摘要:
The invention concerns lachrymal plugs, and methods for setting said devices. It concerns a lachrymal plug (10) designed to be inserted in the lachrymal canaliculi (5), said plug, optionally provided with an axial duct, comprising on its outer walls flexible elements (11) foldable on said walls to enable the plug to be inserted in the lachrymal duct and adapted to straighten up once the lachrymal plug is set, so as to maintain the latter in position. The invention generally concerns means for controlling the flow of tears running from the surface of the eye towards the nasal cavity.
摘要:
A balloon catheter (130) for treatment of a patient's lacrimal system is without the use of a guide wire or a curve retention member. The catheter (130) is formed of a stainless steel hypotube (136) and is of sufficient stiffness and column strength to enable the catheter (130) to be pushed from the patent's nasal cavity through a small-tight opening into the lacrimal sac. The catheter (130) has a proximal shaft (139) and a distal segment (137) positioned by a bend (138) of 70° to 115°, preferably 90°, to the proximal shaft (139). An inflatable member (134) is mounted about the distal segment (137). The small-tight opening is formed by pushing small holes through the medial sac, lacrimal fossa, and lateral nasal wall with an instrument (102, 104). The catheter (130) is introduced into the nasal cavity. The distal segment (137) is then pushed through the opening, and fluid under pressure is applied to the catheter (130).
摘要:
An ophthalmic insert (24) and method for sustained release of medication to the eye are provided. The insert (24) includes a body portion (30) sized to pass through a lacrimal punctum (14, 16) and be positioned within a lacrimal canaliculus (18, 20) of the eyelid. The insert further includes a collarette (26) connected to the body portion (30) and sized to rest on the exterior of the lacrimal punctum, the collarette having a pore (42) provided therein. A reservoir (34) is contained at least partially within the body portion (30) and in fluid communication with the pore (42), wherein the reservoir (34) is designed to store and release medication through the pore (42) and onto the eye over time in a controlled manner while the insert (24) is positioned in the eyelid. Preferably, the pore (42) is constructed with a specific geometry appropriate to control the rate of release of the medication onto the eye.
摘要:
A lacrimal duct endoscopy unit (10) having a handset (100, 200) in turn having a device for optically detecting occlusions in the duct, and a device for surgically removing the occlusions. A lacrimal duct intubation device comprising a tubular portion having a conical flared portion at its proximal end and a tapered distal end.
摘要:
The invention relates to a bi-canalicular probe for the treatment of lacrimation of the eye. Said probe substantially comprises a filamentary element (1) made of a biologically inert material, whereby the free ends thereof are provided with retaining means (2) for said filamentary element, forming a stop at the level of the junction between the lacrimal canaliculi and the lacrimal calculus or an opening in the nasal fossa. The probe can be used in the treatment of canalicular stenosis.
摘要:
A punctum plug (100) includes a proximal head (102), a distal body (106), a shaft (104) between the head (102), and the body (106). The shaft (104) of the plug (100) is provided with one or more foldable portions, thereby permitting the length of the shaft to vary depending upon the degree to which the folds are folded or unfolded. In addition, the folds permit the wall of the shaft to easily bend, permitting the head and body of the plug to lie along different axes. As a result, the plug is shaped to accommodate both relatively long and short vertical puncta. The body of the plug may be angled relative to the head to accommodate a variety of anatomical structures.
摘要:
An apparatus for intubation of the lacrimal duct (11, 12) comprising a thinner tube (or rod) (40), a thicker tube(s) (42) extending from one end or both ends of a thinner tube (or rod) (40) and a probe (61) which is inserted through a small cut (49) applied to the thicker tube(s) (42), wherein for the tube to be pushed into the lacrimal duct (11, 12) using a probe (61), the inner surface (72) of the thicker tube(s) (42) has a step(s) (g1, g2, g3), protuberance(s)(Y), groove(s)(U), and/or septum (septa) (W1, W2, W3), and the shape of the inner space (72) of the thicker tube (42) is the frustrum of a circular cone, and for the probe (61) to be removed easily, lubricants (55) such as olive oil, lipiodol ultrafluid, ointment and so on are applied to the surface of the probe (61) and/or to the inner part of the thicker tube (42), and also the thinner tube (or rod) (40) is longer than the canalicular length for the boundary portion(s) (51) between the thinner tube (or rod) (40) and thicker tube(s) (42) to be positioned in the lacrimal sac - nasolacrimal duct to get better stability in the lacrimal duct.
摘要:
The invention relates to a lacrimal fluid control device (20) for blocking the flow of lacrimal fluid from the surface of an eye through a punctal opening and into an associated canaliculus, said lacrimal fluid control device (20) comprises a tip portion (22) comprising a generally inverted truncated cone and being operable to facilitate placement of the lacrimal fluid control device at least partially through a punctal opening of a wearer and into a generally vertical portion of an associated canaliculus; a head portion (24) comprising a generally enlarged dome and being operable to prevent drift of the lacrimal fluid control device completely through the punctal opening and into the generally vertical portion of the associated canaliculus; a shank portion (26) integrally joined at one end to said head portion (24) and at the other end to said tip portion (22), said shank portion (26) interconnecting said head (24) and tip (22) portions and being operably engaged about its periphery by a punctal opening ring of tissue of a patient, said shank portion having, a diameter (28) adjacent to said head portion (24) which is less than the diameter (38) of said shank portion adjacent to said tip portion (22).
摘要:
Un implant canaliculaire (20) et une méthode de traitement d'un trouble oculaire avec cet implant en le transportant jusqu'au point de l'oeil dans la partie horizontale du canalicule pour l'occlure sont décrits. L'implant se compose d'un élément allongé ayant une extrémité médiane (26), une extrémité latérale opposée (34) et un élément central (22) s'étendant entre les deux. L'extrémité médiane (26) comporte une section conique dont la section transversale décroît vers l'extrémité médiane (26). L'extrémité latérale (34) comporte une section rentrable et évasée (36) et dont la section transversale augmente vers l'extrémité latérale (34) et se termine en un rebord (40) dont la section transversale a une dimension plus grande que la section transversale de l'élément central. La section évasée (36) a une position complètement étendue et une position rentrée qui change lorsqu'une force radiale y est appliquée. La dimension de la section rentrable évasée est approximativement égale à celle de la section horizontale du canalicule d'un oeil adapté à recevoir ladite section.
摘要:
This document discusses, among other things, an apparatus comprising a lacrimal implant insertable at least partially into a lacrimal punctum. The lacrimal implant comprises an implant core, and an implant body. The implant body includes a cavity sized and shaped to receive the implant core. At least one of the implant core and the implant cavity includes a detection device configured to allow automatic detection of the lacrimal implant with a separate detector device.