CN108703836A - Heat-insulating and shock-absorbing perfusion cannula - Google Patents

Heat-insulating and shock-absorbing perfusion cannula Download PDF

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Publication number
CN108703836A
CN108703836A CN201810873885.4A CN201810873885A CN108703836A CN 108703836 A CN108703836 A CN 108703836A CN 201810873885 A CN201810873885 A CN 201810873885A CN 108703836 A CN108703836 A CN 108703836A
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China
Prior art keywords
syringe needle
heat
groove
perfusion cannula
perfusion
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CN201810873885.4A
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Chinese (zh)
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王振环
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Individual
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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
    • A61F9/00736Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
    • A61F9/00745Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments using mechanical vibrations, e.g. ultrasonic

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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)
  • Surgical Instruments (AREA)

Abstract

Denomination of invention:Heat-insulating and shock-absorbing perfusion cannula.The invention discloses a kind of ultrasonic emulsification instrument perfusion cannulas, are mainly made of front, middle part and rear portion three parts.The front is thinner, and inner surface has spiral groove side by side, front end to have opening.The liquid that intraocular is flowed into groove, can absorb the heat of super newborn syringe needle, play cooling effect.The edge of groove has resilient support and cushioning effect, reduces the contact area of tube wall and super newborn syringe needle, reduces the heat transfer between super newborn syringe needle and tube wall, in turn, alleviates thermal damage of the super newborn syringe needle to cornea tissue.The edge of groove can play the role of good mechanical damping by the elastic deformation of itself, reduce the mechanical vibrational energy for being transferred to cornea tissue, reduce the mechanical oscillation damage of cornea tissue.The rear inner surface has coupled structure, is conveniently fixed on handpiece front end.The middle part is connected between front and rear.

Description

Heat-insulating and shock-absorbing perfusion cannula
Technical field
The present invention relates to a kind of surgical operation perfusion cannula, and more particularly to a kind of cataract ultrasonic emulsification instrument use Heat-insulating and shock-absorbing perfusion cannula.
Background technology
Cataract is the common disease frequently-occurring disease of ophthalmology.Under normal condition, the lenticular shape approximation biconvex in human eye ball Lens can will enter the light focusing of intraocular on eye ground.But several factors can make lenticular transparency Decline, such as age or disease etc..Phacoscotasmus causes visual impairment to form cataract.Clinical treatment cataract at present Most effective, most common method is the crystalline lens of surgical removal muddiness, while being implanted into transparent intraocular lens, makes ambient It can focus on the retina.
Currently, the development trend of cataract operation is small notch, minimally invasiveization, " cataract ultrasound breast conserving surgery " is current clinic Upper most common operation method.In the surgical procedure, elongated phacoemulsification needle is entered by the miniature incision of wall of eyeball The high-frequency vibration of intraocular, phacoemulsification needle can crush emulsification lens tissue, then ultrasonic emulsification instrument by negative pressure by powder Eyeball is sucked out in broken lens tissue.After the part of phacoscotasmus is completely removed, transparent intraocular lens are can plant.
Ultrasonic emulsification instrument includes mainly following components:Handpiece, phacoemulsification needle, perfusion cannula, electronic control Platform, connecting pipe, connecting cable.Handpiece is connected by connecting pipe, connecting cable with electronic console.The front end of handpiece Receive phacoemulsification needle and perfusion cannula.Perfusion cannula is sleeved on outside phacoemulsification needle, front opening, Phacoemulsification needle The front end of head can be stretched out from the opening of perfusion cannula front end.Phacoemulsification needle is cannulated structure, rear end with from hand-held Negative-pressure ward pipeline connection of the part to console.
In use, the front of both perfusion cannula and phacoemulsification needle by the small notch of cornea or sclera into Enter intraocular.The internal diameter of perfusion cannula is more than the outer diameter of syringe needle, and perfusion liquid passes through the sky between perfusion cannula and phacoemulsification needle Gap or other perfusion channel enter intraocular.The phacoemulsification needle of high-frequency vibration can crush emulsification lens tissue.Control Platform can control the relevant parameter of negative pressure and ultrasonic energy, be sucked out by the open end of phacoemulsification needle, negative-pressure ward pipeline The tissue of emulsification.But phacoemulsification needle high-frequency vibration under the driving of ultrasonic wave, heat is will produce, heat passes through perfusion The tube wall of casing reaches ocular tissue, causes the thermal damage of incision tissue.Meanwhile the mechanical oscillation of phacoemulsification needle also may be used To reach incision tissue by tube wall, cause the high-frequency vibration of incision tissue, and then leads to the damage of local organization.Moreover, The high-frequency vibration of notch surrounding tissue can also cause local temperature further to increase, and then aggravate thermal damage.Incision tissue Adverse consequences is caused by damage, and local organization deformation, cut closure is poor, increases postoperative wound leakage, entophthamia equivalent risk.Simultaneously Postoperative scar formation, corneal astigmatism can be also aggravated, causes Postoperative visual acuity undesirable.However, there is presently no be effectively absorbed in The concern casing of heat-insulating and shock-absorbing function can utilize, so, there is an urgent need for one kind capable of effectively reducing heat conduction and machinery for we The new-type perfusion cannula of conduct vibrations reduces the damage of incision tissue, improves surgical effect.
Invention content
The disclosure describes a kind of protection perfusion cannula, includes mainly front, middle part and rear portion.The front is thinner, interior There is spiral groove side by side on surface.The rear inner surface has coupled structure, is conveniently fixed on handpiece front end.The middle part It is connected between front and rear.
Various aspects may include one or more following characteristics.The perfusion cannula axis is linear or arc.It is described Casing front diameter is thinner, and the diameter of the front end of casing front further reduces, and forms the smaller front opening of diameter, front end There are one sides or multiple casing side openings.In the middle part of described sleeve pipe between casing front and casing rear portion.Have in the middle part of casing The diameter of section of transformation, one or more part can have tapered cross-section.Described sleeve pipe rear section is relatively large in diameter, interior table Face has coupled structure, can be received on ultrasonic emulsification handle.
Various aspects may also include one or more following characteristics.The smooth outer surface of described sleeve pipe front.Described sleeve pipe The inner surface of the portion segment of front has multiple spiral grooves side by side.The tangential direction of the groove and perfusion cannula axis The angle of line is between 0 ° and 90 °.In some cases, the cross sectional shape of groove is in inverted trapezoidal.In other situations, groove The cross section profiles of one or more parts be in other useful shapes, such as semicircle, triangle, " u "-shaped, " ︺ " shape, double throwings Object is linear etc., but not limited to this locate the shape.The edge of groove is in carinate protuberance.In some cases, section of edge ridge Face shape is trapezoidal.In other situations, the cross section profile of one or more parts of edge ridge is in other useful shapes, such as Semicircle, triangle, " u "-shaped, " ︺ " shape, double-paraboloid are linear etc., but not limited to this locate the shape.In section Example In, there are one edge ridges or multiple breakpoints so that adjacent grooves being capable of intercommunication.
One or more implementation details for illustrating the disclosure are described below.Described embodiment is only of the invention A part of the embodiment, instead of all the embodiments.
Brief description is as follows.
Fig. 1 is the sectional view of example perfusion cannula.
Fig. 2 is the profilograph of example perfusion cannula working condition shown in Fig. 1.
Fig. 3 is the cross-sectional view of example perfusion cannula working condition shown in Fig. 1.
Specific implementation mode
This disclosure relates to a kind of accessory of the surgical instrument used in surgical operation.In particular, this disclosure relates to one The perfusion cannula of ultrasonic emulsification instrument handle front end connection used in kind phacoemulsification.
Fig. 1 shows example perfusion cannula 100.Perfusion cannula 100 includes front 103, middle part 102 and rear portion 101.Front 103 is relatively thin, and inner surface has spiral groove 111 side by side.The rear inner surface has coupled structure 108.100 axis of perfusion cannula Line is linear or arc.103 diameter of front is thinner, and the diameter of the front end 104 of front 103 further reduces, and forms diameter Smaller front opening 105, there are one the sides of front end 104 or multiple casing side openings 107.Middle part 102 is located at front 103 with after Between portion 101.Middle part 102 has the diameter of section of transformation, and one or more part can have tapered cross-section.Rear portion 101 is cut Face is relatively large in diameter, and inner surface has coupled structure 108, can be received on ultrasonic emulsification handle(It is not shown).Front 103 The inner surface of portion segment have multiple spiral grooves 111 side by side.The tangential direction of groove 111 and perfusion cannula axis Angle between 0 ° and 90 °.In some cases, the cross sectional shape of groove 111 is in inverted trapezoidal.In other situations, recessed The cross section profile of one or more parts of slot 111 be in other useful shapes, such as semicircle, triangle, " u "-shaped, " ︺ " shape, Double-paraboloid is linear etc., but not limited to this locate the shape.The edge of groove 111 forms edge ridge 106.In some cases, The cross sectional shape of edge ridge 106 is trapezoidal.In other situations, the cross section profile of one or more parts of edge ridge 106 is in Other useful shapes, such as semicircle, triangle, " u "-shaped, " ︺ " shape, double-paraboloid are linear etc., but not limited to this locate the shape Shape.In some embodiments, edge ridge 106 there are one or multiple breakpoints 114 so that adjacent grooves 111 being capable of intercommunication.
The case where Fig. 2 and Fig. 3 show front 103 in the operating condition.Front 103 passes through cornea tissue 110 into pleasing to the eye It is interior.Super newborn syringe needle 109 runs through front 103, and is stretched out from front opening 105.The tube wall 113 of front end 103 is by 110 institute of cornea tissue It squeezes, and certain deformation occurs, the portion segment of edge ridge 106 is in contact with super newborn syringe needle 109, other portions of tube wall 113 Divide and forms perfusion gap 112 between super newborn syringe needle 109.Perfusion liquid can flow into eye by groove 111 and perfusion gap 112 It is interior.Super newborn syringe needle 109 high-frequency vibration under the driving of ultrasonic wave, smashes the lens tissue being in contact with it(It is not shown), super newborn The lens tissue of crushing and intraocular liquid are sucked out by the needle lumen 115 of super newborn syringe needle 109 for the vacuum suction effect of handle. The high-frequency vibration of super newborn syringe needle 109 can be such that the temperature of its own increases rapidly, and still, perfusion liquid is empty by groove 111 and perfusion During gap 112 flows into intraocular, the heat of super newborn syringe needle 109 is absorbed, effective cooling effect is played.On the other hand, by In the resilient support and cushioning effect of edge ridge 106, the tube wall 113 of front 103 and the contact area of super newborn syringe needle 109 obviously subtract It is few, reduce the heat transfer between super newborn syringe needle 109 and tube wall 113, in turn, alleviates the thermal damage to cornea tissue 110.Together When, for the high-frequency mechanical vibration of super newborn syringe needle 109, edge ridge 106 can be played slow well by the elastic deformation of itself Punching acts on, hence it is evident that reduces the mechanical vibrational energy for being transferred to cornea tissue 110, reduces the mechanical oscillation damage of cornea tissue.
The scope of the present disclosure is not intended to limit or is defined in implementation content described herein and details.Moreover, this public affairs It is opened in its broader aspect, is not limited to specific detail, and the illustrative example described herein.Those skilled in the art hold Readily apparent additional advantage and modification.It therefore, can be without departing from the general design of applicant or the spirit or scope of inventive concept In the case of, make deviation from these details.Therefore, other to implement to be in this paper the scope of the claims.

Claims (6)

1. a kind of heat-insulating and shock-absorbing perfusion cannula, including:Front;Middle part;The rear portion and.
2. perfusion cannula according to claim 1, wherein the inner surface of the front has spiral groove side by side.
3. front according to claim 2, point diameter are gradually reduced.
4. front according to claim 2, the front opening that front end has diameter smaller.
5. perfusion cannula according to claim 1, wherein the rear inner surface has coupled structure.
6. perfusion cannula according to claim 1, wherein the middle part is connected between front and rear.
CN201810873885.4A 2018-08-02 2018-08-02 Heat-insulating and shock-absorbing perfusion cannula Pending CN108703836A (en)

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Citations (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5354265A (en) * 1992-12-30 1994-10-11 Mackool Richard J Fluid infusion sleeve
US5505693A (en) * 1994-12-30 1996-04-09 Mackool; Richard J. Method and apparatus for reducing friction and heat generation by an ultrasonic device during surgery
JPH1071166A (en) * 1996-08-30 1998-03-17 Nidek Co Ltd Ultrasonic operation device
US5941887A (en) * 1996-09-03 1999-08-24 Bausch & Lomb Surgical, Inc. Sleeve for a surgical instrument
CN101083963A (en) * 2004-12-20 2007-12-05 博士伦公司 Non-circular ported phacoemulsification irrigation sleeve
US20100056991A1 (en) * 2008-09-04 2010-03-04 Dimalanta Jr Ramon Carsola Multi-compliant tubing
WO2010064670A1 (en) * 2008-12-05 2010-06-10 Hoya株式会社 Ophthalmic operation instrument
CN102256574A (en) * 2008-12-22 2011-11-23 博士伦公司 Variable frequency phacoemulsification handpiece
CN203417286U (en) * 2013-08-22 2014-02-05 宁波艾克伦医疗科技有限公司 Ultrasonic emulsification cannula
US20150038894A1 (en) * 2013-08-02 2015-02-05 Alex Urich Occlusion-activated heat supression infusion sleeve
CN106175848A (en) * 2016-08-31 2016-12-07 南京市鼓楼医院 A kind of ultrasonic emulsification head based on solid needle and ultrasonic emulsification equipment
WO2018135825A1 (en) * 2017-01-23 2018-07-26 울산대학교 산학협력단 Phacoemulsification irrigation sleeve
CN209770652U (en) * 2018-08-02 2019-12-13 王素常 Heat-insulation shock-absorption filling casing pipe

Patent Citations (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5354265A (en) * 1992-12-30 1994-10-11 Mackool Richard J Fluid infusion sleeve
US5505693A (en) * 1994-12-30 1996-04-09 Mackool; Richard J. Method and apparatus for reducing friction and heat generation by an ultrasonic device during surgery
JPH1071166A (en) * 1996-08-30 1998-03-17 Nidek Co Ltd Ultrasonic operation device
US5941887A (en) * 1996-09-03 1999-08-24 Bausch & Lomb Surgical, Inc. Sleeve for a surgical instrument
CN101083963A (en) * 2004-12-20 2007-12-05 博士伦公司 Non-circular ported phacoemulsification irrigation sleeve
US20100056991A1 (en) * 2008-09-04 2010-03-04 Dimalanta Jr Ramon Carsola Multi-compliant tubing
WO2010064670A1 (en) * 2008-12-05 2010-06-10 Hoya株式会社 Ophthalmic operation instrument
CN102256574A (en) * 2008-12-22 2011-11-23 博士伦公司 Variable frequency phacoemulsification handpiece
US20150038894A1 (en) * 2013-08-02 2015-02-05 Alex Urich Occlusion-activated heat supression infusion sleeve
CN203417286U (en) * 2013-08-22 2014-02-05 宁波艾克伦医疗科技有限公司 Ultrasonic emulsification cannula
CN106175848A (en) * 2016-08-31 2016-12-07 南京市鼓楼医院 A kind of ultrasonic emulsification head based on solid needle and ultrasonic emulsification equipment
WO2018135825A1 (en) * 2017-01-23 2018-07-26 울산대학교 산학협력단 Phacoemulsification irrigation sleeve
CN209770652U (en) * 2018-08-02 2019-12-13 王素常 Heat-insulation shock-absorption filling casing pipe

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