CN203634365U - Silicon oil taking clamp for ophthalmologic operation - Google Patents

Silicon oil taking clamp for ophthalmologic operation Download PDF

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CN203634365U
CN203634365U CN201320854285.6U CN201320854285U CN203634365U CN 203634365 U CN203634365 U CN 203634365U CN 201320854285 U CN201320854285 U CN 201320854285U CN 203634365 U CN203634365 U CN 203634365U
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silicone oil
clip
clamping
holding part
ophthalmic surgery
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陈穗桦
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Nanjing General Hospital of Nanjing Command PLA
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Nanjing General Hospital of Nanjing Command PLA
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Abstract

本实用新型涉及一种眼科手术用取硅油夹,包括由片状弹性材料制成的握持部,所述握持部为U形夹状,端部各连接一个长度相同的连接部;连接部的另一端再分别连接一个扁平细杆状的夹持部;所述两夹持部的形状和大小均相同,并相互平行,其间的距离与手术切口的长度相适应,其末端各设有一个相互面对的圆片,该圆片的直径大于其与夹持部连接处的宽度,使该圆片可卡住手术切口。本实用新型设计合理,结构简单,使用方便,可在不增大手术创口的前提下,使眼内的硅油彻底的取出,对降低手术时间、术后眼内硅油残留和视网膜脱离复发率有益,尤其对基层医院眼科有实用价值。

The utility model relates to a silicone oil extraction clip for ophthalmic surgery, which comprises a holding part made of sheet elastic material, the holding part is in the shape of a U-shaped clip, and each end part is connected with a connecting part with the same length; the connecting part The other ends of the two are respectively connected with a flat and thin rod-shaped clamping part; the shape and size of the two clamping parts are the same, and they are parallel to each other, and the distance between them is suitable for the length of the surgical incision. For the discs facing each other, the diameter of the discs is larger than the width of the joint with the clamping part, so that the discs can be clamped to the surgical incision. The utility model has the advantages of reasonable design, simple structure and convenient use. It can completely remove the silicone oil in the eye without enlarging the surgical wound, which is beneficial to reduce the operation time, the residual silicone oil in the eye after operation, and the recurrence rate of retinal detachment. It has practical value especially for the ophthalmology department of primary hospital.

Description

眼科手术用取硅油夹Silicone Oil Clips for Ophthalmic Surgery

技术领域 technical field

本实用新型涉及一种医疗器械,尤其是一种眼科手术器械,具体的说是一种眼科手术用取硅油夹。 The utility model relates to a medical instrument, in particular to an ophthalmic surgical instrument, in particular to a silicone oil extraction clip for ophthalmic surgery.

背景技术 Background technique

1958年Stone在动物实验中发现硅油(silicone oil)这种惰性透明物质可用以治疗视网膜脱离,1962年Cibis首先报道将硅油注入玻璃体腔治疗复杂性视网膜脱离。上世纪80年代以后,玻璃体切割手术迅速发展,硅油作为玻璃体腔暂时性填充物的观念已被人们接受,并广泛应用于治疗复杂性玻璃体视网膜疾病,尤其是日渐增加的严重性眼外伤、糖尿病性视网膜病变等。迄今为止,医用眼内硅油因其在眼内不可避免的乳化改变,导致多项眼部并发症而仍无法作为眼内长期填充物,因此,及时和完全地取出眼内硅油,对玻璃体视网膜疾病手术的疗效影响巨大。目前,传统的眼内硅油取出手术多采取眼内负吸或经扩大的巩膜穿刺口排出,并依赖昂贵的玻璃体手术设备。同时术后眼内硅油残留、巩膜伤口色素膜脱出嵌钝、眼内出血、较高的复发性视网膜脱离等问题,也一直困绕着眼科医生。随着我国医疗技术迅猛发展,玻璃体切割术后眼内硅油填充的患者猛增,由于医疗资源的不均衡,这些患者由于医疗需要多次远程就医,成为巨大的医疗负担。因此,急需设计一种安全可靠,操作简单的器械,可以改进眼内硅油取出手术操作方法,有效规避手术并发症,使得眼内硅油取出手术更简便、更安全,并可以让眼内硅油填充的患者在就近的医疗机构就可进行比较安全的硅油取出手术,避免因硅油取出手术后长途的奔波疲劳导致术后再次视网膜脱离。 In 1958, Stone discovered that silicone oil, an inert transparent substance, could be used to treat retinal detachment in animal experiments. In 1962, Cibis first reported that silicone oil was injected into the vitreous cavity to treat complex retinal detachment. After the 1980s, vitrectomy surgery developed rapidly, and the concept of silicone oil as a temporary filling in the vitreous cavity has been accepted by people, and it is widely used in the treatment of complex vitreoretinal diseases, especially the increasing severity of ocular trauma, diabetic Retinopathy, etc. So far, medical intraocular silicone oil cannot be used as a long-term intraocular filler due to the inevitable emulsification changes in the eye, resulting in multiple ocular complications. The outcome of surgery has a huge impact. At present, the traditional intraocular silicone oil removal operation mostly adopts negative intraocular suction or discharge through the enlarged sclera puncture port, and relies on expensive vitreous surgery equipment. At the same time, problems such as residual silicone oil in the eye after surgery, shedding of the pigmented membrane in the scleral wound, intraocular hemorrhage, and high recurrent retinal detachment have also plagued ophthalmologists. With the rapid development of medical technology in my country, the number of patients with intraocular silicone oil filling after vitrectomy has increased sharply. Due to the imbalance of medical resources, these patients need to seek medical treatment many times remotely, which has become a huge medical burden. Therefore, there is an urgent need to design a safe, reliable, and easy-to-operate instrument, which can improve the operation method of intraocular silicone oil removal surgery, effectively avoid surgical complications, make intraocular silicone oil removal surgery easier and safer, and allow intraocular silicone oil to fill. Patients can undergo a relatively safe silicone oil removal operation in the nearest medical institution to avoid postoperative retinal detachment due to long-distance travel fatigue after the silicone oil removal operation.

发明内容 Contents of the invention

本实用新型的目的是提供一种结构简单,使用方便的眼科手术用取硅油夹,使取硅油时更加彻底,且不会扩大伤口,并可减少手术并发症。 The purpose of this utility model is to provide a simple structure, easy to use clip for removing silicone oil for ophthalmic surgery, which can make the removal of silicone oil more thorough without enlarging the wound and reducing surgical complications.

本实用新型的技术方案是: The technical scheme of the utility model is:

一种眼科手术用取硅油夹,包括由片状弹性材料制成的握持部,所述握持部为U形夹状,端部各连接一个长度相同的连接部;连接部的另一端再分别连接一个扁平细杆状的夹持部;所述两夹持部的形状和大小均相同,并相互平行,其间的距离与手术切口的长度相适应,其末端各设有一个相互面对的圆片,该圆片的直径大于其与夹持部连接处的宽度,使该圆片可卡在手术切口上而不脱出。 A silicone oil clip for ophthalmic surgery, comprising a holding part made of sheet elastic material, the holding part is in the shape of a U-shaped clip, and each end is connected to a connecting part with the same length; the other end of the connecting part is then Connect a flat thin rod-shaped clamping part respectively; the shape and size of the two clamping parts are the same, and they are parallel to each other, and the distance between them is adapted to the length of the surgical incision. The diameter of the disc is greater than the width of the joint with the clamping part, so that the disc can be stuck on the surgical incision without prolapse.

所述两个连接部形状相同,均为楔形,底边与握持部的底边在一个平面;且其大端连接握持部,小端连接夹持部。 The two connecting parts have the same shape, both are wedge-shaped, and the bottom edge and the bottom edge of the holding part are on the same plane; and the big end is connected to the holding part, and the small end is connected to the clamping part.

所述夹持部垂直于连接部的底边,并与连接部的斜边呈圆弧形连接。 The clamping portion is perpendicular to the bottom of the connecting portion and is connected with the hypotenuse of the connecting portion in an arc shape.

所述夹持部的宽度为0.6-0.8mm,圆形末端的直径为0.8-1.2mm。 The clamping portion has a width of 0.6-0.8mm, and a diameter of the circular end is 0.8-1.2mm.

所述握持部的两个侧面向外弧形凸起,最大处的距离为6-8mm。 The two sides of the holding part protrude outward in an arc shape, and the maximum distance is 6-8mm.

本实用新型的有益效果: The beneficial effects of the utility model:

本实用新型设计合理,结构简单,使用方便,可在不增大手术切口的前提下,使眼内的硅油彻底的取出,有效降低手术时间、术后眼内硅油残留和视网膜脱离复发率,尤其对基层医院眼科有实用价值。 The utility model has the advantages of reasonable design, simple structure and convenient use. It can completely remove the silicone oil in the eye without enlarging the surgical incision, effectively reducing the operation time, residual silicone oil in the eye after operation, and the recurrence rate of retinal detachment. It is of practical value to the ophthalmology department of primary hospital.

附图说明 Description of drawings

图1是本实用新型的结构示意图。 Fig. 1 is the structural representation of the utility model.

图2是本实用新型的俯视图。 Fig. 2 is a top view of the utility model.

其中:1-夹持部;2-连接部;3-握持部;4-圆片。 Among them: 1-clamping part; 2-connecting part; 3-holding part; 4-wafer.

具体实施方式 Detailed ways

下面结合附图和实施例对本实用新型作进一步的说明。 Below in conjunction with accompanying drawing and embodiment the utility model is described further.

本实用新型包括由片状弹性材料制成的握持部3。该握持部3呈U形夹状,其端部各连接一个长度相同的连接部2,并在连接部2的另一端各连接一个夹持部1。所述两个夹持部1的形状大小相同,均为扁平细杆状,且相互平行,其间的距离与手术切口的长度相适应。所述夹持部1末端各设有一个相互面对的圆片4。该圆片4的直径大于其与夹持部连接处的宽度。如此,当向内挤压握持部3时,可带动连接部2和夹持部1向内靠拢,直至两夹持部1和圆片4完全贴合;当松开握持部3时,在弹力的作用下,可使夹持部1张开。同时,由于夹持部1末端的圆片4直径大于其与夹持部1连接处的宽度,所以,当圆片4插入切口后,该圆片4可卡在切口内,避免轻易脱出。根据试验,将上述圆片4直径和其与夹持部1的连接处宽度的差设定为0.2mm左右,效果最佳。所述两个连接部2的形状相同,均为楔形,其底边与握持部3的底边在一个平面上,且其大端连接握持部,小端连接夹持部。所述夹持部1与连接部2的底边相垂直,与连接部2的斜边呈圆弧形连接,使本实用新型在使用时,更加方便,且可实现自动转动。 The utility model includes a grip part 3 made of sheet elastic material. The holding portion 3 is in the shape of a U-shaped clip, each of its ends is connected to a connecting portion 2 of the same length, and the other end of the connecting portion 2 is connected to a clamping portion 1 . The two clamping parts 1 have the same shape and size, are flat and thin rod-shaped, and are parallel to each other, and the distance between them is adapted to the length of the surgical incision. Each end of the clamping portion 1 is provided with a disc 4 facing each other. The diameter of the disc 4 is greater than the width of the joint with the clamping portion. In this way, when the gripping part 3 is squeezed inward, the connecting part 2 and the gripping part 1 can be driven inward until the two gripping parts 1 and the wafer 4 are completely attached; when the gripping part 3 is released, Under the action of elastic force, the clamping part 1 can be opened. Simultaneously, because the diameter of the disc 4 at the end of the clamping part 1 is greater than the width of the junction with the clamping part 1, so when the disc 4 is inserted into the slit, the disc 4 can be stuck in the slit to avoid easy detachment. According to the test, setting the difference between the diameter of the wafer 4 and the width of the joint with the clamping portion 1 at about 0.2 mm has the best effect. The two connecting parts 2 have the same shape, both are wedge-shaped, and their bottoms are on the same plane as the bottom of the holding part 3 , and the big end is connected to the holding part, and the small end is connected to the clamping part. The clamping part 1 is perpendicular to the bottom edge of the connecting part 2, and is connected with the hypotenuse of the connecting part 2 in a circular arc shape, which makes the utility model more convenient when used and can realize automatic rotation.

实施例1,本实用新型的握持部3、连接部2、夹持部1和圆片4均使用同一种片状弹性材料,如金属或塑料,并将上述各部做成一体式。其中夹持部1的宽度均匀,为0.6-0.8mm,高度为8mm左右,其末端圆片4的直径为0.8-1.2mm。优选的,可取夹持部1的宽度为0.8mm,圆片的直径为1.0mm。所述两个连接部2相互平行,其间距离与夹持部间的距离相同,为2.5-4mm,使其与目前一般的手术切口2.0mm的长度相适应。所述握持部3的两个侧面向外弧形凸起,最大处的距离为6-8mm,以保证具有适度的张力,既能将夹持部1充分张开,又不会因张力过大而导致切口扩大。进一步的,为方便手术操作,本实用新型的总长度设定在2cm左右。 Embodiment 1, the gripping part 3, the connecting part 2, the clamping part 1 and the disc 4 of the utility model all use the same sheet-like elastic material, such as metal or plastic, and the above-mentioned parts are made into one piece. The clamping portion 1 has a uniform width of 0.6-0.8 mm, a height of about 8 mm, and a diameter of the end disc 4 of 0.8-1.2 mm. Preferably, the clamping portion 1 may have a width of 0.8 mm and a diameter of the disc of 1.0 mm. The two connecting parts 2 are parallel to each other, and the distance between them is the same as the distance between the clamping parts, which is 2.5-4mm, so that it is compatible with the length of the current general surgical incision of 2.0mm. The two sides of the holding part 3 protrude outward in an arc shape, and the maximum distance is 6-8 mm, so as to ensure moderate tension, which can fully open the holding part 1 without causing excessive tension. large resulting in enlargement of the incision. Further, for the convenience of operation, the total length of the utility model is set at about 2cm.

本实用新型的使用方法:在常规2%利多卡因注射液2.5ml术眼球后注射后消毒术眼皮肤铺手术巾,开睑器牵开眼睑,颞下方角巩膜缘外3.5mm行巩膜1.5-2.0mm穿刺后导入眼内注水管;鼻上方或颞上方角巩膜缘外3.5mm行巩膜穿刺切口1.5-2.0mm,按压本实用新型硅油取出夹的握持部3,使两夹持部1及其末端的圆片4并拢后,将该圆片4完全插入切口中。然后,放慢慢开握持部3,使其在弹力的作用下张开,并带动夹持部1张开。由于眼球为球形,并在其内部压力的作用下,本实用新型硅油取出夹可自动或在人工的帮助下旋转90°,使夹持部1末端的圆片4恰好卡在巩膜穿刺切口的两端,将切口保持张开,使硅油自巩膜穿刺切口平缓溢出。手术结束时,轻微按压握持部3,取出该夹。在一切手术基本步骤不变的情况下,本实用新型还可以用于无晶体眼硅油取出经前房切口。 The usage method of the present utility model: after routine injection of 2% lidocaine injection 2.5ml after eyeball injection, surgical towel is spread on eye skin of disinfection operation, eyelid opener retracts eyelid, and 1.5-mm of sclera is lined outside 3.5mm of temporal inferior corneoscleral limbus. After the 2.0mm puncture, introduce the intraocular water injection tube; make a scleral puncture incision 1.5-2.0mm at 3.5mm outside the corneoscleral limbus above the nose or above the temporal, and press the holding part 3 of the silicone oil removal clip of the utility model to make the two holding parts 1 and 2. After the discs 4 at the ends are brought together, the discs 4 are fully inserted into the incision. Then, release the holding part 3 slowly, make it open under the action of elastic force, and drive the holding part 1 to open. Because the eyeball is spherical, and under the action of its internal pressure, the silicone oil removal clip of the utility model can be rotated 90° automatically or with the help of manpower, so that the disc 4 at the end of the clamping part 1 is just stuck on the two sides of the scleral puncture incision. Keep the incision open, so that the silicone oil can overflow smoothly from the scleral puncture incision. At the end of the operation, the clip is removed by slightly pressing the grip 3. Under the condition that all the basic steps of the operation remain unchanged, the utility model can also be used for taking out the silicon oil of the aphakic eye through the anterior chamber incision.

本实用新型未涉及部分均与现有技术相同或可采用现有技术加以实现。 The parts not involved in the utility model are all the same as the prior art or can be realized by adopting the prior art.

Claims (5)

1.一种眼科手术用取硅油夹,包括由片状弹性材料制成的握持部,其特征是所述握持部为U形夹状,端部各连接一个长度相同的连接部;连接部的另一端再分别连接一个扁平细杆状的夹持部;所述两夹持部的形状和大小均相同,并相互平行,其间的距离与手术切口的长度相适应,其末端各设有一个相互面对的圆片,该圆片的直径大于其与夹持部连接处的宽度,使该圆片可卡在手术切口上而不脱出。 1. A silicone oil clip for ophthalmic surgery, comprising a holding portion made of sheet elastic material, characterized in that the holding portion is U-shaped, and the ends are each connected to a connecting portion with the same length; The other end of the part is respectively connected with a flat thin rod-shaped clamping part; the shape and size of the two clamping parts are the same, and they are parallel to each other, and the distance between them is adapted to the length of the surgical incision. A circular piece facing each other, the diameter of the circular piece is larger than the width of the joint with the clamping part, so that the circular piece can be stuck on the surgical incision without coming out. 2.根据权利要求1所述眼科手术用取硅油夹,其特征是所述两个连接部形状相同,均为楔形,底边与握持部的底边在一个平面,且其大端连接握持部,小端连接夹持部。 2. According to claim 1, the clip for taking silicone oil for ophthalmic surgery is characterized in that the two connecting parts have the same shape, both are wedge-shaped, and the bottom edge and the bottom edge of the holding part are on the same plane, and the big end is connected to the holding part. The holding part, the small end is connected to the holding part. 3.根据权利要求2所述眼科手术用取硅油夹,其特征是所述夹持部垂直于连接部的底边,并与连接部的斜边呈圆弧形连接。 3. The clip for removing silicone oil for ophthalmic surgery according to claim 2, characterized in that the clamping portion is perpendicular to the bottom edge of the connecting portion, and is connected with the hypotenuse of the connecting portion in an arc shape. 4.根据权利要求1所述眼科手术用取硅油夹,其特征是所述夹持部的宽度均匀,为0.6-0.8mm,圆片的直径为0.8-1.2mm。 4. The clip for removing silicone oil for ophthalmic surgery according to claim 1, characterized in that the clamping portion has a uniform width of 0.6-0.8mm, and the diameter of the disc is 0.8-1.2mm. 5.根据权利要求1所述眼科手术用取硅油夹,其特征是所述握持部的两个侧面向外弧形凸起,最大处的距离为6-8mm。 5. The clip for removing silicone oil for ophthalmic surgery according to claim 1, characterized in that the two sides of the holding part protrude outward in an arc shape, and the distance between the largest points is 6-8mm.
CN201320854285.6U 2013-12-24 2013-12-24 Silicon oil taking clamp for ophthalmologic operation Expired - Fee Related CN203634365U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103655035A (en) * 2013-12-24 2014-03-26 中国人民解放军南京军区南京总医院 Silicone oil take-out clamp for ophthalmologic operation
RU2636855C1 (en) * 2016-11-24 2017-11-28 Арсений Александрович Кожухов Device for removing silicone oil from vitreal cavity
CN112716689A (en) * 2020-12-14 2021-04-30 微智医疗器械有限公司 Ophthalmic surgical instrument

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103655035A (en) * 2013-12-24 2014-03-26 中国人民解放军南京军区南京总医院 Silicone oil take-out clamp for ophthalmologic operation
CN103655035B (en) * 2013-12-24 2015-12-30 中国人民解放军南京军区南京总医院 Silicone oil take-out clamp for ophthalmologic operation
RU2636855C1 (en) * 2016-11-24 2017-11-28 Арсений Александрович Кожухов Device for removing silicone oil from vitreal cavity
WO2018097766A1 (en) * 2016-11-24 2018-05-31 Арсений Александрович КОЖУХОВ Device for removing silicone oil from the vitreous chamber
CN112716689A (en) * 2020-12-14 2021-04-30 微智医疗器械有限公司 Ophthalmic surgical instrument
CN112716689B (en) * 2020-12-14 2023-09-15 微智医疗器械有限公司 Ophthalmic surgical instrument

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