CN116869731A - Implant device, implant system and method of using an implant system - Google Patents
Implant device, implant system and method of using an implant system Download PDFInfo
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- CN116869731A CN116869731A CN202310760409.2A CN202310760409A CN116869731A CN 116869731 A CN116869731 A CN 116869731A CN 202310760409 A CN202310760409 A CN 202310760409A CN 116869731 A CN116869731 A CN 116869731A
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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
- A61F9/0008—Introducing ophthalmic products into the ocular cavity or retaining products therein
- A61F9/0017—Introducing ophthalmic products into the ocular cavity or retaining products therein implantable in, or in contact with, the eye, e.g. ocular inserts
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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
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M27/00—Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
- A61M27/002—Implant devices for drainage of body fluids from one part of the body to another
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- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
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- Vascular Medicine (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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Abstract
The application belongs to the technical field of medical treatment, and particularly relates to an implantation device, an implantation system and a use method of the implantation system. The application discloses an implantation device, which is used for implanting an implant, and comprises a shell and an observation tube, wherein the observation tube is fixedly connected with the shell, the observation tube is arranged in an extending way along a first direction, the observation tube comprises a tube body and elastic clamping parts which are mutually connected, the tube body is enclosed to form a cavity, the cavity is used for accommodating the implant, at least part of the elastic clamping parts are positioned in the cavity, at least two elastic clamping parts are enclosed to form a first opening, the diameter of the first opening is smaller than that of the implant when the first opening is not subjected to external force, and the diameter of the first opening is enlarged when the elastic clamping parts are extruded by external force.
Description
Technical Field
The application belongs to the technical field of medical treatment, and particularly relates to an implantation device, an implantation system and a use method of the implantation system.
Background
Glaucoma is one of three general blinding eye diseases that lead to blindness in humans, with a total incidence of 1% in the population, 2% after 45 years of age. Glaucoma is a group of diseases characterized by atrophy and depression of the disk, visual field defect and vision decline, pathological elevated intraocular pressure and insufficient blood supply of the optic nerve are the primary risk factors for the onset of the disease, and the tolerance of the optic nerve to pressure damage is also related to the occurrence and development of glaucoma. Any obstruction of the aqueous humor circulation pathway can lead to pathological changes caused by elevated ocular pressure, but some patients also present with normal tension glaucoma.
The current common treatments for glaucoma are: drug therapy, laser trabeculoplasty, trabeculotomy, and the like. While other treatments have been ineffective, the intraocular drainage implant approach is most commonly used by inserting an implant stent into the eye so that aqueous humor can drain through a drainage pathway on the implant stent and out of the anterior chamber. The method is generally to implant the implant bracket into the Schlemm's canal by bare hands of a doctor, and the implant mode has the problems of inaccurate positioning and poor implant effect.
Disclosure of Invention
The embodiment of the application provides an implant device which can realize accurate pushing of an implant.
The embodiment of the application provides an implantation device which is used for implanting an implant, the implantation device comprises a shell and an observation tube, the observation tube is fixedly connected with the shell, the observation tube is arranged in an extending mode along a first direction, the observation tube comprises a tube body and elastic clamping parts which are connected with each other, the tube body is enclosed to form a cavity, the cavity is used for accommodating the implant, at least part of the elastic clamping parts are located in the cavity, at least two elastic clamping parts are enclosed to form a first opening, the diameter of the first opening is smaller than that of the implant when the first opening is not subjected to external force, and the elastic clamping parts are configured to enlarge the diameter of the first opening when the first opening is extruded by the external force.
According to an embodiment of the first aspect of the present application, the elastic clamping member includes a first connecting portion and a protruding portion, the first connecting portion is connected to the pipe body, and the protruding portion protrudes gradually toward the cavity along the first direction.
According to an embodiment of the first aspect of the present application, the elastic clamping member further includes a second connecting portion, the protruding portion is located between the first connecting portion and the second connecting portion, and the second connecting portion is connected to the pipe body.
According to an embodiment of the first aspect of the present application, further comprising: the pushing mechanism and the shell are movably arranged in the first direction, a limiting cavity is formed between the pushing mechanism and the elastic clamping piece, and the limiting cavity can at least accommodate one implant.
According to an embodiment of the first aspect of the present application, further comprising: the inner needle is connected with the shell, at least one implant is sleeved on the inner needle, and at least part of the inner needle is positioned in the cavity; the driving mechanism is movably arranged with the shell and is connected with the pushing mechanism; the pushing mechanism includes: the push needle is sleeved on the inner needle, the push needle and the inner needle are movably arranged in the first direction, and a second opening is formed in one end of the push needle in the first direction; the push needle seat is connected with one end of the push needle, which is away from the second opening; the first elastic piece is connected with the push needle seat and the shell and is used for driving the push needle seat and the push needle to move along a second direction until the push needle seat is connected with the driving mechanism, and the second direction is opposite to the first direction.
According to an embodiment of the first aspect of the present application, an elastic claw is disposed at an end of the push needle facing away from the push needle seat, a second opening is formed between the plurality of elastic claws, and an inner diameter of the opening of the elastic claw in a direction approaching the push needle seat is gradually increased in the second direction.
According to an embodiment of the first aspect of the application, the implant device comprises a triggered state and a non-triggered state, the triggered state comprising a first phase and a second phase; the driving mechanism comprises a cam, a first driving surface and a second driving surface which are connected with each other are arranged on the cam, the cam is configured to rotate along a third direction in a triggering state, the first driving surface drives the pushing mechanism and the implant to move along the first direction in a first stage, and the second driving surface drives the pushing mechanism to move along the second direction in a second stage; the first driving surface is gradually arranged in a direction away from the rotating shaft of the cam in an extending mode along the third direction, and the second driving surface is gradually arranged in a direction close to the rotating shaft of the cam in an extending mode along the third direction.
According to an embodiment of the first aspect of the present application, the cam is further provided with a first step surface and a second step surface, the first step surface is connected with the first driving surface, the second step surface is connected with the second driving surface, the first step surface is located at one side of the first driving surface, which is away from the second driving surface, the second step surface is located at one side of the second driving surface, which is away from the first driving surface, and the distance from the first step surface to the rotating shaft of the cam is greater than the distance from the second step surface to the rotating shaft of the cam.
According to the embodiment of the first aspect of the application, the cam is further provided with a third driving surface, a fourth driving surface and a third step surface which are sequentially connected, the third driving surface is connected with the second step surface, the third driving surface is positioned at one side of the second step surface, which is away from the second driving surface, and the distance from the second step surface to the rotating shaft of the cam is larger than the distance from the third step surface to the rotating shaft of the cam; the third driving surface is gradually arranged in an extending mode along the third direction in a direction away from the rotating shaft of the cam, and the fourth driving surface is gradually arranged in an extending mode along the third direction in a direction close to the rotating shaft of the cam.
According to an embodiment of the first aspect of the present application, further comprising: the trigger button comprises a key and a connecting rod, the key and the shell are movably arranged, the connecting rod is connected with the key and the cam, and the connecting rod is configured to limit the cam to each other in a non-trigger state so as to limit the cam to rotate along a third direction; in the triggered state, the key-driven link moves in a fourth direction and releases the cam.
According to an embodiment of the first aspect of the present application, a limiting block is provided on the cam, and a limiting portion is provided on the link, the limiting portion being configured to abut against the limiting block in the non-triggered state, thereby limiting rotation of the cam in the third direction; in the triggering state, the connecting rod moves along the fourth direction, the limiting part releases the limiting block, and the cam rotates along the third direction.
According to an embodiment of the first aspect of the present application, a plurality of stoppers are disposed at intervals around the rotation axis of the cam.
According to an embodiment of the first aspect of the application, the side of the viewing tube facing away from the housing is provided with a viewing window.
In another aspect, embodiments of the present application also provide an implant system comprising an implant device and an implant as described above.
On the other hand, the embodiment of the application also provides a using method of the implantation system, the implantation device comprises an observation tube, a driving mechanism, a pushing mechanism and a trigger button, the observation tube is arranged in an extending way along a first direction, the observation tube comprises a tube body and elastic clamping parts which are connected with each other, the tube body is enclosed to form a cavity, at least two elastic clamping parts are enclosed to form a first opening, and a limiting cavity is formed between the pushing mechanism and the elastic clamping parts; the using method comprises the following steps: penetrating an implant system into the patient's eye; pressing a trigger button, wherein the trigger button drives the pushing mechanism and the implant in the limiting cavity to move along a first direction through the driving mechanism until the implant extends out of the cavity from the first opening; the driving mechanism drives the pushing mechanism to move along the second direction.
The implant device is used for implanting an implant, the implant device comprises a shell and an observation tube, the observation tube is fixedly connected with the shell, the observation tube is arranged in an extending mode along a first direction, the observation tube comprises a tube body and elastic clamping parts which are connected with each other, the tube body is enclosed to form a cavity, the cavity is used for accommodating the implant, at least part of the elastic clamping parts are located in the cavity, at least two elastic clamping parts are enclosed to form a first opening, the diameter of the first opening is smaller than that of the implant when the first opening is not subjected to external force, the diameter of the first opening is enlarged when the first opening is extruded by external force, implantation of the implant is not affected by the first opening, the probability that the implant falls out of the cavity can be reduced by the first opening when the implant device moves or is inverted, and reliability of the implant device is improved.
Drawings
In order to more clearly illustrate the technical solution of the embodiments of the present application, the drawings that are needed to be used in the embodiments of the present application will be briefly described, and it is possible for a person skilled in the art to obtain other drawings according to these drawings without inventive effort.
FIG. 1 is a schematic perspective view of an implant device according to some embodiments of the present application;
FIG. 2 illustrates an exploded view of the implant device of FIG. 1, as an example;
FIG. 3 shows an enlarged partial cross-sectional view of the implant device and implant of FIG. 1 in position A of one example;
FIG. 4 illustrates an enlarged partial cross-sectional view of the implant device and implant of FIG. 3 after concealing the lancet mechanism;
FIG. 5 shows a schematic perspective view of an exemplary implant device and implant of FIG. 4;
FIG. 6 shows an enlarged partial cross-sectional view of another example of the implant device and implant of FIG. 1 in position A;
FIG. 7 illustrates an enlarged partial cross-sectional view of the implant device and implant of FIG. 6 after concealing the lancet mechanism;
FIG. 8 shows a schematic perspective view of an exemplary implant device and implant of FIG. 7;
FIG. 9 illustrates a schematic diagram of the front view of an exemplary trigger button, push mechanism, and cam in an unactuated state;
FIG. 10 illustrates an exemplary enlarged partial structural view of the trigger button, pushing mechanism and cam of FIG. 9;
FIG. 11 illustrates an exemplary enlarged partial schematic view of the trigger button, push mechanism and cam of FIG. 10 at the end of the first stage;
FIG. 12 illustrates an exemplary enlarged partial schematic view of the trigger button, push mechanism and cam of FIG. 10 at the end of the second stage;
FIG. 13 illustrates a schematic diagram of the front view of an example cam;
FIG. 14 shows a schematic perspective view of an exemplary cam;
FIG. 15 shows a schematic cross-sectional view of an exemplary inner needle, push pin and implant of FIG. 6;
FIG. 16 shows a schematic cross-sectional view of the push pin of FIG. 15 for one example;
fig. 17 shows a schematic perspective view of an exemplary push pin.
Reference numerals:
100. an implant device; 200. an implant;
10. a housing;
20. triggering a button; 21. a key; 22. a connecting rod; 221. a limit part; 23. a second elastic member;
30. an observation tube; 31. a first opening; 32. a cavity; 33. a tube body; 34. an observation window; 35. an elastic clamping piece; 351. a first connection portion; 352. a protruding portion; 353. a second connecting portion; 36. a spacing cavity;
40. a pushing mechanism; 41. pushing needles; 411. a second opening; 412. an elastic claw; 42. pushing the needle stand; 43. a first elastic member;
50. a cam; 501. a rotating shaft; 502. a torsion spring; 51. a first driving surface; 52. a second driving surface; 53. a first step surface; 54. a second step surface; 55. a third driving surface; 56. a fourth driving surface; 57. a third step surface; 58. a limiting block;
60. an inner needle;
70. a puncture needle mechanism; 71. a puncture needle; 711. a third opening; 72. a puncture needle stand;
80. a protection mechanism; 81. protecting the slide button; 82. a protection connecting rod;
x, a first direction; y, the second direction; z, third direction; a. a fourth direction; c. and a fifth direction.
Detailed Description
Features and exemplary embodiments of various aspects of the present application will be described in detail below, and in order to make the objects, technical solutions and advantages of the present application more apparent, the present application will be described in further detail below with reference to the accompanying drawings and the detailed embodiments. It should be understood that the particular embodiments described herein are meant to be illustrative of the application only and not limiting. It will be apparent to one skilled in the art that the present application may be practiced without some of these specific details. The following description of the embodiments is merely intended to provide a better understanding of the application by showing examples of the application.
It is noted that relational terms such as first and second, and the like are used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Moreover, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising … …" does not exclude the presence of other like elements in a process, method, article or apparatus that comprises the element.
The applicant found that in the prior art, an intraocular drainage implant method generally implants an implant bracket into a schlemm's canal by bare hands of a doctor, and the implant mode has the problems of inaccurate positioning and poor implantation effect.
In view of the above, the applicant proposes an implant device for implanting an implant, the implant device comprising a housing and an observation tube fixedly connected to the housing, the observation tube being arranged extending in a first direction, the observation tube comprising a tube body and an elastic clamping member being connected to each other, the tube body enclosing to form a cavity for receiving the implant, at least a portion of the elastic clamping member being located in the cavity, at least two elastic clamping members enclosing to form a first opening, the diameter of the first opening being smaller than the diameter of the implant when not subjected to an external force, the elastic clamping member being configured such that the diameter of the first opening becomes larger when being pressed by an external force.
According to the implantation device provided by the application, the diameter of the first opening is smaller than that of the implant when the first opening is not subjected to external force, the elastic clamping piece is configured to be larger when the first opening is extruded by external force, the implantation of the implant is not affected by the first opening, and when the implantation device moves or is inverted, the probability of the implant falling out of the cavity can be reduced by the first opening, so that the reliability of the implantation device is improved.
The display module provided by the embodiment of the application is described below with reference to the accompanying drawings. Here, the x direction in the drawing is a first direction, the y direction in the drawing is a second direction, the z direction in the drawing is a third direction, the a direction in the drawing is a fourth direction, and the c direction in the drawing is a fifth direction. In the drawings, the dimensions in the drawings are not necessarily to scale with the actual dimensions for convenience in drawing, and for clarity in drawing, it is possible to conceal part of the contour lines in the drawings and to perform differentiation processing on the line widths.
Referring to fig. 1 to 5, fig. 1 is a schematic perspective view of an implanting device according to some embodiments of the present application; FIG. 2 illustrates an exploded view of the implant device of FIG. 1, as an example; FIG. 3 shows an enlarged partial cross-sectional view of the implant device and implant of FIG. 1 in position A of one example; FIG. 4 illustrates an enlarged partial cross-sectional view of the implant device and implant of FIG. 3 after concealing the lancet mechanism; fig. 5 shows a schematic perspective view of an exemplary implant device and implant of fig. 4.
As shown in fig. 1 to 5, the present application provides an implant device 100 for implanting an implant 200, where the implant device 100 includes a housing 10 and an observation tube 30, the observation tube 30 is fixedly connected to the housing 10, the observation tube 30 is disposed to extend along a first direction (x direction in the drawing), the observation tube 30 includes a tube body 33 and an elastic clamping member 35 that are connected to each other, the tube body 33 encloses a cavity 32, the cavity 32 is configured to accommodate the implant 200, at least a portion of the elastic clamping member 35 is located in the cavity 32, at least two elastic clamping members enclose a first opening 31, a diameter of the first opening 31 when not subjected to an external force is smaller than a diameter of the implant 200, and the elastic clamping member 35 is configured such that the diameter of the first opening 31 becomes larger when being pressed by the external force.
Alternatively, implant 200 may be a conventional implant or an expanded stent fabricated from a shape memory material including nickel-titanium alloy, indium-thallium alloy, and the like.
Alternatively, during surgery, implant 200 is implanted into a trabecular meshwork site of a patient via implant device 100. After implantation into the trabecular meshwork of a patient, implant 200 becomes a passageway to the canal of schlemm that communicates with the anterior chamber of the patient, and aqueous humor flows out of the anterior chamber through implant 200, thereby lowering the patient's ocular pressure and slowing the progression of glaucoma.
Alternatively, in various embodiments, implant 200 may be used to transfer aqueous humor to different portions of the eye, for example, the space between the conjunctiva and sclera, the suprachoroidal space, schlemm's canal, or a fluid reservoir formed on the posterior surface of the eye.
The implant device 100 provided in this embodiment is used for implanting an implant 200, the implant device 100 includes a housing 10 and an observation tube 30, the observation tube 30 is fixedly connected with the housing 10, the observation tube 30 extends along a first direction x, the observation tube 30 includes a tube body 33 and an elastic clamping member 35 that are connected with each other, the tube body 33 encloses to form a cavity 32, the cavity 32 is used for accommodating the implant 200, at least part of the elastic clamping member 35 is located in the cavity 32, at least two elastic clamping members enclose to form a first opening 31, the diameter of the first opening 31 is smaller than the diameter of the implant 200 when the first opening 31 is not subjected to external force, and the elastic clamping member 35 is configured to enlarge the diameter of the first opening 31 when the first opening is extruded by external force. The first opening 31 does not affect the implantation of the implant 200, and the first opening 31 can reduce the probability of the implant 200 falling out of the cavity 32 when the implant device 100 is moved or inverted, improving the reliability of the implant device 100.
In some alternative embodiments, the elastic latching member 35 includes a first connection portion 351 and a protrusion portion 352, the first connection portion 351 is connected with the tube body 33, and the protrusion portion 352 is gradually protruded toward the cavity 32 along the first direction x.
Alternatively, the resilient detent 35 is a cantilever-like structure, with the change in diameter of the first opening 31 being achieved by the resilient nature of the material itself.
Referring now to fig. 6-8, fig. 6 shows an enlarged partial cross-sectional view of another example implant device and implant of fig. 1 in position a; FIG. 7 illustrates an enlarged partial cross-sectional view of the implant device and implant of FIG. 6 after concealing the lancet mechanism; fig. 8 shows a schematic perspective view of an exemplary implant device and implant of fig. 7.
As shown in fig. 6 to 8, in some alternative embodiments, the elastic clamping member 35 includes a first connection portion 351, a protruding portion 352, and a second connection portion 353, where the first connection portion 351 and the second connection portion 353 are connected to the pipe body 33, and the protruding portion 352 is located between the first connection portion 351 and the second connection portion 353.
Alternatively, the protruding portion 352 protrudes toward the cavity 32 in the first direction x and then extends toward the tube 33 until being connected to the second connecting portion 353. The projections 352 effect a change in the diameter of the first opening 31 by the resilient nature of the material itself.
Referring to fig. 1-9, fig. 9 illustrates a schematic front view of an exemplary trigger button, push mechanism, and cam in an unactuated state.
As shown in fig. 1-9, in some alternative embodiments, a viewing tube 30 is provided with a viewing window 34 on a side facing away from the housing 10.
Optionally, the observation window 34 is disposed on the elastic clamping member 35.
Alternatively, the tube 33 extends in the first direction x and forms a viewing window on a side of the resilient catch 35 facing away from the housing 10.
The implant device 100 provided in this embodiment enables a medical staff to observe the implantation condition of the implant 200 through the observation window 34 provided on the tube body 33.
In some alternative embodiments, implant device 100 further comprises a pushing mechanism 40, a driving mechanism, and an inner needle 60, pushing mechanism 40 being movably disposed with housing 10 in a first direction x, pushing mechanism 40 and resilient catch 35 being diametrically formed into a restraining cavity 36, restraining cavity 36 being capable of receiving at least one implant 200. The inner needle 60 is connected to the housing 10, at least one implant 200 is sleeved on the inner needle 60, and at least a portion of the inner needle 60 is positioned within the cavity 32. The drive mechanism is movably disposed with the housing 10 and is coupled to the push mechanism 40. The pushing mechanism 40 includes a push pin 41, a push pin seat 42 and a first elastic member 43, the push pin 41 is sleeved on the inner pin 60, the push pin 41 and the inner pin 60 are movably arranged in a first direction x, and a second opening 411 is arranged at one end of the push pin 41 in the first direction x. The push needle holder 42 is connected to one end of the push needle 41 facing away from the second opening 411, the first elastic member 43 connects the push needle holder 42 with the housing 10, and the first elastic member 43 is used for driving the push needle holder 42 and the push needle 41 to move along a second direction (y direction in the figure) until the push needle holder 42 is connected to the cam 50, and the second direction y is opposite to the first direction x.
Alternatively, the first elastic member 43 may be a spring.
Alternatively, the driving mechanism may be a motor, a cylinder, or the like.
Referring to fig. 9 to 14, fig. 10 is a partially enlarged schematic view of the trigger button, pushing mechanism and cam of fig. 9 as an example; FIG. 11 illustrates an exemplary enlarged partial schematic view of the trigger button, push mechanism and cam of FIG. 10 at the end of the first stage; FIG. 12 illustrates an exemplary enlarged partial schematic view of the trigger button, push mechanism and cam of FIG. 10 at the end of the second stage; FIG. 13 illustrates a schematic diagram of the front view of an example cam; fig. 14 shows a schematic perspective view of an example cam. The outline of the partially occluded portion is also depicted in solid lines in the drawing for clarity of line.
As shown in fig. 9-14, in some alternative embodiments, the implant device 100 includes a triggered state and a non-triggered state, the triggered state including a first phase and a second phase. The drive mechanism comprises a cam 50, the cam 50 being provided with a first drive surface 51 and a second drive surface 52 which are interconnected. The cam 50 is configured to rotate in a third direction (z direction in the figures) in the triggered state, and in a first phase, the first drive surface 51 drives the pushing mechanism 40 and the implant 200 to move in a first direction x. In a second phase, the second driving surface 52 drives the pushing mechanism to move in a second direction y. The first driving surface 51 is disposed to extend gradually in a third direction z away from the rotation axis 501 of the cam 50, and the second driving surface 52 is disposed to extend gradually in the third direction z toward the rotation axis 501 of the cam 50.
Alternatively, the cam 50 is connected to the housing 10 by a rotation shaft 501 and a torsion spring 502, the torsion spring 502 being used to drive the cam 50 to rotate about the rotation shaft 501 in the third direction z.
Optionally, the first driving surface 51 and the second driving surface 52 together form a conical protrusion on the cam 50.
In some alternative embodiments, the cam 50 is further provided with a first step surface 53 and a second step surface 54, the first step surface 53 being connected to the first driving surface 51, and the second step surface 54 being connected to the second driving surface 52. The first step surface 53 is located on the side of the first drive surface 51 facing away from the second drive surface 52, and the second step surface 54 is located on the side of the second drive surface 52 facing away from the first drive surface 51. The distance from the first step surface 53 to the rotational axis 501 of the cam 50 is greater than the distance from the second step surface 54 to the rotational axis 501 of the cam 50.
Alternatively, the end of the pushing mechanism 40 facing away from the implant 200 is coupled to the first step surface 53 when the implant device 100 is in the non-activated state. In a first stage, the end of the pushing mechanism 40 facing away from the implant 200 is connected to the first driving surface 51, the first driving surface 51 drives the pushing mechanism 40 and the implant 200 to move along the first direction x, the implant 200 presses the elastic clamping member 35 to enlarge the diameter of the first opening 31, and when the diameter of the first opening 31 is equal to the diameter of the implant 200, the implant 200 extends out of the limiting cavity 36 from the first opening 31. In a second phase, the end of the pushing mechanism 40 facing away from the implant 200 is connected to the second driving surface 52, and the second driving surface 52 drives the pushing mechanism 40 to move in the second direction y. Since the distance from the first step surface 53 to the rotational axis 501 of the cam 50 is greater than the distance from the second step surface 54 to the rotational axis 501 of the cam 50, at the end of the second phase, the reset position of the pushing mechanism 40 is closer to the housing 10 side than the initial position for allowing the second implant 200 to enter the spacing cavity 36 for facilitating the second implantation of the implant device 100.
In some alternative embodiments, the cam 50 is further provided with a third driving surface 55, a fourth driving surface 56 and a third step surface 57 which are sequentially connected, the third driving surface 55 is connected with the second step surface 54, and the third driving surface 55 is located on one side of the second step surface 54 away from the second driving surface 52. The distance from the second step surface 54 to the rotational axis 501 of the cam 50 is greater than the distance from the third step surface 57 to the rotational axis 501 of the cam 50. The third driving surface 55 is disposed to extend gradually in a third direction z away from the rotation axis 501 of the cam 50, and the fourth driving surface 56 is disposed to extend gradually in the third direction z toward the rotation axis 501 of the cam 50.
Optionally, the third drive surface 55 and the fourth drive surface 56 together comprise a conical projection on the cam 50. The first, second, third, fourth, first, second and third drive faces 51, 52, 55, 56, 53, 54 and 57 are all located on the rim of the cam 50, and the end of the pushing mechanism 40 facing away from the implant 200 is always connected to the rim of the cam 50. In the implant device 100 provided in this embodiment, two conical protrusions are connected by only one step surface, the outer arc line of the step surface is lengthened, and the cam 50 is controlled more accurately by one step surface in the rotating process, so that the pushing mechanism 40 drives the implant to enter the eye with higher accuracy.
Alternatively, after the implant device 100 has been implanted once, the end of the push mechanism 40 facing away from the implant 200 is coupled to the second step surface 54, after which the user continues to place the implant device 100 into the second trigger state. In a first stage, the end of the pushing mechanism 40 facing away from the implant 200 is connected to a third driving surface 55, the third driving surface 55 driving the pushing mechanism 40 and the implant 200 to move in a first direction x. In a second phase, the end of the pushing mechanism 40 facing away from the implant 200 is connected to the fourth driving surface 56, and the fourth driving surface 56 drives the pushing mechanism 40 to move in the second direction y. Since the distance from the second step surface 54 to the rotational axis 501 of the cam 50 is greater than the distance from the third step surface 57 to the rotational axis 501 of the cam 50, at the end of the second phase, the reset position of the pushing mechanism 40 is closer to the housing 10 side than the initial position for allowing the third implant 200 to enter the spacing cavity 36 for facilitating the third implantation of the implant device 100.
Alternatively, more driving and stepped surfaces may be provided on cam 50 as implant device 100 supports more implants.
In the implant device 100 provided in this embodiment, one implant 200 is placed in advance in the limiting cavity 36, and the push pin 41 moves in the first direction x and implants the implant 200 in the triggered state, and then moves in the second direction y and causes the next implant 200 to enter the limiting cavity 36, so that the second implantation is performed first and then again. Compared with the scheme of sequentially retracting the implant 200 and advancing the implant 200, the scheme avoids the influence of shaking generated by the retracting and filling on the implantation, thereby improving the implantation accuracy of the implantation device 100. Second, the first implant 200 does not require loading by rotation of the cam 50, avoiding the situation of insufficient loading of the cam 50 due to insufficient rotation angle, thereby improving the implantation reliability of the implant device 100.
In other embodiments, if only one implant is implanted, the implant may be moved in the first direction x directly in the triggered state and implant 200 with push pin 41 no longer disposed to move in the second direction y, reducing functional and complexity requirements of the structure and improving accuracy of the implantation.
In other embodiments, if only two implants are implanted, the first implant may move the push pin 41 in the first direction x directly in the triggered state and implant the implant 200, then the push pin 41 moves in the second direction y until it is at the tail of the second implant, at which point the push pin is retracted a distance that may be greater than the length of the implant, i.e., the retraction distance need not be exactly set by the length of the implant, may be greater than the length, at which point the precision requirement for retraction is reduced, thereby reducing the complexity requirements for the structure involved, and the precision of implantation is increased.
Referring now to fig. 15-17, fig. 15 shows a schematic cross-sectional view of an exemplary inner needle, push pin and implant of fig. 6; FIG. 16 shows a schematic cross-sectional view of the push pin of FIG. 15 for one example; fig. 17 shows a schematic perspective view of an exemplary push pin.
As shown in fig. 15 to 17, in some alternative embodiments, an elastic claw 412 is disposed at an end of the push pin 41 facing away from the push pin holder 42, a second opening 411 is formed between the plurality of elastic claws 412, and an inner diameter of the opening of the elastic claw 412 gradually increases in a direction approaching the push pin holder 42 in the second direction y.
Alternatively, the implant 200 has an inclined surface at its front end in the first direction x and a flat surface perpendicular to the first direction x at its rear end. The diameter of the second opening 411 is smaller than the diameter of the implant 200, and the resilient pawl 412 causes the push pin 41 to move in the first direction x, pushing the implant 200 in the spacing cavity 36 to move in the first direction x. When the push pin 41 moves in the second direction y, the inclined surface of the latter implant 200 presses the elastic claw 412 so that the diameter of the second opening 411 becomes larger until the diameter of the second opening 411 is equal to the diameter of the implant 200, and the latter implant 200 enters the spacing cavity 36 to facilitate the next implantation of the implant device 100.
Optionally, in the first stage, the push pin holder 42 is connected to the first driving surface 51, and the first driving surface 51 drives the push pin holder 42 to overcome the elastic force of the first elastic member 43, so that the push pin holder 42, the push pin 41 and the implant 200 located in the limiting cavity 36 move along the first direction x. In the second stage, the push needle holder 42 is connected to the second driving surface 52, and the elastic force of the first elastic member 43 and the second driving surface 52 drive the push needle holder 42 and the push needle 41 to move along the second direction y until the next implant 200 on the inner needle 60 enters the limiting cavity 36.
In some alternative embodiments, the implant device 100 further includes a trigger button 20, the trigger button 20 including a key 21 and a linkage 22, the key 21 being movably disposed with the housing 10. The link 22 connects the key 21 and the cam 50, and the link 22 is configured to limit the rotation of the cam 50 in the third direction z by being mutually limited by the cam 50 in the non-trigger state, and in the trigger state, the key 21 drives the link 22 to move in the fourth direction (a direction in the drawing) and releases the cam 50.
Alternatively, when the user presses the trigger button 20, the implant device 100 enters the triggered state.
Alternatively, the trigger button 20 may further include a second elastic member 23, where the second elastic member 23 connects the key 21 and the housing 10, and the second elastic member 23 is configured to move the trigger button 20 in a fifth direction (direction c in the drawing) when no external force is applied. Wherein. The second elastic member 23 may be a torsion spring, and the fifth direction c is opposite to the fourth direction a, which is perpendicular to the first direction x.
In some alternative embodiments, the cam 50 is further provided with a limiting block 58, and the link 22 is provided with a limiting portion 221, where the limiting portion 221 is configured to abut against the limiting block 58 in the non-triggered state, so as to limit the rotation of the cam 50 in the third direction z. In the triggered state, the link 22 moves in the fourth direction a, and the stopper 58 is released by the stopper 221, so that the cam 50 rotates in the third direction z.
In some alternative embodiments, a plurality of stop blocks 58 are spaced around the axis of rotation 501 of the cam 50.
Optionally, the limiting blocks 58 are all located on the connection surface of the rim and the rotating shaft 501.
Alternatively, when the user presses the key 21, the key 21 and the link 22 move in the fourth direction a against the elastic force of the second elastic member 23 until the stopper 221 does not interfere with the stopper 58, thereby releasing the cam 50. The cam 50 rotates in a third direction z to bring the implant device 100 into the activated state. After that, the user releases the key 21, the key 21 and the link 22 move and return along the fifth direction c under the action of the elastic force of the second elastic member 23, and the cam 50 rotates a certain angle after passing through a first stage and a second stage until the limiting portion 221 interferes with the next limiting portion 58, the cam 50 stops rotating and is in a non-triggered state, and the implantation device 100 completes one implantation. When the user presses the key 21 again, the implant device 100 enters the next trigger state.
In some alternative embodiments, the implant device 100 may further include a lancet mechanism 70, the lancet mechanism 70 being movably disposed with the housing 10 in the first direction x, the lancet mechanism 70 being disposed over the viewing tube 30.
With continued reference to fig. 1-3, in some alternative embodiments, the lancet mechanism 70 includes a lancet 71 and a lancet hub 72, the lancet 71 is sleeved over the viewing tube 30, and the lancet 71 is provided with a third opening 711 in the first direction x. The puncture needle holder 72 is connected to an end of the puncture needle 71 facing away from the third opening 711, and the puncture needle holder 72 is movably arranged with the housing in the first direction x.
With continued reference to fig. 1-2, in some alternative embodiments, the implant device 100 may further include a protection mechanism 80, the protection mechanism 80 being movably disposed with the housing 10 in the first direction x, the protection mechanism 80 including a protection slide button 81 and a protection link 82 that are interconnected, the protection link 82 being connected with the puncture needle hub 72.
Alternatively, in the unactivated state, the viewing tube 30 is received within the needle 71. During implantation, one end of the puncture needle 71 far away from the puncture needle seat 72 is pricked into the trabecular meshwork in the eyeball of a patient and schlemm's canal inside the trabecular meshwork, and the user pushes the protection slide button 81 along the second direction y, so as to drive the puncture needle seat 72 and the puncture needle 71 to move along the second direction y until the observation tube 30 extends out of the puncture needle 71 from the third opening 711, and then the user presses the key 21 to start implantation. After implantation, the user pushes the protection slide button 81 along the first direction x, and then drives the puncture needle holder 72 and the puncture needle 71 to move along the first direction x until the observation tube 30 is accommodated in the puncture needle 71.
Embodiments of the second aspect of the present application also provide an implant system comprising the implant device 100 and the implant 200 of any of the embodiments of the first aspect described above. Since the implant system according to the second embodiment of the present application includes the implant device 100 according to any one of the first embodiment, the implant system according to the second embodiment of the present application has the beneficial effects of the implant device 100 according to any one of the first embodiment, and will not be described herein.
The embodiment of the third aspect of the present application further provides a method for using an implantation system, which is applied to the implantation system of any one of the above embodiments, and the method for using includes:
step S01, the implant system is inserted into the eye of the patient.
Step S02, pressing the trigger button 20, wherein the trigger button 20 drives the pushing mechanism 40 and the implant 200 in the limiting cavity 36 to move along the first direction x through the driving mechanism until the implant 200 extends out of the cavity 32 from the first opening 31;
in step S03, the drive mechanism drives the pushing mechanism 40 in the second direction y until the next implant 200 enters the stop cavity 36.
Optionally, the drive mechanism includes a cam 50.
Optionally, step S02 corresponds to the first stage, specifically, after the user presses the key 21, the key 21 drives the link 22 to move along the fourth direction a, and the limiting portion 221 releases the limiting block 58, so that the cam 50 rotates along the third direction z. Thereafter, the first driving surface 51 drives the pushing mechanism 40 and the implant 200 in the limiting cavity 36 to move along the first direction x, the implant 200 presses the elastic clamping member 35 to enlarge the diameter of the first opening 31 until the diameter of the first opening 31 is equal to the diameter of the implant 200, and the implant 200 extends out of the limiting cavity 36 from the first opening 31 and is implanted into the affected part of the patient. Step S03 corresponds to the second stage, specifically, the cam 50 continues to rotate along the third direction z, the second driving surface 52 drives the pushing mechanism to move along the second direction y, and the inclined surface of the latter implant 200 presses the elastic claw 412, so that the diameter of the second opening 411 becomes larger, until the diameter of the second opening 411 is equal to the diameter of the implant 200, and the latter implant 200 enters the limiting cavity 36. The key 21 and the link 22 move and return along the fifth direction c under the elastic force of the second elastic member 23, and the cam 50 rotates by a certain angle after undergoing a first stage and a second stage until the limiting portion 221 interferes with the next limiting portion 58, the cam 50 stops rotating and is in a non-triggering state, and the implantation device 100 completes one implantation.
Optionally, the using method further comprises:
step S04, repeating steps S02 and S03, completing implantation of the plurality of implants 200.
In the foregoing, only the specific embodiments of the present application are described, and it will be clearly understood by those skilled in the art that, for convenience and brevity of description, the specific working processes of the systems, modules and units described above may refer to the corresponding processes in the foregoing method embodiments, which are not repeated herein. It should be understood that the scope of the present application is not limited thereto, and any equivalent modifications or substitutions can be easily made by those skilled in the art within the technical scope of the present application, and they should be included in the scope of the present application.
Claims (15)
1. An implant device for implanting an implant, comprising:
a housing;
the observation tube is fixedly connected with the shell, the observation tube extends along a first direction and comprises a tube body and an elastic clamping piece which are connected with each other, the tube body encloses to form a cavity, the cavity is used for accommodating the implant, at least part of the elastic clamping pieces are located in the cavity, at least two elastic clamping pieces enclose to form a first opening, the diameter of the first opening when the first opening is not acted by external force is smaller than that of the implant, and the elastic clamping piece is configured to enlarge the diameter of the first opening when the first opening is extruded by external force.
2. The implant device of claim 1, wherein the resilient clip comprises a first connecting portion and a protruding portion, the first connecting portion being connected to the tube, the protruding portion being gradually protruding toward the cavity in a first direction.
3. The implant device of claim 2, wherein the resilient clip further comprises a second connecting portion, the protruding portion being located between the first connecting portion and the second connecting portion, the second connecting portion being connected to the tube.
4. The implant device of claim 1, further comprising:
the pushing mechanism and the shell are movably arranged in the first direction, a limiting cavity is formed between the pushing mechanism and the elastic clamping piece, and the limiting cavity can at least accommodate one implant.
5. The implant device of claim 4, further comprising:
an inner needle connected with the shell, wherein at least one implant is sleeved on the inner needle, and at least part of the inner needle is positioned in the cavity;
the driving mechanism is movably arranged with the shell and is connected with the pushing mechanism;
the pushing mechanism includes:
the push needle is sleeved on the inner needle, the push needle and the inner needle are movably arranged in the first direction, and a second opening is formed in one end of the push needle in the first direction;
the push needle seat is connected with one end of the push needle, which is away from the second opening;
the first elastic piece is connected with the push needle seat and the shell and is used for driving the push needle seat and the push needle to move along a second direction until the push needle seat is connected with the driving mechanism, and the second direction is opposite to the first direction.
6. The implant device according to claim 5, wherein an end of the push pin facing away from the push pin holder is provided with an elastic claw, the second opening is formed between a plurality of the elastic claws, and an inner diameter of the opening in the second direction gradually increases in a direction approaching the push pin holder.
7. The implant device of claim 5, wherein the implant device comprises a triggered state and a non-triggered state, the triggered state comprising a first phase and a second phase;
the driving mechanism comprises a cam, a first driving surface and a second driving surface are mutually connected, the cam is configured to rotate along a third direction in the triggering state, the first driving surface drives the pushing mechanism and the implant to move along the first direction in the first stage, and the second driving surface drives the pushing mechanism to move along the second direction in the second stage;
the first driving surface is gradually arranged in a direction away from the rotating shaft of the cam in an extending mode along the third direction, and the second driving surface is gradually arranged in a direction close to the rotating shaft of the cam in an extending mode along the third direction.
8. The implant device of claim 7, wherein the cam is further provided with a first step surface and a second step surface, the first step surface is connected with the first driving surface, the second step surface is connected with the second driving surface, the first step surface is positioned on one side of the first driving surface away from the second driving surface, the second step surface is positioned on one side of the second driving surface away from the first driving surface, and a distance from the first step surface to a rotating shaft of the cam is greater than a distance from the second step surface to the rotating shaft of the cam.
9. The implant device of claim 8, wherein the cam is further provided with a third driving surface, a fourth driving surface and a third step surface which are sequentially connected, the third driving surface is connected with the second step surface, the third driving surface is positioned at one side of the second step surface away from the second driving surface, and the distance from the second step surface to the rotating shaft of the cam is greater than the distance from the third step surface to the rotating shaft of the cam;
the third driving surface is gradually arranged in a direction away from the rotating shaft of the cam in an extending mode along the third direction, and the fourth driving surface is gradually arranged in a direction close to the rotating shaft of the cam in an extending mode along the third direction.
10. The implant device of claim 7, further comprising:
the trigger button comprises a key and a connecting rod, the key and the shell are movably arranged, the connecting rod is connected with the key and the cam, and the connecting rod is configured to limit the cam mutually in a non-trigger state so as to limit the cam to rotate along the third direction;
in the triggering state, the key drives the connecting rod to move along the fourth direction and releases the cam.
11. The implant device of claim 10, wherein a stopper is provided on the cam, and a stopper portion is provided on the link, the stopper portion being configured to abut the stopper in a non-triggered state, thereby restricting rotation of the cam in the third direction;
in the triggering state, the connecting rod moves along the fourth direction, the limiting part releases the limiting block, and the cam rotates along the third direction.
12. The implant device of claim 11, wherein a plurality of the stop blocks are spaced around the axis of rotation of the cam.
13. The implant device of claim 1, wherein a side of the viewing tube facing away from the housing is provided with a viewing window.
14. An implant system comprising an implant device according to any one of claims 1 to 13 and said implant.
15. The using method of the implantation system is characterized in that the implantation device comprises an observation tube, a driving mechanism, a pushing mechanism and a trigger button, wherein the observation tube is arranged in an extending mode along a first direction and comprises a tube body and elastic clamping pieces which are connected with each other, the tube body is enclosed to form a cavity, at least two elastic clamping pieces are enclosed to form a first opening, and a limiting cavity is formed between the pushing mechanism and the elastic clamping pieces;
the using method comprises the following steps:
penetrating the implant system into the patient's eye;
pressing the trigger button, wherein the trigger button drives the pushing mechanism and the implant in the limiting cavity to move along the first direction through the driving mechanism until the implant extends out of the cavity from the first opening;
the driving mechanism drives the pushing mechanism to move along the second direction until the next implant enters the limiting cavity.
Priority Applications (2)
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CN202310760409.2A CN116869731A (en) | 2023-06-26 | 2023-06-26 | Implant device, implant system and method of using an implant system |
PCT/CN2024/101495 WO2025002149A1 (en) | 2023-06-26 | 2024-06-26 | Implantation device, implantation system, and method of using implantation system |
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CN202310760409.2A CN116869731A (en) | 2023-06-26 | 2023-06-26 | Implant device, implant system and method of using an implant system |
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CN202310760409.2A Pending CN116869731A (en) | 2023-06-26 | 2023-06-26 | Implant device, implant system and method of using an implant system |
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WO (1) | WO2025002149A1 (en) |
Cited By (1)
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WO2025002149A1 (en) * | 2023-06-26 | 2025-01-02 | 海思盖德(苏州)生物医学科技有限公司 | Implantation device, implantation system, and method of using implantation system |
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US20070179587A1 (en) * | 2006-01-30 | 2007-08-02 | Xtent, Inc. | Apparatus and methods for deployment of custom-length prostheses |
US9173775B2 (en) * | 2012-03-26 | 2015-11-03 | Glaukos Corporation | System for delivering multiple ocular implants |
CN106913365A (en) * | 2017-03-16 | 2017-07-04 | 栗超跃 | A kind of scalp clip output device |
EP3691586A2 (en) * | 2017-10-06 | 2020-08-12 | Glaukos Corporation | Systems and methods for delivering multiple ocular implants |
CN108784777B (en) * | 2018-07-26 | 2024-08-23 | 广州起源生命科技有限公司 | Clip applier |
WO2022058232A1 (en) * | 2020-09-15 | 2022-03-24 | Istar Medical Sa | Delivery shaft assembly for delivery of an implant |
CN116869731A (en) * | 2023-06-26 | 2023-10-13 | 海思盖德(苏州)生物医学科技有限公司 | Implant device, implant system and method of using an implant system |
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2023
- 2023-06-26 CN CN202310760409.2A patent/CN116869731A/en active Pending
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WO2025002149A1 (en) * | 2023-06-26 | 2025-01-02 | 海思盖德(苏州)生物医学科技有限公司 | Implantation device, implantation system, and method of using implantation system |
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