WO2020251239A2 - Dispositif de chirurgie ophtalmique capable d'auto-luminescence au moyen d'une fibre optique - Google Patents

Dispositif de chirurgie ophtalmique capable d'auto-luminescence au moyen d'une fibre optique Download PDF

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Publication number
WO2020251239A2
WO2020251239A2 PCT/KR2020/007453 KR2020007453W WO2020251239A2 WO 2020251239 A2 WO2020251239 A2 WO 2020251239A2 KR 2020007453 W KR2020007453 W KR 2020007453W WO 2020251239 A2 WO2020251239 A2 WO 2020251239A2
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WO
WIPO (PCT)
Prior art keywords
optical fiber
self
ophthalmic surgery
main body
luminescence
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Application number
PCT/KR2020/007453
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English (en)
Korean (ko)
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WO2020251239A3 (fr
Inventor
지동현
Original Assignee
가톨릭대학교 산학협력단
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Publication of WO2020251239A2 publication Critical patent/WO2020251239A2/fr
Publication of WO2020251239A3 publication Critical patent/WO2020251239A3/fr

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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
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0231—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for eye surgery
    • 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
    • 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
    • A61F9/013—Instruments for compensation of ocular refraction ; Instruments for use in cornea removal, for reshaping or performing incisions in the cornea
    • 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
    • A61F9/013—Instruments for compensation of ocular refraction ; Instruments for use in cornea removal, for reshaping or performing incisions in the cornea
    • A61F9/0133—Knives or scalpels specially adapted therefor
    • 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
    • A61B2090/306—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres

Definitions

  • the present invention relates to a device for ophthalmic surgery capable of self-luminescence by an optical fiber.
  • vitrectomy is an eye surgery method used to treat diseases (retinal surgery) that cause not only vitreous bleeding or clouding from various causes, but also retinal detachment and retinal wrinkles.
  • ophthalmic surgical instruments are inserted into the eye, and necessary ophthalmic tissues/pathological tissues are cut, traction, and hemostasis are performed.
  • an illuminator When performing vitrectomy, it is common to insert a lighting device called an illuminator to illuminate the eyeball. This has the disadvantage of increasing the extent of the surgical incision because additional eye perforation is required. In addition, since the operation must be performed while holding the illuminator with one hand, two-handed surgery is impossible, and only one-handed surgery is possible. Recently, a chandler illuminator was developed to personalize this, but this also had the disadvantage of requiring an additional ocular incision in the eyeball.
  • An object of the present invention is to solve this problem, and to provide a device for ophthalmic surgery capable of self-emission by an optical fiber that can illuminate the device with an optical fiber that emits light without the need to separately illuminate during surgery. .
  • the present invention as a specific means for achieving the above object, the main body extending along the longitudinal direction; An optical fiber member installed inside or outside the main body and extending to at least an end of the main body to provide a light source to illuminate the part; And a light source providing unit connected to one end of the optical fiber member and providing a light source so that the light source is transmitted to the end.
  • the body may have a cylindrical shape in which a through hole penetrating through the center is formed.
  • the optical fiber member is installed in a cylindrical shape inside the through hole of the main body, and surgical instruments can enter and exit through the through hole of the optical fiber member.
  • the optical fiber member is installed so as to be in close contact with the inside of the through hole of the main body, and is installed so as to be movable along the length direction to adjust the length exposed to the outside.
  • the fibrous member may be formed integrally by heating the raw material to a high temperature and then pulling out a cylindrical shape.
  • the optical fiber member may be formed by arranging a plurality of fiber-type optical fibers in a cylindrical shape and then coated by a coating portion on the outer surface.
  • the body may be made of an opaque material.
  • the main body may be installed such that a pair of scissors members each formed with a cutout portion are rotatable about a rotation axis.
  • the end of the optical fiber member may be located near the cutout.
  • the main body is extended in the longitudinal direction and then vertically bent, and a cutter blade may be formed at the bent end.
  • the main body has a cavity formed therein, and the optical fiber member may extend to the vicinity of the cutter blade through the cavity of the main body.
  • the present invention has the following effects.
  • the self-luminescence occurs near the cutting edge of the ophthalmic surgery device, it does not require separate lighting, so the device is simple and the doctor can use both hands, which is very convenient.
  • the present invention provides an effect of controlling the intensity of illumination in response to various surgeries because the self-luminescence is made at the end of the surgical tool of the ophthalmic surgery device, but the amount of the light source can be adjusted.
  • FIG. 1 and 2 are cross-sections of a device for ophthalmic surgery capable of self-emission by an optical fiber according to a first embodiment of the present invention, and show states in which different illumination intensities are provided.
  • FIG 3 is a cross-sectional view of a device for ophthalmic surgery capable of self-luminescence by an optical fiber according to a first embodiment of the present invention.
  • FIG. 4 is a cross-sectional view of a device for ophthalmic surgery capable of self-luminescence by an optical fiber according to a second embodiment of the present invention.
  • FIG. 5 is a perspective view of a device for ophthalmic surgery capable of self-luminescence by an optical fiber according to a third embodiment of the present invention.
  • FIG. 6 is a front view, a side view, and a partial enlarged view of an apparatus for ophthalmic surgery capable of self-emission by an optical fiber according to a third embodiment of the present invention.
  • FIG. 7 is a cross-sectional view of a device for ophthalmic surgery capable of self-luminescence by an optical fiber according to a fourth embodiment of the present invention.
  • FIG. 8 is a perspective view of a device for ophthalmic surgery capable of self-emission by an optical fiber according to a fifth embodiment of the present invention.
  • the apparatus 10 for ophthalmic surgery capable of self-emission by an optical fiber includes a main body 11, an optical fiber member 13, and a light source providing unit (not shown). Poem).
  • the main body 11 extends along the longitudinal direction, referring to FIGS. 1 and 3.
  • the optical fiber member 13 is installed in a cylindrical shape inside the through hole of the main body 11, and surgical instruments enter and exit through the through hole 13a of the optical fiber member 13.
  • the main body 11 may be made of an opaque material. Therefore, when the length of the optical fiber member 13 inside the main body 11 and the length exposed to the outside are adjusted, the illumination intensity can be adjusted accordingly.
  • the optical fiber member 13 is installed inside or outside the body 11, but extends to at least the end of the body 11 to provide a light source to illuminate the part. do.
  • the optical fiber member 13 is installed so as to be in close contact with the inside of the through hole of the main body 11, and is installed so as to be movable along the length direction, so that the length exposed to the outside may be adjusted.
  • the optical fiber member 13 may be formed integrally by heating the raw material to a high temperature and then pulling out a cylindrical shape.
  • the light source providing unit provides a light source to be connected to one end of the optical fiber member and to transmit the light source to the end.
  • a light source provider will use equipment that converts electricity from a connector to a light source, such as an internet optical cable.
  • the apparatus 10 for ophthalmic surgery has a structure in which the end of the optical fiber member 13 has the shape of a trocar, and has a structure with a cylindrical shape and a hollow center.
  • the material is heated with a high-temperature flame of 1700°C or higher using a porcelain rod or high-purity quartz tube, and then pulled out in a trocar shape (empty cylinder). This is similar to creating various shapes using glass craft.
  • the specific inner diameter of the trocar is now 25 gauge (0.455mm), and the outer diameter can have a thickness of 23 gauge (0.7mm), so that the currently used vitrectomy device can be inserted and escaped through the inner diameter.
  • the height of the trocar light-emitting portion to which the optical fiber member 13 is exposed can be adjusted, so that the degree of light emission can be adjusted.
  • the light-emitting trocar part of the trocar moves up and down, so you can adjust the brightness of the light. When more light sources are needed due to delicate surgery such as macular surgery, more light emission occurs when the light emission area is widened by pulling the light-emitting trocar down and making macular surgery more convenient.
  • the trocar light-emitting part is pushed upward to reduce the area of the light-emitting part, thereby preventing unnecessary glare.
  • the luminescent trocar reduces glare due to lighting in three places without additional eye incision.
  • the body 11 has a long cylindrical shape, and a through hole is formed therein.
  • the main body 11 is composed of a long cylindrical length portion and a sealing portion 12 connected to the upper portion of the length portion.
  • the sealing portion 12 remains outside. In that state, the surgical tool passes through the through hole and the operation is performed inside the eyeball. Since the optical fiber member 13 is installed in a close contact form inside the through hole of the main body 11 and can move up and down, the intensity of illumination is adjusted by adjusting it. 1 will be brighter than FIG. 2 because the optical fiber member 13 is exposed more.
  • the length of the main body 11 is formed of a synthetic resin or metal material as in the above-described first embodiment, and the optical fiber member 113 includes a plurality of optical fibers 113a in the form of fibers rather than integrally. It may be arranged in a cylindrical shape and then coated by the coating part 113b on the outer surface. That is, the optical fibers pulled in the form of the long fibers are arranged and then manufactured integrally through the coating unit 113b. If it is manufactured in this way, since it is possible to use an existing connector without the need to separately manufacture the light source providing unit, it will be possible to easily commercialize it.
  • the device for ophthalmic surgery 20 is composed of a main body 21, an optical fiber member 22, and a light source providing part, and in particular, the optical fiber member 22 is a pair of scissors members ( 22a and 22b are installed so as to be rotatable about the rotation shaft 22c, and the end of the optical fiber member emits light near the cutout portion.
  • the optical fiber member may be installed to penetrate the inside of the main body, but depending on the situation, the optical fiber member may be extended to the end along the outer surface of the main body. Also, as shown, it may be possible to directly install the optical fiber member in the form of scissors on the body.
  • the present invention will be applied to the capsular bag incision forceps.
  • the material is also made of a porcelain rod or a high-purity quartz tube at a high temperature of 1700°C.
  • an optical fiber member is made in the shape of the tip of the capsular bag forceps.
  • the ends are in the shape of two thinning cones, and at the ends of the cone-shaped tapered, they are bent 45 degrees in the direction of the axis of the cone, and the two conical ends are flattened and touch each other.
  • the total conical length is 10mm, of which the end of the optical fiber is changed and the part that emits light is 2.5mm.
  • the optical fiber 20a may be embedded.
  • the device for ophthalmic surgery 30 is composed of a main body 31, an optical fiber member 30a, and a light source providing unit, in particular, the main body 31 is extended in the longitudinal direction and then vertically bent, A cutter blade 32 is formed at the bent end.
  • the optical fiber member (30a) is installed along the hollow inside the body (31), the part where the cutter blade (32) is installed, the body (31) is made transparent or translucent, so that light emission from the division to the outside It is intended to be exposed. It is also possible to manufacture the main body and the optical fiber member integrally. Specifically, if you look at the material and shape of the chopper, which is a cataract cutter, the material is also heated with a high-temperature flame at 1700°C using a porcelain rod or a high-purity quartz tube, and then the same shape as the tip of the capsular bag clamp. Produces. The shape has a handle like an ax, and an optical fiber is embedded inside it.
  • the chopper tapers in a conical shape, and the tip tapers in a stepwise shape by bending 45 degrees from the handle shaft and repeating parallel again.
  • the last end can be a ball-like shape that is thicker again.
  • the optical fiber-embedded self-luminous part is again thick like a ball here and has a circular shape.
  • the lower part of the tip of the chopper is polished like an ax blade, so it functions to cut the cataract with the ball-shaped tip. It is a structure that can control the degree of light emission of the cataract cutter. When the end of the cataract cutter is pushed toward the shaft, the light emitting area is narrowed, reducing the intensity of illumination (which can reduce unnecessary glare).
  • the self-illuminating chopper part is exposed more (because the luminous part is widened), and stronger lighting can be obtained. (Suitable for cases where stronger lighting is required, such as subcapsular clouding cataract or overripe cataract)
  • the device for ophthalmic surgery 130 is composed of a main body 131, an optical fiber member 131a, and a light source providing unit, and in particular, the main body 131 has a cavity formed therein, and the optical fiber member (131a) extends to the vicinity of the cutter blade 132 through the cavity of the main body 131.
  • the main body 130 may be integrally formed to be an optical fiber member.
  • an optical fiber can be embedded and the end of the optical fiber can be made into a light emitting part 133. It can be used by making various shapes like this. As described above, when an optical fiber is simply attached to an existing chopper, the shortcomings of the eye incision become larger and the disadvantages of shadows caused by blocking light on the existing chopper.
  • the present invention is an instrument that can be used during ophthalmic surgery.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Ophthalmology & Optometry (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Vascular Medicine (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Laser Surgery Devices (AREA)
  • Light Guides In General And Applications Therefor (AREA)

Abstract

L'invention concerne un dispositif de chirurgie ophtalmique capable d'auto-luminescence au moyen d'une fibre optique. Le dispositif de chirurgie ophtalmique capable d'auto-luminescence au moyen d'une fibre optique, selon la présente invention, comprend : un corps principal s'étendant dans le sens de la longueur ; un élément fibre optique installé à l'intérieur ou à l'extérieur du corps principal et s'étendant jusqu'à au moins une extrémité du corps principal pour fournir une source de lumière afin d'éclairer la partie de celui-ci ; et une unité de fourniture de source de lumière connectée à une extrémité de l'élément de fibre optique et fournissant une source de lumière de sorte que la source de lumière soit transmise à l'extrémité.
PCT/KR2020/007453 2019-06-12 2020-06-09 Dispositif de chirurgie ophtalmique capable d'auto-luminescence au moyen d'une fibre optique WO2020251239A2 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR1020190069200A KR20200142227A (ko) 2019-06-12 2019-06-12 광섬유에 의해 자체발광이 가능한 안과수술용 장치
KR10-2019-0069200 2019-06-12

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WO2020251239A2 true WO2020251239A2 (fr) 2020-12-17
WO2020251239A3 WO2020251239A3 (fr) 2021-02-04

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WO (1) WO2020251239A2 (fr)

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KR102448534B1 (ko) * 2020-06-12 2022-09-28 가톨릭대학교 산학협력단 고정 슬리브를 갖는 일루미네이터

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KR101096401B1 (ko) * 2009-04-27 2011-12-21 국립암센터 수술 기구
KR101070049B1 (ko) * 2009-05-06 2011-10-04 국립암센터 수술 기구
US9066678B2 (en) * 2011-09-23 2015-06-30 Alcon Research, Ltd. Ophthalmic endoilluminators with directed light
CN104799911A (zh) 2014-01-29 2015-07-29 伊西康内外科公司 穿刺器
US10244931B2 (en) * 2015-07-13 2019-04-02 Novartis Ag Illuminated ophthalmic infusion line and associated devices, systems, and methods
KR101796773B1 (ko) * 2016-09-09 2017-11-10 순천향대학교 산학협력단 복강경 수술용 조명유닛 및 이를 구비한 복강경 수술 시스템

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KR20200142227A (ko) 2020-12-22
WO2020251239A3 (fr) 2021-02-04

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