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WO2025002149A1 - Implantation device, implantation system, and method of using implantation system - Google Patents

Implantation device, implantation system, and method of using implantation system Download PDF

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Publication number
WO2025002149A1
WO2025002149A1 PCT/CN2024/101495 CN2024101495W WO2025002149A1 WO 2025002149 A1 WO2025002149 A1 WO 2025002149A1 CN 2024101495 W CN2024101495 W CN 2024101495W WO 2025002149 A1 WO2025002149 A1 WO 2025002149A1
Authority
WO
WIPO (PCT)
Prior art keywords
implant
cam
cavity
implant device
driving surface
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
PCT/CN2024/101495
Other languages
French (fr)
Chinese (zh)
Inventor
王保民
刘华
范忠鹏
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Health Guard Suzhou Biomed Technology Co Ltd
Original Assignee
Health Guard Suzhou Biomed Technology Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from CN202310760409.2A external-priority patent/CN116869731B/en
Application filed by Health Guard Suzhou Biomed Technology Co Ltd filed Critical Health Guard Suzhou Biomed Technology Co Ltd
Publication of WO2025002149A1 publication Critical patent/WO2025002149A1/en
Anticipated expiration legal-status Critical
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/0008Introducing ophthalmic products into the ocular cavity or retaining products therein
    • A61F9/0017Introducing ophthalmic products into the ocular cavity or retaining products therein implantable in, or in contact with, the eye, e.g. ocular inserts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M27/00Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
    • A61M27/002Implant devices for drainage of body fluids from one part of the body to another

Definitions

  • the present application belongs to the field of medical technology, and in particular relates to an implant device, an implant system, and a method for using the implant system.
  • Glaucoma is one of the three major blinding eye diseases that cause blindness in humans, with an incidence rate of 1% in the general population and 2% after the age of 45. Glaucoma is a group of diseases characterized by optic disc atrophy and depression, visual field defects and decreased vision. Pathological increase in intraocular pressure and insufficient blood supply to the optic nerve are the primary risk factors for its onset. The tolerance of the optic nerve to pressure damage is also related to the occurrence and development of glaucoma. Any obstruction in the aqueous humor circulation pathway can lead to pathological changes caused by increased intraocular pressure, but some patients also present with normal intraocular pressure glaucoma.
  • the intraocular drainage implant method is the most commonly used method. This method inserts an implant stent into the eye so that the aqueous humor can be discharged through the drainage path on the implant stent and leave the anterior chamber. This method is usually performed by the doctor manually implanting the implant stent into the Schlemm's canal. This implantation method has the problems of inaccurate positioning and poor implantation effect.
  • the embodiments of the present application provide an implantation device that can achieve precise pushing of an implant.
  • the embodiment of the first aspect of the present application provides an implantation device for implanting an implant
  • the implantation device includes a shell and an observation tube
  • the observation tube is fixedly connected to the shell
  • the observation tube is extended along a first direction
  • the observation tube includes a tube body and an elastic retaining member connected to each other
  • the tube body encloses a cavity
  • the cavity is used to accommodate the implant
  • at least part of the elastic retaining member is
  • the retaining piece is located in the cavity, and at least two elastic retaining pieces enclose a first opening.
  • the diameter of the first opening is smaller than the diameter of the implant when no external force is applied.
  • the elastic retaining piece is configured to increase the diameter of the first opening when squeezed by external force.
  • the elastic retaining member includes a first connecting portion and a protruding portion, the first connecting portion is connected to the tube body, and the protruding portion is arranged to gradually protrude toward the cavity along the first direction.
  • the elastic retaining 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 tube body.
  • the embodiment further includes: a pushing mechanism, which is movably arranged with the shell in the first direction, and a limiting cavity is formed between the pushing mechanism and the elastic locking member, and the limiting cavity can accommodate at least one implant.
  • the number of implants is two, one of which is located in the limiting cavity, and the other is located inside the pushing mechanism.
  • the number of implants is three, the first implant is located in the limiting cavity, and the second implant and the third implant are located inside the pushing mechanism.
  • an inner needle connected to the shell, at least one implant is sleeved on the inner needle, and at least part of the inner needle is located in the cavity; a driving mechanism, movably arranged with the shell and connected to the pushing mechanism; the pushing mechanism includes: a push pin, sleeved on the inner needle, the push pin and the inner needle are movably arranged in a first direction, and a second opening is provided on one end of the push pin in the first direction.
  • two implants are sequentially sleeved on the inner needle along the first direction, one of which is accommodated in the limiting cavity, and the other is located on the side of the second opening away from the first opening; or, at least three implants are sequentially sleeved on the inner needle along the first direction, one of which is accommodated in the limiting cavity, and the remaining implants are all located on the side of the second opening away from the first opening.
  • an elastic claw is provided at one end of the push pin facing away from the push pin seat, and a second opening is formed between the plurality of elastic claws.
  • the implant device includes a trigger state and a non-trigger state, the trigger state includes a first stage and a second stage;
  • the drive mechanism includes a cam, the cam is provided with a first drive surface and a second drive surface connected to each other, the cam is configured to rotate along a third direction in the trigger state, in the first stage, the first drive surface drives the push mechanism and the implant to move along the first direction, and in the second stage, the second drive surface drives the push mechanism to move along the second direction;
  • the first drive surface is gradually extended in the direction away from the rotating shaft of the cam along the third direction,
  • the second driving surface is extended along the third direction gradually toward the direction of the rotating shaft of the cam.
  • a first step surface and a second step surface are also provided on the cam, the first step surface is connected to the first driving surface, and the second step surface is connected to the second driving surface, the first step surface is located on the side of the first driving surface away from the second driving surface, and the second step surface is located on the side of the second driving surface away from the first driving surface, and the distance from the first step surface to the rotating axis of the cam is greater than the distance from the second step surface to the rotating axis of the cam.
  • the cam is also provided with a third driving surface, a fourth driving surface and a third step surface which are connected in sequence, the third driving surface is connected to the second step surface, the third driving surface is located on the side of the second step surface away from the second driving surface, the distance from the second step surface to the rotation axis of the cam is greater than the distance from the third step surface to the rotation axis of the cam; the third driving surface is extended along the third direction gradually away from the rotation axis of the cam, and the fourth driving surface is extended along the third direction gradually close to the rotation axis of the cam.
  • a trigger button the trigger button includes a key and a connecting rod
  • the key and the shell are movably arranged
  • the connecting rod connects the key and the cam
  • the connecting rod is configured to limit each other with the cam in a non-trigger state, thereby limiting the cam from rotating along a third direction
  • the key drives the connecting rod to move along a fourth direction and releases the cam.
  • a limit block is provided on the cam, and a limit portion is provided on the connecting rod, and the limit portion is configured to abut against the limit block in a non-triggered state, thereby limiting the cam from rotating along a third direction; in a triggered state, the connecting rod moves along a fourth direction, the limit portion releases the limit block, and the cam rotates along the third direction.
  • a plurality of limit blocks are arranged at intervals around the rotating shaft of the cam.
  • an observation window is provided on a side of the observation tube facing away from the shell.
  • the second embodiment of the present application also provides an implant system, including the implant device and implant as described above.
  • the third aspect embodiment of the present application also provides a method for using an implant system
  • the implant device includes an observation tube, a driving mechanism, a pushing mechanism and a trigger button
  • the observation tube is extended along a first direction
  • the observation tube includes a tube body and an elastic retaining member connected to each other, the tube body is enclosed to form a cavity, at least two elastic retaining members are enclosed to form a first opening, and a limiting cavity is formed between the pushing mechanism and the elastic retaining member
  • the method of use includes: inserting the implant system into the patient's eye; pressing the trigger button, 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.
  • the implantation device of the embodiment of the present application is used for implanting an implant, and the implantation device comprises a housing and an observation tube.
  • the tube is fixedly connected to the shell, and the observation tube is extended along a first direction.
  • the observation tube includes a tube body and an elastic retaining piece that are connected to each other.
  • the tube body is enclosed to form a cavity, and the cavity is used to accommodate the implant.
  • At least part of the elastic retaining piece is located in the cavity.
  • At least two elastic retaining pieces are enclosed to form a first opening.
  • the elastic retaining piece is configured to increase the diameter of the first opening when subjected to external force.
  • the first opening does not affect the implantation of the implant. When the implant device is moved or inverted, the first opening can reduce the probability of the implant falling out of the cavity, thereby improving the reliability of the implant device.
  • FIG1 is a schematic diagram of the three-dimensional structure of an implant device according to some embodiments of the present application.
  • FIG. 2 is a schematic diagram showing an exploded structure of an exemplary implant device in FIG. 1 ;
  • FIG3 shows an exemplary partial enlarged cross-sectional view of the implant device and the implant in FIG1 at position A;
  • FIG4 shows an example of an enlarged partial cross-sectional view of the implant device and implant in FIG3 after the puncture needle mechanism is hidden;
  • FIG5 is a schematic diagram showing a three-dimensional structure of an exemplary implant device and an implant in FIG4 ;
  • FIG6 shows another example of an enlarged partial cross-sectional view of the implant device and the implant in FIG1 at position A;
  • FIG7 shows an example of an enlarged partial cross-sectional view of the implant device and implant in FIG6 after the puncture needle mechanism is hidden;
  • FIG8 is a schematic diagram showing a three-dimensional structure of an exemplary implant device and an implant in FIG7 ;
  • FIG9 is a front view schematic diagram showing an exemplary trigger button, a pushing mechanism and a cam in an untriggered state
  • FIG10 is a schematic diagram showing a partial enlarged structure of the trigger button, the pushing mechanism and the cam in FIG9 as an example;
  • FIG11 is a schematic diagram showing a partial enlarged structure of an example of the trigger button, the pushing mechanism and the cam in FIG10 at the end of the first stage;
  • FIG12 is a schematic diagram showing a partial enlarged structure of an example of the trigger button, the pushing mechanism and the cam in FIG10 at the end of the second stage;
  • FIG13 is a schematic front view of a cam structure of an example
  • FIG14 is a schematic diagram showing a three-dimensional structure of an example cam
  • FIG15 is a schematic cross-sectional view of an example of the inner needle, the push needle and the implant in FIG6 ;
  • FIG16 is a schematic cross-sectional view of an example of the push pin in FIG15 ;
  • FIG17 is a schematic diagram showing a three-dimensional structure of an exemplary push pin
  • FIG. 18 shows another example of an enlarged partial cross-sectional view of the implant device and implant in FIG. 3 after the puncture needle mechanism is hidden.
  • First elastic member 50, cam; 501, rotating shaft; 502, torsion spring; 51, first driving surface; 52, second driving surface; 53, first step surface; 54, second step surface; 55, third driving surface; 56, fourth driving surface; 57, third step surface; 58, stop block; 60.
  • Internal needle 70. puncture needle mechanism; 71. puncture needle; 711. third opening; 72. puncture needle seat; 80. Protection mechanism; 81. Protection slide button; 82. Protection connecting rod; x, first direction; y, second direction; z, third direction; a, fourth direction; c, fifth direction.
  • the intraocular drainage implant method is usually to implant the implant stent into the Schlemm's canal by the doctor's bare hands.
  • This implantation method has the problems of inaccurate positioning and poor implantation effect.
  • an implant device for implanting an implant, the implant device comprising a shell and an observation tube, the observation tube being fixedly connected to the shell, the observation tube extending along a first direction, the observation tube comprising a tube body and an elastic retaining member connected to each other, the tube body encloses a cavity to accommodate the implant, at least part of the elastic retaining member is located in the cavity, at least two elastic retaining members enclose a first opening, the diameter of the first opening when not subjected to external force is smaller than the diameter of the implant, and the elastic retaining member is configured so that the diameter of the first opening becomes larger when squeezed by external force.
  • the implant device provided in the present application makes the diameter of the first opening smaller than the diameter of the implant when not subjected to external force, and the elastic retaining member is configured so that the diameter of the first opening becomes larger when subjected to external force.
  • the first opening does not affect the implantation of the implant. When the implant device is moved or inverted, the first opening can reduce the probability of the implant falling out of the cavity, thereby improving the reliability of the implant device.
  • the display module provided by the embodiment of the present application is introduced below with reference to the accompanying drawings.
  • the x direction in the accompanying drawings is the first direction
  • the y direction in the accompanying drawings is the second direction
  • the z direction in the accompanying drawings is the third direction
  • the a direction in the accompanying drawings is the fourth direction
  • the c direction in the accompanying drawings is the fifth direction.
  • the dimensions in the drawings are not necessarily proportional to the actual dimensions. For the sake of clarity, some contour lines may be hidden in the accompanying drawings. And make differentiated treatment on line width.
  • Figure 1 is a schematic diagram of the three-dimensional structure of the implant device of some embodiments of the present application
  • Figure 2 is a schematic diagram of the decomposed structure of an example implant device in Figure 1
  • Figure 3 is an example of an implant device and an implant in Figure 1 at position A, a local enlarged sectional view
  • Figure 4 is an example of an implant device and an implant in Figure 3 after hiding the puncture needle mechanism
  • Figure 5 is a schematic diagram of the three-dimensional structure of the implant device and the implant in Figure 4.
  • the present application provides an implant device 100 for implanting an implant 200.
  • the implant device 100 includes a shell 10 and an observation tube 30.
  • the observation tube 30 is fixedly connected to the shell 10.
  • the observation tube 30 is extended along a first direction (the x direction in the figure).
  • the observation tube 30 includes a tube body 33 and an elastic retaining member 35 that are connected to each other.
  • the tube body 33 encloses a cavity 32.
  • the cavity 32 is used to accommodate the implant 200.
  • At least part of the elastic retaining member 35 is located in the cavity 32.
  • At least two elastic retaining members enclose a first opening 31.
  • the diameter of the first opening 31 when not subjected to external force is smaller than the diameter of the implant 200.
  • the elastic retaining member 35 is configured so that the diameter of the first opening 31 becomes larger when squeezed by an external force.
  • the implant 200 can be a conventional implant or an expansion stent, and the expansion stent is made of shape memory material, and the shape memory material includes nickel-titanium alloy, indium-thallium alloy, etc.
  • the implant 200 is an axisymmetric figure, and the diameter of the implant 200 refers to its radial dimension. Similarly, the diameters of the axisymmetric parts involved in the subsequent description all refer to their radial dimensions.
  • the symmetry axis of the implant 200 is colinear with the symmetry axis of the observation tube 30, and the diameter of the first opening 31 when not subjected to external force is smaller than the maximum diameter of the implant 200.
  • the implant 200 is implanted into the trabecular meshwork of the patient through the implant device 100.
  • the implant 200 becomes a passage connecting the patient's anterior chamber to the Schlemm's canal, and the aqueous humor flows out of the anterior chamber through the implant 200, thereby reducing the patient's intraocular pressure and delaying the course of glaucoma.
  • implant 200 may be used to transfer aqueous humor to different parts of the eye, such as the space between the conjunctiva and the 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 to implant an implant 200.
  • the implant device 100 includes a shell 10 and an observation tube 30.
  • the observation tube 30 is fixedly connected to the shell 10 and extends along a first direction x.
  • the observation tube 30 includes a tube body 33 and an elastic retaining member 35 that are connected to each other.
  • the tube body 33 encloses a cavity 32.
  • the cavity 32 is used to accommodate the implant 200.
  • At least part of the elastic retaining member 35 is located in the cavity 32.
  • At least two elastic retaining members enclose a cavity 32.
  • the first opening 31, by making the diameter of the first opening 31 smaller than the maximum diameter of the implant 200 when not subjected to external force, the elastic retaining member 35 is configured to increase the diameter of the first opening 31 when subjected to external force.
  • the diameter of the first opening 31 increases until it is larger than the maximum diameter of the implant 200, thereby not affecting the implantation of the implant 200.
  • the first opening 31 can reduce the probability of the implant 200 falling out of the cavity 32, thereby improving the reliability of the implant device 100.
  • the elastic retaining member 35 includes a first connecting portion 351 and a protruding portion 352 , the first connecting portion 351 is connected to the tube body 33 , and the protruding portion 352 is gradually protruded toward the cavity 32 along the first direction x.
  • the elastic retaining member 35 is a cantilever beam-like structure, and the change in the diameter of the first opening 31 is achieved through the resilience of the material itself.
  • Figure 6 shows a partial enlarged cross-sectional view of the implant device and implant in Figure 1 at position A of another example
  • Figure 7 shows a partial enlarged cross-sectional view of the implant device and implant in Figure 6 of an example after hiding the puncture needle mechanism
  • Figure 8 shows a schematic diagram of the three-dimensional structure of the implant device and implant in Figure 7 of an example.
  • the elastic locking member 35 includes a first connecting portion 351, a protruding portion 352 and a second connecting portion 353, the first connecting portion 351 and the second connecting portion 353 are both connected to the tube body 33, and the protruding portion 352 is located between the first connecting portion 351 and the second connecting portion 353.
  • the protrusion 352 first protrudes toward the cavity 32 along the first direction x and then extends toward the tube body 33 until it is connected to the second connecting portion 353.
  • the protrusion 352 realizes the change of the diameter of the first opening 31 through the resilience of the material itself.
  • FIG. 9 shows a front view structural diagram of an example trigger button, a pushing mechanism and a cam in an untriggered state.
  • an observation window 34 is provided on a side of the observation tube 30 facing away from the housing 10 .
  • observation window 34 is disposed on the elastic locking member 35 .
  • the tube body 33 extends along the first direction x and forms an observation window on a side of the elastic retaining member 35 facing away from the housing 10 .
  • the implantation device 100 provided in this embodiment has an observation window 34 disposed on the tube body 33 , so that medical personnel can observe the implantation status of the implant 200 through the observation window 34 .
  • the implant device 100 further includes a pushing mechanism 40, a driving mechanism and an inner needle 60.
  • the pushing mechanism 40 and the housing 10 are movably arranged in the first direction x.
  • a limiting cavity 36 is formed between the pushing mechanism 40 and the elastic retaining member 35.
  • the limiting cavity 36 can accommodate 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.
  • At least part of the inner needle 60 is located in the cavity 32.
  • the driving mechanism is movably arranged with the housing 10 and connected to the pushing mechanism 40.
  • the pushing mechanism 40 includes a pushing pin 41, a pushing pin seat 42 and a first elastic member 43.
  • the pushing pin 41 is sleeved on the inner needle 60.
  • the pushing pin 41 and the inner needle 60 are movably arranged in the first direction x.
  • the push pin 41 is provided with a second opening 411 at one end in the first direction x.
  • the push pin seat 42 is connected to one end of the push pin 41 away from the second opening 411, and the first elastic member 43 connects the push pin seat 42 and the shell 10.
  • the first elastic member 43 is used to drive the push pin seat 42 and the push pin 41 to move along the second direction (the y direction in the figure) until the push pin seat 42 is connected to the cam 50.
  • the second direction y is opposite to the first direction x.
  • the first elastic member 43 may be a spring.
  • the driving mechanism may be a motor, a cylinder or other components.
  • three implants 200 are sequentially sleeved on the inner needle 60 along the first direction x, the first implant 200 is located in the limiting cavity 36 , and the second and third implants 200 are both located inside the pushing mechanism 40 , that is, between the pushing needle 41 and the inner needle 60 .
  • two implants 200 are sequentially sleeved on the inner needle 60 along the first direction x, wherein one implant 200 is accommodated in the limiting cavity 36 , and the other implant 200 is located inside the pushing mechanism 40 .
  • Figure 10 shows a schematic diagram of a partial enlarged structure of the trigger button, push mechanism and cam in Figure 9 of an example
  • Figure 11 shows a schematic diagram of a partial enlarged structure of the trigger button, push mechanism and cam in Figure 10 of an example at the end of the first stage
  • Figure 12 shows a schematic diagram of a partial enlarged structure of the trigger button, push mechanism and cam in Figure 10 of an example at the end of the second stage
  • Figure 13 shows a schematic diagram of the front view of the cam of an example
  • Figure 14 shows a schematic diagram of the three-dimensional structure of the cam of an example.
  • the implant device 100 includes a trigger state and a non-trigger state, and the trigger state includes a first stage and a second stage.
  • the drive mechanism includes a cam 50, and the cam 50 is provided with a first drive surface 51 and a second drive surface 52 that are interconnected.
  • the cam 50 is configured to rotate along a third direction (z direction in the figure) in the trigger state.
  • the first drive surface 51 drives the push mechanism 40 and the implant 200 to move along the first direction x.
  • the second drive surface 52 drives the push mechanism to move along the second direction y.
  • the first drive is gradually extended in a direction away from the rotating shaft 501 of the cam 50 along the third direction z
  • the second driving surface 52 is gradually extended in a direction close to the rotating shaft 501 of the cam 50 along the third direction z.
  • the cam 50 is connected to the housing 10 via a rotating shaft 501 and a torsion spring 502 , and the torsion spring 502 is used to drive the cam 50 to rotate around the rotating shaft 501 along a third direction z.
  • first driving surface 51 and the second driving surface 52 together form a conical protrusion on the cam 50 .
  • the cam 50 is further provided with a first step surface 53 and a second step surface 54, the first step surface 53 is connected to the first driving surface 51, and the second step surface 54 is connected to the second driving surface 52.
  • the first step surface 53 is located on the side of the first driving surface 51 away from the second driving surface 52, and the second step surface 54 is located on the side of the second driving surface 52 away from the first driving surface 51.
  • the distance from the first step surface 53 to the rotating shaft 501 of the cam 50 is greater than the distance from the second step surface 54 to the rotating shaft 501 of the cam 50.
  • one end of the pushing mechanism 40 that is away from the implant 200 is connected to the first step surface 53.
  • one end of the pushing mechanism 40 that is away from the implant 200 is connected to the first driving surface 51, and the first driving surface 51 drives the pushing mechanism 40 and the implant 200 to move along the first direction x, and the implant 200 squeezes the elastic retaining member 35 to increase the diameter of the first opening 31, until the diameter of the first opening 31 is equal to the maximum diameter of the implant 200, and the implant 200 extends out of the limiting cavity 36 from the first opening 31.
  • one end of the pushing mechanism 40 that is 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 along the second direction y. Since the distance from the first step surface 53 to the rotating shaft 501 of the cam 50 is greater than the distance from the second step surface 54 to the rotating shaft 501 of the cam 50, at the end of the second stage, the reset position of the pushing mechanism 40 is closer to the side of the shell 10 than the initial position, so that the second implant 200 enters the limiting cavity 36 to facilitate the second implantation of the implant device 100.
  • the cam 50 is further provided with a third driving surface 55, a fourth driving surface 56 and a third step surface 57 connected in sequence, the third driving surface 55 is connected to the second step surface 54, and the third driving surface 55 is located on the side of the second step surface 54 away from the second driving surface 52.
  • the distance from the second step surface 54 to the rotating shaft 501 of the cam 50 is greater than the distance from the third step surface 57 to the rotating shaft 501 of the cam 50.
  • the third driving surface 55 is gradually extended in the direction away from the rotating shaft 501 of the cam 50 along the third direction z
  • the fourth driving surface 56 is gradually extended in the direction close to the rotating shaft 501 of the cam 50 along the third direction z.
  • the third driving surface 55 and the fourth driving surface 56 together form a conical protrusion on the cam 50.
  • the first driving surface 51, the second driving surface 52, the third driving surface 55, the fourth driving surface 56, the first step surface 53, the second step surface 54 and the third step surface 57 are all located on the rim of the cam 50.
  • the pushing mechanism 40 is away from the implant 200. The end is always connected to the rim of the cam 50.
  • the two conical protrusions are connected by only one step surface, and the outer arc of the step surface becomes longer.
  • the setting of the step surface enables the cam 50 to control the pushing mechanism 40 more accurately during the rotation process, so that the pushing mechanism 40 drives the implant into the eye with higher accuracy.
  • the end of the push mechanism 40 that is away from the implant 200 is connected to the second step surface 54, and then the user continues to make the implant device 100 enter the second trigger state.
  • the end of the push mechanism 40 that is away from the implant 200 is connected to the third drive surface 55, and the third drive surface 55 drives the push mechanism 40 and the implant 200 to move along the first direction x.
  • the end of the push mechanism 40 that is away from the implant 200 is connected to the fourth drive surface 56, and the fourth drive surface 56 drives the push mechanism 40 to move along the second direction y.
  • the reset position of the push mechanism 40 is closer to one side of the housing 10 than the initial position, so that the third implant 200 enters the limiting cavity 36, so as to facilitate the third implantation of the implant device 100.
  • three implants 200 are provided in the implant device 100 for illustration.
  • more driving surfaces and step surfaces may be provided on the cam 50 .
  • the implant device 100 provided in this embodiment has an implant 200 pre-placed in the limiting cavity 36.
  • the push pin 41 first moves along the first direction x and implants the implant 200, and then moves along the second direction y and allows the next implant 200 to enter the limiting cavity 36, so that the second implant is also implanted first and then loaded.
  • this solution avoids the influence of the jitter caused by the backward loading on the implantation, thereby improving the implantation accuracy of the implant device 100.
  • the first implant 200 does not need to be loaded by the rotation of the cam 50, avoiding the situation where the cam 50 is not loaded in place due to insufficient rotation angle, thereby improving the implantation reliability of the implant device 100.
  • the implant can directly push the pin 41 along the first direction x and implant the implant 200 in the trigger state, and the push pin 41 does not need to be set to move along the second direction y, which reduces the requirements for the function and complexity of the structure and improves the accuracy of implantation.
  • the cam 50 can be provided with only the first step surface 53 and the first drive surface 51, without other step surfaces and drive surfaces, so that the push pin 41 will only move once along the first direction x and complete one implantation.
  • the first implant can directly push the needle 41 along the first direction x and implant the implant 200 in the trigger state, and then push the needle 41 along the second direction y until it is located at the tail of the second implant.
  • the distance that the push needle retreats can be greater than the length of the implant, that is, the distance retreated is The distance does not need to be set strictly according to the length of the implant, and can be greater than the length. In this case, the precision requirement for retreat is reduced, thereby reducing the complexity requirement for the structure, and improving the precision of implantation.
  • the cam 50 can only be provided with the first step surface 53, the first drive surface 51, the second drive surface 52, the second step surface 54, the third drive surface 55, the fourth drive surface 56 and the third step surface 57, without other step surfaces and drive surfaces, so that the push pin 41 can only move forward and backward twice, and complete two implantations.
  • Figure 15 shows a schematic diagram of the cross-sectional structure of the inner needle, push needle and implant in Figure 6 of an example
  • Figure 16 shows a schematic diagram of the cross-sectional structure of the push needle in Figure 15 of an example
  • Figure 17 shows a schematic diagram of the three-dimensional structure of the push needle of an example.
  • an elastic claw 412 is provided at one end of the push pin 41 away from the push pin seat 42, and a second opening 411 is formed between multiple elastic claws 412.
  • the inner diameter of the opening of the elastic claw 412 gradually increases along the direction close to the push pin seat 42 in the second direction y.
  • the front end of the implant 200 in the first direction x is an inclined surface
  • the rear end is a plane perpendicular to the first direction x.
  • the diameter of the second opening 411 is smaller than the maximum diameter of the implant 200
  • the elastic claw 412 enables the push pin 41 to push the implant 200 located in the limiting cavity 36 to move along the first direction x when it moves along the first direction x.
  • the inclined surface of the next implant 200 squeezes 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 maximum diameter of the implant 200, and the next implant 200 enters the limiting cavity 36, so as to facilitate the next implantation of the implant device 100.
  • the push needle seat 42 is connected to the first driving surface 51, and the first driving surface 51 drives the push needle seat 42 to overcome the elastic force of the first elastic member 43, thereby causing the push needle seat 42, the push needle 41, and the implant 200 located in the limiting cavity 36 to move along the first direction x.
  • the push needle seat 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 seat 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.
  • the implant device 100 further includes a trigger button 20, which includes a button 21 and a connecting rod 22, and the button 21 is movably arranged with the housing 10.
  • the connecting rod 22 connects the button 21 and the cam 50, and the connecting rod 22 is configured to limit each other with the cam 50 in a non-trigger state, thereby limiting the cam 50 from rotating along the third direction z.
  • the button 21 drives the connecting rod 22 to move along the fourth direction (direction a in the figure) and releases the cam 50.
  • the implant device 100 enters a trigger state.
  • the trigger button 20 may further include a second elastic member 23, the second elastic member 23 connecting the button 21 and the housing 10, and the second elastic member 23 is used to make the trigger button 20 move along a fifth direction (the c direction in the figure) when no external force is applied.
  • the second elastic member 23 may be a torsion spring, the fifth direction c is opposite to the fourth direction a, and the fourth direction a is perpendicular to the first direction x.
  • the cam 50 is further provided with a limit block 58
  • the connecting rod 22 is provided with a limit portion 221, which is configured to abut against the limit block 58 in a non-triggered state, thereby limiting the cam 50 from rotating along the third direction z.
  • the connecting rod 22 moves along the fourth direction a, and the limit portion 221 releases the limit block 58, thereby the cam 50 rotates along the third direction z.
  • a plurality of limit blocks 58 are arranged at intervals around the rotating shaft 501 of the cam 50 .
  • the limit blocks 58 are all located on the connecting surface between the wheel rim and the rotating shaft 501 .
  • the button 21 and the connecting rod 22 overcome the elastic force of the second elastic member 23 and move along the fourth direction a until the limit portion 221 does not interfere with the limit block 58, thereby releasing the cam 50.
  • the cam 50 rotates along the third direction z, causing the implant device 100 to enter a triggered state.
  • the user releases the button 21, and the button 21 and the connecting rod 22 move and reset along the fifth direction c under the elastic force of the second elastic member 23.
  • the cam 50 has gone through a first stage and a second stage, it rotates a certain angle until the limit portion 221 interferes with the next limit block 58, and the cam 50 stops rotating and is in a non-triggered state, and the implant device 100 completes an implant.
  • the implant device 100 enters the next triggered state.
  • the implant device 100 may further include a puncture needle mechanism 70 , which is movably disposed with the housing 10 in the first direction x, and the puncture needle mechanism 70 is sleeved on the observation tube 30 .
  • the puncture needle mechanism 70 includes a puncture needle 71 and a puncture needle seat 72.
  • the puncture needle 71 is sleeved on the observation tube 30.
  • the puncture needle 71 is provided with a third opening 711 in the first direction x.
  • the puncture needle seat 72 is connected to an end of the puncture needle 71 away from the third opening 711, and the puncture needle seat 72 and the housing are movably arranged in the first direction x.
  • the implant device 100 may also include a protection mechanism 80, which is movably arranged with the shell 10 in the first direction x.
  • the protection mechanism 80 includes a protection slide button 81 and a protection connecting rod 82 that are connected to each other, and the protection connecting rod 82 is connected to the puncture needle seat 72.
  • the observation tube 30 is contained in the puncture needle 71.
  • the end of the puncture needle 71 away from the puncture needle seat 72 is inserted into the trabecular meshwork in the patient's eyeball and the Schlemm's canal inside the trabecular meshwork.
  • the user pushes the protective sliding button 81 along the second direction y, thereby driving 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. Then the user presses the button 21 to start implantation.
  • the user pushes the protective sliding button 81 along the first direction x, thereby driving the puncture needle seat 72 and the puncture needle 71 along the second direction y.
  • the first direction x is moved until the observation tube 30 is accommodated in the puncture needle 71 .
  • the embodiment of the second aspect of the present application also provides an implant system, including the implant device 100 and the implant 200 of any of the first aspect embodiments described above. Since the implant system provided by the embodiment of the second aspect of the present application includes the implant device 100 of any of the first aspect embodiments described above, the implant system provided by the embodiment of the second aspect of the present application has the beneficial effects of the implant device 100 of any of the first aspect embodiments described above, which will not be repeated here.
  • the third aspect of the present application also provides a method for using an implant system, which is applied to the implant system of any of the above embodiments.
  • the method includes:
  • Step S01 inserting the implant system into the patient's eye.
  • Step S02 pressing the trigger button 20, 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;
  • Step S03 the driving mechanism drives the pushing mechanism 40 to move along the second direction y until the next implant 200 enters the limiting cavity 36 .
  • the driving mechanism includes a cam 50 .
  • step S02 corresponds to the first stage.
  • the user presses the button 21 and then releases it.
  • the button 21 drives the connecting rod 22 to move along the fourth direction a.
  • the limiting portion 221 releases the limiting block 58, and then the cam 50 rotates along the third direction z.
  • 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 squeezes the elastic locking member 35 to increase the diameter of the first opening 31 until the diameter of the first opening 31 is equal to the maximum diameter of the implant 200.
  • the implant 200 extends out of the limiting cavity 36 from the first opening 31 and is implanted in the patient's affected area.
  • Step S03 corresponds to the second stage.
  • 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 next implant 200 squeezes 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 maximum diameter of the implant 200, and the next implant 200 enters the limit cavity 36.
  • the button 21 and the connecting rod 22 move and reset along the fifth direction c under the elastic force of the second elastic member 23.
  • the usage method also includes:
  • Step S04 repeating steps S02 and S03 to complete the implantation of multiple implants 200.

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Abstract

The present application relates to the technical field of medical treatment, and in particular, to an implantation device, an implantation system, and a method of using the implantation system. The implantation device disclosed in the present application is used for implanting an implant. The implantation device comprises a shell and an observation tube; the observation tube is fixedly connected to the shell; the observation tube extends in a first direction; the observation tube comprises a tube body and elastic clamping pieces which are connected to each other; the tube body defines a cavity; the cavity is used for containing the implant; at least parts of the elastic clamping pieces are located in the cavity; at least two elastic clamping pieces define a first opening; the diameter of the first opening is smaller than the diameter of the implant when no external force is applied; the elastic clamping pieces are configured to increase the diameter of the first opening when pressed by an external force.

Description

植入装置、植入系统和植入系统的使用方法Implant device, implant system, and method of using the implant system

相关申请的交叉引用CROSS-REFERENCE TO RELATED APPLICATIONS

本申请要求享有于2023年06月26日提交的名称为“植入装置、植入系统和植入系统的使用方法”的中国专利申请202310760409.2的优先权,该申请的全部内容通过引用并入本文中。This application claims priority to Chinese patent application 202310760409.2, filed on June 26, 2023, entitled “Implant device, implant system, and method for using an implant system,” and the entire contents of that application are incorporated herein by reference.

技术领域Technical Field

本申请属于医疗技术领域,尤其涉及植入装置、植入系统和植入系统的使用方法。The present application belongs to the field of medical technology, and in particular relates to an implant device, an implant system, and a method for using the implant system.

背景技术Background Art

青光眼是导致人类失明的三大致盲眼病之一,总人群发病率为1%,45岁以后为2%。青光眼是一组以视乳头萎缩及凹陷、视野缺损及视力下降为共同特征的疾病,病理性眼压增高、视神经供血不足是其发病的原发危险因素,视神经对压力损害的耐受性也与青光眼的发生和发展有关。在房水循环途径中任何一环发生阻碍,均可导致眼压升高而引起的病理改变,但也有部分患者呈现正常眼压青光眼。Glaucoma is one of the three major blinding eye diseases that cause blindness in humans, with an incidence rate of 1% in the general population and 2% after the age of 45. Glaucoma is a group of diseases characterized by optic disc atrophy and depression, visual field defects and decreased vision. Pathological increase in intraocular pressure and insufficient blood supply to the optic nerve are the primary risk factors for its onset. The tolerance of the optic nerve to pressure damage is also related to the occurrence and development of glaucoma. Any obstruction in the aqueous humor circulation pathway can lead to pathological changes caused by increased intraocular pressure, but some patients also present with normal intraocular pressure glaucoma.

目前针对青光眼常用的治疗方法有:药物疗法、激光小梁成形术、小梁切除术等。而在其他治疗方法已经无效的情况下,眼内引流植入物方法是最常用的,该方法通过将植入支架插置到眼睛中,使得房水可以通过植入支架上的引流路径排出并且离开前房。该方法通常是通过医生徒手将植入支架植入至施莱姆式管中,这种植入方式存在定位不精准,植入效果差的问题。Currently, the commonly used treatments for glaucoma include: drug therapy, laser trabeculoplasty, trabeculectomy, etc. When other treatments are ineffective, the intraocular drainage implant method is the most commonly used method. This method inserts an implant stent into the eye so that the aqueous humor can be discharged through the drainage path on the implant stent and leave the anterior chamber. This method is usually performed by the doctor manually implanting the implant stent into the Schlemm's canal. This implantation method has the problems of inaccurate positioning and poor implantation effect.

发明内容Summary of the invention

本申请实施例提供植入装置,能够实现对植入物的精准推送。The embodiments of the present application provide an implantation device that can achieve precise pushing of an implant.

本申请第一方面的实施例提供一种植入装置,用于植入植入物,植入装置包括壳体和观察管,观察管与壳体固定连接,观察管沿第一方向延伸设置,观察管包括相互连接的管体和弹性卡位件,管体围合形成腔体,腔体用于容纳植入物,至少部分弹性 卡位件位于腔体内,至少两个弹性卡位件围合形成第一开口,第一开口在未受到外力作用时的直径小于植入物的直径,弹性卡位件被配置为在受到外力挤压时第一开口的直径变大。The embodiment of the first aspect of the present application provides an implantation device for implanting an implant, the implantation device includes a shell and an observation tube, the observation tube is fixedly connected to the shell, the observation tube is extended along a first direction, the observation tube includes a tube body and an elastic retaining member connected to each other, the tube body encloses a cavity, the cavity is used to accommodate the implant, at least part of the elastic retaining member is The retaining piece is located in the cavity, and at least two elastic retaining pieces enclose a first opening. The diameter of the first opening is smaller than the diameter of the implant when no external force is applied. The elastic retaining piece is configured to increase the diameter of the first opening when squeezed by external force.

根据本申请前述任一第一方面的实施方式,弹性卡位件包括第一连接部和凸出部,第一连接部与管体连接,凸出部沿第一方向逐渐向腔体凸出设置。According to any one of the aforementioned implementations of the first aspect of the present application, the elastic retaining member includes a first connecting portion and a protruding portion, the first connecting portion is connected to the tube body, and the protruding portion is arranged to gradually protrude toward the cavity along the first direction.

根据本申请前述任一第一方面的实施方式,弹性卡位件还包括第二连接部,凸出部位于第一连接部和第二连接部之间,第二连接部与管体连接。According to any one of the aforementioned implementations of the first aspect of the present application, the elastic retaining 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 tube body.

根据本申请前述任一第一方面的实施方式,还包括:推送机构,与壳体在第一方向上可移动设置,推送机构与弹性卡位件之间形成限位腔,限位腔至少能容纳一个植入物。According to any one of the aforementioned first aspects of the present application, the embodiment further includes: a pushing mechanism, which is movably arranged with the shell in the first direction, and a limiting cavity is formed between the pushing mechanism and the elastic locking member, and the limiting cavity can accommodate at least one implant.

根据本申请前述任一第一方面的实施方式,植入物的数量为两个,其中一个植入物位于限位腔内,另一个植入物位于推送机构内部。According to any one of the aforementioned embodiments of the first aspect of the present application, the number of implants is two, one of which is located in the limiting cavity, and the other is located inside the pushing mechanism.

根据本申请前述任一第一方面的实施方式,植入物的数量为三个,第一个植入物位于限位腔内,第二个植入物和第三个植入物位于推送机构内部。According to any one of the aforementioned embodiments of the first aspect of the present application, the number of implants is three, the first implant is located in the limiting cavity, and the second implant and the third implant are located inside the pushing mechanism.

根据本申请前述任一第一方面的实施方式,还包括:内针,与壳体连接,内针上套设有至少一个植入物,至少部分内针位于腔体内;驱动机构,与壳体可移动设置且与推送机构连接;推送机构包括:推针,套设在在内针上,推针与内针在第一方向上可移动设置,推针在第一方向的一端上设有第二开口。According to the implementation scheme of any of the first aspects mentioned above in the present application, it also includes: an inner needle, connected to the shell, at least one implant is sleeved on the inner needle, and at least part of the inner needle is located in the cavity; a driving mechanism, movably arranged with the shell and connected to the pushing mechanism; the pushing mechanism includes: a push pin, sleeved on the inner needle, the push pin and the inner needle are movably arranged in a first direction, and a second opening is provided on one end of the push pin in the first direction.

根据本申请前述任一第一方面的实施方式,内针上沿第一方向依次套设有两个植入物,其中一个植入物容纳于限位腔内,另一个植入物位于第二开口背离第一开口的一侧;或,内针上沿第一方向依次套设有至少三个植入物,其中一个植入物容纳于限位腔内,其余植入物均位于第二开口背离第一开口的一侧。According to any one of the aforementioned first aspects of the present application, two implants are sequentially sleeved on the inner needle along the first direction, one of which is accommodated in the limiting cavity, and the other is located on the side of the second opening away from the first opening; or, at least three implants are sequentially sleeved on the inner needle along the first direction, one of which is accommodated in the limiting cavity, and the remaining implants are all located on the side of the second opening away from the first opening.

根据本申请前述任一第一方面的实施方式,推针背离推针座的一端设有弹性爪,多个弹性爪之间形成第二开口。According to any one of the aforementioned embodiments of the first aspect of the present application, an elastic claw is provided at one end of the push pin facing away from the push pin seat, and a second opening is formed between the plurality of elastic claws.

根据本申请前述任一第一方面的实施方式,植入装置包含触发状态和非触发状态,触发状态包括第一阶段和第二阶段;驱动机构包括凸轮,凸轮上设有相互连接的第一驱动面和第二驱动面,凸轮被配置为在触发状态沿第三方向转动,在第一阶段,第一驱动面驱动推送机构和植入物沿第一方向移动,在第二阶段,第二驱动面驱动推送机构沿第二方向移动;第一驱动面沿第三方向逐渐向背离凸轮的转轴的方向延伸设置, 第二驱动面沿第三方向逐渐向靠近凸轮的转轴的方向延伸设置。According to any one of the first aspects of the present application, the implant device includes a trigger state and a non-trigger state, the trigger state includes a first stage and a second stage; the drive mechanism includes a cam, the cam is provided with a first drive surface and a second drive surface connected to each other, the cam is configured to rotate along a third direction in the trigger state, in the first stage, the first drive surface drives the push mechanism and the implant to move along the first direction, and in the second stage, the second drive surface drives the push mechanism to move along the second direction; the first drive surface is gradually extended in the direction away from the rotating shaft of the cam along the third direction, The second driving surface is extended along the third direction gradually toward the direction of the rotating shaft of the cam.

根据本申请前述任一第一方面的实施方式,凸轮上还设有第一台阶面和第二台阶面,第一台阶面与第一驱动面连接,第二台阶面与第二驱动面连接,第一台阶面位于第一驱动面背离第二驱动面的一侧,第二台阶面位于第二驱动面背离第一驱动面的一侧,第一台阶面到凸轮的转轴的距离大于第二台阶面到凸轮的转轴的距离。According to any implementation scheme of the first aspect described above in the present application, a first step surface and a second step surface are also provided on the cam, the first step surface is connected to the first driving surface, and the second step surface is connected to the second driving surface, the first step surface is located on the side of the first driving surface away from the second driving surface, and the second step surface is located on the side of the second driving surface away from the first driving surface, and the distance from the first step surface to the rotating axis of the cam is greater than the distance from the second step surface to the rotating axis of the cam.

根据本申请前述任一第一方面的实施方式,凸轮上还设有依次连接的第三驱动面、第四驱动面和第三台阶面,第三驱动面与第二台阶面连接,第三驱动面位于第二台阶面背离第二驱动面的一侧,第二台阶面到凸轮的转轴的距离大于第三台阶面到凸轮的转轴的距离;第三驱动面沿第三方向逐渐向背离凸轮的转轴的方向延伸设置,第四驱动面沿第三方向逐渐向靠近凸轮的转轴的方向延伸设置。According to an implementation scheme of any of the aforementioned first aspects of the present application, the cam is also provided with a third driving surface, a fourth driving surface and a third step surface which are connected in sequence, the third driving surface is connected to the second step surface, the third driving surface is located on the side of the second step surface away from the second driving surface, the distance from the second step surface to the rotation axis of the cam is greater than the distance from the third step surface to the rotation axis of the cam; the third driving surface is extended along the third direction gradually away from the rotation axis of the cam, and the fourth driving surface is extended along the third direction gradually close to the rotation axis of the cam.

根据本申请前述任一第一方面的实施方式,还包括:触发按钮,触发按钮包括按键和连杆,按键与壳体可移动设置,连杆连接按键与凸轮,连杆被配置为在非触发状态与凸轮相互限位,进而限制凸轮沿第三方向转动;在触发状态,按键驱动连杆沿第四方向移动,并释放凸轮。According to the implementation scheme of any of the first aspects mentioned above in the present application, it also includes: a trigger button, the trigger button includes a key and a connecting rod, the key and the shell are movably arranged, the connecting rod connects the key and the cam, and the connecting rod is configured to limit each other with the cam in a non-trigger state, thereby limiting the cam from rotating along a third direction; in the trigger state, the key drives the connecting rod to move along a fourth direction and releases the cam.

根据本申请前述任一第一方面的实施方式,凸轮上设有限位块,连杆上设有限位部,限位部被配置为在非触发状态与限位块抵接,进而限制凸轮沿第三方向转动;在触发状态,连杆沿第四方向移动,限位部释放限位块,进而凸轮沿第三方向转动。According to an implementation scheme of any of the aforementioned first aspects of the present application, a limit block is provided on the cam, and a limit portion is provided on the connecting rod, and the limit portion is configured to abut against the limit block in a non-triggered state, thereby limiting the cam from rotating along a third direction; in a triggered state, the connecting rod moves along a fourth direction, the limit portion releases the limit block, and the cam rotates along the third direction.

根据本申请前述任一第一方面的实施方式,多个限位块环绕凸轮的转轴间隔设置。According to any one of the aforementioned implementations of the first aspect of the present application, a plurality of limit blocks are arranged at intervals around the rotating shaft of the cam.

根据本申请前述任一第一方面的实施方式,观察管背离壳体的一侧设有观察窗。According to any one of the aforementioned embodiments of the first aspect of the present application, an observation window is provided on a side of the observation tube facing away from the shell.

另一方面,本申请第二方面实施例还提供一种植入系统,包括如上所述的植入装置和植入物。On the other hand, the second embodiment of the present application also provides an implant system, including the implant device and implant as described above.

另一方面,本申请第三方面实施例还提供一种植入系统的使用方法,植入装置包括观察管、驱动机构、推送机构和触发按钮,观察管沿第一方向延伸设置,观察管包括相互连接的管体和弹性卡位件,管体围合形成腔体,至少两个弹性卡位件围合形成第一开口,推送机构与弹性卡位件之间形成限位腔;使用方法包括:将植入系统刺入患者眼部;按下触发按钮,触发按钮通过驱动机构驱动推送机构和限位腔内的植入物沿第一方向移动,直至植入物从第一开口伸出腔体;驱动机构驱动推送机构沿第二方向移动。On the other hand, the third aspect embodiment of the present application also provides a method for using an implant system, the implant device includes an observation tube, a driving mechanism, a pushing mechanism and a trigger button, the observation tube is extended along a first direction, the observation tube includes a tube body and an elastic retaining member connected to each other, the tube body is enclosed to form a cavity, at least two elastic retaining members are enclosed to form a first opening, and a limiting cavity is formed between the pushing mechanism and the elastic retaining member; the method of use includes: inserting the implant system into the patient's eye; pressing the trigger button, 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.

本申请实施例的植入装置,用于植入植入物,植入装置包括壳体和观察管,观察 管与壳体固定连接,观察管沿第一方向延伸设置,观察管包括相互连接的管体和弹性卡位件,管体围合形成腔体,腔体用于容纳植入物,至少部分弹性卡位件位于腔体内,至少两个弹性卡位件围合形成第一开口,通过使第一开口在未受到外力作用时的直径小于植入物的直径,弹性卡位件被配置为在受到外力挤压时第一开口的直径变大,第一开口不影响植入物的植入,在植入装置移动或倒置时,第一开口能降低植入物从腔体内掉出的概率,提高植入装置的可靠性。The implantation device of the embodiment of the present application is used for implanting an implant, and the implantation device comprises a housing and an observation tube. The tube is fixedly connected to the shell, and the observation tube is extended along a first direction. The observation tube includes a tube body and an elastic retaining piece that are connected to each other. The tube body is enclosed to form a cavity, and the cavity is used to accommodate the implant. At least part of the elastic retaining piece is located in the cavity. At least two elastic retaining pieces are enclosed to form a first opening. By making the diameter of the first opening smaller than the diameter of the implant when not subjected to external force, the elastic retaining piece is configured to increase the diameter of the first opening when subjected to external force. The first opening does not affect the implantation of the implant. When the implant device is moved or inverted, the first opening can reduce the probability of the implant falling out of the cavity, thereby improving the reliability of the implant device.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

为了更清楚地说明本申请实施例的技术方案,下面将对本申请实施例中所需要使用的附图作简单地介绍,显而易见地,下面所描述的附图仅仅是本申请的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions of the embodiments of the present application, the drawings required for use in the embodiments of the present application will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the present application. For ordinary technicians in this field, other drawings can be obtained based on these drawings without creative work.

图1为本申请一些实施例的植入装置的立体结构示意图;FIG1 is a schematic diagram of the three-dimensional structure of an implant device according to some embodiments of the present application;

图2示出一种示例的图1中的植入装置的分解结构示意图;FIG. 2 is a schematic diagram showing an exploded structure of an exemplary implant device in FIG. 1 ;

图3示出一种示例的图1中的植入装置和植入物在A位置的局部放大剖视图;FIG3 shows an exemplary partial enlarged cross-sectional view of the implant device and the implant in FIG1 at position A;

图4示出一种示例的图3中的植入装置和植入物在隐藏穿刺针机构后的局部放大剖视图;FIG4 shows an example of an enlarged partial cross-sectional view of the implant device and implant in FIG3 after the puncture needle mechanism is hidden;

图5示出一种示例的图4中的植入装置和植入物的立体结构示意图;FIG5 is a schematic diagram showing a three-dimensional structure of an exemplary implant device and an implant in FIG4 ;

图6示出另一种示例的图1中的植入装置和植入物在A位置的局部放大剖视图;FIG6 shows another example of an enlarged partial cross-sectional view of the implant device and the implant in FIG1 at position A;

图7示出一种示例的图6中的植入装置和植入物在隐藏穿刺针机构后的局部放大剖视图;FIG7 shows an example of an enlarged partial cross-sectional view of the implant device and implant in FIG6 after the puncture needle mechanism is hidden;

图8示出一种示例的图7中的植入装置和植入物的立体结构示意图;FIG8 is a schematic diagram showing a three-dimensional structure of an exemplary implant device and an implant in FIG7 ;

图9示出一种示例的触发按钮、推送机构和凸轮在未触发状态时的正视结构示意图;FIG9 is a front view schematic diagram showing an exemplary trigger button, a pushing mechanism and a cam in an untriggered state;

图10示出一种示例的图9中的触发按钮、推送机构和凸轮的局部放大结构示意图;FIG10 is a schematic diagram showing a partial enlarged structure of the trigger button, the pushing mechanism and the cam in FIG9 as an example;

图11示出一种示例的图10中的触发按钮、推送机构和凸轮在第一阶段结束时的局部放大结构示意图;FIG11 is a schematic diagram showing a partial enlarged structure of an example of the trigger button, the pushing mechanism and the cam in FIG10 at the end of the first stage;

图12示出一种示例的图10中的触发按钮、推送机构和凸轮在第二阶段结束时的局部放大结构示意图; FIG12 is a schematic diagram showing a partial enlarged structure of an example of the trigger button, the pushing mechanism and the cam in FIG10 at the end of the second stage;

图13示出一种示例的凸轮的正视结构示意图;FIG13 is a schematic front view of a cam structure of an example;

图14示出一种示例的凸轮的立体结构示意图;FIG14 is a schematic diagram showing a three-dimensional structure of an example cam;

图15示出一种示例的图6中的内针、推针和植入物的剖视结构示意图;FIG15 is a schematic cross-sectional view of an example of the inner needle, the push needle and the implant in FIG6 ;

图16示出一种示例的图15中的推针的剖视结构示意图;FIG16 is a schematic cross-sectional view of an example of the push pin in FIG15 ;

图17示出一种示例的推针的立体结构示意图;FIG17 is a schematic diagram showing a three-dimensional structure of an exemplary push pin;

图18示出另一种示例的图3中的植入装置和植入物在隐藏穿刺针机构后的局部放大剖视图。FIG. 18 shows another example of an enlarged partial cross-sectional view of the implant device and implant in FIG. 3 after the puncture needle mechanism is hidden.

附图标记:
100、植入装置;200、植入物;
10、壳体;
20、触发按钮;21、按键;22、连杆;221、限位部;23、第二弹性件;
30、观察管;31、第一开口;32、腔体;33、管体;34、观察窗;35、弹性卡位
件;351、第一连接部;352、凸出部;353、第二连接部;36、限位腔;
40、推送机构;41、推针;411、第二开口;412、弹性爪;42、推针座;43、第
一弹性件;
50、凸轮;501、转轴;502、扭簧;51、第一驱动面;52、第二驱动面;53、第
一台阶面;54、第二台阶面;55、第三驱动面;56、第四驱动面;57、第三台阶面;58、限位块;
60、内针;
70、穿刺针机构;71、穿刺针;711、第三开口;72、穿刺针座;
80、保护机构;81、保护滑钮;82、保护连杆;
x、第一方向;y、第二方向;z、第三方向;a、第四方向;c、第五方向。
Reference numerals:
100. implant device; 200. implant;
10. Shell;
20. trigger button; 21. button; 22. connecting rod; 221. limiting part; 23. second elastic member;
30. Observation tube; 31. First opening; 32. Cavity; 33. Tube body; 34. Observation window; 35. Elastic stopper; 351. First connection part; 352. Protrusion; 353. Second connection part; 36. Limiting cavity;
40. Push mechanism; 41. Push pin; 411. Second opening; 412. Elastic claw; 42. Push pin seat; 43. First elastic member;
50, cam; 501, rotating shaft; 502, torsion spring; 51, first driving surface; 52, second driving surface; 53, first step surface; 54, second step surface; 55, third driving surface; 56, fourth driving surface; 57, third step surface; 58, stop block;
60. Internal needle;
70. puncture needle mechanism; 71. puncture needle; 711. third opening; 72. puncture needle seat;
80. Protection mechanism; 81. Protection slide button; 82. Protection connecting rod;
x, first direction; y, second direction; z, third direction; a, fourth direction; c, fifth direction.

具体实施方式DETAILED DESCRIPTION

下面将详细描述本申请的各个方面的特征和示例性实施例。在下面的详细描述中,提出了许多具体细节,以便提供对本申请的全面理解。但是,对于本领域技术人员来说很明显的是,本申请可以在不需要这些具体细节中的一些细节的情况下实施。下面对实施例的描述仅仅是为了通过示出本申请的示例来提供对本申请的更好的理解。在 附图和下面的描述中,至少部分的公知结构和技术没有被示出,以便避免对本申请造成不必要的模糊;并且,为了清晰,可能夸大了部分结构的尺寸。此外,下文中所描述的特征、结构或特性可以以任何合适的方式结合在一个或更多实施例中。The features and exemplary embodiments of various aspects of the present application are described in detail below. In the following detailed description, many specific details are presented in order to provide a comprehensive understanding of the present application. However, it is obvious to those skilled in the art that the present application can be implemented without some of these specific details. The following description of the embodiments is only intended to provide a better understanding of the present application by showing examples of the present application. In the drawings and the following description, at least some of the well-known structures and technologies are not shown to avoid unnecessary ambiguity in the present application; and, for clarity, the size of some structures may be exaggerated. In addition, the features, structures or characteristics described below can be combined in any suitable manner in one or more embodiments.

在本申请的描述中,需要说明的是,除非另有说明,“多个”的含义是两个以上;术语“上”、“下”、“左”、“右”、“内”、“外”等指示的方位或位置关系仅是为了便于描述本申请和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本申请的限制。此外,术语“第一”、“第二”等仅用于描述目的,而不能理解为指示或暗示相对重要性。In the description of the present application, it should be noted that, unless otherwise specified, "multiple" means more than two; the terms "upper", "lower", "left", "right", "inner", "outer", etc., indicating directions or positional relationships, are only for the convenience of describing the present application and simplifying the description, and do not indicate or imply that the device or element referred to must have a specific direction, be constructed and operated in a specific direction, and therefore cannot be understood as limiting the present application. In addition, the terms "first", "second", etc. are only used for descriptive purposes and cannot be understood as indicating or implying relative importance.

下述描述中出现的方位词均为图中示出的方向,并不是对本申请的实施例的具体结构进行限定。在本申请的描述中,还需要说明的是,除非另有明确的规定和限定,术语“安装”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是直接相连,也可以间接相连。对于本领域的普通技术人员而言,可视具体情况理解上述术语在本申请中的具体含义。The directional words appearing in the following description are all directions shown in the figures, and do not limit the specific structure of the embodiments of the present application. In the description of the present application, it should also be noted that, unless otherwise clearly specified and limited, the terms "installation" and "connection" should be understood in a broad sense. For example, it can be a fixed connection, a detachable connection, or an integral connection; it can be directly connected or indirectly connected. For ordinary technicians in this field, the specific meanings of the above terms in this application can be understood according to the specific circumstances.

申请人发现在相关技术中,眼内引流植入物方法通常是通过医生徒手将植入支架植入至施莱姆式管中,这种植入方式存在定位不精准,植入效果差的问题。The applicant found that in the related art, the intraocular drainage implant method is usually to implant the implant stent into the Schlemm's canal by the doctor's bare hands. This implantation method has the problems of inaccurate positioning and poor implantation effect.

鉴于上述问题,申请人提出一种植入装置,用于植入植入物,植入装置包括壳体和观察管,观察管与壳体固定连接,观察管沿第一方向延伸设置,观察管包括相互连接的管体和弹性卡位件,管体围合形成腔体,腔体用于容纳植入物,至少部分弹性卡位件位于腔体内,至少两个弹性卡位件围合形成第一开口,第一开口在未受到外力作用时的直径小于植入物的直径,弹性卡位件被配置为在受到外力挤压时第一开口的直径变大。In view of the above problems, the applicant proposes an implant device for implanting an implant, the implant device comprising a shell and an observation tube, the observation tube being fixedly connected to the shell, the observation tube extending along a first direction, the observation tube comprising a tube body and an elastic retaining member connected to each other, the tube body encloses a cavity to accommodate the implant, at least part of the elastic retaining member is located in the cavity, at least two elastic retaining members enclose a first opening, the diameter of the first opening when not subjected to external force is smaller than the diameter of the implant, and the elastic retaining member is configured so that the diameter of the first opening becomes larger when squeezed by external force.

本申请提供的植入装置,通过使第一开口在未受到外力作用时的直径小于植入物的直径,弹性卡位件被配置为在受到外力挤压时第一开口的直径变大,第一开口不影响植入物的植入,在植入装置移动或倒置时,第一开口能降低植入物从腔体内掉出的概率,提高植入装置的可靠性。The implant device provided in the present application makes the diameter of the first opening smaller than the diameter of the implant when not subjected to external force, and the elastic retaining member is configured so that the diameter of the first opening becomes larger when subjected to external force. The first opening does not affect the implantation of the implant. When the implant device is moved or inverted, the first opening can reduce the probability of the implant falling out of the cavity, thereby improving the reliability of the implant device.

下面结合附图对本申请实施例所提供的显示模组进行介绍。在此说明,附图中的x方向为第一方向,附图中的y方向为第二方向,附图中的z方向为第三方向,附图中的a方向为第四方向,附图中的c方向为第五方向。在附图中,为了方便绘图,图中的尺寸与现实尺寸并不一定成比例,为了附图显示清晰,附图中有可能会隐藏部分轮廓线, 以及对线宽做差异化处理。The display module provided by the embodiment of the present application is introduced below with reference to the accompanying drawings. It is noted that the x direction in the accompanying drawings is the first direction, the y direction in the accompanying drawings is the second direction, the z direction in the accompanying drawings is the third direction, the a direction in the accompanying drawings is the fourth direction, and the c direction in the accompanying drawings is the fifth direction. In the accompanying drawings, for the convenience of drawing, the dimensions in the drawings are not necessarily proportional to the actual dimensions. For the sake of clarity, some contour lines may be hidden in the accompanying drawings. And make differentiated treatment on line width.

请参考图1至图5,图1为本申请一些实施例的植入装置的立体结构示意图;图2示出一种示例的图1中的植入装置的分解结构示意图;图3示出一种示例的图1中的植入装置和植入物在A位置的局部放大剖视图;图4示出一种示例的图3中的植入装置和植入物在隐藏穿刺针机构后的局部放大剖视图;图5示出一种示例的图4中的植入装置和植入物的立体结构示意图。Please refer to Figures 1 to 5, Figure 1 is a schematic diagram of the three-dimensional structure of the implant device of some embodiments of the present application; Figure 2 is a schematic diagram of the decomposed structure of an example implant device in Figure 1; Figure 3 is an example of an implant device and an implant in Figure 1 at position A, a local enlarged sectional view; Figure 4 is an example of an implant device and an implant in Figure 3 after hiding the puncture needle mechanism; Figure 5 is a schematic diagram of the three-dimensional structure of the implant device and the implant in Figure 4.

如图1至图5所示,本申请提供一种植入装置100,用于植入植入物200,植入装置100包括壳体10和观察管30,观察管30与壳体10固定连接,观察管30沿第一方向(图中的x方向)延伸设置,观察管30包括相互连接的管体33和弹性卡位件35,管体33围合形成腔体32,腔体32用于容纳植入物200,至少部分弹性卡位件35位于腔体32内,至少两个弹性卡位件围合形成第一开口31,第一开口31在未受到外力作用时的直径小于植入物200的直径,弹性卡位件35被配置为在受到外力挤压时第一开口31的直径变大。As shown in Figures 1 to 5, the present application provides an implant device 100 for implanting an implant 200. The implant device 100 includes a shell 10 and an observation tube 30. The observation tube 30 is fixedly connected to the shell 10. The observation tube 30 is extended along a first direction (the x direction in the figure). The observation tube 30 includes a tube body 33 and an elastic retaining member 35 that are connected to each other. The tube body 33 encloses a cavity 32. The cavity 32 is used to accommodate the implant 200. At least part of the elastic retaining member 35 is located in the cavity 32. At least two elastic retaining members enclose a first opening 31. The diameter of the first opening 31 when not subjected to external force is smaller than the diameter of the implant 200. The elastic retaining member 35 is configured so that the diameter of the first opening 31 becomes larger when squeezed by an external force.

可选的,植入物200可以为常规植入物,也可以为扩张支架,扩张支架采用形状记忆材料制备,形状记忆材料包括镍钛合金、铟铊合金等。其中,植入物200为轴对称图形,植入物200的直径指的是其径向尺寸,同理后续描述中涉及到的轴对称部件的直径均是指其径向尺寸。当植入物200位于植入装置100内时,植入物200的对称轴与观察管30的对称轴共线,且第一开口31在未受到外力作用时的直径小于植入物200的最大直径。Optionally, the implant 200 can be a conventional implant or an expansion stent, and the expansion stent is made of shape memory material, and the shape memory material includes nickel-titanium alloy, indium-thallium alloy, etc. Among them, the implant 200 is an axisymmetric figure, and the diameter of the implant 200 refers to its radial dimension. Similarly, the diameters of the axisymmetric parts involved in the subsequent description all refer to their radial dimensions. When the implant 200 is located in the implant device 100, the symmetry axis of the implant 200 is colinear with the symmetry axis of the observation tube 30, and the diameter of the first opening 31 when not subjected to external force is smaller than the maximum diameter of the implant 200.

可选的,在手术过程中,植入物200通过植入装置100植入进患者的小梁网位置。在植入患者的小梁网后,植入物200成为连通患者的前房到施莱姆式管的通路,房水通过植入物200流出前房,进而降低患者的眼压,延缓青光眼的病程。Optionally, during surgery, the implant 200 is implanted into the trabecular meshwork of the patient through the implant device 100. After being implanted into the trabecular meshwork of the patient, the implant 200 becomes a passage connecting the patient's anterior chamber to the Schlemm's canal, and the aqueous humor flows out of the anterior chamber through the implant 200, thereby reducing the patient's intraocular pressure and delaying the course of glaucoma.

可选的,在不同实施例中,植入物200可用于将房水转移到眼睛的不同部分,例如,结膜和巩膜之间的空间、脉络膜上腔空间、施莱姆式管或形成在眼睛后表面上的流体储存器。Alternatively, in various embodiments, implant 200 may be used to transfer aqueous humor to different parts of the eye, such as the space between the conjunctiva and the sclera, the suprachoroidal space, Schlemm's canal, or a fluid reservoir formed on the posterior surface of the eye.

本实施例提供的植入装置100,用于植入植入物200,植入装置100包括壳体10和观察管30,观察管30与壳体10固定连接,观察管30沿第一方向x延伸设置,观察管30包括相互连接的管体33和弹性卡位件35,管体33围合形成腔体32,腔体32用于容纳植入物200,至少部分弹性卡位件35位于腔体32内,至少两个弹性卡位件围合形成 第一开口31,通过使第一开口31在未受到外力作用时的直径小于植入物200的最大直径,弹性卡位件35被配置为在受到外力挤压时第一开口31的直径变大。使得第一开口31在受到外力挤压时直径变大直至大于植入物200的最大直径,进而不影响植入物200的植入,而在植入装置100移动或倒置时,由于第一开口31在不受外力作用下的直径小于植入物200的最大直径,第一开口31能降低植入物200从腔体32内掉出的概率,提高植入装置100的可靠性。The implant device 100 provided in this embodiment is used to implant an implant 200. The implant device 100 includes a shell 10 and an observation tube 30. The observation tube 30 is fixedly connected to the shell 10 and extends along a first direction x. The observation tube 30 includes a tube body 33 and an elastic retaining member 35 that are connected to each other. The tube body 33 encloses a cavity 32. The cavity 32 is used to accommodate the implant 200. At least part of the elastic retaining member 35 is located in the cavity 32. At least two elastic retaining members enclose a cavity 32. The first opening 31, by making the diameter of the first opening 31 smaller than the maximum diameter of the implant 200 when not subjected to external force, the elastic retaining member 35 is configured to increase the diameter of the first opening 31 when subjected to external force. When subjected to external force, the diameter of the first opening 31 increases until it is larger than the maximum diameter of the implant 200, thereby not affecting the implantation of the implant 200. When the implant device 100 is moved or inverted, since the diameter of the first opening 31 when not subjected to external force is smaller than the maximum diameter of the implant 200, the first opening 31 can reduce the probability of the implant 200 falling out of the cavity 32, thereby improving the reliability of the implant device 100.

在一些可选的实施例中,弹性卡位件35包括第一连接部351和凸出部352,第一连接部351与管体33连接,凸出部352沿第一方向x逐渐向腔体32凸出设置。In some optional embodiments, the elastic retaining member 35 includes a first connecting portion 351 and a protruding portion 352 , the first connecting portion 351 is connected to the tube body 33 , and the protruding portion 352 is gradually protruded toward the cavity 32 along the first direction x.

可选的,弹性卡位件35为类似悬臂梁的结构,通过材料自身的可回弹特性实现第一开口31直径的变化。Optionally, the elastic retaining member 35 is a cantilever beam-like structure, and the change in the diameter of the first opening 31 is achieved through the resilience of the material itself.

请参考图6至图8,图6示出另一种示例的图1中的植入装置和植入物在A位置的局部放大剖视图;图7示出一种示例的图6中的植入装置和植入物在隐藏穿刺针机构后的局部放大剖视图;图8示出一种示例的图7中的植入装置和植入物的立体结构示意图。Please refer to Figures 6 to 8, Figure 6 shows a partial enlarged cross-sectional view of the implant device and implant in Figure 1 at position A of another example; Figure 7 shows a partial enlarged cross-sectional view of the implant device and implant in Figure 6 of an example after hiding the puncture needle mechanism; Figure 8 shows a schematic diagram of the three-dimensional structure of the implant device and implant in Figure 7 of an example.

如图6至图8所示,在一些可选的实施例中,弹性卡位件35包括第一连接部351、凸出部352和第二连接部353,第一连接部351与第二连接部353均与管体33连接,凸出部352位于第一连接部351和第二连接部353之间。As shown in Figures 6 to 8, in some optional embodiments, the elastic locking member 35 includes a first connecting portion 351, a protruding portion 352 and a second connecting portion 353, the first connecting portion 351 and the second connecting portion 353 are both connected to the tube body 33, and the protruding portion 352 is located between the first connecting portion 351 and the second connecting portion 353.

可选的,凸出部352沿第一方向x先向腔体32凸出后又向管体33延伸,直至与第二连接部353连接。凸出部352通过材料自身的可回弹特性实现第一开口31直径的变化。Optionally, the protrusion 352 first protrudes toward the cavity 32 along the first direction x and then extends toward the tube body 33 until it is connected to the second connecting portion 353. The protrusion 352 realizes the change of the diameter of the first opening 31 through the resilience of the material itself.

请参考图1至图9,图9示出一种示例的触发按钮、推送机构和凸轮在未触发状态时的正视结构示意图。Please refer to FIG. 1 to FIG. 9 , FIG. 9 shows a front view structural diagram of an example trigger button, a pushing mechanism and a cam in an untriggered state.

如图1至图9所示,在一些可选的实施例中,观察管30背离壳体10的一侧设有观察窗34。As shown in FIGS. 1 to 9 , in some optional embodiments, an observation window 34 is provided on a side of the observation tube 30 facing away from the housing 10 .

可选的,观察窗34设置于弹性卡位件35上。Optionally, the observation window 34 is disposed on the elastic locking member 35 .

可选的,管体33沿第一方向x延伸并在弹性卡位件35背离壳体10的一侧形成观察窗。Optionally, the tube body 33 extends along the first direction x and forms an observation window on a side of the elastic retaining member 35 facing away from the housing 10 .

本实施例提供的植入装置100,通过设置在管体33上的观察窗34,使得医护人员能够通过观察窗34观测植入物200的植入情况。 The implantation device 100 provided in this embodiment has an observation window 34 disposed on the tube body 33 , so that medical personnel can observe the implantation status of the implant 200 through the observation window 34 .

在一些可选的实施例中,植入装置100还包括推送机构40、驱动机构和内针60,推送机构40与壳体10在第一方向x上可移动设置,推送机构40与弹性卡位件35之间形成限位腔36,限位腔36至少能容纳一个植入物200。内针60与壳体10连接,内针60上套设有至少一个植入物200,至少部分内针60位于腔体32内。驱动机构与壳体10可移动设置且与推送机构40连接。推送机构40包括推针41、推针座42和第一弹性件43,推针41套设在在内针60上,推针41与内针60在第一方向x上可移动设置,推针41在第一方向x的一端上设有第二开口411。推针座42与推针41背离第二开口411的一端连接,第一弹性件43连接推针座42与壳体10,第一弹性件43用于驱动推针座42及推针41沿第二方向(图中的y方向)移动,直至推针座42与凸轮50连接,第二方向y与第一方向x相反。In some optional embodiments, the implant device 100 further includes a pushing mechanism 40, a driving mechanism and an inner needle 60. The pushing mechanism 40 and the housing 10 are movably arranged in the first direction x. A limiting cavity 36 is formed between the pushing mechanism 40 and the elastic retaining member 35. The limiting cavity 36 can accommodate 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. At least part of the inner needle 60 is located in the cavity 32. The driving mechanism is movably arranged with the housing 10 and connected to the pushing mechanism 40. The pushing mechanism 40 includes a pushing pin 41, a pushing pin seat 42 and a first elastic member 43. The pushing pin 41 is sleeved on the inner needle 60. The pushing pin 41 and the inner needle 60 are movably arranged in the first direction x. The push pin 41 is provided with a second opening 411 at one end in the first direction x. The push pin seat 42 is connected to one end of the push pin 41 away from the second opening 411, and the first elastic member 43 connects the push pin seat 42 and the shell 10. The first elastic member 43 is used to drive the push pin seat 42 and the push pin 41 to move along the second direction (the y direction in the figure) until the push pin seat 42 is connected to the cam 50. The second direction y is opposite to the first direction x.

可选的,第一弹性件43可以为弹簧。Optionally, the first elastic member 43 may be a spring.

可选的,驱动机构可以为电机、气缸等部件。Optionally, the driving mechanism may be a motor, a cylinder or other components.

如图4所示,在一些可选的实施例中,内针60上沿第一方向x依次套设有三个植入物200,第一个植入物200位于限位腔36,第二个和第三个植入物200均位于推送机构40内部,即推针41与内针60之间。As shown in FIG. 4 , in some optional embodiments, three implants 200 are sequentially sleeved on the inner needle 60 along the first direction x, the first implant 200 is located in the limiting cavity 36 , and the second and third implants 200 are both located inside the pushing mechanism 40 , that is, between the pushing needle 41 and the inner needle 60 .

如图18所示,在另一些可选的实施例中,内针60上沿第一方向x依次套设有两个植入物200,其中一个植入物200容纳于限位腔36,另一个植入物200位于推送机构40内部。As shown in FIG. 18 , in some other optional embodiments, two implants 200 are sequentially sleeved on the inner needle 60 along the first direction x, wherein one implant 200 is accommodated in the limiting cavity 36 , and the other implant 200 is located inside the pushing mechanism 40 .

请参考图9至图14,图10示出一种示例的图9中的触发按钮、推送机构和凸轮的局部放大结构示意图;图11示出一种示例的图10中的触发按钮、推送机构和凸轮在第一阶段结束时的局部放大结构示意图;图12示出一种示例的图10中的触发按钮、推送机构和凸轮在第二阶段结束时的局部放大结构示意图;图13示出一种示例的凸轮的正视结构示意图;图14示出一种示例的凸轮的立体结构示意图。附图中为了线条清晰将部分被遮挡部分的轮廓线也采用实线描绘。Please refer to Figures 9 to 14. Figure 10 shows a schematic diagram of a partial enlarged structure of the trigger button, push mechanism and cam in Figure 9 of an example; Figure 11 shows a schematic diagram of a partial enlarged structure of the trigger button, push mechanism and cam in Figure 10 of an example at the end of the first stage; Figure 12 shows a schematic diagram of a partial enlarged structure of the trigger button, push mechanism and cam in Figure 10 of an example at the end of the second stage; Figure 13 shows a schematic diagram of the front view of the cam of an example; Figure 14 shows a schematic diagram of the three-dimensional structure of the cam of an example. In order to make the lines clear, the outlines of some of the blocked parts in the drawings are also drawn with solid lines.

如图9至图14所示,在一些可选的实施例中,植入装置100包含触发状态和非触发状态,触发状态包括第一阶段和第二阶段。驱动机构包括凸轮50,凸轮50上设有相互连接的第一驱动面51和第二驱动面52。凸轮50被配置为在触发状态沿第三方向(图中的z方向)转动,在第一阶段,第一驱动面51驱动推送机构40和植入物200沿第一方向x移动。在第二阶段,第二驱动面52驱动推送机构沿第二方向y移动。第一驱动 面51沿第三方向z逐渐向背离凸轮50的转轴501的方向延伸设置,第二驱动面52沿第三方向z逐渐向靠近凸轮50的转轴501的方向延伸设置。As shown in FIGS. 9 to 14 , in some optional embodiments, the implant device 100 includes a trigger state and a non-trigger state, and the trigger state includes a first stage and a second stage. The drive mechanism includes a cam 50, and the cam 50 is provided with a first drive surface 51 and a second drive surface 52 that are interconnected. The cam 50 is configured to rotate along a third direction (z direction in the figure) in the trigger state. In the first stage, the first drive surface 51 drives the push mechanism 40 and the implant 200 to move along the first direction x. In the second stage, the second drive surface 52 drives the push mechanism to move along the second direction y. The first drive The surface 51 is gradually extended in a direction away from the rotating shaft 501 of the cam 50 along the third direction z, and the second driving surface 52 is gradually extended in a direction close to the rotating shaft 501 of the cam 50 along the third direction z.

可选的,凸轮50通过转轴501和扭簧502与壳体10连接,扭簧502用于驱动凸轮50绕转轴501沿第三方向z转动。Optionally, the cam 50 is connected to the housing 10 via a rotating shaft 501 and a torsion spring 502 , and the torsion spring 502 is used to drive the cam 50 to rotate around the rotating shaft 501 along a third direction z.

可选的,第一驱动面51与第二驱动面52共同组成凸轮50上的一个锥状凸起。Optionally, the first driving surface 51 and the second driving surface 52 together form a conical protrusion on the cam 50 .

在一些可选的实施例中,凸轮50上还设有第一台阶面53和第二台阶面54,第一台阶面53与第一驱动面51连接,第二台阶面54与第二驱动面52连接。第一台阶面53位于第一驱动面51背离第二驱动面52的一侧,第二台阶面54位于第二驱动面52背离第一驱动面51的一侧。第一台阶面53到凸轮50的转轴501的距离大于第二台阶面54到凸轮50的转轴501的距离。In some optional embodiments, the cam 50 is further provided with a first step surface 53 and a second step surface 54, the first step surface 53 is connected to the first driving surface 51, and the second step surface 54 is connected to the second driving surface 52. The first step surface 53 is located on the side of the first driving surface 51 away from the second driving surface 52, and the second step surface 54 is located on the side of the second driving surface 52 away from the first driving surface 51. The distance from the first step surface 53 to the rotating shaft 501 of the cam 50 is greater than the distance from the second step surface 54 to the rotating shaft 501 of the cam 50.

可选的,植入装置100在非触发状态时,推送机构40背离植入物200的一端与第一台阶面53连接。在第一阶段,推送机构40背离植入物200的一端与第一驱动面51连接,第一驱动面51驱动推送机构40和植入物200沿第一方向x移动,植入物200挤压弹性卡位件35使第一开口31的直径变大,直至第一开口31的直径与植入物200的最大直径相等时,植入物200从第一开口31内伸出限位腔36。在第二阶段,推送机构40背离植入物200的一端与第二驱动面52连接,第二驱动面52驱动推送机构40沿第二方向y移动。由于第一台阶面53到凸轮50的转轴501的距离大于第二台阶面54到凸轮50的转轴501的距离,在第二阶段结束时,推送机构40的复位位置比初始位置更靠近壳体10一侧,用以使第二个植入物200进入限位腔36,以便于植入装置100第二次的植入。Optionally, when the implant device 100 is in a non-triggered state, one end of the pushing mechanism 40 that is away from the implant 200 is connected to the first step surface 53. In the first stage, one end of the pushing mechanism 40 that is away from the implant 200 is connected to the first driving surface 51, and the first driving surface 51 drives the pushing mechanism 40 and the implant 200 to move along the first direction x, and the implant 200 squeezes the elastic retaining member 35 to increase the diameter of the first opening 31, until the diameter of the first opening 31 is equal to the maximum diameter of the implant 200, and the implant 200 extends out of the limiting cavity 36 from the first opening 31. In the second stage, one end of the pushing mechanism 40 that is 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 along the second direction y. Since the distance from the first step surface 53 to the rotating shaft 501 of the cam 50 is greater than the distance from the second step surface 54 to the rotating shaft 501 of the cam 50, at the end of the second stage, the reset position of the pushing mechanism 40 is closer to the side of the shell 10 than the initial position, so that the second implant 200 enters the limiting cavity 36 to facilitate the second implantation of the implant device 100.

在一些可选的实施例中,凸轮50上还设有依次连接的第三驱动面55、第四驱动面56和第三台阶面57,第三驱动面55与第二台阶面54连接,第三驱动面55位于第二台阶面54背离第二驱动面52的一侧。第二台阶面54到凸轮50的转轴501的距离大于第三台阶面57到凸轮50的转轴501的距离。第三驱动面55沿第三方向z逐渐向背离凸轮50的转轴501的方向延伸设置,第四驱动面56沿第三方向z逐渐向靠近凸轮50的转轴501的方向延伸设置。In some optional embodiments, the cam 50 is further provided with a third driving surface 55, a fourth driving surface 56 and a third step surface 57 connected in sequence, the third driving surface 55 is connected to the second step surface 54, and the third driving surface 55 is located on the side of the second step surface 54 away from the second driving surface 52. The distance from the second step surface 54 to the rotating shaft 501 of the cam 50 is greater than the distance from the third step surface 57 to the rotating shaft 501 of the cam 50. The third driving surface 55 is gradually extended in the direction away from the rotating shaft 501 of the cam 50 along the third direction z, and the fourth driving surface 56 is gradually extended in the direction close to the rotating shaft 501 of the cam 50 along the third direction z.

可选的,第三驱动面55和第四驱动面56共同组成凸轮50上的一个锥状凸起。第一驱动面51、第二驱动面52、第三驱动面55、第四驱动面56、第一台阶面53、第二台阶面54和第三台阶面57均位于凸轮50的轮缘上,推送机构40背离植入物200的一 端始终与凸轮50的轮缘连接。本实施例提供的植入装置100,两个锥状凸起之间仅通过一个台阶面连接,台阶面的外弧线变长,一个台阶面的设置使得凸轮50在转动的过程中,对推送机构40的控制更精确,从而推送机构40带动植入物进入眼内的精度更高。Optionally, the third driving surface 55 and the fourth driving surface 56 together form a conical protrusion on the cam 50. The first driving surface 51, the second driving surface 52, the third driving surface 55, the fourth driving surface 56, the first step surface 53, the second step surface 54 and the third step surface 57 are all located on the rim of the cam 50. The pushing mechanism 40 is away from the implant 200. The end is always connected to the rim of the cam 50. In the implant device 100 provided in this embodiment, the two conical protrusions are connected by only one step surface, and the outer arc of the step surface becomes longer. The setting of the step surface enables the cam 50 to control the pushing mechanism 40 more accurately during the rotation process, so that the pushing mechanism 40 drives the implant into the eye with higher accuracy.

可选的,植入装置100在完成一次植入后,推送机构40背离植入物200的一端与第二台阶面54连接,之后用户继续使植入装置100进入第二次触发状态。在第一阶段,推送机构40背离植入物200的一端与第三驱动面55连接,第三驱动面55驱动推送机构40和植入物200沿第一方向x移动。在第二阶段,推送机构40背离植入物200的一端与第四驱动面56连接,第四驱动面56驱动推送机构40沿第二方向y移动。由于第二台阶面54到凸轮50的转轴501的距离大于第三台阶面57到凸轮50的转轴501的距离,在第二阶段结束时,推送机构40的复位位置比初始位置更靠近壳体10一侧,用以使第三个植入物200进入限位腔36,以便于植入装置100第三次的植入。Optionally, after the implant device 100 completes an implantation, the end of the push mechanism 40 that is away from the implant 200 is connected to the second step surface 54, and then the user continues to make the implant device 100 enter the second trigger state. In the first stage, the end of the push mechanism 40 that is away from the implant 200 is connected to the third drive surface 55, and the third drive surface 55 drives the push mechanism 40 and the implant 200 to move along the first direction x. In the second stage, the end of the push mechanism 40 that is away from the implant 200 is connected to the fourth drive surface 56, and the fourth drive surface 56 drives the push mechanism 40 to move along the second direction y. Since the distance from the second step surface 54 to the rotating shaft 501 of the cam 50 is greater than the distance from the third step surface 57 to the rotating shaft 501 of the cam 50, at the end of the second stage, the reset position of the push mechanism 40 is closer to one side of the housing 10 than the initial position, so that the third implant 200 enters the limiting cavity 36, so as to facilitate the third implantation of the implant device 100.

本实施例中以植入装置100内设有三个植入物200距离说明,当然,当植入装置100支持更多次的植入时,凸轮50上还可以设置更多的驱动面和台阶面。In this embodiment, three implants 200 are provided in the implant device 100 for illustration. Of course, when the implant device 100 supports more implants, more driving surfaces and step surfaces may be provided on the cam 50 .

本实施例提供的植入装置100,限位腔36预先放置一颗植入物200,在触发状态时推针41先沿第一方向x移动并植入植入物200,之后再沿第二方向y移动并使下一个植入物200进入限位腔36,使得第二次植入时也是先植入再装填。与先后退装填植入物200再前进植入植入物200的方案相比,本方案避免了后退装填产生的抖动对植入的影响,进而提高植入装置100的植入精度。其次,第一个植入物200不需要通过凸轮50的转动实现装填,避免凸轮50因为转动角度不够而造成的装填不到位的情况,进而提高植入装置100的植入可靠性。The implant device 100 provided in this embodiment has an implant 200 pre-placed in the limiting cavity 36. In the triggered state, the push pin 41 first moves along the first direction x and implants the implant 200, and then moves along the second direction y and allows the next implant 200 to enter the limiting cavity 36, so that the second implant is also implanted first and then loaded. Compared with the solution of first retracting and loading the implant 200 and then advancing and implanting the implant 200, this solution avoids the influence of the jitter caused by the backward loading on the implantation, thereby improving the implantation accuracy of the implant device 100. Secondly, the first implant 200 does not need to be loaded by the rotation of the cam 50, avoiding the situation where the cam 50 is not loaded in place due to insufficient rotation angle, thereby improving the implantation reliability of the implant device 100.

在其他实施例中,如果仅植入一个植入物,那么该植入物可以直接在触发状态时推针41沿第一方向x移动并植入植入物200,推针41无需再设置沿第二方向y的移动,对结构的功能和复杂性要求降低,植入的精度提高。该实施例情况下,凸轮50上可以仅设有第一台阶面53和第一驱动面51,而不设有其他台阶面和驱动面,使得推针41只会沿第一方向x移动一次,并完成一次植入。In other embodiments, if only one implant is implanted, the implant can directly push the pin 41 along the first direction x and implant the implant 200 in the trigger state, and the push pin 41 does not need to be set to move along the second direction y, which reduces the requirements for the function and complexity of the structure and improves the accuracy of implantation. In this embodiment, the cam 50 can be provided with only the first step surface 53 and the first drive surface 51, without other step surfaces and drive surfaces, so that the push pin 41 will only move once along the first direction x and complete one implantation.

在其他实施例中,如果仅植入两个植入物,第一个植入物可以直接在触发状态时推针41沿第一方向x移动并植入植入物200,然后推针41沿第二方向y移动直到位于第二个植入物的尾部,此时推针后退的距离可以大于植入物的长度,也就是后退的距 离无需严格按照植入物的长度来设置,可以大于该长度,此时对后退的精度要求降低,从而对结构的涉及复杂性要求降低,而植入的精度提高。该实施例情况下,凸轮50上可以仅设有第一台阶面53、第一驱动面51、第二驱动面52、第二台阶面54、第三驱动面55、第四驱动面56和第三台阶面57,而不设有其他台阶面和驱动面,使得推针41只会前进后退两次,并完成两次植入。In other embodiments, if only two implants are implanted, the first implant can directly push the needle 41 along the first direction x and implant the implant 200 in the trigger state, and then push the needle 41 along the second direction y until it is located at the tail of the second implant. At this time, the distance that the push needle retreats can be greater than the length of the implant, that is, the distance retreated is The distance does not need to be set strictly according to the length of the implant, and can be greater than the length. In this case, the precision requirement for retreat is reduced, thereby reducing the complexity requirement for the structure, and improving the precision of implantation. In this embodiment, the cam 50 can only be provided with the first step surface 53, the first drive surface 51, the second drive surface 52, the second step surface 54, the third drive surface 55, the fourth drive surface 56 and the third step surface 57, without other step surfaces and drive surfaces, so that the push pin 41 can only move forward and backward twice, and complete two implantations.

请参考图15至图17,图15示出一种示例的图6中的内针、推针和植入物的剖视结构示意图;图16示出一种示例的图15中的推针的剖视结构示意图;图17示出一种示例的推针的立体结构示意图。Please refer to Figures 15 to 17, Figure 15 shows a schematic diagram of the cross-sectional structure of the inner needle, push needle and implant in Figure 6 of an example; Figure 16 shows a schematic diagram of the cross-sectional structure of the push needle in Figure 15 of an example; Figure 17 shows a schematic diagram of the three-dimensional structure of the push needle of an example.

如图15至图17所示,在一些可选的实施例中,推针41背离推针座42的一端设有弹性爪412,多个弹性爪412之间形成第二开口411,弹性爪412在第二方向y上沿靠近推针座42的方向开口内径逐渐增大。As shown in Figures 15 to 17, in some optional embodiments, an elastic claw 412 is provided at one end of the push pin 41 away from the push pin seat 42, and a second opening 411 is formed between multiple elastic claws 412. The inner diameter of the opening of the elastic claw 412 gradually increases along the direction close to the push pin seat 42 in the second direction y.

可选的,植入物200在第一方向x上的前端为倾斜面,后端为垂直第一方向x的平面。第二开口411的直径小于植入物200的最大直径,弹性爪412使得推针41沿第一方向x移动时推动位于限位腔36的植入物200沿第一方向x移动。推针41沿第二方向y移动时,后一个植入物200的倾斜面挤压弹性爪412,使得第二开口411的直径变大,直至第二开口411的直径与植入物200的最大直径相等时,后一个植入物200进入限位腔36,以便于植入装置100的下一次植入。Optionally, the front end of the implant 200 in the first direction x is an inclined surface, and the rear end is a plane perpendicular to the first direction x. The diameter of the second opening 411 is smaller than the maximum diameter of the implant 200, and the elastic claw 412 enables the push pin 41 to push the implant 200 located in the limiting cavity 36 to move along the first direction x when it moves along the first direction x. When the push pin 41 moves along the second direction y, the inclined surface of the next implant 200 squeezes 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 maximum diameter of the implant 200, and the next implant 200 enters the limiting cavity 36, so as to facilitate the next implantation of the implant device 100.

可选的,在第一阶段,推针座42与第一驱动面51连接,第一驱动面51驱动推针座42克服第一弹性件43的弹力,进而使得推针座42、推针41及位于限位腔36的植入物200沿第一方向x移动。在第二阶段,推针座42与第二驱动面52连接,第一弹性件43的弹力与第二驱动面52驱动推针座42和推针41沿第二方向y移动,直至内针60上的下一个植入物200进入限位腔36。Optionally, in the first stage, the push needle seat 42 is connected to the first driving surface 51, and the first driving surface 51 drives the push needle seat 42 to overcome the elastic force of the first elastic member 43, thereby causing the push needle seat 42, the push needle 41, and the implant 200 located in the limiting cavity 36 to move along the first direction x. In the second stage, the push needle seat 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 seat 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.

在一些可选的实施例中,植入装置100还包括触发按钮20,触发按钮20包括按键21和连杆22,按键21与壳体10可移动设置。连杆22连接按键21与凸轮50,连杆22被配置为在非触发状态与凸轮50相互限位,进而限制凸轮50沿第三方向z转动,在触发状态,按键21驱动连杆22沿第四方向(图中的a方向)移动,并释放凸轮50。In some optional embodiments, the implant device 100 further includes a trigger button 20, which includes a button 21 and a connecting rod 22, and the button 21 is movably arranged with the housing 10. The connecting rod 22 connects the button 21 and the cam 50, and the connecting rod 22 is configured to limit each other with the cam 50 in a non-trigger state, thereby limiting the cam 50 from rotating along the third direction z. In the trigger state, the button 21 drives the connecting rod 22 to move along the fourth direction (direction a in the figure) and releases the cam 50.

可选的,用户按压触发按钮20时,植入装置100进入触发状态。Optionally, when the user presses the trigger button 20, the implant device 100 enters a trigger state.

可选的,触发按钮20还可以包括第二弹性件23,第二弹性件23连接按键21与壳体10,第二弹性件23用于使触发按钮20在未受到外力作用时沿第五方向(图中的c方 向)移动。其中。第二弹性件23可以为扭簧,第五方向c与第四方向a相反,第四方向a与第一方向x垂直。Optionally, the trigger button 20 may further include a second elastic member 23, the second elastic member 23 connecting the button 21 and the housing 10, and the second elastic member 23 is used to make the trigger button 20 move along a fifth direction (the c direction in the figure) when no external force is applied. The second elastic member 23 may be a torsion spring, the fifth direction c is opposite to the fourth direction a, and the fourth direction a is perpendicular to the first direction x.

在一些可选的实施例中,凸轮50上还设有限位块58,连杆22上设有限位部221,限位部221被配置为在非触发状态与限位块58抵接,进而限制凸轮50沿第三方向z转动。在触发状态,连杆22沿第四方向a移动,限位部221释放限位块58,进而凸轮50沿第三方向z转动。In some optional embodiments, the cam 50 is further provided with a limit block 58, and the connecting rod 22 is provided with a limit portion 221, which is configured to abut against the limit block 58 in a non-triggered state, thereby limiting the cam 50 from rotating along the third direction z. In the triggered state, the connecting rod 22 moves along the fourth direction a, and the limit portion 221 releases the limit block 58, thereby the cam 50 rotates along the third direction z.

在一些可选的实施例中,多个限位块58环绕凸轮50的转轴501间隔设置。In some optional embodiments, a plurality of limit blocks 58 are arranged at intervals around the rotating shaft 501 of the cam 50 .

可选的,限位块58均处于轮缘与转轴501的连接面上。Optionally, the limit blocks 58 are all located on the connecting surface between the wheel rim and the rotating shaft 501 .

可选的,当用户按下按键21时,按键21与连杆22克服第二弹性件23的弹力沿第四方向a移动,直至限位部221不与限位块58干涉,进而释放凸轮50。凸轮50沿第三方向z转动,使植入装置100进入触发状态。之后用户松开按键21,按键21与连杆22在第二弹性件23的弹力作用下沿第五方向c移动并复位,凸轮50经历过一个第一阶段与第二阶段后转动一定角度,直至限位部221与下一个限位块58干涉,凸轮50停止转动并处于非触发状态,植入装置100完成一次植入。当用户再次按下按键21时,植入装置100进入下一个触发状态。Optionally, when the user presses the button 21, the button 21 and the connecting rod 22 overcome the elastic force of the second elastic member 23 and move along the fourth direction a until the limit portion 221 does not interfere with the limit block 58, thereby releasing the cam 50. The cam 50 rotates along the third direction z, causing the implant device 100 to enter a triggered state. After that, the user releases the button 21, and the button 21 and the connecting rod 22 move and reset along the fifth direction c under the elastic force of the second elastic member 23. After the cam 50 has gone through a first stage and a second stage, it rotates a certain angle until the limit portion 221 interferes with the next limit block 58, and the cam 50 stops rotating and is in a non-triggered state, and the implant device 100 completes an implant. When the user presses the button 21 again, the implant device 100 enters the next triggered state.

在一些可选的实施例中,植入装置100还可以包括穿刺针机构70,穿刺针机构70与壳体10在第一方向x上可移动设置,穿刺针机构70套设在观察管30上。In some optional embodiments, the implant device 100 may further include a puncture needle mechanism 70 , which is movably disposed with the housing 10 in the first direction x, and the puncture needle mechanism 70 is sleeved on the observation tube 30 .

请继续参考图1至图3,在一些可选的实施例中,穿刺针机构70包括穿刺针71和穿刺针座72,穿刺针71套设在观察管30上,穿刺针71在第一方向x上设有第三开口711。穿刺针座72与穿刺针71背离第三开口711的一端连接,穿刺针座72与壳体在第一方向x上可移动设置。Please continue to refer to Figures 1 to 3. In some optional embodiments, the puncture needle mechanism 70 includes a puncture needle 71 and a puncture needle seat 72. The puncture needle 71 is sleeved on the observation tube 30. The puncture needle 71 is provided with a third opening 711 in the first direction x. The puncture needle seat 72 is connected to an end of the puncture needle 71 away from the third opening 711, and the puncture needle seat 72 and the housing are movably arranged in the first direction x.

请继续参考图1至图2,在一些可选的实施例中,植入装置100还可以包括保护机构80,保护机构80与壳体10在第一方向x上可移动设置,保护机构80包括相互连接的保护滑钮81和保护连杆82,保护连杆82与穿刺针座72连接。Please continue to refer to Figures 1 to 2. In some optional embodiments, the implant device 100 may also include a protection mechanism 80, which is movably arranged with the shell 10 in the first direction x. The protection mechanism 80 includes a protection slide button 81 and a protection connecting rod 82 that are connected to each other, and the protection connecting rod 82 is connected to the puncture needle seat 72.

可选的,在未触发状态,观察管30容纳于穿刺针71内。在植入时,穿刺针71远离穿刺针座72的一端扎入患者眼球内的小梁网以及小梁网内侧的施莱姆式管中,用户沿第二方向y推动保护滑钮81,进而带动穿刺针座72及穿刺针71沿第二方向y移动,直至使观察管30从第三开口711伸出穿刺针71,之后用户按下按键21开始植入。完成植入后,用户沿第一方向x推动保护滑钮81,进而带动穿刺针座72及穿刺针71沿 第一方向x移动,直至观察管30容纳于穿刺针71内。Optionally, in the untriggered state, the observation tube 30 is contained in the puncture needle 71. During implantation, the end of the puncture needle 71 away from the puncture needle seat 72 is inserted into the trabecular meshwork in the patient's eyeball and the Schlemm's canal inside the trabecular meshwork. The user pushes the protective sliding button 81 along the second direction y, thereby driving 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. Then the user presses the button 21 to start implantation. After the implantation is completed, the user pushes the protective sliding button 81 along the first direction x, thereby driving the puncture needle seat 72 and the puncture needle 71 along the second direction y. The first direction x is moved until the observation tube 30 is accommodated in the puncture needle 71 .

本申请第二方面的实施例还提供一种植入系统,包括上述任一第一方面实施例的植入装置100和植入物200。由于本申请第二方面实施例提供的植入系统包括上述第一方面任一实施例的植入装置100,因此本申请第二方面实施例提供的植入系统具有上述第一方面任一实施例的植入装置100具有的有益效果,在此不再赘述。The embodiment of the second aspect of the present application also provides an implant system, including the implant device 100 and the implant 200 of any of the first aspect embodiments described above. Since the implant system provided by the embodiment of the second aspect of the present application includes the implant device 100 of any of the first aspect embodiments described above, the implant system provided by the embodiment of the second aspect of the present application has the beneficial effects of the implant device 100 of any of the first aspect embodiments described above, which will not be repeated here.

本申请第三方面的实施例还提供一种植入系统的使用方法,应用于如上任一实施例的植入系统,使用方法包括:The third aspect of the present application also provides a method for using an implant system, which is applied to the implant system of any of the above embodiments. The method includes:

步骤S01,将植入系统刺入患者眼部。Step S01, inserting the implant system into the patient's eye.

步骤S02,按下触发按钮20,触发按钮20通过驱动机构驱动推送机构40和限位腔36内的植入物200沿第一方向x移动,直至植入物200从第一开口31伸出腔体32;Step S02, pressing the trigger button 20, 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;

步骤S03,驱动机构驱动所述推送机构40沿第二方向y移动,直至下一个植入物200进入限位腔36。Step S03 : the driving mechanism drives the pushing mechanism 40 to move along the second direction y until the next implant 200 enters the limiting cavity 36 .

可选的,驱动机构包括凸轮50。Optionally, the driving mechanism includes a cam 50 .

可选的,步骤S02对应第一阶段,具体的,用户按下按键21后松开,按键21驱动连杆22沿第四方向a移动,限位部221释放限位块58,进而凸轮50沿第三方向z转动。之后,第一驱动面51驱动推送机构40和限位腔36内的植入物200沿第一方向x移动,植入物200挤压弹性卡位件35使第一开口31的直径变大,直至第一开口31的直径与植入物200的最大直径相等时,植入物200从第一开口31内伸出限位腔36,并植入患者的患处。步骤S03对应第二阶段,具体的,凸轮50继续沿第三方向z转动,第二驱动面52驱动推送机构沿第二方向y移动,后一个植入物200的倾斜面挤压弹性爪412,使得第二开口411的直径变大,直至第二开口411的直径与植入物200的最大直径相等时,后一个植入物200进入限位腔36。按键21与连杆22在第二弹性件23的弹力作用下沿第五方向c移动并复位,凸轮50经历过一个第一阶段与第二阶段后转动一定角度,直至限位部221与下一个限位块58干涉,凸轮50停止转动并处于非触发状态,植入装置100完成一次植入。Optionally, step S02 corresponds to the first stage. Specifically, the user presses the button 21 and then releases it. The button 21 drives the connecting rod 22 to move along the fourth direction a. The limiting portion 221 releases the limiting block 58, and then the cam 50 rotates along the third direction z. Afterwards, 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 squeezes the elastic locking member 35 to increase the diameter of the first opening 31 until the diameter of the first opening 31 is equal to the maximum diameter of the implant 200. The implant 200 extends out of the limiting cavity 36 from the first opening 31 and is implanted in the patient's affected area. 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 next implant 200 squeezes 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 maximum diameter of the implant 200, and the next implant 200 enters the limit cavity 36. The button 21 and the connecting rod 22 move and reset along the fifth direction c under the elastic force of the second elastic member 23. After the cam 50 has gone through a first stage and a second stage, it rotates a certain angle until the limit portion 221 interferes with the next limit block 58, the cam 50 stops rotating and is in a non-triggered state, and the implant device 100 completes an implantation.

可选的,使用方法还包括:Optionally, the usage method also includes:

步骤S04,重复步骤S02和步骤S03,完成多个植入物200的植入。Step S04, repeating steps S02 and S03 to complete the implantation of multiple implants 200.

以上所述,仅为本申请的具体实施方式,所属领域的技术人员可以清楚地了解到,为了描述的方便和简洁,上述描述的系统、模块和单元的具体工作过程,可以参考前 述方法实施例中的对应过程,在此不再赘述。应理解,本申请的保护范围并不局限于此,任何熟悉本技术领域的技术人员在本申请揭露的技术范围内,可轻易想到各种等效的修改或替换,这些修改或替换都应涵盖在本申请的保护范围之内。 The above description is only a specific implementation of the present application. Those skilled in the art can clearly understand that for the convenience and brevity of description, the specific working processes of the above-described systems, modules and units can refer to the previous It should be understood that the protection scope of the present application is not limited thereto, and any technician familiar with the technical field can easily think of various equivalent modifications or replacements within the technical scope disclosed in the present application, and these modifications or replacements should be included in the protection scope of the present application.

Claims (17)

一种植入装置,用于植入植入物,其中,包括:An implantation device for implanting an implant, comprising: 壳体;case; 观察管,与所述壳体固定连接,所述观察管沿第一方向延伸设置,所述观察管包括相互连接的管体和弹性卡位件,所述管体围合形成腔体,所述腔体用于容纳所述植入物,至少部分所述弹性卡位件位于所述腔体内,至少两个所述弹性卡位件围合形成第一开口,所述第一开口在未受到外力作用时的直径小于所述植入物的直径,所述弹性卡位件被配置为在受到外力挤压时所述第一开口的直径变大。An observation tube is fixedly connected to the shell, and the observation tube is extended along a first direction. The observation tube includes a tube body and an elastic retaining member that are connected to each other. The tube body is enclosed to form a cavity, and the cavity is used to accommodate the implant. At least part of the elastic retaining member is located in the cavity. At least two of the elastic retaining members are enclosed to form a first opening. The diameter of the first opening when not subjected to external force is smaller than the diameter of the implant. The elastic retaining member is configured so that the diameter of the first opening becomes larger when squeezed by external force. 根据权利要求1所述的植入装置,其中,所述弹性卡位件包括第一连接部和凸出部,所述第一连接部与所述管体连接,所述凸出部沿第一方向逐渐向所述腔体凸出设置。The implant device according to claim 1, wherein the elastic retaining member comprises a first connecting portion and a protruding portion, the first connecting portion is connected to the tube body, and the protruding portion is gradually protruded toward the cavity along a first direction. 根据权利要求2所述的植入装置,其中,所述弹性卡位件还包括第二连接部,所述凸出部位于所述第一连接部和所述第二连接部之间,所述第二连接部与所述管体连接。The implant device according to claim 2, wherein the elastic retaining member further comprises 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 tube body. 根据权利要求1所述的植入装置,其中,还包括:The implant device according to claim 1, further comprising: 推送机构,与所述壳体在所述第一方向上可移动设置,所述推送机构与所述弹性卡位件之间形成限位腔,所述限位腔至少能容纳一个所述植入物。The pushing mechanism is movably arranged with the shell in the first direction, and a limiting cavity is formed between the pushing mechanism and the elastic positioning member, and the limiting cavity can accommodate at least one implant. 根据权利要求4所述的植入装置,其中,所述植入物的数量为两个,其中一个所述植入物位于所述限位腔内,另一个所述植入物位于所述推送机构内部。The implant device according to claim 4, wherein the number of the implants is two, one of the implants is located in the limiting cavity, and the other implant is located inside the pushing mechanism. 根据权利要求4所述的植入装置,其中,所述植入物的数量为三个,第一个所述植入物位于所述限位腔内,第二个所述植入物和第三个所述植入物位于所述推送机构内部。The implant device according to claim 4, wherein the number of the implants is three, the first implant is located in the limiting cavity, and the second implant and the third implant are located inside the pushing mechanism. 根据权利要求4所述的植入装置,其中,还包括:The implant device according to claim 4, further comprising: 内针,与所述壳体连接,所述内针上套设有至少一个所述植入物,至少部分所述内针位于所述腔体内;An inner needle connected to the housing, wherein at least one implant is sleeved on the inner needle, and at least a portion of the inner needle is located in the cavity; 驱动机构,与所述壳体可移动设置且与所述推送机构连接;A driving mechanism, movably arranged with the housing and connected with the pushing mechanism; 所述推送机构包括:The pushing mechanism comprises: 推针,套设在在所述内针上,所述推针与所述内针在所述第一方向上可移动设置, 所述推针在所述第一方向的一端上设有第二开口。A push needle is sleeved on the inner needle, and the push needle and the inner needle are movably arranged in the first direction. The push pin is provided with a second opening at one end in the first direction. 根据权利要求7所述的植入装置,其中,所述推针背离所述推针座的一端设有弹性爪,多个所述弹性爪之间形成所述第二开口。The implant device according to claim 7, wherein an elastic claw is provided at one end of the push pin facing away from the push pin seat, and the second opening is formed between a plurality of the elastic claws. 根据权利要求7所述的植入装置,其中,所述植入装置包含触发状态和非触发状态,所述触发状态包括第一阶段和第二阶段;The implant device according to claim 7, wherein the implant device comprises a triggered state and a non-triggered state, the triggered state comprising a first stage and a second stage; 所述驱动机构包括凸轮,所述凸轮上设有相互连接的第一驱动面和第二驱动面,所述凸轮被配置为在所述触发状态沿第三方向转动,在所述第一阶段,所述第一驱动面驱动所述推送机构和所述植入物沿所述第一方向移动,在所述第二阶段,所述第二驱动面驱动所述推送机构沿第二方向移动,所述第二方向与所述第一方向相反;The driving mechanism comprises a cam, wherein a first driving surface and a second driving surface connected to each other are provided on the cam, wherein the cam is configured to rotate along a third direction in the trigger state, wherein in the first stage, the first driving surface drives the pushing mechanism and the implant to move along the first direction, and in the second stage, the second driving surface drives the pushing mechanism to move along a second direction, and the second direction is opposite to the first direction; 所述第一驱动面沿所述第三方向逐渐向背离所述凸轮的转轴的方向延伸设置,所述第二驱动面沿所述第三方向逐渐向靠近所述凸轮的转轴的方向延伸设置。The first driving surface is extended along the third direction gradually away from the rotation axis of the cam, and the second driving surface is extended along the third direction gradually approaching the rotation axis of the cam. 根据权利要求9所述的植入装置,其中,所述凸轮上还设有第一台阶面和第二台阶面,所述第一台阶面与所述第一驱动面连接,所述第二台阶面与所述第二驱动面连接,所述第一台阶面位于所述第一驱动面背离所述第二驱动面的一侧,所述第二台阶面位于所述第二驱动面背离所述第一驱动面的一侧,所述第一台阶面到所述凸轮的转轴的距离大于所述第二台阶面到所述凸轮的转轴的距离。The implant device according to claim 9, wherein the cam is further provided with a first step surface and a second step surface, the first step surface is connected to the first driving surface, the second step surface is connected to the second driving surface, the first step surface is located on the side of the first driving surface away from the second driving surface, the second step surface is located on the side of the second driving surface away from the first driving surface, and the distance from the first step surface to the rotating axis of the cam is greater than the distance from the second step surface to the rotating axis of the cam. 根据权利要求10所述的植入装置,其中,所述凸轮上还设有依次连接的第三驱动面、第四驱动面和第三台阶面,所述第三驱动面与所述第二台阶面连接,所述第三驱动面位于所述第二台阶面背离所述第二驱动面的一侧,所述第二台阶面到所述凸轮的转轴的距离大于所述第三台阶面到所述凸轮的转轴的距离;The implant device according to claim 10, wherein the cam is further provided with a third driving surface, a fourth driving surface and a third step surface connected in sequence, the third driving surface is connected to the second step surface, the third driving surface is located on the side of the second step surface away from the second driving surface, and the distance from the second step surface to the rotating axis of the cam is greater than the distance from the third step surface to the rotating axis of the cam; 所述第三驱动面沿所述第三方向逐渐向背离所述凸轮的转轴的方向延伸设置,所述第四驱动面沿所述第三方向逐渐向靠近所述凸轮的转轴的方向延伸设置。The third driving surface is extended along the third direction gradually away from the rotation axis of the cam, and the fourth driving surface is extended along the third direction gradually approaching the rotation axis of the cam. 根据权利要求9所述的植入装置,其中,还包括:The implant device according to claim 9, further comprising: 触发按钮,所述触发按钮包括按键和连杆,所述按键与所述壳体可移动设置,所述连杆连接所述按键与所述凸轮,所述连杆被配置为在非触发状态与所述凸轮相互限位,进而限制所述凸轮沿所述第三方向转动;A trigger button, the trigger button comprising a key and a connecting rod, the key and the housing are movably arranged, the connecting rod connects the key and the cam, and the connecting rod is configured to limit the cam and the cam in a non-trigger state, thereby limiting the cam from rotating along the third direction; 在所述触发状态,所述按键驱动所述连杆沿第四方向移动,并释放所述凸轮。In the trigger state, the button drives the connecting rod to move along a fourth direction and releases the cam. 根据权利要求12所述的植入装置,其中,所述凸轮上设有限位块,所述连杆上设有限位部,所述限位部被配置为在非触发状态与所述限位块抵接,进而限制所述凸 轮沿所述第三方向转动;The implant device according to claim 12, wherein the cam is provided with a limit block, the connecting rod is provided with a limit portion, and the limit portion is configured to abut against the limit block in a non-triggered state, thereby limiting the cam The wheel rotates along the third direction; 在所述触发状态,所述连杆沿所述第四方向移动,所述限位部释放所述限位块,进而所述凸轮沿所述第三方向转动。In the trigger state, the connecting rod moves along the fourth direction, the limiting portion releases the limiting block, and then the cam rotates along the third direction. 根据权利要求13所述的植入装置,其中,多个所述限位块环绕所述凸轮的转轴间隔设置。The implant device according to claim 13, wherein a plurality of the limit blocks are arranged at intervals around the rotating shaft of the cam. 根据权利要求1所述的植入装置,其中,所述观察管背离所述壳体的一侧设有观察窗。The implant device according to claim 1, wherein an observation window is provided on a side of the observation tube facing away from the shell. 一种植入系统,其中,包括如权利要求1至15任一项所述的植入装置和所述植入物。An implant system, comprising the implant device according to any one of claims 1 to 15 and the implant. 一种植入系统的使用方法,其中,所述植入装置包括观察管、驱动机构、推送机构和触发按钮,所述观察管沿第一方向延伸设置,所述观察管包括相互连接的管体和弹性卡位件,所述管体围合形成腔体,至少两个所述弹性卡位件围合形成第一开口,所述推送机构与所述弹性卡位件之间形成限位腔;A method for using an implant system, wherein the implant device comprises an observation tube, a driving mechanism, a pushing mechanism and a trigger button, the observation tube extending along a first direction, the observation tube comprising a tube body and an elastic retaining member connected to each other, the tube body encloses a cavity, at least two of the elastic retaining members enclose a first opening, and a limiting cavity is formed between the pushing mechanism and the elastic retaining member; 使用方法包括:Usage methods include: 将所述植入系统刺入患者眼部;inserting the implant system into the patient's eye; 按下所述触发按钮,所述触发按钮通过所述驱动机构驱动所述推送机构和所述限位腔内的植入物沿所述第一方向移动,直至所述植入物从所述第一开口伸出所述腔体;Pressing the trigger button, 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; 所述驱动机构驱动所述推送机构沿第二方向移动,直至下一个植入物进入限位腔。 The driving mechanism drives the pushing mechanism to move along the second direction until the next implant enters the limiting cavity.
PCT/CN2024/101495 2023-06-26 2024-06-26 Implantation device, implantation system, and method of using implantation system Pending WO2025002149A1 (en)

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