title: [Manufacture of diamond blades via microsystem technology].
abstract: OBJECTIVE
  The application of diamond knives has steadily increased in ophthalmic surgery. However, the geometry of the blade, its thickness and the sharpness of the cutting edge are limited by the abrasive diamond polishing process, e. g. the crystalline morphology of the bulk material and the grinding powder used. A new generation of diamond blades is presented herewith allowing free choice of blade shape and thickness and possessing excellent sharpness due to a new polishing process.
  
  
  METHODS
  The new production method is based on a high-quality CVD (chemical vapour deposition) diamond film of some tenths of microns thickness, deposited on a silicon wafer as microchip technology. The mechanical properties of this synthetic diamond film are almost equal to those of a natural diamond and the surface of this film is mirror-like after deposition without requiring post-polishing. The shape of the blade can be freely defined and is transferred into the diamond film by a plasma polishing process adopted from microsystem technology.
  
  
  RESULTS
  The new production method results in highly reproducible diamond blades. Concave blades and round shapes can now be realised without the restrictions of the conventional production process. The force-free fabrication method even allows realisation of miniaturized blades (e. g. width < 0.125 mm, thickness < 50 microm) far beyond the possibilities of conventional diamond blade production. Plasma polishing by means of gas atoms results in extreme sharpness with the cutting edge radius in the range of approx. 3 nm.
  
  
  CONCLUSIONS
  Utilising microsystem technology we were able to manufacture reproducible artificial diamond blades. The new process offers for the first time surgeons a possibility of designing blades with a geometry close to their personal needs. Furthermore, the potential of facet-free ergonomically shaped diamond blades may stimulate further improvements towards novel surgical techniques.
authors.affiliation: Universitäts-Augenklinik Ulm. christoph.spraul@medizin.uni-ulm.de
authors.forename: Christoph W
authors.initials: CW
authors.lastname: Spraul
authors.forename: Stephan
authors.initials: S
authors.lastname: Ertl
authors.forename: Stefan
authors.initials: S
authors.lastname: Strobel
authors.forename: Ralph
authors.initials: R
authors.lastname: Gretzschel
authors.forename: Enrico
authors.initials: E
authors.lastname: Schirmer
authors.forename: Rudolf
authors.initials: R
authors.lastname: Rösch
authors.forename: Christian
authors.initials: C
authors.lastname: Lingenfelder
authors.forename: Gerhard K
authors.initials: GK
authors.lastname: Lang
mesh_terms: D002387:Cataract Extraction / Q000295:instrumentation*; D017076:Computer-Aided Design; D018130:Diamond; D004867:Equipment Design; D006801:Humans; D008855:Microscopy, Electron, Scanning; D011786:Quality Control; D012825:Silicon; D013499:Surface Properties; D013525:Surgical Instruments / Q000592:standards*
chemical_list: D018130:Diamond; D012825:Silicon
vernacular_title: Diamantklingenherstellung mithilfe der Mikrosystemtechnologie.