CN108618891A - Ophthalmostat in a kind of art - Google Patents

Ophthalmostat in a kind of art Download PDF

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Publication number
CN108618891A
CN108618891A CN201810522365.9A CN201810522365A CN108618891A CN 108618891 A CN108618891 A CN 108618891A CN 201810522365 A CN201810522365 A CN 201810522365A CN 108618891 A CN108618891 A CN 108618891A
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China
Prior art keywords
fixed plate
ophthalmostat
tweezer
arm
fixed
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Granted
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CN201810522365.9A
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Chinese (zh)
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CN108618891B (en
Inventor
刘春雨
毕燕龙
周祁
张娟
牛国桢
郑昌月
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Shanghai Tongji Hospital
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Shanghai Tongji Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F9/00Methods 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
    • A61F9/007Methods or devices for eye surgery

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  • 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 relates to ophthalmostat in a kind of art, including tweezer handle, tweezer arm, linking arm, fixed plate, sterile sponge, tweezer handle, tweezer arm, linking arm, fixed plate are fixedly connected sequentially and are integrally formed, and multiple circular holes are arranged on tweezer arm;The sterile sponge is bag structure, which includes fixed running-on, ring-shaped groove is arranged in the side of fixed plate, fixed running-on can be embedded in the ring-shaped groove of fixed plate side, and sterile sponge is bonded fixation with fixed plate;The linking arm is in their extension direction torsional mode structure, plane where making fixed plate and the angle that plane where tweezer arm is in 55 ° 80 °.Its advantage is shown:(1) eyeball can be effectively fixed, operation difficulty is mitigated, reduces operating time;(2) tweezer arm plane and fixed plate plane are angled, have not only met comfort when gripping, but also meet the curved surface feature of eyeball;(3) sterile sponge can avoid fixed instrument in operation to the damage of tissue.

Description

Ophthalmostat in a kind of art
Technical field
The present invention relates to ophthalmic medical instrument technical fields, specifically, being ophthalmostat in a kind of art, are used for ophthalmology To the fixation of eyeball in operative process, avoid because in art eyeball rotation due to caused by operating difficulties and operating time extend.
Background technology
Eyeball is the important organs of vision of human body, is contacted by orbital fasciae, ligament and socket of the eye wall.Have six eyes on wall of eyeball The rotary moveable of eyeball is adjusted in outer flesh.Peribulbar has Orbitalis fat pad, therefore, in terms of dissection level, due to eyeball and socket of the eye Special structural relation between wall, eyeball, without fixed supporting point, are equivalent to " suspension " state in eye socket.The mobility of eyeball with regard Wild size is closely related, and mobility is bigger, and the visual field is bigger.Therefore, it to meet the requirement of its visual performance, makes it have larger Mobility can complete the multi-direction rotation of wide-angle.
In numerous ophthalmologic operations, if foreign body on cornea takes out, corneal lamellar operation, cataract operation, intraocular surgery etc., Corresponding operating need to be carried out in ocular or through ocular.As cataract operation makes scleral tunnel or deep lamellar keratoplasty plate layer point From in the process, unlocked in eyeball, due to the activity of eyeball, and patient lacks fixed pivot, the eyeball in force It can be rotated with force direction and cause operating difficulties.At present in ophthalmologic operation, ophthalmology tweezer is mainly used for the fixation of eyeball The method for holding offside conjunctiva.This method has the following disadvantages:1. eye conjunctiva organizational slack, and ocular movemeut degree is larger, due to eye Section's tweezer clamping range is smaller, therefore this method can not fix eyeball very well, smaller for the auxiliaring effect of surgical procedure;2. Conjunctival tissue is soft, and brittleness is big, in ophthalmic surgical procedures, since ophthalmic tweezers are the sharp instrument of point, and is pursuing fixed effect The dynamics that eye conjunctiva is torn in clamping certainly will need to be increased in the case of fruit.Therefore the eyeball fixing means easily damages eye conjunctiva, makes At additional injuries.
Chinese patent CN201710373U discloses a kind of ophthalmostat, including elastic fastening belt and two eyeball covers, Oblique clamp arm is equipped with clamp platform, and eyeball cover side is equipped with perforative opening, and elastic fastening belt runs through two side by side by being open Eyeball cover, elastic fastening belt both ends are equipped with tightening device, and what which solved that patient's eyeball in CT scan do not rotate independently asks Topic, using the tightening device of elastic fastening belt, can be adjusted, eyeball cover can be in elastic fastening belt according to patient head size Upper sliding adjusts the distance of two eyeball covers according to the size of patient's interpupillary distance.When the ophthalmostat is regained consciousness mainly for patient Eyeball does not rotate independently, and fixation when suitable for certain eye examinations to eyeball is not used in surgical procedure to eyeball It is fixed.
Chinese patent CN103310681A discloses a kind of in-vitro eyeball fixator, including ice chest, irrigation drainage tube, rectus Fixing piece, the groove for being set in the ice chest and matching with eyeball shape to be placed are equipped with conduction hole in bottom portion of groove, described Irrigation drainage tube one end is connected to the conduction hole, and the other end is pierced by from ice chest bottom, the rectus fixing piece with it is to be placed The rectus distributing position of eyeball is correspondingly set to the outside of the groove notch edges, and make rectus fixing piece with it is to be placed The attachment point of the rectus of eyeball is consistent with the horizontal plane of the in-vitro eyeball fixator.The in-vitro eyeball fixator be suitable for from Body eyeball, for that can not be used in body eyeball.
Currently, clinically there are no can be individually used for the fixed instrument of eyeball in art.Therefore, difficult to reduce surgical procedure Degree shortens operation time, and there is an urgent need for exploitations to design a kind of instrument can be used in ophthalmologic operation being auxiliarily fixed eyeball, and current It is had not been reported about this instrument.
Invention content
In view of the deficiencies of the prior art, it is an object of the present invention to provide ophthalmostats in a kind of art, are used for various ophthalmology Eyeball is auxiliarily fixed in operation, effectively solve the problems, such as because in art Rotation of eyeball due to influence procedure, while will not be to eye Portion's tissue causes any additional injuries.
To achieve the above object, the technical solution adopted by the present invention is that:
Ophthalmostat in a kind of art, including tweezer handle (1), tweezer arm (2), linking arm (3), fixed plate (4), sterile sponge (5), the tweezer handle (1), tweezer arm (2), linking arm (3), fixed plate (4) are fixedly connected sequentially and are integrally formed, the fixed plate (4) it is connect with tweezer arm (2) by linking arm (3), multiple circular holes (21) is set on tweezer arm (2), set in the outer surface of tweezer arm (2) Set three-dimensional stripe (22);The sterile sponge (5) is bag structure, which includes fixed running-on (51), in fixed plate (4) side setting ring-shaped groove (41), fixed running-on (51) can be embedded in the ring-shaped groove (41) of fixed plate (4) side, Sterile sponge (5) is bonded fixation with fixed plate (4);;The linking arm (3) is in their extension direction torsional mode structure, is made Plane where fixed plate (4) and the angle that plane where tweezer arm (2) is in 55 ° -80 °;It is between plane where two fixed plates (4) 130 ° of -160 ° of angles are in 45 ° of -60 ° of angles between the central shaft of two fixed plates (4).
As the preferred embodiment of the present invention, ophthalmostat entire length is 110-120mm in the art.
As the preferred embodiment of the present invention, the fixed plate (4) is square plate, and rectangular four corners are done Blunt circle processing.
As the preferred embodiment of the present invention, fixed plate (4) a length of 4mm, width 3mm.
As the preferred embodiment of the present invention, the sterile sponge (5) a length of 3.5mm, width 2.5mm, thickness is 0.8mm。
As the preferred embodiment of the present invention, three circular holes (21), three circles are respectively provided on every tweezer arm (2) The diameter in hole is followed successively by 6mm, 8mm, 6mm.
As the preferred embodiment of the present invention, when tweezer arm (2) and horizontal plane are placed, fixed plate (4) with Horizontal plane is at 10 ° of -30 ° of angles.
As the preferred embodiment of the present invention, the tweezer handle (1), tweezer arm (2), linking arm (3) and fixed plate (4) It is all made of medical metal material to be made, for example, by using Medical Cobalt-Based Alloys material preparation.
As the preferred embodiment of the present invention, the sterile sponge (5) is open bag structure, with fixed plate (4) shape and structure design match, and can avoid damage of the instrument to ocular, and easily replace and avoid cross-infection.
As the preferred embodiment of the present invention, prepared by the medical sponge that the sterile sponge (5) uses, by tight Lattice sterilization.
The invention has the advantages that:
1, ophthalmostat can effectively fixed eyeball, mitigation operation difficulty, reduction in each ophthalmologic operation in art of the present invention Operating time.The method that traditional ophthalmic tweezers clamping eye conjunctiva fixes eyeball is may replace, improves fixed effect, avoids additionally damaging Wound.
2, there are certain angles for ophthalmostat tweezer arm plane and fixed plate plane in art of the present invention, when both having met gripping Comfort, and meet the curved surface feature of eyeball.
3, the angle and eyeball curved surface feature of the affiliated interplanar of two fixed plate of ophthalmostat are adapted in art of the present invention, can Ensure that, when exerting a force fixed to eyeball, contact surface is maximum, uniform force.The fixed effect for effectively avoiding small area contact caused is not The problems such as good or even tissue contusion.
4, the groove in fixed plate can effectively fix sterile sponge, keep its not easily to fall off, and easy to operate.
5, sterile sponge can effectively avoid the ophthalmostat tool in operation to the damage of tissue, and easily replaces and keep away Exempt from cross-infection.
6, the circular hole of tweezer handle and three-dimensional stripe design can prevent instrument when operation from slipping.
7, ophthalmostat is simple in structure in art of the present invention, of low cost, has good application prospect.
Description of the drawings
Attached drawing 1 is ophthalmostat side schematic view in art of the present invention.In figure:Tweezer handle 1, tweezer arm 2, linking arm 3, fixed plate 4, circular hole 21;Ophthalmostat overall length 110-120mm in the art;Tweezer arm 2 is equipped with three-dimensional stripe in figure, is arranged three on tweezer arm A circular hole 21, interstitial hole is bigger, and the diameter of circular hole 21 is followed successively by 6mm, 8mm, 6mm;3 left and right ends of linking arm are separately connected tweezer arm And fixed plate, there is certain windup-degree.
Attached drawing 2 is the vertical view of ophthalmostat in art of the present invention.In figure:Two fixed plates, 4 place plane and 2 place of tweezer arm Plane is at 55 ° of -80 ° of angles, at 130 ° of -160 ° of angles between two fixed plates, 4 place plane.
Attached drawing 3 is the interior side view enlarged drawing of linking arm 3 in the present invention, fixed plate 4 and sterile sponge 5.
Attached drawing 4 is that fixed plate 4 and 5 inner face of sterile sponge face enlarged drawing in the present invention.Fixed plate long 4mm, wide 3mm.
Attached drawing 5 is 5 side view enlarged drawing of fixed plate 4 and sterile sponge in the present invention.Its overall thickness is 1.5mm.
Attached drawing 6 is the side view enlarged drawing that fixed plate 4 removes sterile sponge 5 in the present invention.The side setting annular of fixed plate 4 Groove 41 prevents it from falling off for fixing sterile sponge.
Attached drawing 7, Fig. 8 are the position relationship schematic diagrams between two fixed plates 4 in the present invention.The central shaft of two fixed plates 4 Between the angles α be 45 ° -60 °;The angles β between two fixed plates, 4 place plane are 130 ° -160 °.
Attached drawing 9 is fixed plate 4 and horizontal plane spatial relation graph in the present invention.Ophthalmostat tweezer arm and horizontal plane in the art When being disposed vertically, the angles γ between fixed plate and horizontal plane are 10 ° -30 °.
Attached drawing 10 is that 5 inner face of sterile sponge faces enlarged drawing in the present invention.The sterile a length of 3.5mm of sponge, width 2.5mm, Bag structure is formed in side, and with fixed running-on 51, fixed running-on 51 can be embedded in ring-shaped groove 41, and it is solid to reach fitting Determine effect.
Attached drawing 11 is 5 side view enlarged drawing of sterile sponge in the present invention.Sterile sponge thickness is 0.8mm.
Attached drawing 12 is that enlarged drawing is faced in 5 outside of sterile sponge in the present invention.
Specific implementation mode
The invention will be further elucidated with reference to specific embodiments.It should be understood that these embodiments are merely to illustrate this hair It is bright rather than limit the scope of the invention.In addition, it should also be understood that, after having read the content of the invention recorded, art technology Personnel can make various changes or modifications the present invention, and such equivalent forms equally fall within the application the appended claims and limited Fixed range.
Reference numeral and component part involved in attached drawing is as follows:
1. 2. tweezer arm of tweezer handle, 3. linking arm
4. 5. sterile sponge of fixed plate, 21. circular hole
41. ring-shaped groove 51. fixes 22. three-dimensional stripe of running-on
Ophthalmostat in embodiment art
Refer to Fig. 1-Figure 12.Attached drawing 1 is ophthalmostat side schematic view in art of the present invention, and attached drawing 2 is art of the present invention The vertical view of middle ophthalmostat, attached drawing 3 are the interior side view enlarged drawings of linking arm 3 in the present invention, fixed plate 4 and sterile sponge 5, Attached drawing 4 is that fixed plate 4 and 5 inner face of sterile sponge face enlarged drawing in the present invention.The long 4mm of fixed plate, wide 3mm, attached drawing 5 is this hair 5 side view enlarged drawing of bright middle fixed plate 4 and sterile sponge.Its overall thickness is 1.5mm, and attached drawing 6 is that fixed plate 4 removes nothing in the present invention The side view enlarged drawing of bacterium sponge 5, attached drawing 7, Fig. 8 are the position relationship schematic diagram between two fixed plates 4, attached drawing 9 in the present invention It is fixed plate 4 and horizontal plane spatial relation graph in the present invention, attached drawing 10 is that 5 inner face of sterile sponge faces enlarged drawing in the present invention, Attached drawing 11 is 5 side view enlarged drawing of sterile sponge in the present invention.Sterile sponge thickness is 0.8mm, and attached drawing 12 is sterile sea in the present invention Face enlarged drawing in 5 outside of silk floss.
Ophthalmostat in a kind of art, including tweezer handle 1, tweezer arm 2, linking arm 3, fixed plate 4, sterile sponge 5, the tweezer handle 1, tweezer arm 2, linking arm 3, fixed plate 4 are fixedly connected sequentially and are integrally formed, and the fixed plate 4 is connected by linking arm 3 and tweezer arm 2 It connects, multiple circular holes 21 is set on tweezer arm 2, three-dimensional stripe 22 is set in the outer surface of tweezer arm 2;The sterile sponge 5 is pouch Structure, the bag structure include fixed running-on 51, ring-shaped groove 41 are arranged in the side of fixed plate 4, fixed running-on 51 can be nested In the ring-shaped groove 41 of 4 side of fixed plate, sterile sponge 5 is bonded fixation with fixed plate 4.
The linking arm 3 is in their extension direction torsional mode structure, makes to put down where 4 place plane of fixed plate and tweezer arm 2 Face is in 55 ° -80 ° of angle.It is in 130 ° of -160 ° of angles, the central shaft of two fixed plates 4 between two 4 place planes of fixed plate Between be in 45 ° of -60 ° of angles.As a preferred embodiment of the present embodiment, ophthalmostat entire length is in the art 110-120mm.As a preferred embodiment of the present embodiment, the fixed plate 4 is square plate, rectangular four corners Do blunt circle processing.As a preferred embodiment of the present embodiment, the fixed plate 4 a length of 4mm, width 3mm.As this reality Apply a preferred embodiment of example, the sterile sponge 5 a length of 3.5mm, width 2.5mm, thickness 0.8mm.As this implementation One preferred embodiment of example, is respectively provided with three circular holes 21 on every tweezer arm 2, the diameters of three circular holes be followed successively by 6mm, 8mm、6mm.As a preferred embodiment of the present embodiment, when tweezer arm 2 and horizontal plane placement, fixed plate 4 and water Plane is at 10 ° of -30 ° of angles.As a preferred embodiment of the present embodiment, the fixator includes left and right tweezer arm, left, Right fixed plate, left and right two two tweezer arms between it is angled separated, to tweezer arm force fixed plate can be made mutually to draw close.
The application method of the present invention:Before ophthalmologic surgical procedures, it will be first placed on ophthalmic tweezers under sterile sponge micromanipulation mirror In fixed plate.In ophthalmic surgical procedures, when needing to do micro-incision operation in ocular such as cornea, sclera, the right hand holds behaviour Microinstrument needed for making, left hand hold ophthalmostat in art.It is held with pen-holding type when operation, index finger suitably exerts a force to press from both sides and close with thumb Ophthalmostat makes two fixed plates just coincide with eyeball curved surface and can feel that clamping sense is advisable.When operation, the held eye of left hand The thrust direction that ball fixator is applied, force direction when should be operated with the right hand is corresponding, to reach best auxiliaring effect.Hand Sterile sponge is removed after art, next time, operation more renewed sterile sponge.The present invention can effectively fix eye in each ophthalmologic operation Ball mitigates operation difficulty, reduces operating time, may replace the method that traditional ophthalmic tweezers clamping eye conjunctiva fixes eyeball, improves Fixed effect avoids additional injuries.
It should be noted that the tweezer handle, tweezer arm, linking arm, fixed plate, circular hole, groove in the present invention are that integration is fixed Structure, forms ophthalmostat tool, sterile sponge and the attached matching component that fixation running-on thereon is the instrument, and when use can According to operation needs, the sterile sponge of different sizes is selected to be matched with ophthalmostat tool, expansion instrument is applicable in Range;Fixed instrument is disinfected after, and the sterile sponge more renewed accomplishes to reuse, and reduces medical treatment cost, disinfection is more Thoroughly, cross-infection is avoided.In the present invention, the linking arm is in their extension direction torsional mode structure, makes fixed plate place Plane and the angle that 2 place plane of tweezer arm is in 55 ° -80 °.The design can meet held in doctor's operative process it is comfortable Property, and meet the physiology curved surface feature of eyeball, be conducive to surgical procedure and be smoothed out.In the present invention, described two fixed plate institutes It is in 130 ° of -160 ° of angles between plane, is in 45 ° of -60 ° of angles between the central shaft of two fixed plates.The angle is bent with eyeball Face feature is adapted, it is ensured that when exerting a force fixed to eyeball, contact surface is maximum, and uniform force effectively avoids small area from contacting The problems such as caused fixed effect is bad or even tissue contusion.In the present invention, the sterile sponge is bag structure, the pouch knot Structure includes fixed running-on, ring-shaped groove is arranged in the side of fixed plate, fixed running-on can be embedded in the annular ditch of fixed plate side In slot, sterile sponge is bonded fixation with fixed plate.This is simple in structure, and sterile sponge can be made to be secured firmly on instrument, sterile Sponge effectively avoids the ophthalmostat tool in operation to the damage of tissue, and sterile sponge is not easy to take off in surgical procedure It falls, fixation/disassembling section is easy.In the present invention, three circular holes are respectively provided on every tweezer arm, the diameter of three circular holes is followed successively by 6mm、8mm、6mm.The design of circular hole construction facilitates doctor to hold, and is conducive to thumb/index finger force and to fixator press from both sides and close, delays Force weighs wounded solution caused by finger for a long time.It is described that in the outer surface of tweezer arm, three-dimensional stripe, three-dimensional stripe are set in the present invention Anti-skidding effect is played, instrument slippage in operation can be prevented.The present invention can be used for the auxiliary to eyeball in various ophthalmologic operations It is fixed.Can effectively solve the problem that influences procedure problem due to Rotation of eyeball in art, meanwhile, ocular tissue will not be caused any Additional injuries.
The above is only a preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art Member, without departing from the principle of the present invention, can also make several improvement and supplement, these are improved and supplement also should be regarded as Protection scope of the present invention.

Claims (10)

1. ophthalmostat in a kind of art, which is characterized in that including tweezer handle (1), tweezer arm (2), linking arm (3), fixed plate (4), Sterile sponge (5), the tweezer handle (1), tweezer arm (2), linking arm (3), fixed plate (4) are fixedly connected sequentially and are integrally formed, institute It states fixed plate (4) to connect with tweezer arm (2) by linking arm (3), multiple circular holes (21) is set on tweezer arm (2), in tweezer arm (2) Three-dimensional stripe (22) is arranged in outer surface;The sterile sponge (5) is bag structure, which includes fixed running-on (51), In the side of fixed plate (4) setting ring-shaped groove (41), fixed running-on (51) can be embedded in the ring-shaped groove of fixed plate (4) side (41) in, sterile sponge (5) is bonded fixation with fixed plate (4);The linking arm (3) is in torsional mode knot in their extension direction Structure, plane where making fixed plate (4) and the angle that plane where tweezer arm (2) is in 55 ° -80 °;Plane where two fixed plates (4) Between be in 130 ° of -160 ° of angles, be in 45 ° of -60 ° of angles between the central shaft of two fixed plates (4).
2. ophthalmostat in art according to claim 1, which is characterized in that ophthalmostat entire length is in the art 110-120mm。
3. ophthalmostat in art according to claim 1, which is characterized in that the fixed plate (4) is square plate, rectangular Four corners do blunt circle processing.
4. ophthalmostat in art according to claim 3, which is characterized in that a length of 4mm of the fixed plate (4), width are 3mm。
5. ophthalmostat in art according to claim 1, which is characterized in that the sterile sponge (5) a length of 3.5mm, it is wide For 2.5mm, thickness 0.8mm.
6. ophthalmostat in art according to claim 1, which is characterized in that be respectively provided with three circles on every tweezer arm (2) Hole (21), the diameter of three circular holes are followed successively by 6mm, 8mm, 6mm.
7. ophthalmostat in art according to claim 1, which is characterized in that when tweezer arm (2) and horizontal plane are placed, Fixed plate (4) is with horizontal plane at 10 ° of -30 ° of angles.
8. ophthalmostat in art according to claim 1, which is characterized in that the tweezer handle (1), tweezer arm (2), linking arm (3) it is all made of medical metal material with fixed plate (4) and is made.
9. ophthalmostat in art according to claim 1, which is characterized in that the sterile sponge (5) is open pouch knot Structure matches with fixed plate (4) shape and structure design, can avoid damage of the instrument to ocular, and easily replaces to avoid intersecting and feel Dye.
10. ophthalmostat in art according to claim 1, which is characterized in that the medical sea that the sterile sponge (5) uses Prepared by silk floss, sterilize by strict sterilization.
CN201810522365.9A 2018-05-28 2018-05-28 Intraoperative eyeball fixer Active CN108618891B (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP7076865B1 (en) 2021-11-30 2022-05-30 株式会社中京メディカル Eyeball holding device

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CN206463011U (en) * 2016-10-11 2017-09-05 十堰市太和医院 A kind of telescopic tumour clamp device
CN208851787U (en) * 2018-05-28 2019-05-14 上海市同济医院 Ophthalmostat in a kind of art

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JP7076865B1 (en) 2021-11-30 2022-05-30 株式会社中京メディカル Eyeball holding device
JP2023080551A (en) * 2021-11-30 2023-06-09 株式会社中京メディカル Eyeball presser tool

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