CN109199694A - A kind of schlemm pipe probing of solubility and rinse bracket - Google Patents

A kind of schlemm pipe probing of solubility and rinse bracket Download PDF

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Publication number
CN109199694A
CN109199694A CN201811144436.2A CN201811144436A CN109199694A CN 109199694 A CN109199694 A CN 109199694A CN 201811144436 A CN201811144436 A CN 201811144436A CN 109199694 A CN109199694 A CN 109199694A
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China
Prior art keywords
outer tube
schlemm
bracket
probing
pipe
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Granted
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CN201811144436.2A
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Chinese (zh)
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CN109199694B (en
Inventor
张绍丹
梁远波
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Wenzhou Medical University
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Wenzhou Medical University
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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)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

A kind of schlemm pipe probing of solubility and rinse bracket, by the way that probing is arranged, support and the outer tube for rinsing schlemm pipe, housing pipe diameter is managed close with schlemm, the probing to schlemm pipe can be achieved, several through-holes through tube wall are provided on the tube wall of outer tube, through-hole, which is equipped with, is made film layer structure using water-soluble material, it can be in casing interlayer saline injection, water flow is flowed out by the side opening of outer tube after film layer structure dissolution, it realizes to schlemm inside pipe wall and trabecular network, and the flushing of outer wall liquid trap, segmental is set between outer tube interlayer and arranges coil spring bracket, expansion and supporting role are played to outer tube, until after the dissolution of outer tube made of degradation material, coil spring bracket can play the role of supporting schlemm pipe, Housing length of tube can be cut, the probing of schlemm pipe and the indwelling bracket of complete cycle or part quadrant can be carried out according to different situations in art, it avoids in the viscous tubule operation of conventional suture expansion because of patient's schlemm blockage, the spring design of coil spring bracket increases frictional force, reduces the possibility of stent migration.

Description

A kind of schlemm pipe probing of solubility and rinse bracket
Technical field
Present invention relates particularly to glaucoma treatment equipment technology fields, and in particular to a kind of schlemm pipe spy of solubility Logical and flushing bracket.
Background technique
Glaucoma is irreversibility diseases causing blindness the first in world wide, is the great public health problem in China.Mesh The treatment of preceding glaucoma, which is focused primarily on, reduces intraocular pressure (intraocular pressure, IOP) to protect optic nerve. Aqueous humor generates and the dynamic equilibrium of outflow plays a crucial role to IOP adjusting.Trabecular network and schlemm pipe are the main of aqueous humor outflow Resistance position, there are tm cells epimatrix and the abnormal stacking of metabolite and collapsing for schlemm pipe for glaucoma patient It falls into.The aqueous humor external drainage for restoring or rebuilding physiological is the direction of glaucoma future therapeutic.
Summary of the invention
It is in order to solve the defects of prior art and insufficient.The present invention provides a kind of schlemm pipe probing of solubility and Rinse bracket, it is intended to which the schlemm pipe of probing, expansion and support glaucoma patient manages adjacent aqueous humor drainage to schlemm simultaneously Channel is rinsed, and to promote aqueous humor to be drained by normal physiological pathway, is reduced intraocular pressure, is protected optic nerve.
The technical solution that the present invention uses is: a kind of schlemm pipe probing of solubility and bracket is rinsed, it is described Probing and flushing bracket include for probing, support and the outer tube for rinsing schlemm pipe, and the outer tube uses can be by people The degradation material that body is slowly dissolved absorption is made, and several through-holes through tube wall are provided on the tube wall of the outer tube, Be equipped with the elastic support that schlemm pipe is used to support after outer tube degradation in the outer tube, the elastic support by Several segments coil spring bracket, coil spring bracket subsection described in several segments is arranged in outer tube, adjacent Two sections described between coil spring bracket there are the cavity interval of outer tube, this interval region can be cut.
The outer tube is designed using double-layer sleeve structure, is equipped with interlayer among double-layer sleeve structure, described in several segments Coil spring branch be placed on inside the interlayer among double-layer sleeve structure.
It is additionally provided in the double-layer sleeve pipe intermediate course and is used to indicate guiding function, assistance judges that outer tube is advanced on the way The optical fiber of diameter and definite point.
It is successively arranged on the tube wall of the outer tube of double-layer sleeve structure from distal end to proximal end several through tube wall Through-hole, and the gap of the via design being equipped on the outside of sleeve tube wall of coil spring holder part and coil spring bracket It is corresponding.
The optical fiber is set in the interlayer among double-layer sleeve structure.
Film layer structure is additionally provided on the through-hole, the film layer structure is made of water-soluble material.The housing The thickness of distal end to the film layer structure in several through-holes in proximal end is successively thickened by thin on pipe, after realizing injection flushing liquor, through-hole It is gradually opened from the distal end of casing to inner end, in the flushing merging schlemm pipe for guaranteeing whole process schlemm pipe and proximity structure Several through-holes are successively arranged on the outer tube from distal end to proximal end, in several through-holes being successively arranged from distal end to proximal end The thickness of film layer structure is successively thickened by thin.
The outer tube central area is luminal structure, can inject viscoelastic agent in it, is realized to collapsing or blocking region Smooth traveling of the outer tube in schlemm pipe is assisted in the expansion of schlemm pipe.
Cavity interval between coil spring bracket described in adjacent two sections there are outer tube can cut disconnection, realize Schlemm is implanted into manage interior probing and rinse the adjusting of stent length.
The beneficial effects of the present invention are: the present invention provides a kind of schlemm pipe probing of solubility and rinsing bracket, lead to Setting probing, support and the outer tube for rinsing schlemm pipe are crossed, housing pipe diameter is managed close, it can be achieved that right with schlemm The probing of schlemm pipe is provided with several through-holes through tube wall on the tube wall of outer tube, can in casing saline injection With other flushing liquors, water flow is flowed out by side opening, realizes the flushing to schlemm inside pipe wall and trabecular network and outer wall liquid trap, Outer tube is made of the degradation material that can be slowly dissolved absorption by human body, and several segmental arrangements are arranged in outer tube Coil spring bracket plays expansion and supporting role to outer tube, until after the dissolution of outer tube made of degradation material, spiral shell Rotation shape spring support can play the role of supporting schlemm pipe, and the present invention can carry out complete cycle or part according to different situations in art Simultaneously indwelling bracket, promotion external drainage of the aqueous humor through patient's own physiological channel avoid tradition for the schlemm pipe probing of quadrant Suture expansion viscous tubule operation in caused because of patient's schlemm blockage operation can not successful implementation the case where, spiral shape bullet The spring design of spring bracket increases frictional force, reduces the possibility of stent migration, while all directions project power is uniform, avoids Trabecular network group caused by linear pulling force when conventional suture glues suture ligature tension applied in tubule operation to trabecular network It knits mechanical damage, hyperemia and inflammatory reaction and eye refraction state changes;Avoid simultaneously suture ligature it is excessively loose when pair Schlemm enlargement of pipe it is insufficient.
Detailed description of the invention
Fig. 1 is 1 structural schematic diagram of the embodiment of the present invention.
Fig. 2 is 1 structural schematic diagram of the embodiment of the present invention.
Fig. 3 is 2 structural schematic diagram of the embodiment of the present invention.
Fig. 4 is 2 structural schematic diagram of the embodiment of the present invention.
1- outer tube in figure, 2- elastic support, 11- through-hole, 12- cavity interval, 13- interlayer.
Specific embodiment
In order to be more clearly understood that technology contents of the invention, spy lifts following embodiment and is described in detail.
Embodiment 1
As shown in Figure 1 and Figure 2, a kind of schlemm pipe probing of solubility and flushing bracket, the probing and flushing bracket packet Include the outer tube 1 for being used to support and rinsing schlemm pipe, the outer tube 1 can using can be slowly dissolved absorption by human body Degradable material is made, and is provided with several through-holes 11 through tube wall on the tube wall of the outer tube 1, in the outer tube 1 Equipped with the elastic support 2 for being used to support schlemm pipe after the degradation of outer tube 1, the elastic support 2 is by several segments spiral shape Spring support, coil spring bracket subsection described in several segments is arranged in outer tube 1, described in adjacent two sections There are the cavity intervals 12 of outer tube 1 between coil spring bracket.The inside of the elastic support 2, which is additionally provided with, to be used to indicate Guiding function assists the optical fiber for judging outer tube traveling approach and definite point.Spiral shape bullet described in adjacent two sections Cavity interval 12 between spring bracket there are outer tube 1 can cut disconnection, realize that implantation schlemm manages interior probing and rinses bracket Optical fiber described in the adjusting of length is set in the interlayer 13 among double-layer sleeve structure.
Film layer structure is additionally provided on the through-hole 11, the film layer structure is made of water-soluble material.Merging It is successively arranged several through-holes 11 from distal end to proximal end on the outer tube 1 in schlemm pipe, is successively set from distal end to proximal end The thickness for the film layer structure in several through-holes 11 having successively is thickened by thin.
Embodiment 2
As shown in Figure 3, Figure 4, a kind of schlemm pipe probing of solubility and flushing bracket, the probing and flushing bracket packet It includes for probing, support and the double-layer structure outer tube 1 for rinsing schlemm pipe, the outer tube 1 uses can be slow by human body The degradation material of solution absorption is made, and several through-holes 11 through tube wall are provided on the outer wall of the outer tube 1, The elastic support 2 that schlemm pipe is used to support after the degradation of outer tube 1, the elastic support are equipped in the outer tube 1 2 are designed by several segments coil spring bracket, the outer tube 1 using double-layer sleeve structure, are set among double-layer sleeve structure There is interlayer 13, coil spring branch described in several segments is placed on inside the interlayer 13 among double-layer sleeve structure.Several segments institute The coil spring bracket subsection stated is arranged in outer tube 1, coil spring bracket described in adjacent two sections it Between there are the cavity intervals 12 of outer tube 1.Through-hole 11 on the outer wall of the outer tube 1 of double-layer sleeve structure runs through Tube wall and be equipped with coil spring holder part set tube wall on via design it is opposite with the gap of coil spring bracket It answers.Cavity interval 12 between coil spring bracket described in adjacent two sections there are outer tube 1 can cut disconnection, realize and plant Enter schlemm to manage interior probing and rinse the adjusting of stent length.
The inside of the elastic support 2, which is additionally provided with, is used to indicate guiding function, assistance judge outer tube traveling approach with The optical fiber of definite point.The optical fiber is set in the interlayer 13 among double-layer sleeve structure.
Film layer structure is additionally provided on the through-hole 11, the film layer structure is made of water-soluble material.Merging It is successively arranged several through-holes 11 from distal end to proximal end on the outer tube 1 in schlemm pipe, is successively set from distal end to proximal end The thickness for the film layer structure in several through-holes 11 having successively is thickened by thin.
The present invention, which passes through, is arranged probing, support and the double-layer sleeve pipe for rinsing schlemm pipe, on the outer wall of outer tube Several through-holes through tube wall are provided with, saline injection or other flushing liquors, water flow can be flowed out by side opening in casing, it is real Now to the flushing of schlemm inside pipe wall and trabecular network and outer wall liquid trap, outer tube uses can be slowly dissolved absorption by human body Degradation material be made, in outer tube be arranged coil spring bracket, expansion and supporting role are played to outer tube, until After the dissolution of outer tube made of degradation material, coil spring bracket can play the role of supporting schlemm pipe, and the present invention can The probing of schlemm pipe and the indwelling bracket that complete cycle or part quadrant are carried out according to different situations in art avoid conventional suture expansion Because of patient's schlemm blockage in the viscous tubule operation opened, the spring design of coil spring bracket increases frictional force, reduces The possibility of stent migration, while all directions project power is uniform, avoids conventional suture and glues seam applied in tubule operation Trabecular meshwork mechanical damage, hyperemia and inflammatory reaction and eye caused by linear pulling force when knot pricks tension to trabecular network Ball refractive status changes;Avoid simultaneously suture ligature it is excessively loose when to the insufficient of schlemm enlargement of pipe.
In the description of the present invention, it should be noted that term " center ", " longitudinal direction ", " transverse direction ", "upper", "lower", The orientation or positional relationship of the instructions such as "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom" "inner", "outside" is It is based on the orientation or positional relationship shown in the drawings, is merely for convenience of description of the present invention and simplification of the description, rather than instruction or dark Show that signified device or element must have a particular orientation, be constructed and operated in a specific orientation, therefore should not be understood as pair Limitation of the invention.In addition, term " first ", " second " are used for description purposes only, it is not understood to indicate or imply opposite Importance.In the description of the present invention, it should be noted that unless otherwise clearly defined and limited, term " installation ", " phase Even ", " connection " shall be understood in a broad sense, for example, it may be being fixedly connected, may be a detachable connection, or be integrally connected;It can To be mechanical connection, it is also possible to be electrically connected;It can be directly connected, can also can be indirectly connected through an intermediary Connection inside two elements.For the ordinary skill in the art, above-mentioned term can be understood at this with concrete condition Concrete meaning in invention.In addition, in the description of the present invention, unless otherwise indicated, the meaning of " plurality " is two or two More than.Every technical staff's notice: although the present invention is described according to above-mentioned specific embodiment, hair of the invention Bright thought is not limited in the invention, and any repacking with inventive concept will all be included in this patent scope of patent protection It is interior.
The above is only a preferred embodiment of the present invention, protection scope of the present invention is not limited merely to above-mentioned implementation Example, all technical solutions belonged under thinking of the present invention all belong to the scope of protection of the present invention.It should be pointed out that for the art Those of ordinary skill for, several improvements and modifications without departing from the principles of the present invention, these improvements and modifications It should be regarded as protection scope of the present invention.

Claims (8)

1. a kind of schlemm pipe probing of solubility and rinsing bracket, which is characterized in that the probing and rinse bracket and include For probing, support and the outer tube (1) for rinsing schlemm pipe, the outer tube (1) uses can be slowly dissolved suction by human body The degradation material of receipts is made, and is luminal structure among the outer tube (1), viscoelastic agent can be injected in it, realizes to collapsing Smooth traveling of the outer tube in schlemm pipe, the outer tube (1) are assisted in sunken or blocking region schlemm pipe expansion Tube wall on be provided with several through-holes (11) through tube wall, be equipped in the outer tube (1) and used after outer tube (1) degradation In the elastic support (2) of support schlemm pipe, the elastic support (2) is arranged by several segments coil spring bracket subsection Column are set in outer tube (1), and there are the cavity intervals of outer tube (1) between coil spring bracket described in adjacent two sections (12).
2. a kind of schlemm pipe probing of solubility according to claim 1 and flushing bracket, which is characterized in that described Elastic support (2) on the inside of be additionally provided with instruction guiding function, assist to judge outer tube traveling approach and definite point Optical fiber.
3. a kind of schlemm pipe probing of solubility according to claim 2 and flushing bracket, which is characterized in that described Outer tube (1) designed using double-layer sleeve structure, be equipped with interlayer (13) among double-layer sleeve structure, spiral described in several segments It is internal that shape spring support is placed in the interlayer (13) among double-layer sleeve structure.
4. a kind of schlemm pipe probing of solubility according to claim 3 and flushing bracket, which is characterized in that double-deck Through-hole (11) on outer tube described in cannula structure (1) tube wall runs through tube wall, and is equipped with the set of coil spring holder part Via design on outer tube layer tube wall is corresponding with the gap between spring support spiral.
5. a kind of schlemm pipe probing of solubility according to claim 3 and flushing bracket, which is characterized in that described Optical fiber be set to the interlayer (13) among double-layer sleeve structure Nei.
6. a kind of schlemm pipe probing of solubility according to claim 3 and flushing bracket, which is characterized in that described Through-hole (11) on be additionally provided with film layer structure, the film layer structure is made of water-soluble material, and flushing liquor is injected in casing Film layer can be dissolved afterwards, and then the through-hole (11) on open casing (1).
7. a kind of schlemm pipe probing of solubility according to claim 6 and flushing bracket, which is characterized in that merging Several through-holes (11) are successively arranged from distal end to proximal end on the outer tube (1) in schlemm pipe, from distal end to proximal end according to The thickness of film layer structure in the secondary several through-holes (11) being equipped with successively is thickened by thin, with realize inject flushing liquor after, through-hole by The distal end of casing (1) is gradually opened to inner end, guarantees the flushing of whole process schlemm pipe and proximity structure.
8. a kind of schlemm pipe probing of solubility according to claim 1 and flushing bracket,
Cavity interval (12) between coil spring bracket described in adjacent two sections there are outer tube (1) can cut disconnection, Realize that implantation schlemm manages interior probing and rinses the adjusting of stent length.
CN201811144436.2A 2018-09-29 2018-09-29 Soluble schlemm pipe sounding and flushing support Active CN109199694B (en)

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Application Number Priority Date Filing Date Title
CN201811144436.2A CN109199694B (en) 2018-09-29 2018-09-29 Soluble schlemm pipe sounding and flushing support

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CN109199694B CN109199694B (en) 2024-05-07

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111803274A (en) * 2020-07-22 2020-10-23 深圳市朗目医疗科技有限公司 Glaucoma drainage device and drainage implant therefor
CN114432034A (en) * 2021-12-22 2022-05-06 山东百多安医疗器械股份有限公司 Degradable polylactic acid glaucoma drainage tube

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GB0322511D0 (en) * 2003-09-25 2003-10-29 Angiomed Ag Lining for bodily lumen
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CN104822347A (en) * 2012-10-04 2015-08-05 艾瑞黛克斯公司 Fasteners, deployment systems, and methods for ophthalmic tissue closure and fixation of ophthalmic prostheses and other uses
CN205307149U (en) * 2016-01-22 2016-06-15 山东省千佛山医院 Heart coronary support
CN105726203A (en) * 2016-02-04 2016-07-06 张绍丹 Schlemm tube probing and flushing support sleeve and use method thereof
CN105726176A (en) * 2016-04-01 2016-07-06 中国人民解放军第二军医大学 Medicine-carrying biliary stent
CN105769433A (en) * 2016-01-08 2016-07-20 王素常 Screw type Schlemm tube stent
CN107616872A (en) * 2017-09-20 2018-01-23 陈慧慧 Drainage extension fixture in a kind of viscous tubule
CA3031943A1 (en) * 2016-07-27 2018-02-01 Q'apel Medical, Llc Tubular structures with variable support
WO2018044974A1 (en) * 2016-08-31 2018-03-08 Syed Khizer Rahim Khaderi Methods and systems for treating intracranial hypertension and related indications using an optic nerve stent or shunt
CN107952124A (en) * 2017-12-11 2018-04-24 浙江大学 Wound surface flushing device
CN209154194U (en) * 2018-09-29 2019-07-26 温州医科大学 A kind of schlemm pipe probing of solubility and rinse bracket

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB0322511D0 (en) * 2003-09-25 2003-10-29 Angiomed Ag Lining for bodily lumen
WO2014030807A1 (en) * 2012-08-21 2014-02-27 바이오닉스메디칼(주) Vaginal douche
CN104822347A (en) * 2012-10-04 2015-08-05 艾瑞黛克斯公司 Fasteners, deployment systems, and methods for ophthalmic tissue closure and fixation of ophthalmic prostheses and other uses
CN204274721U (en) * 2014-11-05 2015-04-22 南京微创医学科技有限公司 A kind of recyclable overlay film segmentation support of super compliance
CN105769433A (en) * 2016-01-08 2016-07-20 王素常 Screw type Schlemm tube stent
CN205307149U (en) * 2016-01-22 2016-06-15 山东省千佛山医院 Heart coronary support
CN105726203A (en) * 2016-02-04 2016-07-06 张绍丹 Schlemm tube probing and flushing support sleeve and use method thereof
CN105726176A (en) * 2016-04-01 2016-07-06 中国人民解放军第二军医大学 Medicine-carrying biliary stent
CA3031943A1 (en) * 2016-07-27 2018-02-01 Q'apel Medical, Llc Tubular structures with variable support
WO2018044974A1 (en) * 2016-08-31 2018-03-08 Syed Khizer Rahim Khaderi Methods and systems for treating intracranial hypertension and related indications using an optic nerve stent or shunt
CN107616872A (en) * 2017-09-20 2018-01-23 陈慧慧 Drainage extension fixture in a kind of viscous tubule
CN107952124A (en) * 2017-12-11 2018-04-24 浙江大学 Wound surface flushing device
CN209154194U (en) * 2018-09-29 2019-07-26 温州医科大学 A kind of schlemm pipe probing of solubility and rinse bracket

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111803274A (en) * 2020-07-22 2020-10-23 深圳市朗目医疗科技有限公司 Glaucoma drainage device and drainage implant therefor
CN111803274B (en) * 2020-07-22 2024-03-29 苏州朗目医疗科技有限公司 Glaucoma drainage device and drainage implant thereof
CN114432034A (en) * 2021-12-22 2022-05-06 山东百多安医疗器械股份有限公司 Degradable polylactic acid glaucoma drainage tube

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