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    • 3. 发明授权
    • Methods for producing epithelial flaps on the cornea and for placement of ocular devices and lenses beneath an epithelial flap or membrane, epithelial delaminating devices, and structures of epithelium and ocular devices and lenses
    • 用于在角膜上产生上皮瓣和用于在上皮瓣或膜下面放置眼睛装置和透镜的方法,上皮分层装置以及上皮和眼睛装置和透镜的结构
    • US07497866B2
    • 2009-03-03
    • US10346664
    • 2003-01-17
    • Edward Perez
    • Edward Perez
    • A61F9/00
    • A61F9/013A61B17/32A61B2017/320052A61F2/142A61F2/147A61F9/0133
    • These methods, devices, and structures are useful in the field of ophthalmology; the devices and methods relate variously to separating or lifting corneal epithelium from the eye preferably in a substantially continuous layer, placing a lens or other suitable ocular or medical device beneath the epithelial membrane, and to the resulting structures formed by those procedures. The de-epilthelialization devices generally utilize a non-cutting separator or dissector that is configured to separate the epithelium at a naturally occurring cleavage surface in the eye between the epithelium and the corneal stroma (Bowman's membrane), specifically separating in the region of the lamina lucida. The separator or dissector may have a structure that rolls or vibrates (or both) at that cleavage surface or interface during the dissection step. The separated epithelium may be lifted or peeled from the surface of the eye to form an epithelial flap or a pocket. The epithelium may then be replaced on the cornea after a refractive procedure or after placement of an ocular lens (or other subepithelial device) on the eye. The subepithelial device may comprise a wide variety of synthetic, natural, or composite polymeric materials. The step of replacing epithelial tissue upon the subepithelial device or upon the anterior corneal surface promotes epithelial healing.
    • 这些方法,装置和结构在眼科领域是有用的; 所述装置和方法涉及各种不同方式将角膜上皮细胞从眼睛中分离或提升,优选在基本上连续的层中,将透镜或其它合适的眼部或医疗装置放置在上皮膜下方,以及由这些程序形成的所得结构。 去皮上皮化装置通常使用非切割分离器或解剖器,其被配置为在上皮和角膜基质(鲍曼氏膜)之间的眼睛中天然存在的切割表面分离上皮,特别是在层的区域中分离 lucida 分离器或解剖器可以具有在解剖步骤期间在该切割表面或界面处滚动或振动(或两者)的结构。 分离的上皮可以从眼睛的表面抬起或剥离以形成上皮瓣或口袋。 然后可以在屈光手术之后或在将眼部透镜(或其他上皮下装置)放置在眼睛上之后在角膜上替换上皮。 上皮下装置可以包括多种合成,天然或复合聚合物材料。 在上皮下装置或前角膜表面上取代上皮组织的步骤促进上皮愈合。
    • 7. 发明申请
    • Epithelial delaminating device
    • 上皮分层装置
    • US20070265649A1
    • 2007-11-15
    • US11640630
    • 2006-12-18
    • Edward Perez
    • Edward Perez
    • A61F9/00
    • A61F9/013
    • The described device is useful in the field of opthalmology. The devices and methods for using it involve separating or lifting corneal epithelium from the eye in a substantially continuous layer to form a flap or pocket. In particular, the devices generally utilize a non-cutting, oscillating separator or dissector that is configured to separate the epithelium at naturally occurring cleavage surfaces in the eye, particularly between the epithelium and the corneal stroma (Bowman's membrane), specifically separating in the region of the lamina lucida, the separator or dissector having a structure that oscillates at that cleavage surface interface during the dissection step. The separated epithelium may be lifted or peeled from the surface of the eye to form an epithelial flap or pocket. The epithelium may then be replaced on the cornea after a refractive procedure or placement of an ocular lens on the eye.
    • 所描述的装置在眼科学领域是有用的。 用于其的装置和方法涉及在基本上连续的层中将角膜上皮分离或提升眼睛以形成瓣或口袋。 特别地,这些装置通常使用非切割振荡分离器或解剖器,其被配置为在眼睛中的天然存在的切割表面,特别是在上皮和角膜基质(鲍曼膜)之间分离上皮,特别是在该区域中分离 的分离器或解剖器,其具有在解剖步骤期间在该切割面界面处振荡的结构。 分离的上皮可以从眼表面抬起或剥离,形成上皮瓣或口袋。 然后可以在屈光手术或眼睛透镜放置在眼睛上之后,在角膜上替换上皮。
    • 8. 发明申请
    • Corneal retention or stabilizing tool
    • 角膜保留或稳定工具
    • US20060247660A1
    • 2006-11-02
    • US11386231
    • 2006-03-21
    • Edward Perez
    • Edward Perez
    • A61F9/00
    • A61F9/007A61B2017/306A61F9/013
    • Described here is a surgical device that typically is used to releasably hold the cornea of a human eye (and hence that eye) in such a way as to modestly deform the cornea and the eye, to maintain the eye's position for procedures upon the epithilial layer of the cornea, and to allow ease of replacement of an epithilial flap should one be produced. It may be used in combination with an epithilial delaminating tool, or an ocular device inserting tool. The stabilization device permits ready access to and creation of flaps or pockets of epithelium for later introduction of correcting lenses (e.g. using an ocular device insertion tool) or subtractive procedures such as LASIK or LASEK, prior to replacement of epithelium over the corrective lens or over the site of laser induced or surgically-induced corrective procedure.
    • 这里描述的是一种手术装置,其通常用于可释放地保持人眼(和因此眼睛)的角膜,以使角膜和眼睛适度变形,以保持眼睛在外耳层上的手术位置 的角膜,并且允许容易地更换上皮瓣,如果可以产生。 它可以与外耳分层工具或眼睛装置插入工具结合使用。 稳定装置允许准备进入和产生上皮的襟翼或口袋,以便稍后在校正透镜上更换上皮或更换矫正透镜之前(例如使用眼部装置插入工具)或减数程序(例如LASIK或LASEK) 激光诱导或手术诱导的矫正程序的部位。
    • 9. 发明申请
    • Combined epithelial delaminator and inserter
    • 组合上皮分层和插入
    • US20060052796A1
    • 2006-03-09
    • US10937135
    • 2004-09-08
    • Edward PerezJay DaultonPaul Hsei
    • Edward PerezJay DaultonPaul Hsei
    • A61F9/00
    • A61F9/013A61F2/147A61F9/0017A61F9/007
    • An ocular device applicator that is a combined delaminating and inserting device configured to partially delaminate the corneal epithelium and to place a corrective ocular device onto the delaminated cornea under the partially delaminated epithelium. The ocular device applicator leaves at least a portion of the delaminated corneal epithelium attached to the cornea. The ocular device applicator comprises an edge and an ocular device holder. In some versions an ocular device may be secured in and/or released from the device by force applied in the holder, or by a releasable adhesive. The ocular device applicator may be oscillated to facilitate delamination of the corneal epithelium and placement of an ocular device.
    • 一种眼部装置施用器,其是组合的分层和插入装置,其被配置为部分地分层角膜上皮并将矫正的眼睛装置放置在部分分层的上皮下的分层角膜上。 眼部装置施用器离开附着在角膜上的分层的角膜上皮的至少一部分。 眼部装置施用器包括边缘和眼睛装置保持器。 在一些版本中,眼睛装置可以通过施加在保持器中的力或通过可释放的粘合剂固定在装置中和/或从装置释放。 眼部装置施用器可以摆动以促进角膜上皮的分层和眼睛装置的放置。