JP2022113081A - Eyelid opener and eyelid opener system - Google Patents

Abstract

To provide an eyelid opener and an eyelid opener system capable of efficiently supplying a liquid onto an eyeball and discharging a liquid accumulated on the eyeball.SOLUTION: The eyelid opener as one aspect of the present invention comprises: a liquid discharge pipe used also as an eyelid holding part; a liquid supply pipe fixed to the eyelid holding part; a first coupled part coupled with the liquid discharge pipe; and a second coupled part coupled with the liquid supply pipe. The first coupled part is provided with a coupling mechanism with a pump for sucking a liquid. The second coupled part is provided with a coupling mechanism with a pump for supplying the liquid.SELECTED DRAWING: Figure 1

Description

The present invention relates to an eyelid speculum and an eyelid speculum system.

An eyelid speculum is used to open the upper and lower eyelids during eye treatment or surgery (see, for example, Patent Document 1).

JP 2014-104087 A

By the way, when using the eyelid speculum, liquid such as physiological saline is supplied onto the eyeball in order to prevent the surface of the eyeball from drying. Unnecessary blood and impurities can also be washed away by supplying liquid onto the eyeball. If the liquid supplied to the eyeball accumulates on the eyeball too much, the visibility of the eyeball becomes poor. Therefore, the liquid accumulated on the eyeball is appropriately discharged to the outside. There is a demand for efficient supply and discharge of such liquids. Therefore, it is desirable to provide an eyelid speculum and an eyelid speculum system that can efficiently supply liquid onto the eyeball and discharge liquid accumulated on the eyeball.

An eyelid speculum that is one aspect of the present invention includes a liquid discharge pipe that also serves as an eyelid holder, a liquid supply pipe that is fixed to the eyelid holder, a first connecting portion that is connected to the liquid discharge pipe, a liquid supply and a second connecting portion connected to the pipe. The first connection portion is provided with a connection mechanism with a pump that sucks liquid. The second connecting portion is provided with a connecting mechanism for a pump that supplies liquid.

An eyelid speculum system that is one aspect of the present invention includes an eyelid speculum, a pump, and a pump control device that controls the pump. The eyelid speculum is provided with a liquid supply pipe and a liquid discharge pipe. The pump supplies liquid to and withdraws liquid from the eyelid speculum via the liquid supply line and the liquid discharge line.

In the eyelid speculum which is one aspect of the present invention, the liquid discharge pipe and the liquid supply pipe are provided in the eyelid speculum. As a result, the liquid on the eyeball is discharged to the outside through the pipe (liquid discharge pipe) of the eyelid holder, and the liquid is supplied to the eyeball through the liquid supply pipe. As a result, the medical staff does not have to manually suck up the liquid on the eyeball or drip the liquid on the eyeball. can be done efficiently.

In the eyelid speculum system that is one aspect of the present invention, the eyelid speculum is provided with a liquid discharge pipe and a liquid supply pipe. As a result, using the pump and the pump control device, the liquid on the eyeball is discharged to the outside through the pipe (liquid discharge pipe) of the eyelid holder, and the liquid is supplied to the eyeball through the liquid supply pipe. be done. As a result, the medical staff does not have to manually suck up the liquid on the eyeball or drip the liquid on the eyeball. can be done efficiently.

It is a figure showing the perspective example of a structure of the eyelid speculum which concerns on one embodiment of this invention. It is a figure showing the example of a plane structure of the eyelid speculum of FIG. BRIEF DESCRIPTION OF THE DRAWINGS It is a figure showing the example of a schematic structure of the eyelid speculum system which concerns on one embodiment of this invention. 1. It is a figure showing the example of supply/discharge of the liquid in the eyelid speculum of FIG.

BEST MODE FOR CARRYING OUT THE INVENTION Hereinafter, embodiments for carrying out the invention will be described in detail with reference to the drawings. The following description is a specific example of the present invention, and the present invention is not limited to the following aspects. In addition, the present invention is not limited to the arrangement, dimensions, dimensional ratios, etc. of each component shown in each drawing. Further, in the following description, directions such as up and down, left and right are directions viewed from the patient unless otherwise specified. The vertical direction is the opposite direction to the vertical direction of the surgical field when the medical staff looks into the eyeballs of the patient lying on his back from the top of the patient's head. The left-right direction is the opposite direction to the left-right direction of the surgical field when the medical staff looks into the eyeballs of the patient lying on his back from the top of the patient's head.

[Constitution]
FIG. 1 shows a perspective configuration example of an eyelid speculum 100 according to an embodiment of the present invention. The eyelid opening device 100 includes an eyelid holding portion 10 that holds the eyelid, liquid supply portions 20 and 30 that supply liquid to the eyeball, a liquid discharge portion 40 that discharges the liquid accumulated on the eyeball, and the eyelid holding portion 10. and an opening/closing portion 50 that controls the opening and closing of the eyelids using the eyelid. The liquid is, for example, a liquid such as saline.

The eyelid holder 10 has a holder 11 that holds the upper eyelid and a holder 12 that holds the lower eyelid. The holding part 11 has, for example, a configuration in which two elongated pipes curved in a U-shape are connected so as to overlap each other. For example, the holding unit 11 inserts one of the two pipes (hereinafter referred to as the eyeball side pipe) between the upper eyelid and the eyeball, and inserts the other pipe (hereinafter referred to as the outer pipe) out of the two pipes. ) on the surface of the upper eyelid to hold it. The holding part 12 has, for example, a configuration in which two elongated pipes curved in a U-shape are connected so as to overlap each other. For example, the holding unit 12 inserts one of the two pipes (hereinafter referred to as the eyeball side pipe) between the lower eyelid and the eyeball, and inserts the other pipe (hereinafter referred to as the outer pipe) out of the two pipes. ) on the surface of the lower eyelid to hold the lower eyelid.

The eyeball-side pipe (liquid discharge pipe) of the holding portion 11 is provided with one or more suction ports 11a, and the liquid sucked from the one or more suction ports 11a passes through the pipe of the holding portion 11. is discharged to a discharge pipe 41 which will be described later. The eyeball-side pipe (liquid discharge pipe) of the holding portion 12 is provided with one or more suction ports 12a, and the liquid sucked from the one or more suction ports 12a passes through the pipe of the holding portion 12. is discharged to a discharge pipe 42 which will be described later. In other words, the liquid discharge pipe also has the function of holding the eyelid.

The liquid supply part 20 has supply pipes 21 and 22 fixed to the outer pipe of the holding part 11, a connection part 23 connected to the supply pipe 21, and a connection part 24 connected to the supply pipe 22. there is The supply pipe 21 is a U-shaped pipe (liquid supply pipe) arranged along the outer pipe of the holding portion 11 . One end of the supply tube 21 is curved toward the pupil of the eyeball, and an ejection port 21a for ejecting the liquid supplied to the supply tube 21 onto the eyeball is provided at the tip. The other end of the supply pipe 21 is connected to the connecting portion 23 . The supply pipe 22 is a pipe arranged along a portion of the supply pipe 21 near the connecting portion 23 . One end of the supply tube 22 is curved toward the pupil of the eyeball, and an ejection port 22a for ejecting the liquid supplied to the supply tube 22 onto the eyeball is provided at the tip. The other end of the supply pipe 22 is connected to the connecting portion 24 . The connecting portion 23 is a pipe having a mechanism for connecting to a supply hose 310 which will be described later. The connecting portion 24 is a pipe having a mechanism for connecting to a supply hose 320 which will be described later.

The liquid supply part 30 has supply pipes 31 and 32 fixed to the outer pipe of the holding part 12, a connection part 33 connected to the supply pipe 31, and a connection part 34 connected to the supply pipe 32. there is The supply pipe 31 is a U-shaped pipe (liquid supply pipe) arranged along the outer pipe of the holding portion 12 . One end of the supply tube 31 is curved toward the pupil of the eyeball, and an ejection port 31a for ejecting the liquid supplied to the supply tube 31 onto the eyeball is provided at the tip. The other end of the supply pipe 31 is connected to the connecting portion 33 . The supply pipe 32 is a pipe arranged along a portion of the supply pipe 31 near the connecting portion 33 . One end of the supply tube 32 is curved toward the pupil of the eyeball, and an ejection port 32a for ejecting the liquid supplied to the supply tube 32 onto the eyeball is provided at the tip. The other end of the supply pipe 32 is connected to the connecting portion 34 . The connection part 33 is a pipe having a mechanism (connection mechanism with a pump for sucking liquid) that connects to a supply hose 330 described later. The connection part 34 is a pipe having a mechanism (connection mechanism with a pump that sucks liquid) that connects to a supply hose 340 described later.

The liquid discharge portion 40 includes a discharge pipe 41 connected to the pipe of the holding portion 11, a discharge pipe 42 connected to the pipe of the holding portion 12, a connecting pipe 43 connected to the discharge pipe 41, and the discharge pipe 42. and a connecting pipe 44 connected thereto. The discharge pipe 41 is a pipe for discharging the liquid in the pipe of the holding portion 11 to the connecting pipe 43 . One end of the discharge pipe 41 is connected to the pipe of the holding portion 11 , and the other end of the discharge pipe 41 is connected to the connecting pipe 43 . The discharge pipe 42 is a pipe for discharging the liquid in the pipe of the holding part 12 to the connecting pipe 44 . One end of the discharge pipe 42 is connected to the piping of the holding portion 12 , and the other end of the discharge pipe 42 is connected to the connecting pipe 44 . The connection part 43 is a pipe having a mechanism (a connection mechanism with a pump that sucks liquid) that connects to a supply hose 340 described later. The connection part 44 is a pipe having a mechanism (connection mechanism with a pump that sucks liquid) that connects to a supply hose 350 described later.

The opening/closing section 50 controls opening and closing of the eyelid holding section 10 . The opening/closing unit 50 is fixed to the discharge pipes 41 and 42, and controls the opening and closing of the eyelid holding unit 10 by displacing the eyelid holding unit 10 via the discharge pipes 41 and 42 and the liquid supply units 20 and 30. do. In other words, in the eyelid speculum 100 , the liquid discharge pipe also serves as a mechanism for connecting the eyelid holding section 10 and the opening/closing section 50 . The opening/closing portion 50 has a movable portion 51 and a handle portion 52 . The movable portion 51 is fixed to the discharge pipes 41 and 42 . The movable portion 51 changes the size of the gap between the holding portion 11 connected via the discharge pipe 41 and the liquid supply portion 20 and the holding portion 12 connected via the discharge pipe 42 and the liquid supply portion 30. It has a mechanical mechanism. By rotating the handle portion 52 , for example, the handle portion 52 displaces the mechanical mechanism of the movable portion 51 according to the amount of rotation of the handle portion 52 .

Next, the eyelid speculum system 1000 including the eyelid speculum 100 will be described.

FIG. 3 shows a schematic configuration example of the eyelid speculum system 1000. As shown in FIG. The eyelid speculum system 1000 includes an eyelid speculum 100 , a supply/discharge pump 200 , a connection hose 300 that connects the eyelid speculum 100 and the supply/discharge pump 200 to each other, and a pump control device 400 .

The connection hose 300 is composed of four supply hoses 310 , 320 , 330 , 340 and two discharge hoses 350 , 360 .

The supply hose 310 is connected to the connection portion 23 and the liquid supply port of the supply/discharge pump 200 . The supply hose 310 is a hose for supplying the liquid output from the supply/discharge pump 200 to the connecting portion 23 . The supply hose 320 is connected to the connecting portion 24 and the liquid supply port of the supply/discharge pump 200 . The supply hose 320 is a hose for supplying the liquid output from the supply/discharge pump 200 to the connecting portion 24 . Instead of two supply hoses 310, 320, one supply hose may be provided. The supply hose 330 is connected to the connecting portion 33 and the liquid supply port of the supply/discharge pump 200 . The supply hose 330 is a hose for supplying the liquid output from the supply/discharge pump 200 to the connecting portion 33 . The supply hose 340 is connected to the connecting portion 34 and the liquid supply port of the supply/discharge pump 200 . The supply hose 340 is a hose for supplying the liquid output from the supply/discharge pump 200 to the connecting portion 34 . Instead of two supply hoses 330, 340, one supply hose may be provided.

The discharge hose 350 is connected to the holding portion 11 and the liquid recovery port of the supply/discharge pump 200 . The discharge hose 350 is a hose for discharging the liquid sucked from one or more suction ports 11 a of the holding part 11 to the supply/discharge pump 200 . The discharge hose 360 is connected to the holding portion 12 and the liquid recovery port of the supply/discharge pump 200 . The discharge hose 360 is a hose for discharging the liquid sucked from one or more suction ports 12 a of the holding part 12 to the supply/discharge pump 200 .

The supply/discharge pump 200 has four liquid supply ports corresponding to the four supply hoses 310, 320, 330, 340 and two liquid recovery ports corresponding to the two discharge hoses 350, 360. . The supply/discharge pump 200 supplies liquid to the eyelid speculum 100 through four supply hoses 310, 320, 330, and 340 from four liquid supply ports. The eyelid speculum 100 discharges the liquid supplied from the supply/discharge pump 200 through the four supply hoses 310, 320, 330, 340 onto the eyeball from the discharge ports 21a, 22a, 31a, 32a. The supply/discharge pump 200 recovers liquid from the eyelid speculum 100 via two discharge hoses 350 and 360 from two liquid recovery ports. The eyelid speculum 100 sucks an amount of liquid corresponding to the suction force of the supply/discharge pump 200 from one or more suction ports 11a and one or more suction ports 12a.

The pump control device 400 controls the supply and recovery of liquid in the supply/discharge pump 200 according to the operation by the medical staff. The pump control device 400 includes, for example, two foot-operated pedals (foot-operated input devices), and a control unit that generates control signals according to inputs from the two foot-operated pedals and outputs them to the supply/discharge pump 200. have.

For example, the pump control device 400 supplies a predetermined amount (for example, several drops minutes) to supply a control signal (hereinafter referred to as a "liquid supply signal"). For example, the pump control device 400 supplies a predetermined amount (for example, several drops A control signal for instructing liquid recovery for a minute) is hereinafter referred to as a "liquid recovery signal". ).

It should be noted that the pump control device 400 may have a voice input type input device instead of the foot type input device. In this case, for example, the pump control device 400 sends a liquid supply signal to the supply/discharge pump 200 in accordance with the content of the voice instruction each time the medical staff gives a voice instruction to the voice input device. may be output, or a liquid recovery signal may be output.

[motion]
Next, the operation of the eyelid speculum system 1000 will be described.

First, the medical staff steps on the liquid supply pedal to cause the pump control device 400 to output a liquid supply signal to the supply/discharge pump 200 . When a liquid supply signal is input from the pump control device 400, the supply/discharge pump 200 supplies liquid from four liquid supply ports through four supply hoses 310, 320, 330, and 340 based on the input liquid supply signal. to supply liquid to the eyelid speculum 100 . The liquid supplied to the eyelid speculum 100 becomes ejection liquid (for example, black arrows in FIG. 4) and is ejected onto the eyeballs from the ejection openings 21a, 22a, 31a, and 32a.

Subsequently, the medical staff steps on the liquid recovery pedal to cause the pump control device 400 to output a liquid recovery signal to the supply/discharge pump 200 . When a liquid recovery signal is input from the pump control device 400, the supply/discharge pump 200 operates from the two liquid recovery ports through the two discharge hoses 350 and 360 based on the input liquid recovery signal. Give 100 suction power. Due to the suction force applied to the eyelid speculum 100, the liquid on the eyeball becomes discharged liquid (for example, white arrows in FIG. 4), and is discharged from one or more suction ports 11a and one or more suction ports 12a. Discharged to the outside.

[effect]
Next, the effect of the eyelid speculum system 1000 will be described.

In this embodiment, the eyelid holder 10 is configured by a pipe provided with one or more suction ports 11a and one or more suction ports 12a. As a result, the liquid on the eyeball is discharged to the outside through the pipe of the eyelid holder 10 . Further, in the present embodiment, the liquid supply units 20 and 30 that supply liquid onto the eyeball are fixed to the eyelid holding unit 10 . Thereby, the liquid is supplied onto the eyeball via the liquid supply units 20 and 30 . Thus, in the present embodiment, eyelid speculum 100 is provided with a mechanism for discharging liquid on the eyeball and a mechanism for supplying liquid on the eyeball. As a result, the medical staff does not have to manually suck up or drop the fluid on the eyeball, and it is possible to supply the fluid on the eyeball and drain the fluid that has accumulated on the eyeball. can be done efficiently.

In the present embodiment, the liquid is supplied to the eyelid speculum 100 via the connection hose 300 connected to the eyelid speculum 100, and the liquid supplied to the eyelid spectacle 100 is discharged through the discharge ports 21a, 22a, 31a, 32a. is discharged onto the eyeball. Furthermore, in the present embodiment, a suction force is applied via a connection hose 300 connected to the eyelid speculum 100, and the suction force applied to the eyelid speculum 100 causes the liquid on the eyeball to spread to one or more It is discharged to the outside from the suction port 11a and one or more suction ports 12a. Thus, in the present embodiment, eyelid speculum 100 is provided with a mechanism for discharging liquid on the eyeball and a mechanism for supplying liquid on the eyeball. As a result, the medical staff does not have to manually suck up the liquid on the eyeball or drip the liquid on the eyeball. can be done efficiently.

In this embodiment, the eyelid speculum 100 and the supply/discharge pump 200 are connected to each other via the connection hose 300 . As a result, liquid is supplied from the supply/discharge pump 200 to the eyelid speculum 100, or suction force is applied. As a result, the medical staff does not have to manually suck up or drop the fluid on the eyeball, and it is possible to supply the fluid on the eyeball and drain the fluid that has accumulated on the eyeball. can be done efficiently.

In this embodiment, the pump control device 400 is of a foot-operated type. As a result, there is no need for medical personnel to manually suck up or drip liquid onto the eyeball, and it is possible to supply the liquid onto the eyeball and drain the liquid that has accumulated on the eyeball. can be done efficiently.

(1)
a liquid discharge pipe that also serves as an eyelid holder;
a liquid supply pipe fixed to the eyelid holder;
a first connection portion connected to the liquid discharge pipe and provided with a connection mechanism with a pump that sucks liquid;
A second connecting part connected to the liquid supply pipe and provided with a connection mechanism for a pump that supplies liquid.
(2)
The liquid discharge pipe is a pipe provided with one or more suction ports,
The eyelid speculum according to (1), wherein one end of the liquid discharge pipe is curved toward the pupil of the eyeball and a discharge port is provided at the tip thereof.
(3)
The liquid discharge pipe is
a first liquid discharge pipe that also serves as a first holding portion that holds the upper eyelid;
a first pipe connected to the first liquid discharge pipe and the first connecting portion;
a second liquid discharge pipe that also serves as a second holding portion that holds the lower eyelid;
a second pipe connected to the second liquid discharge pipe and the second connecting portion,
The eyelid speculum is fixed to the first pipe and the second pipe, and adjusts the size of the gap between the first liquid discharge pipe and the second liquid discharge pipe via the first pipe and the second pipe. The eyelid speculum according to (1) or (2), further comprising a controlling movable part.
(4)
an eyelid speculum provided with a liquid supply pipe and a liquid discharge pipe;
a pump for supplying liquid to the eyelid speculum or recovering liquid from the eyelid speculum via the liquid supply pipe and the liquid discharge pipe;
and a pump control device that controls the pump.
(5)
(4) The eyelid speculum system according to (4), wherein the pump controller has a foot-operated or voice input device.

DESCRIPTION OF SYMBOLS 10... eyelid holding part, 11, 12... holding part, 11a, 12a... suction port, 20, 30... liquid supply part, 21, 22, 31, 32... supply pipe, 21a, 22a, 31a, 32a... discharge port, 23, 24, 33, 34... Connecting part 40... Liquid discharge part 41, 42... Discharging pipe 43, 44... Connecting part 50... Opening/closing part 51... Movable part 52... Handle part 100... Eyelid opening Device, 200... Old discharge pump, 300... Connection hose, 310, 320, 330, 340... Supply hose, 350, 360... Discharge hose, 400... Pump control device, 1000... Eyelid speculum system.

Claims (5)

a liquid discharge pipe that also serves as an eyelid holder;
a liquid supply pipe fixed to the eyelid holder;
a first connection portion connected to the liquid discharge pipe and provided with a connection mechanism with a pump that sucks liquid;
A second connecting part connected to the liquid supply pipe and provided with a connection mechanism for a pump that supplies liquid. The liquid discharge pipe is a pipe provided with one or more suction ports,
The eyelid speculum according to claim 1, wherein one end of the liquid discharge pipe is curved toward the pupil of the eyeball, and a discharge port is provided at the tip of the pipe. The liquid discharge pipe is
a first liquid discharge pipe that also serves as a first holding portion that holds the upper eyelid;
a first pipe connected to the first liquid discharge pipe and the first connecting portion;
a second liquid discharge pipe that also serves as a second holding portion that holds the lower eyelid;
a second pipe connected to the second liquid discharge pipe and the second connecting portion,
The eyelid speculum is fixed to the first pipe and the second pipe, and adjusts the size of the gap between the first liquid discharge pipe and the second liquid discharge pipe via the first pipe and the second pipe. The eyelid speculum according to claim 1 or 2, further comprising a controlling movable part. an eyelid speculum provided with a liquid supply pipe and a liquid discharge pipe;
a pump for supplying liquid to the eyelid speculum or recovering liquid from the eyelid speculum via the liquid supply pipe and the liquid discharge pipe;
and a pump controller that controls the pump. 5. The eyelid retractor system of claim 4, wherein the pump controller comprises a foot or voice input device.

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