CN106923962A - Retinal hole Search and Orientation marker - Google Patents
Retinal hole Search and Orientation marker Download PDFInfo
- Publication number
- CN106923962A CN106923962A CN201710121778.1A CN201710121778A CN106923962A CN 106923962 A CN106923962 A CN 106923962A CN 201710121778 A CN201710121778 A CN 201710121778A CN 106923962 A CN106923962 A CN 106923962A
- Authority
- CN
- China
- Prior art keywords
- pen core
- retinal hole
- mark
- orientation marker
- head
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 208000002367 Retinal Perforations Diseases 0.000 title claims abstract description 42
- 206010038897 Retinal tear Diseases 0.000 title claims abstract description 42
- 239000003550 marker Substances 0.000 title claims abstract description 17
- 230000006835 compression Effects 0.000 claims description 7
- 238000007906 compression Methods 0.000 claims description 7
- 238000005452 bending Methods 0.000 claims description 4
- 210000003128 head Anatomy 0.000 abstract description 35
- 210000001525 retina Anatomy 0.000 abstract description 12
- 210000003786 sclera Anatomy 0.000 description 23
- 238000000034 method Methods 0.000 description 16
- 238000009833 condensation Methods 0.000 description 8
- 230000005494 condensation Effects 0.000 description 8
- 239000003086 colorant Substances 0.000 description 6
- 238000002372 labelling Methods 0.000 description 5
- RBTBFTRPCNLSDE-UHFFFAOYSA-N 3,7-bis(dimethylamino)phenothiazin-5-ium Chemical compound C1=CC(N(C)C)=CC2=[S+]C3=CC(N(C)C)=CC=C3N=C21 RBTBFTRPCNLSDE-UHFFFAOYSA-N 0.000 description 4
- 229960000907 methylthioninium chloride Drugs 0.000 description 4
- 230000008859 change Effects 0.000 description 3
- ZXJXZNDDNMQXFV-UHFFFAOYSA-M crystal violet Chemical compound [Cl-].C1=CC(N(C)C)=CC=C1[C+](C=1C=CC(=CC=1)N(C)C)C1=CC=C(N(C)C)C=C1 ZXJXZNDDNMQXFV-UHFFFAOYSA-M 0.000 description 3
- 229960001235 gentian violet Drugs 0.000 description 3
- 238000011017 operating method Methods 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 206010038848 Retinal detachment Diseases 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 230000004264 retinal detachment Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 230000009471 action Effects 0.000 description 1
- 230000001112 coagulating effect Effects 0.000 description 1
- 230000001427 coherent effect Effects 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 238000000354 decomposition reaction Methods 0.000 description 1
- 238000007598 dipping method Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 210000005081 epithelial layer Anatomy 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 239000000049 pigment Substances 0.000 description 1
- 239000002861 polymer material Substances 0.000 description 1
- 238000007639 printing Methods 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/00727—Apparatus for retinal reattachment
Landscapes
- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Heart & Thoracic Surgery (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
The present invention provides a kind of retinal hole Search and Orientation marker, including gripping handle and it is placed in the device that bears down on one of gripping handle front end, the gripping handle is interior with the device that bears down on one to be formed with the cavity for connecting along its length, the cavity is built-in with mark pen core, and the top pressure head that the mark pen core can stretch out device front end of bearing down on one carries out retinal hole mark.The present invention searches, positions and marks the ophthalmic instruments of retinal hole suitable for from outside detachment of retina prosthetic, surgical doctor is easily and accurately marked in scleral surface when retinal hole is found in art, improve the efficiency of detachment of retina prosthetic operation.
Description
Technical field
The present invention relates to technical field of medical treatment mechanical, and in particular to a kind of dress for retinal hole Search and Orientation mark
Put.
Background technology
The positioning of retinal hole is crucial in detachment of retina prosthetic and important step.At present, the country there are no specially
For the instrument of retinal hole telltale mark, surgical doctor by other operating theater instruments and physics method mainly by realizing
The positioning and mark of retinal hole in operation.
There is lookup method in traditional retinal hole art：1. top pressure sclera direct location：Sclera is exposed in art, tweezer is used
Son, the first-class operating theater instruments ejection sclera of condensation, clear and definite ceasma position under indirect ophthalmoscope or surgical microscope；2. photoconductive tube printing opacity
Positioning mode：Borrow vitrectomy apparatus-optical fibers-top pressure is powered on sclera after sclera is exposed in art, you can
See the luminous point on eyeground, clear and definite ceasma position at mobile luminous point to ceasma.
Traditional retinal hole Intraoperative position method is：By top pressure sclera when recognizing that operating theater instruments finds ceasma
Vestige is positioned at corresponding scleral surface.
There is labeling method in common retina art：1. suture labelling method：After ceasma positioning, positioning instrument is withdrawn, in phase
Answer shallow-layer scleral surface fine needle line to do a pin interrupted suture, cut suture and remembered with indicating；2. color marker：After ceasma positioning,
Positioning instrument is withdrawn, is made marks positioning in the coloring agent such as corresponding scleral surface marker pen or methylene blue；3. condenser labelling method：Operation
If in using condensation the crown press sclera, open cryocoagulation after determining ceasma position, withdraw condensation head after check condensation trace rapidly
It is labeled as ceasma position at mark；4. diathermanous labelling method：After ceasma positioning, positioning instrument is withdrawn, with electric coagulating apparatus electrode in sclera
Surface is diathermanous, and diathermanous vestige is ceasma position.
Several frequently seen method is completed all without a kind of special Search and Orientation marker above, and clinician is in operation
It is middle to need the different apparatus of replacing and method to complete lookup, positioning and the mark of retinal hole.
Surgery of retinal detachment successfully it is critical only that finds and closes all of retinal hole, makes the retina of disengaging
Neuroepithelial layer is attached again with pigment epithelial layer.Detachment of retina prosthetic is divided into from outside and through road in vitreum two through sclera
Major class.Wherein, preoperative conscientiously to search retinal hole, it is through the from outside view of sclera that retinal hole is accurately positioned and closed in art
It is successfully crucial that film departs from prosthetic.
Existing operation typically under indirect ophthalmoscope or surgical microscope, with tweezers, condensation head or other are blunt nosed
Apparatus stretches into ceasma scleral surface top pressure sclera nearby, searches and determine ceasma position.By do before top pressure sclera mark line,
Check or mark the method for top pressure position to position the position that retinal hole is projected in scleral surface to mark after removing top pressure.It is existing
Ceasma is searched in some detachment of retina prosthetics, positioning, the shortcoming of labelling technique are：
1. without special apparatus, it is necessary to aid in completing by other apparatuses.Due to marking apparatus without special Search and Orientation,
Often the step of retinal hole is positioned need to be realized in art by other operating theater instruments and physics method.Most commonly use tweezer
The operating theater instruments top pressure scleras such as son, condensation head, sclera top pressing device carry out Search and Orientation, the vestige positioning ceasma according to top pressure sclera
In corresponding scleral surface, mark is then often completed by suture, coloring agent, condensation or diathermanous vestige.
2. complex steps.Lookup, positioning, a mark retinal hole actually continuous operating process in art, but due to
There is no special instrument tool, this continuous procedure decomposition can only be completed.First it is the lookup of ceasma, finds ceasma recession
Ceasma is positioned from lookup tool, according to the vestige of top pressure sclera in corresponding scleral surface, is then carried out by other instruments again
The mark of ceasma.Not only operate excessively, extend operating time, and change instrument frequently, reduce the efficiency of operation.
3. position and be marked with deviation.Carried out when using operating theater instruments top pressure scleras such as tweezers, condensation head, sclera top pressing devices
The lookup of retinal hole, after withdrawing apparatus, due to the recovery of scleral walls elasticity, top pressure vestige will disappear rapidly, stay in sclera
The anchor point on surface recognizes difficult sometimes, or even there is deviation the position formed with actual ceasma, will have influence on surgical doctor pair
The judgement of ceasma position, so as to influence the process of operation.
The content of the invention
Searched to solve ceasma in existing surgery of retinal detachment, positioning, markers step are cumbersome and mark deviation ask
Topic, the present invention provides a kind of suitable for from outside detachment of retina prosthetic（Sclera external pressure operation）Middle lookup, position and mark
The ophthalmic instruments of retinal hole, easily and accurately in sclera when enabling surgical doctor to find retinal hole in art
Surface is marked, and improves the efficiency of detachment of retina prosthetic operation.
In order to solve the above technical problems, the present invention is adopted the following technical scheme that：
A kind of retinal hole Search and Orientation marker, including gripping handle and the device that bears down on one of gripping handle front end is placed in, institute
Gripping handle is stated with the cavity that is formed with along its length in device and connects of bearing down on one, the cavity is built-in with mark pen core, the marker pen
The top pressure head that core can stretch out device front end of bearing down on one carries out retinal hole mark.
Further, the mark pen core is provided with hinge means positioned at gripping handle with the junction of the device that bears down on one, and is used for
Mark pen core is kept to be in retracted mode.
Further, the mark pen core includes the pen core body of rod with curvature, is placed in the pen core head of pen core lever front end,
And the controller being connected with pen core body of rod end, the pen core head can stretch out the top pressure head of device front end of bearing down on one by controller.
The controller uses the SR with compression spring, the SR vertically and through gripping handle, with pen
The end connection of core bar body.
Offered on top pressure head for pass pen core head it is spherical go out core bore.
The pen core head is formed with bending with pen core lever front end.
The gripping handle includes coaxially connected forward handle and rear handle, and the cavity portion is located at forward handle
It is interior.
From above technical scheme, the present invention has the advantages that：
1. operating procedure is simplified.The present invention need not change apparatus, you can it is coherent search, positioning and mark retinal hole this
Three traditional steps are merged into one by serial continuous operation, reduce operation technique, simplify operating procedure.
2. mark is accurately positioned.The retina Search and Orientation marker that the present invention is provided can carry out retinal hole in art
After lookup, marked immediately in corresponding scleral surface, be not required to withdraw top pressure apparatus, be also not required to change operating theater instruments, it is relatively conventional
Method for, overcome after sclera top pressure apparatus withdraws, due to the deviation that the recovery of scleral walls elasticity is judged anchor point.
3. procedure efficiency is improved.The step of being searched in simplified detachment of retina prosthetic, position and mark retinal hole,
And the accurate telltale mark of retinal hole, it is convenient to be provided to surgical doctor, enhances the confidence of surgical doctor operation, carries
The efficiency of detachment of retina prosthesis high.
Brief description of the drawings
Fig. 1 is structural representation of the invention.
In figure：10th, gripping handle, 11, forward handle, 12, rear handle, 20, bear down on one device, 21, top pressure head, 22, top pressure
Bar, 30, cavity, 41, the pen core body of rod, 42, pen core head, 43, controller, 50, hinge means.
Specific embodiment
A kind of preferred embodiment of the invention is described in detail below in conjunction with the accompanying drawings.
As shown in figure 1, the retinal hole Search and Orientation marker includes gripping handle 10 and is placed in gripping handle
The device 20 that bears down on one of front end.
The gripping handle 10 includes coaxially connected forward handle 11 and rear handle 12, between the two thread connection,
Rotation screw thread can unload rear handle, gripping handle side band anti-slip veins.
The device 20 that bears down on one includes stretching into the top pressure first 21 and compression bar 22 of scleral surface near ceasma, and the compression bar is
Circular-arc-shaped design, front end is the top pressure head of circular enlargement, and top pressing device and gripping handle are a single piece, wherein top pressing device and preceding
The inner hollow of portion's handle, and a cavity for insertion 30 is formed, the cavity is built-in with mark pen core, and the mark pen core can be stretched
Go out to bear down on one device front end top pressure head carry out retinal hole mark.Top pressure head on offer for pass pen core head it is spherical go out core
Hole, mark pen core is consistent with compression bar radian.
The mark pen core includes the pen core body of rod 41 with curvature, is placed in the pen core head 42 of pen core lever front end, and
The controller 43 being connected with pen core body of rod end, the pen core head can stretch out the top pressure head of device front end of bearing down on one by controller.Pen
Core bar body 41 is located at gripping handle and is provided with hinge means 50 with the junction of the device that bears down on one, and the bearing pin of hinge means is cased with reversing bullet
Spring, keeps pen core to be in retracted mode.The controller 43 uses the SR with compression spring, and the SR is vertical simultaneously
Through gripping handle, the end with the pen core body of rod 41 is connected.Using lever principle, push-button controller prizes pen core head, can make mark
Note pen core to top pressure head it is spherical go out core bore direction move, pen core head from it is spherical go out core bore stretch out, unclamp controller can make pen core
Head from it is spherical go out core bore retract.
The pen core head 42 is formed with bending with the front end of the pen core body of rod 41, and position-limiting action is played in the bending, can prevent pen
Core print stretches out long, it is to avoid damage sclera.
The pen core body of rod and pen core head are made up of fiber Polymer material, and can dip the coloring agents such as methylene blue, gentian violet is carried out
Single operation repeating label, dips coloring agent and uses in each art of nib need.It is spherical go out core bore aperture be 1mm, top pressure head be
Spherical to expand, a diameter of 4mm, compression bar is arc knee, and length is 30mm, and gripping handle is conical rod, gripping handle near-end
A diameter of 13mm, distal end is 17mm, and length is 120mm.
It is long to press controller using preceding, the coloring agents such as methylene blue, gentian violet are dipped with the pen core head for stretching out, then unclamp control
Device, by pen core head retraction top pressing device.In operation, using top pressing device search for the break, after finding ceasma, split with top pressure head positioning
Hole, meanwhile, controller is easily pressed, pen core head is stretched out, the coloring agent such as methylene blue, gentian violet for dipping will be in the position of top pressure head
Tagging ceasma position.
Surgical doctor is not required to withdraw top pressure head check calmly after retinal hole lookup is carried out with top pressure of the present invention head
Position, positions immediately by need to only pressing the controller on gripping handle.Due to surgical doctor be after retinal hole is seen not
Mobile, replacing apparatus is needed to can be carried out directly mark so that the position of mark is more accurate.The retinal hole for such as viewing
It is larger, then multiple marks can be done with the shape of clear and definite ceasma on the border of ceasma, it is accurately positioned for surgical doctor, it is ensured that comprehensive
Close the break.Retinal hole in art is searched, is positioned and is marked these three operating process to combine together, make the positioning of ceasma more
For accurate, operating procedure is simplified, improve procedure efficiency
The above implementation method is only that the preferred embodiment of the present invention is described, and not the scope of the present invention is entered
Row is limited, and on the premise of design spirit of the present invention is not departed from, those of ordinary skill in the art make to technical scheme
The various modifications for going out and improvement, all should fall into the protection domain of claims of the present invention determination.
Claims (7)
1. a kind of retinal hole Search and Orientation marker, it is characterised in that including gripping handle (10) and be placed in gripping hand
The cavity (30) for connecting, the chamber are formed with the device that bears down on one (20) of handle front end, the gripping handle and the device that bears down on one along its length
Mark pen core is equipped with vivo, top pressure head (21) that the mark pen core can stretch out device front end of bearing down on one carries out retinal hole mark.
2. retinal hole Search and Orientation marker according to claim 1, it is characterised in that the mark pen core (40)
Hinge means (50) is installed positioned at gripping handle and the junction of the device that bears down on one, for keeping mark pen core to be in retracted mode.
3. retinal hole Search and Orientation marker according to claim 1 and 2, it is characterised in that the mark pen core
Including the pen core body of rod (41) with curvature, the pen core head (42) of pen core lever front end is placed in, and connected with pen core body of rod end
The controller (43) for connecing, the pen core head can stretch out top pressure head (21) of device front end of bearing down on one by controller.
4. retinal hole Search and Orientation marker according to claim 3, it is characterised in that the controller (43) is adopted
With the SR with compression spring, vertically and through gripping handle, the end with the pen core body of rod is connected the SR.
5. retinal hole Search and Orientation marker according to claim 3, it is characterised in that on top pressure head (21)
Offer for pass pen core head it is spherical go out core bore.
6. retinal hole Search and Orientation marker according to claim 3, it is characterised in that the pen core head (42) with
The pen core body of rod (41) front end is formed with bending.
7. retinal hole Search and Orientation marker according to claim 1, it is characterised in that the gripping handle (10)
Including coaxially connected forward handle (11) and rear handle (12), the cavity (30) is partly located in forward handle.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710121778.1A CN106923962A (en) | 2017-03-02 | 2017-03-02 | Retinal hole Search and Orientation marker |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710121778.1A CN106923962A (en) | 2017-03-02 | 2017-03-02 | Retinal hole Search and Orientation marker |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN106923962A true CN106923962A (en) | 2017-07-07 |
Family
ID=59423719
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710121778.1A Pending CN106923962A (en) | 2017-03-02 | 2017-03-02 | Retinal hole Search and Orientation marker |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106923962A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 |
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|---|---|---|---|---|
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| US5139356A (en) * | 1990-10-18 | 1992-08-18 | Iwasaki Kinzoku Kogyo Inc. | Side actuated writing implement |
| US5611799A (en) * | 1994-06-14 | 1997-03-18 | Smith; Albert C. | Ocular repair method |
| JP2003230581A (en) * | 2002-02-07 | 2003-08-19 | Nidek Co Ltd | Intraocular implanting device |
| US6936053B1 (en) * | 1998-07-02 | 2005-08-30 | Jeffrey N. Weiss | Ocular implant needle |
| CN100999707A (en) * | 2007-01-05 | 2007-07-18 | 新泰市产品质量监督检验所 | Small vessel cultivating operating apparatus of coil bacillus |
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| CN203122741U (en) * | 2013-02-25 | 2013-08-14 | 江苏省苏北人民医院 | Retinal tear compression locator |
| CN203506967U (en) * | 2013-10-09 | 2014-04-02 | 姚琳 | Sclera compressor allowing marking |
| CN203555718U (en) * | 2013-11-25 | 2014-04-23 | 范传峰 | Sclera supporting and pressing locator for looking for retina hole |
| WO2015069189A1 (en) * | 2013-11-07 | 2015-05-14 | Nanyang Technological University | An ocular surgical device |
| CN204562553U (en) * | 2015-03-05 | 2015-08-19 | 宋伟涛 | A kind of ceasma pen with means for holding it in right position |
-
2017
- 2017-03-02 CN CN201710121778.1A patent/CN106923962A/en active Pending
Patent Citations (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3819283A (en) * | 1972-06-05 | 1974-06-25 | Pen Co Inc | Writing instrument with projecting and retracting mechanism |
| CN86101577A (en) * | 1985-02-25 | 1986-11-12 | 埃米利奥·阿姆巴茨 | Pen |
| US5139356A (en) * | 1990-10-18 | 1992-08-18 | Iwasaki Kinzoku Kogyo Inc. | Side actuated writing implement |
| US5611799A (en) * | 1994-06-14 | 1997-03-18 | Smith; Albert C. | Ocular repair method |
| US6936053B1 (en) * | 1998-07-02 | 2005-08-30 | Jeffrey N. Weiss | Ocular implant needle |
| JP2003230581A (en) * | 2002-02-07 | 2003-08-19 | Nidek Co Ltd | Intraocular implanting device |
| CN100999707A (en) * | 2007-01-05 | 2007-07-18 | 新泰市产品质量监督检验所 | Small vessel cultivating operating apparatus of coil bacillus |
| CN201668586U (en) * | 2010-05-20 | 2010-12-15 | 孟微 | Subretinal fluid drainage apparatus |
| CN203122741U (en) * | 2013-02-25 | 2013-08-14 | 江苏省苏北人民医院 | Retinal tear compression locator |
| CN203506967U (en) * | 2013-10-09 | 2014-04-02 | 姚琳 | Sclera compressor allowing marking |
| WO2015069189A1 (en) * | 2013-11-07 | 2015-05-14 | Nanyang Technological University | An ocular surgical device |
| CN203555718U (en) * | 2013-11-25 | 2014-04-23 | 范传峰 | Sclera supporting and pressing locator for looking for retina hole |
| CN204562553U (en) * | 2015-03-05 | 2015-08-19 | 宋伟涛 | A kind of ceasma pen with means for holding it in right position |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| 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 | Posterior sclera pressurizing device for high myopia patient |
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| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| TA01 | Transfer of patent application right |
Effective date of registration: 20170807 Address after: 138, the Third Xiangya Hospital of Central South University of Hunan Province, Yuelu District City, Tongzi 410000 Changsha slope road Applicant after: The Third Hospital of Central South University Address before: Yuelu District City, Hunan province 410000 Changsha Raj palace District 6 Building 1702 Applicant before: Lei Xiang |
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| TA01 | Transfer of patent application right | ||
| RJ01 | Rejection of invention patent application after publication |
Application publication date: 20170707 |
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| RJ01 | Rejection of invention patent application after publication |