CN201510417U - Ophthalmologic blunt separating forceps - Google Patents

Ophthalmologic blunt separating forceps Download PDF

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Publication number
CN201510417U
CN201510417U CN200920191859XU CN200920191859U CN201510417U CN 201510417 U CN201510417 U CN 201510417U CN 200920191859X U CN200920191859X U CN 200920191859XU CN 200920191859 U CN200920191859 U CN 200920191859U CN 201510417 U CN201510417 U CN 201510417U
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China
Prior art keywords
forceps
retina
tweezer sheet
parts
ophthalmologic
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Expired - Fee Related
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CN200920191859XU
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Chinese (zh)
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马进
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Zhejiang University ZJU
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Zhejiang University ZJU
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Priority to CN200920191859XU priority Critical patent/CN201510417U/en
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Abstract

The utility model relates to a piece of ophthalmologic blunt separating forceps, comprising two forceps pieces. The tail parts of the forceps piece are fixed together and the front parts thereof are blade-shaped; the front parts of the forceps pieces, corresponding to the middle parts of the forceps pieces, are bent inwards; the edge parts of the front parts of the forceps pieces are arranged at the outside, the outer side surfaces are thinner, and the inner side surfaces are thicker, and the gradient is formed from inside to outside; the front ends of the forceps pieces are tip-shaped; and the edge parts are blunt edges. The ophthalmologic blunt separating forceps has the advantages of being capable of avoiding retina from bleeding and peeling in the operation, greatly reducing the operation time, improving the success ratio of operation and having good restoration of vision function after operation.

Description

Ophthalmic inactive separated forceps
Technical field
This utility model relate to a kind of be used for performing the operation peel off the tweezers of diseased tissue, the separated forceps in the operation of ophthalmology diabetic retina propagation film especially.
Background technology
Along with the development of human living standard's raising and aged tendency of population, the sickness rate of diabetes is in rising trend, by they concurrent various eye pathological changes, is seriously restricting the human existence quality.Wherein common with diabetic retinopathy, data shows, the whole world has 3~40,000 people blind because of diabetic renal papillary necrosis every year, and China has more than 700 ten thousand diabeticss approximately, have at least people more than 70,000 to affect one's power of vision because of diabetic renal papillary necrosis, having a strong impact on the human existence quality, so this illness becomes worldwide important diseases causing blindness gradually.It is inherent pathogenetic to be the formation of retinal neovascularization at all, and cause the generation of ophthalmic vitreous hemorrhage, along with the appearance of new vessels is normal simultaneously with proliferation of fibrous tissue, these fibrous tissue are grown to fibrous membrane gradually, and with retina and blood vessel the traction of tight adhesion and mechanicalness, the generation and the development of final traction detachment of retina take place.Therefore vitreous hemorrhage, tractional detachment of retina or stretch hole source Combination detachment of retina become the important clinical feature of progressivity hypertrophy diabetic renal papillary necrosis.At its treatment, can remove the vitreous hemorrhage that proliferative diabetic retinopathy causes, the vitreous body of loosening to amphiblestroid tractive by vitrectomy operation.The emphasis of operation is removal propagation film, alleviates it to amphiblestroid tractive.On operational approach, be to adopt the stripping tweezer to clamp the propagation membrane tissue to carry out tractive and divest in the past, because fiber tunica vasculose and retinal synechia are tighter, and retinal surface has the formation of more new vessels, when divesting the propagation film, often cause retinal blood tracheal rupture and amphiblestroid breaking, and bring out the generation of numerous postoperative complications, seriously restricted operative effect.Therefore, seriously late period, diabetic renal papillary necrosis became the refractory disease that ophthalmic industry is generally acknowledged, and operative effect is unsatisfactory, and visual function often can obtain the forfeiture of irreversibility, and wherein having greatly, reason is caused by postoperative complication.So how by the improvement of operation and the renewal of skill, making great efforts to improve operative effect is the problem that the ophthalmology worker is difficult to avoid always.
Summary of the invention
In order to overcome above-mentioned shortcoming at traditional ophthalmology stripping tweezer, this utility model will provide a kind of can be separated passivity between propagation film and the retina, the local detachment that makes generation " tunnel sample " between propagation film and the retina, and by simple cutting or cut off, make the most total acquisition of propagation film " divide and rule " and also remove to the greatest extent, no longer the ophthalmic inactive separated forceps that fiber propagation film is divested by force.
Ophthalmic inactive separated forceps, comprise that two afterbodys are fixed together, the front portion is cultrate tweezer sheet, the middle part of the described relatively tweezer sheet in the front portion of described tweezer sheet curves inwardly, it is characterized in that: the forward blade of described tweezer sheet is arranged on the outside, medial surface is thicker than approaching for lateral surface, forms the gradient from inside to outside; The front end of described tweezer sheet is tip-shape; Described blade is a dull edge.
Further, to present ecto-entad wide trapezoidal from being too narrow to gradually for the forward cross section of described tweezer sheet.
Further, the material of described tweezer sheet adopts titanium alloy.
Traditional ophthalmology stripping tweezer mainly adopts the clamp tissue, and the application point of its power is to make tweezers play the effect (inside active force) of " toward interior folder ", and requirement can reach enough closed strength and clip tissue and divest.This utility model is the passivity centrifugation by " dividing outward " (outside active force), the tissue of the enough separates two adhesions of dynamics that requirement separates outward.In order to reach ideal passivity centrifugation, this utility model has adopted the knife face structure of " anti-pushed together ".The handle of a knife of general normal shears is shaped as that the inboard knife edge is thin, the outside knife back is thick, the cross section of handle of a knife be an ecto-entad gradually leniently to the narrow structure of dividing a word with a hyphen at the end of a line, the effect by " past interior folder " reaches " shearing " purpose.And this utility model is the effect chorista by " dividing outward ".With the design of shears handle of a knife antithesis, medial surface is thicker than approaching for the lateral surface of two handles of the present utility model, the cross section of ecto-entad be one gradually from being too narrow to the wide structure of dividing a word with a hyphen at the end of a line, the gradient shape of so just utilizing ecto-entad to form, by " anti-pushed together " structural design, reach sufficient passivity centrifugation.
These tweezers are used for, and isolating " cutting edge of a knife or a sword mouth " position (lateral border) is not for opening the sharp edges behind the cutting edge of a knife or a sword, but laminate structure that has arc edge, when separating, the operation passivity can not cause the cutting damage of sharp property like this to retina, the head of tweezers is to have certain tip design, is not round completely dull face.The effect of cutting-edge structure design mainly is the tight adhesion that is used for fully separating between retina and the propagation film, by thrusting between retina and the propagation film of tip, from shallow to deep progressively insertion and separation of synechia are that retina is bred between the film the tight tight of adhesion to the initial position of the operation that the space is arranged.
First, these tweezers are a horizontal force along retinal surface what carry out producing when passivity is separated, firmly position during separation should be on the retina tangent plane, and the longitudinal force of non-perpendicular retinal surface, and isolating radius amplitude is less in the operating process, has reduced amphiblestroid traction is disturbed.Second, traditional operation method is that a folk prescription is to the strip of exerting oneself when divesting the propagation film, what produce on retina is a unidirectional traction force, lack a kind of counteractive " resistance power ", easily cause the closely retina generation " displacement " at place of adhesion, easily retina is caused the mechanicalness stretch injury.And inactive separated forceps is in separation process, what produce on retina then is two-way function power, relation for a pair of active force and counteracting force, the retina both sides are symmetrically stressed, reach equilibrium of forces, rely on the influence of retroaction " resistance power ", make retina " displacement " can not take place, avoided amphiblestroid mechanical injuries.The 3rd, the isolating purpose of passivity is divested as the direct film of will breeding of stripping, but be used to separate retina and the adhesion of breeding film, to expand as little space by the tight tight of adhesion between the two, expand as big space by little space, separates two tissue progressively forms the gap of " tunnel sample ", and by cutting or wipe out and obtain loosening of propagation film.
The material of these tweezers adopts titanium alloy, has the good mechanical performance and organizes inertia, can make the operating time of complicated VI phase patients with diabetic retinopathy be reduced in 1 hour and finish.
The utility model has the advantages that: avoided retinal rupture in the art, hemorrhage generation, simplified operation technique greatly, saved operating time, improved operative effect, greatly saved the forfeiture of postoperative visual function.
Description of drawings
Fig. 1 is a sketch map of the present utility model
Fig. 2 is a front view of the present utility model
Fig. 3 is two tweezer sheets of the present utility model vertical views when merging
Fig. 4 is the vertical views of two tweezer sheets of the present utility model when separating
Fig. 5 be among Fig. 4 A-A to cutaway view
The specific embodiment
Be described in further detail below in conjunction with the embodiment of accompanying drawing utility model:
Ophthalmic inactive separated forceps, comprise that two afterbodys are fixed together, the front portion is cultrate tweezer sheet 1, the middle part of the described relatively tweezer sheet 1 in the front portion of described tweezer sheet 1 curves inwardly, and the forward blade 2 of described tweezer sheet 1 is arranged on the outside, medial surface is thicker than approaching for lateral surface, forms the gradient from inside to outside; The front end of described tweezer sheet 1 is tip-shape; Described blade 2 is dull edges.
It is wide trapezoidal from being too narrow to gradually that the forward cross section of described tweezer sheet 1 presents ecto-entad.
The material of described tweezer sheet 1 adopts titanium alloy.
Traditional ophthalmology stripping tweezer mainly adopts the clamp tissue, and the application point of its power is to make tweezers play the effect (inside active force) of " toward interior folder ", and requirement can reach enough closed strength and clip tissue and divest.This utility model is the passivity centrifugation by " dividing outward " (outside active force), the tissue of the enough separates two adhesions of dynamics that requirement separates outward.In order to reach ideal passivity centrifugation, this utility model has adopted the knife face structure of " anti-pushed together ".The handle of a knife of general normal shears is shaped as that the inboard knife edge is thin, the outside knife back is thick, the cross section of handle of a knife be an ecto-entad gradually leniently to the narrow structure of dividing a word with a hyphen at the end of a line, the effect by " past interior folder " reaches " shearing " purpose.And this utility model is the effect chorista by " dividing outward ".With the design of shears handle of a knife antithesis, medial surface is thicker than approaching for the lateral surface of two handles of the present utility model, the cross section of ecto-entad be one gradually from being too narrow to the wide structure of dividing a word with a hyphen at the end of a line, the gradient shape of so just utilizing ecto-entad to form, by " anti-pushed together " structural design, reach sufficient passivity centrifugation.
These tweezers are used for, and isolating " cutting edge of a knife or a sword mouth " position (lateral border) is not for opening the sharp edges behind the cutting edge of a knife or a sword, but laminate structure that has arc edge, when separating, the operation passivity can not cause the cutting damage of sharp property like this to retina, the head of tweezers is to have certain tip design, is not round completely dull face.The effect of cutting-edge structure design mainly is the tight adhesion that is used for fully separating between retina and the propagation film, by thrusting between retina and the propagation film of tip, from shallow to deep progressively insertion and separation of synechia are that retina is bred between the film the tight tight of adhesion to the initial position of the operation that the space is arranged.
First, these tweezers are a horizontal force along retinal surface what carry out producing when passivity is separated, firmly position during separation should be on the retina tangent plane, and the longitudinal force of non-perpendicular retinal surface, and isolating radius amplitude is less in the operating process, has reduced amphiblestroid traction is disturbed.Second, traditional operation method is that a folk prescription is to the strip of exerting oneself when divesting the propagation film, what produce on retina is a unidirectional traction force, lack a kind of counteractive " resistance power ", easily cause the closely retina generation " displacement " at place of adhesion, easily retina is caused the mechanicalness stretch injury.And inactive separated forceps is in separation process, what produce on retina then is two-way function power, relation for a pair of active force and counteracting force, the retina both sides are symmetrically stressed, reach equilibrium of forces, rely on the influence of retroaction " resistance power ", make retina " displacement " can not take place, avoided amphiblestroid mechanical injuries.The 3rd, the isolating purpose of passivity is divested as the direct film of will breeding of stripping, but be used to separate retina and the adhesion of breeding film, to expand as little space by the tight tight of adhesion between the two, expand as big space by little space, separates two tissue progressively forms the gap of " tunnel sample ", and by cutting or wipe out and obtain loosening of propagation film.
The material of these tweezers adopts titanium alloy, has the good mechanical performance and organizes inertia, can make the operating time of complicated VI phase patients with diabetic retinopathy be reduced in 1 hour and finish.
The described content of this description embodiment only is enumerating the way of realization of utility model design; protection domain of the present utility model should not be regarded as only limiting to the concrete form that embodiment states, protection domain of the present utility model also reach in those skilled in the art according to this utility model design the equivalent technologies means that can expect.

Claims (3)

1. ophthalmic inactive separated forceps, comprise that two afterbodys are fixed together, the front portion is cultrate tweezer sheet, the middle part of the described relatively tweezer sheet in the front portion of described tweezer sheet curves inwardly, it is characterized in that: the forward blade of described tweezer sheet is arranged on the outside, medial surface is thicker than approaching for lateral surface, forms the gradient from inside to outside; The front end of described tweezer sheet is tip-shape; Described blade is a dull edge.
2. according to the described ophthalmic inactive separated forceps of claim 1, it is characterized in that: it is wide trapezoidal from being too narrow to gradually that the forward cross section of described tweezer sheet presents ecto-entad.
3. ophthalmic inactive separated forceps according to claim 1 is characterized in that: the material of described tweezer sheet adopts titanium alloy.
CN200920191859XU 2009-08-20 2009-08-20 Ophthalmologic blunt separating forceps Expired - Fee Related CN201510417U (en)

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CN200920191859XU CN201510417U (en) 2009-08-20 2009-08-20 Ophthalmologic blunt separating forceps

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10675180B2 (en) 2016-06-17 2020-06-09 Alcon Inc. Membrane delamination devices

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10675180B2 (en) 2016-06-17 2020-06-09 Alcon Inc. Membrane delamination devices

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C17 Cessation of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20100623

Termination date: 20120820