CN101199440B - Lacrimal duct drainage equipment and lacrimal duct bougie therewith - Google Patents
Lacrimal duct drainage equipment and lacrimal duct bougie therewith Download PDFInfo
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- CN101199440B CN101199440B CN2006101194438A CN200610119443A CN101199440B CN 101199440 B CN101199440 B CN 101199440B CN 2006101194438 A CN2006101194438 A CN 2006101194438A CN 200610119443 A CN200610119443 A CN 200610119443A CN 101199440 B CN101199440 B CN 101199440B
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- lacrimal passage
- probing
- bougie
- lacrimal
- passage device
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Abstract
The invention relates to a lacrimal passage conduction device and a matching lacrimal passage prospecting apparatus to cure lacrimal passage block. A current tubular conduction device has the disadvantages that the operation is complicated when putting the conduction device in the lacrimal passage and it needs to probe the lacrimal passage through first and then introduce in the conduction device through a down-lead. The invention discloses a lacrimal passage conduction device and a matching lacrimal passage prospecting stick, which can solve the above problem. The lacrimal passage conduction device comprises at least one conduction part composed of at least one bendable solid strip, at least one connecting part connected with the conduction part to connect the probing end of the lacrimal passage prospecting stick and at least one detaining part connected with the other end of the conduction part to prevent the entire conduction device from sliding into the lacrimal passage. The matching lacrimal passage prospecting stick is provided with a fixing device at the position with a certain distance from the probing end of the prospecting stick to relatively fix the prospecting stick and the lacrimal passage conduction device. With the matching lacrimal passage prospecting apparatus, the lacrimal passage probing and the installation of the lacrimal passage conduction device can be done at the same time.
Description
Technical field
The present invention relates to a kind of ophthalmic medical instrument that is used for the treatment of the obstructed lacrimal passage disease, but particularly a kind of short-term or implant the probing of lacrimal passage device of lacrimal passage for a long time, and place the supporting lacrimal passage bougie of this drainage system.
Background technology
When treatment obstructed lacrimal passage disease such as chronic dacryocystitis, the most common and topmost operative treatment means are exactly to detect apparatus with lacrimal passage earlier to recover the unobstructed of lacrimal passage or reproduce lacrimal passage, insert the probing of lacrimal passage thing then, avoid causing lacrimal passage secondary stricture again because of hamartoplasia and adhesion.Existing various tube drainage devices need be inserted earlier guide wire in lacrimal passage after visiting logical lacrimal passage, import drainage system by guide wire then.Its shortcoming is a complex operation, also causes unnecessary lacrimal passage damage in loaded down with trivial details operation easily.
Summary of the invention
Aim of the present invention is to provide a kind of function that can realize the drain tear, can solve the probing of lacrimal passage device of the loaded down with trivial details problem of aforesaid operations again and place the supporting lacrimal passage bougie of this drainage system.
Referring to Fig. 1-2, this probing of lacrimal passage device, comprise the drain portion 11 that at least one flexible solid stripe structure that is adapted by sectional dimension and lacrimal passage constitutes, at least one is connected with described drain portion is used to be connected the connecting portion 12 that the lacrimal passage bougie is detected end, slips into the maintaining part 13 of lacrimal passage with at least one whole drainage system that prevents that links to each other with the described drain portion other end.Described maintaining part can be head of a nail shape structure, the umbrella-shaped structure of cross section greater than drain portion, the knot that the list structure similar to the lacrimal passage cross section of also can serving as reasons breaks into.Described connecting portion is the hollow mushroom head-like structure of capsule bag shape or band side opening, also can adopt the loop overlapping shape structure.The effect of connecting portion is to make the lacrimal passage bougie drive drainage system in lacrimal passage when the depths advances to follow up together.The lacrimal passage bougie that uses with described probing of lacrimal passage matched with devices is a kind of lacrimal passage bougie that has special construction, comprises the continuous portion of detecting 21 and grips portion 22, and an end that inserts lacrimal passage when the portion of detecting uses is called detects end.Described special construction is to be provided with and can to make bougie and the relatively-stationary fixture of described probing of lacrimal passage device apart from described position of detecting the end certain distance, its objective is that it detects to hold when making lacrimal passage bougie retraction to be unlikely to break away from the drainage system connecting portion.Drainage system and lacrimal passage bougie are advanced and retreat in lacrimal passage synchronously during the lacrimal passage exploratory operation, when lacrimal passage is detected end, discharge fixture, extract bougie out, and drainage system is retained in the lacrimal passage.Like this, lacrimal passage is detected with probing of lacrimal passage device placement operation and is finished simultaneously.Why adopt flexible solid stripe structure to be because in the normal anatomical structure of the mankind, lacrimal ductule is a potential pipeline, but it can effectively ensure the unimpeded of tear drainage.Equally, the main task in the indwelling process of drainage system also is to guarantee that lacrimal passage is not closed because of the hamartoplasia adhesion, and need not necessarily to provide the perforation pipeline of sealing.Because the solid stripe structure is easier to make the thinner device of diameter, and the pressure between the lacrimal ductule tube wall reduces, and do not have a dislocation of tubular structure aperture position and make the puzzlement of drainage effect variation, its long-term drainage effect is better than tubular structure.
Description of drawings
Fig. 1 is the axonometric chart of the basic structure of probing of lacrimal passage device
Fig. 2 is the lacrimal passage bougie axonometric chart with the probing of lacrimal passage matched with devices
Fig. 3 is the axonometric chart of the alligator clamp on the lacrimal passage bougie
Fig. 4 is the partial perspective view of probing of lacrimal passage device and lacrimal passage bougie assembly
Fig. 5 is the axonometric chart of the probing of lacrimal passage device of band deep trouth
Fig. 6 is the axonometric chart with the lacrimal passage bougie of probing of lacrimal passage matched with devices shown in Figure 5
The axonometric chart of the alligator clamp on the lacrimal passage bougie shown in Fig. 7 bitmap 6
Fig. 8 is the probing of lacrimal passage device shown in Figure 5 and the axonometric chart of supporting lacrimal passage bougie assembly
Fig. 9 is that amplify the part of Fig. 8
Figure 10 is the partial perspective view of the lacrimal passage bougie of use bounding wire
Figure 11 is a bounding wire coil view of apparatus
Figure 12 is the probing of lacrimal passage device of use bounding wire and the partial perspective view of supporting lacrimal passage bougie assembly
Figure 13 is the axonometric chart of the probing of lacrimal passage device of band solenoid structure
Figure 14 is the axonometric chart with the lacrimal passage bougie of probing of lacrimal passage matched with devices shown in Figure 13
Figure 15 is the axonometric chart of the fixation clamp on the lacrimal passage bougie shown in Figure 14
Figure 16 is the partial perspective view of the insertion end of lacrimal passage bougie shown in Figure 14
Figure 17 is the probing of lacrimal passage device shown in Figure 13 and the axonometric chart of supporting lacrimal passage bougie assembly
Figure 18 is the axonometric chart of the probing of lacrimal passage device of band " pearl " String structure
Figure 19 is the structural perspective of removing the part sections of probing of lacrimal passage device shown in Figure 180
The probing of lacrimal passage device that Figure 20,21 is respectively shown in Figure 180 is formed the axonometric chart of the both direction of sections
Figure 22 is the probing of lacrimal passage device shown in Figure 180 and the axonometric chart of supporting lacrimal passage bougie assembly
Figure 23 is that amplify the part of Figure 22
Figure 24 is the axonometric chart of the probing of lacrimal passage device of band shell-like connecting portion
Figure 25 is the partial perspective view with probing of lacrimal passage matched with devices lacrimal passage bougie shown in Figure 24
Figure 26 is the probing of lacrimal passage device shown in Figure 24 and the axonometric chart of supporting lacrimal passage bougie assembly
Figure 27 is that amplify the part of Figure 26
Figure 28 is the axonometric chart of the probing of lacrimal passage device of band mushroom head connecting portion
Figure 29 is the partial perspective view of probing of lacrimal passage device and supporting lacrimal passage bougie assembly shown in Figure 28
Figure 30 is the axonometric chart of two lacrimal ductule drain probing of lacrimal passage devices of band mushroom head connecting portion
Figure 31 is the axonometric chart of two lacrimal ductule drain probing of lacrimal passage devices of band deep trouth
Figure 32 is the probing of lacrimal passage device shown in Figure 31 and the axonometric chart of supporting lacrimal passage bougie assembly
Figure 33 is that amplify the part of Figure 32
Figure 34 is the axonometric chart of two lacrimal ductule drain probing of lacrimal passage devices of band solenoid structure
Figure 35 is the partial perspective view with the lacrimal passage bougie of probing of lacrimal passage matched with devices shown in Figure 34
Figure 36 is the probing of lacrimal passage device shown in Figure 34 and the axonometric chart of supporting lacrimal passage bougie assembly
Figure 37 is the axonometric chart of two lacrimal ductule drain probing of lacrimal passage devices of band shell-like connecting portion
Figure 38 is the probing of lacrimal passage device shown in Figure 37 and the axonometric chart of supporting lacrimal passage bougie assembly
Figure 39 is that amplify the part of Figure 38
The specific embodiment
Embodiment 1
See Fig. 1-4 and figure, the disclosed probing of lacrimal passage device of this example comprise one by diameter of section at 0.1-3.0mm, the drain portion 111 of soft the formation of filled circles column about 1mm preferably, there is the connecting portion 121 of the capsule bag shape of blunt point on a top that is connected with drain portion, and the maintaining part 131 of a head of a nail shape that links to each other with the described drain portion other end.Maintaining part can be head of a nail shape structure, umbrella-shaped structure, also can be the strip similar to the lacrimal passage cross section, flat strip shaped.The two kinds of structures in back must be made a call to a suitably big or small joint and unnecessary part is cut off before using, its advantage is to use the length of the different offhand decision drainage systems of knotting position in use.Maintaining part was stayed outside the lacrimal passage when this device was put into lacrimal passage, avoided allowing drainage system slip into lacrimal passage in the indwelling process.Whole device can be with medical grade silicon rubber or suitable other medical macromolecular materials of hardness, and as expanded polytetrafluoroethylsealing, terylene, polyethylene, polypropylene and polyamide, or wherein the compositions one-shot forming of more than one materials is made.Used lacrimal passage bougie comprises thicker portion that grips and the thinner portion of detecting, and detects cylindric or hemispherical for round edge of end 2111, detects the suitable distance setting of end or on-fixed fixedly connected with bougie at the distance bougie and is connected but the Spring Card 2121 of difficult slip.In device fabrication or before being used for operation, connecting portion is enclosed within detecting on the end of bougie, also fixes with described Spring Card along bougie direction tension drainage system.To operate the insertion lacrimal passage routinely with the bougie of drainage system during use, after visiting logical lacrimal passage, arriving the precalculated position, the retracting spring card continues to insert bougie, allows drain portion enter lacrimal ductule fully, extracts bougie at last out, has just finished operation.The length of drainage system drain portion can be equivalent to the length of whole lacrimal passage as required, also can only be equivalent to dacryocanalicular length, or between both length.Described probing of lacrimal passage device can be respectively applied for by upper and lower dacryocanalicular probing of lacrimal passage.
Embodiment 2
See Fig. 5-12, the drainage system long axis direction is provided with a deep trouth 112 in the basic upper edge of embodiment 1, and the sectional dimension of described deep trouth is slightly larger than the cross section that bougie is detected portion, can be " C " font or " U " font, the capsule bag of straight-through connecting portion.When the maintaining part of drainage system be umbrella or head of a nail shape the time, deep trouth runs through the maintaining part of umbrella or head of a nail shape.The mode that is connected and fixed and the embodiment 1 of this drainage system and bougie are roughly the same, just bougie is positioned at deep trouth, fixture on the bougie is another kind of Spring Card 2122, or only be provided with coarse surperficially 21231 at suitable position, and drainage system and bougie are stopped up with the bounding wire 21232 of suitable intensity.The improvement of embodiment 2 makes drainage system compacter with combining of bougie, and can obviously improve the drainage effect of drainage system.Except that described deep trouth, drain portion surface can also be provided with some with dark drainage strip shallow slot parallel or vertical, the inclination Communicating with deep trouth, with the further drainage effect that improves.
Embodiment 3
See Figure 13-17, drain portion and connecting portion to embodiment 2 improve, drain portion changed into by similar round or approximate bow-shaped cross-section move the solenoid structure 113 that forms of rotation, connecting portion changes inside into to be had with bougie and detects the flat nest 1221 that cooperates of end, the head-like structure 122 of the blunt point of top band, bougie is detected end and correspondingly is set to blunt round shovel shape structure 2112, and fixture is a fixation clamp 2124, the through hole 1311 that maintaining part setting and bougie adapt.Under the naturalness, the external diameter of spiral can be greater than the lacrimal passage internal diameter.It is preceding with the flat nest of bougie by solenoid insertion connecting portion, rolling-in solenoid, fixedly maintaining part and bougie then that drainage system is put into lacrimal passage.At this moment, solenoidal external diameter should be less than or equal to the lacrimal passage diameter.Operate the bougie and the drainage system that will be connected and fixed routinely and insert lacrimal passage, after visiting logical lacrimal passage and arriving the precalculated position, discharge fixation clamp, continue to insert bougie, allow drain portion enter lacrimal ductule fully, then along the opposite spin bougie, the solenoid that gets loose is extracted bougie out, complete operation.This probing of lacrimal passage device can be made with hard slightly medical macromolecular materials, can increase the support force of drainage system to lacrimal passage, and this structure can well adapt to the bending of lacrimal passage.This structure can make the external diameter of the drainage system diameter fit different with each section of lacrimal passage, thereby improves drain and can prevent that drainage system from deviating from voluntarily from lacrimal passage.Also have an advantage, this drainage system can use the soft preferably bougie of pliability such as fine silver bougie and can not break away from because of the bougie bending causes drainage system connecting portion and bougie detect end.The solenoid shape structure can be set to the above multi-start helical tubes in two or two.So-called bull solenoid is meant that this solenoid is surrounded by two or more parallel line.They were intertwined in nasolacrimal duct and are difficult to take out when the multi-head spiral tubular construction can avoid using simultaneously two solenoid probing of lacrimal passage devices.If a number of serpentine pipe arrives some more, the number of turns of spiral reduces, and is connected between reserve part and the connecting portion structure of similar " wick " with regard to having constituted by several slices of roughly keeping straight on.This structure also can reach and both keep drainage effect preferably, can make drainage system have flexible preferably purpose again.
Embodiment 4
See Figure 18-23, at embodiment 1 or 2 described probing of lacrimal passage devices, its drain portion is carried out the improvement of another mode, i.e. drain portion is " pearl string " shape structure, is made up of sections 1141 and flexible line 1142 that matter is hard.Each sections can be provided with the deep trouth similar to embodiment 2, and connecting portion can be similar to embodiment 2 with maintaining part.Also adopt hard material to make as maintaining part, the fixture 2125 of then supporting lacrimal passage bougie is changed slightly than the bougie fixture 2124 of embodiment 3.Drainage system and bougie in conjunction with the time bougie embedded in the deep trouth of each sections.The advantage of this structure is to use matter hard and chemical stability and improved biocompatible material such as pottery, thereby make drainage system keep maximum support power and can adapt to the natural torsion of lacrimal passage, have better long term maintenance effect for the chronic lacrimal passage disease that granulation hyperplasia is arranged.It uses operation identical with embodiment 2.This structure can use harder material to make " pearl " sections, and with flexible line it is strung.Also can or be compression molded into one when using macromolecular material with two kinds of structure injection mouldings as " pearl " sections.When being provided with deep trouth, two connecting lines need be set at least,, keep the coherent unimpeded of deep trouth to avoid the unordered rotation of each sections.The sections junction can be set to socket arrangement, and at the line of sphere 11411 and ball-and-socket face 11,412 11413 places of boring a hole the alveole 11414 of suitable size is set.Acting at ball-and-socket of alveole rotated, and holds line during adjacent segment line perforation dislocation.This structure can make each sections connect compact and make drain portion integral body have enough flexibles, and further keeps the continuity of deep trouth.
Embodiment 5
See Figure 24-27, the connecting portion of embodiment 1,2,3,4 is improved, change its capsule bag shape or head-like structure into ring set structure 123, correspondingly the end of detecting with bougie changes bulb shape 213 into top trough of belt 2131 into.Detect hemispherical, pestle shape that end also can be the top trough of belt.Drainage system and bougie in conjunction with the time ring set be enclosed within bougie and detect in the groove of end.The advantage of this structure be bougie it harder detects the tissue that end directly acts on the lacrimal passage position when detecting lacrimal passage, at the lacrimal passage granulation hyperplasia serious or be easy to when having to rebuild lacrimal passage by.Because the capsule bag constructions of previous embodiment connecting portion forms a little dead space at lacrimal passage or nasal cavity, put aside pus easily in addition, may form the potential source of infection, and the ring set structure does not have this problem.
Embodiment 6
See Figure 28,29, the connecting portion of embodiment 1,2,4 improved that change described connecting portion the thin-walled hollow mushroom head-like structure 123 of band side window into, its top still keeps blunt pointed shape and certain wall thickness.Drainage system and bougie in conjunction with the time because the tractive of fixture, the mushroom head is elongated and attenuates, and helps passing through smoothly lacrimal passage.After the release, a mushroom chap can prevent that drainage system from deviating from voluntarily.
Embodiment 7
See Figure 30-39, maintaining part at above all embodiment is improved, by two shared maintaining parts 132 of aforesaid probing of lacrimal passage device, or say that a maintaining part will couple together by upper and lower dacryocanalicular drainage system respectively, form a button loop shape structure, the length of button loop is equivalent to end points respectively in the arc length of the suitable curvature of puncta up and down, and all the other structures and corresponding bougie remain unchanged.Described button loop can adopt thinner column structure, semi-cylindrical in configuration, semicircular cylinder structure or flat strip shaped structure.The advantage of this structure has been to simplify the structure of maintaining part, alleviates the partial foreign body sensation of patient and has stopped the possibility that drainage system slips into lacrimal passage.
What deserves to be explained is that the various technical schemes of drain portion, connecting portion and the maintaining part of the probing of lacrimal passage device that above embodiment narrates respectively also have other the apparent compound mode except that the foregoing description, repeat no more here.
Claims (20)
1. probing of lacrimal passage device, it is characterized in that the drain portion that total cross section size that it comprises that at least one is made of at least one flexible solid stripe thing and lacrimal passage adapt, at least one is connected with described drain portion is used to be connected the connecting portion that the lacrimal passage bougie is detected end, and the whole drainage system that prevents that is connected with the described drain portion other end slips into the maintaining part of lacrimal passage.
2. the described probing of lacrimal passage device of claim 1 is characterized in that described drain portion surface is provided with vertical, horizontal or oblique groove.
3. the described probing of lacrimal passage device of claim 2 is characterized in that described drain portion with vertically deep trouth is set on the maintaining part, and described deep trouth can hold the lacrimal passage bougie.
4. the described probing of lacrimal passage device of claim 3 is characterized in that described deep trouth cross section is " C " font or " U " font.
5. the described probing of lacrimal passage device of claim 1 is characterized in that described drain portion is a spiral tube structure.
6. the described probing of lacrimal passage device of claim 5 is characterized in that described serpentine pipe is the bull solenoid.
7. profit requires 1 described probing of lacrimal passage device, it is characterized in that described drain portion is for to form the pearl String structure by matter hard sections and flexible line.
8. profit requires 7 described probing of lacrimal passage devices, and the sections junction that it is characterized in that described pearl String structure is a socket arrangement.
9. the described probing of lacrimal passage device of claim 1 is characterized in that described connecting portion is the thin-walled hollow mushroom head-like structure of capsule bag shape, loop overlapping shape or band side window.
10. the described probing of lacrimal passage device of claim 5 is characterized in that described connecting portion is inner head-like structure with the blunt point of flat nest top band.
11. the described probing of lacrimal passage device of claim 1, it is characterized in that described maintaining part be the class disc-shaped structure that is connected with drain portion of center, umbrella-shaped structure or by to drain portion soft similar knot that breaks into of cross section.
12. the described probing of lacrimal passage device of claim 1 is characterized in that it comprises two drain portions, two connecting portions and a maintaining part, this maintaining part is connected with two drain portions respectively.
13. the described probing of lacrimal passage device of claim 12 is characterized in that described maintaining part is column structure, semi-cylindrical in configuration or flat strip shaped structure.
14. the described probing of lacrimal passage device of claim 1 is characterized in that the length of described drain portion is equivalent to dacryocanalicular length, also can be equivalent to the length of whole lacrimal passage, or between both length.
15. the described probing of lacrimal passage device of claim 1, it is characterized in that it with medical silica-gel, expanded polytetrafluoroethylsealing, terylene, polyethylene, polypropylene, polyamide or wherein the composition material of more than one materials make.
16. profit requires 7 or 8 described probing of lacrimal passage devices, it is characterized in that the hard sections of described matter made by ceramic material.
17. lacrimal passage bougie with the described probing of lacrimal passage matched with devices of claim 1, comprise the portion of detecting and detect end, it is characterized in that described detect in the portion to be provided with apart from the position of detecting the end certain distance can make bougie and the relatively-stationary fixture of described probing of lacrimal passage device.
18. the described lacrimal passage bougie of claim 17 is characterized in that described fixture is Spring Card, fixation clamp or bounding wire.
19. the described lacrimal passage bougie of claim 17 is characterized in that the described end of detecting is hemispherical, pestle shape, bulb shape or blunt round shovel shape.
20. the described lacrimal passage bougie of claim 17 is characterized in that described the hemispherical of the pestle shape that end is the band groove, the bulb shape of being with groove or trough of belt of detecting.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2006101194438A CN101199440B (en) | 2006-12-12 | 2006-12-12 | Lacrimal duct drainage equipment and lacrimal duct bougie therewith |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2006101194438A CN101199440B (en) | 2006-12-12 | 2006-12-12 | Lacrimal duct drainage equipment and lacrimal duct bougie therewith |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN101199440A CN101199440A (en) | 2008-06-18 |
| CN101199440B true CN101199440B (en) | 2010-07-07 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2006101194438A Expired - Fee Related CN101199440B (en) | 2006-12-12 | 2006-12-12 | Lacrimal duct drainage equipment and lacrimal duct bougie therewith |
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| CN (1) | CN101199440B (en) |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103263720A (en) * | 2013-05-21 | 2013-08-28 | 河南科技大学第一附属医院 | Split drainage tube with telescopic mushroom head |
| CN110913809B (en) * | 2017-06-13 | 2023-10-03 | 英福卡斯公司 | Systems, methods, and devices for treating glaucoma |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5318513A (en) * | 1992-09-24 | 1994-06-07 | Leib Martin L | Canalicular balloon fixation stent |
| US5437625A (en) * | 1992-04-06 | 1995-08-01 | Kurihashi; Katsuaki | Apparatus for intubation of lacrimal drainage pathway |
| FR2747033A1 (en) * | 1996-04-03 | 1997-10-10 | Parrat Michel Jesus Hubert | Meatal obturator for tear drainage ducts |
| WO2000071062A1 (en) * | 1999-05-21 | 2000-11-30 | Bige Pierre Andre Jacques | Bi-canalicular probe for the treatment of lacrimation of the eye |
-
2006
- 2006-12-12 CN CN2006101194438A patent/CN101199440B/en not_active Expired - Fee Related
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5437625A (en) * | 1992-04-06 | 1995-08-01 | Kurihashi; Katsuaki | Apparatus for intubation of lacrimal drainage pathway |
| US5318513A (en) * | 1992-09-24 | 1994-06-07 | Leib Martin L | Canalicular balloon fixation stent |
| FR2747033A1 (en) * | 1996-04-03 | 1997-10-10 | Parrat Michel Jesus Hubert | Meatal obturator for tear drainage ducts |
| WO2000071062A1 (en) * | 1999-05-21 | 2000-11-30 | Bige Pierre Andre Jacques | Bi-canalicular probe for the treatment of lacrimation of the eye |
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| CN101199440A (en) | 2008-06-18 |
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Granted publication date: 20100707 Termination date: 20121212 |