WO2009042991A3 - Selectable stroke cutter - Google Patents

Selectable stroke cutter Download PDF

Info

Publication number
WO2009042991A3
WO2009042991A3 PCT/US2008/078087 US2008078087W WO2009042991A3 WO 2009042991 A3 WO2009042991 A3 WO 2009042991A3 US 2008078087 W US2008078087 W US 2008078087W WO 2009042991 A3 WO2009042991 A3 WO 2009042991A3
Authority
WO
WIPO (PCT)
Prior art keywords
port
retina
allowing
biological tissue
cutter
Prior art date
Application number
PCT/US2008/078087
Other languages
French (fr)
Other versions
WO2009042991A9 (en
WO2009042991A2 (en
Inventor
Charles Deboer
Matthew Mccormick
Prashant R Bhadri
Aaron Barnes
Ralph Kerns
Mark S Humayun
Original Assignee
Doheny Eye Inst
Charles Deboer
Matthew Mccormick
Prashant R Bhadri
Aaron Barnes
Ralph Kerns
Mark S Humayun
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Doheny Eye Inst, Charles Deboer, Matthew Mccormick, Prashant R Bhadri, Aaron Barnes, Ralph Kerns, Mark S Humayun filed Critical Doheny Eye Inst
Priority to EP08832938.8A priority Critical patent/EP2197368B1/en
Priority to ES08832938.8T priority patent/ES2640726T3/en
Publication of WO2009042991A2 publication Critical patent/WO2009042991A2/en
Publication of WO2009042991A3 publication Critical patent/WO2009042991A3/en
Publication of WO2009042991A9 publication Critical patent/WO2009042991A9/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery
    • A61F9/00736Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3205Excision instruments
    • A61B17/3207Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions
    • A61B17/320783Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions through side-hole, e.g. sliding or rotating cutter inside catheter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00544Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A61B2017/320028Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments with reciprocating movements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B2017/32004Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes having a laterally movable cutting member at its most distal end which remains within the contours of said end
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery

Abstract

Apparatus, systems, and devices are described that utilize an adjustable biological tissue cutting handpiece that is based on selectable settings. The biological tissue cutting handpiece includes a cutter tip that allows multiple duty cycles as well as multiple port configurations. For example, when working next to the retina, the port could be adjusted to be a smaller size, allowing delicate membrane dissection. When working near or in less sensitive tissue, e.g. the center of the eye, the port could be wide open. The port aperture size can be independent of cut speed, allowing a surgeon to work at high speed both next to the retina and away from the retina. High speeds have been shown to have increased tissue (e.g., vitreous) removal, e.g., in 25 and 23-gauge instruments. Duty cycle is not necessarily dependent on cut speed, allowing high cutter performance and varied flow characteristics.
PCT/US2008/078087 2007-09-27 2008-09-29 Selectable stroke cutter WO2009042991A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP08832938.8A EP2197368B1 (en) 2007-09-27 2008-09-29 Selectable stroke cutter
ES08832938.8T ES2640726T3 (en) 2007-09-27 2008-09-29 Selectable travel cutter

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US97563007P 2007-09-27 2007-09-27
US60/975,630 2007-09-27

Publications (3)

Publication Number Publication Date
WO2009042991A2 WO2009042991A2 (en) 2009-04-02
WO2009042991A3 true WO2009042991A3 (en) 2009-05-22
WO2009042991A9 WO2009042991A9 (en) 2010-03-18

Family

ID=40509242

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2008/078087 WO2009042991A2 (en) 2007-09-27 2008-09-29 Selectable stroke cutter

Country Status (4)

Country Link
US (1) US8172865B2 (en)
EP (2) EP2197368B1 (en)
ES (1) ES2640726T3 (en)
WO (1) WO2009042991A2 (en)

Families Citing this family (34)

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Publication number Priority date Publication date Assignee Title
PT2094173T (en) 2006-12-21 2016-07-11 Doheny Eye Inst Disposable vitrectomy handpiece
WO2009042991A2 (en) 2007-09-27 2009-04-02 Doheny Eye Institute Selectable stroke cutter
US10022558B1 (en) 2008-01-07 2018-07-17 Salutaris Medical Devices, Inc. Methods and devices for minimally-invasive delivery of radiation to the eye
US9873001B2 (en) 2008-01-07 2018-01-23 Salutaris Medical Devices, Inc. Methods and devices for minimally-invasive delivery of radiation to the eye
US8602959B1 (en) 2010-05-21 2013-12-10 Robert Park Methods and devices for delivery of radiation to the posterior portion of the eye
US8608632B1 (en) 2009-07-03 2013-12-17 Salutaris Medical Devices, Inc. Methods and devices for minimally-invasive extraocular delivery of radiation and/or pharmaceutics to the posterior portion of the eye
EP3108933B1 (en) * 2008-01-07 2019-09-18 Salutaris Medical Devices, Inc. Devices for minimally-invasive extraocular delivery of radiation to the posterior portion of the eye
US9056201B1 (en) 2008-01-07 2015-06-16 Salutaris Medical Devices, Inc. Methods and devices for minimally-invasive delivery of radiation to the eye
USD691267S1 (en) 2009-01-07 2013-10-08 Salutaris Medical Devices, Inc. Fixed-shape cannula for posterior delivery of radiation to eye
USD691269S1 (en) 2009-01-07 2013-10-08 Salutaris Medical Devices, Inc. Fixed-shape cannula for posterior delivery of radiation to an eye
USD691268S1 (en) 2009-01-07 2013-10-08 Salutaris Medical Devices, Inc. Fixed-shape cannula for posterior delivery of radiation to eye
USD691270S1 (en) 2009-01-07 2013-10-08 Salutaris Medical Devices, Inc. Fixed-shape cannula for posterior delivery of radiation to an eye
EP2496304A4 (en) * 2009-11-02 2013-04-17 Salutaris Medical Devices Inc Methods and devices for delivering appropriate minimally-invasive extraocular radiation
US8888802B2 (en) 2010-12-21 2014-11-18 Alcon Research, Ltd. Vitrectomy probe with adjustable cutter port size
US9101441B2 (en) 2010-12-21 2015-08-11 Alcon Research, Ltd. Vitrectomy probe with adjustable cutter port size
US9737362B2 (en) * 2011-07-06 2017-08-22 Boston Scientific Scimed, Inc. Tissue cutting systems and methods
ES2601783T3 (en) 2011-07-08 2017-02-16 Doheny Eye Institute Lens cutting device
US10070990B2 (en) 2011-12-08 2018-09-11 Alcon Research, Ltd. Optimized pneumatic drive lines
US9095409B2 (en) 2011-12-20 2015-08-04 Alcon Research, Ltd. Vitrectomy probe with adjustable cutter port size
ITPI20120074A1 (en) 2012-06-26 2013-12-27 Erre Quadro Srl DEVICE FOR VITRECCTOMY OPERATIONS
US9924963B2 (en) 2012-12-13 2018-03-27 Novartis Ag Vitrectomy probe with integral valve
US9615969B2 (en) 2012-12-18 2017-04-11 Novartis Ag Multi-port vitrectomy probe with dual cutting edges
US9730835B2 (en) 2012-12-19 2017-08-15 Novartis Ag Burst mode vitrectomy system
US9974689B2 (en) 2014-11-06 2018-05-22 Novartis Ag Dual mode vitrectomy surgical system
US9693898B2 (en) 2014-11-19 2017-07-04 Novartis Ag Double-acting vitreous probe with contoured port
AU2016247673B2 (en) 2015-04-13 2020-07-16 Alcon Inc. High speed pneumatic valve
USD814637S1 (en) 2016-05-11 2018-04-03 Salutaris Medical Devices, Inc. Brachytherapy device
USD815285S1 (en) 2016-05-11 2018-04-10 Salutaris Medical Devices, Inc. Brachytherapy device
USD814638S1 (en) 2016-05-11 2018-04-03 Salutaris Medical Devices, Inc. Brachytherapy device
USD808528S1 (en) 2016-08-31 2018-01-23 Salutaris Medical Devices, Inc. Holder for a brachytherapy device
USD808529S1 (en) 2016-08-31 2018-01-23 Salutaris Medical Devices, Inc. Holder for a brachytherapy device
US11607285B2 (en) * 2017-08-02 2023-03-21 Weinberg Medical Physics, Inc Apparatus, system and methodologies for biopsy or removal of tissue or adding material to tissue using a magnetically-actuated capsule
EP3989795A1 (en) 2019-06-27 2022-05-04 Boston Scientific Scimed, Inc. Detection of an endoscope to a fluid management system
ES2777881A1 (en) * 2020-02-25 2020-08-06 Weyezer Solutions Sl VITRECTOMY PROBE (Machine-translation by Google Translate, not legally binding)

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Also Published As

Publication number Publication date
EP2197368A4 (en) 2016-06-22
US20090088784A1 (en) 2009-04-02
US8172865B2 (en) 2012-05-08
WO2009042991A9 (en) 2010-03-18
EP3272298A1 (en) 2018-01-24
EP2197368B1 (en) 2017-08-23
WO2009042991A2 (en) 2009-04-02
ES2640726T3 (en) 2017-11-06
EP2197368A2 (en) 2010-06-23

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