WO2004105649A1 - Injector cartridge for inserting intraocular lens and intraocular lens inserting device - Google Patents

Injector cartridge for inserting intraocular lens and intraocular lens inserting device Download PDF

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Publication number
WO2004105649A1
WO2004105649A1 PCT/JP2004/007913 JP2004007913W WO2004105649A1 WO 2004105649 A1 WO2004105649 A1 WO 2004105649A1 JP 2004007913 W JP2004007913 W JP 2004007913W WO 2004105649 A1 WO2004105649 A1 WO 2004105649A1
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WO
WIPO (PCT)
Prior art keywords
cartridge
intraocular lens
injector
lens
resin
Prior art date
Application number
PCT/JP2004/007913
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French (fr)
Japanese (ja)
Inventor
Hidetoshi Iwamoto
Original Assignee
Hoya Healthcare Corporation
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Publication date
Application filed by Hoya Healthcare Corporation filed Critical Hoya Healthcare Corporation
Priority to JP2005506592A priority Critical patent/JPWO2004105649A1/en
Publication of WO2004105649A1 publication Critical patent/WO2004105649A1/en

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Classifications

    • 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
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/14Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16Intraocular lenses
    • A61F2/1662Instruments for inserting intraocular lenses into the eye
    • A61F2/1664Instruments for inserting intraocular lenses into the eye for manual insertion during surgery, e.g. forceps-like instruments

Definitions

  • the present invention relates to an intraocular lens introduction injector and a cartridge, and an intraocular lens introduction device. More specifically, the present invention relates to an intraocular lens, an injector cartridge for use in inserting the intraocular lens from a relatively small incision wound, and an intraocular lens insertion device using the injector cartridge. is there.
  • the intraocular lens includes a polymethyl methacrylate lens made of a hard material with a glass transition 3 ⁇ 4S of 10 o ° c or more, and a soft intraocular material made of a silicone-based acrylic material developed as a lens for small incision surgery. The lens has been raised.
  • the surgeon holds the injector body in his hand, pushes the lens installed in the cartridge while pushing the plunger forward, and inserts the lens into the eye.
  • a push type and a screw type as a mechanism for pushing out the plunger.
  • the injector body does not touch the eyeball tissue, but the tip of the cartridge is inserted into the eyeball.
  • a glycerol ester of a carboxylic acid having about 10 to 30 carbon atoms per molecule as a lubricating component for example, a polypropylene resin, a glycerol ester of a carboxylic acid having, for example, glycerol monostearate, monopalmitic acid Glycerol and glycerol monooleate are added and molded.
  • the lubricity improving component is bleeded to the surface, and the inner surface is coated with a hydrophilic component such as hydroxymethylcellulose.
  • a technique for producing the same for example, see Japanese Patent Application Laid-Open No. 2000-51043333).
  • the lens bent small inside the hollow tube can be smoothly slid and moved inside the tube by the lubricity improving component bleeding on the inner surface of the hollow tube, and inserted into the eyeball. it can.
  • the lens can be pushed out from a fairly small hollow tube with a moderate force.
  • a technique is known in which the inner wall of a cartridge is coated with a covalently bonded lubricity improving component, for example, polybutylpyrrolidone or polyethylene render glycol (see, for example, Japanese Patent Application Laid-Open No. 2001-504704). ).
  • a covalently bonded lubricity improving component for example, polybutylpyrrolidone or polyethylene render glycol
  • the intraocular lens has a lubricity improving component bleeding on the inner surface of the cartridge.
  • the lubricity improving component adheres to the surface of the optical part or the loop of the lens, and as a result, the lubricity improving component stays in the eye, which is a very serious problem in terms of safety.
  • the amount of the lubricating component varies depending on the temperature and humidity, it is extremely difficult to control the amount of bleed and maintain quality.
  • JP-T-200-501-433 requires an oxygen plasma treatment step and a blooming step.
  • the technique disclosed in Japanese Patent Publication No. 40 has a problem that the process is complicated, such as irradiating the coating on the inner wall with ultraviolet rays, and the cost is inevitably increased.
  • a cartridge was prepared by adding glycerol monostearate as a lubricity improving component to a polypropylene resin, followed by oxygen plasma treatment and bridging treatment. Although the extruded state was improved, it became clear that the lubricity improving component was attached to the optical part of the intraocular lens (see Comparative Example 4 described later).
  • the present invention is directed to an injector cartridge which is used when an intraocular lens is bent from a relatively small incision and is introduced into the eye under such circumstances, and an excessive force is applied when the lens is inserted.
  • various compounds present as lubricity improving components on the inner surface of the cartridge do not adhere to the lens, making it extremely safe and easy to manufacture.
  • the primary object of the present invention is to provide a lens introduction injector.
  • the present invention also provides an injector for inserting an intraocular lens which achieves the first object.
  • a second object is to provide an intraocular lens insertion device using a cartridge.
  • the inventor of the present invention has conducted intensive studies to develop an intraocular lens having the above-mentioned excellent functions, an injector and a cartridge for insertion and an intraocular lens insertion device. As a result, the lens of a cartridge made of a slidable resin was obtained. If the inner wall surface of the hollow tube from the inlet to the outlet is roughened and the slidable resin that composes the cartridge has a coefficient of friction less than a certain value, the purpose can be achieved. The present inventors have completed the present invention based on these findings.
  • an intraocular lens insertion device used for implanting and implanting a soft intraocular lens from the incision into the eyeball, a lens attached to the injector body having an extrusion mechanism and implanted into the eye
  • a cartridge made of a slidable resin having a hollow structure for installing and housing and extruding the lens into the eye, wherein the inner wall surface of the hollow tube of the cartridge is roughened, and the slide forming the cartridge is provided.
  • the conductive resin is a resin having a friction coefficient of 0.5 or less
  • the slidable resin having a friction coefficient of 0.5 or less is at least one selected from a high-molecular-weight polyethylene resin, a fluorine-based resin, a polyamide-based resin, a polyacetal resin, and a polyphenylene phenol resin.
  • An intraocular lens insertion device including an injector body and the intraocular lens insertion injector cartridge according to any one of claims 1 to 5, and (7) The intraocular lens insertion device according to claim 6, wherein the injector cartridge for introducing the intraocular lens and the injector body are integrated or separable.
  • the intraocular lens introduction injector force cartridge of the present invention can safely insert the lens into the eye with an appropriate force without damaging the supporting portion and the optical portion of the lens. Since there is no need for an improving component, it has an effect of being excellent in safety. By using this injector cartridge, an intraocular lens insertion device useful in ophthalmic surgery can be obtained.
  • FIG. 1 is a partially transparent perspective view of an example of an injector power cartridge according to the present invention.
  • FIG. 2 is a perspective view of an example of an injector main body used to mount the injector cartridge of the present invention.
  • the intraocular lens insertion injector force cartridge of the present invention has an extrusion mechanism in an intraocular lens insertion device used when implanting and implanting a soft intraocular lens into the eyeball from a relatively small incision.
  • This is a cartridge made of a slidable resin having a hollow structure for mounting and storing a lens to be implanted into the eye, mounted on the injector body, and for pushing the lens into the eye.
  • the coefficient of friction measured by the following method is 0.5 or less, preferably 0.4 or less, more preferably Use 0.2 or less resin.
  • the coefficient of friction can be measured in accordance with ASTM D1884.For example, using a thrust type testing machine, select SUS304 as the mating material, place the test piece on it, and at room temperature. Measure.
  • Such resins include high molecular weight polyethylene resins, fluorine resins, polyamide resins, polyacetal resins, and polyphenylene sulfide.
  • high molecular weight polyethylene resin (HMW-PE) is manufactured by Ziegler polymerization technology, and the average molecular weight is 100,000 to 6 It is a polyethylene resin of about 100,000, and has properties such as excellent wear resistance and impact strength, low friction coefficient, excellent self-lubricating properties, and extremely low water absorption.
  • Fluorocarbon resins have excellent properties such as excellent heat resistance, chemical resistance, and electrical insulation as well as unique non-adhesiveness and low friction.
  • fluorine-based resin examples include tetrafluoroethylene resin, tetrafluoroethylene-hexafluoropropylene copolymer resin, tetrafluoroethylene-perfluoroalkoxyethylene copolymer resin, trifluoroethylene chloride resin, and tetrafluoroethylene resin.
  • Some powers such as fluorinated ethylene-ethylene copolymer resin and vinylidene fluoride resin are among these.
  • Polyamide resins have, as common properties, excellent impact resistance, oil resistance, chemical resistance, and heat resistance, as well as a low coefficient of friction, excellent wear resistance, and self-lubricating properties.
  • polyamide system examples include nylon 6, nylon 66, nylon 610, nylon 612, nylon 11, nylon 12, and the like.Nylon 6, nylon 66, nylon 1 2 is preferred.
  • Polyacetal resin has excellent properties such as excellent creep resistance, fatigue resistance, and toughness, excellent friction and wear properties, self-lubricating properties, and the ability to be used as a sliding member without lubrication. are doing .
  • Polyphenylene sulfide resin has excellent heat resistance, flame retardancy, chemical resistance, mechanical properties, and dimensional stability, and has a low friction coefficient. Used as advanced sliding material.
  • one of these slidable resins may be used alone, or two or more thereof may be used in combination.
  • An appropriate amount of the third component can be added.
  • the slidable resin it is desirable that the state in which the lens is installed and stored in the cartridge and the state in which the lens is pushed out can be confirmed from the outside, and therefore, a resin having transparency is preferable.
  • a high molecular weight polyethylene resin is particularly preferable in terms of balance between slidability, transparency, and moldability.
  • the inner wall surface of the hollow tube is roughened. This roughening reduces the contact area between the lens surface and the inner surface of the hollow tube, and also allows a viscous substance, such as hyaluronic acid, used when penetrating the lens into the eye to make the contact between the lens surface and the inner surface of the hollow tube. It is applied so that it is not completely removed from the gap This further improves the slip of the lens.
  • a viscous substance such as hyaluronic acid
  • the roughening is preferably performed so as to form streaks in the longitudinal direction on the inner wall surface of the hollow tube of the cartridge, and is preferably performed on the entire inner wall surface of the hollow tube from the intraocular lens to the entrance to the exit. .
  • the average surface roughness Ra of the inner wall surface of the roughened hollow tube is usually about 0.5 to 5.5 ⁇ in order to push the lens into the eye smoothly with a small force. If this Ra is less than 0.5 ⁇ , a large force may be required to push out the lens, and it is difficult to achieve the object of the present invention. On the other hand, if it exceeds 5.0 O / m, the resistance becomes large. It is not preferable.
  • the preferred value of Ra is 0.7 to 3.3.
  • the average surface roughness R a is Taylor Hobson Ne ring form Talysurf (scanning distance:. 0 5 mm s approximate shape: Conca V e, stylus: diamond) is a value measured using a.
  • the method for roughening the inner wall surface of the cartridge hollow tube is not particularly limited as long as the inner wall surface can be easily roughened.
  • the following method can be employed. Specifically, a method is used in which a cartridge is formed using a mold for forming a hollow tube having a roughened surface of a mold pin portion for forming a hollow tube.
  • sandpaper surface polishing, sandplasting and chemical etching, such as sipo processing should be used with warworms or in combination.
  • the surface shape of the mold pin portion is transferred to the inner wall surface of the cartridge hollow tube, it is preferable that the surface of the mold pin portion is roughened in the longitudinal direction into a stripe shape.
  • a method of roughening the inner wall surface of the hollow tube of a cartridge formed by using a normal mold with a cylindrical file or sandplast having the same inner diameter, or a method of performing plasma processing can be used.
  • roughing is performed using a cylindrical file, it is preferable to extrude the file in the longitudinal direction of the cartridge.
  • the ophthalmic lens insertion device of the present invention includes an injector main body and an intraocular lens inserting injector.
  • the injector main body constituting the intraocular lens insertion device may be a known injector body.
  • Examples of the material include metal, ceramics, and plastics.
  • the above-described injector cartridge of the present invention is used as an injector cartridge for inserting an intraocular lens adapted to the injector body.
  • the injector body and the injector cartridge may be integrated or may be separable.
  • the injector main body and the injector cartridge are integrated, it is preferable to use the same material as the injector main body (slidable resin) as the material of the injector main body.
  • the cartridge is separable, the above various materials can be used as the material of the injector body.
  • FIG. 1 is a partially transparent perspective view of an example of an injector force cartridge according to the present invention.
  • a cartridge 10 includes a hollow tube 1 having a distal end portion 2 inserted into an eye, and a cartridge. And a plate-shaped body 3 and 3 'for holding by hand when attached to the main body.
  • FIG. 1 shows a state in which the soft intraocular lens 4 is installed and housed in a cartridge (not shown) filled with a viscoelastic substance such as hyanoleronic acid. At least the tapered portion 6 of the cartridge 10 to the outlet of the distal end portion 2 is roughened in a longitudinal direction in a stripe shape.
  • FIG. 2 is a perspective view of an example of the injector main body.
  • the injector main body 20 includes a hand member 11 having a cartridge mounting portion 13 and a plunger 12. After the cartridge 10 in which the lens 4 is installed and stored is mounted on the cartridge mounting portion 13 of the hand member 11, the plunger 12 is pressed, whereby the lens 4 is moved into the hollow space 5 in the cartridge. Through the cartridge, it is extruded into the eye from the tip 2 of the cartridge together with a viscoelastic substance such as hyal valerate. Since the injector cartridge of the present invention is made of a slidable resin and the inner wall surface of the hollow tube is roughened, no excessive force is required when inserting the lens into the eye.
  • lubricity-improving components on the inner surface do not adhere to the lens, and are extremely safe.
  • a lubricity improving component is mixed with resin.
  • oxygen plasma treatment it is necessary to perform a complicated operation such as oxygen plasma treatment, and to coat the inner surface of the hollow tube of the cartridge with a lubricity-improving component, it is difficult to apply ultraviolet light.
  • the present invention can extremely easily produce a desired cartridge only by roughening the mold pin portion with sandpaper or the like.
  • the coefficient of friction of the resin in the following Examples and Comparative Examples was as follows: SUS304 was selected as the mating material in accordance with ASTMD1894, and a test piece was placed on top of it, at a temperature of 23 ⁇ 2 ° C and a humidity of 50 ⁇ 10%. Measured in RH.
  • the surface of the die pin portion forming the hollow tube of the cartridge was polished with a paper file (# 120) in the longitudinal direction of the die pin portion, and the surface was subjected to a line-shaped roughening process.
  • the outer diameter of this pin is 2.1 mm.
  • This cartridge is filled with hyaluronic acid as a viscoelastic substance, a soft intraocular lens [HOY A Healthcare Co., Ltd., trade name "Acrifold (20D) J”] is folded and set.
  • a soft intraocular lens [HOY A Healthcare Co., Ltd., trade name "Acrifold (20D) J”] is folded and set.
  • the plunger was pushed in using an universal testing machine manufactured by Instron Japan Co., Ltd., and the maximum load required at that time was recorded. The presence or absence of the deposits was observed and confirmed with a stereoscopic microscope (X60). The results are shown in Table 1.
  • Example 1 Using the cartridge prepared in Example 1, an extrusion test of a 30D soft 1 "raw ocular lens [HOY A Healthcare Co., Ltd., trade name” Acrifold (30D) "] was carried out in Example 1. Was carried out similarly to The results are shown in Table 1.
  • Example 4 Using this cartridge, an extrusion test of a soft 14 intraocular lens acrylic foam (20D) (described above) was performed in the same manner as in Example 1. The results are shown in Table 1. The maximum load was as low as 3.43 mm, and there was no lens damage or attachment to the lens.
  • Example 4
  • a cartridge was formed by molding a fluororesin [trade name “AFLON COP88AXP”, manufactured by Asahi Glass Co., Ltd., with a coefficient of friction of about 0.1]. Thereafter, the cartridge was washed with water and dried. The average surface roughness Ra of the inner wall surface of the hollow tube of this cartridge was 1.5 / in.
  • nylon 66 resin manufactured by Toray Industries, Inc., trade name “CM3001NJ, coefficient of friction about 0.2”
  • the cartridge was washed and dried, and the average surface roughness Ra of the inner wall surface of the hollow tube of this cartridge was 2. ⁇ .
  • Example 1 was carried out in the same manner as in Example 1, except that the mold for resin molding had a mirror-finished pin portion surface. The results are shown in Table 2. The maximum load was extremely high, 14.7 N, and the lens support was damaged.
  • the average surface roughness Ra of the inner wall surface of the hollow tube of the cartridge was 0.1 ⁇ Comparative Example 2
  • a cartridge was formed by molding a polypropylene resin [manufactured by San-Alomer Co., Ltd., trade name “San-Alomer ⁇ 921 ⁇ ”, coefficient of friction about 0.6]. Thereafter, the cartridge was washed with water and dried.
  • the product was molded into a cartridge by molding “Salomar ⁇ 921 Yj, coefficient of friction about 0.6”. Thereafter, the cartridge was washed with water and dried. The surface roughness Ra was 1.5 ⁇ .
  • Example 2 An extrusion test of a soft intraocular lens acrylic (20 D) (described above) was carried out in the same manner as in Example 1. The results are shown in Table 2. The maximum load was extremely high, 24.5 mm, and the lens support was damaged. Comparative Example 4
  • Polypropylene resin pellets [Sanaroma Co., Ltd., trade name "Sanaroma PM 9 2 1 Y] and the glycerol monostearate is a lubricant to 0. 2 5 mass 0/0 by forming a pressurized forte cartridge. Then, oxygen plasma treatment ( (40 cm 3 , 13 Pa for 90 minutes), followed by a bridging treatment at 50 for 2 days.
  • Comparative Example 4 the same procedure was performed as in Comparative Example 4, except that the bleeding treatment was changed to 50 ° C. for 4 days. The results are shown in Table 2.
  • Comparative Example 4 was carried out in the same manner as in Comparative Example 4, except that glycerol monostearate was added in an amount of 0.1% by mass and bleeding was performed at 50 ° C for 10 days. The results are shown in Table 2.
  • the intraocular lens insertion injector force cartridge of the present invention can safely insert the lens into the eye with an appropriate force without damaging the supporting portion and the optical portion of the lens, and improves lubricity. It has the effect of being excellent in safety because it does not require any components. By using this injector cartridge, it is possible to obtain an intraocular lens insertion device useful in ophthalmic surgery.

Abstract

An intraocular lens inserting device used when a soft intraocular lens is inserted from an incision cut into an eye ball and implanted therein, comprising a slidable resin cartridge for inserting an intraocular lens which is installed in an injector body having an extruding mechanism, storably setting the lens to be transplanted in the eye ball, and formed in a hollow structure for extruding the lens in the eye ball. The inside wall surface of the hollow tube of the cartridge is roughly processed, and the sliding resin forming the cartridge has a coefficient of friction of 0.4 or less.

Description

明細書 眼内レンズ揷入用ィンジェクタ一力 トリッジおよび眼内レンズ揷入装置 技術分野  Description Intraocular lens introduction injector force cartridge and intraocular lens introduction device
本発明は、 眼内レンズ揷入用ィンジェクタ一力一トリッジおよび眼内レンズ揷 入装置に関する。 さらに詳しくは、 眼内レンズを比較的小さな切開創より折り曲 げて眼内挿入する際に使用する眼内レンズ揷入用インジェクターカートリッジぉ ょぴ該インジェクターカートリッジを用いる眼内レンズ挿入装置に関するもので ある。  The present invention relates to an intraocular lens introduction injector and a cartridge, and an intraocular lens introduction device. More specifically, the present invention relates to an intraocular lens, an injector cartridge for use in inserting the intraocular lens from a relatively small incision wound, and an intraocular lens insertion device using the injector cartridge. is there.
背景技術  Background art
近年、 老人人口の増加に伴い、 老人性白内障患者の増加が目立ってきた。 白内 障の治療は混濁した水晶体核と皮質を除去し、 眼鏡ゃコンタクトレンズによって 視力を矯正するか、 眼内レンズを揷入するかのいずれかによつて行われる力 現 在は水晶体全摘出後に眼内レンズを固定する方法が広く実施されている。 眼内レ ンズとしては、 ガラス転移 ¾Sが 1 0 o°c以上にもなる硬い素材のポリメチルメ タクリレートレンズや、 小切開手術用レンズとして開発されたシリコーン系ゃァ クリル系素材からなる軟性眼内レンズが上巿されている。  In recent years, the number of senile cataract patients has been increasing with the increase of the elderly population. Cataract treatment removes cloudy lens nuclei and cortex, and is done by either correcting the eyesight with eyeglasses or contact lenses, or by inserting an intraocular lens. Later, a method of fixing the intraocular lens is widely practiced. The intraocular lens includes a polymethyl methacrylate lens made of a hard material with a glass transition ¾S of 10 o ° c or more, and a soft intraocular material made of a silicone-based acrylic material developed as a lens for small incision surgery. The lens has been raised.
現在、 手術の簡便さや術後の乱視発生の低減およびその早期回復を目指した小 切開手術法が多く行われており、 主に軟性眼内レンズの需要が大幅に伸びている 軟性眼内レンズの眼内への揷入方法としては、 一般に、 レンズをピンセットで 挟み、 小切開創から揷入する方法が用いられていたが、 最近では小切開創手術を 安全に実施するため、 小さく折りたたんだ状態で軟性レンズを揷入するための専 用インジェクターシステムが開発されている。 このシステムを採用することによ り、 3 . 0〜3 . 5 mm切開創で安全にレンズを眼內に揷入することができる。 眼内レンズ揷入装置としては、 様々なデザインのものが上巿されているが、 基 本的にはカートリッジ部とインジェクター本体とに分けられる。 カートリッジは 、 レンズを入れる口と押出し口とを有する中空管であって、 高分子材料で作製さ れている。 術者は、 インジェクター本体を手でもち、 プランジャーを前方に送り ながらカートリッジに設置されたレンズを押し出しながら、 眼内にレンズを揷入 する。 このプランジャーを押し出す機構としては、 一般にプッシュ式とねじ式と がある。 前記インジェクター本体は、 眼球組織に触れることはないが、 カートリ ッジ先端部分は眼球内に揷入される。 At present, there are many small incision surgical procedures aimed at the simplicity of surgery, the reduction of postoperative astigmatism, and the quick recovery, and the demand for flexible intraocular lenses is growing significantly. In general, the method of inserting the lens into the eye was to insert the lens with tweezers and then insert it from the small incision wound. A special injector system has been developed for introducing flexible lenses. By adopting this system, the lens can be safely introduced into the eye with a 3.0 to 3.5 mm incision. There are various designs of the intraocular lens introduction device, but they are basically divided into a cartridge portion and an injector body. Cartridges This is a hollow tube having a lens insertion port and an extrusion port, and is made of a polymer material. The surgeon holds the injector body in his hand, pushes the lens installed in the cartridge while pushing the plunger forward, and inserts the lens into the eye. Generally, there are a push type and a screw type as a mechanism for pushing out the plunger. The injector body does not touch the eyeball tissue, but the tip of the cartridge is inserted into the eyeball.
前記カートリッジに関しては、 例えばポリプロピレン樹脂に、 潤滑性向上成分 として、 一分子当たりに約 1 0〜3 0の炭素原子を有するカルボン酸のグリセ口 ールエステル、 例えばモノステアリン酸グリセ口ール、 モノパルミチン酸グリセ ロール、 モノォレイン酸グリセロールを加えて成形し、 その後プラズマ処理およ びブルーミング工程を経て、 潤滑性向上成分を表面にブリードさせ、 さらに親水 性成分として内面をヒドロキシメチルセルロースなどでコートして、 カートリツ ジを作製する技術が知られている (例えば、 特表 2 0 0 0— 5 1 4 3 3 3号公報 参照) 。 このカートリッジを用いることにより、 その中空管内部で小さく折り曲 げられたレンズは、 中空管内表面にブリードした潤滑性向上成分によってスムー ズに管内部を滑って移動し、 眼球に挿入することができる。 この方法をとれば、 かなり小さな中空管からレンズを適度な力で押し出すことができる。  With respect to the cartridge, for example, a glycerol ester of a carboxylic acid having about 10 to 30 carbon atoms per molecule as a lubricating component, for example, a polypropylene resin, a glycerol ester of a carboxylic acid having, for example, glycerol monostearate, monopalmitic acid Glycerol and glycerol monooleate are added and molded. After plasma treatment and blooming process, the lubricity improving component is bleeded to the surface, and the inner surface is coated with a hydrophilic component such as hydroxymethylcellulose. There is known a technique for producing the same (for example, see Japanese Patent Application Laid-Open No. 2000-51043333). By using this cartridge, the lens bent small inside the hollow tube can be smoothly slid and moved inside the tube by the lubricity improving component bleeding on the inner surface of the hollow tube, and inserted into the eyeball. it can. With this method, the lens can be pushed out from a fairly small hollow tube with a moderate force.
また、 共有結合性の潤滑性向上成分、 例えばポリビュルピロリドンやポリェチ レンダリコールをカートリッジ内壁にコートする技術が知られている (例えば、 特表 2 0 0 1— 5 0 4 7 4 0号公報参照) 。  Also, a technique is known in which the inner wall of a cartridge is coated with a covalently bonded lubricity improving component, for example, polybutylpyrrolidone or polyethylene render glycol (see, for example, Japanese Patent Application Laid-Open No. 2001-504704). ).
しかしながら、 これらの技術においては、 レンズがスムーズに滑るために、 大 きな押出し荷重は必要でないものの、 潤滑性向上成分がレンズに付着するのを免 れないという問題が生じる。 例えば、 前記特表 2 0 0 0 - 5 1 4 3 3 3号公報に 開示されている技術で詳細に説明すると、 カートリッジ内表面に潤滑性向上成分 がブリードしているため、 眼内レンズがそこを滑り出る際に、 該レンズの光学部 表面やループに潤滑性向上成分の付着が生じ、 結果的には眼内に潤滑性向上成分 が滞留し、 安全性の面で極めて大きな問題となる。 また、 潤滑性向上成分のプリ ード量が温度や湿度によって変化するので、 ブリード量を一定に制御して、 品質 を保つことは極めて困難である。 さらに、 カートリッジの作製において、 前記特表 2 0 0 0— 5 1 4 3 3 3号公 報の技術では酸素プラズマ処理工程およびブルーミング工程を必要とし、 また特 表 2 0 0 1— 5 0 4 7 4 0号公報の技術では、 内壁のコーティングに紫外線照射 を行うなど、 工程が煩雑であって、 コスト高になるのを免れないといった問題も ある。 However, in these techniques, although a large pushing load is not required for the lens to slide smoothly, there is a problem that the lubricity improving component is inevitably attached to the lens. For example, when the technique disclosed in JP-T-2000-0 514 33 33 is described in detail, the intraocular lens has a lubricity improving component bleeding on the inner surface of the cartridge. When slipping out of the lens, the lubricity improving component adheres to the surface of the optical part or the loop of the lens, and as a result, the lubricity improving component stays in the eye, which is a very serious problem in terms of safety. In addition, since the amount of the lubricating component varies depending on the temperature and humidity, it is extremely difficult to control the amount of bleed and maintain quality. Furthermore, in the production of the cartridge, the technique disclosed in JP-T-200-501-433 requires an oxygen plasma treatment step and a blooming step. The technique disclosed in Japanese Patent Publication No. 40 has a problem that the process is complicated, such as irradiating the coating on the inner wall with ultraviolet rays, and the cost is inevitably increased.
また、 眼内レンズ挿入装置を構成する中空管の内壁が粗面処理された眼内レン ズ揷入装置を用いて眼内レンズを眼内に揷入する技術が知られている (例えば、 特表 2 0 0 2— 5 4 2 8 8 4号公報参照) 。 この特表 2 0 0 2— 5 4 2 8 8 4号 公報は、 眼内レンズ挿入装置を構成する中空管の材料としてポリプロピレン樹脂 が好ましく用いられることを開示している。  Also, there is known a technique of inserting an intraocular lens into an eye using an intraocular lens insertion device in which the inner wall of a hollow tube constituting the intraocular lens insertion device has a roughened surface (for example, Japanese Patent Application Laid-Open Publication No. 2002-54092). Japanese Patent Application Laid-Open Publication No. 2002-54028 884 discloses that polypropylene resin is preferably used as a material of a hollow tube constituting an intraocular lens insertion device.
発明の開示  Disclosure of the invention
しかしながら、 特表 2 0 0 2— 5 4 2 8 8 4号公報に記載の眼内レンズ挿入装 置と同様に眼内レンズ挿入用ィンジェクタ一カートリッジをポリプロピレン樹脂 で作製すると、 カートリッジの中空管の内壁が粗面処理されているにも拘わらず 、 本発明者の検討によれば、 これに眼内レンズをセットして押し出そうとすると 、 眼内レンズがカートリッジの途中で止まってしまったり、 眼内レンズの支持部 が破損したりすることが明らかになった (後述する比較例 2および 3参照) 。 また、 この問題点を解消するために、 ポリプロピレン樹脂に潤滑性向上成分と してモノステアリン酸グリセロールを加えたカートリッジを作製したのち、 酸素 ブラズマ処理、 ブリ一ド処理を順次実施すると、 眼内レンズの押し出し状態は改 善されるが、 眼内レンズの光学部に潤滑性向上成分が付着してしまうことが明ら かとなつた (後述する比較例 4参照) 。  However, when an injector and a cartridge for inserting an intraocular lens are made of polypropylene resin in the same manner as in the intraocular lens insertion device described in Japanese Patent Application Laid-Open No. 2002-54028,84, the hollow tube of the cartridge is In spite of the fact that the inner wall is roughened, according to the study of the present inventor, when the intraocular lens is set and pushed out in this case, the intraocular lens stops in the middle of the cartridge, It became clear that the support of the intraocular lens was damaged (see Comparative Examples 2 and 3 described later). In order to solve this problem, a cartridge was prepared by adding glycerol monostearate as a lubricity improving component to a polypropylene resin, followed by oxygen plasma treatment and bridging treatment. Although the extruded state was improved, it became clear that the lubricity improving component was attached to the optical part of the intraocular lens (see Comparative Example 4 described later).
本発明は、 このような事情のもとで、 眼内レンズを比較的小さな切開創から折 り曲げて眼内揷入する際に使用するインジェクターカートリッジであって、 レン ズ揷入時に過大の力を必要としない上、 従来のカートリッジのように、 その内表 面に潤滑性向上成分として存在する様々な化合物がレンズに付着することがなく 、 極めて安全性に優れ、 しかも簡単に作製できる眼内レンズ揷入用インジェクタ 一力一トリッジを提供することを第 1の目的とするものである。  The present invention is directed to an injector cartridge which is used when an intraocular lens is bent from a relatively small incision and is introduced into the eye under such circumstances, and an excessive force is applied when the lens is inserted. In addition to the conventional cartridge, various compounds present as lubricity improving components on the inner surface of the cartridge do not adhere to the lens, making it extremely safe and easy to manufacture. The primary object of the present invention is to provide a lens introduction injector.
また本発明は、 上記第 1の目的を達成する眼内レンズ挿入用ィンジェクタ一力 ートリツジを用いて眼内レンズ挿入装置を提供することを第 2の目的とする。 本発明者は、 前記の優れた機能を有する眼内レンズ揷入用ィンジェクタ一力一 トリッジおよび眼内レンズ挿入装置を開発すべく鋭意研究を重ねた結果、 摺動性 樹脂からなるカートリッジのレンズ揷入口から出口までの中空管内壁面に粗面カロ ェが施されており、 力つ上記カートリッジを構成する摺動性樹脂が一定値以下の 摩擦係数を有する場合に、 その目的を達成し得ることを見出し、 この知見に基づ いて本発明を完成するに至った。 The present invention also provides an injector for inserting an intraocular lens which achieves the first object. A second object is to provide an intraocular lens insertion device using a cartridge. The inventor of the present invention has conducted intensive studies to develop an intraocular lens having the above-mentioned excellent functions, an injector and a cartridge for insertion and an intraocular lens insertion device. As a result, the lens of a cartridge made of a slidable resin was obtained. If the inner wall surface of the hollow tube from the inlet to the outlet is roughened and the slidable resin that composes the cartridge has a coefficient of friction less than a certain value, the purpose can be achieved. The present inventors have completed the present invention based on these findings.
すなわち、 本発明は、  That is, the present invention
( 1 ) 切開創から眼球内部に軟性眼内レンズを揷入移植する際に使用する眼内レ ンズ揷入装置において、 押出し機構を有するインジェクター本体に装着され、 か つ眼内へ移植するレンズを設置収納し、 眼内へ該レンズを押し出すための中空構 造を有する摺動性樹脂からなるカートリッジであって、 前記カートリッジの中空 管内壁面が粗面加工されており、 上記カートリッジを構成する摺動性樹脂が、 摩 擦係数 0 . 5以下の樹脂であることを特徴とする眼内レンズ揷入用ィンジェクタ ^カートリッジ、  (1) In an intraocular lens insertion device used for implanting and implanting a soft intraocular lens from the incision into the eyeball, a lens attached to the injector body having an extrusion mechanism and implanted into the eye A cartridge made of a slidable resin having a hollow structure for installing and housing and extruding the lens into the eye, wherein the inner wall surface of the hollow tube of the cartridge is roughened, and the slide forming the cartridge is provided. Wherein the conductive resin is a resin having a friction coefficient of 0.5 or less,
( 2 ) 粗面加工された中空管内壁面の平均表面粗さ R aが 0 . 5〜5 . 0 μ mで ある請求項 1に記載の眼内レンズ揷入用インジェクターカートリッジ、  (2) The injector cartridge for introducing an intraocular lens according to claim 1, wherein the average surface roughness Ra of the inner wall surface of the hollow tube having the roughened surface is 0.5 to 5.0 μm.
( 3 ) 摩擦係数 0 . 5以下の摺動性樹脂が、 高分子量ポリエチレン樹脂、 フッ素 系樹脂、 ポリアミド系樹脂、 ポリアセタール樹脂およびポリフエ-レンサノレファ ィド樹脂の中から選ばれる少なくとも 1種である請求項 1に記載の眼内レンズ揷 入用インジェクターカートリッジ、  (3) The slidable resin having a friction coefficient of 0.5 or less is at least one selected from a high-molecular-weight polyethylene resin, a fluorine-based resin, a polyamide-based resin, a polyacetal resin, and a polyphenylene phenol resin. Injection cartridge for intraocular lens according to 1,
( 4 ) インジェクターカートリッジ成形用金型として、 中空管を形成するための 金型ピン部表面に粗面加工を施したものを用いて成形してなる請求項 1ないし 3 のいずれか 1項に記載の眼内レンズ揷入用インジェクターカートリッジ。  (4) The injector cartridge according to any one of claims 1 to 3, wherein the injector cartridge molding die is formed by using a roughened surface of a die pin portion surface for forming a hollow tube. The described injector cartridge for introducing an intraocular lens.
( 5 ) カートリッジの中空管内壁面に、 円筒状ヤスリまたはサンドブラストによ り粗面加工を施してなる請求項 1ないし 3のいずれか 1項に記載の眼内レンズ揷 入用インジェクターカートリッジ、  (5) The injector cartridge for introducing an intraocular lens according to any one of claims 1 to 3, wherein the inner wall surface of the hollow tube of the cartridge is roughened by using a cylindrical file or sandblast.
( 6 ) インジェクター本体と、 請求項 1〜5のいずれか 1項に記載の眼内レンズ 揷入用インジェクターカートリッジとを含む眼内レンズ揷入装置、 および ( 7 ) 眼内レンズ揷入用インジェクターカートリッジとインジェクター本体とが 一体化しているかまたは分離可能である請求項 6に記載の眼内レンズ揷入装置 を提供するものである。 (6) An intraocular lens insertion device including an injector body and the intraocular lens insertion injector cartridge according to any one of claims 1 to 5, and (7) The intraocular lens insertion device according to claim 6, wherein the injector cartridge for introducing the intraocular lens and the injector body are integrated or separable.
本発明の眼内レンズ揷入用ィンジェクタ一力一トリッジは、 レンズの支持部や 光学部にダメージを与えることなく、 適度な力で眼内にレンズを安全に挿入する ことができ、 また潤滑性向上成分を必要としないので安全性に優れているという 効果を有し、 このインジェクターカートリッジを用いることにより眼科手術にお いて有用な眼内レンズ揷入装置を得ることができる。  The intraocular lens introduction injector force cartridge of the present invention can safely insert the lens into the eye with an appropriate force without damaging the supporting portion and the optical portion of the lens. Since there is no need for an improving component, it has an effect of being excellent in safety. By using this injector cartridge, an intraocular lens insertion device useful in ophthalmic surgery can be obtained.
図面の簡単な説明  BRIEF DESCRIPTION OF THE FIGURES
図 1は、 本発明のィンジェクタ一力一トリッジの 1例の部分透視斜視図である 図 2は、 本発明のインジェクターカートリッジを装着するのに用いるインジェ クタ一本体の 1例の斜視図である。  FIG. 1 is a partially transparent perspective view of an example of an injector power cartridge according to the present invention. FIG. 2 is a perspective view of an example of an injector main body used to mount the injector cartridge of the present invention.
発明を実施するための最良の形態  BEST MODE FOR CARRYING OUT THE INVENTION
本発明の眼内レンズ挿入用ィンジェクタ一力一トリッジは、 比較的小さな切開 創から眼球内部に軟性眼内レンズを揷入移植する際に使用する眼内レンズ揷入装 置において、 押出し機構を有するインジェクター本体に装着され、 力ゝっ眼内へ移 植するレンズを設置収納し、 眼内へ該レンズを押し出すための中空構造を有する 摺動性樹脂からなるカートリッジである。  The intraocular lens insertion injector force cartridge of the present invention has an extrusion mechanism in an intraocular lens insertion device used when implanting and implanting a soft intraocular lens into the eyeball from a relatively small incision. This is a cartridge made of a slidable resin having a hollow structure for mounting and storing a lens to be implanted into the eye, mounted on the injector body, and for pushing the lens into the eye.
本発明のカートリッジを構成する摺動性樹脂としては、 カートリッジ中空管内 のレンズの滑りをよくするために、 下記の方法で測定した摩擦係数 0 . 5以下、 好ましくは 0 . 4以下、 より好ましくは 0 . 2以下の樹脂を用いる。  As the slidable resin constituting the cartridge of the present invention, in order to improve the slip of the lens in the cartridge hollow tube, the coefficient of friction measured by the following method is 0.5 or less, preferably 0.4 or less, more preferably Use 0.2 or less resin.
摩擦係数は、 A S TMD 1 8 9 4に準じて測定することができ、 例えばスラス ト型試験機を用いて、 相手材に S U S 3 0 4を選び、 その上に試験片を置いて室 温で測定する。  The coefficient of friction can be measured in accordance with ASTM D1884.For example, using a thrust type testing machine, select SUS304 as the mating material, place the test piece on it, and at room temperature. Measure.
このような樹脂としては、 例えば高分子量ポリエチレン樹脂、 フッ素系樹脂、 ポリアミド系樹脂、 ポリアセタール樹脂およびポリフエ-レンサルフアイド樹月旨 などを拳げることができる。 ここで、 高分子量ポリエチレン樹脂 (HMW—P E ) は、 チーグラー法重合技術により製造され、 平均分子量が粘度法で 1 0万〜 6 0万程度のポリエチレン樹脂であって、耐摩耗性、 耐衝撃強度に優れると共に、 摩擦係数が小さく、自己潤滑性に優れ、吸水性が極めて少ないなどの特性を有して いる。 フッ素系樹脂は、 共通した特性として、 優れた耐熱性、 耐化学薬品性、 電 気絶縁性を有する上、特異な非粘着性、 低摩擦性を有している。 このフッ素系樹 脂としては、 四フッ化工チレン樹脂、 四フッ化工チレン一六フッ化プロピレン共 重合樹脂、四フッ化工チレン一パーフルォロアルコキシエチレン共重合樹脂、 三 フッ化塩化エチレン樹脂、 四フッ化工チレン一エチレン共重合樹脂、 フッ化ビニ リデン榭脂などがある力 これらの中で四フッ化工チレン樹脂が代表的である。 ポリアミド系樹脂は、 共通した特性として、 耐衝撃性、 耐油性、 耐薬品性、 耐 熱性に優れる上、 摩擦係数が小さく、 耐摩耗性に優れ、 自己潤滑性を有している 。 このポリアミド系榭月旨としては、 ナイロン 6、 ナイロン 6 6、 ナイロン 6 1 0 、 ナイロン 6 1 2、 ナイロン 1 1、 ナイロン 1 2などがあり、 これらの中でナイ ロン 6、 ナイロン 6 6、 ナイロン 1 2が好適である。 ポリアセタール樹脂は、 耐 クリープ性、 耐疲労性、 強じん性に優れる上、 摩擦 ·摩耗特性に優れ、 自己潤滑 性を有し、 摺動部材として、 無潤滑状態で使用できるになどの特性を有している 。 ポリフエ二レンサルファイド樹脂は、 耐熱性、 難燃性、 耐薬品性、 機械特性、 寸法安定性に優れ、 かつ摩擦係数が低く、 特に四フッ化工チレン樹脂とのプレン ド物は、 非粘着性で高度の摺動材料として用いられる。 Examples of such resins include high molecular weight polyethylene resins, fluorine resins, polyamide resins, polyacetal resins, and polyphenylene sulfide. Here, high molecular weight polyethylene resin (HMW-PE) is manufactured by Ziegler polymerization technology, and the average molecular weight is 100,000 to 6 It is a polyethylene resin of about 100,000, and has properties such as excellent wear resistance and impact strength, low friction coefficient, excellent self-lubricating properties, and extremely low water absorption. Fluorocarbon resins have excellent properties such as excellent heat resistance, chemical resistance, and electrical insulation as well as unique non-adhesiveness and low friction. Examples of the fluorine-based resin include tetrafluoroethylene resin, tetrafluoroethylene-hexafluoropropylene copolymer resin, tetrafluoroethylene-perfluoroalkoxyethylene copolymer resin, trifluoroethylene chloride resin, and tetrafluoroethylene resin. Some powers such as fluorinated ethylene-ethylene copolymer resin and vinylidene fluoride resin are among these. Polyamide resins have, as common properties, excellent impact resistance, oil resistance, chemical resistance, and heat resistance, as well as a low coefficient of friction, excellent wear resistance, and self-lubricating properties. Examples of the polyamide system include nylon 6, nylon 66, nylon 610, nylon 612, nylon 11, nylon 12, and the like.Nylon 6, nylon 66, nylon 1 2 is preferred. Polyacetal resin has excellent properties such as excellent creep resistance, fatigue resistance, and toughness, excellent friction and wear properties, self-lubricating properties, and the ability to be used as a sliding member without lubrication. are doing . Polyphenylene sulfide resin has excellent heat resistance, flame retardancy, chemical resistance, mechanical properties, and dimensional stability, and has a low friction coefficient. Used as advanced sliding material.
本発明においては、 これらの摺動性樹脂は 1種を単独で用いてもよいし、 2種 以上を組み合わせて用いてもよく、 また、 摺動性をさらに向上させる目的で、 所 望により、 第三成分を適宜量カ卩えることもできる。 また、 この摺動性樹脂として は、 カートリッジにレンズを設置収納した状態、 およぴ該レンズが押し出されて いく状態が外部から確認できることが望ましく、 したがって、 透明性を有する樹 脂が好ましい。 摺動性、 透明性、 成形性のバランスなどの点から、 前記摺動性樹 脂の中では、 特に高分子量ポリエチレン樹脂が好適である。  In the present invention, one of these slidable resins may be used alone, or two or more thereof may be used in combination.In addition, for the purpose of further improving the slidability, if desired, An appropriate amount of the third component can be added. Further, as the slidable resin, it is desirable that the state in which the lens is installed and stored in the cartridge and the state in which the lens is pushed out can be confirmed from the outside, and therefore, a resin having transparency is preferable. Among the above-mentioned slidable resins, a high molecular weight polyethylene resin is particularly preferable in terms of balance between slidability, transparency, and moldability.
本発明のカートリッジにおいては、 中空管内壁面が粗面カ卩ェされていることが 必要である。 この粗面加工は、 レンズ表面と中空管内壁面の接触面積を少なくす ると共に、 眼内へのレンズ揷入の際に用いる粘弹性物質、 例えばヒアルロン酸な どがレンズ表面と中空管内壁面との隙間から完全に排除されないように施される ものであり、 これによつてレンズの滑りはさらによくなる。 In the cartridge of the present invention, it is necessary that the inner wall surface of the hollow tube is roughened. This roughening reduces the contact area between the lens surface and the inner surface of the hollow tube, and also allows a viscous substance, such as hyaluronic acid, used when penetrating the lens into the eye to make the contact between the lens surface and the inner surface of the hollow tube. It is applied so that it is not completely removed from the gap This further improves the slip of the lens.
粗面加工は、 カートリッジの中空管内壁面に長手方向にすじを形成するように 施されていることが好ましく、 眼内レンズ揷入口から出口までの中空管内壁面全 面に施されていることが好ましい。  The roughening is preferably performed so as to form streaks in the longitudinal direction on the inner wall surface of the hollow tube of the cartridge, and is preferably performed on the entire inner wall surface of the hollow tube from the intraocular lens to the entrance to the exit. .
前記の、 粗面加工された中空管内壁面の平均表面粗さ R aは、 レンズを小さな 力で滑りよく眼内へ押し出すためには、 通常 0 . 5〜5 . Ο μ ΐη程度である。 こ の R aが 0 . 5 μ πι未満ではレンズを押し出すのに大きな力が必要となるおそれ があり、 本発明の目的が達せられにくいし、 一方 5 . O / mを超えると抵抗値が 大きくなり、 好ましくない。 該 R aの好ましい値は 0 . 7〜3 . である。 なお、 前記平均表面粗さ R aは、 テーラーホブソンネ環フォームタリサーフ ( 走査距離: 0 . 5 mms 近似形状: c o n c a V e、 スタイラス:ダイアモンド ) を用いて測定した値である。 The average surface roughness Ra of the inner wall surface of the roughened hollow tube is usually about 0.5 to 5.5 μμη in order to push the lens into the eye smoothly with a small force. If this Ra is less than 0.5 μπι, a large force may be required to push out the lens, and it is difficult to achieve the object of the present invention. On the other hand, if it exceeds 5.0 O / m, the resistance becomes large. It is not preferable. The preferred value of Ra is 0.7 to 3.3. Incidentally, the average surface roughness R a is Taylor Hobson Ne ring form Talysurf (scanning distance:. 0 5 mm s approximate shape: Conca V e, stylus: diamond) is a value measured using a.
カートリッジ中空管内壁面に粗面加工を施す方法としては、 該内壁面が容易に 粗面加工される方法であればよく、 特に制限されず、 例えば以下に示す方法を採 用することができる。 具体的には、 カートリッジ成形用金型として、 中空管を形 成するための金型ピン部表面に粗面加工を施したものを用いて、 カートリッジを 成形する方法である。 この場合、 金型ピン部表面に粗面加工を施すには、 サンド ペーパーによる表面研磨、 サンドプラスト処理および化学的ェッチング、 例えば シポ加工のような方法などを戦虫で、 あるいは組み合わせて用いることができる 。 金型ピン部の表面形状がカートリッジ中空管内壁面に転写されることから、 金 型ピン部の表面は、 長手方向にすじ状に粗面加工されていることが好ましい。 また、 通常の金型を用いて成形したカートリッジの中空管内壁面を内径の合致 した円筒状のヤスリまたはサンドプラストにより粗面加工する方法、 あるいはプ ラズマ加工する方法も用いることができる。 円筒状のヤスリを用いて粗面加工す る場合は、 ヤスリをカートリッジの長手方向に押し出して加工することが好まし レ、。  The method for roughening the inner wall surface of the cartridge hollow tube is not particularly limited as long as the inner wall surface can be easily roughened. For example, the following method can be employed. Specifically, a method is used in which a cartridge is formed using a mold for forming a hollow tube having a roughened surface of a mold pin portion for forming a hollow tube. In this case, in order to roughen the mold pin surface, sandpaper surface polishing, sandplasting and chemical etching, such as sipo processing, should be used with warworms or in combination. Can be. Since the surface shape of the mold pin portion is transferred to the inner wall surface of the cartridge hollow tube, it is preferable that the surface of the mold pin portion is roughened in the longitudinal direction into a stripe shape. Also, a method of roughening the inner wall surface of the hollow tube of a cartridge formed by using a normal mold with a cylindrical file or sandplast having the same inner diameter, or a method of performing plasma processing can be used. When roughing is performed using a cylindrical file, it is preferable to extrude the file in the longitudinal direction of the cartridge.
本発明の眼內レンズ挿入装置は、 インジェクター本体と、 眼内レンズ揷入用ィ ンジェクタ一力一トリッジを含む。  The ophthalmic lens insertion device of the present invention includes an injector main body and an intraocular lens inserting injector.
眼内レンズ挿入装置を構成するインジェクター本体は、 公知のものでよく、 そ の材質としては、 金属、 セラミックス、 プラスチックスなどが挙げられる。 眼内レンズ挿入装置において、 ィンジェクタ一本体に適合される眼内レンズ揷 入用インジェクターカートリッジとしては、 上述の本発明のインジェクターカー トリッジが用いられる。 The injector main body constituting the intraocular lens insertion device may be a known injector body. Examples of the material include metal, ceramics, and plastics. In the intraocular lens insertion device, the above-described injector cartridge of the present invention is used as an injector cartridge for inserting an intraocular lens adapted to the injector body.
本発明の眼内レンズ挿入装置において、 インジェクター本体とインジェクター カートリッジとは、 一体化していてもよく、 分離可能であってもよい。  In the intraocular lens insertion device of the present invention, the injector body and the injector cartridge may be integrated or may be separable.
インジェクター本体とインジェクターカートリッジとを一体化させる場合、 ィ ンジェクタ一本体の材料として、 ィンジェクタ一力一トリッジの材料 (摺動性樹 脂) と同一の材料を用いるのが好ましいが、 インジェクター本体とインジェクタ 一カートリッジを分離可能とする場合は、 インジェクター本体の材料として、 上 記の各種の材料を用いることができる。  When the injector main body and the injector cartridge are integrated, it is preferable to use the same material as the injector main body (slidable resin) as the material of the injector main body. When the cartridge is separable, the above various materials can be used as the material of the injector body.
図 1は、 本 明のィンジェクタ一力一トリッジの 1例の部分透視斜視図であり 、 カートリッジ 1 0は、 眼内に挿入される先端部 2を有する中空管 1と、 カート リッジをィンジェクタ一本体に取付け時に手で保持するための板状体 3および 3 ' とから構成されている。 図 1においては、 軟性眼内レンズ 4が、 ヒアノレロン酸 などの粘弾性物質が充填された (図示せず) カートリッジ内に設置収納された状 態を示す。 カートリッジ 1 0の少なくともテーパー部 6から先端部 2の出口まで は、 長手方向にすじ状に粗面加工が施されている。  FIG. 1 is a partially transparent perspective view of an example of an injector force cartridge according to the present invention. A cartridge 10 includes a hollow tube 1 having a distal end portion 2 inserted into an eye, and a cartridge. And a plate-shaped body 3 and 3 'for holding by hand when attached to the main body. FIG. 1 shows a state in which the soft intraocular lens 4 is installed and housed in a cartridge (not shown) filled with a viscoelastic substance such as hyanoleronic acid. At least the tapered portion 6 of the cartridge 10 to the outlet of the distal end portion 2 is roughened in a longitudinal direction in a stripe shape.
図 2は、 インジェクター本体の 1例の斜視図であり、 インジェクター本体 2 0 は、 カートリッジ装着部 1 3を有するハンド部材 1 1とプランジャー 1 2とから 構成されている。 ハンド部材 1 1のカートリッジ装着部 1 3に、 前記のレンズ 4 が設置収納されたカートリッジ 1 0を装着したのち、 プランジャー 1 2を押すこ とにより、 該レンズ 4が、 カートリッジ内の中空空間 5を通って、 カートリッジ の先端部 2からヒアル口ン酸などの粘弾性物質と共に、 眼内へ押し出される。 本発明のインジェクターカートリッジは、 摺動性樹脂で構成され、 かつ中空管 内壁面が粗面加工されているので、 レンズを眼内へ挿入する際に過大な力を必要 としない。 また、 従来のカートリッジのように、 内表面に潤滑^向上成分として 存在する様々な化合物がレンズに付着することがなく、 極めて安全性に優れてい る。 しかも、 従来のカートリッジの作製においては、 潤滑性向上成分を樹脂に混 入させる場合、 表面にブリードさせるために、 酸素プラズマ処理のような、 やつ かいな操作が必要であり、 また潤滑性向上成分をカートリッジの中空管内壁面に コートする場合には、 紫外線照射などのやっかいな操作が必要であるが、 本発明 は、 例えば金型ピン部をサンドペーパーなどで粗面加工するだけで、 所望のカー トリッジを極めて簡単に作製することができる。 FIG. 2 is a perspective view of an example of the injector main body. The injector main body 20 includes a hand member 11 having a cartridge mounting portion 13 and a plunger 12. After the cartridge 10 in which the lens 4 is installed and stored is mounted on the cartridge mounting portion 13 of the hand member 11, the plunger 12 is pressed, whereby the lens 4 is moved into the hollow space 5 in the cartridge. Through the cartridge, it is extruded into the eye from the tip 2 of the cartridge together with a viscoelastic substance such as hyal valerate. Since the injector cartridge of the present invention is made of a slidable resin and the inner wall surface of the hollow tube is roughened, no excessive force is required when inserting the lens into the eye. Also, unlike conventional cartridges, various compounds present as lubricity-improving components on the inner surface do not adhere to the lens, and are extremely safe. In addition, in the production of conventional cartridges, a lubricity improving component is mixed with resin. In order to bleed the surface, it is necessary to perform a complicated operation such as oxygen plasma treatment, and to coat the inner surface of the hollow tube of the cartridge with a lubricity-improving component, it is difficult to apply ultraviolet light. Although an operation is required, the present invention can extremely easily produce a desired cartridge only by roughening the mold pin portion with sandpaper or the like.
【実施例】  【Example】
次に、 本宪明を実施例により、 さらに詳細に説明するが、 本発明は、 これらの 例によってなんら限定されるものではない。  Next, the present invention will be described in more detail with reference to examples, but the present invention is not limited to these examples.
なお、 以下の実施例および比較例における樹脂の摩擦係数は、 ASTMD18 94に準じて、 相手材に SUS 304を選び、 その上に試験片を置いて温度 23 ± 2 °C、 湿度 50 ± 10 % R Hで測定した。  The coefficient of friction of the resin in the following Examples and Comparative Examples was as follows: SUS304 was selected as the mating material in accordance with ASTMD1894, and a test piece was placed on top of it, at a temperature of 23 ± 2 ° C and a humidity of 50 ± 10%. Measured in RH.
実施例 1 Example 1
樹脂成形用金型として、 カートリッジ中空管を形成する金型ピン部表面を金型 ピン部の長手方向に紙ヤスリ (# 120) で磨き、 表面にすじ状の粗面加工を施 した。 このピン外径は、 2. 1mmである。  As a resin molding die, the surface of the die pin portion forming the hollow tube of the cartridge was polished with a paper file (# 120) in the longitudinal direction of the die pin portion, and the surface was subjected to a line-shaped roughening process. The outer diameter of this pin is 2.1 mm.
この金型を用い、 高分子量ポリエチレン樹脂 [三井化学 (株) 製、 商品名 「リ ュブマー L5000」 、 平均分子量約 50万、 摩擦係数 0. 09] を成形して中 空管内壁面が長手方向にすじ状に粗面加工されたカートリッジを作製した。 その 後、 該カートリッジを水洗浄して乾燥させた。 このカートリッジの中空管内壁面 の平均表面粗さ R aは 2. O mであった。  Using this mold, a high molecular weight polyethylene resin [Mitsui Chemicals Co., Ltd., product name “Rubmer L5000”, average molecular weight of about 500,000, coefficient of friction 0.09] is formed, and the inner wall surface of the hollow tube extends in the longitudinal direction. A cartridge having a streak-like roughened surface was produced. Thereafter, the cartridge was washed with water and dried. The average surface roughness Ra of the inner wall surface of the hollow tube of this cartridge was 2.O m.
このカートリッジの中空内部に粘弾性物質としてヒアルロン酸を満たし、 軟性 眼内レンズ [HOY Aヘルスケア (株) 製、 商品名 「ァクリフオールド (20D ) J ] を折り曲げてセットし、 次いで図 2に示すようにインジェクター本体に装 着したのち、 インストロンジャパン (株) 製万能試験機を用いてプランジャーを 押し込み、 その際に要した最大荷重を記録した。 また、 押し出したレンズの状態 およびレンズへの付着物の有無を実態顕微鏡 (X 60) で観察 '確認した。 結 果を表 1に示す。  The hollow interior of this cartridge is filled with hyaluronic acid as a viscoelastic substance, a soft intraocular lens [HOY A Healthcare Co., Ltd., trade name "Acrifold (20D) J"] is folded and set. After mounting on the injector body as shown in the figure, the plunger was pushed in using an universal testing machine manufactured by Instron Japan Co., Ltd., and the maximum load required at that time was recorded. The presence or absence of the deposits was observed and confirmed with a stereoscopic microscope (X60). The results are shown in Table 1.
最大荷重は 2. 45 Nと極めて低く、 レンズ破損やレンズへの付着物はなかつ 実施例 2 The maximum load is extremely low at 2.45 N, and there is no lens damage or attachment to the lens. Example 2
実施例 1で作製したカートリツジを用いて、 30 Dの軟 1"生眼內レンズ [HOY Aヘルスケア (株) 製、 商品名 「ァクリフオールド (30D) 」 ] の押出し試験 を、 実施例 1と同様に実施した。 その結果を表 1に示す。  Using the cartridge prepared in Example 1, an extrusion test of a 30D soft 1 "raw ocular lens [HOY A Healthcare Co., Ltd., trade name" Acrifold (30D) "] was carried out in Example 1. Was carried out similarly to The results are shown in Table 1.
最大荷重は 4. 42Nと良好で、 レンズ破損やレンズ付着物はなかった。 実施例 3  The maximum load was good at 4.42N, and there was no lens breakage or lens attachment. Example 3
実施例 1で作製した金型を用い、 高分子量ポリエチレン樹脂 [三井化学 (株) 製、 商品名 「リュプマー L 4000」 、 平均分子量約 40万、 摩擦係数 0. 10 ] を成形してカートリッジを作製した。 その後、 該カートリッジを水洗浄して乾 燥させた。 このカートリッジの中空管内壁面の平均表面粗さ R aは 1. 5μπιで あった。  Using the mold prepared in Example 1, high-molecular-weight polyethylene resin [Mitsui Chemicals Co., Ltd., product name "Lupmer L4000", average molecular weight of about 400,000, coefficient of friction 0.10] to form a cartridge to produce a cartridge did. Thereafter, the cartridge was washed with water and dried. The average surface roughness Ra of the inner wall surface of the hollow tube of this cartridge was 1.5 μπι.
このカートリッジを用い、 実施例 1と同様にして、 軟 14眼内レンズァクリフォ 一ルド (20D) (前出) の押出し試験を実施した。 その結果を表 1に示す。 最大荷重は 3. 43 Νと低く、 レンズ破損やレンズへの付着物はなかった。 実施例 4  Using this cartridge, an extrusion test of a soft 14 intraocular lens acrylic foam (20D) (described above) was performed in the same manner as in Example 1. The results are shown in Table 1. The maximum load was as low as 3.43 mm, and there was no lens damage or attachment to the lens. Example 4
実施例 1で作製した金型を用い、 フッ素系樹脂 [旭硝子 (株) 製、 商品名 「ァ フロン COP88AXP」 、 摩擦係数約 0. 1] を成形してカートリッジを作製 した。 その後、 該カートリッジを水洗浄して乾燥させた。 このカートリッジの中 空管内壁面の平均表面粗さ R aは 1. 5 /inであった。  Using the mold prepared in Example 1, a cartridge was formed by molding a fluororesin [trade name “AFLON COP88AXP”, manufactured by Asahi Glass Co., Ltd., with a coefficient of friction of about 0.1]. Thereafter, the cartridge was washed with water and dried. The average surface roughness Ra of the inner wall surface of the hollow tube of this cartridge was 1.5 / in.
このカートリッジを用い、 実施例 1と同様にして、 軟 1 "生眼内レンズァクリブォ 一ルド (20D) (前出) の押出し試験を実施した。 その結果を表 1に示す。 最大荷重は 2. 65Nと低く、 レンズ破損やレンズへの付着物はなかった。 実施例 5  Using this cartridge, an extrusion test was performed on a soft 1 "intraocular lens acryl (20D) (described above) in the same manner as in Example 1. The results are shown in Table 1. The maximum load was 2.65N. Example 5 There was no lens damage or attachment to the lens.
実施例 1で作製した金型を用い、 ナイロン 66樹脂 [東レ (株) 製、 商品名 「 CM3001NJ 、 摩擦係数約 0. 2] を成形してカートリッジを作製した。 そ の後、 該カートリッジを水洗浄して乾燥させた。 このカートリッジの中空管内壁 面の平均表面粗さ R aは 2. Ομπιであった。  Using the mold prepared in Example 1, nylon 66 resin [manufactured by Toray Industries, Inc., trade name “CM3001NJ, coefficient of friction about 0.2”] was molded to produce a cartridge. The cartridge was washed and dried, and the average surface roughness Ra of the inner wall surface of the hollow tube of this cartridge was 2.Ομπι.
このカートリッジを用い、 実施例 1と同様にして、 軟 1"生眼内レンズァクリフォ 一ルド (20D) (前出) の押出し試験を実施した。 その結果を表 1に示す。 最大荷重は 3 . 2 4 Nと低く、 レンズ破損やレンズへの付着物はなかった。 Using this cartridge, an extrusion test of a soft 1 "intraocular lens acrylic foam (20D) (described above) was carried out in the same manner as in Example 1. The results are shown in Table 1. The maximum load was as low as 3.24 N, and there was no lens damage or attachment to the lens.
表 1  table 1
Figure imgf000013_0001
Figure imgf000013_0001
比較例 1 Comparative Example 1
実施例 1において、 樹脂成形用金型として、 金型ピン部表面を鏡面仕上げした ものを用いた以外は、 実施例 1と同様に実施した。 その結果を表 2に示す。 最大荷重は 1 4 . 7 Nと極めて高く、 レンズ支持部破損が生じた。  Example 1 was carried out in the same manner as in Example 1, except that the mold for resin molding had a mirror-finished pin portion surface. The results are shown in Table 2. The maximum load was extremely high, 14.7 N, and the lens support was damaged.
なお、 カートリッジの中空管内壁面の平均表面粗さ R aは 0. 1 μ ΐηであった 比較例 2  The average surface roughness Ra of the inner wall surface of the hollow tube of the cartridge was 0.1 μΐη Comparative Example 2
比較例 1で作製した金型を用い、 ポリプロピレン樹脂 [サンァロマー (株) 製 、 商品名 「サンァロマー ΡΜ 9 2 1 Υ」 、 摩擦係数約 0. 6 ] を成形してカート リッジを作製した。 その後、 該カートリッジを水洗浄して乾燥させた。  Using the mold prepared in Comparative Example 1, a cartridge was formed by molding a polypropylene resin [manufactured by San-Alomer Co., Ltd., trade name “San-Alomer ΡΜ 921 Υ”, coefficient of friction about 0.6]. Thereafter, the cartridge was washed with water and dried.
このカートリッジを用い、 実施例 1と同様にして、 軟性眼内レンズァクリフォ —ルド (2 0 D) (前出) の押出し試験を実施した。 その結果を表 2に示す。 レンズはカートリッジの途中で止まり、 抻し出すことができなかった。  Using this cartridge, an extrusion test of a flexible intraocular lens acrylic (20 D) (described above) was carried out in the same manner as in Example 1. The results are shown in Table 2. The lens stopped in the middle of the cartridge and could not be moved out.
比較例 3 Comparative Example 3
実施例 1で作製した金型を用い、 ポリプロピレン樹脂 [サンァロマー (株) 製 Using the mold prepared in Example 1, a polypropylene resin [manufactured by San-Alomer Co., Ltd.]
、 商品名 「サンァロマー ΡΜ 9 2 1 Yj 、 摩擦係数約 0 . 6 ] を成形してカート リッジを作製した。 その後、 該カートリッジを水洗浄して乾燥させた。 このカー トリッジの中空管内壁面の平均表面粗さ R aは 1 . 5 μ πιであった。 The product was molded into a cartridge by molding “Salomar ΡΜ 921 Yj, coefficient of friction about 0.6”. Thereafter, the cartridge was washed with water and dried. The surface roughness Ra was 1.5 μπι.
このカートリッジを用い、 実施例 1と同様にして、 軟性眼内レンズァクリフォ ルド (2 0 D) (前出) の押出し試験を実施した。 その結果を表 2に示す。 最大荷重は 2 4. 5 Νと極めて高く、 レンズ支持部破損が生じた。 比較例 4 Using this cartridge, an extrusion test of a soft intraocular lens acrylic (20 D) (described above) was carried out in the same manner as in Example 1. The results are shown in Table 2. The maximum load was extremely high, 24.5 mm, and the lens support was damaged. Comparative Example 4
ポリプロピレン樹脂ペレット [サンァロマー (株) 製、 商品名 「サンァロマー PM 9 2 1 Y] に滑剤であるモノステアリン酸グリセロール 0 . 2 5質量0 /0を加 えてカートリッジを成形した。 次いで、 酸素プラズマ処理 (4 0 c m3、 1 3 P aで 9 0分間) したのち、 5 0 で 2日間ブリ一ド処理した。 Polypropylene resin pellets [Sanaroma Co., Ltd., trade name "Sanaroma PM 9 2 1 Y] and the glycerol monostearate is a lubricant to 0. 2 5 mass 0/0 by forming a pressurized forte cartridge. Then, oxygen plasma treatment ( (40 cm 3 , 13 Pa for 90 minutes), followed by a bridging treatment at 50 for 2 days.
このカートリッジを用い、 実施例 1と同様にして、 軟'性眼内レンズァクリフォ 一ルド (2 0 D) (前出) の押出し試験を実施した。 その結果を表 2に示す。 最大荷重は 3 . 4 3 Nと良好であるが、 レンズ光学部への滑剤の付着がすじ状 に観察された。  Using this cartridge, an extrusion test of a soft intraocular lens acrylic foam (20 D) (described above) was carried out in the same manner as in Example 1. The results are shown in Table 2. Although the maximum load was as good as 3.43 N, adhesion of the lubricant to the lens optical portion was observed in a streak shape.
比較例 5 Comparative Example 5
比較例 4において、 ブリード処理を 5 0 °Cで 4日間に変更した以外は、 比較例 4と同様に実施した。 その結果を表 2に示す。  In Comparative Example 4, the same procedure was performed as in Comparative Example 4, except that the bleeding treatment was changed to 50 ° C. for 4 days. The results are shown in Table 2.
最大荷重は 2 . 4 5 Nと良好であるが、 レンズ光学部への滑剤の付着が帯状に 観察された。  Although the maximum load was as good as 2.45 N, adhesion of the lubricant to the lens optics was observed in a strip shape.
比較例 6 Comparative Example 6
比較例 4において、 モノステアリン酸グリセロールを 0 . 1質量%加え、 かつ ブリード処理を 5 0 °Cで 1 0日間行った以外は、 比較例 4と同様に実施した。 そ の結果を表 2に示す。  Comparative Example 4 was carried out in the same manner as in Comparative Example 4, except that glycerol monostearate was added in an amount of 0.1% by mass and bleeding was performed at 50 ° C for 10 days. The results are shown in Table 2.
最大荷重は 3 . 2 4 Nと良好であるが、 レンズ光学部への滑剤の付着が点状に 観察された。  Although the maximum load was as good as 3.24 N, the adhesion of the lubricant to the lens optical portion was observed in a dot-like manner.
表 2  Table 2
Figure imgf000014_0001
表 2に示すように、 比較例:〜 6は極めてスムーズにレンズが押し出されるが 、 滑剤のレンズへの付着が発生した。 比較例 1および 2に示すように、 金型ピン の表面がつるつるだと、 ポリプロピレン榭脂はもとより摺動性のよい L 5 0 0 0 においてもレンズの押し出し荷重が高く、 レンズ破損が生じる。 これは、 カート リッジ中空管内壁に粗面加工が必要であることを示している。 また、 カートリツ ジ中空管内壁に粗面加工を施しても樹脂の摺動性が悪いとレンズの押し出し荷重 は高くレンズ破損が生じ、 使用できない . (比較例 3 ) 。 一方、 表 1に示すように 、 実施例 1〜 5ではレンズはスムーズに押し出され、 レンズ破損や付着もない極 めて良好であった。
Figure imgf000014_0001
As shown in Table 2, in Comparative Examples: ~ 6, the lens was extruded extremely smoothly However, adhesion of the lubricant to the lens occurred. As shown in Comparative Examples 1 and 2, if the surface of the mold pin is slippery, not only polypropylene resin but also L500, which has good slidability, the extrusion load of the lens is high, and lens breakage occurs. This indicates that the inner wall of the cartridge hollow tube needs to be roughened. Even if the inner wall of the cartridge hollow tube is roughened, if the slidability of the resin is poor, the extrusion load of the lens will be high and the lens will be damaged, making it unusable (Comparative Example 3). On the other hand, as shown in Table 1, in Examples 1 to 5, the lenses were extruded smoothly, and the lenses were extremely good with no damage or adhesion.
産業上の利用の可能性  Industrial potential
本発明の眼内レンズ挿入用ィンジェクタ一力一トリッジは、 レンズの支持部や 光学部にダメージを与えることなく、 適度な力で眼内にレンズを安全に挿入する ことができ、 また潤滑性向上成分を必要としないので安全性に優れているという 効果を有し、 このインジェクターカートリッジを用いることにより眼科手術にお いて有用な眼内レンズ挿入装置を得ることができる。  The intraocular lens insertion injector force cartridge of the present invention can safely insert the lens into the eye with an appropriate force without damaging the supporting portion and the optical portion of the lens, and improves lubricity. It has the effect of being excellent in safety because it does not require any components. By using this injector cartridge, it is possible to obtain an intraocular lens insertion device useful in ophthalmic surgery.

Claims

請求の範囲 The scope of the claims
1 . 切開創から眼球内部に軟性眼内レンズを揷入移植する際に使用する眼内レン ズ揷入装置において、 押出し機構を有するインジェクター本体に装着され、 力つ 眼内へ移植するレンズを設置収納し、 眼内へ該レンズを押し出すための中空構造 を有する摺動性樹脂からなるカートリッジであって、 前記カートリッジの中空管 内壁面が粗面加工されており、 上記カートリッジを構成する摺動性樹脂が、 摩擦 係数 0 . 5以下の樹脂であることを特徴とする眼內レンズ揷入用インジェクター 力一トリッジ。 1. In an intraocular lens insertion device used to implant and implant a soft intraocular lens from the incision into the eyeball, a lens that is attached to the injector body with an extrusion mechanism and is implanted into the eye A cartridge made of a slidable resin having a hollow structure for storing and extruding the lens into the eye, wherein the inner wall surface of the hollow tube of the cartridge is roughened, and the slide constituting the cartridge is provided. An injector for introducing an ophthalmic lens, wherein the conductive resin is a resin having a friction coefficient of 0.5 or less.
2 . 粗面カ卩ェされた中空管内壁面の平均表面粗さ R aが 0 . 5〜5 . O /i mであ る請求項 1に記載の眼内レンズ挿入用インジェクターカートリッジ。  2. The injector cartridge for inserting an intraocular lens according to claim 1, wherein the average surface roughness Ra of the inner wall surface of the hollow tube having the roughened surface is 0.5 to 5.0 O / im.
3 . 摩擦係数 0 . 5以下の摺動性樹脂が、 高分子量ポリエチレン樹脂、 フッ素系 樹脂、 ポリアミド系榭脂、 ポリアセタール樹脂およびポリフエエレンサルファィ ド樹脂の中から選ばれる少なくとも 1種である請求項 1に記載の眼内レンズ挿入 用ィンジェクタ一力一トリッジ。  3. The slidable resin having a friction coefficient of 0.5 or less is at least one kind selected from high molecular weight polyethylene resin, fluorine resin, polyamide resin, polyacetal resin and polyphenylene sulfide resin. Item 4. An injector for inserting an intraocular lens according to item 1.
4 . インジェクターカートリッジ成形用金型として、 中空管を形成するための金 型ピン部表面に粗面加工を施したものを用いて成形してなる請求項 1ないし 3の いずれか 1項に記載の眼内レンズ揷入用インジェクターカートリッジ。  4. The mold according to any one of claims 1 to 3, wherein the mold for molding the injector cartridge is formed by using a roughened surface of a mold pin portion surface for forming a hollow tube. Injector cartridge for introducing intraocular lens.
5 . カートリッジの中空管内壁面に、 円筒状ヤスリまたはサンドブラストにより 粗面加工を施してなる請求項 1ないし 3のいずれか 1項に記載の眼内レンズ挿入 用インジ: クタ一力一トリッジ。  5. The ink for inserting an intraocular lens according to any one of claims 1 to 3, wherein the inner wall surface of the hollow tube of the cartridge is roughened by a cylindrical file or sand blast.
6 . インジェクター本体と、 請求項 1〜5のいずれか 1項に記載の眼内レンズ揷 入用インジェクターカートリッジとを含む眼内レンズ挿入装置。  6. An intraocular lens insertion device including an injector body and the injector cartridge for introducing an intraocular lens according to any one of claims 1 to 5.
7 . 眼内レンズ揷入用インジェクターカートリッジとインジェクター本体とがー 体化しているかまたは分離可能である請求項 6に記載の眼内レンズ揷入装置。  7. The intraocular lens introduction device according to claim 6, wherein the intraocular lens introduction injector cartridge and the injector main body are integrated or separable.
PCT/JP2004/007913 2003-06-02 2004-06-01 Injector cartridge for inserting intraocular lens and intraocular lens inserting device WO2004105649A1 (en)

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WO2007080869A1 (en) 2006-01-13 2007-07-19 Hoya Corporation Instrument for inserting intraocular lens
WO2008087226A1 (en) 2007-01-17 2008-07-24 Ajl, S.A. Container for an intraocular lens and method for applying an intraocular lens
US7879090B2 (en) 2006-12-13 2011-02-01 Bausch & Lomb Incorporated Intraocular lens injector apparatus and methods of use
US7901414B2 (en) 2001-12-12 2011-03-08 Ioltechnologie-Production Cassette and injector for flexible intraocular lens and method for injecting such lenses
JP2011182998A (en) * 2010-03-09 2011-09-22 Nidek Co Ltd Intraocular lens injection instrument
US8273122B2 (en) 2008-06-23 2012-09-25 Abbott Medical Optics Inc. Pre-loaded IOL insertion system
JP2013013457A (en) * 2011-06-30 2013-01-24 Nidek Co Ltd Intraocular lens insertion instrument
US9549813B2 (en) 2010-08-24 2017-01-24 Abbott Medical Optics Inc. Inserter cap and related features
CN113194876A (en) * 2018-12-19 2021-07-30 爱尔康公司 Cam actuated base folding mechanism
US11617643B2 (en) 2007-05-30 2023-04-04 Hoya Corporation Intraocular lens insertion device

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JP2003515387A (en) * 1999-11-30 2003-05-07 フアーマシア・アー・ベー Intraocular lens implanter

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JP2002542884A (en) * 1999-04-30 2002-12-17 アラーガン・セイルズ・インコーポレイテッド Intraocular lens insertion device and method of using the same
JP2003515387A (en) * 1999-11-30 2003-05-07 フアーマシア・アー・ベー Intraocular lens implanter

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7901414B2 (en) 2001-12-12 2011-03-08 Ioltechnologie-Production Cassette and injector for flexible intraocular lens and method for injecting such lenses
WO2007080869A1 (en) 2006-01-13 2007-07-19 Hoya Corporation Instrument for inserting intraocular lens
JPWO2007080869A1 (en) * 2006-01-13 2009-06-11 Hoya株式会社 Intraocular lens insertion device
US7879090B2 (en) 2006-12-13 2011-02-01 Bausch & Lomb Incorporated Intraocular lens injector apparatus and methods of use
US8252053B2 (en) 2006-12-13 2012-08-28 Bausch & Lomb Incorporated Intraocular lens injector apparatus and methods of use
WO2008087226A1 (en) 2007-01-17 2008-07-24 Ajl, S.A. Container for an intraocular lens and method for applying an intraocular lens
US11938019B2 (en) 2007-05-30 2024-03-26 Hoya Corporation Intraocular lens insertion device
US11617643B2 (en) 2007-05-30 2023-04-04 Hoya Corporation Intraocular lens insertion device
US8273122B2 (en) 2008-06-23 2012-09-25 Abbott Medical Optics Inc. Pre-loaded IOL insertion system
US8685088B2 (en) 2008-06-23 2014-04-01 Abbott Medical Optics Inc. Pre-loaded IOL insertion system
US8968398B2 (en) 2008-06-23 2015-03-03 Abbott Medical Optics Inc. Pre-loaded IOL insertion system
JP2011182998A (en) * 2010-03-09 2011-09-22 Nidek Co Ltd Intraocular lens injection instrument
US9687340B2 (en) 2010-08-24 2017-06-27 Abbott Medical Optics Inc. Protective cap for an insertion device and other insertion device features
US9549813B2 (en) 2010-08-24 2017-01-24 Abbott Medical Optics Inc. Inserter cap and related features
JP2013013457A (en) * 2011-06-30 2013-01-24 Nidek Co Ltd Intraocular lens insertion instrument
CN113194876A (en) * 2018-12-19 2021-07-30 爱尔康公司 Cam actuated base folding mechanism

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