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CN211433343U - Femtosecond laser cataract operation marker with level meter - Google Patents

Femtosecond laser cataract operation marker with level meter Download PDF

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Publication number
CN211433343U
CN211433343U CN201921936217.8U CN201921936217U CN211433343U CN 211433343 U CN211433343 U CN 211433343U CN 201921936217 U CN201921936217 U CN 201921936217U CN 211433343 U CN211433343 U CN 211433343U
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ring
femtosecond laser
cataract surgery
fixedly connected
side wall
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许荣
常晓可
王越
刘欣
郑亦君
焦亚
王胜男
陈华
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Hankou Aier Eye Hospital Co Ltd
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Hankou Aier Eye Hospital Co Ltd
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Abstract

A femtosecond laser cataract surgery marker with a level instrument comprises a first ring, a second ring, a third ring and a graduated scale with a level instrument. The built-in gradienter can ensure that the horizontal axis does not incline, and the centering of the vertical axis is determined according to the relative positions of the three hollow rings and the cornea, so that the center of the corneal limbus, the axis of astigmatism and the incision position are accurately marked, and the transverse diameter of the cornea is measured by using the graduated scale with the gradienter. The utility model has the advantages of high precision, simple operation and wide application.

Description

一种带水平仪的飞秒激光白内障手术标记器A femtosecond laser cataract surgery marker with a spirit level

技术领域technical field

本实用新型涉及手术器械技术领域,具体为一种带水平仪的飞秒激光白内障手术标记器。The utility model relates to the technical field of surgical instruments, in particular to a femtosecond laser cataract surgical marker with a spirit level.

背景技术Background technique

飞秒激光辅助白内障手术的误差主要是由于未准确定位陡峭子午线切口、散光轴位标记有误和撕囊偏中心等引起的。目前公认的解决方法是利用手术导航系统提高手术的精准性。但是,这种方法仍存在一些问题:1 自动识别的精准性偏低。在结膜血管过多、血管严重充血扩张、结膜水肿、球结膜严重松弛、血管清晰度差等情况下导航系统可能出现识别误差,需要医师术前标记干预;2 耗时长。术前测量、术中反复血管对位、术中实时追踪、导航模块的切换等均会增加手术操作的步骤和时间;3 患者选择方面。小睑裂、固视障碍、角膜病变等患者可能无法识别或测量误差很大;4 费用高昂,对于屈光性白内障手术普及不利。The errors of femtosecond laser-assisted cataract surgery are mainly caused by the inaccurate positioning of the steep meridian incision, the wrong axial marking of astigmatism, and the off-center capsulorhexis. The currently accepted solution is to use surgical navigation systems to improve the accuracy of surgery. However, this method still has some problems: 1. The accuracy of automatic identification is low. In the case of excessive conjunctival blood vessels, severe blood vessel dilation, conjunctival edema, severe bulbar conjunctiva relaxation, poor blood vessel clarity, etc., the navigation system may have recognition errors, requiring preoperative marking intervention by physicians; 2 It takes a long time. Preoperative measurement, repeated intraoperative blood vessel alignment, intraoperative real-time tracking, and switching of navigation modules will increase the steps and time of surgical operations; 3. Patient selection. Patients with small palpebral fissures, visual fixation disorders, and keratopathy may not be recognized or have large measurement errors;4 the cost is high, which is not conducive to the popularization of refractive cataract surgery.

实用新型内容Utility model content

为解决现有技术的不足,本实用新型提供一种带水平仪的飞秒激光白内障手术标记器,具有精准、便携、操作方便、适用面光等优点。In order to solve the deficiencies of the prior art, the utility model provides a femtosecond laser cataract surgery marker with a spirit level, which has the advantages of precision, portability, convenient operation, and surface light application.

本实用新型提供如下技术解决方案:一种带水平仪的飞秒激光白内障手术标记器,包括第一圆环,所述第一圆环的顶面靠近内侧壁上设有散光轴位刻度线,所述第一圆环的下侧壁上固定连接有水平仪,所述水平仪上设置有毫米刻度尺,所述第一圆环的内侧设置有第二圆环,所述第二圆环顶面靠近外侧壁上同样设有散光轴位刻度线,所述第二圆环的内侧设置有第三圆环,所述第三圆环的外侧壁上、下、左、右固定连接有四条分布均匀的金属丝,所述金属丝远离第三圆环一端固定连接在第二圆环的内侧壁上,所述第二圆环和第一圆环的外侧壁上固定连接有同一个连接杆,所述连接杆的另一端固定连接有手柄。The utility model provides the following technical solutions: a femtosecond laser cataract surgery marker with a spirit level, comprising a first ring, the top surface of the first ring is provided with an astigmatism axis scale line on the inner side wall, so A spirit level is fixedly connected to the lower side wall of the first ring, a millimeter scale is arranged on the spirit level, a second ring is arranged on the inner side of the first ring, and the top surface of the second ring is close to the outside The wall is also provided with an astigmatism axis scale line, the inner side of the second ring is provided with a third ring, and the outer side wall of the third ring is fixedly connected with four evenly distributed metal bars on the upper, lower, left and right sides. One end of the metal wire away from the third ring is fixedly connected to the inner side wall of the second ring, and the second ring and the outer side wall of the first ring are fixedly connected with the same connecting rod. The other end of the rod is fixedly connected with a handle.

优选的,所述第一圆环的直径为12.5mm,所述第二圆环的直径为10mm,所述第三圆环的直径为1mm。Preferably, the diameter of the first ring is 12.5 mm, the diameter of the second ring is 10 mm, and the diameter of the third ring is 1 mm.

优选的,所述第一圆环、第二圆环和第三圆环同心设置。Preferably, the first circular ring, the second circular ring and the third circular ring are arranged concentrically.

优选的,所述手柄的侧壁上设有增加手持摩擦力的防滑条纹。Preferably, the side wall of the handle is provided with anti-slip stripes that increase the frictional force of the handle.

优选的,所述第一圆环下方的外侧壁上固定连接有若干个卡环,所述卡环呈“U”型设置,所述水平仪与卡环卡接设置。Preferably, a plurality of snap rings are fixedly connected to the outer side wall below the first ring, the snap rings are arranged in a "U" shape, and the level is snap-connected to the snap rings.

优选的,所述轴位刻度线呈圆环形设置,每5度为一刻设置。Preferably, the axis scale lines are arranged in a circular shape, and every 5 degrees is a moment.

优选的,所述连接杆侧面呈“Y”型设置。Preferably, the side surfaces of the connecting rods are arranged in a "Y" shape.

与现有技术相比,本实用新型的有益效果是:Compared with the prior art, the beneficial effects of the present utility model are:

1、本实用新型通过将第一圆环、第二圆环和第三圆环镂空和同心圆设置,可以用细记号笔对角膜缘中心进行标记,避免撕囊偏中心。1. In the present invention, the center of the corneal limbus can be marked with a fine marker by hollowing out the first ring, the second ring and the third ring and setting concentric circles to avoid the capsulorhexis being off-center.

2、内置水平仪可以保证水平轴位不发生倾斜,三个圆环特殊的直径设定并结合镂空设计,可以保证垂直轴位比较精准,12.5mm直径的第一圆环内侧壁和10mm直径的第二圆环外侧壁均设有散光轴位刻度线,确保任何角膜直径的患者散光标记均精准,大大提高散光轴位和陡峭子午线切口标记的精确度。2. The built-in level can ensure that the horizontal axis does not tilt. The special diameter setting of the three rings combined with the hollow design can ensure the vertical axis is more accurate. The inner wall of the first ring with a diameter of 12.5mm and the second ring with a diameter of 10mm The outer side walls of the two rings are provided with astigmatism axis scale lines to ensure accurate astigmatism marks for patients with any corneal diameter, greatly improving the accuracy of astigmatism axis and steep meridian incision marks.

3、确定0度、180度角膜缘和角膜缘中心位置后,可以准确的通过水平仪上的毫米刻度尺将角膜横径测量出来。3. After determining the 0-degree, 180-degree corneal limbus and the center of the corneal limbus, the corneal transverse diameter can be measured accurately through the millimeter scale on the spirit level.

附图说明Description of drawings

图1为本实用新型顶面结构示意图;Fig. 1 is the top surface structure schematic diagram of the present utility model;

图2为本实用新型内部结构示意图;2 is a schematic diagram of the internal structure of the utility model;

图3为本实用新型图1的A处放大图。FIG. 3 is an enlarged view of part A of FIG. 1 of the present utility model.

图中标号:1、第一圆环;2、标尺;3、水平仪;4、刻度尺;5、第二圆环;6、第三圆环;7、金属丝;8、连接杆;9、手柄;10、防滑垫;11、卡环。Labels in the figure: 1, the first ring; 2, the ruler; 3, the spirit level; 4, the scale; 5, the second ring; 6, the third ring; 7, the wire; 8, the connecting rod; 9, Handle; 10, non-slip pad; 11, snap ring.

具体实施方式Detailed ways

下面将结合本实用新型实施例中的附图,对本实用新型实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本实用新型一部分实施例,而不是全部的实施例。基于本实用新型中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本实用新型保护的范围。The technical solutions in the embodiments of the present utility model will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present utility model. Obviously, the described embodiments are only a part of the embodiments of the present utility model, rather than all the implementations. example. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative work fall within the protection scope of the present invention.

请参阅图1-3,本实用新型提供一种技术方案:一种带水平仪的飞秒激光白内障手术标记器,包括第一圆环1,第一圆环1的顶面靠近内侧壁处设有圆环形散光轴位刻度线2,每5度为一刻设置,第一圆环1的下方外侧壁上固定连接有水平仪3,水平仪3各个侧面均设有毫米刻度尺,0刻度在中心设置,左右每毫米一刻设置,长度为14mm,宽度2mm,用于角膜横径测量,第一圆环1和水平仪3之间通过若干个卡环11连接,卡环11呈“U”型设置,水平仪3与卡环11卡接设置,第一圆环1的内侧设置有第二圆环5,第二圆环5顶面靠近外侧壁设有圆环形散光轴位刻度线2,第二圆环5的内侧设置有第三圆环6,用于对角膜缘中心进行标记,第一圆环1、第二圆环5和第三圆环6同心设置,直径分别为12.5mm、10mm、1mm,第三圆环6与第一圆环1矢状轴间距为2.8mm,第三圆环6的外侧壁上均匀分布固定连接有4条金属丝7,金属丝7远离第三圆环6一端固定连接在第二圆环5的内侧壁上,第二圆环5和第一圆环1的外侧壁上固定连接同一个连接杆8,连接杆8侧面呈“Y”型,连接杆8的另一端连接于手柄9,手柄9上增设有防滑条纹10,增加手持的摩擦力。1-3, the present utility model provides a technical solution: a femtosecond laser cataract surgery marker with a spirit level, comprising a first ring 1, the top surface of the first ring 1 is provided with a The annular astigmatism axis scale line 2 is set every 5 degrees for a moment. A spirit level 3 is fixedly connected to the lower outer side wall of the first circular ring 1. Each side of the spirit level 3 is provided with a millimeter scale, and the 0 scale is set in the center. It is set every millimeter on the left and right, with a length of 14mm and a width of 2mm. It is used to measure the transverse diameter of the cornea. The first ring 1 and the level 3 are connected by several snap rings 11. The snap rings 11 are arranged in a "U" shape, and the level 3 It is clamped with the snap ring 11, the inner side of the first ring 1 is provided with a second ring 5, the top surface of the second ring 5 is provided with an annular astigmatism axis scale line 2 near the outer side wall, and the second ring 5 The inner side is provided with a third ring 6, used to mark the center of the corneal limbus, the first ring 1, the second ring 5 and the third ring 6 are arranged concentrically, with diameters of 12.5mm, 10mm, 1mm, respectively. The sagittal distance between the three rings 6 and the first ring 1 is 2.8 mm, and four metal wires 7 are evenly distributed and fixedly connected on the outer side wall of the third ring 6, and the metal wires 7 are fixedly connected at one end away from the third ring 6 On the inner side wall of the second ring 5, the second ring 5 and the outer side wall of the first ring 1 are fixedly connected with the same connecting rod 8, the side of the connecting rod 8 is in a "Y" shape, and the other end of the connecting rod 8 It is connected to the handle 9, and the handle 9 is additionally provided with anti-skid stripes 10 to increase the frictional force of the hand.

工作原理:患者正位端坐于裂隙灯前,前额和下颌紧贴裂隙灯支架上,平视前方,滴表面麻醉剂后开睑器开睑充分暴露角膜,通过手柄9拿起本标记器,放置到患者的角膜上,通过手柄9的微调,使得水平仪3处于水平的状态,根据三个圆环和角膜之间的相对位置确定角膜垂直径的居中性,根据手术设计的需要,迅速进行散光轴位、切口位置、角膜缘中心、0度角膜缘和180度角膜缘的标记。必要时上方或下方移动水平仪上的刻度尺,测量出0度、180度角膜缘及角膜缘中心的长度即为角膜横径,同时也有助于核对角膜缘中心位置是否准确。为避免鼻梁和眼眶遮挡,标记器用于右眼(R)标记时,手柄置于左侧,水平仪处于下方;用于左眼(L)标记时,手柄置于右侧,水平仪处于上方。Working principle: The patient sits upright in front of the slit lamp, with the forehead and jaw close to the slit lamp bracket, looking straight ahead, and after dripping topical anesthetic, the eyelid opener opens the eyelid to fully expose the cornea, pick up the marker through handle 9, and place it on the On the patient's cornea, through the fine adjustment of the handle 9, the level 3 is in a horizontal state, and the centering of the vertical diameter of the cornea is determined according to the relative position between the three rings and the cornea. , incision location, limbal center, 0 degree limbal and 180 degree limbal markings. If necessary, move the scale on the level above or below, and measure the length of the corneal limbus and the center of the corneal limbus at 0 degrees, 180 degrees, which is the corneal transverse diameter, and also helps to check whether the center of the corneal limbus is accurate. In order to avoid occlusion of the bridge of the nose and the orbit, when the marker is used for the right eye (R) marking, the handle is placed on the left side and the level is below; when it is used for the left eye (L) marking, the handle is placed on the right side and the level is above.

尽管已经示出和描述了本实用新型的实施例,对于本领域的普通技术人员而言,可以理解在不脱离本实用新型的原理和精神的情况下可以对这些实施例进行多种变化、修改、替换和变型,本实用新型的范围由所附权利要求及其等同物限定。Although the embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes and modifications can be made to these embodiments without departing from the principles and spirit of the present invention , alternatives and modifications, the scope of the present invention is defined by the appended claims and their equivalents.

Claims (7)

1. The utility model provides a take femto second laser cataract surgery marker of spirit level, includes first ring (1), its characterized in that: the top surface of the first ring (1) is provided with astigmatic axis position scale marks (2) close to the inner side wall, the lower side wall of the first ring (1) is fixedly connected with a level meter (3), the level meter (3) is provided with a millimeter scale (4), the inner side of the first ring (1) is provided with a second ring (5), the top surface of the second ring (5) is also provided with astigmatic axis position scale marks (2) close to the outer side wall, the inner side of the second ring (5) is provided with a third ring (6), the upper, lower, left and right sides of the outer side wall of the third ring (6) are fixedly connected with four metal wires (7) which are uniformly distributed, one end of the metal wire (7) far away from the third ring (6) is fixedly connected to the inner side wall of the second ring (5), and the outer side walls of the second ring (5) and the first ring (1) are fixedly connected with the same connecting rod (8), the other end of the connecting rod (8) is fixedly connected with a handle (9).
2. The femtosecond laser cataract surgery marker with a level gauge as claimed in claim 1, wherein: the diameter of the first circular ring (1) is 12.5mm, the diameter of the second circular ring (5) is 10mm, and the diameter of the third circular ring (6) is 1 mm.
3. The femtosecond laser cataract surgery marker with a level gauge as claimed in claim 1, wherein: the first circular ring (1), the second circular ring (5) and the third circular ring (6) are concentrically arranged.
4. The femtosecond laser cataract surgery marker with a level gauge as claimed in claim 1, wherein: and the side wall of the handle (9) is provided with anti-slip stripes (10) for increasing the hand-held friction force.
5. The femtosecond laser cataract surgery marker with a level gauge as claimed in claim 1, wherein: fixedly connected with a plurality of snap ring (11) on the lateral wall of first ring (1) below, snap ring (11) are "U" type setting, spirit level (3) and snap ring (11) joint set up.
6. The femtosecond laser cataract surgery marker with a level gauge as claimed in claim 1, wherein: the axis position scale marks (2) are arranged in a circular ring shape, and are arranged every 5 degrees.
7. The femtosecond laser cataract surgery marker with a level gauge as claimed in claim 1, wherein: the side surface of the connecting rod (8) is Y-shaped.
CN201921936217.8U 2019-11-11 2019-11-11 Femtosecond laser cataract operation marker with level meter Active CN211433343U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113729979A (en) * 2021-10-08 2021-12-03 天津医科大学眼科医院 Cornea marker for cataract and cornea transplantation operation
CN114931436A (en) * 2022-07-27 2022-08-23 中国科学院宁波材料技术与工程研究所 Cataract surgery navigation system

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113729979A (en) * 2021-10-08 2021-12-03 天津医科大学眼科医院 Cornea marker for cataract and cornea transplantation operation
CN114931436A (en) * 2022-07-27 2022-08-23 中国科学院宁波材料技术与工程研究所 Cataract surgery navigation system

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