Abstract: An instrument for inserting a lacrimal punctum plug and a method of manufacturing the instrument. A body having an insertion portion, a flexible portion, and a handle portion is molded around a shaft. Deforming the flexible portion reduces the effective length of the shaft to draw the shaft into the instrument. A plug supported on the shaft is released when the shaft is withdrawn. Finger pads on the flexible portion properly position fingers of medical personnel using the instrument.

Abstract: A collagen forceps includes two elongate members coupled at a proximal live hinge. Each elongate member is provided with a knurled finger pad ergonomically contoured to stably receive a finger or thumb of a physician, and a manipulation tip having an interior collagen rod gripping surface. The gripping surfaces each include an angulated or curved surface provided with ridges and shaped to engage the collagen rod axially with the elongate members. Preferably each manipulation tip is also provided with a silicon boot. In addition, the instrument is also provided with a projection having a dilation/insertion tip. The collagen forceps of the invention enables a more controlled implantation of collagen rods through the punctal opening and into the naso-lacrimal duct. The contoured finger pads provide a physician with a more comfortable and more controllable instrument.

Abstract: A punctum dilating and plug inserting instrument includes a cylindrical body with a first end being a plug inserting tip, and a second end being a punctum dilating tip. An elongated button is arranged longitudinally along the body. The button includes a fixed end and a slidable end; the fixed end being positioned between the slidable end and the plug inserting tip. The button also includes an outwardly bowing inner surface spaced from the body. A wire is slidably positioned longitudinally within the body. The wire includes an outer end protruding from the plug inserting tip, and an inner end attached to the slidable end of the button. A conventional punctum plug is attached to the outer end of the wire, and can be inserted into a punctum after the punctum is dilated by the dilating tip.

Abstract: A punctum plug for blocking lacrimal fluid flow through a punctum and an associated canaliculus composed of a hydrogel material and a hydrophobic coating which covers the exterior surface of the hydrogel material. The hydrophobic coating averts adsorption of proteinaceous materials onto the hydrogel. The punctum plug has a configuration which includes a generally cylindrical body member, an arcuate head at a first end of the body member, and a placement and retaining member at a second, peripheral end of the body member. An insertion port is located at the first end of the cylindrical body member for receiving a dilator/inserter tool. A hydrating port is fashioned at the peripheral end of the plug and partially extends through the placement and retaining member. The hydrating port is not coated with the hydrophobic material so that fluid in the canaliculus, or canalicular fluid, or preocular tear film may enter the interior portion of the plug and permit the hydrogel to expand to a desired configuration.