CN107874903A - surgical needle holder for artificial retina nail - Google Patents
surgical needle holder for artificial retina nail Download PDFInfo
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- CN107874903A CN107874903A CN201711367164.8A CN201711367164A CN107874903A CN 107874903 A CN107874903 A CN 107874903A CN 201711367164 A CN201711367164 A CN 201711367164A CN 107874903 A CN107874903 A CN 107874903A
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- 210000001525 retina Anatomy 0.000 title claims abstract description 49
- 238000007789 sealing Methods 0.000 claims description 8
- 229910001069 Ti alloy Inorganic materials 0.000 claims description 3
- 230000009471 action Effects 0.000 abstract description 7
- 241000587161 Gomphocarpus Species 0.000 description 7
- 230000002093 peripheral effect Effects 0.000 description 6
- 238000010586 diagram Methods 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 238000006073 displacement reaction Methods 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000002207 retinal effect Effects 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 230000001360 synchronised effect Effects 0.000 description 2
- 210000003813 thumb Anatomy 0.000 description 2
- 229910052719 titanium Inorganic materials 0.000 description 2
- 239000010936 titanium Substances 0.000 description 2
- 241000894006 Bacteria Species 0.000 description 1
- 229910000883 Ti6Al4V Inorganic materials 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 210000004247 hand Anatomy 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- JEIPFZHSYJVQDO-UHFFFAOYSA-N iron(III) oxide Inorganic materials O=[Fe]O[Fe]=O JEIPFZHSYJVQDO-UHFFFAOYSA-N 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 238000003466 welding Methods 0.000 description 1
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- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/36046—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of the eye
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
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- Heart & Thoracic Surgery (AREA)
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Abstract
本发明提供一种用于人造视网膜用钉的手术持针器,其包括:外套管,其外壁设有指示条,外套管的前端设有开孔,外套管的后端与操作手柄能转动的相连,操作手柄上设有按压开关;内套管,其固设于外套管内,内套管的前端固设外管针,外管针穿出外套管的开孔,内套管内设有按压体,按压体的前端固设内管针和弹簧,弹簧远离按压体的一端固设于内套管,内管针依次穿设于弹簧和外管针内,内管针的前端设有能卡设人造视网膜用钉的卡钉口,卡钉口的开口方向与指示条的方向相同,按压体能在按压开关的作用下带动内管针轴向移动。本发明能调整持针方向,占用空间小,操作便利。
The invention provides a surgical needle holder for nails for artificial retina, which comprises: an outer sleeve, an indicator bar is provided on the outer wall, an opening is provided at the front end of the outer sleeve, and a rear end of the outer sleeve and an operating handle can be rotated. Connected, the operating handle is equipped with a push switch; the inner sleeve is fixed in the outer sleeve, the front end of the inner sleeve is fixed with an outer tube needle, the outer tube needle passes through the opening of the outer sleeve, and the inner sleeve is equipped with a pressing body , the front end of the pressing body is fixed with the inner tube needle and the spring, the end of the spring away from the pressing body is fixed on the inner sleeve, the inner tube needle is sequentially passed through the spring and the outer tube needle, and the front end of the inner tube needle is provided with a clamping device. The staple opening of the staple for artificial retina, the opening direction of the staple opening is the same as the direction of the indicator bar, and the pressing body can drive the inner tube needle to move axially under the action of pressing the switch. The invention can adjust the needle holding direction, occupies little space and is convenient to operate.
Description
技术领域technical field
本发明涉及医疗器械技术领域,尤其涉及一种用于人造视网膜用钉的手术持针器。The invention relates to the technical field of medical instruments, in particular to a surgical needle holder for artificial retina pins.
背景技术Background technique
在人造视网膜植入等手术过程中,需要通过微型的人造视网膜用钉,比如钛钉,将微电极部分固定在视网膜区域,因人造视网膜用钉的尺寸非常小(一般为10mm以下),故需要由专门的手术器械进行操作。In the process of artificial retina implantation and other operations, it is necessary to fix the micro-electrode part in the retina area through miniature artificial retinal nails, such as titanium nails. Because the size of the artificial retinal nails is very small (generally less than 10mm), it is necessary to It is performed with specialized surgical instruments.
现有技术均是通过剪刀式夹持器械进行夹持操作,但是,该类夹持器械在张开过程中占用空间大,不利于手术操作,且现有的夹持器械不能根据需要调整持针方向,手术难度大。In the prior art, the clamping operation is performed by scissor-type clamping instruments. However, this type of clamping instrument takes up a lot of space during the opening process, which is not conducive to surgical operations, and the existing clamping instruments cannot adjust the needle-holding as required. direction, the operation is difficult.
发明内容Contents of the invention
本发明的目的是提供一种用于人造视网膜用钉的手术持针器,其能调整持针方向,占用空间小,操作便利。The object of the present invention is to provide a surgical needle holder for artificial retina pins, which can adjust the needle holding direction, occupies little space and is easy to operate.
本发明的上述目的可采用下列技术方案来实现:Above-mentioned purpose of the present invention can adopt following technical scheme to realize:
本发明提供一种用于人造视网膜用钉的手术持针器,其包括:外套管,其外壁设有指示条,所述外套管的前端设有开孔,所述外套管的后端与操作手柄能转动的相连,所述操作手柄上设有按压开关;内套管,其固设于所述外套管内,所述内套管的前端固设外管针,所述外管针穿出所述外套管的开孔,所述内套管内设有按压体,所述按压体的前端固设内管针和弹簧,所述弹簧远离所述按压体的一端固设于所述内套管,所述内管针依次穿设于所述弹簧和所述外管针内,所述内管针的前端设有能卡设人造视网膜用钉的卡钉口,所述卡钉口的开口方向与所述指示条的方向相同,所述按压体能在所述按压开关的作用下带动所述内管针轴向移动。The invention provides a surgical needle holder for nails for artificial retina, which comprises: an outer sleeve, the outer wall of which is provided with an indicator strip, the front end of the outer sleeve is provided with an opening, and the rear end of the outer sleeve is connected to the operation The handles are rotatably connected, and the operating handle is provided with a push switch; the inner sleeve is fixed in the outer sleeve, and the front end of the inner sleeve is fixed with an outer needle, and the outer needle passes through the outer sleeve. In the opening of the outer sleeve, a pressing body is arranged inside the inner sleeve, an inner tube needle and a spring are fixed at the front end of the pressing body, and the end of the spring far away from the pressing body is fixed on the inner sleeve, The inner tube needle is sequentially set in the spring and the outer tube needle, and the front end of the inner tube needle is provided with a nail hole capable of holding a nail for artificial retina, and the opening direction of the nail hole is the same as that of the outer needle. The directions of the indicator strips are the same, and the pressing body can drive the inner tube needle to move axially under the action of the pressing switch.
在优选的实施方式中,所述内管针的前端为半圆柱形,所述内管针的前端的平面上凹设所述卡钉口,所述卡钉口的形状与所述人造视网膜用钉的钉头的形状相匹配。In a preferred embodiment, the front end of the inner tube needle is semi-cylindrical, and the staple opening is recessed on the plane of the front end of the inner tube needle, and the shape of the staple opening is the same as that used for the artificial retina. The shape of the nail head matches that of the nail.
在优选的实施方式中,所述外套管包括依次套设于所述内套管的锥筒部、旋转调节部和连接部,所述锥筒部的前端设有所述开孔,所述锥筒部的外壁凸设所述指示条,所述锥筒部的后端与所述旋转调节部相连,所述操作手柄的前端设有具有通孔的卡套部,所述连接部与所述卡套部通过活接头能转动的相连。In a preferred embodiment, the outer sleeve includes a cone portion, a rotation adjustment portion, and a connecting portion that are sequentially sleeved on the inner sleeve, the front end of the cone portion is provided with the opening, and the cone The outer wall of the cylindrical portion protrudes from the indicator strip, the rear end of the tapered cylindrical portion is connected to the rotation adjustment portion, the front end of the operating handle is provided with a ferrule portion with a through hole, and the connecting portion is connected to the The ferrule parts are rotatably connected through a joint.
在优选的实施方式中,所述活接头由两个半圆管能拆卸的拼接而成,所述活接头的前端与所述连接部螺纹连接,所述活接头的后端设有内卡槽,所述卡套部的前端设有外卡扣,所述外卡扣与所述内卡槽能相对转动的间隙配合。In a preferred embodiment, the joint is detachably spliced by two semicircular pipes, the front end of the joint is threadedly connected to the connecting part, and the rear end of the joint is provided with an inner card slot. The front end of the ferrule part is provided with an outer buckle, and the outer buckle cooperates with the inner buckle with a gap capable of relative rotation.
在优选的实施方式中,所述活接头包括与所述连接部相连的外环和与所述卡套部相连的内环,所述外环与所述内环之间设有多个滚珠,所述外环通过多个所述滚珠能相对于所述内环转动。In a preferred embodiment, the joint includes an outer ring connected to the connection part and an inner ring connected to the ferrule part, a plurality of balls are arranged between the outer ring and the inner ring, The outer ring can rotate relative to the inner ring through the plurality of balls.
在优选的实施方式中,所述操作手柄的外周壁、所述旋转调节部的外周壁和所述活接头的外周壁均设有防滑网纹。In a preferred embodiment, the outer peripheral wall of the operating handle, the outer peripheral wall of the rotation adjustment part and the outer peripheral wall of the joint are all provided with anti-slip texture.
在优选的实施方式中,所述旋转调节部与所述连接部之间设有密封圈。In a preferred embodiment, a sealing ring is provided between the rotation adjusting part and the connecting part.
在优选的实施方式中,所述操作手柄的内壁设有内螺纹,所述卡套部的外壁设有外螺纹,所述操作手柄与所述卡套部螺纹连接。In a preferred embodiment, the inner wall of the operating handle is provided with internal threads, the outer wall of the ferrule is provided with external threads, and the operating handle is threadedly connected with the ferrule.
在优选的实施方式中,所述内套管包括锥部和筒部,所述锥部的内径小于所述筒部的内径,所述外管针的后端固设于所述锥部内,所述按压体能移动的设于所述筒部内,所述按压体与所述筒部的前端面之间设有所述弹簧,所述弹簧与所述筒部的前端面固设相连。In a preferred embodiment, the inner cannula includes a tapered portion and a cylindrical portion, the inner diameter of the tapered portion is smaller than the inner diameter of the cylindrical portion, the rear end of the outer tube needle is fixed in the tapered portion, the The pressing body is provided in the cylinder part so as to be movable, the spring is arranged between the pressing body and the front end surface of the cylinder part, and the spring is fixedly connected to the front end surface of the cylinder part.
在优选的实施方式中,所述内套管还包括限位部,所述限位部设于所述筒部的后端,所述限位部径向向内凸设缩颈部,所述按压体的后端设有行程杆,所述行程杆上套设行程盘,所述行程盘位于所述缩颈部远离所述按压体的一侧,所述行程盘的外径大于所述缩颈部的内径。In a preferred embodiment, the inner sleeve further includes a limiting portion, the limiting portion is arranged at the rear end of the barrel portion, and the limiting portion protrudes radially inward to form a constricted portion, the limiting portion The rear end of the pressing body is provided with a travel rod, and a travel disc is sleeved on the travel rod. The travel disc is located on the side of the constriction part away from the pressing body. The inner diameter of the neck.
在优选的实施方式中,所述按压开关枢接于所述操作手柄的外壁,所述按压开关的下方设有径向伸入所述操作手柄内的联动块,所述行程杆的后方设有顶管,所述顶管能移动的穿设于所述卡套部和所述操作手柄并与所述联动块相抵靠。In a preferred embodiment, the push switch is pivotally connected to the outer wall of the operating handle, a linkage block extending radially into the operating handle is provided under the push switch, and a linkage block is provided behind the travel lever. A jacking pipe, the jacking pipe is movably passed through the ferrule part and the operating handle and abuts against the linkage block.
在优选的实施方式中,所述行程盘的最大行程为0.5mm~1.5mm。In a preferred embodiment, the maximum stroke of the stroke disc is 0.5mm-1.5mm.
在优选的实施方式中,所述外管针的长度为24mm~28mm,所述外管针的外径为0.95mm~1.05mm,所述外管针的内径为0.75mm~0.85mm。In a preferred embodiment, the length of the outer tube needle is 24 mm to 28 mm, the outer diameter of the outer tube needle is 0.95 mm to 1.05 mm, and the inner diameter of the outer tube needle is 0.75 mm to 0.85 mm.
在优选的实施方式中,所述内管针的长度为24mm~28mm,所述内管针的外径为0.9mm~1mm,所述内管针的内径为0.7mm~0.8mm。In a preferred embodiment, the length of the inner tube needle is 24 mm to 28 mm, the outer diameter of the inner tube needle is 0.9 mm to 1 mm, and the inner diameter of the inner tube needle is 0.7 mm to 0.8 mm.
在优选的实施方式中,所述内套管和所述外套管均由钛合金制成。In a preferred embodiment, both the inner sleeve and the outer sleeve are made of titanium alloy.
本发明用于人造视网膜用钉的手术持针器的特点及优点是:The characteristics and advantages of the surgical needle holder for artificial retina nails of the present invention are:
1、本发明通过操作手柄上的按压开关推动内套管内的按压体和固设于按压体前端的内管针,使内管针能伸出外管针,以利用内管针前端的卡钉口卡设人造视网膜用钉,并通过设于按压体与内管针的筒部的前端面之间的弹簧,实现内管针和按压体的回位,占用空间小,操作方便,降低了手术难度,提高手术的成功率,安全性高,同时降低患者手术过程中的痛苦,提高患者舒适性。1. The present invention pushes the pressing body in the inner cannula and the inner needle fixed at the front end of the pressing body through the pressing switch on the operating handle, so that the inner needle can extend out of the outer needle, so as to use the nail mouth at the front end of the inner needle The artificial retina is provided with nails, and the return of the inner tube needle and the pressing body is realized through the spring arranged between the pressing body and the front end of the barrel of the inner tube needle, which occupies less space, is convenient to operate, and reduces the difficulty of the operation. Improve the success rate of the operation, high safety, reduce the pain of the patient during the operation, and improve the comfort of the patient.
2、本发明将内套管固设于外套管内,并将外套管与操作手柄能转动的相连,以通过外套管上的旋转调节部,实现外套管和内套管相对于操作手柄同步的转动,同时通过与内套管相连的弹簧,带动内管针和按压体同步的转动,以实现内套管的卡钉口的圆周方向的调节,便于医生根据个人使用习惯而从各角度取钉或放钉,使用灵活,并通过在外套管的外壁设置指示条,且使指示条的方向与内管针的卡钉口的方向相同,以通过指示条确定内管针的卡钉口的开口方向,便于医生调节持针方向。2. In the present invention, the inner sleeve is fixed in the outer sleeve, and the outer sleeve is rotatably connected with the operating handle, so that the outer sleeve and the inner sleeve can rotate synchronously with respect to the operating handle through the rotation adjustment part on the outer sleeve. At the same time, through the spring connected with the inner sleeve, the inner tube needle and the pressing body are driven to rotate synchronously, so as to realize the adjustment of the circumferential direction of the staple opening of the inner sleeve, which is convenient for the doctor to take the nails or nails from various angles according to personal usage habits. Nail placement, flexible use, and by setting an indicator strip on the outer wall of the outer casing, and making the direction of the indicator strip the same as the direction of the staple opening of the inner tube needle, the opening direction of the staple opening of the inner tube needle can be determined by the indicator strip , which is convenient for doctors to adjust the needle holding direction.
附图说明Description of drawings
为了更清楚地说明本发明实施例中的技术方案,下面将对实施例描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present invention, the drawings that need to be used in the description of the embodiments will be briefly introduced below. Obviously, the drawings in the following description are only some embodiments of the present invention. For those skilled in the art, other drawings can also be obtained based on these drawings without creative effort.
图1为本发明用于人造视网膜用钉的手术持针器的主视结构示意图。Fig. 1 is a schematic diagram of the front view of the surgical needle holder for artificial retina pins according to the present invention.
图2为本发明用于人造视网膜用钉的手术持针器的剖视结构示意图。Fig. 2 is a schematic cross-sectional structure diagram of the surgical needle holder used for artificial retina pins according to the present invention.
图3为本发明用于人造视网膜用钉的手术持针器的内套管的结构示意图。Fig. 3 is a schematic structural view of the inner sleeve of the surgical needle holder used for artificial retina pins according to the present invention.
图4为图3中的A部的局部放大结构示意图。FIG. 4 is a schematic diagram of a partially enlarged structure of part A in FIG. 3 .
图5为本发明的活接头与卡套部的一实施例的剖视结构示意图。Fig. 5 is a schematic cross-sectional structure diagram of an embodiment of the union and ferrule part of the present invention.
附图标号说明:Explanation of reference numbers:
10、外套管;11、锥筒部;12、指示条;13、旋转调节部;14、密封圈;15、连接部;16、活接头;10. Outer casing; 11. Cone barrel part; 12. Indicator bar; 13. Rotation adjustment part; 14. Sealing ring; 15. Connection part; 16. Union joint;
20、内套管;21、锥部;22、筒部;23、限位部;231、缩颈部;24、外管针;25、内管针;251、卡钉口;26、弹簧;27、按压体;281、行程杆;282、行程盘;29、顶管;20. Inner casing; 21. Cone part; 22. Barrel part; 23. Limit part; 231. Constriction part; 24. Outer tube needle; 25. Inner tube needle; 251. Staple mouth; 26. Spring; 27. Pressing body; 281. Travel rod; 282. Travel disc; 29. Jacking pipe;
30、操作手柄;31、按压开关;32、联动块;33、卡套部;30. Operating handle; 31. Push switch; 32. Linkage block; 33. Ferrule part;
40、人造视网膜用钉。40. Nails for artificial retina.
具体实施方式Detailed ways
下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The following will clearly and completely describe the technical solutions in the embodiments of the present invention with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only some, not all, embodiments of the present invention. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present invention.
除非单独定义指出的方向以外,本文中涉及到的前、后、上、下等方向均是以本发明所示的图1中的左、右、上、下等方向为准,在此一并说明。Except for the directions indicated by individual definitions, the directions of front, back, up, and down referred to herein are based on the directions of left, right, up, and down in Fig. 1 shown in the present invention, and are hereby incorporated illustrate.
如图1至图5所示,本发明提供一种用于人造视网膜用钉的手术持针器,其包括:外套管10,其外壁设有指示条12,所述外套管10的前端设有开孔,所述外套管10的后端与操作手柄30能转动的相连,所述操作手柄30上设有按压开关31;内套管20,其固设于所述外套管10内,所述内套管20的前端固设外管针24,所述外管针24穿出所述外套管10的开孔,所述内套管20内设有按压体27,所述按压体27的前端固设内管针25和弹簧26,所述弹簧26远离所述按压体27的一端固设于所述内套管20,所述内管针25依次穿设于所述弹簧26和所述外管针24内,所述内管针25的前端设有能卡设人造视网膜用钉40的卡钉口251,所述卡钉口251的开口方向与所述指示条12的方向相同,所述按压体27能在所述按压开关31的作用下带动所述内管针25轴向移动。As shown in Fig. 1 to Fig. 5, the present invention provides a kind of surgical needle holder that is used for artificial retina pin, and it comprises: Outer sleeve 10, its outer wall is provided with indicator bar 12, and the front end of described outer sleeve 10 is provided with Holes are opened, and the rear end of the outer sleeve 10 is rotatably connected with the operating handle 30, and the operating handle 30 is provided with a push switch 31; the inner sleeve 20 is fixed in the outer sleeve 10, and the The front end of the inner sleeve 20 is fixedly equipped with an outer tube needle 24, and the outer tube needle 24 passes through the opening of the outer sleeve 10, and the inner sleeve 20 is provided with a pressing body 27, and the front end of the pressing body 27 An inner tube needle 25 and a spring 26 are fixed, and the end of the spring 26 away from the pressing body 27 is fixed on the inner sleeve 20, and the inner tube needle 25 is sequentially passed through the spring 26 and the outer tube. Inside the tube needle 24, the front end of the inner tube needle 25 is provided with a staple opening 251 capable of clamping the artificial retina staple 40, the opening direction of the staple opening 251 is the same as the direction of the indicator strip 12, and the The pressing body 27 can drive the inner tube needle 25 to move axially under the action of the pressing switch 31 .
具体的,外套管10大体呈管状,其用于容纳并保护内套管20,且用于设置供指示持针方向的指示条12和供调整持针方向的旋转调节部13,其中,卡钉口251的开口方向与指示条12的方向均指的是沿圆周的角度方向,卡钉口251的开口方向即卡钉口251的开口朝向方向,指示条12的方向即指示条12在外套管10周向上的角度朝向方向,即卡钉口251的开口朝向方向与指示条12在周向上的角度朝向方向相同,以通过指示条12的方向知晓卡钉口251的开口方向,其中,指示条12可为凸设于外套管10上的条状凸块,或凹设于外套管10上的条状凹槽,或贴设于外套管10上的条状指示标签;操作手柄30用于供操作者手握,其大体呈长杆状,其为空心,以减轻操作者的负重,其上的按压开关31设置在方便大拇指按压的位置,优选的,设置在操作手柄30连接卡套部33的端部,按压开关31用于触发内管针25伸出外管针24,以卡设人造视网膜用钉40,较佳的,操作手柄30的外径为8.3mm;内套管20也大体呈管状,其固设于外套管10内,并与外套管10同步转动,优选的,内套管20过盈配合的设置于外套管10内,或内套管20与外套管10径向卡接,例如在内套管20和外套管10上均设置键槽,并通过在键槽内卡设键实现二者的固定,内套管20能通过弹簧26带动内管针25和按压体27同步转动,内套管20还能在按压开关31的作用下,使其内的按压体27轴向向前运动,并带动内管针25同步轴向向前运动,使内管针25的前端伸出外管针24,并使内管针25前端的卡钉口251裸露出来,以卡设人造视网膜用钉40。Specifically, the outer sleeve 10 is generally tubular, and is used to accommodate and protect the inner sleeve 20, and is used to provide an indicator strip 12 for indicating the needle holding direction and a rotation adjustment part 13 for adjusting the needle holding direction, wherein the staple The opening direction of the mouth 251 and the direction of the indicator strip 12 both refer to the angular direction along the circumference. 10. The direction of the angle in the circumferential direction, that is, the opening direction of the staple opening 251 is the same as that of the indicator strip 12 in the circumferential direction, so that the opening direction of the staple opening 251 can be known through the direction of the indicator strip 12, wherein the indicator strip 12 can be a strip-shaped bump protruding from the outer sleeve 10, or a strip-shaped groove recessed on the outer sleeve 10, or a strip-shaped indicator label attached to the outer sleeve 10; the operating handle 30 is used for The operator holds it in the shape of a long rod. It is hollow to reduce the operator's load. The push switch 31 on it is set at a position convenient for the thumb to press. Preferably, it is set at the operating handle 30 connected to the ferrule 33, press the switch 31 to trigger the inner tube needle 25 to stretch out the outer tube needle 24, so as to clamp the artificial retina pin 40, preferably, the outer diameter of the operating handle 30 is 8.3mm; the inner sleeve 20 is also roughly It is tubular, fixed in the outer sleeve 10, and rotates synchronously with the outer sleeve 10. Preferably, the inner sleeve 20 is arranged in the outer sleeve 10 with an interference fit, or the inner sleeve 20 and the outer sleeve 10 are radially engaged. For example, keyways are provided on both the inner sleeve 20 and the outer sleeve 10, and the fixing of the two is realized by setting a key in the keyway. The inner sleeve 20 can drive the inner tube needle 25 and the pressing body 27 to rotate synchronously through the spring 26. , the inner sleeve 20 can also move the pressing body 27 axially forward under the action of the push switch 31, and drive the inner tube needle 25 to move axially forward synchronously, so that the front end of the inner tube needle 25 protrudes outward. The tube needle 24, and expose the staple opening 251 at the front end of the inner tube needle 25, so as to clamp the staple 40 for the artificial retina.
进一步的,如图4所示,所述内管针25的前端为半圆柱形,所述内管针25的前端的平面上凹设所述卡钉口251,所述卡钉口251的形状与所述人造视网膜用钉40的钉头的形状相匹配,具体的,内管针25大体呈管状,以减轻重量,便于医生使用,当然,内管针25也可为实心柱状,内管针25的前端呈半圆柱形,以使内管针25的前端具有一弧面和一平面,并在其平面靠近前端边缘处凹设与人造视网膜用钉40的钉头形状相匹配的卡钉口251,卡钉口251的尺寸可微微小于人造视网膜用钉40的钉头的尺寸,以不影响卡设为宜,以避免人造视网膜用钉40掉落,当然,内管针25也可整体为实心的半圆柱状或空心的半圆柱管状,在此不做限制,人造视网膜用钉40可以为钛钉,其钉头为球体、圆锥体、椭球体、棱柱体和圆柱体等,为与人造视网膜用钉40的钉头的形状相匹配,卡钉口251可为半球形、半圆锥体形、半椭球形、半圆柱体等。Further, as shown in FIG. 4, the front end of the inner tube needle 25 is semi-cylindrical, and the staple opening 251 is recessed on the plane of the front end of the inner tube needle 25. The shape of the staple opening 251 is Matches the shape of the nail head of the artificial retina pin 40. Specifically, the inner tube needle 25 is generally tubular to reduce weight and facilitate the use of doctors. Of course, the inner tube needle 25 can also be solid columnar. The front end of 25 is semi-cylindrical, so that the front end of inner tube needle 25 has a curved surface and a plane, and a nail opening matching the shape of the nail head of the artificial retina nail 40 is recessed on the plane near the edge of the front end. 251, the size of the nail mouth 251 can be slightly smaller than the size of the nail head of the artificial retina pin 40, so as not to affect the clamping setting, so as to avoid the artificial retina pin 40 from falling off, of course, the inner tube needle 25 can also be integrally Solid semi-cylindrical or hollow semi-cylindrical tubular, not limited here, the nail 40 for artificial retina can be titanium nail, and its nail head is sphere, cone, ellipsoid, prism and cylinder etc., for artificial retina Matching the shape of the nail head of the nail 40, the nail opening 251 can be hemispherical, semi-conical, semi-ellipsoidal, semi-cylindrical, etc.
如图1和图2所示,所述外套管10包括依次套设于所述内套管20的锥筒部11、旋转调节部13和连接部15,所述锥筒部11的前端设有所述开孔,所述锥筒部11的外壁凸设所述指示条12,所述锥筒部11的后端与所述旋转调节部13相连,所述操作手柄30的前端设有具有通孔的卡套部33,所述连接部15与所述卡套部33通过活接头16能转动的相连,具体的,外套管10的锥筒部11包括前端的锥部和后端的筒部,锥部自前至后渐扩,其开孔的内径与外管针24的外径相匹配,使外管针24稳固的穿设于开孔并保持固定,其指示条12大体呈长条状,沿轴向延伸并沿径向凸设于锥筒部11外壁,其中卡钉口251的开口方向与指示条12的凸设方向相同,即均为径向向外,且二者轴向共线(也即二者的中心轴线共线),以指示卡钉口251的开口方向,锥筒部11的后端与旋转调节部13的前端相连,二者可为焊接相连,或一体成型,保证二者同步转动,旋转调节部13大体呈筒状并与内套管20的筒部22相固设,保证二者同步转动,二者可为过盈配合,或径向卡接,例如通过键槽相连,另外,旋转调节部13还可为螺母,内套管20外壁设有螺纹,通过旋转调节部13螺接于内套管20,实现内套管20与外套管10紧固相连,其紧固方向与调整持针的方向相同,避免调整持针时的松脱,连接部15大体呈筒状并与内套管20的筒部22相固设,例如连接部15紧密的卡设于内套管20的后端,即二者可为过盈配合,或二者为径向卡接,例如通过键径向卡接,保证连接部15与内套管20同步转动。As shown in Figures 1 and 2, the outer sleeve 10 includes a cone portion 11, a rotation adjustment portion 13, and a connecting portion 15 that are sequentially sleeved on the inner sleeve 20, and the front end of the cone portion 11 is provided with The opening, the outer wall of the cone portion 11 protrudes from the indicator strip 12, the rear end of the cone portion 11 is connected to the rotation adjustment portion 13, and the front end of the operating handle 30 is provided with a through The ferrule part 33 of the hole, the connecting part 15 and the ferrule part 33 are rotatably connected through the joint 16, specifically, the tapered cylindrical part 11 of the outer sleeve 10 includes a tapered part at the front end and a cylindrical part at the rear end, The taper gradually expands from front to back, and the inner diameter of the opening matches the outer diameter of the outer tube needle 24, so that the outer tube needle 24 is stably inserted in the opening and kept fixed. The indicator strip 12 is generally in the shape of a long strip. It extends axially and protrudes radially on the outer wall of the cone portion 11, wherein the opening direction of the staple opening 251 is the same as the protruding direction of the indicator strip 12, that is, both are radially outward, and the two axes are co-linear (that is, the central axes of the two are collinear), to indicate the opening direction of the staple mouth 251, the rear end of the cone portion 11 is connected to the front end of the rotation adjustment portion 13, and the two can be connected by welding, or integrally formed, to ensure The two rotate synchronously, and the rotation adjustment part 13 is generally cylindrical and fixed with the cylindrical part 22 of the inner sleeve 20 to ensure that the two rotate synchronously. The two can be interference fit, or radial clamping, such as through a keyway In addition, the rotation adjustment part 13 can also be a nut, and the outer wall of the inner casing 20 is provided with threads, and the rotation adjustment part 13 is screwed to the inner casing 20, so that the inner casing 20 is tightly connected with the outer casing 10, and its tightness The fixing direction is the same as the direction of adjusting the needle holding, so as to avoid loosening when adjusting the needle holding. The connecting part 15 is generally cylindrical and fixed with the cylindrical part 22 of the inner sleeve 20. For example, the connecting part 15 is tightly locked in the inner The rear end of the sleeve 20, that is, the two can be interference fit, or the two can be radially clamped, for example, radially clamped by a key, so as to ensure that the connecting part 15 and the inner sleeve 20 rotate synchronously.
在一实施例中,如图5所示,所述活接头16由两个半圆管能拆卸的拼接而成,所述活接头16的前端与所述连接部15螺纹连接,使二者能同步转动,所述活接头16的后端设有内卡槽,所述卡套部33的前端设有外卡扣,所述外卡扣与所述内卡槽能相对转动的间隙配合,具体的,活接头16的内卡槽的截面形状大体为两个轴向叠加的梯形,卡套部33的外卡扣的截面形状也大体为两个周向叠加的梯形,使外卡扣扣设于内卡槽内后,能轴向限位,避免卡套部33脱出,同时因二者为间隙配合,故在外套管10和内套管20旋转时,活接头16能同外套管10和内套管20一起相对操作手柄30和卡套部33转动,以便于手握操作手柄30的同时调整持针方向,其中,在安装时,将活接头16由的两个半圆管分别套设于卡套部33,并通过螺栓等连接件实现活接头16的两个半圆管的固定,再与连接部15螺接。在另一实施例中,所述活接头16包括与所述连接部15相连的外环和与所述卡套部33相连的内环,所述外环与所述内环之间设有多个滚珠,所述外环通过多个所述滚珠能相对于所述内环转动,使卡套部33与内环相对固定,连接部15与外环能相对卡套部33与内环转动,以便于手握操作手柄30的同时调整持针方向。In one embodiment, as shown in FIG. 5 , the joint 16 is formed by detachable splicing of two semicircular pipes, and the front end of the joint 16 is screwed to the connecting part 15 so that the two can be synchronized. Rotate, the rear end of the joint 16 is provided with an inner card slot, the front end of the ferrule part 33 is provided with an outer buckle, and the outer buckle and the inner card slot can be rotated relative to each other, specifically , the cross-sectional shape of the inner groove of the joint 16 is generally two axially superimposed trapezoids, and the cross-sectional shape of the outer buckle of the ferrule part 33 is also generally two circumferentially superimposed trapezoids, so that the outer buckle is arranged on the After the inner card groove is inside, it can axially limit the position to prevent the ferrule part 33 from coming out. At the same time, because the two are clearance fit, when the outer sleeve 10 and the inner sleeve 20 rotate, the joint 16 can be connected with the outer sleeve 10 and the inner sleeve. Sleeve 20 rotates relative to operating handle 30 and card sleeve part 33 together, so as to adjust the direction of holding the needle while holding operating handle 30, wherein, when installing, the two semicircular tubes of union 16 are sleeved on the card respectively. The sleeve part 33, and realize the fixation of the two semicircular pipes of the joint 16 by connecting pieces such as bolts, and then screwed with the connecting part 15. In another embodiment, the joint 16 includes an outer ring connected to the connecting part 15 and an inner ring connected to the ferrule part 33, and multiple rings are arranged between the outer ring and the inner ring. The outer ring can rotate relative to the inner ring through a plurality of balls, so that the ferrule part 33 and the inner ring are relatively fixed, and the connecting part 15 and the outer ring can rotate relative to the ferrule part 33 and the inner ring. In order to adjust the needle holding direction while holding the operating handle 30 .
进一步的,所述操作手柄30的外周壁、所述旋转调节部13的外周壁和所述活接头16的外周壁均设有防滑网纹,以增加医生操作过程中的摩擦力,防止手术过程中医生手滑而使其跌落或无法调节方向,避免造成安全事故,其中,防滑网纹可为两侧带有对称弯折结构的V型结构,且其边长可以为0.75mm~0.85mm,或者防滑网纹可以为方格状、三角格状等。Further, the outer peripheral wall of the operating handle 30, the outer peripheral wall of the rotation adjustment part 13 and the outer peripheral wall of the joint 16 are all provided with anti-slip textures, so as to increase the friction force during the operation of the doctor and prevent the operation process from The Chinese doctor's hand slips and makes it fall or cannot adjust the direction to avoid safety accidents. Among them, the anti-slip texture can be a V-shaped structure with symmetrical bending structures on both sides, and its side length can be 0.75mm to 0.85mm. Alternatively, the anti-slip texture can be in the shape of a grid, a triangle, or the like.
进一步的,如图1和图2所示,所述旋转调节部13与所述连接部15之间设有密封圈14,以配合实现二者之间的密封,避免液体等进入缝隙滋生细菌,并保证转动顺畅,防止转动过程中对部件的磨损,特别是打滑后转动过程中出现的磨损,即连接部15与旋转调节部13之间紧密的挤压着密封圈14,且旋转调节部13与内套管20之间相固设,连接部15与内套管20之间相固设,较佳的,密封圈14由橡胶制成,当然,也可不设置密封圈,而是直接将旋转调节部13的后端与连接部15的前端相连,在此不做限制。Further, as shown in FIG. 1 and FIG. 2 , a sealing ring 14 is provided between the rotation adjustment part 13 and the connecting part 15 to cooperate to realize the sealing between the two, so as to prevent liquids and the like from entering the gap to breed bacteria. And ensure smooth rotation, prevent wear and tear on parts during rotation, especially the wear and tear that occurs during rotation after slipping, that is, the sealing ring 14 is tightly squeezed between the connecting part 15 and the rotation adjustment part 13, and the rotation adjustment part 13 It is fixed with the inner casing 20, and is fixed with the connecting part 15 and the inner casing 20. Preferably, the sealing ring 14 is made of rubber. Of course, the sealing ring may not be provided, but the rotating The rear end of the adjusting part 13 is connected to the front end of the connecting part 15, which is not limited here.
进一步的,所述操作手柄30的内壁设有内螺纹,所述卡套部33的外壁设有外螺纹,所述操作手柄30与所述卡套部33螺纹连接,既实现了操作手柄30与卡套部33之间的固定,便于通过卡套部33实现与活接头16的连接,又能通过调整操作手柄30与卡套部33的螺接长度,实现对操作手柄30长度的调整,进而便于医生手术操作时调整手术持针器的整体长度,以适应各种特殊情况的应用。Further, the inner wall of the operating handle 30 is provided with internal threads, the outer wall of the ferrule part 33 is provided with external threads, and the operating handle 30 is threadedly connected with the ferrule part 33, which realizes the connection between the operating handle 30 and the ferrule part 33. The fixing between the ferrule parts 33 is convenient to realize the connection with the joint 16 through the ferrule parts 33, and the adjustment of the length of the operating handle 30 can be realized by adjusting the screw connection length between the operating handle 30 and the ferrule part 33, and then It is convenient for doctors to adjust the overall length of the surgical needle holder during operation, so as to adapt to the application of various special situations.
如图2和图3所示,所述内套管20包括锥部21和筒部22,所述锥部21的内径小于所述筒部22的内径,所述外管针24的后端固设于所述锥部21内,所述按压体27能移动的设于所述筒部22内,所述按压体27与所述筒部22的前端面之间设有所述弹簧26,所述弹簧26与所述筒部22的前端面固设相连,具体的,内套管20的锥部21自前至后渐扩,锥部21内设有等径通孔,锥部21的通孔与外套管10的开孔轴线相对,筒部22内也设有等径通孔,筒部22与锥部21之间设有过渡的锥形孔,锥部21紧密的卡设于外套管10的锥筒部11的前端并与锥筒部11的前端面相抵接,外管针24的后端过盈配合的穿设固定于锥部21的通孔内并自外套管10的开孔穿出,即内套管20的锥部21和外套管10的锥筒部11用于固定和导向外管针24,并保证外管针24与内管针25的配合程度,筒部22紧密穿设于外套管10的锥筒部11的后端(即二者为过盈配合),且筒部22与外套管10的旋转调节部13固设相连,且筒部22同时与外套管10的连接部15固设相连,按压体27的前端面固设内管针25的后端,同时固设弹簧26的后端,使弹簧26的前端固设于筒部22的前端面处,且使内管针25穿过弹簧26并穿设于外管针24内,其中内管针25的长度大于外管针24的长度,在没有按下按压开关31时,内管针25位于外管针24内部而不会伸出外管针24,在按下按压开关31后,内管针25才会伸出外管针24。As shown in Figures 2 and 3, the inner sleeve 20 includes a tapered portion 21 and a cylindrical portion 22, the inner diameter of the tapered portion 21 is smaller than the inner diameter of the cylindrical portion 22, and the rear end of the outer tube needle 24 is fixed. Located in the cone portion 21, the pressing body 27 is movably disposed in the cylindrical portion 22, and the spring 26 is arranged between the pressing body 27 and the front end surface of the cylindrical portion 22, so that The spring 26 is fixedly connected to the front end surface of the cylindrical portion 22. Specifically, the tapered portion 21 of the inner sleeve 20 gradually expands from front to back, and the tapered portion 21 is provided with an equal-diameter through hole. The through hole of the tapered portion 21 Opposite to the opening axis of the outer sleeve 10, the cylindrical portion 22 is also provided with an equal-diameter through hole, and a transitional tapered hole is provided between the cylindrical portion 22 and the tapered portion 21, and the tapered portion 21 is tightly clamped on the outer sleeve 10 The front end of the tapered tube part 11 is in contact with the front end surface of the tapered tube part 11, and the rear end of the outer tube needle 24 is inserted and fixed in the through hole of the tapered part 21 through an interference fit and pierced through the opening of the outer tube 10. That is, the cone portion 21 of the inner sleeve 20 and the cone portion 11 of the outer sleeve 10 are used to fix and guide the outer needle 24, and ensure the degree of cooperation between the outer needle 24 and the inner needle 25, and the cylinder portion 22 is tightly worn. It is located at the rear end of the tapered tube part 11 of the outer tube 10 (that is, the two are interference fit), and the tube part 22 is fixedly connected with the rotation adjustment part 13 of the outer tube 10, and the tube part 22 is connected with the outer tube 10 at the same time. The connecting part 15 is fixedly connected, and the front end of the pressing body 27 is fixed to the rear end of the inner tube needle 25, and the rear end of the spring 26 is fixed at the same time, so that the front end of the spring 26 is fixed on the front end of the cylinder part 22, and the The inner tube needle 25 passes through the spring 26 and is installed in the outer tube needle 24, wherein the length of the inner tube needle 25 is greater than the length of the outer tube needle 24. When the push switch 31 is not pressed, the inner tube needle 25 is positioned at the outer tube needle. 24 inside and can not stretch out outer pipe needle 24, after pressing push switch 31, inner pipe needle 25 just can stretch out outer pipe needle 24.
进一步的,如图2和图3所示,所述内套管20还包括限位部23,所述限位部23设于所述筒部22的后端,所述限位部23径向向内凸设缩颈部231,所述按压体27的后端设有行程杆281,所述行程杆281上套设行程盘282,所述行程盘282位于所述缩颈部231远离所述按压体27的一侧,所述行程盘282的外径大于所述缩颈部231的内径,具体的,限位部23可固设于连接部15内,其中,限位部23的外径大于内套管20的筒部22的外径,外套管10的连接部15内设有周向凹槽,限位部23对应卡设于连接部15的周向凹槽内,实现二者的相对固定,且使内套管20实现轴向定位,或者,限位部23的外径等于内套管20的筒部22的外径,限位部23与连接部15之间通过键连接,缩颈部231可为周向等间隔凸设于限位部23内壁的凸块、半球或弧坡,也可为周向凸设于限位部23内壁的周向凸块,行程杆281大体呈圆杆状,其外径小于按压体27的外径且小于缩颈部231的内径,行程杆281的前端与按压体27的后端相连,行程盘282大体呈圆盘状,其外径等于按压体27的外径、且等于限位部23的内径(除缩颈部外的位置)、且大于缩颈部231的内径,行程盘282在行程杆281的带动下同步轴向移动,并通过缩颈部231实现轴向限位,另外,也可将限位部23的前后两端分别卡设于连接部15的周向凹槽内,内套管20的筒部22的后端与限位部23的前端相抵接,行程杆281轴向移动的穿设于限位部23内。Further, as shown in FIG. 2 and FIG. 3 , the inner sleeve 20 also includes a limiting portion 23, which is arranged at the rear end of the cylindrical portion 22, and the limiting portion 23 is radially A constriction portion 231 is protruded inward, a stroke rod 281 is provided at the rear end of the pressing body 27, and a travel disc 282 is sleeved on the travel rod 281, and the travel disc 282 is located at the constriction portion 231 away from the On one side of the pressing body 27, the outer diameter of the stroke plate 282 is greater than the inner diameter of the constricted portion 231. Specifically, the limiting portion 23 can be fixed in the connecting portion 15, wherein the outer diameter of the limiting portion 23 Greater than the outer diameter of the cylindrical portion 22 of the inner sleeve 20, a circumferential groove is provided in the connecting portion 15 of the outer sleeve 10, and the limiting portion 23 is correspondingly clamped in the circumferential groove of the connecting portion 15 to realize relative fixing of the two, and Make the inner sleeve 20 achieve axial positioning, or the outer diameter of the limiting part 23 is equal to the outer diameter of the cylindrical part 22 of the inner sleeve 20, the limiting part 23 and the connecting part 15 are connected by a key, and the constricted part 231 It can be convex blocks, hemispheres or arc slopes protruding on the inner wall of the limiting part 23 at equal intervals in the circumferential direction, or can be a circumferential protrusion protruding on the inner wall of the limiting part 23 in the circumferential direction. The stroke rod 281 is generally in the shape of a round rod , its outer diameter is smaller than the outer diameter of the pressing body 27 and smaller than the inner diameter of the constricted portion 231, the front end of the stroke rod 281 is connected with the rear end of the pressing body 27, the stroke disc 282 is generally disc-shaped, and its outer diameter is equal to the pressing body 27 and is equal to the inner diameter of the stopper 23 (positions other than the constricted portion), and greater than the inner diameter of the constricted portion 231, the travel disc 282 is driven by the travel rod 281 to move axially synchronously, and through the constricted part 231 realizes the axial limit. In addition, the front and rear ends of the limit part 23 can also be clamped in the circumferential groove of the connecting part 15 respectively. The front ends are in contact with each other, and the travel rod 281 is axially movable and penetrates in the limiting portion 23 .
在使用中,缩颈部231能控制轴向位移,其是通过控制行程盘282的行程和按压体27的行程实现位移控制的,即按压体27在按压开关31作用下向前运动时,行程盘282抵接至缩颈部231的后端时为最大位置,也即内管针25能伸出的最大位置,按压体27在向后运动回位时,按压体27的后端面抵接至缩颈部231的前端时为初始位置,也即内管针25完全位于外管针24内,最大位置与初始位置之间的行程距离即为内管针25的最大行程,也即为行程盘282的最大行程(行程盘282的最大行程也即为其初始位置至行程盘282抵接于缩颈部231处的最大位置之间的距离),较佳的,所述行程盘282的最大行程为0.5mm~1.5mm,当然,也可根据实际需要,设置合适的行程。In use, the constriction portion 231 can control the axial displacement, and it realizes displacement control by controlling the stroke of the stroke plate 282 and the stroke of the pressing body 27, that is, when the pressing body 27 moves forward under the action of the pressing switch 31, the stroke When the disk 282 abuts against the rear end of the constriction portion 231, it is at the maximum position, that is, the maximum position at which the inner tube needle 25 can be stretched out. The front end of the neck 231 is the initial position, that is, the inner needle 25 is completely located in the outer needle 24, and the stroke distance between the maximum position and the initial position is the maximum stroke of the inner needle 25, that is, the stroke plate 282 (the maximum stroke of the stroke plate 282 is also the distance between its initial position and the maximum position where the stroke plate 282 abuts against the constriction portion 231), preferably, the maximum stroke of the stroke plate 282 is 0.5mm~1.5mm, of course, you can also set a suitable stroke according to actual needs.
更进一步的,如图2和图3所示,所述按压开关31枢接于所述操作手柄30的外壁,所述按压开关31的下方设有径向伸入所述操作手柄30内的联动块32,所述行程杆281的后方设有顶管29,所述顶管29能移动的穿设于所述卡套部33和所述操作手柄30并与所述联动块32相抵靠,具体的,操作手柄30的前端的外壁凸设枢接轴,按压开关31能转动的枢接于枢接轴上,联动块32为长方体形,其与按压开关31分布与枢接轴的上下两侧,并能绕枢接轴同步的顺时针转动或逆时针转动,顶管29能轴向移动的穿设于连接部15、活接头16、卡套部33内,顶管29的前端与行程杆281的后端相连,顶管29的后端能穿出卡套部33的通孔并伸入操作手柄30内以与联动块32相抵靠,并能将联动块32的作用力通过行程杆281传递给按压体27,进而作用于内管针25,更具体的,顶管29的前端呈渐缩的锥筒形,且连接部15和活接头16内供顶管29穿设的位置也为相匹配的锥筒状,以限定顶管29轴向向前位移时的最大位置,且顶管29的前端的外径小于行程盘282的外径,以限定行程盘282轴向向后位移的位置。Furthermore, as shown in FIG. 2 and FIG. 3 , the push switch 31 is pivotally connected to the outer wall of the operating handle 30 , and a linkage that extends radially into the operating handle 30 is provided below the push switch 31 . Block 32, the rear of the stroke rod 281 is provided with a jacking tube 29, the jacking tube 29 can move through the ferrule 33 and the operating handle 30 and abut against the linkage block 32, specifically Yes, the outer wall of the front end of the operating handle 30 is protrudingly provided with a pivot shaft, and the push switch 31 is rotatably pivotally connected to the pivot shaft. , and can rotate clockwise or counterclockwise synchronously around the pivot shaft. The jacking pipe 29 can move axially through the connection part 15, the joint 16, and the ferrule part 33. The front end of the jacking pipe 29 and the stroke rod 281 connected to the rear end, the rear end of the jacking pipe 29 can pass through the through hole of the ferrule part 33 and extend into the operating handle 30 to abut against the linkage block 32, and the force of the linkage block 32 can be passed through the stroke rod 281 It is transmitted to the pressing body 27, and then acts on the inner tube needle 25. More specifically, the front end of the jacking tube 29 is in the shape of a tapered cone, and the position for the jacking tube 29 to pass through the connecting part 15 and the union 16 is also Matching cone shape, to limit the maximum position when the jack pipe 29 axially moves forward, and the outer diameter of the front end of the jack pipe 29 is smaller than the outer diameter of the travel disc 282, to limit the axial displacement of the travel disc 282 Location.
优选的,外管针24大体呈细长的针管状,所述外管针24的长度为24mm~28mm,所述外管针24的外径为0.95mm~1.05mm,所述外管针24的内径为0.75mm~0.85mm;内管针25也大体呈细长的针管状,且其长度大于外管针24的长度,所述内管针25的长度为24mm~28mm,所述内管针25的外径为0.9mm~1mm,所述内管针25的内径为0.7mm~0.8mm,以通过按压开关31并在按压体27的作用下伸出外管针24进行取针,并通过按压开关31和弹簧26的共同作用,实现内管针25的回针;所述内套管20和所述外套管10均由钛合金制成,具体为5级钛合金(TI-6A1-4V),使其具有重量轻、弹性好、强度高、无磁性、不生锈的优点。Preferably, the outer tube needle 24 is generally in the shape of a slender needle tube. The inner diameter of the inner tube needle 25 is 0.75mm-0.85mm; the inner tube needle 25 is also generally in the shape of a slender needle tube, and its length is greater than the length of the outer tube needle 24, and the length of the inner tube needle 25 is 24mm-28mm. The outer diameter of the needle 25 is 0.9 mm to 1 mm, and the inner diameter of the inner tube needle 25 is 0.7 mm to 0.8 mm, so that the needle can be taken out by pressing the switch 31 and extending the outer tube needle 24 under the action of the pressing body 27, and passing The combined action of the push switch 31 and the spring 26 realizes the needle return of the inner tube needle 25; the inner sleeve 20 and the outer sleeve 10 are both made of titanium alloy, specifically grade 5 titanium alloy (TI-6A1-4V ), so that it has the advantages of light weight, good elasticity, high strength, non-magnetic, and no rust.
本发明的用于人造视网膜用钉的手术持针器在使用时,当需要使用人造视网膜用钉40时,医生手握操作手柄30,大拇指放置于按压开关31上,顺时针按下按压开关31,联动块32也顺时针转动并抵接顶管29,给顶管29施加轴向向前的作用力,顶管29通过行程杆281传递给按压体27,按压体27带动内管针25轴向向前位移,以伸出外管针24,露出卡钉口251,以通过卡钉口251卡设人造视网膜用钉40的钉头;当完成取针或完成固定后,医生可松开按压开关31,联动块32不再给顶管29施加轴向向前的作用力,在弹簧26的回复力作用下,按压体27带动内管针25轴向向后位移,以缩回外管针24内,同时按压体27推抵行程杆281、顶管29轴向后移,按压开关31逆时针转动升起,联动块32也逆时针转动;当需要调整持针方向时,医生通过另一只手转动旋转调节部13,旋转调节部13带动内套管20、外套管10及连接部15、活接头16、按压体27、内管针25和外管针24一起转动(而操作手柄30、按压开关31和卡套部33不转),实现卡钉口251开口方向的调节,并通过外套管10上的指示条12在周向上的方向的同步变化,实时反应卡钉口251的开口方向,便于医生从各个角度操作,特别适用于习惯左手或右手进行手术的临床眼科医生。When the surgical needle holder for artificial retina pins of the present invention is in use, when the artificial retina pins 40 need to be used, the doctor holds the operating handle 30, puts the thumb on the push switch 31, and presses the push switch clockwise 31, the linkage block 32 also rotates clockwise and abuts against the jacking pipe 29, exerting an axial forward force on the jacking pipe 29, and the jacking pipe 29 is transmitted to the pressing body 27 through the stroke rod 281, and the pressing body 27 drives the inner pipe needle 25 Axially move forward to extend the outer tube needle 24 to expose the staple opening 251, so as to set the nail head of the artificial retina staple 40 through the staple opening 251; when the needle removal or fixation is completed, the doctor can release the pressure The switch 31 and the linkage block 32 no longer exert an axial forward force on the jacking tube 29. Under the restoring force of the spring 26, the pressing body 27 drives the inner tube needle 25 to move axially backward to retract the outer tube needle 24, at the same time, the pressing body 27 pushes against the stroke rod 281, and the jacking tube 29 moves back axially, the pressing switch 31 rotates counterclockwise and rises, and the linkage block 32 also rotates counterclockwise; when it is necessary to adjust the needle holding direction, the doctor passes another Rotate the rotary adjustment part 13 with only one hand, and the rotary adjustment part 13 drives the inner casing 20, the outer casing 10 and the connection part 15, the movable joint 16, the pressing body 27, the inner tube needle 25 and the outer tube needle 24 to rotate together (while the operating handle 30 , press the switch 31 and the ferrule part 33 does not turn), realize the adjustment of the opening direction of the staple mouth 251, and through the synchronous change of the direction of the indicator bar 12 on the outer sleeve 10 in the circumferential direction, the opening of the staple mouth 251 is reflected in real time It is convenient for doctors to operate from all angles, especially suitable for clinical ophthalmologists who are accustomed to operating with left or right hands.
本发明用于人造视网膜用钉的手术持针器的特点及优点是:The characteristics and advantages of the surgical needle holder for artificial retina nails of the present invention are:
1、本发明通过操作手柄30上的按压开关31推动内套管20内的按压体27和固设于按压体27前端的内管针25,使内管针25能伸出外管针24,以利用内管针25前端的卡钉口251卡设人造视网膜用钉40,并通过设于按压体27与内套管20的筒部22的前端面之间的弹簧26,实现内管针25和按压体27的回位,占用空间小,操作方便,降低了手术难度,提高手术的成功率,安全性高,同时降低患者手术过程中的痛苦,提高患者舒适性。1. The present invention pushes the pressing body 27 in the inner casing 20 and the inner tube needle 25 fixed at the front end of the pressing body 27 through the pressing switch 31 on the operating handle 30, so that the inner tube needle 25 can extend out of the outer tube needle 24 to utilize The nail opening 251 at the front end of the inner tube needle 25 is clamped with the staple 40 for artificial retina, and the spring 26 arranged between the pressing body 27 and the front end surface of the tube portion 22 of the inner sleeve 20 realizes the pressing of the inner tube needle 25. The return of the body 27 takes up little space, is convenient to operate, reduces the difficulty of the operation, improves the success rate of the operation, has high safety, reduces the pain of the patient during the operation, and improves the comfort of the patient.
2、本发明将内套管20固设于外套管10内,并将外套管10与操作手柄30能转动的相连,以通过外套管10上的旋转调节部13,实现外套管10和内套管20相对于操作手柄30同步的转动,同时通过与内套管20相连的弹簧26,带动内管针25和按压体27同步的转动,以实现内套管20的卡钉口251的圆周方向的调节,便于医生根据个人使用习惯而从各角度取钉或放钉,使用灵活,并通过在外套管10的外壁设置指示条12,且使指示条12的方向与内管针25的卡钉口251的方向相同,以通过指示条12确定内管针25的卡钉口251的开口方向,便于医生调节持针方向。2. In the present invention, the inner sleeve 20 is fixed in the outer sleeve 10, and the outer sleeve 10 is rotatably connected with the operating handle 30, so that the outer sleeve 10 and the inner sleeve can be realized through the rotation adjustment part 13 on the outer sleeve 10. The tube 20 rotates synchronously with respect to the operating handle 30, and at the same time, the spring 26 connected to the inner sleeve 20 drives the inner tube needle 25 and the pressing body 27 to rotate synchronously, so as to realize the circumferential direction of the staple opening 251 of the inner sleeve 20. The adjustment is convenient for the doctor to take or place the nails from various angles according to personal usage habits, and it is flexible to use, and by setting the indicator strip 12 on the outer wall of the outer tube 10, and making the direction of the indicator bar 12 consistent with the staple of the inner tube needle 25 The directions of the openings 251 are the same, so that the opening direction of the staple opening 251 of the inner tube needle 25 can be determined by the indicator strip 12, so that the doctor can adjust the direction of holding the needle.
以上所述仅是本发明的较佳实施例而已,并非对本发明做任何形式上的限制,虽然本发明已以较佳实施例揭露如上,然而并非用以限定本发明,任何所属技术领域中具有通常知识者,在不脱离本发明技术方案的范围内,当可利用上述揭示的技术内容作出些许更动或修饰为等同变化的等效实施例,但凡是未脱离本发明技术方案的内容,依据本发明的技术实质对以上实施例所作的任何简单修改、等同变化与修饰,均仍属于本发明技术方案的范围内。The above descriptions are only preferred embodiments of the present invention, and do not limit the present invention in any form. Although the present invention has been disclosed as above with preferred embodiments, it is not intended to limit the present invention. Anyone in the technical field has Ordinary knowledgeable persons, without departing from the scope of the technical solution of the present invention, can use the technical content disclosed above to make some changes or modify equivalent embodiments with equivalent changes, but if they do not depart from the technical solution of the present invention, according to The technical essence of the present invention Any simple modifications, equivalent changes and modifications made to the above embodiments still fall within the scope of the technical solutions of the present invention.
Claims (15)
Priority Applications (1)
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CN201711367164.8A CN107874903B (en) | 2017-12-18 | 2017-12-18 | Surgical needle holder for artificial retina nails |
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CN108969160A (en) * | 2018-07-27 | 2018-12-11 | 深圳清华大学研究院 | A kind of intervertebral motion retaining device and its integral type implantation instrument and method for implantation |
CN109717946A (en) * | 2019-02-01 | 2019-05-07 | 微智医疗器械有限公司 | The clamper of retinal nail |
WO2019119218A1 (en) * | 2017-12-18 | 2019-06-27 | 深圳先进技术研究院 | Needle holder for artificial retinal tack |
CN110522555A (en) * | 2019-08-29 | 2019-12-03 | 苏州碧利医疗科技有限公司 | A kind of artificial retina nail nail holding device and its operating method |
CN111685878A (en) * | 2019-12-17 | 2020-09-22 | 成都博恩思医学机器人有限公司 | Bayonet structure of needle holder and needle holder control assembly |
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WO2019119218A1 (en) * | 2017-12-18 | 2019-06-27 | 深圳先进技术研究院 | Needle holder for artificial retinal tack |
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CN110522555A (en) * | 2019-08-29 | 2019-12-03 | 苏州碧利医疗科技有限公司 | A kind of artificial retina nail nail holding device and its operating method |
CN111685878A (en) * | 2019-12-17 | 2020-09-22 | 成都博恩思医学机器人有限公司 | Bayonet structure of needle holder and needle holder control assembly |
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