[go: up one dir, main page]

CN111728768B - Anterior lens capsule scratching and tearing integrated equipment - Google Patents

Anterior lens capsule scratching and tearing integrated equipment Download PDF

Info

Publication number
CN111728768B
CN111728768B CN202010712048.0A CN202010712048A CN111728768B CN 111728768 B CN111728768 B CN 111728768B CN 202010712048 A CN202010712048 A CN 202010712048A CN 111728768 B CN111728768 B CN 111728768B
Authority
CN
China
Prior art keywords
tearing
power mechanism
film
tear
arm
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.)
Active
Application number
CN202010712048.0A
Other languages
Chinese (zh)
Other versions
CN111728768A (en
Inventor
王华君
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.)
First Affiliated Hospital of Zhengzhou University
Original Assignee
First Affiliated Hospital of Zhengzhou University
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
Application filed by First Affiliated Hospital of Zhengzhou University filed Critical First Affiliated Hospital of Zhengzhou University
Priority to CN202010712048.0A priority Critical patent/CN111728768B/en
Publication of CN111728768A publication Critical patent/CN111728768A/en
Application granted granted Critical
Publication of CN111728768B publication Critical patent/CN111728768B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

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
    • A61F9/007Methods or devices for eye surgery
    • A61F9/00736Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
    • A61F9/00745Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments using mechanical vibrations, e.g. ultrasonic

Landscapes

  • Health & Medical Sciences (AREA)
  • Ophthalmology & Optometry (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

本发明实施例涉及使用超声乳化技术治疗白内障的技术领域,具体涉及一种晶状体前囊膜划撕一体设备,其包括机架;安装杆,安装杆的高度、在水平面的位置均可调节地安装于机架;划囊膜装置,安装于安装杆;撕膜装置,在第八动力机构的驱动下撕膜装置在竖直方向的位置可调节地安装于安装杆;以及控制器,控制器与第一动力机构的控制端、第二动力机构的控制端均信号连接。本发明实施例的有益效果为:划膜刀刃在前划开前囊膜、撕膜装置在后撕下前囊膜,并且划膜刀刃的转动轨迹为严格的圆形,从而避免撕囊偏心、撕囊过小的问题,划膜、撕囊连续,避免手动作业时存在的换手操作;免除了手动撕囊偏心或撕囊过小时使用囊膜剪再次剪开豁口时的角度限制。

Figure 202010712048

The embodiments of the present invention relate to the technical field of using phacoemulsification technology to treat cataracts, and in particular to an integrated device for scribing and tearing the anterior lens capsule, which includes a frame; in the frame; the capsulation film device is installed on the installation rod; the film tearing device is driven by the eighth power mechanism and the position of the film tearing device in the vertical direction can be adjusted to be installed on the installation rod; and a controller, the controller and the The control end of the first power mechanism and the control end of the second power mechanism are both connected with signals. The beneficial effects of the embodiment of the present invention are as follows: the cutting blade cuts the anterior capsular membrane in the front, the membrane tearing device tears the anterior capsular membrane at the back, and the rotation trajectory of the membrane cutting blade is strictly circular, so as to avoid capsulorhexis eccentricity, For the problem that the capsulorhexis is too small, the film and capsulorhexis are continuous, avoiding the hand-changing operation in manual operation; it avoids the angle limitation when the manual capsulorhexis is eccentric or the capsulorhexis is used to cut the gap again when the capsulorhexis is too small.

Figure 202010712048

Description

晶状体前囊膜划撕一体设备Anterior lens capsule cutting and tearing equipment

技术领域technical field

本发明涉及使用超声乳化技术治疗白内障技术领域,具体涉及一种晶状体前囊膜划撕一体设备。The invention relates to the technical field of cataract treatment using phacoemulsification technology, in particular to an integrated device for scribing and tearing an anterior lens capsule.

背景技术Background technique

超声乳化是指在超声波能量作用下,使两种(或两种以上)不相溶液体混合均匀形成分散物系,其中一种液体均匀分布在另一液体之中而形成乳状液的工艺过程。Phacoemulsification refers to a process in which two (or more than two) immiscible liquids are uniformly mixed to form a dispersion system under the action of ultrasonic energy, and one liquid is uniformly distributed in the other liquid to form an emulsion.

粉碎不溶固体(或液体)的物理机制认为是超声波空化作用。超声波空化效应是指在强超声波作用下,液体内会产生大量的气泡,小气泡将随着超声振动而逐渐生长和增大,然后又突然破灭和分裂,分裂后的气泡又连续生长和破灭。这些小气泡急速崩溃时在气泡内产生了高温高压,且因气泡周围的液体高速冲入气泡而在气泡附近的液体中产生了强烈的局部激波,也形成了局部的高温高压,从而产生了超声的粉碎、乳化作用。The physical mechanism for crushing insoluble solids (or liquids) is believed to be ultrasonic cavitation. The ultrasonic cavitation effect means that under the action of strong ultrasonic waves, a large number of bubbles will be generated in the liquid, and the small bubbles will gradually grow and increase with the ultrasonic vibration, and then suddenly burst and split, and the split bubbles continue to grow and burst. . When these small bubbles collapse rapidly, high temperature and high pressure are generated in the bubbles, and because the liquid around the bubbles rushes into the bubbles at a high speed, a strong local shock wave is generated in the liquid near the bubbles, and local high temperature and high pressure are also formed. Ultrasonic crushing and emulsification.

超声乳化在医学上的重要用途为治疗白内障,采用连续环形撕囊术进行,其具体过程为:使用囊膜剪在晶状体的前囊膜上剪出切口,然后使用截囊针或者撕囊镊沿切口撕掉圆形区域,应用超声波将晶状体核粉碎,使其呈乳糜状,然后连同皮质一起吸出。术毕保留晶状体后囊膜,可同时植入后房型人工晶状体。An important medical application of phacoemulsification is to treat cataracts, which is performed by continuous annular capsulorhexis. The incision tears away the circular area, and ultrasound is used to crush the lens nucleus, making it chylous, and then aspirated along with the cortex. After the operation, the posterior capsule of the lens is preserved, and a posterior chamber intraocular lens can be implanted at the same time.

白内障超声乳化与传统白内障手术方式相比,超声乳化手术具有更好的手术效果,已成为目前国际上公认的最为先进、可靠的白内障治疗方法。Compared with traditional cataract surgery, phacoemulsification has better surgical results and has become the most advanced and reliable cataract treatment method internationally recognized.

连续环形撕囊术是超声乳化手术过程的一个关键技术,是保证手术成功的基础,但对于初学者来讲,也是较为难掌握的技术之一。连续环形撕囊术要求在晶状体前囊膜中央撕掉直径约5.5mm的圆形光滑囊片,具体步骤为:Continuous annular capsulorhexis is a key technique in the phacoemulsification process, and it is the basis for ensuring the success of the operation, but it is also one of the more difficult techniques for beginners to master. Continuous annular capsulorhexis requires tearing off a circular smooth capsulet with a diameter of about 5.5 mm in the center of the anterior lens capsule. The specific steps are:

1.在晶状体的前囊中心或者旁中心处选择撕囊的起点,前囊膜被掀起来的一小部分通常命名为囊膜瓣,以截囊针或者撕囊镊在起点处刺破囊膜,并以顺时针或者逆时针掀起一个容易夹着的瓣(如图10-1);1. Select the starting point of the capsulorhexis at the center or paracenter of the anterior capsule of the lens. A small part of the anterior capsule that is lifted is usually named the capsular flap, and the capsulorhexis is punctured at the starting point with a capsulotomy needle or capsulorhexis forceps. , and lift up an easily clamped flap clockwise or counterclockwise (as shown in Figure 10-1);

2.用撕囊镊或者截囊针向撕囊方向翻转囊膜瓣(顺时针或者逆时针),使囊膜瓣覆盖于未撕开囊膜上(图10-2),用撕囊镊夹住囊膜瓣的根部,并向预定的方向(上述的顺时针或逆时针)撕裂囊膜,直至与起始处相连,完成连续环形撕囊(图10-3);2. Use the capsulorhexis forceps or capsulotomy needle to turn the capsular flap in the direction of the capsulorhexis (clockwise or counterclockwise), so that the capsular flap covers the untorn capsular membrane (Figure 10-2), and use the capsulorhexis forceps to clamp Hold the root of the capsular flap and tear the capsule in a predetermined direction (clockwise or counterclockwise as described above) until it is connected to the starting point, completing a continuous circular capsulorhexis (Figure 10-3);

对于初学者来说,往往会出现撕囊偏心或撕囊过小的问题(图10-4),此时需利用囊膜剪(图10-5)进入手术主切口在撕囊的边缘沿切线方向将囊膜剪开一个小豁口(如图10-5中A、B处)起瓣,并重新翻折囊膜瓣继续撕囊(图10-5)。对于初学者来说,偏心且过小的撕囊可在囊膜中央的任意位置,但由于主切口宽度有限且囊膜剪的剪切方向只能与囊膜剪本身平行,因此大多数情况下并不能在合适的位置(如图10-5中的C位置)和方向(C位置下,剪口方向为箭头D所示)顺利剪开囊膜并起瓣(如图10-5的B处),因此,有必要对现有囊膜剪进行改进,使其能在各个方向进行剪切,以解决上述技术问题。For beginners, the problem of capsulorhexis eccentricity or too small capsulorhexis often occurs (Fig. 10-4). At this time, capsular scissors (Fig. 10-5) should be used to enter the main surgical incision along the tangent line at the edge of the capsulorhexis. Cut a small gap in the capsule in the direction (A and B in Figure 10-5) to start the flap, and fold the capsular flap again to continue the capsulorhexis (Figure 10-5). For beginners, an eccentric and too small capsulorhexis can be located anywhere in the center of the capsular membrane, but due to the limited width of the main incision and the shearing direction of the capsular scissors can only be parallel to the capsular scissors themselves, in most cases The capsule cannot be cut and flapped smoothly at the appropriate position (position C in Figure 10-5) and direction (in position C, the notch direction is indicated by arrow D) (position B in Figure 10-5). ), therefore, it is necessary to improve the existing capsular scissors so that they can be cut in all directions to solve the above-mentioned technical problems.

同时,上述连续环形撕囊术严重依赖施行手术的大夫的经验、手法、身心状态,不稳定因素多;同时对大夫的体力、精神消耗大。At the same time, the above-mentioned continuous annular capsulorhexis relies heavily on the experience, technique, and physical and mental state of the doctor who performs the operation, and there are many unstable factors;

因此,需要一种晶状体前囊膜划撕一体设备,以克服上述问题的发生。Therefore, there is a need for an integrated device for scoring and tearing the anterior lens capsule to overcome the above-mentioned problems.

发明内容SUMMARY OF THE INVENTION

为了解决上述问题,本发明实施例提供了一种晶状体前囊膜划撕一体设备,其包括In order to solve the above problems, embodiments of the present invention provide an integrated device for scribing and tearing the anterior lens capsule, which includes:

机架;frame;

安装杆,所述安装杆的高度、在水平面的位置均可调节地安装于所述机架,以分别调节所述安装杆相对于晶状体的前囊膜在竖直方向、水平面内的位置,所述安装杆在第一动力机构的驱动下在水平面内可转动地安装于所述机架;A mounting rod, the height of the mounting rod and the position in the horizontal plane can be adjusted to be installed on the frame, so as to adjust the position of the mounting rod relative to the anterior capsule of the lens in the vertical direction and the horizontal plane respectively, so The mounting rod is rotatably mounted on the frame in a horizontal plane under the driving of the first power mechanism;

划囊膜装置,所述划囊膜装置安装于所述安装杆,所述第一动力机构安装于所述安装杆,所述划囊膜装置包括刀架,所述刀架安装于所述安装杆,所述刀架朝向所述划囊膜装置的转动轴线的端部形成有用于刺破晶状体的前囊膜的刺入端,所述刀架朝向所述划囊膜装置的转动方向的侧面形成有所述刺入端刺入后从侧面划破晶状体的前囊膜的划膜刀刃;A capsulation film device, the capsulation film device is installed on the installation rod, the first power mechanism is installed on the installation rod, the capsule film device includes a knife holder, and the knife holder is installed on the installation a rod, the end of the knife holder facing the rotation axis of the capsulotomy device is formed with a piercing end for piercing the anterior capsule of the lens, the knife holder facing the side of the rotation direction of the capsulotomy device A membrane-scribing blade is formed for slicing the anterior capsule of the lens from the side after the piercing end is inserted;

撕膜装置,在第五动力机构的驱动下所述撕膜装置在竖直方向的位置可调节地安装于所述安装杆,所述撕膜装置与所述划囊膜装置紧邻并且位于所述划囊膜装置的后方,所述撕膜装置包括一对在第二动力机构的驱动下可彼此收拢或展开的撕膜片,所述第二动力机构安装于所述安装杆;以及A film tearing device, the position of the film tearing device in the vertical direction can be adjusted to be installed on the installation rod under the driving of the fifth power mechanism, the film tearing device is adjacent to the capsular film device and is located in the Behind the capsular film device, the tear film device includes a pair of tear film sheets that can be folded or unfolded with each other under the drive of a second power mechanism, the second power mechanism being mounted on the mounting rod; and

控制器,所述控制器与所述第一动力机构的控制端、所述第二动力机构的控制端均信号连接。The controller is connected with the control terminal of the first power mechanism and the control terminal of the second power mechanism in signal connection.

进一步的,所述机架包括底座、立柱和摆臂,其中:Further, the frame includes a base, a column and a swing arm, wherein:

所述立柱竖直设置,所述立柱的下端固定于所述底座,所述摆臂在所述第一动力机构的驱动下在水平面内可转动地安装于所述立柱的上端;The upright is vertically arranged, the lower end of the upright is fixed on the base, and the swing arm is rotatably mounted on the upper end of the upright in a horizontal plane under the driving of the first power mechanism;

所述安装杆安装在所述摆臂远离所述立柱的端部。The mounting rod is mounted on the end of the swing arm away from the upright column.

进一步的,所述摆臂包括第一臂、第二臂和第三动力机构,其中:Further, the swing arm includes a first arm, a second arm and a third power mechanism, wherein:

所述第三动力机构安装在所述第一臂与所述第二臂之间,以驱动所述第二臂相对所述第一臂在水平方向滑动;the third power mechanism is installed between the first arm and the second arm to drive the second arm to slide in a horizontal direction relative to the first arm;

所述第一臂固定于所述立柱的上端,所述安装杆安装于所述第二臂背离所述第一臂的端部;the first arm is fixed on the upper end of the upright column, and the mounting rod is mounted on the end of the second arm away from the first arm;

所述第三动力机构与所述控制器信号连接。The third power mechanism is signally connected to the controller.

进一步的,还包括与所述控制器信号连接的第四动力机构,在所述第四动力机构的驱动下所述安装杆在竖直方向上可滑动地安装于所述机架。Further, it also includes a fourth power mechanism signally connected to the controller, and the mounting rod is slidably mounted on the frame in a vertical direction under the driving of the fourth power mechanism.

进一步的,一对所述撕膜片的两相对端部中的一者为固定端、另一者为开口端,一对所述撕膜片的两个固定端固定、一对所述撕膜片的两个开口端彼此远离,所述第二动力机构包括第二动力单元、主动齿轮、从动齿轮、第一作用杆和第二作用杆,其中:Further, one of the two opposite ends of a pair of said tear-off sheets is a fixed end and the other is an open end, and the two fixed ends of a pair of said tear-off sheets are fixed, and a pair of said tear-off sheets is fixed. The two open ends of the sheet are away from each other, and the second power mechanism includes a second power unit, a driving gear, a driven gear, a first action rod and a second action rod, wherein:

所述第二动力单元的动力输出端与所述主动齿轮传动连接,所述主动齿轮与所述从动齿轮分别通过主动轮轴和从动轮轴可转动地安装于两个撕膜片,两个所述撕膜片分别为第一撕膜片和第二撕膜片,所述主动齿轮与所述从动齿轮啮合,所述第一作用杆的第一端、所述第二作用杆的第一端分别固定于所述主动轮轴和所述从动轮轴,所述第一作用杆的第二端、所述第二作用杆的第二端分别向远离所述主动轮轴和所述从动轮轴的方向延伸至所述第一撕膜片的开口端和所述第二撕膜片的开口端,所述第一作用杆的第二端、所述第二作用杆的第二端分别设有向所述撕膜片延伸的第一按压部和第二按压部,所述第一撕膜片朝向所述第一按压部的位置设有供所述第一按压部沿所述第一撕膜片的长度方向滑动的第一滑动凹槽,所述第二撕膜片朝向所述第二按压部的位置设有供所述第二按压部沿所述第二撕膜片的长度方向滑动的第二滑动凹槽;The power output end of the second power unit is drivingly connected with the driving gear, and the driving gear and the driven gear are rotatably installed on two tear-off sheets through the driving wheel shaft and the driven wheel shaft respectively, and the two The tear-off sheets are respectively a first tear-off sheet and a second tear-off sheet, the driving gear meshes with the driven gear, the first end of the first action rod, the first end of the second action rod The ends are respectively fixed to the driving wheel shaft and the driven wheel shaft, the second end of the first action rod and the second end of the second action rod are respectively directed away from the driving wheel shaft and the driven wheel shaft. The direction extends to the open end of the first tear-off sheet and the open end of the second tear-off sheet, and the second end of the first action rod and the second end of the second action rod are respectively provided with direction The first pressing portion and the second pressing portion extended by the tear-off sheet, the position of the first tear-off sheet facing the first pressing portion is provided with the first pressing portion along the first tear-off sheet The first sliding groove slides in the longitudinal direction of the second film, and the position of the second tear-off sheet toward the second pressing portion is provided with a first sliding groove for the second pressing portion to slide along the length direction of the second tear-off sheet. Two sliding grooves;

所述第二动力单元的控制端与所述控制器信号连接。The control end of the second power unit is signally connected to the controller.

进一步的,还包括安装于所述撕膜片的膜夹紧力传感单元,用于检测两个所述撕膜片夹紧囊膜瓣的力,所述膜夹紧力检测单元的信号输出端与所述控制器信号连接。Further, it also includes a film clamping force sensing unit installed on the tear film sheet for detecting the force of the two tear film sheets to clamp the capsular flap, and the signal output of the film clamping force detection unit The terminal is signal-connected to the controller.

进一步的,所述撕膜装置为两个,两个所述撕膜装置在所述安装杆的转动方向上前后布置在所述安装杆上,并且每个所述撕膜装置均在一个第五动力机构的驱动下沿靠近、远离囊膜瓣的根部的方向运动,以交替夹紧被所述划膜刀刃划下的囊膜瓣的根部。Further, the number of the film tearing devices is two, and the two film tearing devices are arranged on the installation rod back and forth in the rotation direction of the installation rod, and each of the film tearing devices is in a fifth position. Driven by the power mechanism, it moves in the direction of approaching and away from the root of the capsular flap, so as to alternately clamp the root of the capsular flap scribed by the scribing blade.

进一步的,所述第五动力机构为液压驱动的伸缩支链。Further, the fifth power mechanism is a hydraulically driven telescopic branch chain.

进一步的,还包括与所述控制器信号连接的第六动力机构,在所述第六动力机构的驱动下所述刀架沿自身长度方向可往复运动地安装于所述机架。Further, it also includes a sixth power mechanism that is signally connected to the controller, and the tool holder is mounted on the frame reciprocatingly along its own length direction under the driving of the sixth power mechanism.

进一步的,所述第六动力机构为液压驱动的伸缩支链。Further, the sixth power mechanism is a hydraulically driven telescopic branch chain.

本发明实施例的有益效果为:The beneficial effects of the embodiments of the present invention are:

调节安装杆的高度、在水平方向的位置,以使得安装杆距离白内障患者的晶状体到达一合适位置,该合适位置下,高度上刺入端低于前囊膜、水平方向上到前囊膜有一适当距离,然后进一步调节安装杆在水平方向的位置,使得刺入端逐渐向刺入前囊膜,当刺入一定距离后锁定安装杆在水平面的位置;Adjust the height of the installation rod and the position in the horizontal direction so that the installation rod is at a suitable position from the lens of the cataract patient. In this suitable position, the piercing end is lower than the anterior capsule in height, and there is a distance from the anterior capsule in the horizontal direction. Appropriate distance, and then further adjust the position of the installation rod in the horizontal direction, so that the piercing end gradually pierces the anterior capsule, and lock the position of the installation rod in the horizontal plane after piercing a certain distance;

然后第一动力机构工作带动安装杆在水平面内转动,划囊膜装置和撕膜装置随安装杆同步转动,划囊膜装置在前、撕膜装置在后,侧部的划膜刀刃将前囊膜划开,在第五动力单元的驱动下一对撕膜片向下运动至囊膜瓣的根部并且在第二动力机构的驱动下夹紧该根部,随着安装杆的转动撕膜片在第八动力单元的驱动下逐渐向上提拉,从而将前囊膜撕开;Then the first power mechanism works to drive the installation rod to rotate in the horizontal plane, and the capsular film device and the tear film device rotate synchronously with the installation rod. The membrane is cut open, and a pair of tear-off sheets moves down to the root of the capsular flap under the drive of the fifth power unit and clamps the root under the drive of the second power mechanism. Driven by the eighth power unit, it is gradually pulled upwards, thereby tearing the anterior capsule;

划膜刀刃在前划开前囊膜、撕膜装置在后撕下囊膜,并且划膜刀刃的转动轨迹为严格的圆形,从而避免撕囊偏心、撕囊过小的问题,划膜、撕囊连续,避免手动作业时存在的换手操作;The scribing blade cuts the anterior capsular membrane at the front, the membrane tearing device tears off the capsular membrane at the back, and the rotation trajectory of the scribing blade is strictly circular, so as to avoid the problems of eccentric capsulorhexis and too small capsulorhexis. Capsulorhexis is continuous, avoiding the hand-over operation in manual operation;

同时免除了手动撕囊偏心或撕囊过小时使用囊膜剪再次剪开豁口时的角度限制;At the same time, the angle limitation of manual capsulorhexis eccentricity or when capsulorhexis is too small to use capsular scissors to cut the gap again;

撕囊效果好,为后续的超声乳化、人工晶状体植入打下良好基础,医疗效果得以保证;The capsulorhexis has a good effect, laying a good foundation for the subsequent phacoemulsification and intraocular lens implantation, and the medical effect is guaranteed;

自动化程度高,大大降低了对施行手术的大夫的经验要求、减少了对大夫的体能、精力损耗,大大缓解了大夫的过度疲劳。The high degree of automation greatly reduces the experience requirements for the doctor performing the operation, reduces the physical and energy consumption of the doctor, and greatly relieves the doctor's over-fatigue.

附图说明Description of drawings

图1为晶状体前囊膜划撕一体设备一实施例的结构示意图;1 is a schematic structural diagram of an embodiment of an integrated device for scribing and tearing the anterior lens capsule;

图2为图1中区域Z的局部放大图;Fig. 2 is a partial enlarged view of region Z in Fig. 1;

图3为划囊膜装置的主视图(其中视图方向为从刺入端的方向,亦即图2中的左侧方向);Fig. 3 is a front view of the capsulotomy device (wherein the view direction is the direction from the piercing end, that is, the left direction in Fig. 2 );

图4为撕膜装置一实施例的结构示意图;4 is a schematic structural diagram of an embodiment of the film tearing device;

图5为图4中区域Y的局部放大图;Fig. 5 is a partial enlarged view of region Y in Fig. 4;

图6为图4中区域X的局部放大图;Fig. 6 is a partial enlarged view of region X in Fig. 4;

图7为第三动力机构驱动第二臂沿第一臂滑动一实施例的结构示意图;7 is a schematic structural diagram of an embodiment of the third power mechanism driving the second arm to slide along the first arm;

图8为第四动力机构驱动安装杆在竖直方向上的高度调节一实施例的结构示意图;8 is a schematic structural diagram of an embodiment of the height adjustment of the fourth power mechanism driving the installation rod in the vertical direction;

图9为晶状体前囊膜划撕一体设备一实施例的控制框图;9 is a control block diagram of an embodiment of an integrated device for scribing and tearing the anterior lens capsule;

图10为图3的仰视图;Fig. 10 is the bottom view of Fig. 3;

图10-1为在晶状体的前囊膜刺破并形成囊膜瓣的工作原理图;Figure 10-1 shows the working principle of puncturing the anterior capsule of the lens and forming a capsular flap;

图10-2为连续环形撕囊的原理图,其中示出了囊膜瓣被部分撕下的状态;Figure 10-2 is a schematic diagram of a continuous annular capsulorhexis, which shows the state that the capsular flap is partially torn off;

图10-3为采用连续环形撕囊术理想状态下撕下的囊膜示意图;Figure 10-3 is a schematic diagram of the torn capsular membrane under ideal conditions using continuous annular capsulorhexis;

图10-4撕囊过小、撕囊偏心的示意图;Figure 10-4 Schematic diagram of too small capsulorhexis and eccentric capsulorhexis;

图10-5为补救撕囊过小、撕囊偏心二次使用截囊针或者撕囊镊的切入示意图。Figure 10-5 is a schematic diagram of the incision of the capsulorhexis that is too small and the capsulorhexis is eccentric and the capsulorhexis needle or capsulorhexis forceps are used for the second time.

图中:In the picture:

11、底座;12、立柱;121、上立柱;122、下立柱;13、摆臂;131、第一臂;132、第二臂;11, base; 12, column; 121, upper column; 122, lower column; 13, swing arm; 131, first arm; 132, second arm;

2、安装杆;2. Mounting rod;

3、划囊膜装置;31、刀架;32、刺入端;33、划膜刀刃;3. Capsule cutting device; 31. Blade holder; 32. Piercing end; 33. Cutting blade;

4、撕膜装置;41、第一撕膜片;411、第一滑动凹槽;42、第二撕膜片;43、固定端;44、开口端;4. Film tearing device; 41, first tearing film; 411, first sliding groove; 42, second tearing film; 43, fixed end; 44, open end;

51、第一动力机构;511、伺服电机;512、主动齿轮;513、从动齿轮;52、第二动力机构;521、第二动力单元;522、主动齿轮;523、从动齿轮;524、第一作用杆;5241、第一按压部;525、第二作用杆;526、主动轮轴;527、从动轮轴;53、第三动力机构;531、伺服电机;532、联轴器;533、丝杠;534、螺母;54、第四动力机构;541、伺服电机;542、丝杠;543、螺母;55、第五动力机构;56、第六动力机构;57、膜夹紧力传感单元;51, first power mechanism; 511, servo motor; 512, driving gear; 513, driven gear; 52, second power mechanism; 521, second power unit; 522, driving gear; 523, driven gear; 524, The first action lever; 5241, the first pressing part; 525, the second action lever; 526, the driving axle; 527, the driven axle; 53, the third power mechanism; 531, the servo motor; 532, the coupling; 533, Lead screw; 534, nut; 54, fourth power mechanism; 541, servo motor; 542, lead screw; 543, nut; 55, fifth power mechanism; 56, sixth power mechanism; 57, film clamping force sensing unit;

6、晶状体的前囊膜;61、囊膜瓣。6. Anterior capsule of the lens; 61. Capsular flap.

具体实施方式Detailed ways

下面参照附图来描述本发明的优选实施方式。本领域技术人员应当理解的是,这些实施方式仅仅用于解释本发明的技术原理,并非旨在限制本发明的保护范围。Preferred embodiments of the present invention are described below with reference to the accompanying drawings. It should be understood by those skilled in the art that these embodiments are only used to explain the technical principle of the present invention, and are not intended to limit the protection scope of the present invention.

参见图1至图10,本发明实施例公开了一种晶状体前囊膜划撕一体设备,其包括:Referring to FIG. 1 to FIG. 10 , an embodiment of the present invention discloses an integrated device for scribing and tearing an anterior lens capsule, which includes:

机架;frame;

安装杆2,所述安装杆的高度、在水平面的位置均可调节地安装于所述机架,以分别调节所述安装杆相对于晶状体的前囊膜6在竖直方向、水平面内的位置,所述安装杆在第一动力机构51的驱动下在水平面内可转动地安装于所述机架;Mounting rod 2, the height of the mounting rod and the position in the horizontal plane can be adjusted to be installed on the frame, so as to adjust the position of the mounting rod relative to the anterior capsule 6 of the lens in the vertical direction and in the horizontal plane, respectively , the installation rod is rotatably installed on the frame in the horizontal plane under the driving of the first power mechanism 51;

划囊膜装置3,所述划囊膜装置安装于所述安装杆,所述第一动力机构安装于所述安装杆,所述划囊膜装置包括刀架31,所述刀架安装于所述安装杆,所述刀架朝向所述划囊膜装置的转动轴线的端部形成有用于刺破晶状体的前囊膜的刺入端32(刺破后的状态参见图10-1),所述刀架朝向所述划囊膜装置的转动方向的侧面形成有所述刺入端刺入后从侧面划破晶状体的前囊膜的划膜刀刃33(划开后的状态参见图10-2);The capsulation filming device 3 is installed on the installation rod, the first power mechanism is installed on the installation rod, and the capsule filming device includes a knife holder 31, and the knife holder is installed on the installation rod. The installation rod, the end of the knife holder facing the rotation axis of the capsular membrane device is formed with a piercing end 32 for piercing the anterior capsule of the lens (see Fig. 10-1 for the state after piercing), so The side of the knife holder facing the rotation direction of the capsular film device is formed with a film cutting blade 33 that cuts the anterior capsule of the lens from the side after the piercing end is pierced (see Fig. 10-2 for the state after cutting. );

撕膜装置4,在第五动力机构55的驱动下所述撕膜装置在竖直方向的位置可调节地安装于所述安装杆,所述撕膜装置与所述划囊膜装置紧邻并且位于所述划囊膜装置的后方(该二者之间的夹角在5°至30°之间,太小的话前囊膜还没有被完全划破撕膜装置就开始作用,造成撕囊偏心、撕囊过小;太大了划破的前囊膜不能被及时拉起来造成堆积,不利于继续划膜),所述撕膜装置包括一对在第二动力机构52的驱动下可彼此收拢或展开的撕膜片,所述第二动力机构安装于所述安装杆;以及The film tearing device 4, driven by the fifth power mechanism 55, is installed on the mounting rod in a position that can be adjusted in the vertical direction, the film tearing device is adjacent to the capsular film device and is located at the The rear of the capsulorhexis device (the included angle between the two is between 5° and 30°, if it is too small, the anterior capsular membrane will not be completely cut and the tearing device will begin to function, resulting in eccentric capsulorhexis, The capsulorhexis is too small; the anterior capsular membrane that is too large to be cut cannot be pulled up in time to cause accumulation, which is not conducive to continuous cutting), the tearing membrane device includes a pair of which can be folded or an unfolded tear-off sheet, the second power mechanism is mounted on the mounting rod; and

控制器,所述控制器与所述第一动力机构的控制端、所述第二动力机构的控制端均信号连接。The controller is connected with the control terminal of the first power mechanism and the control terminal of the second power mechanism in signal connection.

调节安装杆的高度、在水平方向的位置,以使得安装杆距离白内障患者的晶状体到达一合适位置,该合适位置下,高度上刺入端低于前囊膜、水平方向上到前囊膜有一适当距离,然后进一步调节安装杆在水平方向的位置,使得刺入端逐渐向刺入前囊膜,当刺入一定距离后锁定安装杆在水平面的位置。然后第一动力机构工作带动安装杆在水平面内转动,划囊膜装置和撕膜装置随安装杆同步转动,划囊膜装置在前、撕膜装置在后,侧部的划膜刀刃将前囊膜划开,在第五动力单元的驱动下一对撕膜片向下运动至囊膜瓣61(前囊膜被刺破拉起后向上翻折的部分)的根部并且在第二动力机构的驱动下夹紧该根部,随着安装杆的转动撕膜片在第五动力单元的驱动下逐渐向上提拉,从而将前囊膜撕开。Adjust the height of the installation rod and the position in the horizontal direction so that the installation rod is at a suitable position from the lens of the cataract patient. In this suitable position, the piercing end is lower than the anterior capsule in height, and there is a distance from the anterior capsule in the horizontal direction. Appropriate distance, and then further adjust the position of the installation rod in the horizontal direction, so that the piercing end gradually penetrates the anterior capsule, and locks the position of the installation rod in the horizontal plane after piercing a certain distance. Then the first power mechanism works to drive the installation rod to rotate in the horizontal plane, and the capsular film device and the tear film device rotate synchronously with the installation rod. The membrane is cut open, and driven by the fifth power unit, a pair of tearing membranes moves down to the root of the capsular flap 61 (the part where the anterior capsular membrane is punctured and pulled up and then folded upwards) and at the bottom of the second power mechanism. The root is clamped under driving, and the tearing film is gradually pulled upwards under the driving of the fifth power unit with the rotation of the installation rod, thereby tearing the anterior capsule.

划膜刀刃在前划开前囊膜、撕膜装置在后撕下囊膜,并且划膜刀刃的转动轨迹为严格的圆形,从而避免撕囊偏心、撕囊过小(参见图10-4的撕囊效果)的问题,划膜、撕囊连续(参见图10-3的撕囊效果),避免手动作业时存在的换手操作。The scribing blade cuts the anterior capsular membrane in the front, and the tearing device tears off the capsular membrane at the back, and the rotation trajectory of the scribing blade is strictly circular, so as to avoid eccentric capsulorhexis and too small capsulorhexis (see Figure 10-4). Capsulorhexis effect), the membrane and the capsulorhexis are continuous (refer to the capsulorhexis effect in Figure 10-3) to avoid the hand-changing operation that exists during manual operation.

同时免除了手动撕囊偏心或撕囊过小时使用囊膜剪再次剪开豁口时的角度限制;撕囊效果好,为后续的超声乳化、人工晶状体植入打下良好基础,医疗效果得以保证。At the same time, the angle limitation of manual capsulorhexis eccentricity or when the capsulorhexis is too small to cut the gap again with capsular scissors is eliminated; the capsulorhexis has a good effect, laying a good foundation for the subsequent phacoemulsification and intraocular lens implantation, and the medical effect is guaranteed.

初学者或者操作失误时,撕囊偏心需要重新使用囊膜剪进行剪口时,对囊膜剪的切入角度有要求(囊膜剪的切入角度与剪口相切,参见图10-5中的箭头A和B的方向),如果切入角度不合适(如图10-5中的箭头C的方向切入,则剪口为箭头D所示方向,明显与A、B方向均不重合),无法剪口,采用本发明由于划囊、撕囊过程连续,不会中断,避免了该现象的发生。For beginners or mistakes in operation, when the capsulorhexis is eccentric and the capsular scissors need to be used again for incision, the incision angle of the capsular scissors is required (the incision angle of the capsular scissors is tangent to the incision, see Figure 10-5). direction of arrows A and B), if the cutting angle is not suitable (cutting in the direction of arrow C in Figure 10-5, the notch is in the direction shown by arrow D, which obviously does not coincide with the directions of A and B), it cannot be cut. When the invention is adopted, the process of capsulotomy and capsulorhexis is continuous and will not be interrupted, thus avoiding the occurrence of this phenomenon.

大大降低了对施行手术的大夫的经验要求、减少了对大夫的体能、精力损耗,大大缓解了大夫的过度疲劳。It greatly reduces the experience requirements for the doctor performing the operation, reduces the physical and energy consumption of the doctor, and greatly relieves the doctor's over-fatigue.

需要说明的是,安装杆的高度、在水平面内的位置调节均可采用手动方式、也可采用动力驱动的方式进行,无论是手动方式还是动力驱动的方式,其实传动方式都类似。例如,针对高度调节,安装杆通过竖直设置的滑台安装在机架上,当滑动到上述的合适位置后采用锁紧螺栓等锁紧件锁紧安装杆的高度,手动与动力驱动的区别仅在于滑动的动力来源不同;水平位置调节的一种方式为,安装杆通过轴承在水平面内可转动地安装于机架。It should be noted that the height of the installation rod and the position adjustment in the horizontal plane can be adjusted manually or by power drive. Whether it is manual or power drive, the transmission methods are similar. For example, for height adjustment, the installation rod is installed on the frame through a vertically arranged sliding table. After sliding to the above-mentioned suitable position, the height of the installation rod is locked with locking parts such as locking bolts. The difference between manual and power drive The only difference is the power source of the sliding; one way of adjusting the horizontal position is that the mounting rod is rotatably mounted on the frame in the horizontal plane through the bearing.

本领域技术人员可知的是,上述的划膜刀刃的锋利程度应当足以划破前囊膜,为了保证其锋利程度、耐磨性能,可选用陶瓷等材料。同样为本领域技术人员所知的是,刺入端的宽度不宜过大,过大后可能会影响刺入效果、增大刺入操作难度。It is known to those skilled in the art that the sharpness of the above-mentioned scribing blade should be sufficient to pierce the anterior capsule. In order to ensure its sharpness and wear resistance, materials such as ceramics can be selected. It is also known to those skilled in the art that the width of the piercing end should not be too large, which may affect the piercing effect and increase the difficulty of the piercing operation.

进一步需要说明的是,第一动力机构的一种具体形式为:伺服电机、减速器相传动连接。本领域技术人员可知的是,还可采用其他的驱动、传动方式,不再一一列举。It should be further noted that, a specific form of the first power mechanism is: the servo motor and the reducer are connected in a driving manner. Those skilled in the art know that other driving and transmission modes can also be used, which will not be listed one by one.

上述的安装杆的高度、在水平面内的位置调节的一种方式为:机架包括底座11、立柱12和摆臂13,其中:One way to adjust the height of the above-mentioned installation rod and its position in the horizontal plane is: the frame includes a base 11, a column 12 and a swing arm 13, wherein:

立柱竖直设置,立柱的下端固定于底座,摆臂在第一动力机构的驱动下在水平面内可转动地安装于立柱的上端,第一动力机构的控制端与控制器信号连接;The vertical column is arranged vertically, the lower end of the vertical column is fixed on the base, the swing arm is rotatably installed on the upper end of the vertical column in the horizontal plane under the driving of the first power mechanism, and the control end of the first power mechanism is signal-connected with the controller;

安装杆安装在摆臂远离立柱的端部。The mounting rod is mounted on the end of the swing arm away from the column.

摆臂包括第一臂131、第二臂132和第三动力机构53,其中:The swing arm includes a first arm 131, a second arm 132 and a third power mechanism 53, wherein:

第三动力机构安装在第一臂与第二臂之间,以驱动第二臂相对第一臂在水平方向滑动;The third power mechanism is installed between the first arm and the second arm to drive the second arm to slide relative to the first arm in the horizontal direction;

第一臂固定于所述立柱的上端,安装杆安装于第二臂背离所述第一臂的端部;The first arm is fixed on the upper end of the upright column, and the installation rod is installed on the end of the second arm away from the first arm;

第三动力机构与控制器信号连接。第三动力机构可为各种直线传动副,如直线滑台、滚珠丝杠、气缸、液压缸等。The third power mechanism is signally connected to the controller. The third power mechanism can be various linear transmission pairs, such as linear slide table, ball screw, air cylinder, hydraulic cylinder, etc.

需要说明的是,晶状体前囊膜划撕一体设备又一实施例还可包括与控制器信号连接的第四动力机构54,在第四动力机构的驱动下安装杆在竖直方向上可滑动地安装于机架。从而自动调节安装杆的高度,当然,安装杆的高度数据还可存储在控制器的存储单元内,从而使得安装杆的高度调节具备记忆功能。It should be noted that another embodiment of the integrated device for scribing and tearing the anterior lens capsule may further include a fourth power mechanism 54 that is signally connected to the controller, and the mounting rod is slidably slidable in the vertical direction under the driving of the fourth power mechanism. Rack mounted. Therefore, the height of the installation rod is automatically adjusted. Of course, the height data of the installation rod can also be stored in the storage unit of the controller, so that the height adjustment of the installation rod has a memory function.

另外,参见图5和图6,一对撕膜片的两相对端部中的一者为固定端43、另一者为开口端44,一对撕膜片的两个固定端固定、一对撕膜片的两个开口端彼此远离,第二动力机构包括第二动力单元521(第二动力单元可选用伺服电机)、主动齿轮522、从动齿轮523、第一作用杆524和第二作用杆525,其中:In addition, referring to FIGS. 5 and 6 , one of the two opposite ends of the pair of tear-off sheets is the fixed end 43 and the other is the open end 44 , the two fixed ends of the pair of tear-off sheets are fixed, and the pair The two open ends of the tear film are far away from each other, and the second power mechanism includes a second power unit 521 (a servo motor can be selected for the second power unit), a driving gear 522, a driven gear 523, a first action rod 524 and a second action Rod 525, where:

第二动力单元的动力输出端与主动齿轮传动连接,主动齿轮与从动齿轮分别通过主动轮轴和从动轮轴可转动地安装于两个撕膜片,两个撕膜片分别为第一撕膜片41和第二撕膜片42,主动齿轮与从动齿轮啮合,第一作用杆的第一端、第二作用杆的第一端分别固定于主动轮轴526(主动轮轴与主动齿轮同轴固定连接)和从动轮轴527(从动齿轮与从动轮轴同轴固定连接),第一作用杆的第二端、第二作用杆的第二端分别向远离主动轮轴和从动轮轴的方向延伸至第一撕膜片的开口端和第二撕膜片的开口端,第一作用杆的第二端、第二作用杆的第二端分别设有向撕膜片延伸的第一按压部5241和第二按压部,第一撕膜片朝向第一按压部的位置设有供第一按压部沿第一撕膜片的长度方向滑动的第一滑动凹槽411,第二撕膜片朝向第二按压部的位置设有供第二按压部沿第二撕膜片的长度方向滑动的第二滑动凹槽;The power output end of the second power unit is connected with the driving gear, the driving gear and the driven gear are rotatably installed on two tear-off sheets respectively through the driving wheel shaft and the driven wheel shaft, and the two tear-off sheets are the first tear-off film respectively. Sheet 41 and the second tear-off sheet 42, the driving gear meshes with the driven gear, the first end of the first action rod and the first end of the second action rod are respectively fixed to the driving wheel shaft 526 (the driving wheel shaft and the driving gear are coaxially fixed. connection) and the driven wheel shaft 527 (the driven gear is coaxially and fixedly connected to the driven wheel shaft), the second end of the first action rod and the second end of the second action rod extend away from the driving wheel shaft and the driven wheel shaft respectively. To the open end of the first tear film sheet and the open end of the second tear film sheet, the second end of the first action rod and the second end of the second action rod are respectively provided with a first pressing portion 5241 extending toward the tear film sheet and the second pressing portion, the position of the first tear-off sheet facing the first pressing portion is provided with a first sliding groove 411 for the first pressing portion to slide along the length direction of the first tear-off sheet, and the second tear-off sheet is facing the first pressing portion. The position of the two pressing parts is provided with a second sliding groove for the second pressing part to slide along the length direction of the second tear-off sheet;

第二动力单元的控制端与控制器信号连接。第一撕膜片与第二撕膜片夹紧囊膜瓣时,第一按压部、第二按压部分别沿第一滑动凹槽、第二滑动凹槽滑动,使得第一作用杆、第二作用杆始终保持足够的压力,同时由于第一撕膜片、第二撕膜片通常由薄钢板制成(以适宜眼部狭小空间作业)该第一作用杆、第二作用杆提高了撕膜装置整体的刚度,尤其是避免了第一撕膜片和第二撕膜片夹紧过程时横向翻转,保证了囊膜瓣的夹紧力。The control end of the second power unit is signally connected to the controller. When the first tear film and the second tear film clamp the capsular flap, the first pressing part and the second pressing part slide along the first sliding groove and the second sliding groove respectively, so that the first action rod and the second The action rod always maintains sufficient pressure, and at the same time, because the first tear film and the second tear film are usually made of thin steel plates (to work in a narrow space for the eyes), the first action rod and the second action rod improve the tear film. The rigidity of the device as a whole, in particular, avoids lateral inversion during the clamping process of the first tear film and the second tear film, and ensures the clamping force of the capsular flap.

晶状体前囊膜划撕一体设备又一实施例还可包括安装于撕膜片的膜夹紧力传感单元(如应变片式力传感器),用于检测两个撕膜片夹紧囊膜瓣的力,膜夹紧力检测单元的信号输出端与控制器信号连接。检测并自动调节囊膜瓣的夹紧力,从而避免夹紧力过大造成的夹坏囊膜瓣、夹紧力过小造成没有将囊膜瓣夹起来。从而保证能够将囊膜瓣稳定、持续夹起来。Another embodiment of the integrated device for scoring and tearing the anterior lens capsule may further include a membrane clamping force sensing unit (such as a strain gauge force sensor) installed on the tearing membrane, for detecting that the two tearing membranes clamp the capsular flap The signal output end of the film clamping force detection unit is connected with the signal of the controller. The clamping force of the capsular flap is detected and automatically adjusted, so as to prevent the capsular flap from being clamped due to excessive clamping force, and the capsular flap is not clamped due to too small clamping force. This ensures that the capsular flap can be clamped stably and continuously.

撕膜装置为两个,两个撕膜装置在安装杆的转动方向上前后布置在安装杆上,并且每个撕膜装置均在一个第五动力机构的驱动下沿靠近、远离囊膜瓣的根部的方向运动,以交替夹紧被划膜刀刃划下的囊膜瓣的根部。两个撕膜装置能够交替夹紧囊膜瓣的根部,进一步保证了囊膜瓣能够被稳定、持续夹起来;同时,从根部夹紧,进一步保证了撕下来的囊膜瓣为圆形,避免发生撕囊偏心、撕囊过小。There are two film tearing devices, the two tearing film devices are arranged on the installation rod forward and backward in the rotation direction of the installation rod, and each film tearing device is driven by a fifth power mechanism along the direction of the capsular flap close to and away from the capsular flap. Movement in the direction of the root to alternately clamp the root of the capsular flap scribed by the scribing blade. The two membrane tearing devices can alternately clamp the root of the capsular flap, which further ensures that the capsular flap can be clamped stably and continuously; Capsulorhexis eccentricity occurs, capsulorhexis is too small.

另外,第五动力机构为液压驱动的伸缩支链。In addition, the fifth power mechanism is a hydraulically driven telescopic branch chain.

晶状体前囊膜划撕一体设备又一实施例还可包括与控制器信号连接的第六动力机构56,在第六动力机构的驱动下刀架沿自身长度方向可往复运动地安装于机架。Another embodiment of the integrated device for scribing and tearing of anterior lens capsule may further include a sixth power mechanism 56 signally connected to the controller, and the tool holder is mounted on the frame reciprocatingly along its own length direction under the driving of the sixth power mechanism.

第六动力机构为液压驱动的伸缩支链。The sixth power mechanism is a hydraulically driven telescopic branch chain.

需要说明的是,上述的各动力机构的一种选型如下:It should be noted that a selection of the above-mentioned power mechanisms is as follows:

第一动力机构:参见图2,安装杆第一动力机构包括伺服电机511,伺服电机的外壳固定于第二臂的自由端,伺服电机驱动可转动地安装于第二臂的主动齿轮512转动,主动齿轮与从动齿轮513啮合,从动齿轮、安装杆的转动轴、安装杆同轴固定,从而安装杆转动。First power mechanism: Referring to FIG. 2, the first power mechanism of the mounting rod includes a servo motor 511, the outer casing of the servo motor is fixed on the free end of the second arm, and the servo motor drives the driving gear 512 rotatably mounted on the second arm to rotate, The driving gear meshes with the driven gear 513, and the driven gear, the rotating shaft of the installation rod, and the installation rod are coaxially fixed, so that the installation rod rotates.

第二动力机构:如上所述。Second Power Mechanism: As described above.

第三动力机构:参见图7,立柱包括能够彼此滑动的上立柱121和下立柱122,第一臂通过轴承可转动地安装于上立柱的上端,第一臂上通过安装座固定有伺服电机531,伺服电机通过联轴器532连接有丝杠533,丝杠的末端配合有螺母534,螺母与第二臂固定连接,伺服电机工作驱动丝杠转动,从而螺母带动第二臂沿丝杠的轴向往复运动。The third power mechanism: referring to FIG. 7 , the column includes an upper column 121 and a lower column 122 that can slide with each other, the first arm is rotatably mounted on the upper end of the upper column through a bearing, and a servo motor 531 is fixed on the first arm through a mounting seat , the servo motor is connected with a lead screw 533 through a coupling 532, the end of the lead screw is matched with a nut 534, the nut is fixedly connected with the second arm, the servo motor works to drive the lead screw to rotate, so that the nut drives the second arm along the axis of the lead screw Towards reciprocating movement.

第四动力机构:参见图8,上立柱和下立柱之间通过伺服电机541驱动的滚珠丝杠来实现往复运动,亦即,伺服电机驱动丝杠542转动,与丝杠配合并固定于上立柱的螺母543轴向运动,从而带动上立柱在竖直方向上往复运动。Fourth power mechanism: Referring to FIG. 8, the reciprocating motion is realized between the upper column and the lower column through the ball screw driven by the servo motor 541, that is, the servo motor drives the lead screw 542 to rotate, cooperates with the lead screw and is fixed on the upper column The nut 543 moves axially, thereby driving the upper column to reciprocate in the vertical direction.

第五动力机构55和第六动力机构56:均采用液压驱动的伸缩支链,参见图2,由于第五动力机构驱动的是撕膜装置整体沿竖直方向的运动,第六动力机构驱动的是滑囊膜装置的刺入前囊膜和从前囊膜撤离,因此,对该动力机构的精度要求高,采用液压驱动的伸缩支链满足了高精度要求。由于液压驱动的伸缩支链为产业化应用的成熟技术,故不再就其结构进行细节性展开。The fifth power mechanism 55 and the sixth power mechanism 56: both adopt hydraulically driven telescopic branch chains, see FIG. 2, because the fifth power mechanism drives the movement of the film tearing device as a whole in the vertical direction, and the sixth power mechanism drives It is the bursa membrane device that penetrates into the anterior capsule and evacuates from the anterior capsule. Therefore, the precision of the power mechanism is high, and the hydraulically driven telescopic branch meets the high precision requirements. Since the hydraulically driven telescopic branch chain is a mature technology for industrial application, it will not be detailed on its structure.

另外,本发明实施例通过控制器对各动力机构的运动参数进行控制,参见图9,便于自动化进行。In addition, in the embodiment of the present invention, the motion parameters of each power mechanism are controlled by the controller, as shown in FIG. 9 , which is convenient for automation.

需要说明的是,在本发明的描述中,术语“中心”、“上”、“下”、“左”、“右”、“竖直”、“水平”、“内”、“外”等指示方向或位置关系的术语是基于附图所示的方向或位置关系,这仅仅是为了便于描述,而不是指示或暗示所述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发明的限制。此外,术语“第一”、“第二”、“第三”仅用于描述目的,而不能理解为指示或暗示相对重要性。It should be noted that in the description of the present invention, the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc. Terms indicating a direction or positional relationship are based on the direction or positional relationship shown in the drawings, which are only for convenience of description, and do not indicate or imply that the device or element must have a particular orientation, be constructed and operate in a particular orientation, Therefore, it should not be construed as a limitation of the present invention. Furthermore, the terms "first", "second", and "third" are used for descriptive purposes only and should not be construed to indicate or imply relative importance.

此外,还需要说明的是,在本发明的描述中,除非另有明确的规定和限定,术语“安装”、“相连”、“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;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通。对于本领域技术人员而言,可根据具体情况理解上述术语在本发明中的具体含义。In addition, it should also be noted that, in the description of the present invention, unless otherwise expressly specified and limited, the terms "installed", "connected" and "connected" should be understood in a broad sense, for example, it may be a fixed connection or a It is a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection; it can be directly connected, or indirectly connected through an intermediate medium, or it can be the internal communication between two components. For those skilled in the art, the specific meanings of the above terms in the present invention can be understood according to specific situations.

术语“包括”或者任何其它类似用语旨在涵盖非排他性的包含,从而使得包括一系列要素的过程、物品或者设备/装置不仅包括那些要素,而且还包括没有明确列出的其它要素,或者还包括这些过程、物品或者设备/装置所固有的要素。The term "comprising" or any other similar term is intended to encompass a non-exclusive inclusion such that a process, article, or device/means comprising a list of elements includes not only those elements, but also other elements not expressly listed, or also includes Elements inherent to these processes, items or equipment/devices.

至此,已经结合附图所示的优选实施方式描述了本发明的技术方案,但是,本领域技术人员容易理解的是,本发明的保护范围显然不局限于这些具体实施方式。在不偏离本发明的原理的前提下,本领域技术人员可以对相关技术特征作出等同的更改或替换,这些更改或替换之后的技术方案都将落入本发明的保护范围之内。So far, the technical solutions of the present invention have been described with reference to the preferred embodiments shown in the accompanying drawings, however, those skilled in the art can easily understand that the protection scope of the present invention is obviously not limited to these specific embodiments. Without departing from the principle of the present invention, those skilled in the art can make equivalent changes or substitutions to the relevant technical features, and the technical solutions after these changes or substitutions will fall within the protection scope of the present invention.

Claims (10)

1. A lens anterior capsule is drawn and is torn integrative equipment which characterized in that includes:
a frame;
the height and the position of the horizontal plane of the mounting rod are both adjustably mounted on the rack so as to respectively adjust the positions of the mounting rod in the vertical direction and the horizontal plane relative to the anterior capsule of the crystalline lens, and the mounting rod is rotationally mounted on the rack in the horizontal plane under the driving of a first power mechanism;
the capsulotomy device is mounted on the mounting rod, the first power mechanism is mounted on the mounting rod, the capsulotomy device comprises a knife rest which is mounted on the mounting rod, a puncturing end used for puncturing the anterior capsule of the crystalline lens is formed at the end part, facing the rotation axis of the capsulotomy device, of the knife rest, and a capsulotomy blade used for puncturing the anterior capsule of the crystalline lens from the side surface after the puncturing end is punctured is formed at the side surface, facing the rotation direction of the capsulotomy device, of the knife rest;
the film tearing device is driven by a fifth power mechanism to be adjustably mounted on the mounting rod in the vertical direction, is adjacent to the capsule cutting device and is positioned behind the capsule cutting device, the film tearing device comprises a pair of film tearing sheets which can be folded or unfolded mutually under the drive of a second power mechanism, and the second power mechanism is mounted on the mounting rod; and
and the controller is in signal connection with both the control end of the first power mechanism and the control end of the second power mechanism.
2. The anterior lens capsule tear body apparatus of claim 1, wherein the frame comprises a base, a post, and a swing arm, wherein:
the upright post is vertically arranged, the lower end of the upright post is fixed on the base, and the swing arm is driven by the first power mechanism to be rotatably arranged at the upper end of the upright post in a horizontal plane;
the mounting rod is mounted at the end part of the swing arm far away from the upright post.
3. The anterior lens capsule tear body apparatus of claim 2, wherein the swing arm comprises a first arm, a second arm, and a third powered mechanism, wherein:
the third power mechanism is arranged between the first arm and the second arm so as to drive the second arm to slide in the horizontal direction relative to the first arm;
the first arm is fixed at the upper end of the upright post, and the mounting rod is mounted at the end part of the second arm, which is far away from the first arm;
and the third power mechanism is in signal connection with the controller.
4. The anterior lens capsule tearing integrated device according to claim 3, further comprising a fourth power mechanism in signal connection with the controller, wherein the mounting rod is slidably mounted to the frame in a vertical direction under the driving of the fourth power mechanism.
5. The anterior lens capsule tearing integrated device according to claim 4, wherein one of the opposite ends of the pair of tearing films is a fixed end, the other one is an open end, the two fixed ends of the pair of tearing films are fixed, the two open ends of the pair of tearing films are far away from each other, the second power mechanism comprises a second power unit, a driving gear, a driven gear, a first action rod and a second action rod, wherein:
the power output end of the second power unit is in transmission connection with the driving gear, the driving gear and the driven gear are rotatably mounted on two tear films through a driving wheel shaft and a driven wheel shaft respectively, the two tear films are a first tear film and a second tear film respectively, the driving gear is meshed with the driven gear, the first end of the first action rod and the first end of the second action rod are fixed on the driving wheel shaft and the driven wheel shaft respectively, the second end of the first action rod and the second end of the second action rod extend to the opening end of the first tear film and the opening end of the second tear film in the direction away from the driving wheel shaft and the driven wheel shaft respectively, and the second end of the first action rod and the second end of the second action rod are provided with a first pressing part and a second pressing part which extend to the tear films respectively, a first sliding groove for enabling the first pressing part to slide along the length direction of the first tearing film is formed in the position, facing the first pressing part, of the first tearing film, and a second sliding groove for enabling the second pressing part to slide along the length direction of the second tearing film is formed in the position, facing the second pressing part, of the second tearing film;
and the control end of the second power unit is in signal connection with the controller.
6. The anterior lens capsule tearing integrated device according to claim 5, further comprising a membrane clamping force sensing unit mounted on the tearing membrane for detecting the force of the two tearing membrane clamping the capsular flap, wherein a signal output end of the membrane clamping force sensing unit is in signal connection with the controller.
7. The anterior lens capsule tearing integrated device according to any one of claims 1 to 6, wherein the number of the tearing devices is two, the two tearing devices are arranged on the mounting rod in a front-back manner in the rotation direction of the mounting rod, and each tearing device is driven by a fifth power mechanism to move in a direction close to and away from the root of the capsular flap so as to alternately clamp the root of the capsular flap scratched by the scratching blade.
8. The anterior lens capsule tear integrity device of claim 7 wherein said fifth powered mechanism is a hydraulically driven telescoping branch.
9. The anterior lens capsule tearing integrated device according to claim 8, further comprising a sixth power mechanism in signal connection with the controller, wherein the knife holder is mounted on the frame in a reciprocating manner along the length direction of the knife holder under the driving of the sixth power mechanism.
10. The anterior lens capsule tear integrity device of claim 9 wherein said sixth powered mechanism is a hydraulically driven telescoping branch.
CN202010712048.0A 2020-07-22 2020-07-22 Anterior lens capsule scratching and tearing integrated equipment Active CN111728768B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010712048.0A CN111728768B (en) 2020-07-22 2020-07-22 Anterior lens capsule scratching and tearing integrated equipment

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202010712048.0A CN111728768B (en) 2020-07-22 2020-07-22 Anterior lens capsule scratching and tearing integrated equipment

Publications (2)

Publication Number Publication Date
CN111728768A CN111728768A (en) 2020-10-02
CN111728768B true CN111728768B (en) 2022-06-03

Family

ID=72657272

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202010712048.0A Active CN111728768B (en) 2020-07-22 2020-07-22 Anterior lens capsule scratching and tearing integrated equipment

Country Status (1)

Country Link
CN (1) CN111728768B (en)

Family Cites Families (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4708138A (en) * 1983-10-27 1987-11-24 Pazandak Bradford B Rotating surgical cutting knife
US5522829A (en) * 1992-04-16 1996-06-04 Arthur D. Little Enterprises, Inc. Surgical cutting instrument
US5261923A (en) * 1992-04-23 1993-11-16 Soares Christopher J Method and apparatus for continuous circular capsulorehexis
US5342377A (en) * 1992-12-18 1994-08-30 Lazerson Howard E Rotating blade capsulotomy instrument and method of performing a capsulotomy
US6165190A (en) * 1999-06-01 2000-12-26 Nguyen; Nhan Capsulectomy device and method therefore
US8142459B2 (en) * 2009-07-28 2012-03-27 Eye Care And Cure Pte. Ltd Anterior capsulotomy device and procedure
JP2011130796A (en) * 2009-12-22 2011-07-07 Inami Co Ltd Surgical instrument
JP2015100370A (en) * 2013-11-21 2015-06-04 大樹 高橋 Incision tool for anterior capsule of crystalline lens
CN203790132U (en) * 2014-04-08 2014-08-27 江苏省苏北人民医院 Full-automatic crystalline lens anterior capsule tearing-off device
US20180271704A1 (en) * 2015-05-03 2018-09-27 Mor Research Applications Ltd. Ophthalmic surgical device for cutting a circular incision
CN207084900U (en) * 2016-11-10 2018-03-13 冯桂强 A kind of cataract cuts out capsule device
CN207666761U (en) * 2017-05-18 2018-07-31 复旦大学附属中山医院 A kind of disposable capsulorhexis discission needle head of mark with a scale
CN108578060B (en) * 2018-04-25 2020-06-12 沈阳爱尔眼视光医院(有限公司) An integrated capsulotomy capsulorhexis device for cataract surgery
CN108567525A (en) * 2018-05-17 2018-09-25 马飞 Tweezers for eye surgery
CN208876974U (en) * 2018-06-26 2019-05-21 东莞东华医院有限公司 A kind of needle tweezer dual-purpose miniature capsulorhexis device

Also Published As

Publication number Publication date
CN111728768A (en) 2020-10-02

Similar Documents

Publication Publication Date Title
US6165190A (en) Capsulectomy device and method therefore
EP0956840B1 (en) Corneal surgical apparatus
JP6460990B2 (en) Vibratory surgical instrument for removal of the vitreous and other tissues
AU2012358937B2 (en) Patient interface with variable applanation
EP3833311B1 (en) High speed corneal lenticular incision using a femtosecond laser
EP0956841B1 (en) Corneal surgical apparatus
EP2693999A1 (en) System and method for performing lens fragmentation
CN111728768B (en) Anterior lens capsule scratching and tearing integrated equipment
Charles Fluidics and cutter dynamics
CN105147041B (en) Pineapple sarcocarp follicarpium eye synchronization removal device
WO2014039093A1 (en) System for performing micro-static tissue removal
EP4473951A2 (en) Improved methods for lenticular laser incision
EP3478232A1 (en) Lenticular laser incision for low myopia and/or hyperopia patients
CN103961212A (en) Sclera positioning marker
US20060206126A1 (en) Blade for use in corneal surgery and corneal surgical apparatus having the same
CN105640698A (en) Femtosecond laser cataract emulsification instrument
JP3977069B2 (en) Corneal surgery device and blade for corneal surgery
CN209450766U (en) a vitreous cutter
CN201216683Y (en) Eyeball cornea/sclerotica puncture knife
Wang et al. Phacoemulsification: principles and techniques
CN108969187B (en) Corneal Ultrasound Microcircumcision System
CN204033587U (en) Sclera telltale mark device
JP4021091B2 (en) Cornea surgery device
CN104605975A (en) Discission needle and operation method thereof
Davison Two-speed phacoemulsification for soft cataracts using optimized parameters and procedure step toolbar with the CENTURION Vision System and Balanced Tip

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant