Pupil expander
A pupil expander is formed from a frame of shape-memory material with a covering made of elastomer. The frame is in the form of two arc-shaped sections connected together at one end to form a broken circle having free distal ends. Each arc-shaped section has an upper frame portion and a lower frame portion connected to each other at the distal ends thereof. The covering is disposed over each arc-shaped section and has a C-shaped cross section so as to form an outwardly facing groove between the upper frame portion and the lower frame portion. The pupil expander is configured to be folded in half with the grooves facing each other and straightened so as to form a cylindrical body for insertion into a tubular applicator and upon release from the applicator, the pupil expander resumes the shape of the broken circle to push the margins of the pupil wider.
1 . A pupil expander comprising:
a frame formed of material having shape-memory characteristics, the frame being in the form of two arc-shaped sections connected together at proximal end to form a broken circle with free distal ends, each arc-shaped section having an upper frame portion and a lower frame portion, and
a covering over each arc-shaped section, the covering having a C-shaped cross section so as to form an outwardly facing groove between the upper frame portion and the lower frame portion,
wherein the pupil expander is configured to be folded in half with the grooves facing each other, and distal ends together, and straightened so as to form a cylindrical body for insertion into a tubular applicator, and whereupon upon release from the applicator, the distal ends move in opposite circumferential directions until the pupil expander resumes the shape of the broken circle.
2 . The pupil expander according to claim 1 , wherein the frame is formed of nitinol wire.
3 . The pupil expander according to claim 2 , wherein frame is constructed from a single piece of wire.
4 . The pupil expander according to claim 3 , wherein the connection between the two arc-shaped sections is formed by a curvature in the wire that extends toward an interior of the circle.
5 . The pupil expander according to claim 1 , wherein the covering is formed of an elastomer.
6 . The pupil expander according to claim 1 , wherein tips of the distal ends of the arc-shaped sections are bent inward toward an interior of the circle.
7 . A method of inserting a pupil expander into a pupil of a patient's eye, wherein the pupil expander comprises a frame formed of material having shape-memory characteristics, the frame being in the form of two arc-shaped sections connected together at a proximal end to form a broken circle and having free distal ends, each arc-shaped section having an upper frame portion and a lower frame portion; and a covering over each arc-shaped section, the covering having a C-shaped cross section so as to form an outwardly facing groove between the upper frame portion and the lower frame portion on each arc-shaped portion, the method comprising:
folding the pupil expander so that the grooves face each other,
feeding the folded pupil expander into a tubular injector with the distal ends of the pupil expander facing an exit end of the injector,
injecting the folded pupil expander into a pupil of a patient such that the distal ends contact the edge of an iris of the patient as the pupil expander unfolds, and catch the edges of the iris in the grooves of the covering, with the distal ends sliding in opposite circumferential directions around the edge of the iris until the pupil expander is fully inserted into the pupil with the grooves engaging the edge of the iris, and
expanding the pupil by the pupil expander returning to the broken circle shape and pulling the edge of the iris outward after the step of injecting.
8 . The method according to claim 7 , wherein the step of injecting comprises placing a hook around the frame between the arc-shaped portions and pushing the pupil expander out of the tubular injector by pushing the hook.