Multi-function surgical instrument for facilitating...

A - Human Necessities – 61 – B

Patent

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A61B 18/18 (2006.01) A61F 9/009 (2006.01) A61B 19/00 (2006.01)

Patent

CA 2452027

A multi-function surgical instrument for facilitating ophthalmic surgery of the eye (3) by laser means, included are a lower ring (1) and an upper ring (2). One or two intermediate rings may also be included. The lower ring (1) includes a central aperture (11) to capture the limbus and aid in positioning of the eye (3). Protuberances on the lower surface (18) of said ring (1), application of vacuum between the lower surface (18) of the ring (1) and the eye (3), or both may be used to more firmly grip the eye (3). Ports (14) disposed on the upper surface (13) of the lower ring (1) and connected to a vacuum source may be used to control hydration of the surgical field. Attached to structures of the lower ring (1) is a sterile platform (17) for reposing temporarily removed tissues (32) during the administration of laser pulses to other tissues. The upper ring (2) is disposed above the surgical bed. Ports (22) disposed along said upper ring (2) and connected to a vacuum source may be used to control smoke and splatters resulting from the ablative procedure and create additional airflow to further control hydration of the surgical field.

La présente invention concerne un instrument chirurgical polyvalent permettant de faciliter la chirurgie ophtalmique de l'oeil (3) au moyen d'un laser. Ledit instrument comporte un anneau inférieur (1) et un anneau supérieur (2); il peut également comporter un anneau intermédiaire. L'anneau inférieur (1) comprend un orifice central (11) pour saisir la limbe et aider au positionnement de l'oeil (3). On peut utiliser des projections sur la surface inférieure (18) dudit anneau (1), l'application d'une dépression entre la surface inférieure (18) de l'anneau (1) et l'oeil (3) pour mieux saisir l'oeil (3). On peut utiliser les orifices (14) disposés à la surface supérieure (13) de l'anneau inférieur (1) et connectés à la source de vide pour contrôler l'hydratation du champ chirurgical. Fixée aux structures de l'anneau inférieur (1) se trouve un plateau (17) pour le dépôt temporaire des tissus enlevés (32) au cours de l'administration d'impulsions laser à d'autres tissus. L'anneau supérieur (2) est disposé au-dessus du lit de chirurgie. On peut utiliser des orifices (22) disposés le long dudit anneau supérieur (2) et connectés à la source de vide pour contrôler la fumée et les projections causées par l'opération d'ablation et pour générer un flux supplémentaire permettant un contrôle accru de l'hydratation du champ chirurgical.

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