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    • 1. 发明授权
    • Glaucoma implant device
    • 青光眼植入装置
    • US07594899B2
    • 2009-09-29
    • US11561960
    • 2006-11-21
    • Leonard PinchukJean-Marie A. ParelFrancisco Fantes
    • Leonard PinchukJean-Marie A. ParelFrancisco Fantes
    • A61M5/00A61M1/00
    • A61F9/00781A61F2210/0071
    • A surgical method is provided for diverting aqueous humor from the anterior chamber of the eye. A surgical tool is provided having a hollow support member that supports a portion of an aqueous humor drainage device. The device has an elongate duct structure and preferably at least one fixation member that extends therefrom. The distal end of the hollow support member is inserted into the anterior chamber of the eye through an opening passing through the sclera. The aqueous humor drainage device is deployed from the hollow support member for placement into the eye. In one embodiment, the fixation member is realized by a tab that is spaced apart from the two ends of the elongate duct structure. In another embodiment, the fixation member is realized by a pair of tines that extend in traverse directions relative to the central axis of the elongate duct structure.
    • 提供了一种手术方法,用于将房水从眼睛的前房转移。 提供具有中空支撑构件的手术工具,所述中空支撑构件支撑房水引流装置的一部分。 该装置具有细长的管道结构,优选地至少一个从其延伸的固定构件。 中空支撑构件的远端通过穿过巩膜的开口插入眼睛的前房。 房水引流装置从中空支撑构件展开以放置到眼睛中。 在一个实施例中,固定构件通过与细长管道结构的两个端部间隔开的突片来实现。 在另一个实施例中,固定构件通过相对于细长管道结构的中心轴线在横向方向上延伸的一对尖齿实现。
    • 2. 发明授权
    • Instrument for initiating an intralamellar channel
    • 启动内镜通道的仪器
    • US5653725A
    • 1997-08-05
    • US299592
    • 1994-09-01
    • 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
    • C08G65/30A61F9/0133C08G65/32C08L71/02A61B2017/320044A61F9/0017
    • 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。
    • 3. 发明授权
    • Gel injection adjustable keratoplasty
    • 凝胶注射可调角膜移植术
    • US5372580A
    • 1994-12-13
    • US836711
    • 1992-02-19
    • Gabriel SimonJean-Marie A. ParelWilliam G. Lee
    • Gabriel SimonJean-Marie A. ParelWilliam G. Lee
    • A61F2/14A61F9/007A61F9/013C08G65/30C08G65/32C08J3/28A61M31/00
    • C08J3/28A61F2/147A61F9/007A61F9/0133C08G65/30C08G65/32C08J2371/02
    • 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。
    • 5. 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。
    • 7. 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
    • US5607437A
    • 1997-03-04
    • US299423
    • 1994-09-01
    • Gabriel SimonWilliam G. LeeJean-Marie A. Parel
    • Gabriel SimonWilliam G. 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。
    • 9. 发明授权
    • Glaucoma implant device
    • 青光眼植入装置
    • US07837644B2
    • 2010-11-23
    • US11561956
    • 2006-11-21
    • Leonard PinchukJean-Marie A. ParelFrancisco Fantes
    • Leonard PinchukJean-Marie A. ParelFrancisco Fantes
    • A61M5/00
    • A61F9/00781A61F2210/0071
    • An aqueous humor drainage device having an elongate structure that provides a fluid passageway for diverting aqueous humor from the anterior chamber of the eye. The device is formed from a biocompatible soft polymeric material with a hardness less than Shore 80A. Preferably, the polymeric material includes polyisobutylene and a glassy segment. The device preferably includes at least one fixation member that extends from the elongate structure. In one embodiment, the fixation member is realized by a tab that is spaced apart from the two ends of the elongate structure. In another embodiment, the fixation member is realized by a pair of tines that extend in traverse directions relative to the central axis of the elongate structure. The tines are spaced apart for positioning on opposite sides of the sclera of the eye during use.
    • 一种房水引流装置,其具有细长结构,其提供用于将房水从眼睛前房转向的流体通道。 该装置由硬度小于肖氏80A的生物相容性软聚合材料形成。 优选地,聚合物材料包括聚异丁烯和玻璃质部分。 该装置优选地包括从细长结构延伸的至少一个固定构件。 在一个实施例中,固定构件通过与细长结构的两个端部间隔开的突片来实现。 在另一个实施例中,固定构件通过相对于细长结构的中心轴线在横向方向上延伸的一对齿来实现。 在使用期间,齿相间隔开定位在眼睛的巩膜的相对两侧。