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CN107019592A - What a kind of interior road was implemented applies Lai Mushi pipe treatment systems - Google Patents

What a kind of interior road was implemented applies Lai Mushi pipe treatment systems Download PDF

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Publication number
CN107019592A
CN107019592A CN201710330779.7A CN201710330779A CN107019592A CN 107019592 A CN107019592 A CN 107019592A CN 201710330779 A CN201710330779 A CN 201710330779A CN 107019592 A CN107019592 A CN 107019592A
Authority
CN
China
Prior art keywords
ophthalmology
catheter
interior road
ejector sleeve
interior
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201710330779.7A
Other languages
Chinese (zh)
Inventor
王宁利
王怀洲
田洁
赵士勇
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Tianjin Excellent Eye Technology Co Ltd
Original Assignee
Tianjin Excellent Eye Technology Co Ltd
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 Tianjin Excellent Eye Technology Co Ltd filed Critical Tianjin Excellent Eye Technology Co Ltd
Priority to CN201710330779.7A priority Critical patent/CN107019592A/en
Publication of CN107019592A publication Critical patent/CN107019592A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F9/00Methods 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
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F9/00Methods 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
    • A61F9/0008Introducing ophthalmic products into the ocular cavity or retaining products therein
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F9/00Methods 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
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F2009/00861Methods or devices for eye surgery using laser adapted for treatment at a particular location
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F9/00Methods 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
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F2009/00885Methods or devices for eye surgery using laser for treating a particular disease
    • A61F2009/00891Glaucoma

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  • Health & Medical Sciences (AREA)
  • Ophthalmology & Optometry (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Surgery (AREA)
  • Optics & Photonics (AREA)
  • Laser Surgery Devices (AREA)

Abstract

What a kind of interior road of present invention design was implemented applies Lai Mushi pipe treatment systems, including intervention pin, and support, ejector sleeve, ophthalmology conduit, interior road pusher, catheter propelling wheel, ejector sleeve pushes wheel, threeway, intrusion pipe, laser equipment.The ophthalmology conduit is provided with threeway, threeway connection intrusion pipe.Ophthalmology catheter tip connects laser equipment, and catheter interior is provided with optical fiber, and catheter proximal end pushes wheel using road pusher in section insertion, interior road pusher provided with catheter propelling wheel and ejector sleeve.Interior road pusher front end connection intervention pin, carries in the ophthalmology catheter proximal end inside intervention pin and ejector sleeve is carried on support, the ophthalmology conduit of back-end support.The treatment system of the present invention can effectively reduce intraocular pressure, and improve operative stabilization, it is to avoid unnecessary wound, reduce operation difficulty.

Description

What a kind of interior road was implemented applies Lai Mushi pipe treatment systems
Technical field
Managed the present invention relates to a kind of minimally invasive Glaucoma Surgery system, more particularly to the Lai Mushi that applies that a kind of interior road is implemented Treatment system.
Background technology
Glaucoma is a kind of common ophthalmology disease, is the diseases causing blindness that first, the whole world can not be cured, Chinese green light Eye patient is accounted for first of the whole world.At present, the only effective glaucoma therapies are reduction intraocular pressure.Common method be drug therapy and Operative treatment.But many patient's intraocular pressures in the case of maximum dosage are still difficult to control to, and also have patient to be difficult to receive medicine Side effect, must carry out operative treatment.
Traditional modus operandi is trabeculectomy.The art formula belongs to " aqueous humor short circuit " operation, i.e., aqueous humor is straight from intraocular The fistulization oral connected in scleral walls is drained into outside eyeball(Under conjunctiva), in art and perioperative complications are high.Even if performing the operation into Work(, the function avascular filtering bleb that operation is formed not only for good and all changes the normal configuration of ocular and the aqueous humor physiology circulation of eye, may be used also Cause such as avascular filtering bleb inflammation, many serious avascular filtering bleb related complications of thin-walled avascular filtering bleb.
In recent years, it is international and domestic to start to use glaucoma minimal invasive operation glaucoma, it have received preferable effect.It is viscous small Tuboplasty(Canaloplasty)It is representative therein, is also that unique solution removes the minimally invasive operation for glaucoma that collector tube blocks, this One art formula can be widely used in damage in open-angle glaucoma patients.Operation is using special microtubular by 360 degree of a root polypropylene suture Managed through Lai Mushi is applied(Schlemm´s Canal), suture two ends knot, keep tension force can recover to apply drawing for Lai Mushi pipes Stream, postoperative complication is few, is a kind of safely and effectively art formula.Occur in that within 2015 a kind of new glaucoma Minimally Invasive Surgery -- interior road Glue small Tuboplasty(AB-interno Canaloplasty), by transparency cornea micro-incision, use special microtubular 360 Lai Mushi pipes are applied in degree expansion, with viscous small Tuboplasty(Canaloplasty)Advantage rebuild aqueous humor and naturally exclude approach, Conjunctiva form is also maintained, security is higher, and operation wound is smaller, post-operative recovery is safer effective treatment side faster Formula.But small Tuboplasty is glued at present using 360 degree of suture through applying by the way of Lai Mushi pipes knot in interior road, but suture is formed Tension force be possible to change with the time, cause to apply Lai Mushi pipes and collapse again, hinder aqueous humor discharge, therefore, invention is a kind of More stablize effective Nei Lushi Lai Mushi pipe minimally-invasive treatments system and then seem necessary.
Patent of invention content
What the problem to be solved in the present invention was to provide that a kind of interior road implements applies Lai Mushi pipe treatment systems, implements for interior road The operation for applying Lai Mushi pipes in, intraocular pressure is reduced with minimally invasive modus operandi, glaucoma is treated.The present invention provides one to doctor Modus operandi simple to operation is planted, is conducive to popularization and application.
What a kind of interior road was implemented applies Lai Mushi pipe treatment systems, including intervention pin, and support, ejector sleeve, ophthalmology conduit is interior Road pusher, catheter propelling wheel, ejector sleeve pushes wheel, threeway, intrusion pipe, laser equipment;The ophthalmology conduit is provided with threeway, The threeway connects intrusion pipe;The ophthalmology catheter tip connects laser equipment, and the ophthalmology catheter interior is provided with optical fiber, described Ophthalmology catheter proximal end is provided with interior road pusher using intersegmental part;The interior road pusher is pushed provided with catheter propelling wheel with ejector sleeve Wheel;The interior road pusher front end connection intervention pin;The ophthalmology catheter proximal end is provided with support, the ophthalmology conduit of back-end support It is upper to carry ejector sleeve.
Further, the intervention pin uses arc syringe needle.
Further, the ejector sleeve is made up of self lubricity material.
Further, support is made selected from following material, including:Biocompatibility high polymer, stainless steel, gold, silver, platinum, Nickel etc..
Further, the catheter propelling wheel is promoted in a rotative pattern.
Further, the ejector sleeve pushes wheel and promoted in a rotative pattern.
Beneficial effects of the present invention:
1st, catheter propelling wheel and ejector sleeve push wheel and promoted in a rotative pattern, it is ensured that fltting speed is uniform so that operation is more It is stable;
2nd, intervention pin uses arc syringe needle, more presses close to the physiologic radian of tissue, it is to avoid cause damage;
3rd, the material that support is selected is biocompatibility, reduces the rejection of human body;
4th, the self-lubricating property reduction frictional resistance of ejector sleeve, is conducive to support being pushed into lesions position.
The Lai Mushi pipe treatment systems of applying that the interior road of the present invention is implemented greatly improve operative stabilization, it is to avoid need not The wound wanted, reduces operation difficulty, improves success rate of operation.
Brief description of the drawings
Fig. 1 is the structural representation for applying Lai Mushi pipe treatment systems that road is implemented in the embodiment of the present invention 1.
Fig. 2 is the schematic diagram of configuration steps 2 for applying Lai Mushi pipe treatment systems that road is implemented in the embodiment of the present invention 1.
Fig. 3 is the schematic diagram of configuration steps 3 for applying Lai Mushi pipe treatment systems that road is implemented in the embodiment of the present invention 1.
Label in figure:1- intervenes pin, 2- supports, 3- ejector sleeves, 4- optical fiber, 5- ophthalmology conduits, 6- catheter propelling wheels, 7- perfusions Pipe, 8- laser equipments, 9- threeways, 10- ejector sleeves push road pusher in wheel, 11-.
Embodiment
Embodiment:
As shown in figure 1, in the present embodiment a kind of interior road implement apply Lai Mushi pipe treatment systems, including intervention pin 1, support 2, ejector sleeve 3, ophthalmology conduit 5, interior road pusher 11, catheter propelling wheel 10, ejector sleeve pushes wheel 6, threeway 9, intrusion pipe 7, source, laser apparatus Standby 8.
The ophthalmology conduit 5 is provided with threeway 9, and the connection intrusion pipe 7 of threeway 9 is used for the injection of viscoelastic agent in operation.Eye The end of section's conduit 5 connects laser equipment 8, and catheter interior is provided with optical fiber 4, and the one end of optical fiber 4 is connected with laser equipment 8, and the other end prolongs Extend near distal end of catheter termination.In operation, laser equipment provides laser for optical fiber so that fiber distal end lights, in conduit The position of distal end of catheter is shown in progradation in real time.Catheter proximal end uses road pusher 11, interior road pusher 11 in section insertion Wheel 6 is pushed provided with catheter propelling wheel 10 and ejector sleeve, catheter propelling wheel 10 and ejector sleeve push wheel 6 and promoted in a rotative pattern, protect Fltting speed is demonstrate,proved uniform so that operation is more stablized.The interior front end of road pusher 11 connection intervention pin 1, intervention pin 1 uses arc Syringe needle, more presses close to the physiologic radian of tissue, it is to avoid cause damage.Carried on the front end of ophthalmology conduit 5 inside intervention pin 1 Support 2, the material that support is selected is biocompatibility, reduces the rejection of human body.On the ophthalmology conduit 5 of the rear end of support 2 With ejector sleeve 3, ejector sleeve 3 has self-lubricating property, reduces frictional resistance, is conducive to support being pushed into lesions position.
The application method for applying Lai Mushi pipe treatment systems that a kind of interior road is implemented, comprises the following steps:
A. pin reeve will be intervened by interior approach to apply near Lai Mushi pipe focuses, the radian of intervention pin helps to paste syringe needle Nearly tissue radian insertion, it is to avoid unnecessary damage;
B. catheter propelling wheel at the uniform velocity releases conduit at position near intervention pin to focus;
C. ejector sleeve pushes wheel promotion ejector sleeve and support is at the uniform velocity released to intervention pin along conduit to affected area, and support stays in affected area branch Lai Mushi pipes are applied in support, it is ensured that flow of aqueous humor is all smooth, and conduit exits eye with intervention pin.
Although an embodiment of the present invention has been shown and described, for the ordinary skill in the art, can be with A variety of changes, modification can be carried out to these embodiments, replace without departing from the principles and spirit of the present invention by understanding And modification, the scope of the present invention is defined by the appended.

Claims (6)

  1. What 1. a kind of interior road was implemented applies Lai Mushi pipe treatment systems, including intervention pin, support, ejector sleeve, ophthalmology conduit, interior road Pusher, catheter propelling wheel, ejector sleeve pushes wheel, threeway, intrusion pipe, laser equipment;It is characterized in that:
    The ophthalmology conduit is provided with threeway, and the threeway connects intrusion pipe;The ophthalmology catheter tip connects laser equipment, institute Ophthalmology catheter interior is stated provided with optical fiber, the ophthalmology catheter proximal end is provided with interior road pusher using intersegmental part;The interior road is pushed Device is pushed with ejector sleeve provided with catheter propelling wheel and taken turns;The interior road pusher front end connection intervention pin;The ophthalmology catheter proximal end It is provided with support, the ophthalmology conduit of back-end support and carries ejector sleeve.
  2. What 2. a kind of interior road according to claim 1 was implemented applies Lai Mushi pipe treatment systems, it is characterised in that:It is described Intervene pin and use arc syringe needle.
  3. What 3. a kind of interior road according to claim 1 was implemented applies Lai Mushi pipe treatment systems, it is characterised in that:It is described Ejector sleeve is made up of self lubricity material.
  4. What 4. a kind of interior road according to claim 1 was implemented applies Lai Mushi pipe treatment systems, it is characterised in that:Support It is made selected from following material, including:Biocompatibility high polymer, stainless steel, gold, silver, platinum, nickel etc..
  5. What 5. a kind of interior road according to claim 1 was implemented applies Lai Mushi pipe treatment systems, it is characterised in that:It is described Catheter propelling wheel is promoted in a rotative pattern.
  6. What 6. a kind of interior road according to claim 1 was implemented applies Lai Mushi pipe treatment systems, it is characterised in that:It is described Ejector sleeve pushes wheel and promoted in a rotative pattern.
CN201710330779.7A 2017-05-11 2017-05-11 What a kind of interior road was implemented applies Lai Mushi pipe treatment systems Pending CN107019592A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201710330779.7A CN107019592A (en) 2017-05-11 2017-05-11 What a kind of interior road was implemented applies Lai Mushi pipe treatment systems

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201710330779.7A CN107019592A (en) 2017-05-11 2017-05-11 What a kind of interior road was implemented applies Lai Mushi pipe treatment systems

Publications (1)

Publication Number Publication Date
CN107019592A true CN107019592A (en) 2017-08-08

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111557782A (en) * 2020-04-27 2020-08-21 中国科学院自动化研究所 Flexible microcatheter delivery mechanism for glaucoma viscoangioplasty

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6524275B1 (en) * 1999-04-26 2003-02-25 Gmp Vision Solutions, Inc. Inflatable device and method for treating glaucoma
US20060200113A1 (en) * 2002-03-07 2006-09-07 David Haffner Liquid jet for glaucoma treatment
US7186232B1 (en) * 2002-03-07 2007-03-06 Glaukoa Corporation Fluid infusion methods for glaucoma treatment
CA2655969A1 (en) * 2006-06-30 2008-01-10 Aquesys Inc. Methods, systems and apparatus for relieving pressure in an organ
US20130253403A1 (en) * 2012-03-20 2013-09-26 Sight Sciences, Inc. Ocular delivery systems and methods

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6524275B1 (en) * 1999-04-26 2003-02-25 Gmp Vision Solutions, Inc. Inflatable device and method for treating glaucoma
US20030236484A1 (en) * 1999-04-26 2003-12-25 Gmp Vision Solutions, Inc. Inflatable device and method for treating glaucoma
US20060200113A1 (en) * 2002-03-07 2006-09-07 David Haffner Liquid jet for glaucoma treatment
US7186232B1 (en) * 2002-03-07 2007-03-06 Glaukoa Corporation Fluid infusion methods for glaucoma treatment
CA2655969A1 (en) * 2006-06-30 2008-01-10 Aquesys Inc. Methods, systems and apparatus for relieving pressure in an organ
US20130253403A1 (en) * 2012-03-20 2013-09-26 Sight Sciences, Inc. Ocular delivery systems and methods

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111557782A (en) * 2020-04-27 2020-08-21 中国科学院自动化研究所 Flexible microcatheter delivery mechanism for glaucoma viscoangioplasty

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Application publication date: 20170808