CN115969613A - Sclera stitching instrument - Google Patents
Sclera stitching instrument Download PDFInfo
- Publication number
- CN115969613A CN115969613A CN202211669195.XA CN202211669195A CN115969613A CN 115969613 A CN115969613 A CN 115969613A CN 202211669195 A CN202211669195 A CN 202211669195A CN 115969613 A CN115969613 A CN 115969613A
- Authority
- CN
- China
- Prior art keywords
- eyelid
- scleral
- window
- operating
- handle
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 210000003786 sclera Anatomy 0.000 title abstract description 16
- 210000000744 eyelid Anatomy 0.000 claims abstract description 63
- 230000007704 transition Effects 0.000 claims abstract description 38
- 238000000926 separation method Methods 0.000 claims description 7
- 229910001220 stainless steel Inorganic materials 0.000 claims description 4
- 239000010935 stainless steel Substances 0.000 claims description 4
- 239000000463 material Substances 0.000 claims description 3
- 239000002184 metal Substances 0.000 claims description 3
- 230000001174 ascending effect Effects 0.000 claims description 2
- 230000000903 blocking effect Effects 0.000 abstract description 22
- 210000005252 bulbus oculi Anatomy 0.000 abstract description 21
- 230000005494 condensation Effects 0.000 abstract description 6
- 238000009833 condensation Methods 0.000 abstract description 6
- 238000010030 laminating Methods 0.000 abstract 1
- 230000006378 damage Effects 0.000 description 7
- 210000003128 head Anatomy 0.000 description 4
- 206010038848 Retinal detachment Diseases 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 230000004264 retinal detachment Effects 0.000 description 3
- 208000002367 Retinal Perforations Diseases 0.000 description 2
- 206010038897 Retinal tear Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 238000004659 sterilization and disinfection Methods 0.000 description 2
- 206010003694 Atrophy Diseases 0.000 description 1
- 206010051625 Conjunctival hyperaemia Diseases 0.000 description 1
- 206010047531 Visual acuity reduced Diseases 0.000 description 1
- 230000037444 atrophy Effects 0.000 description 1
- 230000004323 axial length Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000000795 conjunctiva Anatomy 0.000 description 1
- 230000007797 corrosion Effects 0.000 description 1
- 238000005260 corrosion Methods 0.000 description 1
- 230000003111 delayed effect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000003670 easy-to-clean Effects 0.000 description 1
- 210000000981 epithelium Anatomy 0.000 description 1
- 210000001508 eye Anatomy 0.000 description 1
- 208000030533 eye disease Diseases 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000036285 pathological change Effects 0.000 description 1
- 231100000915 pathological change Toxicity 0.000 description 1
- 239000000049 pigment Substances 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000002207 retinal effect Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 230000004393 visual impairment Effects 0.000 description 1
Images
Landscapes
- Prostheses (AREA)
Abstract
The invention discloses a sclera stitching instrument which comprises a handle part, wherein the front end of the handle part is connected with an operation part through a transition section, the front end of the operation part is provided with an eyelid pushing part, the middle of the operation part is provided with an operation window, the eyelid pushing part comprises an upper blocking piece and a lower blocking piece, the upper blocking piece and the lower blocking piece are both fixedly connected with the front end of the eyelid pushing part, the eyelid pushing part and the lower blocking piece are in smooth transition, and the transition section and the operation part form an upward transition included angle. It can be fine promote the eyelid, expose the scleral and go up the fissure position, and laminating eyeball that can be better is fixed a position the fissure position fast, conveniently carries out follow-up operations such as condensation, suture.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to a sclera stitching instrument.
Background
Retinal detachment refers to the separation of the retinal neuroepithelium from the pigment epithelium. It is classified into porogenic property, traction property and exudative property according to the cause of disease. Retinal detachment is a common blinding eye disease which develops rapidly and has great harm to vision, and needs to be discovered early, treated in time and subjected to a reduction operation; if the patient fails to be treated correctly in time, the eyeball atrophy and the visual loss can be caused finally; if the optimal time of the operation is delayed, the problems of poor vision recovery after the operation, more operation complications, low operation success rate and the like can be caused.
In the retinal detachment treatment operation, sclera positioning is needed to be carried out on a retinal tear, the position of a pathological change is determined, and treatment operations such as condensation, cingulum and the like are carried out on the retinal tear. The eyelid needs to be pulled open to expose the scleral hiatus during the procedure, facilitating a series of surgical procedures in which eyelid retractor is used.
Currently, the eyelid retractor sold and used in clinical practice is mainly used for hooking and pulling the eyelid to expose the position of the fissure for the operation. However, some of the fissures are located behind the equator, and it is necessary to pull the eyelids with a large force by the eyelid retractor to find the fissures, which are likely to cause damage to the eyelids.
Disclosure of Invention
In view of the above problems, the present invention provides a sclera stitching instrument, which can push the eyelid well, expose the position of the fissure on the sclera, better fit the eyeball, quickly position the position of the fissure, and facilitate subsequent operations such as condensation and stitching.
The technical scheme is that the sclera stitching instrument comprises a handle part, the front end of the handle part is connected with an operation part through a transition section, an eyelid pushing part is arranged at the front end of the operation part, an operation window is arranged in the middle of the operation part, the eyelid pushing part comprises an upper blocking piece and a lower blocking piece, the upper blocking piece and the lower blocking piece are fixedly connected with the front end of the eyelid pushing part, the eyelid pushing part and the lower blocking piece are in smooth transition, and the transition section and the operation part are provided with an upward transition included angle.
Furthermore, an extension rod is arranged between the handle part and the transition section, and the cross section of the extension rod is smaller than that of the handle.
Further, the operation window is a trapezoid window, the short side of the trapezoid window is close to the handle side, preferably, the long side of the trapezoid window is 14.8-15.2mm, the short side of the trapezoid window is 7.8-8.2mm, and the narrowest position of the trapezoid window and the side of the operation part (3) is 1.8-2.2mm. Further preferably, the long side of the trapezoidal window is 15mm, the short side of the trapezoidal window is 8mm, and the narrowest position between the trapezoidal window and the side of the operation part is 2mm.
Further, the operating part and the lower baffle form a spherical surface, the diameter of the spherical surface is 28mm, and the central angle of the circular arc of the side edge of the spherical surface is 70 degrees.
Furthermore, the lower baffle is an arc baffle protruding towards the upper baffle.
Further, the upper baffle plate is an arc baffle plate protruding upwards, and the diameter of the upper baffle plate (41) is preferably 14.8-15.2mm, and more preferably 15mm. The central angle of the upper baffle plate (41) is 78-90 degrees, more preferably 78-85 degrees, and even more preferably 79 degrees.
Furthermore, edges of the operation part, the operation window, the upper baffle sheet, the lower baffle sheet and the transition section are all in arc transition.
Further, the surface of the handle part is provided with an anti-slip layer.
Furthermore, the handle part, the extension rod, the transition section, the operating part, the upper baffle plate and the lower baffle plate are all made of 361 stainless steel materials.
Furthermore, handle portion, extension rod, changeover portion, operating portion, top flap, lower flap print integrated into one piece for the 3D metal.
The invention has the beneficial effects that:
1. the eyelid pushing part formed by the upper retaining sheet and the lower retaining sheet is used for pushing the eyelid, so that the traditional transition hooking of the eyelid by using an eyelid retractor is changed, eyelid damage caused by transition hooking is avoided, a fissure hole positioned under a conjunctival congestion channel can be easily exposed, the eyelid is positioned between the upper retaining sheet and the lower retaining sheet for pushing, the eyelid is prevented from sliding out in the pushing process, and the eyelid pushing device is safe and reliable to use;
2. the operating part positioned on the eyelid pushing part is provided with an operating window, and after the eyelid is pushed, the position of the exposed scleral fissure hole can be found at the first time, so that the sclera fissure hole is quickly positioned in the operating window, and the subsequent operations such as condensation, suturing and the like can be conveniently carried out by an operator;
3. the operation part and the lower baffle form a spherical surface, namely, the surface in contact with the eyeball is a spherical surface matched with the eyeball, so that the operation part is better attached to the eyeball, and the positioning operation is prevented from being influenced by shaking;
4. the operation portion and the transition section are provided with upward transition included angles, the transition section, the extension rod or the handle which is located at the rear end of the operation portion is higher than the eyeball, the transition section, the extension rod or the handle is located above the face or the head of a patient, the contact between the transition section, the extension rod or the handle and other rear end components and the face or the head of the patient is avoided, the operation of an operator is more convenient, meanwhile, the eyeball is prevented from blocking the transition section when the eyelid is pushed, and the eyeball is damaged.
Drawings
FIG. 1 is a schematic perspective view of the present invention;
FIG. 2 is a perspective view of another embodiment of the present invention;
FIG. 3 is a front view of the structure of the present invention;
FIG. 4 is a bottom view of the structure of the present invention;
FIG. 5 is a right side view of the structure of the present invention;
FIG. 6 is a schematic view of the angle between the operating portion and the eyelid pushing portion of the present invention;
in the figure: 1. a handle portion; 2. a transition section; 3. an operation section; 31. an operating window; 4. pushing eyelid; 41. a separation blade is arranged; 42. a lower baffle plate; 5. a transition included angle; 6. an extension rod.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are some, but not all, embodiments of the present invention. The components of embodiments of the present invention generally described and illustrated in the figures herein may be arranged and designed in a wide variety of different configurations.
Thus, the following detailed description of the embodiments of the present invention, as presented in the figures, is not intended to limit the scope of the invention, as claimed, but is merely representative of selected embodiments of the invention. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
It should be noted that: like reference numbers and letters refer to like items in the following figures, and thus, once an item is defined in one figure, it need not be further defined and explained in subsequent figures.
In the description of the present invention, it should be noted that the terms "upper", "lower", "inner", etc. indicate orientations or positional relationships based on those shown in the drawings or orientations or positional relationships that the products of the present invention conventionally use, which are merely for convenience of description and simplification of description, but do not indicate or imply that the devices or elements referred to must have a specific orientation, be constructed in a specific orientation, and be operated, and thus, should not be construed as limiting the present invention.
Furthermore, the terms "first," "second," and the like are used solely to distinguish one from another, and are not to be construed as indicating or implying relative importance.
In the description of the present invention, it should also be noted that, unless otherwise explicitly stated or limited, the terms "disposed," "mounted," "connected," and "connected" are to be construed broadly and may be, for example, fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.
The first embodiment is as follows: as shown in fig. 1 to 6, the present invention provides a sclera stitching instrument, which comprises a handle portion 1, wherein the front end of the handle portion 1 is connected with an operation portion 3 through a transition section 2, the front end of the operation portion 3 is provided with an eyelid pushing portion 4, an operation window 31 is arranged in the middle of the operation portion 3, the eyelid pushing portion 4 comprises an upper blocking piece 41 and a lower blocking piece 42, the upper blocking piece 41 and the lower blocking piece 42 are both fixedly connected with the front end of the eyelid pushing portion 4, the eyelid pushing portion 4 and the lower blocking piece 42 are in smooth transition, and the transition section 2 and the operation portion 3 have an upward transition included angle 5.
Still be provided with extension rod 6 between handle portion 1 and the changeover portion 2, the cross section of extension rod 6 is less than the cross section of handle, has avoided extension rod 6 too thick, causes to block operator's realization, and thicker handle portion 1 makes things convenient for the operator to grip, is difficult for the landing. Meanwhile, the distance between the handle part 1 and the operating part 3 is increased by the extension rod 6, and the force used by a user is reduced by utilizing the lever principle.
The eyelid pushing part 4 formed by the upper retaining sheet 41 and the lower retaining sheet 42 is used for pushing the eyelids, so that the traditional transitional hooking of the eyelid by an eyelid retractor is changed, eyelid damage caused by transitional hooking is avoided, fissure holes under conjunctiva can be easily exposed, the eyelids are pushed between the upper retaining sheet 41 and the lower retaining sheet 42, the eyelids are prevented from sliding out in the pushing process, and the eyelid pushing part is safe and reliable to use; the operation part 3 positioned on the eyelid pushing part 4 is provided with an operation window 31, and after the eyelid is pushed, the position of the exposed scleral fissure hole can be found at the first time, so that the sclera fissure hole can be quickly positioned in the operation window 31, and the subsequent operations such as condensation, suturing and the like can be conveniently carried out by an operator; have ascending transition contained angle 5 between operation portion 3 and the changeover portion 2, make the changeover portion 2 that is located 3 rear ends of operation portion, extension rod 6 or handle are higher than eyeball position, make changeover portion 2, extension rod 6 or handle are located patient's face or head top, changeover portion 2 has been avoided, back-end parts such as extension rod 6 or handle contact with patient's face or head, block sclera stitching instrument, make operation portion 3 and eyeball more laminate, let the wound expose more easily, make things convenient for operator's operation more, eyeball has been avoided simultaneously and has blockked changeover portion 2 when promoting the eyelid, cause the eyeball to damage.
Example two: as shown in fig. 4, in the first embodiment, the operation window 31 is a trapezoidal window, a short side of the trapezoidal window is close to the handle portion 1 side, a long side of the trapezoidal window is 15mm, a short side of the trapezoidal window is 8mm, and a narrowest portion between the trapezoidal window and the side of the operation portion 3 is 2mm or wider than 2mm. The front end of the trapezoidal window is long and is matched with the eyelid pushing part 4, so that the contact area between the eyelid pushing part 4 and the eyelid is larger, the contact length is longer, the eyelid can be conveniently pushed integrally, and the eyelid is prevented from being damaged. And the narrowest part of the trapezoidal window and the side edge of the operation part 3 is more than or equal to 2mm, so that the strength of the operation part 3 is ensured, the damage is avoided, and meanwhile, the cutting injury of eyeballs caused by too thin side edges is also avoided.
Example three: as shown in fig. 3 and 6, in the first embodiment, the operating portion 3 and the bottom stop piece 42 form a spherical surface. The operating part 3 and the lower stop piece 42 are parts directly contacted with the eyeball, and the formed shape is a spherical surface which is matched with the eyeball, so that the spherical surface is better attached to the eyeball, and the positioning operation is prevented from being influenced by the shaking of the spherical surface. Most preferably the diameter of the sphere is 28mm and the central angle of the arc of the side of the sphere is 70 °.28mm is the average value of the axial length of the myopic posterior eye, is suitable for most of the patient eyeballs, and improves the applicability of the sclera stitching instrument.
Example four: as shown in fig. 1-3 and 5-6, on the basis of the first embodiment, the lower baffle 42 is an arc-shaped baffle which protrudes towards the upper baffle 41. The upper blocking piece 41 is an arc blocking piece protruding upwards. Namely, the lower baffle plate 42 and the upper baffle plate 41 are both arc-shaped, and the radian of the lower baffle plate is similar to that of the operating part 3, namely the lower baffle plate is matched with the eyelid on the eyeball, so that the eyelid is conveniently and uniformly contacted with the upper baffle plate 41, the lower baffle plate 42 and included angles between the upper baffle plate 41 and the lower baffle plate 42, the eyelid is uniformly stressed when the eyelid pushing part 4 pushes the eyelid, and the eyelid is prevented from being pulled due to the fact that the local stress of the eyelid is too large.
Preferably, the diameter of the top flap 41 is 15mm, and the central angle of the top flap 41 is 79 °.
Example five: as shown in fig. 1 to 4, in the first embodiment, the edges of the operating portion 3, the operating window 31, the upper stop 41, the lower stop 42 and the transition section 2 are all arc-shaped transitions. The edge is in arc transition, so that the scratch of the edge on eyeballs and eyelids is avoided.
Example six: as shown in fig. 1-4, on the basis of the first embodiment, the surface of the handle part 1 is provided with an anti-slip layer. The skid resistant course is the frosting layer, perhaps increases the non-skid raised at handle portion 1, also can establish the non-slip rubber cover at handle portion 1 cover, makes things convenient for the operator to grip, avoids landing in the use.
Example seven: as shown in fig. 1 to 5, in the first embodiment, the handle portion 1, the extension rod 6, the transition section 2, the operating portion 3, the upper blocking piece 41 and the lower blocking piece 42 are all made of 361 stainless steel. The 361 stainless steel material has the advantages of high temperature resistance, corrosion resistance, easy processing, high strength, etc., is suitable for human tissue contact such as skin, etc., and is safe and reliable.
Example eight: as shown in fig. 1 to 5, in the first embodiment, the handle portion 1, the extension rod 6, the transition section 2, the operating portion 3, the upper blocking piece 41, and the lower blocking piece 42 are integrally formed by 3D metal printing. The whole sclera stitching instrument is integrally formed, so that good circular arc transition can be realized between every two parts, no assembly gap exists, the problems that the assembly gap is not easy to clean, the disinfection is not thorough and the like are avoided, the use sanitation is ensured, and the disinfection difficulty is reduced.
The sclera stitching instrument provided by the invention can well push eyelids, expose the position of a fissure on the sclera, better fit eyeballs, quickly position the position of the fissure and conveniently carry out subsequent operations such as condensation, stitching and the like.
The present invention is capable of other embodiments, and various changes and modifications may be made by one skilled in the art without departing from the spirit and scope of the invention.
Claims (10)
1. A scleral suture apparatus, comprising: including handle portion (1), handle portion (1) front end is connected with operating portion (3) through changeover portion (2), operating portion (3) front end is provided with and pushes away eyelid portion (4), operating window (31) have been seted up in the middle of operating portion (3), it includes separation blade (41) and lower separation blade (42) to push away eyelid portion (4), separation blade (41) all with lower separation blade (42) push away eyelid portion (4) front end fixed connection, push away eyelid portion (4) and lower separation blade (42) rounding off, changeover portion (2) have ascending transition contained angle (5) with operating portion (3).
2. The scleral stapler of claim 1, wherein: an extension rod (6) is further arranged between the handle part (1) and the transition section (2), and the cross section of the extension rod (6) is smaller than that of the handle.
3. The scleral stapler of claim 1, wherein: the operating window (31) is a trapezoid window, the short side of the trapezoid window is close to the handle part (1) side, the long side of the trapezoid window is 14.8-15.2mm, the short side of the trapezoid window is 7.8-8.2mm, and the narrowest position of the side edge of the trapezoid window and the operating part (3) is 1.8-2.2mm.
4. The scleral suture instrument of claim 1, wherein: the operating part (3) and the lower baffle (42) form a spherical surface, the diameter of the spherical surface is 28mm, and the central angle of the arc of the side edge of the spherical surface is 70 degrees.
5. The scleral suture instrument of claim 1, wherein: the lower baffle plate (42) is an arc baffle plate protruding towards the upper baffle plate (41).
6. The scleral stapler of claim 1, wherein: the upper baffle plate (41) is an arc baffle plate protruding upwards, the diameter of the upper baffle plate (41) is 14.8-15.2mm, and the central angle of the upper baffle plate (41) is 78-90 degrees.
7. The scleral stapler of claim 2, wherein: the edges of the operation part (3), the operation window (31), the upper baffle (41), the lower baffle (42) and the transition section (2) are all in arc transition.
8. The scleral suture instrument of claim 1, wherein: the surface of the handle part (1) is provided with an anti-slip layer.
9. The scleral stapler of claim 2, wherein: the handle part (1), the transition section (2), the operating part (3), the upper baffle (41), the lower baffle (42) and the extension rod (6) are all made of 361 stainless steel materials.
10. The scleral suture instrument of claim 2, wherein: handle portion (1), extension rod (6), changeover portion (2), operating portion (3), last fender piece (41), lower fender piece (42) are 3D metal printing integrated into one piece.
Applications Claiming Priority (2)
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CN2022116645063 | 2022-12-23 | ||
CN202211664506 | 2022-12-23 |
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CN115969613A true CN115969613A (en) | 2023-04-18 |
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CN202211669195.XA Pending CN115969613A (en) | 2022-12-23 | 2022-12-24 | Sclera stitching instrument |
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US5762606A (en) * | 1997-05-16 | 1998-06-09 | Minnich; Thomas E. | Combined eyelid retractor and eye flushing device |
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