Abstract: Scleral implants are provided having structure that locks the implant into incisions in the sclera and provide a stress thereto. In several embodiments, such structure includes a foot that extends laterally from a bottom of the implant, as well as an opening through which suture may be passed. Furthermore, the foot of the implant may be contoured to conform to the natural curvature of the sclera. In other embodiments, the implant is generally disc-shaped and includes a tab and a suture opening. With this implant, one or two pockets are defined in the sclera, preferably at eleven o'clock and/or one o'clock, the implant is placed therein, and the pocket incision may be closed with suture. The implant may also include a system for measuring and transmitting the intraocular pressure. With all the implants, the eye pressure is increased and/or the sclera is lifted to treat a disorder of the eye.

Abstract: The invention relates to a device and method for treating animals, such as humans and dogs, with primary glaucoma by draining or diverting aqueous humor extraocularly comprising a shunt implant wherein the length and tubing of the shunt ensure fluid flow from the eye directly into the frontal sinus cavity via tubing. The device has crossbeam aids in anchoring the device; four slit valves to control fluid flow at required volume; and bulb that anchors in the frontal sinus cavity. The device is preferably made of medical grade radiopaque silicone rubber, and is flexible. Other improvements and a method for implanting the device are disclosed as well.

Abstract: Scleral implants are provided having structure that locks the implant into incisions in the sclera and provide a stress thereto. In several embodiments, such structure includes an upstanding rib that registers the implant within a scleral incision. The implant also includes an upper convex contour and a lower flatter surface. When implanted, the implant operates to increase the eye pressure and/or provide volumetric expansion of the eye to treat a disorder of the eye.

Abstract: A punctum plug generally includes a shaft and a head at a proximal end of the shaft. The shaft is provided with at least one circumferentially radiating flexible anchoring arm of varying radial extension at at least two locations along its length which is adapted to secure the punctum plug within the punctum of a wearer. The head has a concave proximal surface and a distal surface which tapers toward the shaft. A diameter of the head is substantially larger than a diameter of the shaft. According to a first embodiment of the invention, a plurality of anchoring arms in the form of symmetric circumferential rings are spaced a distance apart along a length of the shaft and define spaces therebetween. One or more of the rings has a diameter equal to or larger than the diameter of the head of the plug, and different rings preferably have different diameters.

Abstract: A monocanalicular stent includes a plug and a tubing molded with or coupled to the plug portion at an angle. The plug portion preferably includes a body portion, a neck portion, and a head portion. The tubing extends substantially longer than the plug portion. A delivery stylet is also provided and extends into a pathway of the tubing and provides a device by which the physician may handle the stent and insert it into the canaliculus. The tubing portion may be cut to length and closed. The stylet is then maneuvered to deliver the stent into a dilated punctal opening and then advanced through the canaliculus until the position of the plug portion is immediately above the punctal opening. The stylet is then removed, and the plug portion is then manipulated into the punctal opening until the head portion is flush with the surface of the punctal opening.

Abstract: A canalicular plug includes a throughbore provided with a valve. Preferably, the plug has a proximal occluding head, a central shaft and a distal body portion. The throughbore is preferably stepped and includes a large proximal portion for receiving an insertion tool and a smaller distal portion. The valve is preferably integrally molded with the canalicular plug, and the plug is preferably made from a resilient biocompatible material. According to a preferred aspect of the invention, the distal body portion includes at least one slot dividing the distal portion into a plurality of resilient portions which are biased apart and coupled by a foldable curtain portion extending between the resilient portions. The resilient portions are inwardly compressible about the slot. When compressed together, the distal ends of the resilient portions together form a generally conical or frustoconical shape which facilitates insertion through the punctal opening.

Abstract: The collagen forceps includes two elongate members coupled at a proximal live hinge. The elongate members are each 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 surfaces. The manipulation tip of the collagen forceps includes two gripping channels preferably oriented substantially orthoganally relative to each other. In addition, the manipulation tip is preferably angled relative to an axis of the collagen forceps. The proximal end of the forceps includes a shaft which is also preferably angled relative to the axis, and thereby facilitates grip and balance of the collagen forceps in the hand of the physician.

Abstract: A punctum plug includes a proximal head, a distal body, and a thin-walled flexible shaft between the head and the body. The thin wall of the shaft of the plug is preferably provided with accordion-like folds, thereby permitting the length of the shaft to vary depending upon the degree to which the accordion-like folds are folded or unfolded. In addition, the accordion-like folds permit the thin wall of the shaft to easily bend, permitting the head and body of the plug to lie along different axes. As a result, the plug is shaped to accommodate both relatively long and short vertical puncta and the body of the plug may be angled relative to the head to accommodate a variety of anatomical structures. According to another aspect of the invention, the body of the plug may be provided with a thread which rotationally guides the plug into the small punctal opening when insertional and rotational forces are applied to the plug. As a result, a relatively larger body size may be used.

Abstract: A punctum plug includes a proximal head, a distal body, and a shaft between the head and the body. The head and shaft are provided with a bore to facilitate insertion of the plug through the punctal opening with an insertion tool. According to one aspect of the invention, the head is provided with a lower portion having a frustoconical shape which, in situ, reduces the external profile of the head, without sacrificing the thickness of the head. Preferably, the head includes peripheral upper and lower surfaces which are both non-orthogonal to the longitudinal axis of the shaft, and a more central upper surface which is generally orthogonal to the longitudinal axis of the shaft. According to a second aspect of the invention, the head has an oblong cross-section such that long and short lateral dimensions are defined across the head. According to a third aspect of the invention, at least a proximal portion of the shaft is provided with an oblong cross-section.

Abstract: A flexible and transparent corneal endothelium protective device includes a relatively thin protective barrier portion, and a relatively thicker form-providing rim around the barrier portion. An access opening is provided through at least one of the rim and the barrier portion. The protective device is foldable for insertion through a surgical incision, is resilient such that it springs into shape once positioned in the eye, and is sufficiently flexible such that it may easily be removed through the incision in the eye near the completion of the surgical procedure. Various shapes are provided for the device. The protective device is inserted through the small incision and maneuvered into the space between the iris and the cornea and permitted to unfold. During surgery, instruments and other devices may be passed through the surgical incision and extend through an access opening of the protective device to operate on the lens.

Abstract: A microsurgical scalpel assembly including an elongate scalpel handle and a scalpel blade affixed at one end of the scalpel handle and a shield releasably affixed to the one end of the scalpel handle and extending away from the handle to operably surround the scalpel blade to isolate sharp surfaces of the scalpel blade from a surgeon and to protect the blade from damage during a re-sterilization autoclave procedure.

Abstract: A surgical instrument cleaner includes a containment chamber with an intake opening on a front thereof and an exhaust vent on a rear thereof. A manifold is positioned in the intake opening, and connected to a steam source. Nozzles arranged around the manifold emit converging steam jets at a single point positioned away from a plane defined by the nozzles. The steam jets are directed rearwardly into the containment chamber, so that they create a front-to-rear airflow between the intake and the exhaust vent. An instrument is positionable at the jet convergence point for cleaning. The airflow carries steam and airborne debris blasted from the instrument safely away from the user.

Abstract: There is provided a lacrimal fluid control device for blocking the flow of lacrimal fluid away from the surface of a wearer's eye through a punctal opening and into an associated caniculus. The lacrimal fluid control device includes a tip portion comprising a generally inverted truncated cone and a head portion comprising a generally enlarged dome. The tip is operable to facilitate placement of the lacrimal fluid control device at least partially through a wearer's punctal opening and the enlarged dome or head portion prevents drift of the lacrimal fluid control device completely through the punctal opening and into a generally vertical portion of an associated canaliculus.