Deformable lens insertion apparatus

Abstract

Apparatus for insertion of intraocular lenses into the eye are disclosed. In one embodiment, the apparatus comprises a loading chamber and an injection portion. The loading chamber has a proximal end and a distally extending opening. The loading chamber defines a first lumen and is adapted to receive an intraocular lens in an unfolded state at the distally extending opening and to fold the intraocular lens and maintain the intraocular lens folded as the intraocular lens is placed in the first lumen. The injection portion defines a second lumen aligned with the first lumen and is adapted to receive the folded intraocular lens from the first lumen in the second lumen. The injection portion has an open distal end through which the folded intraocular lens from the second lumen passes to be inserted into an eye.

What is claimed is:  
     
       1. An apparatus for insertion of an intraocular lens into a small incision in an eye, comprising: 
       a loading chamber having a proximal end, a distal end and a sidewall including a distally extending through opening which terminates proximally of said distal end, said loading chamber defining a first lumen having a cross-section which gradually decreases at a substantially constant rate from the termination of said through opening to said distal end and being adapted to receive an intraocular lens in an unfolded state and to fold said intraocular lens and maintain said intraocular lens folded as said intraocular lens is placed in said first lumen; and  
       an injection portion joined to said loading chamber, defining a second lumen having a length aligned with and directly adjacent said first lumen, said second lumen having a cross-section which gradually decreases at a substantially constant rate distally throughout said length and being adapted to receive said folded intraocular lens from said first lumen , said second lumen having a distal end opening for passing  adapted to output said folded intraocular lens from said second lumen directly into an eye .  
     
     
       2. The apparatus of claim  1  wherein said proximal end of said loading chamber is open and said distally extending through opening is formed by a distally extending through notch in said sidewall which extends to said proximal end of said loading chamber. 
     
     
       3. The apparatus of claim  2  wherein said distally extending through notch is configured to facilitate the folding of said intraocular lens as said intraocular lens is placed in said first lumen. 
     
     
       4. The apparatus of claim  1  wherein said second lumen has an elliptical cross-section through said length. 
     
     
       5. The apparatus of claim  1  wherein said first lumen has a elliptical cross-section at said distal end. 
     
     
       6. A method for inserting an intraocular lens into a small incision in an eye, comprising: 
       placing an intraocular lens in an apparatus as defined in claim  1 , said injection portion of said apparatus having a distal end portion;  
       placing said distal end portion of said injection portion in close relation to an eye; and  
       causing said intraocular lens to pass out of said distal end opening of said injection portion and into the eye.  
     
     
       7. The method of claim  6  wherein said causing step comprises at least one of pushing and pulling said intraocular lens out of said distal end opening. 
     
     
       8. The method of claim  6  wherein said intraocular lens in an unfolded state is grasped by a forceps and is placed in said first lumen of said loading chamber. 
     
     
       9. An apparatus for insertion of an intraocular lens into a small incision in an eye, comprising: 
       a loading chamber defining a first lumen and having a distal end and an open proximal end which includes a distally extending through notch in said loading chamber terminating proximally of said distal end, said first lumen having a cross-section which gradually decreases at a substantially constant rate from said termination of said through notch to said distal end, said loading chamber being adapted to receive an intraocular lens at said open proximal end and to fold said intraocular lens and maintain said intraocular lens folded as said intraocular lens is passed into and through said first lumen; and  
       an injection portion defining a second lumen contiguous with said first lumen, having a length and a cross-section which gradually decreases at a substantially constant rate distally throughout said length and being adapted to receive said folded intraocular lens from said first lumen  lumen, said injection portion having a distal end opening for pushing  outputting said folded intraocular lens from said second lumen directly into an eye , said loading chamber and said injection portion being a unitary structure terminating proximally at said open proximal end.  
     
     
       10. The apparatus of claim  9  wherein said injection portion is biocompatible. 
     
     
       11. The apparatus of claim  9  wherein said injection portion has a distal end sized to pass into a 3.2 mm or smaller incision in an eye. 
     
     
       12. The apparatus of claim  9  wherein said open proximal end defines an opening sized and configured to facilitate folding an intraocular lens, passing through said open proximal end into said first lumen. 
     
     
       13. The apparatus of claim  12  wherein said opening has a non-circular configuration. 
     
     
       14. The apparatus of claim  9  wherein said distally extending through notch is configured to facilitate the folding of said intraocular lens passing through said open proximal end into said first lumen. 
     
     
       15. The apparatus of claim  6  wherein said injection portion includes a distal end portion adapted to be placed in the eye when said intraocular lens in said injection portion is inserted into the eye. 
     
     
       16. A method for inserting an intraocular lens into a small incision in an eye, comprising: 
       placing an intraocular lens in an apparatus as defined in claim  6 , said injection portion of said apparatus having a distal end portion;  
       placing said distal end portion of said injection portion in close relation to an eye; and  
       causing said intraocular lens to pass out of said distal end opening of said injection portion and into the eye.  
     
     
       17. An apparatus for insertion of an intraocular lens into a small incision in an eye, comprising: 
       a loading chamber defining a first lumen having an open proximal end, a distal end and a sidewall with a distally extending through opening therein which terminates proximally of said distal end, said open proximal end and said distally extending through opening together defining a proximal opening, said first lumen having a cross-section which gradually decreases at a substantially constant rate from the termination of said distally extending through opening to said distal end, said loading chamber being adapted to receive an intraocular lens in an unfolded state at said open proximal end and to fold said intraocular lens and maintain said intraocular lens folded as said intraocular lens is passed into and through said first lumen, said proximal opening is non-circular and is sized and configured to facilitate folding said intraocular lens passing through said proximal opening; and  
       an injection portion joined to said loading chamber, defining a second lumen having a length aligned with and directly adjacent said first lumen, said second lumen having a cross-section which gradually decreases at a substantially constant rate distally throughout said length and being adapted to receive an intraocular lens in a folded state from said first lumen  lumen, and having a distal end opening through which said folded intraocular lens from said second lumen passes to be directly inserted into an eye .  
     
     
       18. The apparatus of claim  17  wherein said injection portion includes a distal end portion adapted to be placed in the eye when said intraocular lens in said injection portion is inserted into the eye. 
     
     
       19. A method for inserting an intraocular lens into a small incision in an eye, comprising: 
       placing an intraocular lens in an apparatus as defined in claim  17 , said injection portion of said apparatus having a distal end portion;  
       placing said distal end portion of said injection portion in close relation to an eye; and  
       causing said intraocular lens to pass out of said distal end opening of said injection portion and into the eye.  
     
     
       20. An inserter for folding and inserting a flexible intraocular lens through a small incision into the eye comprising: 
       a loading chamber having a generally tubular body providing a first lumen with a proximal end and a distal end adapted to receive an unfolded intraocular lens at said proximal end;  
       said loading chamber having a longitudinal axis and said first lumen having a cross-sectional area at any point on said longitudinal axis measured perpendicular to such axis, said cross-sectional area gradually decreasing from said proximal end to said distal end to effectuate a folding of the intraocular lens as the intraocular lens is passed therethrough;  
       the body of said loading chamber having a distally extending opening at said proximal end to facilitate the folding of the intraocular lens as the intraocular lens is loaded in said proximal end, said distally extending opening terminating proximally of said distal end, said cross-sectional area gradually decreasing at a substantially constant rate from the termination of the distally extending opening to said distal end; and  
       an injector portion providing a second lumen contiguous with said first lumen, said second lumen having a length and a cross-sectional area measured perpendicular to said longitudinal axis which gradually decreases at a substantially constant rate distally throughout said length for passing said folded intraocular lens from said distal end of said first lumen through said second lumen directly into the eye .  
     
     
       21. The inserter of claim  20  wherein said distally extending opening is a non-circular proximal opening which terminates proximally of said distal end. 
     
     
       22. The apparatus of claim  1  wherein said distal end opening of said second lumen Is adapted to output said folded intraocular lens from said second lumen into an eye. 
     
     
       23. The apparatus of claim  1  wherein said distal end opening of said second lumen is adapted to output said folded intraocular lens from said second lumen directly into an eye. 
     
     
       24. The apparatus of claim  9  wherein said distal end opening of said injection portion outputs said folded intraocular lens from said second lumen into an eye. 
     
     
       25. The apparatus of claim  9  wherein said distal end opening of said injection portion outputs said folded intraocular lens from said second lumen directly into an eye. 
     
     
       26. The apparatus of claim  17  wherein said folded intraocular lens passes through said distal end opening to be inserted into an eye. 
     
     
       27. The apparatus of claim  17  wherein said folded intraocular lens passes through said distal end opening to be inserted directly into an eye. 
     
     
       28. The inserter of claim  20  wherein said injector portion is adapted to pass said folded intraocular lens from said second lumen directly into the eye. 
     
     
       29. An inserter for folding and inserting a flexible intraocular lens through a small incision into the eye comprising: 
       
         a loading chamber having a generally tubular body providing a first lumen with a proximal end and a distal end adapted to receive an unfolded intraocular lens at said proximal end;  
       
       
         said loading chamber having a longitudinal axis and said first lumen having a cross-sectional area at any point on said longitudinal axis measured perpendicular to such axis, said cross-sectional area gradually decreasing from said proximal end to said distal end to effectuate a folding of the intraocular lens as the intraocular lens is passed therethrough;  
       
       
         the body of said loading chamber having a distally extending open said proximal end to facilitate the folding of the intraocular lens as the intraocular lens is loaded in said proximal end, said distally extending opening terminating proximally of said distal end, said cross-section area gradually decreasing at a substantially constant rate from the termination of the distally extending opening to said distal end; and  
       
       
         an injector portion providing a second lumen contiguous with said first lumen, said second lumen having a length and a cross-sectional area measured perpendicular to said longitudinal axis which gradually decreases at a substantially constant rate distally throughout said length and adapted to allow passage of said folded intraocular lens from said distal end of said first lumen through said second lumen. 
       
     
     
       30. The inserter of claim  29  wherein said second lumen is adapted to allow passage of said folded intraocular lens from said distal end of said first lumen through said second lumen and into the eye. 
     
     
       31. The inserter of claim  29  wherein said second lumen is adapted to allow passage of said folded intraocular lens from said distal end of said first lumen through said second lumen and directly into the eye. 
     
     
       32. An inserter for folding and inserting a flexible intraocular lens through a small incision into the eye comprising: 
       
         a loading chamber having a generally tubular body providing a first lumen the first lumen having a proximal end and a distal end and being adapted to receive an unfolded intraocular lens at said proximal end;  
       
       
         said loading chamber having a longitudinal axis and said first lumen having a cross-sectional area at any point on said longitudinal axis measured perpendicular to such axis, said cross-sectional area gradually decreasing from said proximal end to said distal end to effectuate a folding of the intraocular lens as the intraocular lens is passed therethrough;  
       
       
         the body of said loading chamber having a distally extending opening at said proximal end to facilitate the folding of the intraocular lens as the intraocular lens is loaded in said proximal end, said distally extending opening terminating proximally of said distal end, said cross-sectional area gradually decreasing at a substantially constant rate from the termination of the distally extending opening to said distal end; and  
       
       
         an injector portion having a proximal injector end and a distal injector end, said injector portion providing a second lumen contiguous with said first lumen, said second lumen having a length and a cross-sectional area measured perpendicular to said longitudinal axis which gradually decreases at a substantially constant rate distally throughout said length, said injector portion adapted to pass said folded intraocular lens from said distal end of said first lumen through said proximal injector end, through said second lumen, through said distal injector end and into the eye. 
       
     
     
       33. The inserter of claim  32  wherein said injector portion is adapted to pass said folded intraocular lens from said distal end of said first lumen, through said proximal injector end through said second lumen through said distal injector end and directly into the eye. 
     
     
       34. An inserter for folding and inserting a flexible intraocular lens through a small incision into the eye comprising: 
       
         a loading chamber having a generally tubular body providing a first-lumen with a proximal end and a distal end adapted to receive an unfolded intraocular lens at said proximal end;  
       
       
         said loading chamber having a longitudinal axis and said first lumen having a cross-sectional area at any point on said longitudinal axis measured perpendicular to such axis, said cross-sectional area gradually decreasing from said proximal end to said distal end to effectuate a folding of the intraocular lens as the intraocular lens is passed therethrough;  
       
       
         the body of said loading chamber having a distally extending opening at said proximal end to facilitate the folding of the intraocular lens as the intraocular lens is loaded in said proximal end, said distally extending opening terminating proximally of said distal end, said cross-sectional area gradually decreasing at a substantially constant rate from the termination of the distally extending opening to said distal end; and  
       
       
         an injector portion providing a second lumen contiguous with said first lumen, said second lumen having a length and a cross-sectional area measured perpendicular to said longitudinal axis which gradually decreases at a substantially constant rate distally throughout said length said injector portion adapted to pass said folded intraocular lens from said distal end of said first lumen through said second lumen and then from said injector portion into the eye. 
       
     
     
       35. The inserter of claim  34  wherein said injector portion is adapted to pass said folded intraocular lens from said distal end of said first lumen through said second lumen and then from said injector portion directly into the eye.