CARTRIDGE FOR AN INJECTOR FOR IMPLANTING AN INTRAOCULAR LENS
20190254812 ยท 2019-08-22
Inventors
Cpc classification
A61F2/1678
HUMAN NECESSITIES
International classification
Abstract
The present invention relates to a cartridge for an injector system, including a folding body for implanting an intraocular lens into an eye. The cartridge comprises a receiving region for at least one lens and at least one movable haptic slider for sliding a lens haptic onto or to an optical portion of the lens. The haptics can thus be brought into a defined position such that, when folding and ejecting the lens from the injector, they can be rolled in a defined manner into the optical portion of the lens so as to guarantee insertion and unfolding of the lens in the eye in the most reproducible manner possible.
Claims
1. A cartridge for an injector system for implanting a lens into an eye, comprising a receiving region for at least one lens and at least one movable haptic slider for displacing a lens haptic within the cartridge, in particular for sliding a lens haptic onto and/or or to an optical portion of the lens.
2. The cartridge as claimed in claim 1, wherein the lens can be captured within the receiving region for the lens by means of the haptic slider.
3. The cartridge as claimed in claim 1, wherein the haptic slider is adapted such that the lens is captured within the receiving region in both, an initial state and a displaced state of the haptic slider.
4. The cartridge as claimed in claim 1, wherein the haptic slider provides a driver for a haptic tip of the lens haptic, which is preferably provided by a recess in an inner portion of the haptic slider.
5. The cartridge as claimed in claim 1, comprising a projection for moving the haptic slider, which projection is formed on a head portion or on an outer portion of the haptic slider.
6. The cartridge as claimed in claim 1, wherein the haptic slider is mounted to the cartridge so as to be movable, preferably by a snap-in connection.
7. The cartridge as claimed in claim 1, wherein the haptic slider is arranged on, preferably latched to a sidewall or a bottom of the cartridge so as to be displaceable substantially axially.
8. The cartridge as claimed in claim 1, wherein the haptic slider is mounted to a sidewall of the cartridge and extends into the cartridge through an opening in the sidewall of the cartridge.
9. The cartridge as claimed in claim 1, wherein the cartridge has a rear haptic slider associated with a rear haptic, and a front haptic slider associated with a front haptic.
10. The cartridge as claimed in claim 9, wherein the rear haptic slider and the front haptic slider are displaceable in opposite directions.
11. The cartridge as claimed in claim 9, wherein the rear haptic slider for sliding the rear haptic, preferably onto or to the optical portion of the lens, is displaceable towards a front end of the injector, or wherein the front haptic slider for sliding the front haptic, preferably onto or to the optical portion of the lens, is displaceable towards a rear end of the injector.
12. The cartridge as claimed in claim 9, wherein the front haptic slider and the rear haptic slider are coupled such that both the front haptic and the rear haptic can be slid onto or to the optical portion of the lens by a single actuation.
13. The cartridge as claimed in claim 9, comprising a link member mounted for being moved, preferably rotated, which is connected to each of the front haptic slider and the rear haptic slider through a respective rotary joint.
14. The cartridge as claimed in claim 9, comprising an axially displaceable carriage wherein the receiving region for the lens is provided, wherein said carriage is displaceable towards the rear haptic slider by an axial displacement of the front haptic slider.
15. The cartridge as claimed in claim 1, wherein a respective ramp is provided on a portion of the cartridge, preferably on an inner surface of the sidewalls thereof.
16. The cartridge as claimed in claim 1, wherein a respective ramp is provided having an initial upslope from the front end of the cartridge and then a downslope towards the rear end of the cartridge.
17. The cartridge as claimed in claim 1, wherein the receiving region for the at least one lens is provided by a respective recess in the ramp which is preferably disposed approximately centrally.
18. The cartridge as claimed in claim 1, wherein in an initial state each of a haptic tip of the front lens haptic and a haptic tip of the rear lens haptic can be supported on the ramp next to the receiving region for the lens.
19. The cartridge as claimed in claim 1, wherein at least two heads are provided in each receiving region for the lens, which are adapted to support the optical portion of the lens, preferably a peripheral area of the optical portion of the lens.
20. The cartridge as claimed in claim 1, wherein a lens is stored within the receiving region of the cartridge in a substantially stress-free state or in a pre-folded state.
21. An injector system for implanting a lens into an eye, comprising: an injector body having a front end and a rear end; a cannula arranged at the front end of the injector body, which provides a transport channel for a lens to be implanted, wherein a lens can be fed into the transport channel via a preferably lateral inlet opening; a cartridge, comprising: a receiving region for at least one lens and at least one movable haptic slider for displacing a lens haptic within the cartridge, in particular for sliding a lens haptic onto or to an optical portion of the lens, wherein the cartridge is arranged such that a lens can be fed into the transport channel via the preferably lateral inlet opening; a folding body which is insertable into the cartridge and into the inlet opening, for pushing the lens into the transport channel in such a manner that the lens is foldable around the folding body, at least portions thereof; and a slider which is arranged within the injector body so as to be displaceable, preferably axially, and which can be pushed through the front end of the injector body and into the transport channel in such a way that the lens can be ejected from the transport channel.
22. The injector system as claimed in claim 21, wherein for loading the injector system with a lens, the cartridge can be connected with the cannula, preferably slidingly fitted or plugged onto the cannula of the injector system in a manner so that the cannula is arranged in the interior of the cartridge, at least a portion thereof, or on the cartridge.
Description
[0046] The present invention will now be described in more detail by way of the following exemplary embodiments. For this purpose, reference is made to the accompanying drawings. The same reference numerals in the individual drawings refer to the same parts.
[0047]
[0048]
[0049]
[0050]
[0051]
[0052]
[0053]
[0054]
DETAILED DESCRIPTION OF THE INVENTION
[0055] The cartridge according to the invention will now be described by way of an exemplary modular injector system 100. For this purpose,
[0056] The cannula 30 is arranged at the front end 10a of housing 10. Cannula 30 and housing 10 are joint together, for example by a snap-fit. Cannula 30 has a transport channel 31 for the lens 90, for delivering the lens 90 from the injector 100 and inserting the lens 90 into an eye. Cartridge 40 is placed on, preferably plugged onto cannula 30. Preferably, cannula 30 and cartridge 40 are snap-fitted to each other.
[0057] Folding flap 50 carrying folding rib 51 is positioned in its not yet folded-down state. Therefore, the lens 90 is not yet located in the transport channel 31 of cannula 30. The injector 100 is still locked, so to speak.
[0058] By pivoting down the folding flap (for this see
[0059] The front end 30a of cannula 30 or of transport channel 31 defines the outlet opening for the lens 90. The slider 20 or the injector 100 can be actuated, for example, by applying the index finger and the middle finger on grips 11 of housing 10 and engaging the thumb in the handle 21 of slider 20.
[0060] For further details about loading or equipping, locking, unlocking, and/or applying the injector 100 or ejecting the lens, reference is made to the description of
[0061]
[0062]
[0063]
[0064] First,
[0065] Haptic slider 60 has a recess 62 on its inner portion 64. This recess 62 defines a receiving region for the haptic tip of the rear haptic 91 in this case. When the cartridge 40 is being stored, the haptic tip is reliably captured there. However, the recess 62 also defines a driver for the haptic tip when the haptic slider 60 is displaced (for this see the description of
[0066]
[0067] However, the two haptic sliders 60 and 60 do not only perform the function of shifting the haptics 91, 91 or sliding the haptics 91 and 91 onto the lens 90. They also perform the function of a retainer for the lens 90 in the cartridge 40 or in the receiving region 44 for the lens 90. The haptic slider 60 covers, with its inner portion 64, the receiving region 44 for the lens 90, both in its initial state and in its displaced final state (for this see
[0068]
[0069]
[0070]
[0071]
[0072] Basically the same procedure is now performed for the front haptic 90. For this purpose, the front haptic slider 60 shown on the left here, is shifted towards the rear end 100b of the injector 100 (direction of arrow in
[0073] The lens 90 is now configured so that it can be folded. The lens 90 is folded by pivoting down the folding body 50 and introducing it into the cartridge 40 (for this see
[0074] The operation of the injector 100 is described once again below, but is not illustrated in the figures (for this see in particular WO 2012/155887 A1). In a next step, the injector 100 is unlocked. For this purpose, the lens 90 is moved or transferred from its initial position in the cartridge 40 to its transport position in the cannula 30 or in the transport channel 31. The transport position mentioned indicates the position from which the lens 90 can be ejected from the injector 100 and inserted into an eye using the slider 20. For this purpose, folding flap 50 is folded or pivoted towards the top of cartridge 40. Folding rib 51 located at the underside of folding flap 50 passes between the two haptic sliders 60 and 60 and engages in cartridge 40. Folding flap 51 engages on the upper surface of lens 90 and urges the lens out of its initial position in the cartridge 40 and into the transport channel 31 of cannula 30 while folding the lens 90 into a U-shaped profile. To ensure reliably folding of the lens 90 and to prevent possible slipping or jamming of lens 90, a pair of retaining ledges 52 is preferably provided at folding rib 51. Folding body 51 consists two parts here. It comprises a base 51-1 in which the actual folding element 51-2 is mounted. The retaining ledges 52 are provided by the base 51-1. The folding element 51-2 is arranged in the base 51-1 so as to be displaceable towards the upper surface of folding body 51. Without the provided retaining ledges 52, the lens 90 could slide laterally upwards and jam.
[0075] In a next step, the lens 90 is ejected from the injector 100 and introduced into an eye. By means of the slider 20, the lens 90 is pushed out of the injector 100. During continuous advancement which causes the lens 90 to be rolled up, the two haptics 91 and 91 are wrapped into the lens 90. Thus, they have a defined position when the lens 90 is ejected.
[0076]
[0077] For this purpose, the two haptic sliders 160 and 160 each have an outer portion 161 and 161, respectively, and an inner portion 162 and 162, respectively. The respective outer portion 161 or 161 serves as a grip surface for the fingers of the user for moving the haptic slider 160 or 160. The respective inner portion 162 or 162 extends through the opening 47 in the cartridge wall 43. It provides the driver for the respective haptic tip.
[0078] The two openings 47 are each inclined upwards toward the center of the cartridge 40, here. They form a ramp for the two haptic sliders 160 and 160. This allows the two haptics 91 and 91 to be intentionally guided onto the upper surface of the lens 90.
[0079]
[0080]
[0081] The two haptic sliders 260 and 260 may be mounted in the cartridge 40 in or on a type of rail 49, for example, in particular so as to be axially movable. The rail 49 is provided here by a respective groove (see
[0082] The two haptic sliders 260 and 260 engage on the haptic roots in the present example. Although a larger force is required for moving the haptics 91 and 91 in this way, however, this shortens the path over which the two sliders 260 and 260 have to travel.
[0083] Through the double joint 261, the link member 262 provides for a coupled movement of the two haptic slider 260 and 260.
[0084]
[0085] In
[0086] Finally,
[0087] The two haptic sliders 360 and 360 are movably mounted on the cartridge 40. They are placed on the sidewalls 43 of the cartridge 40. The rear haptic slider 360 does not move itself relative to the cannula 30. The receiving region 44 for the lens 90 is located within a carriage 361. The carriage 361 can be moved axially relative to the cannula 30.
[0088] First, the front haptic slider 360 is shifted towards the rear end of the injector 100. It comes to abut on the front haptic 91 and moves it towards the lens 90. Furthermore, the front haptic slider 360 then abuts on the carriage 361. By further shifting the front haptic slider 360, the carriage 361 with the lens 90 accommodated therein is therefore also shifted towards the rear haptic slider 360. The rear haptic 91 is thereby caused to abut on the rear haptic slider 360. The rear haptic 91 will thereby be displaced forward towards the lens 90.
[0089]
[0090] It will be apparent to a person skilled in the art that the above described embodiments are meant as an example only. The invention is not limited to these embodiments, rather it may be modified in many ways without departing from the spirit of the invention.
[0091] Features of particular embodiments can be combined with each other as well as with the features mentioned in the general part of the description.
LIST OF REFERENCE NUMERALS
[0092] 10 Injector body, or injector housing, or housing, or handset [0093] 11 Grips on injector body [0094] 20 Slider, or plunger, or lens slider [0095] 21 Handle, or slider handle [0096] 30 Cannula, or tube for insertion into the eye, or body for discharging the lens [0097] 31 Transport channel or advancement channel [0098] 33 Lug on cannula or latching lug [0099] 40 Cartridge, or container for storing the lens [0100] 43 Sidewall of cartridge [0101] 44 Receiving region for a lens [0102] 44a Heads or elevations in receiving region [0103] 45 Ramp or guidance area for a lens haptic [0104] 46 Rail or guide rail for haptic slider [0105] 47 Opening in sidewall of cartridge [0106] 48 Recess in cartridge [0107] 49 Rail or groove in cartridge [0108] 50 Folding flap, or folding plate support, or flap [0109] 51 Folding body, or folding plate, or folding rib [0110] 51-1 Base of folding body [0111] 52-2 Folding element of folding body [0112] 52 Retaining ledge on folding plate [0113] 52d Underside of retaining ledge [0114] 60 Haptic slider (for rear haptic) [0115] 60 Haptic slider (for front haptic) [0116] 61 Projection on haptic slider [0117] 62 Receiving region and driver for haptic tip [0118] 63 Outer portion of haptic slider [0119] 64 Inner portion of haptic slider [0120] 65 Head portion of haptic slider [0121] 66 Projection or latching projection [0122] 90 Lens, or intraocular lens, or optical portion of lens [0123] 91 (Rear) haptic of lens [0124] 91 (Front) haptic of lens [0125] 100 Injector, or injector system, or applicator [0126] 100a Front end of injector [0127] 100b Rear end of injector [0128] 160 Haptic slider (for rear haptic) [0129] 160 Haptic slider (for front haptic) [0130] 161 Outer portion or section of (rear) haptic slider [0131] 161 Outer portion or section of (front) haptic slider [0132] 162 Inner portion or section of (rear) haptic slider and driver for haptic tip [0133] 162 Inner portion or section of (front) haptic slider and driver for haptic tip [0134] 260 Haptic slider (for rear haptic) [0135] 260 Haptic slider (for front haptic) [0136] 261 Rotary joint or hinge [0137] 262 Link member (between haptic sliders) [0138] 360 Haptic slider (for rear haptic) [0139] 360 Haptic slider (for front haptic) [0140] 361 Carriage within cartridge