CN105287096B - Tunnel implanted circle cutting cystoma device for cataract operation - Google Patents

Tunnel implanted circle cutting cystoma device for cataract operation Download PDF

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Publication number
CN105287096B
CN105287096B CN201510641201.4A CN201510641201A CN105287096B CN 105287096 B CN105287096 B CN 105287096B CN 201510641201 A CN201510641201 A CN 201510641201A CN 105287096 B CN105287096 B CN 105287096B
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China
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conical nose
capsule
ring
anterior chamber
body portion
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CN105287096A (en
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熊蕾
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Second Affiliated Hospital School of Medicine of Xian Jiaotong University
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Second Affiliated Hospital School of Medicine of Xian Jiaotong University
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Abstract

The invention discloses a kind of tunnel implanted circle cutting cystoma devices for cataract operation, it is characterized in that, round cut after capsule ring folds is packed into or is pre-loaded into an injector conical nose reequiped, it is connected with cataract tunnel incision, it is sent into intraocular by injecting bar, so that the round capsule ring that cuts is unfolded, before the circle of crystalline lens central portion discharge by pressing fixed diameter after Nang Kou, bar is injected in taking-up, is recycled anterior chamber's hook that circle is cut capsule ring twice-folded and is taken out.

Description

Tunnel implanted circle cutting cystoma device for cataract operation
Technical field
The present invention relates to a kind of instruments of ophthalmologic operation, can be accurately in anterior lens capsule in cataract extraction The upper rounded sac mouth for forming fixed diameter, alternative manual continuous curvilinear capsulotomy (CCC) avoid capsulorhexis cracking in operation or tear Capsule mouth is non-round.
Background technology
Currently, in cataract extraction, especially in excusing from death emulsification phacoerysis, continuous curvilinear capsulotomy (CCC) is One crucial step, a high quality CCC can ensure that operation safety and surgical effect are in close relations.But presently mainly Method by hand carries out CCC, this technology requires doctor to have skilled operation skill and abundant clinical experience, such as slightly It is big or too small etc. unexpected that mishap will occur that capsulorhexis mouth cracking, capsulorhexis mouth is non-round, capsulorhexis mouth is not placed in the middle, capsulorhexis is made a slip of the tongue.This feelings Condition can increase complication postoperative in operation risk and art (such as Poster capsulorhexis, suspensorium fracture, Prevention and treatment etc.);Or it is planting It cannot be implanted into when entering Multifocal intraocular lens (needing diameter 6.5-7mm circulars and the preceding Nang Kou of position between two parties).Therefore by hand Implementing CCC, there are larger risks, but there is no the surgical instrument for being precisely accomplished CCC at present.CCC can be precisely accomplished at present only to tie The femtosecond laser for leading portion positioning system of sleeping, but femtosecond laser is expensive (appraisal is 10,000,000 or so), so it is difficult to general And.
Invention content
The drawback present in capsulorhexis is carried out for using Tweezers for eye surgery or capsulorhexis needle, the present invention provides one kind can With help doctor accurately make it is placed in the middle, meet needed for diameter circular before Nang Kou cataract excusing from death emulsification crystalline lens inhale Go out art instrument.
To achieve the above objectives, the present invention, which adopts the following technical scheme that, is achieved:
A kind of tunnel implanted circle cutting cystoma device for cataract operation, including injector, which is characterized in that this is injected Device injects bar by a conical nose, a body portion, one and anterior chamber's hook forms, wherein conical nose front end and cataract The main notch of cataract surgery matches, conical nose rear end fixture body front end, injects bar and is inserted into from body portion rear end, by one Cutting after capsule ring pushes to anterior chamber by deformation of conical nose for positive round is extracted out;Anterior chamber's hook is inserted into from body portion rear end, is led to Crossing conical nose will tick after section secondary deformation of capsule ring for entering anterior chamber's recovery positive round;
In said program, the connection of the conical nose rear end and body portion front end is detachable connection.In the connection side Under formula, the advance deformation of described section of capsule ring is placed in conical nose to be connect with body portion again.
The capsule ring that cuts of the positive round is made of shape memory high molecule material or Ni-Ti memorial alloys, and a section capsule part is Continuously arranged sharp small tooth is provided below in entire ring.
It is an advantage of the invention that the uncertainty of manual CCC can be avoided in cataract operation, in designated position shape At the circular Nang Kou of designated diameter, operating difficulty is reduced, improves operation safety, postoperative complication is reduced, avoids performing the operation Risk.
Description of the drawings
Below in conjunction with the accompanying drawings and specific implementation mode invention is further described in detail.
Fig. 1, Fig. 2 are implanted circle cutting cystoma device structural schematic diagrams of the present invention.Wherein Fig. 1 is to be packed into cut capsule ring (folding) Injector;Fig. 2 is the injector for being packed into anterior chamber's hook.Fig. 3 is section capsule ring structure schematic diagram pre-installed in Fig. 1.Wherein:A figures are vertical Body figure;B figures are side view;C figures are vertical view;D figures are folding picture.
In Fig. 1-Fig. 3:1, capsule ring (opening) is cut, 1 ', cut capsule ring (folding);2, injector;3, conical nose;4, body portion, 5, bar is injected;6. anterior chamber's hook;7, dentalation.
Specific implementation mode
With reference to figure 1, Fig. 2, a kind of tunnel implanted circle cutting cystoma device for cataract operation, including cut capsule ring 1, inject Device 2 and anterior chamber's hook 6.It is 6.5-7mm to cut capsule ring diameter, can be made of shape-memory polymer SMPs, such as biological base shape memory Polyurethane (Shape Memory Polyurethane, SMPU);Also Ni-Ti memorial alloys can be used.Cut below capsule ring is dentation knot Structure 7 (Fig. 3), for continuously arranged sharp small tooth.Injector can be now packed into during operation by cutting capsule ring, can also be pre-loaded into injector In conical nose.Injector includes conical nose 3, body portion 4, injects bar 5, and conical nose rear end fixture body front end is (removable Unload), conical nose point diameter is 3.0-3.2mm, is matched with the main notch of phacoemulsification;It injects bar and is located at body It (is inserted into from body portion rear end) in portion, forms piston structure.Anterior chamber's hook 6 be an injector outside auxiliary component, one end be it is hook-shaped, Diameter can pass through the conical nose of injector.After bar is injected for capsule ring feeding anterior chamber will to be cut, extracted out from body portion;Anterior chamber's hook is used for The capsule ring that cuts for cutting capsule task will be completed to take out.
The operation principle of apparatus of the present invention is as follows:
When needing to carry out CCC in cataract operation, the first step:It is packed into injector conical nose after folding and cuts capsule Conical nose is connected with body portion, and is packed into push rod 5 (Fig. 1) by ring 1 ' (strip) and viscoelastic agent;Do cataract tunnel incision and Auxiliary incision injects viscoelastic agent in anterior chamber, and tunnel incision is inserted into injector conical nose front end, injects strip by push rod Sample cuts capsule ring 1 ' and enters anterior chamber;Second step:It allows section capsule ring 1 ' to be slowly launched into round section of capsule ring 1 in anterior chamber center, withdraws from and inject Device, respectively enters Tweezers for eye surgery in tunnel incision and auxiliary incision and auxiliary hooks, mobile central position before cutting capsule ring 1 to crystalline lens It sets, pressing cuts capsule ring 1, oppresses anterior lens capsule with dentalation 7 below, forms Nang Kou before the circle of designated diameter; Third walks:Tweezers for eye surgery picks up preceding operculum, gently lifts and cuts capsule ring, withdraws from Tweezers for eye surgery and auxiliary hooks, again in tunnel incision interpolation Enter injector, at this point, injector will inject bar 5 has changed anterior chamber's hook 6 (Fig. 2) into, anterior chamber is hooked into light by crook after anterior chamber Light trigger cuts capsule ring 1, is slowly exited by injector conical nose, is withdrawn in injector after reverse folded, withdraws from injector, shape At circular anterior lens capsule mouth, operating procedure is completed.

Claims (1)

1. a kind of tunnel implanted circle cutting cystoma device for cataract operation, including injector, which is characterized in that the injector Bar is injected by a conical nose, a body portion, one and anterior chamber's hook forms, wherein conical nose front end and cataract is super The main notch of sound emulsification operation matches, and conical nose rear end fixture body front end is packed into injector conical nose after folding Strip cut capsule ring and viscoelastic agent, inject bar and be inserted into from body portion rear end, the capsule ring that cuts of positive round is passed through into conical nose one Secondary deformation is extracted out after pushing to anterior chamber;Section capsule part for cutting capsule ring of the positive round is provided below continuously arranged for entire ring Sharp small tooth;Anterior chamber's hook is inserted into from body portion rear end, by conical nose that section capsule ring for entering anterior chamber's recovery positive round is secondary It is ticked after deformation;Conical nose rear end and the connection of body portion front end are detachable connection, under the connection type, described section of capsule The advance deformation of ring is placed in conical nose to be connect with body portion again;
The capsule ring that cuts of the positive round is made of shape memory high molecule material or Ni-Ti memorial alloys.
CN201510641201.4A 2015-09-30 2015-09-30 Tunnel implanted circle cutting cystoma device for cataract operation Active CN105287096B (en)

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Application Number Priority Date Filing Date Title
CN201510641201.4A CN105287096B (en) 2015-09-30 2015-09-30 Tunnel implanted circle cutting cystoma device for cataract operation

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CN105287096B true CN105287096B (en) 2018-08-24

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Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11511097B2 (en) * 2017-09-15 2022-11-29 C. R. Bard, Inc. Port tunneling systems and methods thereof
CN109330767A (en) * 2018-09-18 2019-02-15 姜良玉 It is a kind of to treat the intelligent cutting cystoma device of cataract
CN109330768B (en) * 2018-11-12 2021-09-14 李娜 Front capsule incision guiding device for cataract surgery
CN112535574A (en) * 2020-11-22 2021-03-23 福州市第二医院(福建省福州中西医结合医院、福州市职业病医院) Cataract surgery capsulorhexis device and capsulorhexis method

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2595342Y (en) * 2002-12-31 2003-12-31 华中科技大学同济医学院附属协和医院 Needle type sac tearing forceps
CN201022789Y (en) * 2007-05-10 2008-02-20 复旦大学附属眼耳鼻喉科医院 Micro wound tweezers for eye surgery
CN103025281A (en) * 2010-06-07 2013-04-03 脉诺斯细胞器械公司 Ophthalmic surgical device for accessing tissue and for performing a capsulotomy
CN104812341A (en) * 2012-10-19 2015-07-29 加图立大学校产学协力团 Anterior capsulotomy guide device for cataract surgery
CN205163375U (en) * 2015-09-30 2016-04-20 西安交通大学第二附属医院 A circular section bag ware of tunnel implanted for cataract operation

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2595342Y (en) * 2002-12-31 2003-12-31 华中科技大学同济医学院附属协和医院 Needle type sac tearing forceps
CN201022789Y (en) * 2007-05-10 2008-02-20 复旦大学附属眼耳鼻喉科医院 Micro wound tweezers for eye surgery
CN103025281A (en) * 2010-06-07 2013-04-03 脉诺斯细胞器械公司 Ophthalmic surgical device for accessing tissue and for performing a capsulotomy
CN104812341A (en) * 2012-10-19 2015-07-29 加图立大学校产学协力团 Anterior capsulotomy guide device for cataract surgery
CN205163375U (en) * 2015-09-30 2016-04-20 西安交通大学第二附属医院 A circular section bag ware of tunnel implanted for cataract operation

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