CN110478121B - Device for removing epithelial cells of equator of crystalline lens - Google Patents

Device for removing epithelial cells of equator of crystalline lens Download PDF

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Publication number
CN110478121B
CN110478121B CN201910883370.7A CN201910883370A CN110478121B CN 110478121 B CN110478121 B CN 110478121B CN 201910883370 A CN201910883370 A CN 201910883370A CN 110478121 B CN110478121 B CN 110478121B
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rod
polishing
working
epithelial cells
polishing rod
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CN110478121A (en
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赵阳
杨珂
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Beijing Airen Ophthalmic Outpatient Department Co ltd
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Beijing Airen Ophthalmic Outpatient Department Co ltd
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Priority to PCT/CN2020/079056 priority patent/WO2021051760A1/en
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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
    • A61F9/00709Instruments for removing foreign bodies
    • 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

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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 invention discloses a device for removing epithelial cells at the equator of a crystalline lens, which comprises a handheld rod and a connecting rod connected to one end of the handheld rod, wherein the tail end of the connecting rod is bent to form a working rod, the side wall, close to the end, of the top surface of the working rod is connected with a polishing rod, the end parts of the working rod and the polishing rod are formed into cambered surfaces, and the position, close to the end, of the top surface of the polishing rod is provided with a blunt surface which is in transition from the cambered surface to the top surface of the polishing rod. According to the invention, the anterior capsule polishing of a high-efficiency path can be performed in a state that the capsulorhexis crystal is not taken out just after completion, a viscoelastic agent is not needed in the polishing process, thus the complications of ocular hypertension are avoided, the problem of tight adhesion between the cortex and the capsule mouth after femto-second capsulorhexis can be solved, the anterior capsule polishing operation can be completed easily for small pupil operation, the bowl-shaped cortex shell can be avoided in the ultrasonic emulsification process, and the risk of rupture of the posterior capsule is reduced; meanwhile, the front end is provided with a flexible extension rod which can extend into the equator part to polish, so that the equator part is polished.

Description

Device for removing epithelial cells of equator of crystalline lens
Technical Field
The invention relates to the field of ophthalmic medical equipment, in particular to a device for removing epithelial cells of the equator of a crystalline lens.
Background
With the wide development of modern cataract ultrasonic emulsification technology and femtosecond laser assisted cataract surgery technology, the posterior cataract becomes an important factor affecting the postoperative vision of patients. It should be noted that the proliferation, migration, fibrosis of residual lens epithelial cells occurs to a varying degree in almost all lens capsule membranes after cataract extraction, and removal of residual lens epithelial cells has been a very focused research focus for cataract surgeons over the last decades. Various adverse events after cataract surgery, such as shrinkage of the capsular bag, dislocation after intraocular lens surgery, and the like, are all associated with proliferation, migration, fibrosis of residual lens epithelial cells. Although clinical doctors can remove lens epithelial cells as much as possible by adopting various methods, prevent posterior cataract and capsular bag shrinkage, such as improving operation skills, polishing anterior and posterior capsular bags, improving artificial lens design and materials, and the like, the posterior cataract and capsular bag shrinkage still have quite high incidence, especially in children patients, the incidence of posterior cataract still reaches up to 100%, and in patients with zonule laxity, such as ultra-high myopia and closed angle glaucoma patients, the incidence of capsular bag shrinkage after cataract operation is quite high, and various problems such as pupil locking, artificial lens deviation, myopia deviation and the like can be caused. In addition, it also limits the development of biomimetic refractive intraocular lenses. Therefore, in cataract surgery, it is of great clinical importance to remove as many lens epithelial cells as possible.
In the prior cataract surgery, after removing the lens nucleus and completing the lens cortex removal, the bag is filled with a viscoelastic agent, and a polisher stretches into the bag to scratch the inner surface of the bag so as to remove residual epithelial cells in the bag, including polishing of the anterior bag and the posterior bag, but the equatorial epithelial cells cannot be removed in the prior art. There are several general problems with existing polishing methods:
1. after the lens is removed, the lens capsule is soft and swaying, and doctors cannot operate the lens capsule well when polishing the capsule, so that the efficiency is generally low; 2. although filling and swelling of the capsule membrane can be ensured by injecting a large amount of viscoelastic agent into the capsule membrane in the polishing process, because the viscoelastic agent is sucked out after polishing, the operation steps and the operation time are increased, and complications such as ocular hypertension and the like are easily caused by incomplete suction of the viscoelastic agent; 3. the capsule membrane of the equatorial part of the lens is a germinal area of lens epithelial cells and is also the most dense part of epithelial cell residues, but the equatorial part of the lens is positioned behind the iris and cannot be observed in the operation, so that in the prior art, a doctor cannot polish the equatorial part; 4. under the operation of small pupils, polishing of the front and rear capsule membranes increases difficulty due to the reduction of the visible range, and even has serious risk of rupture of the capsule membranes; 5. in modern refractive cataract surgery, femtosecond laser is often used for assisting, accurate anterior capsular opening manufacturing is achieved, but in the femtosecond surgery, the cortex below can be cut off together when anterior capsular is cut, and because the incision is very neat, a doctor is required to attract the anterior capsular when the cortex is removed by negative pressure attraction, and traction on the zonules is increased.
Disclosure of Invention
In order to solve the problems, the invention provides a device for removing epithelial cells of the equator of the lens, which comprises the following specific scheme:
Including handheld pole and connect in the connecting rod of handheld pole one end, the terminal bending type of connecting rod forms the working lever, be connected with on the top surface of working lever near the lateral wall of tip and throw the polished rod, the working lever with the tip shaping of throwing the polished rod is the cambered surface, be equipped with on the top surface of throwing the polished rod near the position of tip follow the cambered surface transition extremely throw the blunt circle of polished rod top surface.
Further, the bottom surface of the connecting part of the working rod and the polishing rod is formed into an arc shape, the width of the cross section of the connecting part of the working rod and the polishing rod is 0.2mm-2mm, and the height of the cross section of the connecting part of the working rod and the polishing rod is 0.1mm-2mm.
Further, the length of the polishing rod is 0.5mm-4mm.
Further, the sum of the heights of the polished rod, the working rod and the blunt section is 0.1mm-2mm.
Further, the width of the cross section of the connecting part of the working rod and the polishing rod is 0.3mm, and the height of the cross section of the connecting part of the working rod and the polishing rod is 0.3mm; the length of the polishing rod is 1mm; the sum of the heights of the polished rod, the working rod and the blunt section is 0.3mm.
Further, the section of the polishing rod is triangular.
Further, the section of the polishing rod is zigzag.
Further, the section of the polishing rod is trapezoid, and the top surface of the polishing rod is formed into a rough surface.
Further, the section of the polishing rod is arc-shaped, and the top surface of the polishing rod is formed into a rough surface.
Further, the end of the working rod or the polishing rod is connected with an axially arranged extension rod, the extension rod is made of a flexible material, the extension rod can move on a horizontal plane along with the polishing rod, the extension rod can be bent in the vertical plane direction, and the top surface of the extension rod is formed into a rough surface.
The invention has the beneficial effects that:
The device for removing the epithelial cells at the equator of the crystalline lens can polish the anterior capsule when the capsulorhexis crystal is not taken out just after completion, the free crystalline lens epithelial cells and the anterior capsule are in a tensed state at the moment, the polishing efficiency is high, a viscoelastic agent is not needed in the polishing process, the operation time is shortened, ocular hypertension complications caused by incomplete removal of the viscoelastic agent can be effectively avoided, the problem of tight adhesion between the cortex and the capsule opening after femto-second capsulorhexis can be solved, and the anterior capsule polishing operation can be easily completed for small pupil operation; and moreover, the extension soft rod can be inserted into the equatorial part of the lens, and can directly scratch the capsular sac of the equatorial part of the lens along with the left-right swing of the polishing rod, so that the epithelial cells of the equatorial part are free from the capsular, and meanwhile, the capsular is not damaged, and the safe removal of the epithelial cells of the equatorial part of the lens is realized.
Drawings
Figure 1. A schematic structural diagram of embodiment 1 of the present invention,
Figure 2. An enlarged view of the structure at a in figure 1,
Figure 3 is an enlarged end view of the connection of the connecting rod and the working rod of example 1 of the present invention (left view in figure 2),
Figure 4 is a schematic view of a conventional cutting pocket,
Figure 5. Schematic view of a balloon opening cut with a femtosecond laser,
Figure 6 is a schematic view of the working condition of the working rod of embodiment 1 of the present invention,
Figure 7 is an enlarged end view of the connection of the connecting rod and the working rod of example 2 of the present invention,
Figure 8 is an enlarged end view of the connection of the connecting rod and the working rod of example 3 of the present invention,
Figure 9 is an enlarged end view of the connection of the connecting rod and the working rod of example 4 of the present invention,
FIG. 10 is an enlarged view of the connection of the extension rod and the polishing rod in example 5 of the present invention,
Fig. 11 is a schematic view showing the structure of one embodiment of the extension rod according to example 5 of the present invention.
Figure number and name: 1. the hand-held rod, 2, the connecting rod, 3, the working rod, 4, the polished rod, 5, the round blunt, 6, the extension rod, 7, the cortex, 8, the anterior capsule, 9, the supporting rib.
Detailed Description
The present invention is further described below with reference to the drawings and examples, which are only for explaining the present invention and are not intended to limit the scope of the present invention.
Example 1
Referring to fig. 1 and 2, a front capsule polisher comprises a hand-held rod 1 and a connecting rod 2 connected to one end of the hand-held rod 1, wherein the tail end of the connecting rod 2 is bent to form a working rod 3, a polishing rod 4 is connected to the side wall, close to the end, of the top surface of the working rod 3, and the end parts of the working rod 3 and the polishing rod 4 are formed into cambered surfaces so as to extend into a capsule opening; the position on the top surface of the polishing rod 4, which is close to the end part, is provided with a round blunt surface 5 which is transited from the cambered surface to the top surface of the polishing rod 4, so that the end part of the polishing rod is prevented from polishing the front capsule in the polishing process.
As shown in fig. 3, the bottom surface of the connection part of the working rod 3 and the polishing rod 4 is shaped into an arc shape, the section of the polishing rod 4 is isosceles triangle, the edge of the top surface of the polishing rod forms the edge surface for polishing, and the cortex on the inner side of the front capsule is removed completely by the vertical polishing rod. Referring to fig. 2 and 3, the width a of the cross section of the connection portion of the working rod 3 and the polishing rod 4 is 0.3mm, the length b of the polishing rod 4 is 2mm, and the sum c of the heights of the cross sections of the polishing rod 4, the working rod 3, and the rounded end 5 is 0.2mm.
The front capsule membrane polisher can polish before crystal removal, at the moment, the front capsule membrane can be guaranteed to have certain tension in the polishing process under the supporting effect of the crystal, on one hand, the viscoelastic agent is not needed to be used for avoiding the generation of subsequent problems, and on the other hand, the polishing process can be smoother and more efficient. The traditional capsule membrane polisher can only polish after crystal removal, a large amount of viscoelastic agent is needed, and the capsule membrane is soft and swaying, so that the polishing efficiency is low.
In addition, as shown in fig. 4, the front capsule membrane 8 and the lower cortex 7 are cut together when the capsule opening is made by using the femtosecond laser, the fracture is very clean (similar to two kinds of paper which are orderly stacked), and the negative pressure suction apparatus is difficult to ensure that the front capsule membrane is not pulled to the upper part when the lower cortex is pulled out; as shown in fig. 5, the edges of the anterior capsule membrane 8 and the cortex 7 at the capsule opening are dislocated by the traditional manual capsule tearing, and the negative pressure aspirator can conveniently grasp the part of the cortex edge beyond the rough surface of the anterior capsule membrane to remove the part in the subsequent operation step, so as to avoid directly attracting the anterior capsule membrane; as shown in figure 6, the polishing rod and the working rod are structured, so that the polishing device can be easily inserted between the front capsule and the leather, the end faces of the polishing rod and the working rod are separated to ensure that the leather and the front capsule are misplaced, and the negative pressure suction device can be pulled out of the leather below on the premise of not pulling the front capsule after having an acting point.
Example 2
Referring to fig. 7, this embodiment differs from embodiment 1 in that: the section of the polished rod 4 is zigzag.
Compared with embodiment 1, the zigzag structure is actually a plurality of spliced triangles, so that a plurality of edges on the top surface of the polishing rod form a plurality of edge surfaces, the polishing effect is better, and the polishing efficiency is further improved.
Example 3
Referring to fig. 8, this embodiment differs from embodiment 1 in that: the section of the polishing rod 4 is trapezoid, and the top surface of the polishing rod 4 is formed into a rough surface.
Compared with embodiment 1, the polishing rod has a flatter overall cross section and is matched with the rough surface formed on the upper surface, so that the polishing force is softer, and the probability of damaging the capsule is reduced.
Example 4
Referring to fig. 9, this embodiment differs from embodiment 1 in that: the section of the polishing rod 4 is arc-shaped, and the top surface of the polishing rod 4 is formed into a rough surface.
Compared with the embodiment 1, the polishing rod has smoother overall cross section, the top surface is formed into the cambered surface matched with the front capsule, the structure of the edge of the polishing rod is eliminated, and the probability of damage to the capsule is further reduced.
Example 5
Referring to fig. 10, this embodiment differs from embodiment 1 in that: the end of the working rod 3 or the polishing rod 4 is connected with an axially arranged extension rod 6, the extension rod 6 is made of flexible materials, the extension rod 6 can move on the horizontal plane along with the polishing rod 4, the extension rod 6 can be bent in the vertical plane direction, and the top surface of the extension rod 6 is formed into a rough surface.
The extension rod can also be manufactured by adopting an integrated molding process with the working rod or the polishing rod, and the whole extension rod is manufactured by adopting a medical polymer material.
As shown in fig. 11, in one embodiment, a flexible extension rod 6 is provided with a support rib 9, the support rib 9 is formed by a plurality of sections of short rods hinged with each other, and the short rods are hinged with each other through a horizontal shaft so that the short rods can only move in a direction perpendicular to a polishing surface; accordingly, as shown in fig. 11, the flexible extension rod wrapped outside the short rod can only deform in the vertical direction to fit the equatorial portion (up-and-down bending at the viewing angle shown in fig. 11) during polishing, and cannot bend in the horizontal direction to avoid uncontrollable deformation during polishing (up-and-down bending at the viewing angle shown in fig. 11).
In this example, a soft polishing material was attached to the tip of the polisher in comparison with example 1, so that the polishing could be performed deep into the equatorial region, and the epithelial cells attached to the equatorial region could be effectively removed.
In summary, the present invention is not limited to the preferred embodiments, but is intended to cover modifications and equivalent arrangements included within the scope of the appended claims and their equivalents.

Claims (8)

1. Device for removing epithelial cells of the equatorial portion of the lens, comprising a handle (1) and a connecting rod (2) connected to one end of the handle (1), characterized in that: the tail end of the connecting rod (2) is bent to form a working rod (3), a polishing rod (4) is connected to the side wall, close to the end, of the top surface of the working rod (3), the end of the working rod (3) and the end of the polishing rod (4) are formed into cambered surfaces, and a round blunt surface (5) which is transited from the cambered surfaces to the top surface of the polishing rod (4) is arranged at the position, close to the end, of the top surface of the polishing rod (4); the bottom surface of the connecting part of the working rod (3) and the polishing rod (4) is arc-shaped, the width of the cross section of the connecting part of the working rod (3) and the polishing rod (4) is 0.2mm-2mm, and the height of the cross section of the connecting part of the working rod (3) and the polishing rod (4) is 0.1mm-2mm; the polishing rod is characterized in that the tail end of the working rod (3) or the polishing rod (4) is connected with an axially arranged extension rod (6), the extension rod (6) is made of a flexible material, the extension rod (6) can move on a horizontal plane along with the polishing rod (4), the extension rod (6) can be bent in the vertical plane direction, and the top surface of the extension rod (6) is formed into a rough surface.
2. A device for removing epithelial cells from the equatorial portion of the lens according to claim 1, wherein: the length of the polishing rod (4) is 0.5mm-4mm.
3. A device for removing epithelial cells from the equatorial portion of the lens according to claim 2, wherein: the sum of the heights of the sections of the polishing rod (4), the working rod (3) and the round blunt (5) is 0.1mm-2mm.
4. A device for removing epithelial cells from the equatorial portion of the lens according to claim 3, wherein: the width of the section of the connecting part of the working rod (3) and the polishing rod (4) is 0.3mm, and the height of the section of the connecting part of the working rod (3) and the polishing rod (4) is 0.3mm; the length of the polishing rod (4) is 1mm; the sum of the heights of the sections of the polishing rod (4), the working rod (3) and the round blunt (5) is 0.3mm.
5. A device for removing epithelial cells from the equatorial portion of the lens according to claim 4, wherein: the section of the polishing rod (4) is triangular.
6. A device for removing epithelial cells from the equatorial portion of the lens according to claim 4, wherein: the section of the polishing rod (4) is zigzag.
7. A device for removing epithelial cells from the equatorial portion of the lens according to claim 4, wherein: the section of the polishing rod (4) is trapezoid, and the top surface of the polishing rod (4) is formed into a rough surface.
8. A device for removing epithelial cells from the equatorial portion of the lens according to claim 4, wherein: the section of the polishing rod (4) is arc-shaped, and the top surface of the polishing rod (4) is formed into a rough surface.
CN201910883370.7A 2019-09-18 2019-09-18 Device for removing epithelial cells of equator of crystalline lens Active CN110478121B (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN201910883370.7A CN110478121B (en) 2019-09-18 2019-09-18 Device for removing epithelial cells of equator of crystalline lens
PCT/CN2020/079056 WO2021051760A1 (en) 2019-09-18 2020-03-12 Device for removing epithelial cells from lens equator

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910883370.7A CN110478121B (en) 2019-09-18 2019-09-18 Device for removing epithelial cells of equator of crystalline lens

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CN110478121B true CN110478121B (en) 2024-05-24

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021051760A1 (en) * 2019-09-18 2021-03-25 北京爱仁眼科门诊部有限公司 Device for removing epithelial cells from lens equator

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2005323956A (en) * 2004-05-12 2005-11-24 Shigeo Taniguchi Surgical perfusion and suction instrument
CN204814386U (en) * 2015-05-20 2015-12-02 苏州贝尔一锋医疗器械有限公司 Double -end ring shape polisher
CN205215505U (en) * 2015-11-13 2016-05-11 复旦大学附属中山医院 Bag polisher around crystalline
CN210728012U (en) * 2019-09-18 2020-06-12 北京爱仁眼科门诊部有限公司 Device for removing epithelial cells at equator of crystalline lens

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2005323956A (en) * 2004-05-12 2005-11-24 Shigeo Taniguchi Surgical perfusion and suction instrument
CN204814386U (en) * 2015-05-20 2015-12-02 苏州贝尔一锋医疗器械有限公司 Double -end ring shape polisher
CN205215505U (en) * 2015-11-13 2016-05-11 复旦大学附属中山医院 Bag polisher around crystalline
CN210728012U (en) * 2019-09-18 2020-06-12 北京爱仁眼科门诊部有限公司 Device for removing epithelial cells at equator of crystalline lens

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