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1. 发明授权

US06726676B2 Method of and device for improving the flow of aqueous humor within the eye 有权
标题翻译：改善眼内房水流动的方法和装置
公开(公告)号：US06726676B2
公开(公告)日：2004-04-27
申请号：US09478047
申请日：2000-01-05
申请人： Robert Stegmann , Hans R. Grieshaber
发明人： Robert Stegmann , Hans R. Grieshaber
IPC分类号： A61M2500
CPC分类号： A61F9/00781
摘要： A method for improving the draining of aqueous humor in an eye of a living being and a device for widening the Schlemm's canal is described wherein a first incision is made in a lamellar section of the sclera to form a first scleral flap which is then folded upwards in the direction of the cornea, thereby creating a recess in the sclera. A second scleral flap is formed by incising a second lamellar section in the area of the recess and lifted upwardly in the direction of the first sclera flap, thereby exposing two opposite openings into the Schlemm's canal into which an expanding medium is injected into the Schlemm's canal; formation of a slitlike passageway connecting the aqueous humor-permeable Descemet-membrane with the subscleral space is realized by detaching the Descemet-membrane on the area of the Schwalbe's line by means of a slight pressure force; and subsequently, the first scleral flap folded back, after severance of the second scleral flap, for placement upon a support surface formed as a consequence of the incision of the second lamellar section. Subsequently, a viscous medium is injected into a subscleral space formed behind the first scleral flap and the first scleral flap is rejoined to the sclera.
摘要翻译：描述了一种用于改善生活眼中的房水的排水和用于扩大施莱姆氏管的装置的方法，其中在巩膜的层状部分中制备第一切口以形成第一巩膜瓣，然后将其向上折叠在角膜的方向，从而在巩膜中形成凹陷。通过在凹陷区域中切割第二层状区段并沿着第一巩膜瓣的方向向上提升而形成第二巩膜瓣，从而将两个相对的开口暴露于施莱姆氏管中，将扩张介质注入到施莱姆氏管中 ; 通过利用轻微的压力力分离在Schwalbe线的区域上的Descemet膜，可以实现将房水透湿的Descemet膜与子载波空间相连接的狭缝状通道的形成; 并且随后，在第二巩膜瓣切除之后，第一巩膜瓣折回，以便放置在由于第二层片切口的切口形成的支撑表面上。随后，将粘性介质注射到形成在第一巩膜瓣后面的下伏的空间中，并且将第一巩膜瓣重新连接至巩膜。

2. 发明授权

US5807401A Ophthalmic surgical apparatus for pulverizing and removing the lens nucleus from the eye of a living being 失效
标题翻译：用于从生物眼睛粉碎和去除晶状体核的眼科手术装置
公开(公告)号：US5807401A
公开(公告)日：1998-09-15
申请号：US552355
申请日：1995-11-02
申请人： Hans R. Grieshaber , Robert Stegmann
发明人： Hans R. Grieshaber , Robert Stegmann
IPC分类号： A61B3/00 , A61F9/007 , A61F9/00
CPC分类号： A61F9/00763
摘要： An ophthalmic surgical device for pulverizing the lens nucleus in the eye and for removing particles of the macerated lens nucleus from the eye of a living being, includes a housing which supports a mounting that receives at its forward end a guide tube. Set within the guide tube is a tubular probe which has one end carrying a cutting element and another end operatively connected to a motor for rotating the tubular probe together with the cutting element and/or moving the tubular probe together with the cutting element in axial direction relative to the stationary guide tube.
摘要翻译：一种用于粉碎眼睛中的晶状体核并从活体眼睛去除浸没的晶状体核的颗粒的眼科手术装置包括支撑在其前端接收导管的安装件的壳体。设置在导管内的是管状探头，其具有一端承载切割元件，另一端可操作地连接到马达，用于与切割元件一起旋转管状探针和/或使管状探针与切割元件沿轴向方向一起移动相对于固定导管。

3. 发明申请

US20060195187A1 Ophthalmic implant for treatment of glaucoma 失效
标题翻译：用于治疗青光眼的眼科植入物
公开(公告)号：US20060195187A1
公开(公告)日：2006-08-31
申请号：US11305306
申请日：2005-12-16
申请人： Robert Stegmann , Stanley Conston , David Kupiecki , John McKenzie , Candice Pinson , Ronald Yamamoto
发明人： Robert Stegmann , Stanley Conston , David Kupiecki , John McKenzie , Candice Pinson , Ronald Yamamoto
IPC分类号： A61F2/14
CPC分类号： A61F9/00781
摘要： An implant is placed within Schlemm's canal of the eye and provides tension to the trabecular meshwork. The tension is continuous and increases the aqueous outflow without the necessity of administering cholinergic drugs to treat glaucoma.
摘要翻译：将植入物放置在眼睛的施莱姆的运河内，并向小梁网提供张力。张力是连续的，并且增加水流出物，而不需要施用胆碱能药物治疗青光眼。

4. 发明授权

US08034105B2 Ophthalmic implant for treatment of glaucoma 失效
标题翻译：用于治疗青光眼的眼科植入物
公开(公告)号：US08034105B2
公开(公告)日：2011-10-11
申请号：US11305306
申请日：2005-12-16
申请人： Robert Stegmann , Stanley R. Conston , David J. Kupiecki , John McKenzie , Candice D. Pinson , Ronald K. Yamamoto
发明人： Robert Stegmann , Stanley R. Conston , David J. Kupiecki , John McKenzie , Candice D. Pinson , Ronald K. Yamamoto
IPC分类号： A61F2/14 , A61M5/00
CPC分类号： A61F9/00781
摘要： A method is provided for increasing the outflow of fluid through Schlemm's canal that is useful for treatment of glaucoma. The implant is placed in Schlemm's canal by use of a flexible delivery instrument attached to the implant. The instrument and implant are positioned within the canal, the implant is released and the distal and proximal ends of the implant are connected to apply sufficient axial tensioning force on the inner wall of the canal to increase fluid permeability. In another embodiment a delivery instrument attached to the implant is positioned in the canal securing one of the distal or proximal ends of the implant within the canal. The implant provides sufficient axial tensioning force on the inner wall of the canal to increase fluid permeability of the inner wall of the canal. The other of the distal or proximal ends may be secured to maintain the tensioning force on the inner wall of the canal.
摘要翻译：提供了一种增加流体穿过施莱姆氏管的流出方法，可用于治疗青光眼。通过使用附着在植入物上的柔性递送器械将植入物置于施莱姆氏管中。仪器和植入物定位在管内，植入物被释放，并且植入物的远端和近端被连接以在管的内壁上施加足够的轴向张力以增加流体渗透性。在另一个实施例中，附接到植入物的递送器械定位在将移植物的远端或近端中的一端固定在管内的运河中。植入物在管道的内壁上提供足够的轴向张力，以增加管道内壁的流体渗透性。远端或近端中的另一个可以被固定以保持在管的内壁上的张紧力。

5. 发明申请

US20050117118A1 Digital ophthalmic workstation 审中-公开
标题翻译：数码眼科工作站
公开(公告)号：US20050117118A1
公开(公告)日：2005-06-02
申请号：US10969226
申请日：2004-10-20
申请人： David Miller , Ernesto Blanco , Steve Burns , Robert Stegmann , Ramgopal Rao
发明人： David Miller , Ernesto Blanco , Steve Burns , Robert Stegmann , Ramgopal Rao
IPC分类号： A61B19/00 , H04N13/00 , H04N15/00 , A61B18/18 , G09G5/00 , A61B3/00
CPC分类号： A61B3/158 , A61B3/13 , A61B90/36 , H04N13/239 , H04N13/337 , H04N13/341
摘要： A method of providing visual documentation and information for a surgical procedure. The method includes, providing at least one video camera for generating a video signal in a digital format, capturing an image of an eye and displaying the image on a monitor. A first template is created having a graphical content pertinent to the eye. The first template is displayed such that the first template is overlaid contemporaneously with the image of the eye on a display monitor.
摘要翻译：提供外科手术的视觉文件和信息的方法。该方法包括提供至少一个摄像机，用于以数字格式生成视频信号，捕获眼睛的图像并在监视器上显示图像。创建具有与眼睛相关的图形内容的第一模板。显示第一模板，使得第一模板与显示监视器上的眼睛的图像同时地覆盖。

6. 发明授权

US06764439B2 Device for improving drainage of the aqueous humor within the eye of a living being 有权
标题翻译：用于改善房水眼睛内的房水排泄物的装置
公开(公告)号：US06764439B2
公开(公告)日：2004-07-20
申请号：US09902850
申请日：2001-07-11
申请人： Hansgeorg Schaaf , Robert Stegmann , Werner Maag
发明人： Hansgeorg Schaaf , Robert Stegmann , Werner Maag
IPC分类号： A61B1018
CPC分类号： A61F9/00781 , A61B1/00193 , A61B1/018 , A61B1/042 , A61B17/32002 , A61B17/3201 , A61B2017/22077 , A61B2017/305 , A61B2017/3445 , A61B2090/3614
摘要： A device is disclosed for ophthalmologic microsurgery for improving the drainage of the aqueous humor in the eye of a living being, wherein the device has an endoscope connected to a monitor screen and includes a tube-shaped probe adapted for insertion into an eye, and one or more channels co-axially disposed therein and provided with optical elements for focusing and transmitting images from the viewing field in the eye, and wherein the probe houses a surgical tool which is movable in axial direction and about the longitudinal axis so that by means of the oscillating and/or vibrating tool a passageway can be opened in the tissue of the trabecular meshwork for connecting the anterior chamber with the Schlemm's canal.
摘要翻译：公开了一种用于眼科显微外科的装置，用于改善生命之眼中的房水的排水，其中该装置具有连接到监视器屏幕的内窥镜，并且包括适于插入眼睛的管状探针，以及一个或多个通道同轴地设置在其中并且设置有用于聚焦和从眼睛中的视野传输图像的光学元件，并且其中探针容纳可在轴向方向上并且围绕纵向轴线移动的外科手术工具，使得通过振动和/或振动的工具，通道可以在小梁网的组织中打开，用于将前房与施莱姆氏管连接。

7. 发明授权

US5486165A Method and appliance for maintaining the natural intraocular pressure 失效
标题翻译：维持天然眼内压的方法和器具
公开(公告)号：US5486165A
公开(公告)日：1996-01-23
申请号：US181174
申请日：1994-01-13
申请人： Robert Stegmann
发明人： Robert Stegmann
IPC分类号： A61F9/00 , A61F9/007 , A61M5/00
CPC分类号： A61F9/00781
摘要： A method and an appliance for carrying out the method, by means of which the necessary outflow of the aqueous humour which is continuously being renewed in the eye is ensured, and thus the natural intraocular pressure is maintained, are proposed. For the treatment, the sclera (13) undergoes operative lamellar incision for partial exposure of the canal of Schlemm (15), and the portion (13') which is opened out is held by means which are not depicted. A medium is introduced into the canal of Schlemm (15) by means of a tube (20) which is introduced into the circular canal of Schlemm (15), by which means the upstream trabecular tissue (15') is hydraulically expanded and traumatically opened at several points (15") and, at the same time, the points (15") are wetted by the highly viscous medium.
摘要翻译：一种用于实施该方法的方法和装置，通过该方法确保了在眼睛中不断更新的房水的必要流出，从而保持了天然眼内压。对于治疗，巩膜（13）进行手术层状切口以部分暴露施乐姆（15）的管道，并且打开的部分（13'）通过未示出的手段保持。介质通过引入Schlemm（15）的圆形管的管（20）引入施莱姆（15）的管中，通过这种方式，上游小梁组织（15'）被水力膨胀并创伤打开在几点（15“），并且同时，点（15”）被高粘度介质润湿。

8. 发明申请

US20110118649A1 METHOD AND DEVICE FOR THE TREATMENT OF GLAUCOMA 有权
标题翻译：用于治疗葡萄球菌的方法和装置
公开(公告)号：US20110118649A1
公开(公告)日：2011-05-19
申请号：US12618326
申请日：2009-11-13
申请人： Robert Stegmann , Matthias Grieshaber , Hans Grieshaber
发明人： Robert Stegmann , Matthias Grieshaber , Hans Grieshaber
IPC分类号： A61F9/00 , A61M27/00
CPC分类号： A61F9/00781 , A61B2090/3937 , A61F9/0017
摘要： The invention relates to a method and a device for treatment of glaucoma, wherein by means of an elongated catheter provided with a distal portion and a proximal portion, a tube-shaped implant is inserted and released in a Schlemm's canal with two opposite openings exposed by an incision and a folded up scleral flap. In a first phase, the distal portion inserted into the Schlemm's canal through the first opening, while a fluid or gaseous medium is injected at the same time, and exited through the second opening, which is, in circumferential direction, oppositely located. The implant detachably disposed at the protruding distal portion and, in a second phase, inserted, in circumferential direction, into the expanded Schlemm's canal up to the first opening. Subsequently, the distal portion, which protrudes from the first opening, is detached from the implant and, together with the catheter, removed.
摘要翻译：本发明涉及一种用于治疗青光眼的方法和装置，其中通过设置有远侧部分和近端部分的细长导管，将管状植入物插入并释放在施莱姆管中，其中两个相对的开口暴露于切口和折叠巩膜瓣。在第一阶段中，远端部分通过第一开口插入施莱姆管道，同时流体或气体介质同时注入，并通过位于圆周方向上相对定位的第二开口排出。所述植入物可拆卸地设置在所述突出远端部分处，并且在第二阶段中，沿圆周方向插入所述扩张的施莱姆氏管中直到所述第一开口。随后，从第一开口突出的远端部分与植入物分离，并与导管一起被移除。

9. 发明授权

US5693062A Ophthalmic surgical apparatus for macerating and removing the lens nucleus from the eye of a living being 失效
标题翻译：用于从生命的眼睛中浸没和去除晶状体核的眼科手术装置
公开(公告)号：US5693062A
公开(公告)日：1997-12-02
申请号：US472055
申请日：1995-06-06
申请人： Robert Stegmann , Rudolf Demmerle
发明人： Robert Stegmann , Rudolf Demmerle
IPC分类号： A61F9/007 , A61M1/00 , A61B17/32
CPC分类号： A61F9/00763
摘要： An ophthalmic surgical device for macerating the lens nucleus in the eye and for removing particles of the macerated lens nucleus from the eye of a living being, includes a hand-held housing with a head piece attached at one axial end of the housing and supporting a guide tube. Disposed in the guide tube is a tubular probe which is operatively connected to a motor drive and projects beyond the guide tube with its tip to carry a cutting element in form of at least two rotatable wing-like blades oriented approximately transversely to the longitudinal axis of the guide tube. By means of the drive, the tubular probe is rotatable relative to the stationary guide tube about the longitudinal axis and movable at a high frequency in direction of the longitudinal axis.
摘要翻译：一种用于使眼睛中的晶状体核浸没并从活体的眼睛去除浸没的晶状体核的颗粒的眼科手术装置包括手持式壳体，其具有附接在壳体的一个轴向端部处并支撑导管。设置在导管中的管状探针是可操作地连接到马达驱动器的管状探针，并且突出超过引导管的尖端，以将至少两个可旋转的翼状叶片形式的切割元件形成为大致横向于纵向轴线导管。通过驱动器，管状探针相对于固定引导管围绕纵向轴线可旋转并且可在纵轴方向上以高频率移动。

10. 发明授权

US5360399A Method and apparatus for maintaining the normal intraocular pressure 失效
标题翻译：用于维持正常眼内压的方法和装置
公开(公告)号：US5360399A
公开(公告)日：1994-11-01
申请号：US860629
申请日：1992-03-30
申请人： Robert Stegmann
发明人： Robert Stegmann
IPC分类号： A61F9/00 , A61F9/007
CPC分类号： A61F9/00781
摘要： A method and an apparatus for carrying out the method, in which the necessary outflow of the aqueous humor which is continuously being renewed in the eye is ensured, and thus the normal intraocular pressure is maintained. For the treatment, the sclera undergoes operative lamellar incision for partial exposure of Schlemm's canal, and the portion which is opened out is held by a device which is not depicted. A medium is introduced into Schlemm's canal by a tube which is introduced into the circular canal of Schlemm by which the upstream trabecular tissue is hydraulically expanded and traumatically opened at several points and, at the same time, the points are wetted by the highly viscous medium.
摘要翻译：执行该方法的方法和装置，其中确保在眼睛中不断更新的房水的必要流出，从而保持正常的眼内压。对于治疗，巩膜经历有效的层状切口以部分暴露施勒姆氏管，并且打开的部分由未示出的装置保持。介质通过管引入施莱姆氏管，该管被引入施莱姆的圆形管中，通过该管将上游小梁组织液压膨胀并在几个点创伤打开，同时，这些点被高粘度培养基。

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