CN114712077A - An ophthalmic flushing and phacoemulsification integrated machine - Google Patents

Abstract

The invention provides an ophthalmic irrigation and ultrasonic emulsification integrated machine, which includes a support platform and a main engine. The main engine is installed above the support platform, and the support platform is also provided with a lifting bottle hanger for hoisting a hanging bottle. The hanging bottle is connected with a flushing suction opener. The eyelid device assembly; the host is electrically connected with a phacoemulsification handle, an IA handle, an anterior segment vitrectomy handle, an electric coagulator high-frequency electric forceps and a pedal device for control, the pedal device includes a plurality of control adjustment components, and the host includes The lifting adjustment system for adjusting the lifting bottle hanger and the gear adjustment system for the control gear adjustment of the ultrasonic emulsification handle, the IA handle, the anterior segment vitreous body cutting handle and the high-frequency electric forceps of the electric coagulator; centralized control by the host Ophthalmic surgical components such as phacoemulsification handle, IA handle, anterior segment vitrectomy handle, coagulator high-frequency electric forceps and foot device, etc., integrate multiple functions, save time and efficiency, and can be operated by the chief surgeon alone, which is convenient and practical. Strong promotional value.

Description

An ophthalmic flushing and phacoemulsification integrated machine

technical field

The invention relates to the technical field of medical devices, in particular to an ophthalmic flushing and phacoemulsification integrated machine.

Background technique

At present, during phacoemulsification cataract surgery, ophthalmologists always use balanced salt solution to rinse the cornea, so that the surface of the cornea is kept moist, so that the cornea is not damaged, and the cornea is clean and moist to ensure the transparency of the cornea, so that the surgeon can see the eye The internal organization and operation, rinsing the cornea also keeps the secretions from the ocular surface from gathering, reducing the chance of infection. Usually, the assistant uses a 10ml syringe to manually flush the corneal surface with the flushing needle. The flushing action is performed according to the oral instructions of the chief surgeon, or the cornea is flushed by the assistant's judgment; the above methods not only require the assistance of the assistant, Causes a waste of human resources, and the poor cooperation between the surgeon and the assistant will affect the quality of the operation and the chance of infection; this method wastes manpower and needs to work closely with the surgeon to do well; otherwise, too frequent flushing will block the surgeon's sight. , or the flushing is too slow, the dry cornea will also block the line of sight and affect the quality of the operation; and the assistant must suck the balance fluid into the cup of the operating table, increasing the chance of infection.

In the prior art, during the operation, the doctor controls the operating microscope with his left foot and controls the pedal of the phacoemulsification instrument with his right foot. If a machine is specially added to deal with the above problems, a pedal needs to be added. When the instrument is in the patient's eye, the sight cannot leave the microscope, which will cause difficulty in replacement, inconvenient operation, and increase the risk of surgery. Therefore, a new device is urgently needed to solve the defects and deficiencies in the prior art.

SUMMARY OF THE INVENTION

In view of the deficiencies in the above technologies, the present invention provides an ophthalmic flushing and phacoemulsification integrated machine, which enables the ophthalmologist to keep the patient's cornea clear and moist without the help of an assistant to fetch water when performing cataract surgery, and can achieve the realization without the help of an assistant to absorb water and drain. Removal of orbital effusion takes less time than assistants to handle, improves surgical efficiency, reduces contact with many items, reduces the chance of infection, and improves safety. Ocular surface electrocoagulation to stop bleeding, phacoemulsification cataract surgery for cataract small incision surgery and other surgeries . Anterior vitrectomy is performed when the vitreous body overflows into the anterior chamber caused by the posterior capsular rupture due to various reasons. This program integrates multiple functions, saving time and high efficiency, and the chief surgeon can operate it alone, which is convenient, efficient and practical.

In order to achieve the above purpose, the present invention provides an ophthalmic irrigation and phacoemulsification integrated machine, which includes a support platform and a main engine, the main engine is installed on the support platform, and the support platform is also provided with a lifting bottle hanger for hoisting the hanging bottle, and the hanging bottle is connected with a A flushing suction eyelid opener assembly; the host is electrically connected with a phacoemulsification handle, an IA handle, an anterior segment vitrectomy handle, an electric coagulator high-frequency electric forceps and a pedal device for control, the pedal device includes a plurality of control adjustments The main unit includes a lifting adjustment system for adjusting the lifting bottle hanger and a gear adjustment system for the control gear adjustment of the phacoemulsification handle, the IA handle, the anterior segment vitreous body cutting handle and the high-frequency electric forceps of the coagulator.

Specifically: a flush valve, a perfusion valve, a return valve, a first peristaltic pump and a second peristaltic pump are provided outside the host; the first peristaltic pump is clamped with a first suction pipe, and one end of the first suction pipe is connected to Waste bag, the other end is connected to the flushing suction eyelid opener assembly; the second peristaltic pump is clamped with a second suction pipe, one end of the second suction pipe is connected to the waste bag, and the other end is connected to the phacoemulsification handle Or anterior segment vitrectomy handle or IA handle; the perfusion valve is clamped with a perfusion pipeline, one end of the perfusion pipeline is connected to the hanging bottle, and the other end is connected to the phacoemulsification handle or IA handle; the perfusion pipeline and the second suction pipeline are directly connected with a connection Pipes, connecting pipes are snapped on the return valve.

Preferably, the gear adjustment system includes a phacoemulsification gear adjustment subsystem, and the phacoemulsification handle is connected to the phacoemulsification gear adjustment subsystem; the phacoemulsification handle includes a first perfusion component, a first suction component, and a phacoemulsification component. The gear adjustment subsystem controls the starting and closing of the first perfusion component, the first suction component and the phacoemulsification component; the first perfusion component and the first suction component are respectively connected with the perfusion pipeline and the second suction pipeline.

As a preference: the phacoemulsification component includes an ultrasonic generator, a power amplifier, a piezoelectric transducer and an ultrasonic hollow needle, the ultrasonic generator generates a weak electric signal of ultrasonic frequency, the power amplifier amplifies the weak electric signal, and the piezoelectric transducer is excited to generate an inverse electric signal. Piezoelectric effect, the resulting mechanical vibration is amplified to the ultrasonic hollow needle.

Specifically: the gear adjustment system includes an anterior segment vitreous body cutting subsystem, and an anterior segment vitreous body cutting handle is connected to the anterior segment vitreous body cutting subsystem; the anterior segment vitreous body cutting handle includes a second perfusion component, a second suction component and an anterior segment vitreous body cutting component component, the anterior segment vitrectomy subsystem controls the activation and closing of the second perfusion component, the second suction component and the anterior segment vitrectomy component; the second perfusion component and the second suction component are respectively connected with the perfusion pipeline and the second suction pipeline connect.

Preferably: the anterior segment vitrectomy handle includes a swinging vitrectomy knife, and the vitrectomy needle of the swinging vitrectomy knife is provided with a built-in blade driven by an engine, and the built-in blade repeatedly rotates along the inner wall of the casing in a reversible single cycle.

Specifically: the coagulator high-frequency electric forceps includes a double-lobed forceps body and an electrode seat, the tail ends of the double-lobed forceps body are respectively connected with the electrode seats, the electrode seat is provided with a high-frequency input plug, and the outer surface of the double-lobed forceps is provided with insulation. Floor.

Specifically: the flushing suction eyelid opener assembly is connected to the hanging bottle through the flushing pipe, the flushing pipe is clamped on the flushing valve, and the flushing suction eyelid opener assembly includes multiple flushing ports and multiple suction ports .

Specifically: a sensor is installed in the main unit, a sensing device connected to the sensor is installed in the second suction pipe, and the sensing device can sense the instant flow level and instant negative pressure level in the second suction pipe, and transmit the information sent to the host.

Preferably, the host includes a touch screen and a speaker assembly, the host receives the sensor information and displays the numerical information on the host touch screen, and the speaker emits different degrees of sound as the negative pressure level rises.

The beneficial effects of the present invention are: compared with the prior art, an ophthalmic irrigation and phacoemulsification integrated machine provided by the present invention includes a supporting platform and a main engine, the main engine is installed above the supporting platform, and the supporting platform is also provided with a hanging bottle for hoisting The lifting bottle hanger is connected with the flushing suction eyelid opener component; the host is electrically connected with a phacoemulsification handle, an IA handle, an anterior segment vitreous cutting handle, a coagulator high-frequency electric forceps and a foot pedal for control. The device, the foot device includes a plurality of control and adjustment components, and the main body includes a lifting adjustment system for adjusting the lifting bottle hanger and a phacoemulsification handle, IA handle, anterior segment vitreous cutting handle and coagulator high-frequency electric forceps. The gear adjustment system that controls the gear adjustment; a variety of ophthalmic surgery components centrally controlled by the host, integrates multiple functions, saves time and is efficient, and can be operated by the chief surgeon alone, which is convenient and practical, and has strong promotion value.

Description of drawings

Fig. 1 is the installation schematic diagram of the present invention;

2 is a schematic diagram of the host structure of the present invention;

FIG. 3 is a schematic structural diagram of the pedal device of the present invention.

The main component symbols are explained as follows:

1. Pedal device; 101. Bilateral reset switch button; 102. Suction/stop switch; 103. Flush/stop switch; 104. Foot pedal;

2. Hanging bottle; 3. Waste liquid bag; 4. Lifting bottle hanger; 5. Flushing suction eyelid opener assembly; 6. Flushing pipe; 7. Perfusion pipe; 8. First suction pipe; 9. The second suction pipe; 10. Support platform; 11. Phacoemulsification handle; 12. IA handle; 13. Anterior segment vitrectomy handle;

14. Host; 141, Touch screen; 142, Foot joint; 143, Phacoemulsification handle joint; 144, Lifting bar joint; 145, Anterior segment vitreous cutting handle joint; 146, Flush valve; 147, Perfusion valve; 148 , Return valve; 149, the first peristaltic pump; 140, the second peristaltic pump; 1411, the high-frequency electric tweezers joint of the coagulator.

15. Sensing device; 16. High-frequency electric tweezers for electrocoagulation.

Detailed ways

In order to express the present invention more clearly, the present invention will be further described below with reference to the accompanying drawings.

In the following description, general suffrage example details are given in order to provide a better understanding of the present invention. Obviously, the described embodiments are only some, but not all, embodiments of the present invention. It should be understood that the specific embodiments are only used to explain the present invention, but not to limit the present invention.

It is to be understood that when the terms "comprising" and/or "comprising" are used in this specification, it indicates the presence of the stated feature, integer, step, operation, element or component, but does not preclude the presence or addition of one or more Other features, integers, steps, operations, elements, components or combinations thereof.

During the operation, if the patient's eye socket is deep, it is very easy for water to accumulate in the eye socket, which reflects the light of the operating microscope into the doctor's eyes, which seriously affects the doctor's vision. Stop the hand and let the assistant help to deal with the stagnant water before continuing the operation, but soon the stagnant water will fill the eye socket again, and the assistant needs to help to deal with it again. This reciprocation brings considerable risks to the operation.

At present, the doctor controls the operating microscope with his left foot and the pedal of the phacoemulsification instrument with his right foot. If a special machine is added to deal with the above problems, a pedal needs to be added, the doctor needs to replace the pedal, and when the surgical instrument is in the patient's eye , the sight cannot leave the microscope, which will cause difficulty in replacement, inconvenient operation, and increase the risk of surgery.

In order to solve the defects and deficiencies in the prior art, the present invention provides an ophthalmic irrigation and phacoemulsification integrated machine, please refer to FIG. 10 is also provided with a lifting bottle hanger 4 for hoisting the hanging bottle 2, and the hanging bottle 2 is connected with a flushing suction eyelid opener assembly 5; the host 14 is electrically connected with a phacoemulsification handle 11, an IA handle 12, an anterior segment vitreous body cutting The handle 13, the high-frequency electric forceps 16 of the electric coagulator, and the pedal device 1 for control. The pedal device 1 includes a plurality of control and adjustment components. A gear adjustment system for the control gear adjustment of the phacoemulsification handle 11 , the IA handle 12 , the anterior segment vitreous body cutting handle 13 and the high-frequency electric forceps 16 of the coagulator.

In this embodiment, it is mentioned that the main unit 14 is provided with a flushing valve 146, a perfusion valve 147, a return valve 148, a first peristaltic pump 149 and a second peristaltic pump 140; the first peristaltic pump 149 is clamped with the first pump The suction pipe 8, one end of the first suction pipe 8 is connected to the waste liquid bag 3, and the other end is connected to the flush suction eyelid opener assembly 5; the second peristaltic pump 140 is clamped with the second suction pipe 9, the second One end of the suction pipe 9 is connected to the waste bag 3, and the other end is connected to the phacoemulsification handle 11 or the IA handle 12 or the anterior segment vitrectomy handle 13; The bottle 2 is connected, and the other end is connected to the perfusion needle of the phacoemulsification handle 11 or the IA handle 12 or the anterior segment vitrectomy handle 13; the perfusion pipe 7 and the second suction pipe 9 are directly connected with a connecting pipe, and the connecting pipe is clamped in the return pipe. On the valve 148; preferably, the host 14 also includes a phacoemulsification handle for electrical connection with the phacoemulsification handle 11, the IA handle 12, the anterior segment vitreous body cutting handle 13, the coagulator high-frequency electric forceps 16 and the lifting bottle hanger 4. Connector 143, lifting bar connector 144, front glass cutting handle connector 145, electrocoagulator high-frequency electric tweezers connector 1411; the lifting bottle hanger 4 is installed on the support platform 10, and the lifting bottle hanger 4 is connected to the host 14 by wires On the lifting bar joint 144; the hanging bottle 2 is fixed on the lifting bottle hanging frame.

Preferably: it also includes a foot joint 142 connected with the foot pedal, the lifting bottle hanger 4 is installed on the support platform 10, and the lifting and lowering of the lifting bar can be controlled by the button on the host 14, or the foot pedal device 1 The bilateral reset boat-shaped switch button 101 on the upper left of the foot pedal 104 controls the lifting and lowering of the lift bar, thereby adjusting the height of the hanging bottle 2, and controlling the perfusion pressure of the phacoemulsification handle 11, the anterior segment vitrectomy handle 13, and the IA handle 12. , to avoid the surge of the anterior chamber during the operation due to the low perfusion pressure, or even the collapse of the anterior chamber, which increases the risk of surgery. Central artery occlusion, resulting in irreversible vision loss;

Preferably, there is a height scale of the hanging bottle 2 on the lifting frame, which can visually display the current hanging bottle 2 height, and the touch screen 141 also displays the current hanging bottle 2 height.

Preferably, there is a bilateral reset boat switch button 101 in the upper left corner of the foot pedal. This button controls the height of the hanging bottle 2. The doctor can easily adjust the lift bar during the operation to adjust the height of the hanging bottle 2 without affecting the operation of the instrument on the hand and the right Foot pedal 104 operates. The instrument is in the eye, step on the first or second gear with the right foot, and step on the bilateral reset boat switch button 101 on the left foot. Stepping forward or backward can raise or lower the height of the hanging bottle 2. Automatically stop moving, can more ideally adjust the ideal bottle height.

Preferably: the foot pedal 104 of the foot pedal device 1 is connected to the foot pedal connector 142 of the host computer 14 through a wire plug. There is a lift bar adjustment button in the upper left corner of the foot pedal, a suction/stop switch 102 in the lower left corner, and a flush/stop switch 103 in the lower right corner; the lift bar adjustment button on the foot pedal is a bilateral reset boat switch button 101, press Raise the lift bar forward, press the back button to lower the lift bar, the foot lift button automatically resets, and the lift bar stops moving; step on the suction/stop switch 102 to turn on the first peristaltic pump 149, and press it again Turn off the first peristaltic pump 149; step on the flush/stop switch 103 to turn on the automatic intermittent flushing function, and step on it again to turn off the automatic intermittent flushing function. The realization of the automatic intermittent flushing function is achieved by timing on and off. The water valve 146 is realized; the foot pedal 104 is kicked left to open the return valve 148, the right kick is to open the flush valve 146, and the step is divided into several gears.

In a preferred embodiment, it is mentioned that: the gear adjustment system includes a phacoemulsification gear adjustment subsystem, and the phacoemulsification handle 11 is connected to the phacoemulsification gear adjustment subsystem; the phacoemulsification handle 11 includes a first perfusion component, a first pump The suction component and the phacoemulsification component, and the phacoemulsification gear adjustment subsystem controls the startup and shutdown of the first perfusion component, the first suction component and the phacoemulsification component; the first perfusion component and the first suction component are respectively connected with the perfusion pipeline 7 and The second suction pipe 9 is connected; the phacoemulsification handle 11 maintains the depth of the anterior chamber through the perfusion component, providing a surgical operation space, and the phacoemulsification handle 11 provides ultrasonic frequency vibration, which is transmitted to the emulsification needle at the front end, and the emulsification needle contacts the cataract lens nucleus tissue, cataract The lens nucleus tissue is crushed by blowing, and the suction unit sucks out the shattered cataract lens nucleus tissue, and the lack of ocular contents is supplemented by the balanced salt solution of the perfusion unit and sucked out by the suction unit.

Preferred: the emulsification gear adjustment subsystem has four gears: gear 0, gear 1, gear 2, gear 3. Gear 1 opens the perfusion valve 147 , gear 2 opens the perfusion valve 147 and the second peristaltic pump 140 , gear 3 opens the perfusion valve 147 and the second peristaltic pump 140 and also has the ultrasonic vibration function of the phacoemulsification handle 11 . Gear 0 does not turn on any of the above functions.

Preferably: the IA handle 12 has three gears when activated: gear 0, gear 1, gear 2, gear 1 opens the perfusion valve 147, gear 2 opens the perfusion valve 147 and the second peristaltic pump 140, gear 0 does not open any of the above functions.

The IA function maintains the depth of the anterior chamber through the perfusion component and provides surgical operation space. The suction component sucks out the lens cortex, and the lack of ocular contents is supplemented by the balanced salt solution of the perfusion system.

In a preferred embodiment, it is mentioned that: the phacoemulsification component includes an ultrasonic generator, a power amplifier, a piezoelectric transducer and an ultrasonic hollow needle, the ultrasonic generator generates a weak electric signal of ultrasonic frequency, and the power amplifier amplifies the weak electric signal to stimulate The piezoelectric transducer produces an inverse piezoelectric effect, and the resulting mechanical vibration is amplified to the ultrasonic hollow needle.

It is mentioned in this embodiment that the gear adjustment system includes an anterior segment vitreous body cutting subsystem, the anterior segment vitreous body cutting handle 13 is connected to the anterior segment vitreous body cutting subsystem; the anterior segment vitreous body cutting handle 13 includes a second perfusion component, a second pumping component The suction component and the anterior segment vitrectomy component, the anterior segment vitreous body cutting subsystem controls the activation and closing of the second perfusion component, the second suction component and the anterior segment vitreous body cutting component; the second perfusion component and the second suction component are respectively related to the perfusion component The duct 7 is connected to the second suction duct 9 .

Preferred: the anterior segment vitreous body cutting subsystem has four gears: gear 0, gear 1, gear 2, gear 3. Anterior segment vitrectomy function has two modes, IAC mode and ICA mode; IAC mode in anterior segment vitrectomy function: 1st gear open perfusion valve 147, 2nd gear open perfusion valve 147 and second peristaltic pump 140, 3rd gear open perfusion The valve 147 and the second peristaltic pump 140 also have anterior segment vitrectomy function. When the anterior segment vitrectomy function is in ICA mode: the first gear opens the perfusion valve 147, the second gear opens the perfusion valve 147 and the anterior segment vitrectomy function, the third gear opens the perfusion valve 147 and the second peristaltic pump 140 also has an anterior segment vitrectomy function.

In a preferred embodiment, it is mentioned that: the anterior segment vitrectomy handle 13 includes an oscillating vitrectomy knife, and the vitrectomy needle of the oscillating vitrectomy knife is provided with a built-in blade driven by an engine, and the built-in blade is along the inner wall of the casing. Repeated reversible single-cycle rotation.

Preferably: the anterior segment vitrectomy handle 13 is used when the posterior segment vitreous body of the eye rushes to the anterior segment due to the rupture of the posterior capsule, etc., first use the perfusion component to maintain the anterior chamber space and maintain stable intraocular pressure. The vitreous body overflows repeatedly, and then the vitreous body overflowing the anterior chamber is cut with the cutting component, and then the cut vitreous body is removed from the eye with the suction component, and the lack of ocular contents is supplemented by the balanced salt solution of the perfusion component.

In this embodiment, it is mentioned that the coagulator high-frequency electric forceps 16 includes a double-lobed forceps body and an electrode seat, the tail ends of the double-lobed forceps body are respectively connected with the electrode seats, the electrode seat is provided with a high-frequency input plug, and the double-lobed forceps body is provided with a high-frequency input plug. The outer surface of the tweezers is provided with an insulating layer; the coagulation function of the high-frequency electric tweezers 16 is used when it is necessary to stop the bleeding of the conjunctiva, such as when a superhard lens nucleus is encountered and a small incision is required to deliver cataract surgery, or For other reasons, it needs to be used for hemostasis of the conjunctiva. The power can be adjusted in size, and it is quick and convenient to use. The outer surface of the double-valve tweezers is provided with an insulating layer, and the range of electrocoagulation is limited to between the two ends of the tweezers, so the degree of damage and the scope of influence to adjacent tissues are small, and it is quite safe.

In this embodiment, it is mentioned that: the flushing suction eyelid opener assembly 5 is connected to the hanging bottle 2 through the flushing pipe 6, the flushing pipe 6 is clamped on the flushing valve 146, and the flushing suction eyelid opener assembly 5 It includes multiple flushing ports and multiple suction ports; the function of wetting the cornea is realized by the multi-angle water spray from the multiple flushing ports above the flushing suction eyelid opener, covering the whole area and rebuilding the tear film. The water quality is directly provided by the hanging bottle 2. Higher security. There are a variety of water spray modes that can be set, which can automatically and intermittently spray water, and the water spray time and off time can be adjusted, and the accuracy can be as low as 0.1 seconds; if you need to spray water immediately, you can also start the water spray by kicking the foot pedal 104 right, and return to the right foot. Plate 104 stops spraying water. When the foot pedal 104 is kicked to the right, it will not affect the use of other functions, which is very convenient. Increased efficiency, eliminating the need for surgical assistants, can reduce hospital and patient operating costs. At the beginning of the operation, step on the flush/stop button on the lower right corner of the foot pedal to turn on the automatic flushing function. After the operation, step on the right foot again to flush/stop to turn off the automatic flushing function.

Preferably, the function of suctioning the water in the orbit is realized by the suction of the plurality of suction ports below the eyelid opener for flushing and suction through the rotation of the first peristaltic pump 149 to generate negative pressure suction. It can quickly absorb the fluid gushing from the irrigation needle, eliminating the surgical risk caused by orbital hydrocephalus. When it is found that there is orbital effusion in the operation, the nurse can click the corresponding button on the touch screen 141 of the host computer 14 to turn on the suction function of the flushing suction eyelid opener, or step on the left foot on the lower left corner The suction/stop button turns on the suction function of the flush suction lid opener without affecting the operation of the right foot and hand instruments. After the operation, let the nurse click the corresponding button on the touch screen 141 of the host computer 14 to turn off the suction function of the flush suction eyelid opener. You can also step on the suction/stop button on the lower left corner of the foot with your left foot to turn off the flushing. The suction function of the suction eyelid opener.

In this embodiment, it is mentioned that a sensor is provided in the main engine 14 , a sensing device 15 connected to the sensor is provided in the second suction pipe 9 , and the sensing device 15 can sense the instant flow in the second suction pipe 9 . level and instant negative pressure level, and transmit the information to the host 14; the sensing device 15 on the host 14 can sense the instant flow level and instant negative pressure level in the second suction pipe 9, and display the value on the host 14 On the touch screen 141, there is a speaker on the host 14, which can emit different degrees of sound as the negative pressure level increases, so that the doctor can judge the current negative pressure level on the needle without observing the screen.

In a preferred embodiment, it is mentioned that the host 14 includes a touch screen 141 and a speaker assembly, the host 14 receives sensor information and displays the numerical information on the touch screen 141 of the host 14, and the speaker emits different sounds as the negative pressure level rises. degree of sound.

Preferably, every time the foot pedal 104 returns from the third gear to the second gear, the return valve 148 will be automatically opened for a short period of time. This function will not affect the normal operation, but when the needle is accidentally placed When the second or third gears are sucking the posterior capsule or the anterior capsule, iris and other tissues, the doctor's foot pedal 104 returns to the first gear and automatically turns on the withdrawal function for a short period of time, so that the sucked posterior capsule can be sucked. Or the anterior capsule and iris are spit out, which can reduce the damage to the related tissues as much as possible. If the needle sucks the relevant tissue too tightly and the relevant tissue cannot be spit out after returning to the first gear, the doctor can kick the foot pedal 104 left and open the withdrawal valve 148 for a long time, and basically the relevant tissue can be spit out. At this time, the foot pedal 104 can be returned to close the return valve 148.

The following is an introduction to the gear adjustment system of the present invention:

When stepping on the foot pedal 104, the ultrasonic emulsification function has four gears: gear 0, gear 1, gear 2, gear 3. The first gear opens the perfusion valve 147, at this time, the liquid in the hanging bottle 2 comes out from the holes on both sides of the ultrasonic needle perfusion sleeve. This is the perfusion system. The second gear opens the perfusion valve 147 and the second peristaltic pump 140. When the holes on both sides of the needle perfusion sleeve come out, the ultrasonic needle will also be sucked from the hollow needle at the front end. This is a suction system. The third gear opens the perfusion valve 147 and the second peristaltic pump 140 and the ultrasonic vibration function of the phacoemulsification handle 11. At this time, the liquid of the hanging bottle 2 comes out from the holes on both sides of the ultrasonic needle perfusion sleeve, and the ultrasonic needle will also be sucked from the front hollow needle, and the ultrasonic needle will also reciprocate back and forth at the ultrasonic frequency, which is the phacoemulsification function. Gear 0 does not turn on any of the above functions.

When stepping on the foot pedal 104, the IA function has three gears: gear 0, gear 1, gear 2, and gear 1 opens the perfusion valve 147. At this time, the liquid in the hanging bottle 2 flows from the holes on both sides of the IA handle 12 needle perfusion sleeve. Come out, this is the perfusion system, the second gear opens the perfusion valve 147 and the second peristaltic pump 140. At this time, when the liquid of the hanging bottle 2 comes out from the holes on both sides of the IA handle 12 needle perfusion sleeve, the IA handle 12 needle will also be hollow from the front end. Needle suction, this is a suction system, and gear 0 does not turn on any of the above functions.

When stepping on the foot pedal 104, there are IAC mode and ICA mode in the anterior segment vitrectomy function.

In the IAC mode when the anterior segment vitrectomy function is used: the first gear opens the perfusion valve 147, at this time the liquid in the hanging bottle 2 is output from the needle at the front end of the perfusion tube, and the second gear opens the perfusion valve 147 and the second peristaltic pump 140, at this time, the liquid in the hanging bottle 2 is discharged from the At the same time when the needle at the front end of the perfusion tube is output, the hollow needle at the front end of the anterior segment vitrectomy handle 13 is sucked, and the perfusion valve 147 and the second peristaltic pump 140 are opened at the 3rd gear. When the needle is output, the hollow needle at the front end of the anterior segment vitreous cutting handle 13 is sucked, and the glass cutter in the hollow needle at the front end of the anterior segment vitreous cutting handle 13 starts to cut.

In ICA mode when the anterior segment vitreous body is cut: gear 1 opens the perfusion valve 147, at this time the liquid in the hanging bottle 2 is output from the needle at the front end of the perfusion tube, and the second gear opens the perfusion valve 147 and the anterior segment vitreous body cutting function, at this time, the liquid in the hanging bottle 2 is discharged from the front end of the perfusion tube. At the same time when the needle at the front end of the perfusion tube is output, the glass cutter in the hollow needle at the front end of the anterior segment vitrectomy handle 13 starts to cut. The 3rd gear opens the perfusion valve 147 and the second peristaltic pump 140 and also has the function of cutting the anterior segment of the vitreous body. At this time, the liquid of the hanging bottle 2 is output from the needle at the front end of the perfusion tube, and the glass cutter in the hollow needle at the front end of the anterior segment vitreous body cutting handle 13 starts to cut, The front end of the anterior segment vitrectomy handle 13 is aspirated with a hollow needle.

The working principle of the present invention is described below:

The chief surgeon of the ophthalmology department prepares for the operation as usual, hangs the hanging bottle 2, connects the various pipes of the machine, starts the machine, and installs the special eyelid opener of the present invention on the patient's eye, and then the right foot can be used to step on the flush/stop of the pedal. button, the automatic flushing function is turned on at this time, and every few seconds is a few tenths of a second. The specific value is set by the chief surgeon before or during the operation. The incision, capsulorhexis, water separation and other steps are routinely performed, and then use The phacoemulsification function is used to treat the cataract nucleus. If the depth of the anterior chamber is found to be insufficient or too deep after the phacoemulsification needle enters the anterior chamber, you can keep the movement of the hand and the right foot still, and step on the upper left foot with the left foot. Bilateral reset boat-shaped switch button 101, stepping forward or backward can raise or lower the height of the hanging bottle 2, and automatically stop moving when the foot is raised, which can more ideally adjust the ideal bottle height. When treating the cataract nucleus, use gear 1 to enter, gear 2 to aspirate the supranuclear cortex, and gear 3 to perform phacoemulsification. After the cataract core is processed, click "IA mode" on the machine screen to switch to the IA function. The cataract cortex is treated, and finally the surgery is completed by routine installation of intraocular lenses.

At any time during the operation, if it is found that the tear film of the cornea is ruptured or there are other foreign objects adhering to the cornea, which affects the surgical field of vision, it is necessary to spray water immediately. To spray water, return the foot pedal 104 to stop spraying water. When the foot pedal 104 is kicked to the right, it will not affect the use of other functions, which is very convenient.

At any time during the operation, if the patient's orbital hydrops is found, which affects the surgical field of vision, it is necessary to continuously aspirate the hydrophobic fluid to prevent further accumulation of water in the orbit. You can step on the suction/stop button on the lower left corner of the foot pedal 104 with your left foot. , the machine will continue to pump to remove the accumulated water. After the operation, step on the suction/stop button on the lower left corner of the foot pedal 104 with the left foot again to stop the suction function.

If there is a complication of rupture of the posterior capsule during the operation, and the anterior segment vitrectomy function needs to be used, before withdrawing the phacoemulsification needle, the foot is maintained at the 1st gear to maintain the anterior chamber, and the left hand is placed in the eye through the lateral incision. viscoelastic, finally exit the ultrasonic needle and pull out the tubing on the handle. Insert the anterior segment vitrectomy handle connector 145 into the machine, click "Anterior segment vitrectomy mode" on the screen, select ICA mode, connect the suction connector on the handle to the suction pipe, and connect the perfusion needle to the perfusion pipe. Make an auxiliary incision under the cornea, insert the perfusion needle, press the first gear to maintain the anterior chamber, insert the 13-needle of the anterior segment vitreous cutting handle, press the second gear to cut the vitreous in the anterior chamber, press the third gear while suctioning and cut until Completely cut clean, there is no vitreous cord in the anterior chamber, then fill the anterior chamber with viscoelastic agent, press the vitreous body in the posterior segment of the eye, if there is still a nucleus or cortex, it should be treated accordingly, and finally install the lens, point miotic agent , observe whether the pupil is perfectly round, whether it is deformed by the vitreous pulling, and if so, the vitreous should be cut again, and the operation can be ended after cleaning.

The advantages of the present invention are:

1. It is realized that the ophthalmologist can keep the patient's cornea clear and moist without the help of an assistant to fetch water during cataract surgery, and the orbital effusion can be removed without the help of an assistant to absorb and drain water. Reduce contact with many items, reduce the chance of infection and improve safety.

2. Anterior vitrectomy is performed when ocular surface electrocoagulation for hemostasis, phacoemulsification cataract surgery, and vitreous overflow into the anterior chamber caused by posterior capsular rupture due to various reasons, such as small incision incision for cataract surgery. This program integrates multiple functions All-in-one, time-saving and efficient, the chief surgeon can operate it alone, which is very convenient.

The above disclosures are only a few specific embodiments of the present invention, but the present invention is not limited thereto, and any changes that can be conceived by those skilled in the art should fall within the protection scope of the present invention.

Claims (10)

1. An ophthalmology washing and ultrasonic emulsification integrated machine is characterized by comprising a supporting platform and a host machine, wherein the host machine is arranged above the supporting platform, the supporting platform is also provided with a lifting transfusion bottle rack for hoisting a transfusion bottle, and the transfusion bottle is connected with a flushing and sucking eyelid opener component; the host computer electricity is connected with ultrasonic emulsification handle, IA handle, anterior segment vitreous body cutting handle, electricity congealer high frequency electric tweezers and is used for the pedal device of control, and pedal device includes a plurality of control adjustment assembly, including the lift governing system who is used for adjusting lift transfusion bottle frame in the host computer and the gear governing system that is used for ultrasonic emulsification handle, IA handle, anterior segment vitreous body cutting handle and the control gear of electricity congealer high frequency electric tweezers to adjust.

2. The ophthalmic washing and ultrasonic emulsifying all-in-one machine as claimed in claim 1, wherein a flushing valve, a filling valve, a back-spitting valve, a first peristaltic pump and a second peristaltic pump are arranged outside the host machine; the first peristaltic pump is clamped with a first suction pipeline, one end of the first suction pipeline is connected to the waste liquid bag, and the other end of the first suction pipeline is connected to the flushing suction eye speculum assembly; a second peristaltic pump is clamped with a second suction pipeline, one end of the second suction pipeline is connected to the waste liquid bag, and the other end of the second suction pipeline is connected to the ultrasonic emulsification handle or the anterior segment of eye vitreous body cutting handle or the IA handle; the perfusion valve is clamped with a perfusion pipeline, one end of the perfusion pipeline is connected with the transfusion bottle, and the other end of the perfusion pipeline is connected to the ultrasonic emulsification handle or the IA handle; the perfusion pipeline and the second suction pipeline are directly connected with a connecting pipeline, and the connecting pipeline is clamped on the backflow valve.

3. The ophthalmic irrigation and phacoemulsification all-in-one machine of claim 2, wherein the gear adjustment system comprises a phacoemulsification gear adjustment subsystem, and the phacoemulsification handle is connected to the phacoemulsification gear adjustment subsystem; the ultrasonic emulsification handle comprises a first perfusion component, a first suction component and an ultrasonic emulsification component, and the ultrasonic emulsification gear adjusting subsystem controls the start and the stop of the first perfusion component, the first suction component and the ultrasonic emulsification component; the first infusion assembly and the first suction assembly are connected with the infusion pipeline and the second suction pipeline respectively.

4. The integrated ophthalmic irrigating and phacoemulsification machine of claim 3, wherein the phacoemulsification module comprises an ultrasonic generator, a power amplifier, a piezoelectric transducer and an ultrasonic hollow needle, the ultrasonic generator generates a weak electric signal of ultrasonic frequency, the power amplifier amplifies the weak electric signal and excites the piezoelectric transducer to generate inverse piezoelectric effect, and the generated mechanical vibration is amplified to the ultrasonic hollow needle.

5. The ophthalmic irrigating phacoemulsification all-in-one machine of claim 2, wherein the gear adjustment system comprises a anterior segment vitreous body cutting subsystem, and the anterior segment vitreous body cutting handle is connected to the anterior segment vitreous body cutting subsystem; the anterior segment of eye vitreous body cutting handle comprises a second perfusion component, a second suction component and a anterior segment of eye vitreous body cutting component, and the anterior segment of eye vitreous body cutting subsystem controls the second perfusion component, the second suction component and the anterior segment of eye vitreous body cutting component to be started and closed; the second perfusion assembly and the second suction assembly are connected with the perfusion pipeline and the second suction pipeline respectively.

6. The integrated ophthalmic irrigating and phacoemulsification machine of claim 5, wherein the anterior segment vitreous cutting handle comprises a swing type vitreous cutting knife, a vitreous cutting needle of the swing type vitreous cutting knife is provided with an internal blade driven by a motor, and the internal blade repeatedly performs reversible single-cycle rotation along the inner wall of the casing.

7. The ophthalmological irrigation ultrasonic emulsification all-in-one machine according to claim 1, wherein the electric coagulator high-frequency electric forceps comprise a double-petal forceps body and an electrode holder, the tail ends of the double-petal forceps body are respectively connected with the electrode holder, a high-frequency input plug is arranged on the electrode holder, and an insulating layer is arranged on the outer surface of the double-petal forceps body.

8. The ophthalmic irrigating phacoemulsification machine of claim 2, wherein the flush suction eyelid retractor assembly is connected to the hanging bottle through a flush pipe, the flush pipe is connected to a flush valve, and the flush suction eyelid retractor assembly comprises a plurality of flush ports and a plurality of suction ports.

9. The integrated ophthalmic irrigating and phacoemulsification machine of claim 2, wherein the main machine has a sensor inside, the second aspiration channel has a sensor connected to the sensor, and the sensor senses the instantaneous flow level and the instantaneous negative pressure level in the second aspiration channel and transmits the information to the main machine.

10. The integrated ophthalmic irrigation and phacoemulsification machine of claim 9, wherein the host comprises a touch screen and a speaker assembly, the host receives information from the sensor and displays numerical information on the touch screen of the host, and the speaker generates different sounds as the negative pressure level rises.

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