WO2020251190A1 - Dispositif de chirurgie ophtalmique équipé d'une unité d'éclairage - Google Patents

Dispositif de chirurgie ophtalmique équipé d'une unité d'éclairage Download PDF

Info

Publication number
WO2020251190A1
WO2020251190A1 PCT/KR2020/006776 KR2020006776W WO2020251190A1 WO 2020251190 A1 WO2020251190 A1 WO 2020251190A1 KR 2020006776 W KR2020006776 W KR 2020006776W WO 2020251190 A1 WO2020251190 A1 WO 2020251190A1
Authority
WO
WIPO (PCT)
Prior art keywords
lighting unit
cap
outer body
inner body
ophthalmic
Prior art date
Application number
PCT/KR2020/006776
Other languages
English (en)
Korean (ko)
Inventor
지동현
Original Assignee
가톨릭대학교 산학협력단
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by 가톨릭대학교 산학협력단 filed Critical 가톨릭대학교 산학협력단
Publication of WO2020251190A1 publication Critical patent/WO2020251190A1/fr

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/30—Surgical pincettes without pivotal connections
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00902—Material properties transparent or translucent
    • A61B2017/00907—Material properties transparent or translucent for light
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/304—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using chemi-luminescent materials

Definitions

  • the present invention relates to an ophthalmic surgical apparatus equipped with a lighting unit.
  • it relates to an ophthalmic surgery apparatus provided with a lighting unit capable of locally lighting only the surgical site and adjusting the direction of illumination.
  • Vitrectomy is an eye surgery method used to treat diseases that cause retinal detachment and retinal wrinkles as well as vitreous bleeding or clouding caused by various causes (retina surgery).
  • an ophthalmic surgical instrument is inserted into the eyeball and the necessary ophthalmic tissue/pathological tissue is cut, traction, and hemostasis is performed.
  • the brightness of the surgical microscope light source may be increased in order to obtain sufficient illumination.
  • the brightness of the surgical microscope light source is increased as described above, there is a problem in that retinal damage occurs due to the light toxicity of the microscope illumination itself.
  • Patent Document 1 Korean Laid-Open Patent Publication No. 10-2004-0074933 (published on August 26, 2004)
  • the technical problem to be solved in the present invention is to solve the problems of the prior art described above, and it is possible to locally illuminate only the surgical site, and to provide an ophthalmic surgery apparatus provided with an illumination unit capable of adjusting the direction of illumination. The purpose.
  • the ophthalmic surgery device comprises: An illumination unit radiating light therein, and a cap surrounding the front end of the illumination unit, an inner body surrounding the rear end of the illumination unit, and a body portion provided with an outer body surrounding an outer circumferential surface of the inner body, wherein the cap is attached to the outside When the lighting part is exposed to the outside by moving relative to the body, light of the lighting part may be radiated to the outside.
  • a fluorescent material may be accommodated inside the lighting unit.
  • a check line for confirming whether the cap is rotated may be provided at a boundary between the cap and the outer body.
  • the outer body is an opaque material that blocks light emitted from the lighting unit
  • the inner body may be configured to be slidable inside the outer body so that the inner body is exposed to the outside while the cap is rotated. have.
  • the inner body may be provided with a blocking member blocking light emitted from the lighting unit and a transmissive member through which light radiated from the lighting unit passes.
  • the inner body may be configured to be rotatable inside the outer body so as to adjust the direction of light emitted to the outside through the transmission member.
  • a support protrusion is formed in the inner body, and a support groove into which the support protrusion is retractable is formed in the outer body, and at least one support groove may be formed along a length direction of the outer body.
  • a guide surface for adjusting an emission angle of light emitted from the lighting unit may be formed on the outer body.
  • the guide surface may have an inclination so that light is radiated in a direction toward the front end of the cap.
  • the inner body and the outer body may be integrally formed.
  • moving the cap relative to the outer body may include rotating the cap with respect to the outer body or moving the cap in a direction away from the outer body.
  • the ophthalmic surgery device is made in the form of tongs having a pair of tip ends, and the lighting unit may be formed at each of the tip ends of the pair.
  • the ophthalmic surgery apparatus provided with the lighting unit of the present invention having the above configuration can operate the lighting unit through a simple operation of rotating the cap, and since the fluorescent material is accommodated in this lighting unit, local illumination is possible at the surgical site. More efficient operation can be performed.
  • a guide surface capable of adjusting the angle of light emitted from the lighting unit is formed on the outer body, it is possible to intensively illuminate the surgical site.
  • FIG. 1 is a perspective view of an ophthalmic surgery apparatus according to an embodiment of the present invention.
  • FIG. 2 is a side view of the ophthalmic surgery device according to an embodiment of the present invention, (a) is a view showing a state before use of the ophthalmic surgery device, (b) is a view showing a state after use.
  • FIG 3 is a cross-sectional view showing a state in which an ophthalmic surgery device according to an embodiment of the present invention is being used.
  • FIG. 4 is a view showing a state in which a blocking member and a transmission member are provided in an inner body according to another embodiment of the present invention, (a) is an enlarged cross-sectional view of a part, and (b) is a cross-sectional view of part II to be.
  • FIG. 5 is a cross-sectional view showing an outer body and an inner body according to another embodiment of the present invention.
  • 6 and 7 are cross-sectional views showing an outer body according to another embodiment of the present invention.
  • FIG. 1 is a perspective view of an ophthalmic surgery apparatus according to an embodiment of the present invention
  • FIG. 2 is a side view of an ophthalmic surgery apparatus according to an embodiment of the present invention
  • (a) is a view showing a state before use of the ophthalmic surgery apparatus
  • (b) is a view showing a state after use
  • FIG. 3 is a cross-sectional view showing a state in which an ophthalmic surgery device according to an embodiment of the present invention is being used
  • FIG. 4 is a diagram showing a state after use
  • FIG. 5 is another embodiment of the present invention.
  • a cross-sectional view showing an outer body and an inner body according to an example, and FIGS. 6 and 7 are cross-sectional views illustrating an outer body according to another embodiment of the present invention.
  • the ophthalmic surgical apparatus 100 provided with the lighting unit 200 is an ophthalmic surgical apparatus capable of illuminating the inside of the eye so as to secure a surgical field of view during surgery inside the eye.
  • an ophthalmic surgical apparatus 100 is provided with an illumination unit 200 that emits light inside the eyeball to ensure sufficient illumination in the eyeball, and through this, when cutting the pathological tissue, only the pathological tissue is cut. The blood vessels or nerves located next to the pathological tissue can be safely protected.
  • the ophthalmic surgery device is made in the form of tongs having a pair of tip ends, and the lighting unit 200 may be formed at each of the pair of tip ends.
  • a body part 300 surrounding the lighting part 200 is provided, and the body part 300 includes a cap 310 surrounding the front end of the lighting part 200 and an inner body surrounding the rear end of the lighting part 200 ( 330 and an outer body 320 surrounding the outer circumferential surface of the inner body 330.
  • the body part 300 is supported so as to stably surround the lighting part 200 even when the user applies an external force as needed during the operation.
  • the user may operate the lighting unit 200 by a simple operation of rotating the cap 310 surrounding the tip of the lighting unit 200. That is, while the outer body 320 is fixed, the lighting unit is externally moved by a relative movement of the cap 310 with respect to the outer body, for example, a relative rotation or moving in a direction away from the outer body. When exposed to, the lighting unit 200 is configured to emit light.
  • a fluorescent material is accommodated inside the lighting unit 200, and the fluorescent material includes hydrogen peroxide and phenyloxylate.
  • the fluorescent material is mixed and As the fluorescent materials contained in the device are mixed, light emission starts, and the inside of the eyeball is illuminated using the light emitted as such.
  • the cap is rotated or moved to mix the fluorescent material, for example, when the cap is rotated or moved, one side of the lighting unit containing the fluorescent material may be broken or torn, and the fluorescent materials may be mixed.
  • the cap 310 may be a starter or trigger for controlling the fluorescent material to start emitting light, and the lighting unit 200 may be operated through a simple operation of rotating the cap 310.
  • the fluorescent material may be a material that emits light without separate mixing inside the lighting unit, and in this case, it may be formed to emit light from the lighting unit even if the lighting unit is exposed to the outside. Since the fluorescent material is accommodated in the lighting unit 200, it is possible to locally illuminate the surgical site, thereby enabling more efficient operation.
  • a check line 340 for confirming whether the cap 310 is rotated may be provided at the boundary between the cap 310 and the outer body 320 described above.
  • the cap 310 and the outer body 320 may be able to check the relative rotation or movement position, and the position of the check line 340 is the ophthalmic surgery device 100 is used. It can be formed in different positions depending on the type.
  • the above-described confirmation line 340 is preferably disposed adjacent to the tip of the ophthalmic surgery apparatus 100.
  • the cap 310 when the cap 310 is rotated, the cap 310 may be configured to rotate as the check line 340 is broken, and the user can configure the lighting unit 200 through a sense felt in the process of breaking the check line 340 You will be able to know whether it works.
  • the confirmation line 340 that can check whether the cap 310 is rotated is provided, it is possible to accurately check before and after the use of the ophthalmic surgery apparatus 100, and the illumination unit through the feeling that the confirmation line 340 is broken. Since it is possible to know whether the lighting unit 200 is operating, the user can reduce the hassle of having to directly check whether the lighting unit 200 is operating.
  • the material of the cap 310 may be a material through which light emitted from the lighting unit 200 can transmit. This is because light radiated from the lighting unit 200 may be radiated to the outside through the cap 310 even if the cap 310 is not rotated and moved separately after the cap 310 is rotated.
  • the outer body 320 is an opaque material that blocks light emitted from the lighting unit 200, and the inner body 330 is in a state in which the cap 310 is rotated.
  • the inner body 330 may be configured to be slidable inside the outer body 320 so as to be exposed to the outside.
  • the user rotates the cap 310 to operate the lighting unit 200
  • the user slides the inner body 330 while pulling the cap 310, through which the inner body 330 is exposed to the outside.
  • the light emitted from the lighting unit 200 passes through the inner body 330 and is radiated to the outside.
  • the outer body 320 is formed of an opaque material, and the inner body 330 is configured to radiate to the outside only when the inner body 330 is exposed to the outside, the user can By adjusting the sliding length of the body 330, it is possible to adjust the surgical field of view and the brightness of the lighting.
  • the outer body 320 may be formed of an opaque material, or it is possible to block light by forming a blocking layer through which light cannot be transmitted on the inner or outer circumferential surface of the outer body 320. .
  • the inner body 330 has a blocking member 331 that blocks light emitted from the lighting unit 200, and a transmission member 332 through which light radiated from the lighting unit 200 transmits. ) May be provided.
  • the light emitted from the lighting unit 200 can be radiated to the outside only through the above-described transmission member 332, by adjusting the area of the transmission member 332, the amount of light emitted to the outside can be adjusted.
  • the blocking member 331 may be removed, and only the transmission member 332 may be provided on the inner body 330 to radiate light in a 360° range.
  • the material of the cap 310 may be a material through which light emitted from the lighting unit 200 cannot be transmitted. This is to allow the light radiated from the illumination unit 200 to be radiated to the outside only through the transmission member 332 so that the light can be concentrated only on a specific part during eye surgery.
  • the inner body 330 may be configured to be rotatable inside the outer body 320 so as to adjust the direction of light emitted to the outside through the transmission member 332.
  • the user may rotate the inner body 330 as necessary to illuminate the interior of the ophthalmic surgery apparatus 100 or configure to illuminate only the outside of the ophthalmic surgery apparatus 100.
  • the inner body is slidably moved with respect to the outer body, but as another example, the inner body and the outer body are integrally formed, and only the cap is formed to slide from the inner body and the outer body. And, when the cap slides from the inner body and the outer body, it may be formed to expose the lighting unit to the outside. In this case, the degree to which the lighting unit is exposed to the outside may be adjusted according to the degree to which the cap is moved.
  • a support protrusion 333 is formed in the inner body 330, and a support groove 321 into which the support protrusion 333 is retractable is formed in the outer body 320, At least one groove 321 may be formed along the length direction of the outer body 320.
  • the inner body 330 is configured to be slidable inside the outer body 320, and if the position is not fixed after the inner body 330 is slid, the ophthalmic surgery device 100 is stably operated during the surgery. It is not fixed, and thus, there may be a problem that the operation does not proceed stably, but as described above, the support protrusion 333 is formed on the inner body 330, and the support protrusion 333 is formed on the outer body 320.
  • the support groove 321 is formed, the inner body 330 is retracted and fixed to the adjacent support groove 321 after the inner body 330 slides, so that the ophthalmic surgical apparatus can be stably fixed during the operation.
  • the user can confirm that the position of the inner body 330 is stably fixed through the vibration generated in the process of the support protrusion 333 being inserted into the support groove 321 as described above.
  • the user may generate the support protrusion 333 being inserted into the support groove 321 in the sliding process of the inner body 330.
  • the length to which the inner body 330 is exposed to the outside can be known without being directly measured by a separate measuring means, so that it is easy to adjust the brightness of the lighting.
  • a guide surface 322 may be formed on the outer body 320 to adjust the emission angle of light emitted from the lighting unit 200.
  • the position at which light should be radiated into the eyeball varies. If the guide surface 322 that adjusts the light emission angle is formed on the outer body 320 in this way, it is positioned at the correct position according to the type of surgery. It becomes possible to emit light.
  • the inclined to the guide surface 322 so that the light radiated through the illumination unit 200 radiates in a direction toward the tip of the cap 310 (a) It is also possible to form.
  • the lighting unit 200 may be provided at both ends of the tip of the ophthalmic surgical apparatus 100 facing each other, and the ophthalmic surgery apparatus using the light radiated from the lighting unit 200 facing each other. It is also possible to reveal the tip of (100).
  • a guide surface 322 capable of adjusting the angle of light emitted from the illumination unit 200 is formed on the outer body 320, it is possible to intensively illuminate the surgical site.
  • the lighting part 200 and the body part 300 provided with such a fluorescent material may be applied to the capsular bag cutting forceps (CCC forceps).
  • CCC forceps capsular bag cutting forceps
  • the cap 310 is installed at the tip of the capsular bag cutting forceps, and the inner body 330 is slid in a state where the cap 310 is rotated so that it is exposed to the outside.
  • the illumination unit 200 and the body unit 300 provided with the above-described fluorescent material may be applied to an endoscope cataract chopper.
  • the cap 310 is installed at the tip of the cataract cutter, and the inner body 330 is slid while the cap 310 is rotated so that it is exposed to the outside.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Ophthalmology & Optometry (AREA)
  • Molecular Biology (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Non-Portable Lighting Devices Or Systems Thereof (AREA)
  • Eye Examination Apparatus (AREA)

Abstract

La présente invention concerne un dispositif de chirurgie ophtalmique équipé d'une unité d'éclairage. Plus spécifiquement, la présente invention concerne un dispositif de chirurgie ophtalmique équipé d'une unité d'éclairage qui peut éclairer localement uniquement un site chirurgical et régler la direction d'éclairage. À cet effet, un dispositif de chirurgie ophtalmique équipé d'une unité d'éclairage selon la présente invention, qui peut éclairer l'intérieur d'un globe oculaire pendant une chirurgie intraoculaire de telle sorte qu'un champ de vision peut être sécurisé pour une chirurgie, comprend : une unité d'éclairage pour rayonner de la lumière vers l'intérieur du globe oculaire ; et une unité de corps pourvue d'un capuchon entourant l'extrémité avant de l'unité d'éclairage, un corps interne entourant l'extrémité arrière de l'unité d'éclairage, et un corps externe entourant la surface circonférentielle externe du corps interne. Lorsque le capuchon est déplacé par rapport au corps externe de façon à exposer l'unité d'éclairage à l'extérieur, la lumière de l'unité d'éclairage peut être rayonnée vers l'extérieur.
PCT/KR2020/006776 2019-06-10 2020-05-26 Dispositif de chirurgie ophtalmique équipé d'une unité d'éclairage WO2020251190A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2019-0067785 2019-06-10
KR1020190067785A KR102242014B1 (ko) 2019-06-10 2019-06-10 조명부가 구비된 안과수술장치

Publications (1)

Publication Number Publication Date
WO2020251190A1 true WO2020251190A1 (fr) 2020-12-17

Family

ID=67066330

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/KR2020/006776 WO2020251190A1 (fr) 2019-06-10 2020-05-26 Dispositif de chirurgie ophtalmique équipé d'une unité d'éclairage

Country Status (2)

Country Link
KR (1) KR102242014B1 (fr)
WO (1) WO2020251190A1 (fr)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR102476080B1 (ko) 2022-09-25 2022-12-08 최원석 망막 수술용 조명기구

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR20150110088A (ko) * 2014-03-24 2015-10-02 가톨릭대학교 산학협력단 내시경
US9597061B2 (en) * 2012-10-05 2017-03-21 The Institute For Cancer Research Method for inserting medical instrument
KR20180096146A (ko) * 2017-02-20 2018-08-29 주식회사 옵티메드 내시경 장치
KR101913378B1 (ko) * 2016-04-26 2018-12-31 (주)인투케어 레이저 수술장치
KR20190012467A (ko) * 2017-07-27 2019-02-11 주식회사 지에스엠티 안과용 레이저 치료장치

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6004315A (en) 1996-09-16 1999-12-21 Focal, Inc. Optical fiber diffuser and method of making
JPH10243946A (ja) * 1997-03-04 1998-09-14 Olympus Optical Co Ltd レーザ治療装置
KR101092108B1 (ko) 2003-02-17 2011-12-12 가부시키가이샤 토프콘 수술용 현미경

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9597061B2 (en) * 2012-10-05 2017-03-21 The Institute For Cancer Research Method for inserting medical instrument
KR20150110088A (ko) * 2014-03-24 2015-10-02 가톨릭대학교 산학협력단 내시경
KR101913378B1 (ko) * 2016-04-26 2018-12-31 (주)인투케어 레이저 수술장치
KR20180096146A (ko) * 2017-02-20 2018-08-29 주식회사 옵티메드 내시경 장치
KR20190012467A (ko) * 2017-07-27 2019-02-11 주식회사 지에스엠티 안과용 레이저 치료장치

Also Published As

Publication number Publication date
KR20190075016A (ko) 2019-06-28
KR102242014B1 (ko) 2021-04-19

Similar Documents

Publication Publication Date Title
US11331219B2 (en) Multiple illumination transmission through optical fiber
US5632740A (en) Illuminated leading probe device
CN101299972B (zh) 延伸的小号照明器
US7063436B2 (en) Light source for ophthalmic use
JP6619428B2 (ja) 内部照明された手術プローブ
EP3720398B1 (fr) Canule éclairée
US5013319A (en) Apparatus and method for cornea marking
JP4469044B2 (ja) 眼科装置
RU2468738C2 (ru) Усовершенствования в медицинских инструментах, касающиеся медицинских инструментов
CN104780827A (zh) 具有可调照明孔径的照明式玻璃体切刀
US20210290438A1 (en) Laser vitrectomy and illumination probe
WO2020251190A1 (fr) Dispositif de chirurgie ophtalmique équipé d'une unité d'éclairage
MX2013008284A (es) Luz laser coherente blanca lanzada hacia nanofibras para iluminacion quirurgica.
WO2015053550A1 (fr) Découpeur d'illuminateur
WO2020251239A2 (fr) Dispositif de chirurgie ophtalmique capable d'auto-luminescence au moyen d'une fibre optique
WO2021221400A1 (fr) Dispositif de coupe d'un échantillon de sein et procédé de coupe d'un échantillon de sein
WO2019172189A1 (fr) Dispositif applicateur pour endoscope
JPH0898799A (ja) 照明装置
US20220249191A1 (en) Tailored light window technique for eye surgery
CN215457916U (zh) 一种柔性可通体发光的瘘管探条
WO2024014859A1 (fr) Ensemble d'entraînement d'endoscope
WO2021167224A1 (fr) Dispositif de capuchon à configuration variable pour dissection sous-mucosale endoscopique
Amoils et al. Goniotomy With Intraocular Illumination: A Preliminary Report
JP2004033278A (ja) レーザ照射装置
JPH1189870A (ja) スリットランプ

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 20823090

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 20823090

Country of ref document: EP

Kind code of ref document: A1