CN207837721U

CN207837721U - Posterior scleral shrinks operation special equipment packet

Info

Publication number: CN207837721U
Application number: CN201720672829.5U
Authority: CN
Inventors: 薛安全
Original assignee: Individual
Current assignee: Individual
Priority date: 2017-06-09
Filing date: 2017-06-09
Publication date: 2018-09-11
Anticipated expiration: 2027-06-09

Abstract

The utility model discloses a kind of posterior sclerals to shrink operation special equipment packet, including the special equipment that instruments box and instruments box are built-in with：Long forceps, shovel drag hook and ball-pointed pliers after crank arm type eye speculum, sclera ranging making ruler, Multifunctional hook, ball.The utility model instruments box, which has to collect, to be stored; it is anti-vibration protected; high-temperature sterilization; the advantages that easy to carry; each special equipment design is succinct; it holds and takes using flexible; it can adapt to posterior scleral and shrink the exposed property operation that operation under the microscope carries out eyeball rear portion; maintain relatively spacious visual area; the interference in operating space is reduced, band is smoothly placed and is fixed on suitable position on sclera by the cooperation being conducive between operator and assistant; control posterior scleral shrinkage greatly improves precision and the safety of operation.

Description

Posterior scleral shrinks operation special equipment packet

Technical field

The utility model is related to clinical surgical instruments, and in particular to a kind of posterior scleral contraction operation special equipment packet.

Background technology

Posterior scleral Narrowing is increasingly paid attention to by clinical ophthalmology.The materials such as the operation application allogeneic sclera or endocranium The reinforcing strip band being prepared into is placed on the posterior scleral of high myopic eye expansion, Application of releasing aqueous humor of anterior chamber, after tension band suture is fixed, Posterior scleral can be made to shrink, posterior scleral can be prevented to continue to expand, it is chorioretinal to play the role of the protection of stable axis oculi, with control Lasting intensification and the prophylactic treatment eyeground pathological changes of myopia are made, which is expected to become prevention and treatment height in clinical development The blind key technology of myopia.Implement the operation and relate generally to operation to eyeball rear portion sclera, band is placed into the expansion of eyeball rear portion Sclera on, posterior scleral can be made to shrink after suture is fixed, and shrinkage can be quantified, avoid optic nerve, venae vorticosae, outside eye Postoperative complication caused by injury of muscle and rupture of sclera is the key that the successful surgery.

Due to the special anatomical structure of eye, eyeball scleral surface has the attachments such as optic nerve, venae vorticosae and extraocular muscle, by eye The limitation of socket of the eye, eyeball rear portion cannot be looked at straight, can only be operated depending under blind, and high myopic eye axis oculi is elongated, and eyeball becomes larger, Posterior scleral lesion is expanded, and staphyloma is formed, and thinning fragility, eyeball back space is organized to become narrower, it is difficult to exposure, drawing With the operations such as tissue separation, optic nerve, venae vorticosae, the damage of extraocular muscle meat and the complication such as eyeball rupture are easily caused.Band is put It sets in fixation procedure, if band places center deviation macula lutea, or partially outer easy slip is difficult to that axis oculi is made to shorten, and influences operation effect Fruit or blood vessel and optic nerve to the rear after being urged to ciliary have the risk for causing visual field damage even to be blinded.If to posterior scleral Contraction is not energetic, cannot ensure the clinical efficacy of operation, the larger defect even more performed the operation.

Posterior scleral shrinks operation and constantly explores and carry out clinical at present, and there are no dedicated suitable surgical instrument, hands Art doctor can only use general surgical instrument, and operating efficiency is low, and precision is poor, easily causes postoperative complication, not only affects The therapeutic effect of the operation also affects the operation in clinical enforcement of regulations and further genralrlization.

It can be seen that current posterior scleral operation is because without suitable instrument, there are inconvenient, precision is poor, influence The problem of clinical effectiveness and specification are carried out.

Utility model content

Technical problem to be solved in the utility model is that current posterior scleral is performed the operation because without suitable instrument, there is behaviour It is inconvenient to make, and precision is poor, influences clinical effectiveness and the problem of specification is carried out.

In order to solve the above-mentioned technical problem, there is provided one kind for technical solution used by the utility model for the utility model Posterior scleral shrinks operation special equipment packet, including instruments box, and the instruments box includes the box body of upper end opening and is fastened on described Box cover on box body, the box body is internally provided with fixed pad, and the fixed pad is equipped with evenly distributed Elastic force post, described It is placed on fixed pad：

Crank arm type eye speculum, including support component, the strutting assembly of the control support component folding and setting are described Open eyelid component in the end of support component；

Sclera ranging making ruler, including handle and label end, the side at the label end are equipped with balance plate, and the other side is equipped with Two pressing stabilizer blades, the pressing stabilizer blade are parallel with the balance plate；

Multifunctional hook, including sequentially connected handle, scale section and gib head, the gib head and the perpendicular bending of the handle Shape；

Long forceps after ball, including integrally formed fixed part, grip part and bare terminal end, the end of the bare terminal end, which is equipped with, draws Hook, in the same plane, the length of the drag hook is 1~2 millimeter for the drag hook, the bare terminal end and grip part setting；

Shovel drag hook, including long handle and the tabletting in the end of the long handle is set；

Ball-pointed pliers, including two integrally formed levers and the collet in the end of the lever is set, the collet Top surface is connected by arc surface with the lever, one of them described lever is equipped with the protruded stigma perpendicular to itself medial surface, separately One lever is butted on the top of the protruded stigma under the action of curable grip.

In another preferred embodiment, the box body is in cuboid, the narrow edge both ends of the box body and the box cover Centre is designed with multiple seepage flow on the box cover, box body and the fixed pad equipped with the ligule button that mutually fastens and button mouth Hole.

In another preferred embodiment, the eyelid end of opening is the frame with recess made of winding, is respectively placed in two The direction of the recess of two frames on the support arm is identical.

In another preferred embodiment, the fixing end of two support arms is equipped with adjusting screw rod, the adjusting screw rod Go deep between two adjusting screw rods, the medial surface rotation of two support arms, which is equipped with, struts arm, and the another of arm is strutted described in two End is rotatably arranged in an adjustment block, and the adjustment block turn is arranged on the adjusting screw rod.

In another preferred embodiment, the folding direction of the support arm and the recess of the frame are towards phase Together.

In another preferred embodiment, the end of the gib head is in hemispherical.

In another preferred embodiment, obtuse angle is formed between the collet and the lever.

In another preferred embodiment, it is respectively equipped on the handle, handle, grip part, long handle and the lever Anti-skid chequer.

The utility model, instruments box have collect store, anti-vibration protected, high-temperature sterilization, it is easy to carry the advantages that, it is each special Device design is succinct, holds by using flexible, can adapt to posterior scleral shrink operation eyeball rear portion is carried out under the microscope it is sudden and violent The operation of dew property, maintains relatively spacious visual area, reduces the interference in operating space, and the cooperation being conducive between operator and assistant is suitable Band is placed and is fixed on suitable position on sclera by profit, and control posterior scleral shrinkage greatly improves the precision of operation And safety.

Description of the drawings

Fig. 1 is the structural schematic diagram of the instruments box of the utility model；

Fig. 2 is the structural schematic diagram of the box body of the utility model；

Fig. 3 is the structural schematic diagram of the box cover of the utility model；

Fig. 4 is the structural schematic diagram of the crank arm type eye speculum of the utility model；

Fig. 5 is the partial enlarged view in the portions A in this Fig. 4；

Fig. 6 is the structural schematic diagram of the sclera ranging making ruler of the utility model；

Fig. 7 is the structural schematic diagram of the Multifunctional hook of the utility model；

Fig. 8 be the utility model ball after long forceps structural schematic diagram；

Fig. 9 is the structural schematic diagram of the shovel drag hook of the utility model；

Figure 10 is the structural schematic diagram of the ball-pointed pliers of the utility model.

Specific implementation mode

The utility model is described in detail with reference to specific embodiment and Figure of description.

As shown in Figure 1, posterior scleral contraction operation special equipment packet provided by the utility model includes instruments box, in instruments box It is equipped with long forceps 60, shovel drag hook 70 and ball-pointed pliers after crank arm type eye speculum 30, sclera ranging making ruler 40, Multifunctional hook 50, ball 80。

As shown in Figure 1, Figure 2 and Figure 3, instruments box upper end is open, including the box body 10 of upper end opening be fastened on box body 10 On box cover 20, box body 10 is internally provided with fixed pad, and fixed pad is equipped with evenly distributed Elastic force post 12.Structure letter It is clean, it is easy to carry, it is easy folding and cleaning, and since the component inside instruments box is mostly metal material, excessive shock and dissipated Disorderly collision is easy to happen cut and deformation, and Elastic force post 12 can effectively reduce vibrations, plays fixed and protective effect.

Box body 10 is in cuboid, and the ligule button 11 being mutually clamped and button are equipped among the narrow edge both ends of box body 10 and box cover 20 Mouth 21, the two, which corresponds to, to be fastened, and ligule button 11 is pressed inward against, and box cover 20 can be opened, and is set on box body 10 and box cover 20 and fixed pad There are multiple seepage flow holes 22.Seepage flow hole 22 and 10 inside of box body are unimpeded, are conducive to band sterilization of instruments.

Exist as shown in figure 4, crank arm type eye speculum includes support component, the strutting assembly of control support component folding and setting Open eyelid component in the end of support component.

Support component include the first linking arm 311 and support arm 312, support arm 312 include fixing end and free end, first The middle part of linking arm 311 is provided with threaded hole, and internal thread is provided in this threaded hole, and 311 both ends of the first linking arm are both provided with The fixing end of one support arm 312, two support arms 312 is hinged with the both ends of the first linking arm 311 respectively, two support arms 312 free end is in cone tip shape, bar-shaped trough is both provided on two support arms 312, and in such a way that the opening of bar-shaped trough is opposite It is arranged on the first linking arm 311.

Threaded rod 313 is provided on first linking arm 311, threaded rod 313 is equipped with can be with 311 middle part of the first linking arm Through-hole internal thread engagement external screw thread, threaded rod 313 passes through in the through-hole in the middle part of this external screw thread and the first linking arm 311 The mode of screw thread engagement, is threaded through on the first linking arm 311, one end of this threaded rod 313 is fixedly installed knob 314, knob 314 is cylindrical, and the anti-skid chequer for facilitating operative doctor to rotate this knob 314 is provided on the side of knob 314.

As shown in Figure 4 and Figure 5, the other end of threaded rod 313 is equipped with strutting assembly, and strutting assembly includes the second linking arm 321, the middle part of the second linking arm 321 is equipped with through-hole, and the second linking arm 321 is set in the end of threaded rod 313 by this through-hole, The end of threaded rod 313 is fixedly installed the first block 315 and the second block 316, and the first block 315 and the second block 316 will Second linking arm 321 is connected to the end of threaded rod 313, and the second linking arm 321 is enable to be moved with threaded rod 313 and not with spiral shell Rasp bar 313 rotates, and the both ends of the second linking arm 321, which are both provided with, struts arm 322, and two articles of one end for strutting arm 322 are respectively with the The both ends of two linking arms 321 are hinged, and two strut 322 other end of arm and are respectively articulated with the groove being arranged in two support arms 312 It is interior.This structure operation is convenient, and can position support arm 312 in a certain folding angle, and it is uncontrolled that folding angle will not occur The case where processed.

It includes two groups to open eyelid component, and it includes the first curved bar 331 to open eyelid component for each group, and the first curved bar 331 carries arc Degree, one end of the first curved bar 331 are fixed at the free end of support arm 312, and in a certain angle with support arm 312, and should Angle is preferably spent for ranging from 120 degree -150, V-shaped with this crank arm type eye speculum, can will be supported using process Component and strutting assembly are placed in the temporo side of face, there is that occupy horizontal space small and the characteristics of do not block operative region, be doctor into Row ocular carries out operation and brings great convenience.Since the free end of support arm 312 is in cone tip shape, this makes the first song Connection transition between bar 331 and support arm 312 will not be hooked into suture during use, reduce naturally, without step and protrusion Interference to operation.

The other end of first curved bar 331 opens eyelid frame integrally formed in indentations, opens eyelid frame and includes and the first curved bar 331 Integrally formed second curved bar 332, third curved bar 333 and the 4th curved bar 334, the first curved bar 331 and the second curved bar 332 are mutually flat Row, the both ends of third curved bar 333 and the 4th curved bar 334 are separately connected the first curved bar 331 and the second curved bar 332, and with this first Curved bar 331 and the second curved bar 332 surround jointly opens eyelid frame in indentations.Two open eyelid component to open the recess of eyelid frame towards phase The mode deviated from is respectively fixedly disposed on two support arms 312, and the first curved bar 331, which carries, to make the second curved bar 332 more The anatomical structure for agreeing with eye well, occupies little space, and it is good to open eyelid effect, convenient to being operated after ball.

The application method of this crank arm type eye speculum is as follows：The first curved bar 331 for two being opened respectively eyelid component is hooked on eyelid Upper eyelid and lower eyelid, then turn knob 314 makes to strut arm 322 and support arm 312 driven to open, and eyelid is opened by the drive of support arm 312 Component opens eyelid.

As shown in fig. 6, sclera ranging making ruler 40 includes L-shaped making ruler frame, making ruler frame is by orthogonal branch Fagging 410 and balance plate 420 are integrally formed, and the location interval opposite with balance plate 420 is equipped with two on the inner surface of support plate 410 For doing the pressing stabilizer blade 430 that pressing marks for operated eye, it is useful for by the fixed setting of connecting pole 440 in support plate 410 The cylindrical handle 450 held, the both ends of handle 450 are protruding with the interconnecting piece 451 in truncated conical shape, interconnecting piece 451 it is big End face is bonded with the end face of handle 450, and is integrally formed with handle 450, and the small end face of interconnecting piece 451 is connect with connecting pole 440, Connecting pole 440 is fixed at the middle part of the side of support plate 410.

Wherein, the thickness of support plate 410 is more than the thickness of balance plate 420, the outer end at pressing branch angle 430 and balance plate 420 Face is concordant, facilitates operative doctor to carry out pressing label to operation suture site with this, the end of pressing stabilizer blade 430 is protruding with hemisphere Shape protrusion, makes the pressing stabilizer blade 430 be more easy to discharge by pressing dent at operation stitching position and is not easy to cause to damage to sclera with this, Go out operation stitching by the indentation marks and fix the distance for determining that band temporo side moves forward into pin position, posterior scleral is reached with this Shrink the purpose of quantization.Handle 450 is in the form of a column, and the friction striped for facilitating operative doctor hand to hold is provided on its peripheral surface, even Connect column 440 diameter dimension be less than interconnecting piece 451 small end face diameter dimension, this sclera ranging making ruler 40 can be made to make Operative region is blocked with few as possible in the process, it is easy to operation.

This sclera ranging making ruler 40 is used to carry out pressing label to operation suture site, this sclera ranging making ruler 40 Application method is as follows：Operative doctor can according to the posterior scleral shrinkage of setting, hand-held handle 450 by press stabilizer blade 430 with Sclera contacts, and by pressing two impressions of discharge by pressing on sclera of stabilizer blade 430, marks operation stitching and fixes into pin position, really The distance for determining the Forward of band temporo side achievees the purpose that carry out accurate quantification to posterior scleral shrinkage degree with this, in the process Temporo side when balance plate 420 is tensed with band contacts, and plays the role of stable equilibrium, and pressing stabilizer blade 430 is made to extrude dent Convenient for identification, operative doctor Fast Labeling is helped to go out suture location of performing the operation.

As shown in fig. 7, Multifunctional hook 50 include sequentially connected handle 51, scale section 52 and gib head 53, gib head 53 with hold 51 perpendicular bendings.The shape of handle 51 is cylindric or strip, and the shape of gib head 53 is column, 52 one of scale section It is connected between handle 1 and gib head 53, gib head 53 is vertical with handle 1, can also be bent at an angle；And scale section 52 By close to 1 part of handle to the diameter close to 53 part of gib head gradually from large to small.Multifunctional hook can design length by gib head 53 It is equipped with 2~3.

When the utility model is used, ball week tissue is pulled open to expose posterior scleral and operative space, originally first with gib head 53 The curved profile of utility model designs holds assistance drawing under the microscope convenient for assistant, and provides more operating spaces；Hook First 53 can better conform to the anatomic form at eyeball rear portion, protect socket of the eye diaphragm, and according to concrete operations situation, select gib head 53 Length, adapt to the requirement of the size and micrurgy of exposed space, facilitate eyeball drawing and ball after organize separation；Gib head 53 to It is detected after ball, the position of optic nerve can be detected, interconnecting piece scale 52 can detect band outer rim at a distance from optic nerve, Band inner edge is can be determined that at a distance from optic nerve with this, is oppressed blood vessel after optic nerve and ciliary after preventing band from fixing, is avoided Related surgical complication occurs.

As shown in figure 8, long forceps 60 includes integrally formed fixed part 61, grip part 62 and bare terminal end 63, bare terminal end after ball 63 end is equipped with drag hook 631, and drag hook 631, bare terminal end 63 and grip part 62 are arranged in the same plane, the length of drag hook 631 It is 1~2 millimeter.The length of bare terminal end 63 is 10~40 millimeters, and such structure does not both interfere with the clamping in operation, can facilitate yet It hooks up, holding action and hooks up action and can reach coordination.

Long forceps 60 is used in posterior scleral shrinks operation after ball, takes out band temporo side.Bare terminal end 63 is closed, and kneading is turned over After turning, drag hook 631 can pull separated inferior oblique muscle, and exposure band is clamped to take out to be confused with bare terminal end 63 and be ensconced under inferior oblique muscle belly of muscle Band head end, procedure accelerate, the safety is improved.

Angle between drag hook 631 and bare terminal end 63 is 90 °, this angle increases clamping range, and can play drag hook The maximum effect of 631 drawings.

Bare terminal end 63 connects by long-armed 630 with grip part 62, and bare terminal end 63 forms obtuse angle with long-armed 630.Long-armed 630 can It effectively reduces and operative site is blocked in operating process, improve the open degree in the visual field, be conveniently operated.

Grip part 62 is equipped with the first anti-skid chequer 621 in shape thick between the detail of both ends, the lateral surface of grip part 62, and both ends are thin Centre can slightly reduce the influence to surgical field of view to greatest extent, and also allow for operating, and anti-skid chequer can increase frictional force, prevent from holding and take It slips.

It is respectively equipped with the second anti-skid chequer on the opposite face of two bare terminal ends 63, entrainment can be picked up and, increases chucking power.Clamping The width at end 63 is more than long-armed 630 width, increases clamping face, and then improve chucking power.

As shown in figure 9, shovel drag hook 70 includes long handle 71 and tabletting 72, wherein the axial shape of long handle 71 is the arc of bending The section configuration of shape, long handle 71 is round or oval；The shape of tabletting 72 and 71 integrally connected of long handle, tabletting 72 is S-shaped The flat elongate body of bending, tabletting 72 are the first bending section 721, the first bending section 721 and long handle 71 close to the side of long handle 71 Bending direction it is identical, side of the tabletting 72 far from long handle 71 is the second bending section 722, the second bending section 722 and long handle 71 Bending direction is opposite.The width of first bending section 721 is become narrow gradually by both ends to centre, and the both sides of the first bending section 721 In the V-arrangement to concave, such design is in order to which instrument itself will not block operation sight, convenient and safety at the time of surgery, It is high.

Shovel drag hook 70 in use, pull open ball week tissue, exposure separation ball is all, consolidates after detecting successively using tabletting 72 Film.And instrument adapts to the requirement of micrurgy in miniaturization.

It is further preferred that long handle 71 is equipped with anti-skid chequer, stability when use and safety are enhanced.Second bending The curvature of the one end of portion 722 far from the first bending section 721 closes on one end of the first bending section 721 less than the second bending section 722 Curvature.The curved profile design of the utility model is held convenient for assistant takes, and far from visual area, and more skies are provided for operator operation Between, and avoid overhanging the easy microlens touched above visual area.The length of long handle 71 is 60 millimeters, the first bending section 721 length is 20 millimeters, and the length of the second bending section 722 is 30 millimeters, to adapt to the requirement of micrurgy size.

As shown in Figure 10, ball-pointed pliers 80 are two, respectively include two integrally formed levers 81 and are arranged in lever 81 End collet 82, the top surface of collet 82 connected by arc surface with lever 81, one of lever 81 be equipped with perpendicular to The protruded stigma 811 of itself medial surface, another lever 81 are butted on the top of protruded stigma 811 under the action of curable grip, prevent two levers 81 tweezers close excessive.Ball-pointed pliers 80 detach the adhesion of ball week, assist to place and fixed strip band for wearing rectus messenger wire.The arc of collet 82 Shape and linear line, clamping is stable, is readily able to that band is made accurately to place and fix, and do not easily cause band damage.

Obtuse angle is formed between collet 82 and lever 81, obtuse angle shape is convenient for walking under rectus and to the adhesion point of ball week From, and not easy damaged band.

It is respectively equipped with anti-skid chequer on handle 450, handle 51, grip part 62, long handle 71 and lever 81, can prevent from holding by cunning It falls.

The utility model is not limited to above-mentioned preferred forms, and anyone should learn that under the enlightenment of the utility model The structure change made, it is every that there is same or similar technical solution with the utility model, each fall within the guarantor of the utility model Within the scope of shield.

Claims

1. posterior scleral shrinks operation special equipment packet, which is characterized in that including instruments box, the instruments box includes that upper end is open Box body and the box cover being fastened on the box body, the box body is internally provided with fixed pad, and the fixed pad is equipped with uniformly The Elastic force post of arrangement, fixed pad are placed with：

Crank arm type eye speculum, including support component, the strutting assembly of the control support component folding and setting are in the support Open eyelid component in the end of component；

Sclera ranging making ruler, including L-shaped making ruler frame and handle, the making ruler frame is by orthogonal support plate peace The plate that weighs is integrally formed, and the location interval opposite with the balance plate sets that there are two for pressing on the inner surface of the support plate The pressing stabilizer blade of label, the pressing stabilizer blade is concordant with the outer end face of the balance plate, and the handle is arranged in the support plate One side middle part；

Multifunctional hook, including sequentially connected handle, scale section and gib head, the gib head and the perpendicular bending of the handle；

The end of long forceps after ball, including integrally formed fixed part, grip part and bare terminal end, the bare terminal end is equipped with drag hook, institute State drag hook, the bare terminal end and grip part setting in the same plane, the length of the drag hook is 1~2 millimeter；

Ball-pointed pliers, including two integrally formed levers and the collet in the end of the lever, the top surface of the collet are set Connected with the lever by arc surface, one of them described lever is equipped with the protruded stigma perpendicular to itself medial surface, Ling Yisuo State the top that lever is butted on the protruded stigma under the action of curable grip.

2. posterior scleral as described in claim 1 shrinks operation special equipment packet, which is characterized in that the box body is in cuboid, The centre at the narrow edge both ends of the box body and the box cover, equipped with the ligule button that mutually fastens and button mouth, the box cover, box body and It is designed with multiple seepage flow holes on the fixed pad.

3. posterior scleral as described in claim 1 shrinks operation special equipment packet, which is characterized in that the eyelid component of opening includes It is fixed on the end of support arm and forms the first curved bar of slanted angle, one end of first curved bar between the support arm Integrally formed with opening eyelid frame.

4. posterior scleral as claimed in claim 3 shrinks operation special equipment packet, which is characterized in that it is described open eyelid frame take the shape of the letter U it is recessed Mouth shape, and the recess direction that eyelid frame is opened described in two is away from each other.

5. posterior scleral as described in claim 1 shrinks operation special equipment packet, which is characterized in that the both ends of the handle are convex Go out to have interconnecting piece in a circular table shape, be connected by connecting pole between the side of the support plate and the interconnecting piece.

6. posterior scleral as described in claim 1 shrinks operation special equipment packet, which is characterized in that the bare terminal end passes through long-armed Connect with the grip part, the bare terminal end and the long-armed formation obtuse angle.

7. posterior scleral as described in claim 1 shrinks operation special equipment packet, which is characterized in that the end of the gib head is in half It is spherical.

8. posterior scleral as described in claim 1 shrinks operation special equipment packet, which is characterized in that the tabletting and the long handle Integrally connected, the shape of the tabletting is the flat elongate body of S-shaped bending, and the tabletting is close to the side of the long handle First bending section, first bending section is identical as the bending direction of the long handle, side of the tabletting far from the long handle For the second bending section, second bending section is opposite with the bending direction of the long handle.

9. posterior scleral as described in claim 1 shrinks operation special equipment packet, which is characterized in that the collet and the lever Between form obtuse angle.

10. posterior scleral as described in claim 1 shrinks operation special equipment packet, which is characterized in that the handle, is held handle It holds and is respectively equipped with anti-skid chequer on portion, long handle and the lever.