed direction across the eye (14) accompanied by movement of the blade (36) in the cutting direction cuts the portion (21) of the cornea protruding into the annular housing (12), while an operator can view the cutting through the annular housing (12).
    • 提供了一种角质形成体(10)和使用角质形成体(10)切割眼睛的角膜(14)的方法,其允许操作者在其发生时观察切割操作。 角膜组件(10)包括尺寸适于接触眼睛(14)并允许角膜的一部分(21)在其中突出的环形壳体(12)。 马达壳体(22)安装到环形壳体(12)上,以在进给方向上相对于其移动。 一个刀片(36)由马达壳体(22)安装,用于沿与进给方向横切的切割方向运动,并且由马达壳体(22)安装的马达(26)驱动地连接到叶片(36)到 提供沿切割方向的往复运动。 随着叶片(36)沿切割方向的移动,电动机壳体(22)沿进给方向穿过眼睛(14)的运动切割突出到环形壳体(12)中的角膜的部分(21),同时 操作者可以观察通过环形壳体(12)的切割。
    • 85. 发明授权
    • Surgical appliance for slicing a sliver from the cornea
    • 用于从角膜切片条的外科手术器具
    • US5944731A
    • 1999-08-31
    • US128659
    • 1998-08-04
    • Khalil Hanna
    • Khalil Hanna
    • A61F9/013A61F9/00
    • A61F9/013
    • A surgical appliance for slicing a sliver from the cornea comprises:a base comprising an annular suction chamber shaped to be pressed against the sclera of an eye;a cornea-shaping element situated above the base and having a surface turned to face it; anda cutting blade movable in a plane that is situated between the surface of the shaping element, and the base.According to the invention, the appliance has a general support to which the base is coupled by means enabling its position relative to the support to be adjusted along the axis of symmetry of the annular chamber, and to which the cutting blade is coupled by means enabling its position relative to the general support to be adjusted along a direction parallel to the axis of symmetry of the annular chamber and enabling it to be displaced perpendicularly to said axis.
    • 用于从角膜切片条的外科器具包括:基部,其包括形状为被压靠在眼睛的巩膜上的环形抽吸室; 角膜成形元件位于基座上方并具有面向其的表面; 以及可在位于成形元件的表面与基座之间的平面中移动的切割刀片。 根据本发明,该器具具有通用支撑件,基座通过这样的装置联接,使得其相对于支撑件的位置能够沿着环形室的对称轴线被调节,并且切割刀片通过装置联接到该支撑件上 其相对于沿着平行于环形室的对称轴线的方向调整的总体支撑件的位置,并使其能够垂直于所述轴线移动。
    • 87. 发明授权
    • Instruments for use in performing gel injection adjustable keratoplasty
    • 用于执行凝胶注射可调角膜移植术的仪器
    • US5931846A
    • 1999-08-03
    • US806730
    • 1997-02-27
    • Gabriel SimonWilliam Gerald LeeJean-Marie A. Parel
    • Gabriel SimonWilliam Gerald LeeJean-Marie A. Parel
    • A61F9/007A61B17/32A61F2/00A61F2/12A61F2/14A61F9/013A61L27/18C08G65/30C08G65/32C08J3/075C08J3/28C08L71/02A61B17/00
    • A61F2/147A61F9/007A61F9/0133A61L27/18C08G65/30C08G65/32C08J3/075C08J3/28C08L71/02A61B2017/320044A61F2/0059A61F2/12A61L2430/16C08J2371/02
    • The present invention provides a surgical technique and instrument kit that allows for subtle modification of the corneal curvature by interlamellar injection of a synthetic gel at the corneal periphery while sparing the optical zone. The gel viscosity, volume and disposition within the surgical annular track as well as the diameter of the track, width, depth, and location are all parameters in the refractive change obtained. Following ultrasonic pachymetry performed centrally and at a selected wound entrance located about 2.5 to 3.5 mm from the apex, a one millimeter or so wide, about 75-85% corneal thickness depth radial incision is performed with a micrometric diamond knife adjusted to about 86% corneal thickness. Inserted through the partial-depth incision, a corkscrew-like dissector or helicoidal spatula forms a 360.degree. annular track centered about the apex. A transparent gel is manually injected through the incision, filling the annular channel. Using a surgical keratometer mounted to an operation microscope, the final corneal power is adjusted by massaging and removing the gel as necessary during the primary procedure or subsequent procedures, as the GIAK technique is reversible.
    • 本发明提供了一种手术技术和仪器套件,其允许通过在保护光学区域的同时在角膜周边层间注射合成凝胶来微调角膜曲率。 手术环形轨道内的凝胶粘度,体积和配置以及轨迹的直径,宽度,深度和位置都是获得的折射变化的参数。 在中心进行超声波比重测量并且位于离顶点大约2.5至3.5mm的选定的伤口处,使用调节至约86%的微测金刚石刀片进行一毫米或更宽,约75-85%的角膜厚度深度径向切口, 角膜厚度。 通过部分深度切口插入,开瓶塞式解剖器或螺旋刮刀形成以顶点为中心的360°环形轨道。 通过切口手动注入透明凝胶,填充环形通道。 使用安装在手术显微镜上的外科角膜曲率计,通过在主要手术或随后程序中根据需要按摩和去除凝胶来调整最终的角膜功能,因为GIAK技术是可逆的。