CN101273928A - An ophthalmic non-invasive negative pressure fixer - Google Patents
An ophthalmic non-invasive negative pressure fixer Download PDFInfo
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- CN101273928A CN101273928A CNA2008100443748A CN200810044374A CN101273928A CN 101273928 A CN101273928 A CN 101273928A CN A2008100443748 A CNA2008100443748 A CN A2008100443748A CN 200810044374 A CN200810044374 A CN 200810044374A CN 101273928 A CN101273928 A CN 101273928A
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- NIXOWILDQLNWCW-UHFFFAOYSA-M Acrylate Chemical compound [O-]C(=O)C=C NIXOWILDQLNWCW-UHFFFAOYSA-M 0.000 claims description 3
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- 239000004926 polymethyl methacrylate Substances 0.000 claims description 3
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Abstract
本发明公开了一种主要用于固定眼球的眼科无创负压固定器,包括气囊、气管和吸附板,所述吸附板为中空结构,在所述吸附板上用于与眼表组织接触的表面设置有吸附孔,所述吸附孔与所述吸附板的中空部分相通,所述气囊通过气管与吸附板互通密封连接。使用时,首先手握气囊并将其挤压至大概最小体积,然后将吸附板上有吸附孔的一面贴在眼表组织(如结膜或巩膜等),再以适当的速度松开气囊。由于吸附板上的吸附孔被堵住,气囊在自身弹性作用下恢复原形后使本发明的内部空间形成负压,此负压使眼球被吸附在与吸附板尽可能靠近的位置,达到固定眼球的目的。在进行眼科手术时,使用本发明固定眼球,方便、快捷、可靠、无疼痛、无损伤。
The invention discloses an ophthalmic non-invasive negative pressure fixer mainly used for fixing eyeballs, which includes an air bag, a trachea and an adsorption plate, the adsorption plate is a hollow structure, and the surface of the adsorption plate that is in contact with the ocular surface tissue An adsorption hole is provided, and the adsorption hole communicates with the hollow part of the adsorption plate, and the air bag communicates and seals with the adsorption plate through a trachea. When in use, first hold the airbag and squeeze it to the approximate minimum volume, then stick the side of the adsorption plate with the adsorption holes on the ocular surface tissue (such as conjunctiva or sclera, etc.), and then release the airbag at an appropriate speed. Because the adsorption hole on the adsorption plate is blocked, the airbag will form a negative pressure in the inner space of the present invention after returning to its original shape under the action of its own elasticity, and this negative pressure will make the eyeball be adsorbed at a position as close as possible to the adsorption plate to achieve fixation of the eyeball the goal of. When performing eye surgery, using the invention to fix the eyeball is convenient, fast, reliable, painless and non-injury.
Description
技术领域technical field
本发明涉及一种主要用于在眼科手术中固定眼球的装置,尤其涉及一种体积小、操作方便且使用时无疼痛、无损伤的眼科无创负压固定器,属于眼科手术中固定眼球的医疗器械的加工领域。The invention relates to a device mainly used for fixing the eyeball in ophthalmic surgery, in particular to an ophthalmic non-invasive negative pressure fixer which is small in size, easy to operate, painless and non-injury in use, and belongs to the medical device for fixing the eyeball in ophthalmic surgery. The processing field of equipment.
背景技术Background technique
传统的眼部手术固定器械是有齿镊和无齿镊,前者对眼部组织有损伤作用;后者由于无法固定眼部组织,通常用于缝线的打结。随着眼科显微手术的飞速进展,超声乳化手术日趋成熟,透明角膜切口和折叠人工晶状体的植入,整个手术在眼部的无血管区——角膜上进行,所以完美的手术是眼部无出血点,但术中作角膜穿刺孔和撕囊时,由于是表面麻醉,为了安全起见最好能固定眼球。目前医生在进行眼科手术时仍然使用有齿镊,但是有齿镊容易损伤结膜血管,造成出血,既对眼部组织造成损伤、增大刺痛感,又可能在术后于损伤处留下痕迹、影响眼部美观。象常见的白内障的囊外摘除术、翼状胬肉摘除术、角膜深层异物取出手术等,都存在上述问题。Traditional eye surgery fixation instruments are toothed forceps and non-toothed forceps, the former can damage the eye tissue; the latter is usually used for knotting sutures because it cannot fix the eye tissue. With the rapid development of ophthalmic microsurgery, phacoemulsification surgery is becoming more and more mature, transparent corneal incision and folded intraocular lens implantation, the whole operation is performed on the cornea, the avascular area of the eye, so the perfect operation is the eye without blood vessels. Bleeding points, but when performing corneal puncture and capsulorhexis during the operation, it is best to fix the eyeball for safety reasons because of topical anesthesia. At present, doctors still use toothed tweezers when performing ophthalmic surgery, but toothed tweezers are easy to damage the conjunctival blood vessels, causing bleeding, which not only damages the eye tissue, increases the tingling sensation, but also may leave marks on the damaged area after surgery , Affect the beauty of the eyes. Common extracapsular extraction of cataract, pterygium extraction, corneal deep foreign body extraction, etc., all have the above-mentioned problems.
发明内容Contents of the invention
本发明的目的就在于为了解决上述问题而提供一种眼科无创负压固定器,这种固定器利用负压引力的原理,采用容易产生负压的装置来实现其功能,不但效果好、无疼痛、无损伤,而且使用简单、方便、快捷、易携带。The purpose of the present invention is to provide a non-invasive negative pressure fixer for ophthalmology in order to solve the above problems. This fixer utilizes the principle of negative pressure attraction and adopts a device that is easy to generate negative pressure to realize its function. It has good effect and no pain. , No damage, and easy to use, convenient, fast, and easy to carry.
为了达到上述目的,本发明采用以下技术方案:In order to achieve the above object, the present invention adopts the following technical solutions:
本发明包括气囊、气管和吸附板,所述吸附板为中空结构,在所述吸附板上用于与眼表组织接触的表面设置有吸附孔,所述吸附孔与所述吸附板的中空部分相通,所述气囊通过气管与吸附板互通密封连接。The present invention includes an air bag, a trachea and an adsorption plate, the adsorption plate is a hollow structure, and an adsorption hole is arranged on the surface of the adsorption plate for contacting the ocular surface tissue, and the adsorption hole and the hollow part of the adsorption plate In communication, the airbag communicates and seals with the adsorption plate through the trachea.
在眼科手术中使用本发明时,首先用手握住气囊并将其挤压至大概最小体积,然后将吸附板上有吸附孔的一面贴在眼表组织(如结膜或巩膜等),再以适当的速度松开气囊。由于吸附板上的吸附孔被堵住,气囊在自身弹性作用下恢复原形后使本发明的内部空间形成负压,此负压使眼球被吸附在与吸附板尽可能靠近的位置,达到固定眼球的目的。如果所述吸附板横跨于血管(静脉)上,还可以起到压迫止血的作用。When using the present invention in ophthalmic surgery, at first hold the air bag with your hand and squeeze it to the approximate minimum volume, then stick the side with the adsorption hole on the adsorption plate to the ocular surface tissue (such as conjunctiva or sclera, etc.), and then Release the airbag at an appropriate speed. Because the adsorption hole on the adsorption plate is blocked, the airbag will form a negative pressure in the inner space of the present invention after returning to its original shape under the action of its own elasticity. This negative pressure will make the eyeball be adsorbed at a position as close as possible to the adsorption plate to fix the eyeball. the goal of. If the adsorption plate straddles the blood vessel (vein), it can also play a role of compression and hemostasis.
根据实际应用的情况,作为本发明的优选技术方案,所述气管为硬度较大的中空手柄,所述气囊安装在所述中空手柄的中后部,其连接处为互通密封连接结构,所述中空手柄的后端密封,所述中空手柄的前端与吸附板互通密封连接。这种结构使本发明在使用时只需一人手持手柄即可完成任务,非常方便,使用方法如上段所述。According to the actual application situation, as a preferred technical solution of the present invention, the trachea is a hollow handle with relatively high hardness, the air bag is installed at the middle and rear part of the hollow handle, and its connection is an interconnected and sealed connection structure. The rear end of the hollow handle is sealed, and the front end of the hollow handle is communicated and sealed with the adsorption plate. This structure makes the present invention need only one person to hold the handle to complete the task when in use, which is very convenient, and the method of use is as described in the preceding paragraph.
在上述优选方案的具体结构中,所述中空手柄的长度为6——14cm,其横断面直径为0.3——1cm,所述吸附板的宽度与所述中空手柄的直径相同。经试验,这种结构既能满足医用要求、使用方便,又能使产品精简至最小化。In the specific structure of the above preferred solution, the length of the hollow handle is 6-14 cm, the diameter of its cross-section is 0.3-1 cm, and the width of the adsorption plate is the same as the diameter of the hollow handle. After testing, this structure not only meets the medical requirements, is convenient to use, but also minimizes the product.
所述气囊、中空手柄和吸附板均采用可以耐受高温高压消毒条件的高分子材料一次塑形制造。所述高分子材料可以为硅凝胶、水凝胶、丙烯酸酯或聚甲基丙烯酸甲酯。这些材料都是兼具硬度和韧度的材料,适合制做医疗器械。The airbag, the hollow handle and the adsorption plate are all made of high-molecular materials that can withstand high-temperature and high-pressure sterilization conditions. The polymer material can be silicone gel, hydrogel, acrylate or polymethyl methacrylate. These materials are materials with both hardness and toughness, suitable for making medical devices.
所述中空手柄也可采用金属材料制造,所述气囊和吸附板均仍然采用可以耐受高温高压消毒条件的高分子材料制造。The hollow handle can also be made of metal materials, and the airbag and the adsorption plate are still made of polymer materials that can withstand high temperature and high pressure sterilization conditions.
作为本发明的另一种方案,所述气管采用硬度较小但弹性较大的软管,所述软管的两端分别与气囊和吸附板互通密封连接。这种结构在使用时,最好能用另外的支架将吸附板固定在适合的位置,其优点是固定好吸附板后即可以不再管它,而且可以将气管增长,气囊的位置可以移动,更加便于随时操作;其缺点是需用支架固定吸附板,在患者眼部位置的适应性方面略显不足。As another solution of the present invention, the trachea adopts a hose with less hardness but greater elasticity, and the two ends of the hose are respectively communicated and sealed with the air bag and the adsorption plate. When this structure is in use, it is best to use another bracket to fix the adsorption plate in a suitable position. The advantage is that after the adsorption plate is fixed, it can be left alone, and the trachea can be extended, and the position of the airbag can be moved. It is more convenient to operate at any time; its disadvantage is that the adsorption plate needs to be fixed with a bracket, which is slightly insufficient in the adaptability of the patient's eye position.
无论哪种技术方案,所述气囊的弹性要求都应该为:在挤压并靠弹性复位后,可产生10——21mmHg的压力。这个压力与眼内压相近,对眼内结构不产生影响,不会对眼求壁产生损伤。必要时可以气囊内加置金属弹片,以增强负压,同时减小气囊直径,便于使用。根据实际应用情况,所述气囊的直径为0.5——3cm为宜,壁厚在0.1——0.5cm之间可产生合适的弹力。Regardless of the technical solution, the elasticity requirement of the airbag should be: after being squeezed and elastically reset, a pressure of 10-21mmHg can be generated. This pressure is similar to the intraocular pressure, does not affect the intraocular structure, and will not cause damage to the eye wall. If necessary, a metal shrapnel can be added in the airbag to enhance the negative pressure, and at the same time reduce the diameter of the airbag for ease of use. According to actual application conditions, the diameter of the airbag is preferably 0.5-3 cm, and the wall thickness is between 0.1-0.5 cm to generate suitable elastic force.
针对眼部组织表面的特性和形状,所述吸附板具有一定的柔韧性,为弧形或圆柱形;其中弧形吸附板的吸附孔位于内凹弧形面上,圆柱形吸附板的吸附孔位于其前端面上,其前端面为内凹形。According to the characteristics and shape of the surface of the eye tissue, the adsorption plate has a certain degree of flexibility and is arc-shaped or cylindrical; the adsorption holes of the arc-shaped adsorption plate are located on the concave arc surface, and the adsorption holes of the cylindrical adsorption plate Located on its front end face, its front end face is concave.
需要说明的是,本发明不适合近视眼手术中眼球的固定(这种固定的精确性要求过高),仅适用于普通眼科手术中制作切口、缝合或其他操作,其功能相当于有齿镊,但是无损伤性,尤其适用于现代显微手术。It should be noted that the present invention is not suitable for eyeball fixation in myopia surgery (the accuracy of this fixation is too high), and is only suitable for making incisions, suturing or other operations in common eye surgery, and its function is equivalent to toothed tweezers , but non-invasive, especially suitable for modern microsurgery.
本发明的有益效果在于:The beneficial effects of the present invention are:
在进行眼科手术时,使用本发明固定眼球,方便、快捷、可靠、无疼痛、无损伤;术后不留痕,不影响眼部美观;如果被吸附板吸附的眼部组织表面有静脉血管,本发明还具有辅助止血的功能;可取代眼科手术中的有齿镊,让患者更乐意接受,并有利于眼科手术安全、快速、顺利地进行。When performing ophthalmic surgery, using the present invention to fix the eyeball is convenient, fast, reliable, painless, and non-damaging; no marks are left after the operation, and the appearance of the eye is not affected; if there are veins on the surface of the eye tissue adsorbed by the adsorption plate, The invention also has the function of assisting hemostasis; it can replace the toothed forceps in ophthalmic surgery, which makes patients more willing to accept it, and is conducive to the safe, fast and smooth operation of ophthalmic surgery.
附图说明Description of drawings
图1是采用手柄式气管的本发明的主视结构示意图之一;Fig. 1 is one of the front structural schematic diagrams of the present invention adopting the handle type trachea;
图2是采用手柄式气管的本发明的主视结构示意图之二;Fig. 2 is the second schematic structural view of the front view of the present invention adopting the handle type trachea;
图3是采用手柄式气管的本发明的主视结构示意图之三;Fig. 3 is the third schematic diagram of the front view structure of the present invention adopting the handle-type trachea;
图4是采用手柄式气管的本发明的主视结构示意图之四;Fig. 4 is the fourth schematic view of the front view structure of the present invention using a handle-type trachea;
图5是采用手柄式气管的本发明的右视结构示意图;Fig. 5 is a right view structure schematic diagram of the present invention adopting a handle-type trachea;
图6是采用软管式气管的本发明的主视结构示意图之一;Fig. 6 is one of the schematic diagrams of the front view of the present invention adopting a hose-type trachea;
图7是采用软管式气管的本发明的主视结构示意图之二。Fig. 7 is the second schematic view of the front structure of the present invention adopting the flexible air pipe.
具体实施方式Detailed ways
下面结合附图对本发明作进一步具体说明:Below in conjunction with accompanying drawing, the present invention is described in further detail:
实施例1:Example 1:
本实施例中,本发明采用手柄式气管。如图1——图4所示,本发明包括气囊2、手柄1和吸附板3,吸附板3为中空结构(图中未示出),在吸附板3上用于与眼表组织接触的表面设置有吸附孔5,吸附孔5与吸附板3的中空部分相通,气囊2通过手柄1与吸附板5互通密封连接。In this embodiment, the present invention adopts a handle-type trachea. As shown in Figures 1 to 4, the present invention includes an
本实施例中,如图1——图4所示,手柄1为硬度较大的中空手柄,气囊2安装在手柄1的中后部,其连接处为互通密封连接结构,手柄1的后端密封,手柄1的前端与吸附板3互通密封连接。这种结构使本发明在使用时只需一人手持手柄1即可完成任务,非常方便。In this embodiment, as shown in Figures 1 to 4, the
如图1——图5所示,手柄1的长度为6——14cm,其横断面直径为0.3——1cm,吸附板3的宽度与手柄1的直径相同。经试验,这种结构既能满足医用要求、使用方便,又能使产品精简至最小化。As shown in Figures 1-5, the length of the
如图1——图5所示,本实施例中的气囊2、手柄1和吸附板3可以均采用能耐受高温高压消毒条件的高分子材料一次塑形制造。所述高分子材料可以为硅凝胶、水凝胶、丙烯酸酯或聚甲基丙烯酸甲酯。这些材料都是兼具硬度和韧度的材料,适合制做医疗器械。另一种结构中,手柄1也可采用金属材料制造,气囊2和吸附板3均仍然采用可以耐受高温高压消毒条件的高分子材料制造。As shown in Figures 1 to 5, the
如图1——图5所示,为了尽可能地适应眼科手术的需要,气囊2的弹性要求应该满足以下条件:在挤压并靠弹性复位后,可产生10——21mmHg的压力。这个压力与眼内压相近,对眼内结构不产生影响,不会对眼求壁产生损伤。必要时可以气囊2内加置金属弹片,以增强负压,同时减小气囊2的直径,便于使用。根据实际应用情况,气囊2的直径采用0.5——3cm为宜,壁厚在0.1——0.5cm之间,可产生合适的弹力。As shown in Figures 1 to 5, in order to meet the needs of ophthalmic surgery as much as possible, the elasticity requirements of the
如图1——图5所示,针对眼部组织表面的特性和形状,吸附板3须具有一定的柔韧性。如图1和图2所示,吸附板3为弧形,吸附孔5位于吸附板3的内凹弧形面上;其中,图1中的吸附板3与手柄1之间有一个大概100°的夹角,图2中的吸附板3与手柄1之间为180°的夹角即为直线连接,以上吸附板3与手柄1之间的角度根据实际需要确定。如图3和图4所示,吸附板3为圆柱形,吸附孔5位于吸附板3的前端面上,其前端面为内凹形;其中,图3中的吸附板3与手柄1之间有一个大概100°的夹角,图4中的吸附板3与手柄1之间为180°的夹角即为直线连接,以上吸附板3与手柄1之间的角度根据实际需要确定。As shown in Figures 1 to 5, the
如图1——图4所示,在眼科手术中使用本发明时,首先用手握住气囊2并将其挤压至大概最小体积,然后将吸附板3上有吸附孔5的一面贴在眼表组织(如结膜或巩膜等),再以适当的速度松开气囊2。由于吸附板3上的吸附孔5被堵住,气囊2在自身弹性作用下恢复原形后使本发明的内部空间形成负压,此负压使眼球被吸附在与吸附板3尽可能靠近的位置,达到固定眼球的目的。如果吸附板3横跨于血管(静脉)上,还可以起到压迫止血的作用。As shown in Figures 1 to 4, when using the present invention in ophthalmic surgery, at first hold the
实施例2:Example 2:
本实施例中,本发明采用软管式气管,如图6和图7所示,本发明包括气囊2、软管6和吸附板3,软管6的两端分别与气囊2和吸附板3互通密封连接;本实施例中的气囊2和吸附板3的结构与实施例1中的气囊2和吸附板3的结构相同。软管6的硬度较小但弹性较大,可以适度弯曲而不影响其使用功能。本实施例中,负压产生的过程与实施例1基本相同,在此不再赘述。在使用之前,最好能用另外的支架将吸附板3固定在适合的位置,其优点是固定好吸附板3后即可以不再管它,而且软管6可以有较大长度,气囊2的位置可以移动,更加便于随时操作;其缺点是需用支架固定吸附板3,在患者眼部位置的适应性方面略显不足。In the present embodiment, the present invention adopts the hose type trachea, as shown in Figure 6 and Figure 7, the present invention comprises
如图6所示,吸附板3为弧形;如图7所示,吸附板3为圆柱形。上述形状的选择根据实际需要确定。As shown in FIG. 6 , the
需要说明的是,本发明不适合近视眼手术中眼球的固定(这种固定的精确性要求过高),仅适用于普通眼科手术中制作切口、缝合或其他操作,其功能相当于有齿镊,但是无损伤性,尤其适用于现代显微手术。It should be noted that the present invention is not suitable for eyeball fixation in myopia surgery (the accuracy of this fixation is too high), and is only suitable for making incisions, suturing or other operations in common eye surgery, and its function is equivalent to toothed tweezers , but non-invasive, especially suitable for modern microsurgery.
本发明的重点在于提供一种手握气囊式眼科无创负压固定器,其基本结构由互通密封连接的气囊、气管和吸附板组成,若只改变气囊、气管或吸附板的形状或长度或大小,或将本发明应用类似的眼科以外的手术中,则均应视为侵犯本发明专利的权利。The focus of the present invention is to provide a hand-held airbag type ophthalmic non-invasive negative pressure fixer. , or apply the present invention to similar operations other than ophthalmology, then all should be regarded as infringing on the right of the patent of the present invention.
Claims (10)
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| CNA2008100443748A CN101273928A (en) | 2008-05-08 | 2008-05-08 | An ophthalmic non-invasive negative pressure fixer |
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2016101251A1 (en) * | 2014-12-26 | 2016-06-30 | 温州医科大学 | Self-suction corneal suction ring |
| CN110251274A (en) * | 2019-07-24 | 2019-09-20 | 胡行健 | A non-invasive valve fixation device |
| CN111134950A (en) * | 2020-01-16 | 2020-05-12 | 中国医学科学院北京协和医院 | Novel posterior sclera pressurizing device for high myopia patient |
| CN111388191A (en) * | 2020-04-24 | 2020-07-10 | 广东省第二人民医院(广东省卫生应急医院) | Device for enucleating eye contents and method of operation |
| CN112807149A (en) * | 2021-02-02 | 2021-05-18 | 超目科技(北京)有限公司 | Posterior scleral crosslinking device and use method thereof |
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2008
- 2008-05-08 CN CNA2008100443748A patent/CN101273928A/en active Pending
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2016101251A1 (en) * | 2014-12-26 | 2016-06-30 | 温州医科大学 | Self-suction corneal suction ring |
| CN110251274A (en) * | 2019-07-24 | 2019-09-20 | 胡行健 | A non-invasive valve fixation device |
| CN111134950A (en) * | 2020-01-16 | 2020-05-12 | 中国医学科学院北京协和医院 | Novel posterior sclera pressurizing device for high myopia patient |
| CN111134950B (en) * | 2020-01-16 | 2022-03-11 | 中国医学科学院北京协和医院 | A posterior scleral compression device for patients with high myopia |
| CN111388191A (en) * | 2020-04-24 | 2020-07-10 | 广东省第二人民医院(广东省卫生应急医院) | Device for enucleating eye contents and method of operation |
| CN112807149A (en) * | 2021-02-02 | 2021-05-18 | 超目科技(北京)有限公司 | Posterior scleral crosslinking device and use method thereof |
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