CN203861431U - Supporter for proliferation cords under retina - Google Patents

Supporter for proliferation cords under retina Download PDF

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Publication number
CN203861431U
CN203861431U CN201420239185.7U CN201420239185U CN203861431U CN 203861431 U CN203861431 U CN 203861431U CN 201420239185 U CN201420239185 U CN 201420239185U CN 203861431 U CN203861431 U CN 203861431U
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CN
China
Prior art keywords
rod
handle
retina
breed
under
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.)
Expired - Fee Related
Application number
CN201420239185.7U
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Chinese (zh)
Inventor
谢平
刘庆淮
胡仔仲
张薇玮
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Jiangsu Province Hospital First Affiliated Hospital With Nanjing Medical University
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Jiangsu Province Hospital First Affiliated Hospital With Nanjing Medical University
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Priority to CN201420239185.7U priority Critical patent/CN203861431U/en
Application granted granted Critical
Publication of CN203861431U publication Critical patent/CN203861431U/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Abstract

The utility model provides a supporter for proliferation cords under a retina. The supporter comprises a handle (3) and a rod body (2) fixedly connected with the handle (3), wherein a work part (1) is arranged at the front end of the rod body (2); the rod body (2) is composed of a rod main body (21) and a rod body front part (22); an obtuse angle is formed between the rod body front part (22) and the rod main body (21); the work part (1) is an arc piece bending towards the rod body; the middle of the arc piece is fixedly connected with the rod body front part; the arc piece is in the same horizontal plane with the rod body front part (22); the distances from two ends of the arc piece to the tail end of the handle (3) are the same. The supporter for the proliferation cords under the retina, provided by the utility model, can stably support the proliferation cords under the retina without detachment, the operation is simple, the operation efficiency is increased, and damage to the retina caused by the operation is reduced.

Description

Under a kind of retina, breed bar rope eyelid retractor
Technical field
This utility model belongs to medical instruments field, is specifically related to external coat medical equipment, breeds bar rope eyelid retractor more specifically under a kind of retina.
Background technology
Under retina, breed bar rope and betide proliferative vitreoretinopathy (proliferative vitreoretinopathy after rhegmatogenous detachment of retina, PVR), due to retinal pigment epithelium (retinal pigment epithelial, RPE) give birth to as macrophage, myofibroblast form in subretinal propagation, change, retinal gliocytes also participates in its formation simultaneously.Lewis etc. to 72 routine PVR patients' research in, find that under retina, breeding bar rope is present in 47% patient, part hinders amphiblestroid reset, needs operation to take out.Under surgical procedure retina, the principle of hypertrophy is: under retina, propagation is taken out as far as possible, strictly according to the facts in difficulty, removes the reattachment of retina of loosening.Under retina, the operating technology of hyperplastic tissue is the technology the most difficult in vitreous-body-retina integrated operation, required precision is the highest.
Conventionally in operation, near breeding bar rope under retina, there is retinal hole, can be extracted through former ceasma; As without retinal hole, must under retina, breed near bar rope retina place easy to operate coagulation under water in advance, then retina pore-creating, then extract propagation bar rope through pore-creating place.As far as possible along ceasma tangential direction although breed the extraction of bar rope under retina, but because this operating position is eyeball inner surface, propagation bar rope has traction action and there is to certain dissection at retinal hole edge the retina that is covered in its top, can cause detachment of retina or original extent of retinal detachment to increase, and the expansion of retinal hole, affect surgical effect.Therefore, need to breed bar rope under traction, extraction retina time, at retinal hole place, bar rope is supported, to reduce amphiblestroid damage in operating process.
At present still not for the special apparatus of this operation, most patients are often taking ophthalmic lighting fiber as the strong point, by the tractive that continues to repeat, take out and under retina, breed bar rope.Due to the blunt circle in ophthalmic lighting fiber top, in supporting, cannot fix propagation bar rope, often slippage repeatedly, therefore this operating efficiency is low, also easy damaged retina.
Summary of the invention
The purpose of this utility model is to provide in a kind of 20G vitrectomy bimanualness and carries out breeding under retina bar rope while extracting, under Special medical equipment propagation bar rope being supported at retinal hole place---retina, breeds bar rope eyelid retractor.
Under the designed retina of this utility model, breed bar rope eyelid retractor, the body of rod 2 that mainly comprises handle 3 and be fixedly connected with handle 3, be provided with operate portions 1 at the front end of the body of rod 2, the described body of rod 2 is made up of body of rod our department 21 and body of rod front portion 22, the body of rod anterior 22 forms obtuse angle with body of rod our department 21, preferably 160 degree (the θ angle in Fig. 2), also can also can finely tune its angle by vascular forceps in use; Described operate portions 1 is for arch is to the arcuate member of body of rod direction, and the middle part of arcuate member is fixedly connected with body of rod front portion 22, and arcuate member and body of rod front portion 22 are in the same plane, and arcuate member two ends equate to the distance of handle 3 ends.
The effect of above-mentioned arcuate member is to make eyelid retractor can support at retinal hole place under retina to breed bar cable body portion, is convenient to retina tweezer and clamps and under retina, breed along inclined direction tractive of bar rope, breeds bar rope to extract under retina.Be preferably " C " shape or " U " shape.Further, in order to obtain better support effect, preferably arcuate member altitude range 0.3-0.5mm, A/F scope 0.6-0.9mm, as shown in Figure 4, in figure, a is arcuate member height, b is A/F.
Under this above-mentioned retina, breed bar rope eyelid retractor and generally can adopt the metal material such as rustless steel or titanium alloy made, preferred, the handle 3 of eyelid retractor and the body of rod 2 are circular metal bar, and operate portions 1 adopts the bending of circular metal silk to form.Handle, the body of rod and operate portions can be one-body molded, also can fixedly be assembled by multiple parts.
Under retina described in the utility model, breed bar rope eyelid retractor, the length of handle, the body of rod and arcuate member can be determined according to the needs of operation.
In a preferred version of the present utility model, handle (3) is made up of handle body (31) and connecting portion (32), described connecting portion (32) is the tapered rod of handle body (31) continuity, described handle body (31) length range 80-90mm, diameter range 4-5mm, the length range 20-25mm of connecting portion (32), diameter is from the progressive 0.8-0.9mm that is down to of scope 4-5mm; The length range 35-40mm of described body of rod our department (21), from handle (3) end to body of rod front portion (22) diameter range from the progressive 0.3-0.4mm that tapers to of 0.8-0.9mm, described body of rod front portion (22) is the same footpath continuum of body of rod our department (21) front end, length range 4.5-5mm, diameter range is 0.3-0.4mm; The material diameter scope of described arcuate member is 0.3-0.4mm.
In a further preferred version, the long 80mm of handle body (31), diameter is 4mm, the long 20mm of connecting portion (32), diameter is from the progressive 0.9mm that is down to of 4mm; The long 35mm of described body of rod our department (21), from handle (3) end to body of rod front portion (22) diameter from the progressive 0.4mm that tapers to of 0.9mm, described body of rod front portion (22) is the same footpath continuum of body of rod our department (21) front end, long 5mm, diameter is 0.4mm; The material diameter of described arcuate member is 0.4mm.
Under above-mentioned retina, breed in bar rope eyelid retractor handle body 31 and can further be provided with anti-skidding lines.
The particular configuration of breeding bar rope eyelid retractor under retina described in the utility model is to design according to the particular requirement of carried out intraocular surgery, the shape of its operate portions and structure can facilitate operator, and by it, the sclerotic puncture mouth in standard 20G vitrectomy enters ophthalmic, under the illumination of ceiling lamp, extract and under retina, breed bar rope by bimanualness.
Under the designed retina of this utility model, breed bar rope eyelid retractor and solved and currently under retina, breed when bar rope extracts and usually cause amphiblestroid damage owing to lacking applicable Special medical equipment being undertaken by 20G vitrectomy, affect the technical problems such as surgical effect.Apply and under retina of the present utility model, breed bar rope eyelid retractor and carry out breeding bar rope extraction operation under retina and can reach following technique effect:
1. carry out breeding under retina bar rope while extracting, bar cable body portion is supported with eyelid retractor at ceasma place, can avoid the dissection of bar cable body portion to amphiblestroid traction and counterincision bore edges, can effectively prevent the increase of extent of retinal detachment and the expansion of retinal hole, reduce the retina injury that operation technique brings;
2. by the support to retina bar cable body portion, can change the direction of retina tweezer to bar rope tractive, have within the eye larger working place, for ophthalmic operation facilitates;
3. eyelid retractor front end energy stable support is lived bar rope, can slippage, save the operating time, and improve operation efficiency.
Brief description of the drawings
Fig. 1 breeds bar rope eyelid retractor structural representation under retina of the present utility model.
Fig. 2 is the partial enlarged drawing of the front portion of the body of rod shown in Fig. 1 and operate portions.
Under Fig. 3 retina of the present utility model, breed the top view of bar rope eyelid retractor.
Fig. 4 is the partial enlarged drawing of the front portion of the body of rod shown in Fig. 3 and operate portions.
In Fig. 1 and Fig. 3,1-operate portions, the 2-body of rod, 21-body of rod our department, 22-body of rod front portion, 3-handle, 31-handle body, 32-connecting portion.
Detailed description of the invention
Concrete steps of the present utility model are described by the following examples, but not limited by embodiment.
The term using in this utility model, except as otherwise noted, generally has the implication that those of ordinary skill in the art understand conventionally.
Below in conjunction with specific embodiment comparable data, this utility model is described in further detail.Should be understood that these embodiment are just in order to illustrate this utility model, but not limit by any way scope of the present utility model.
In following examples, various processes and the method do not described in detail are conventional methods as known in the art.
Embodiment 1
Under retina described in the utility model, breed the structural representation of bar rope eyelid retractor as shown in Figure 1, Fig. 2 is the partial enlarged drawing of the front portion of the body of rod shown in Fig. 1 and operate portions, breeds the top view of bar rope eyelid retractor under Fig. 3 retina of the present utility model, and Fig. 4 is the partial enlarged drawing of the front portion of the body of rod shown in Fig. 3 and operate portions, wherein, 1-operate portions, the 2-body of rod, 21-body of rod our department, 22-body of rod front portion, 3-handle, 31-handle body, 32-connecting portion.Under retina described in the utility model, breed the body of rod 2 that bar rope eyelid retractor comprises handle 3 and is fixedly connected with handle 3, be provided with operate portions 1 at the front end of the body of rod 2, the described body of rod 2 is made up of body of rod our department 21 and body of rod front portion 22, the body of rod anterior 22 forms obtuse angle (the θ angle in Fig. 2) with body of rod our department 21, also can also can finely tune its angle by vascular forceps in use; Described operate portions 1 is for arch is to the arcuate member of body of rod direction, and the middle part of arcuate member is fixedly connected with body of rod front portion 22, and arcuate member and body of rod front portion 22 are in the same plane, and arcuate member two ends equate to the distance of handle 3 ends.
Use and under above-mentioned retina, breed bar rope eyelid retractor, carry out bimanualness under ceiling lamp light illumination in 20G vitrectomy time, under one hand-held retina of patient, breed bar rope eyelid retractor and enter ophthalmic through any a kerf in top of standard three cuts, support at retinal hole place and under retina, breed bar cable body portion, another hand-held retina tweezer is clamped and under retina, is bred along inclined direction tractive of bar rope, breeds bar rope to extract under retina.
Embodiment 2
In order to obtain better result of use, on embodiment 1 basis, further, under this utility model retina, to breed bar rope eyelid retractor and adopt titanium alloy material to be made of one piece, the handle 3 of eyelid retractor and the body of rod 2 are circular metal bar.Handle 3 can be made up of handle body 31 and connecting portion 32, the tapered rod that connecting portion 32 continues for handle body 31, and the long 80mm of handle body 31, diameter is 4mm, the long 20mm of connecting portion 32, diameter is from the progressive 0.9mm that is down to of 4mm; The long 35mm of body of rod our department 21, from handle 3 ends to the body of rod, anterior 22 diameters are from the progressive 0.4mm that tapers to of 0.9mm, the described body of rod anterior 22 is the same footpath continuum of body of rod our department 21 front ends, long 5mm, diameter is 0.4mm, form 160 ° of angles with body of rod our department 21, (the θ angle in Fig. 2 is 160 ° of angles); The arcuate member that the circular metal silk bending that operate portions 1 is 0.4mm for diameter forms, arcuate member height is 0.5mm, A/F is 0.9mm (as shown in Figure 4, in figure, a is arcuate member height, and b is A/F).Under this retina, breed bar rope eyelid retractor total length and be about 140mm.Handle body 31 is provided with antiskid thread.
Use and under above-mentioned retina, breed bar rope eyelid retractor, carry out bimanualness under ceiling lamp light illumination in 20G vitrectomy time, under one hand-held retina of patient, breed bar rope eyelid retractor and enter ophthalmic through any a kerf in top of standard three cuts, support at retinal hole place and under retina, breed bar cable body portion, another hand-held retina tweezer is clamped and under retina, is bred along inclined direction tractive of bar rope, breeds bar rope to extract under retina.

Claims (9)

1. under a retina, breed bar rope eyelid retractor, it is characterized in that, the body of rod (2) that comprises handle (3) and be fixedly connected with handle (3), be provided with operate portions (1) at the front end of the body of rod (2), the described body of rod (2) is made up of body of rod our department (21) and body of rod front portion (22), body of rod front portion (22) forms obtuse angle with body of rod our department (21), described operate portions (1) is for arch is to the arcuate member of body of rod direction, the middle part of arcuate member is fixedly connected with body of rod front portion, arcuate member and body of rod front portion (22) are in the same plane, and the end-to-end distance of handle (3) is arrived from equating in arcuate member two ends.
2. under retina as claimed in claim 1, breed bar rope eyelid retractor, it is characterized in that, described arcuate member is " C " shape or " U " shape.
3. under retina as claimed in claim 1, breed bar rope eyelid retractor, it is characterized in that, described body of rod front portion (22) forms 160 degree angles with body of rod our department (21).
4. under retina as claimed in claim 1, breed bar rope eyelid retractor, it is characterized in that, described arcuate member altitude range 0.3-0.5mm, A/F scope 0.6-0.9mm.
5. under retina as claimed in claim 1, breed bar rope eyelid retractor, it is characterized in that, described handle (3) is made up of handle body (31) and connecting portion (32), described connecting portion (32) is the tapered rod of handle body (31) continuity, described handle body (31) length range 80-90mm, diameter range 4-5mm, the length range 20-25mm of connecting portion (32), diameter is from the progressive 0.8-0.9mm that is down to of scope 4-5mm; The length range 35-40mm of described body of rod our department (21), from handle (3) end to body of rod front portion (22) diameter range from the progressive 0.3-0.4mm that tapers to of 0.8-0.9mm, described body of rod front portion (22) is the same footpath continuum of body of rod our department (21) front end, length range 4.5-5mm, diameter range is 0.3-0.4mm; The material diameter scope of described arcuate member is 0.3-0.4mm.
6. under retina as claimed in claim 5, breed bar rope eyelid retractor, it is characterized in that, described handle (3) is made up of handle body (31) and connecting portion (32), described connecting portion (32) is the tapered rod of handle body (31) continuity, the long 80mm of described handle body (31), diameter is 4mm, the long 20mm of connecting portion (32), and diameter is from the progressive 0.9mm that is down to of 4mm; The long 35mm of described body of rod our department (21), from handle (3) end to body of rod front portion (22) diameter from the progressive 0.4mm that tapers to of 0.9mm, described body of rod front portion (22) is the same footpath continuum of body of rod our department (21) front end, long 5mm, diameter is 0.4mm; The material diameter of described arcuate member is 0.4mm.
7. under the retina as described in one of claim 1-6, breed bar rope eyelid retractor, the handle (3) and the body of rod (2) that it is characterized in that described eyelid retractor are circular metal bar, and operate portions (1) adopts the bending of circular metal silk to form.
8. under the retina as described in one of claim 1-6, breed bar rope eyelid retractor, it is characterized in that described handle body (31) is provided with anti-skidding lines.
9. under retina as claimed in claim 8, breed bar rope eyelid retractor, it is characterized in that handle (3), the body of rod (2) and the operate portions (1) of described eyelid retractor is formed in one.
CN201420239185.7U 2014-05-09 2014-05-09 Supporter for proliferation cords under retina Expired - Fee Related CN203861431U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201420239185.7U CN203861431U (en) 2014-05-09 2014-05-09 Supporter for proliferation cords under retina

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201420239185.7U CN203861431U (en) 2014-05-09 2014-05-09 Supporter for proliferation cords under retina

Publications (1)

Publication Number Publication Date
CN203861431U true CN203861431U (en) 2014-10-08

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104083250A (en) * 2014-05-09 2014-10-08 南京医科大学第一附属医院 Subretinal proliferation cord supporting device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104083250A (en) * 2014-05-09 2014-10-08 南京医科大学第一附属医院 Subretinal proliferation cord supporting device

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C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20141008

Termination date: 20210509