STEGMANN, ROBERT CHRISTOPHER,史迪格曼 罗伯特克利斯朵夫,史迪格曼 羅伯特克利斯朵夫,GRIESHABER, MATTHIAS CHRISTIAN,葛瑞沙柏 马提亚克里斯提,葛瑞沙柏 馬提亞克里斯提,GRIESHABER, HANS R.,葛瑞沙柏 汉斯R,葛瑞沙柏 漢斯R
申请号：
TW099136927
公开号：
TWI527573B
申请日:
2010.10.28
申请国别(地区):
TW
年份:
2016
代理人:
摘要：
The invention relates to a method and a device for treatment of glaucoma, wherein by means of an elongated catheter provided with a distal portion and a proximal portion, a tube-shaped implant is inserted and released in a Schlemm’s canal with two opposite openings exposed by an incision and a folded up scleral flap. In a first phase, the distal portion inserted into the Schlemm’s canal through the first opening, while a fluid or gaseous medium is injected at the same time, and exited through the second opening, which is, in circumferential direction, oppositely located. The implant detachably disposed at the protruding distal portion and, in a second phase, inserted, in circumferential direction, into the expanded Schlemm’s canal up to the first opening. Subsequently, the distal portion, which protrudes from the first opening, is detached from the implant and, together with the catheter, removed.本發明係關於一種治療青光眼之方法及裝置,其中,藉由一具有一遠部及一近部的長形導管,一管狀植入件被插入且釋放在許萊姆氏管中,許萊姆氏管具有兩相對之開口藉一切口及一摺疊鞏膜瓣而暴露。在一第1階段中,遠部經由第1開口插入許萊姆氏管中而一流體或氣態的介質同時被注入,並經由在圓周方向相對地設置的第2開口離開。植入件可卸除地配置在突出的遠部,且在第2階段中,於圓周方向被插入到膨脹的許萊姆氏管內直到第1開口。隨後,從第1開口突出之遠部從植入件被卸除,且與導管一起被移除。10‧‧‧眼睛11‧‧‧角膜12‧‧‧虹膜13‧‧‧鞏膜14‧‧‧晶體14’‧‧‧瞳孔15‧‧‧鞏膜瓣15’‧‧‧鞏膜瓣的內側16‧‧‧鞏膜床16”‧‧‧鞏膜床的內側17‧‧‧板層切口18‧‧‧房水通道系統18’‧‧‧小管道19‧‧‧小樑組織20‧‧‧許萊姆氏管20’‧‧‧許萊姆氏管之內壁21,22‧‧‧開口23‧‧‧許萊姆氏管之內腔24,24’‧‧‧箭號方向25‧‧‧導管26‧‧‧耦合件27‧‧‧近部28‧‧‧遠部29‧‧‧穿孔30‧‧‧頭件34‧‧‧環溝35‧‧‧植入件35a‧‧‧凹槽35b‧‧‧連接件35c‧‧‧環狀件35c’‧‧‧前環狀件35e‧‧‧內部空間35e’‧‧‧閂鎖凸輪36‧‧‧細長軟性小管36’‧‧‧縫線40‧‧‧縫線40’‧‧‧縫線之其中一端40”‧‧‧縫線之另一端45‧‧‧壓力源45’‧‧‧箭號46‧‧‧箭號方向
