JPS6230017B2 - - Google Patents
Info
- Publication number
- JPS6230017B2 JPS6230017B2 JP56018176A JP1817681A JPS6230017B2 JP S6230017 B2 JPS6230017 B2 JP S6230017B2 JP 56018176 A JP56018176 A JP 56018176A JP 1817681 A JP1817681 A JP 1817681A JP S6230017 B2 JPS6230017 B2 JP S6230017B2
- Authority
- JP
- Japan
- Prior art keywords
- leg
- incision
- depth
- free end
- instrument
- 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.)
- Expired
Links
- 238000001356 surgical procedure Methods 0.000 claims description 16
- 238000005259 measurement Methods 0.000 claims description 6
- 208000001491 myopia Diseases 0.000 description 4
- 230000004379 myopia Effects 0.000 description 4
- 206010038848 Retinal detachment Diseases 0.000 description 3
- 230000004264 retinal detachment Effects 0.000 description 3
- 210000003786 sclera Anatomy 0.000 description 3
- 210000005252 bulbus oculi Anatomy 0.000 description 2
- 210000001508 eye Anatomy 0.000 description 2
- 208000010412 Glaucoma Diseases 0.000 description 1
- 208000002847 Surgical Wound Diseases 0.000 description 1
- 201000009310 astigmatism Diseases 0.000 description 1
- 210000004087 cornea Anatomy 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 210000003813 thumb Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/013—Instruments for compensation of ocular refraction ; Instruments for use in cornea removal, for reshaping or performing incisions in the cornea
- A61F9/0133—Knives or scalpels specially adapted therefor
Landscapes
- Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Compression Or Coding Systems Of Tv Signals (AREA)
- Eye Examination Apparatus (AREA)
- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
- Length-Measuring Instruments Using Mechanical Means (AREA)
- Prostheses (AREA)
Description
【発明の詳細な説明】
本発明は一般的に医療用器具に関し、さらに詳
しくは目の手術の際の無穿孔切開の深さを測る器
具に関する。即ち、本発明は近視の外科的処置に
最も好結果に利用できるものである。DETAILED DESCRIPTION OF THE INVENTION This invention relates generally to medical instruments, and more particularly to instruments for measuring the depth of a clean incision during eye surgery. That is, the present invention can be used with the best results in surgical treatment of myopia.
現在、目の手術において切開した深さを測る特
別な器具は存在していない。このため、外科医は
親指を定規として用いて、切開のおよその深さを
測らなければならない。全く当然のことながら、
このようなやり方では切開に必要な正確な深さを
知ることができない。しかしながら、切開の深さ
がわずかに不均一でも、手術を受けた患者の性状
および結果に大きく影響し、例えば乱視を引き起
こすことがある。ところが、他の工学分野で使用
している深さ測定器具および装置は、この医学分
野の特殊な条件のため、眼科手術に採用すること
ができない。 Currently, there are no special instruments that measure the depth of incisions made during eye surgery. Therefore, the surgeon must use his thumb as a ruler to measure the approximate depth of the incision. Of course,
This method does not allow us to know the exact depth required for the incision. However, even slight unevenness in the depth of the incision can significantly affect the characteristics and results of the patient undergoing surgery, and can cause, for example, astigmatism. However, depth measuring instruments and devices used in other engineering fields cannot be adopted in ophthalmic surgery due to the special conditions of this medical field.
本発明の目的は手術中に切開の深さを精密正確
に測定することのできる、眼科手術において無穿
孔切開の深さを測定する器具を提供することであ
り、この測定はリミツトゲージに基づいている。 An object of the present invention is to provide an instrument for measuring the depth of a non-perforating incision in ophthalmic surgery, which is capable of precisely and accurately measuring the depth of an incision during surgery, and this measurement is based on a limit gauge. .
この目的は次の本発明の構成により達成され
る。即ち、眼科手術において切開の深さを測定す
る器具であつて、この器具のハンドルがV字形部
材を備え、この部材の一方の脚はハンドルに堅固
に設けてあり、他方の脚はハンドルの軸線に対し
て約10〜約75゜の角度に形成すると共にこの脚の
自由端を上記軸線上に配置し、さらに突出部は上
記他方の脚の自由端の縁から適宜離れた位置に設
け、さらにこの突出部は脚を横切つて配置してあ
る。 This object is achieved by the following configuration of the present invention. That is, an instrument for measuring the depth of an incision in ophthalmic surgery, the handle of which includes a V-shaped member, one leg of which is rigidly attached to the handle, the other leg being fixed to the axis of the handle. and the free end of this leg is located on the axis, and the protrusion is located at an appropriate distance from the edge of the free end of the other leg, and This protrusion is placed across the leg.
ここで提案している器具の特徴は、脚の自由端
と突出部との間の限定部分が実際にリミツトゲー
トであるという点にある。一般的に理解できるよ
うに、上記リミツトゲージは設定したリミツト内
における精密正確な測定値を知らせるものであ
る。測定の正確性を増加させるために、突出部の
前端と後端との領域内に脚の幅にわたつて脚自体
に目盛りを追加することは好都合である。 A feature of the device proposed here is that the limiting section between the free end of the leg and the projection is actually a limit gate. As generally understood, limit gauges provide precise measurements within set limits. In order to increase the accuracy of the measurements, it is advantageous to add a graduation on the leg itself over the width of the leg in the area of the front and rear ends of the projection.
また、眼球を容易に切開できるように、突出部
から自由端までの脚部分を薄く構成することも好
都合である。 It is also advantageous to construct the leg portion from the protrusion to the free end to be thin so that the eyeball can be easily incised.
ここで提案している切開の深さを測定する装置
に関する次の特殊な具体例の記載は、本発明を明
らかにするためのものである。 The following specific example description of the proposed device for measuring the depth of an incision is intended to clarify the invention.
眼科手術における眼球の無穿孔切開の深さを測
る本発明の医療器具は、外科医が握り易いように
ぎざぎざ部分2を設けた直線状のハンドル1を備
えている。また、V字形部材3は例えばステンレ
ススチールから作られており、この部材3の一方
の脚4はハンドル1と連結しており、さらに、上
記脚4と他方の脚5との間の角度βは、脚5の自
由端がハンドル1の軸線OO上にくるような値で
あり、脚5それ自体はこの軸線OOに対して約10
〜約75゜の角度を形成する。外科医の作業性の観
点から、最良の結果は約10〜約40゜の角度βによ
り得られる。突出部6は脚5の自由端付近で、こ
の幅を横切つて、且つ上記自由端の縁から適宜離
して脚5自体に設けてあり、この突出部6は脚5
が小さすぎるため第1図に示されていない。理解
を容易にするため、突出部6は第2図に示してあ
り、この図では脚5の部分を拡大(50:1)して
ある。 The medical instrument of the present invention for measuring the depth of a non-perforating incision in an eyeball in ophthalmic surgery is provided with a straight handle 1 having a knurled portion 2 for ease of grip by the surgeon. Further, the V-shaped member 3 is made of stainless steel, for example, one leg 4 of this member 3 is connected to the handle 1, and the angle β between the leg 4 and the other leg 5 is , such that the free end of the leg 5 is on the axis OO of the handle 1, and the leg 5 itself is approximately 10
Forming an angle of ~75°. In terms of ease of use for the surgeon, the best results are obtained with an angle β of about 10° to about 40°. A projection 6 is provided on the leg 5 itself near the free end of the leg 5, across its width and at a suitable distance from the edge of said free end.
is not shown in FIG. 1 because it is too small. For ease of understanding, the protrusion 6 is shown in FIG. 2, in which the leg 5 is enlarged (50:1).
第2図において充分に理解できるように、突出
部6は脚5を横切つて設けてあり、脚5の面7は
脚5の自由端から適宜距離を置いて位置してい
る。この距離の長さは外科医の便宜のため、この
器具のハンドルに刻み込んで記してある。 As can best be seen in FIG. 2, the projection 6 is provided across the leg 5, with the surface 7 of the leg 5 being located at a suitable distance from the free end of the leg 5. The length of this distance is etched into the handle of the instrument for the convenience of the surgeon.
第3図から明らかなように、脚5の終端部は薄
くなつており、ゲージマーク8,9は突出部6の
両端縁において脚5を横切つて設けてある。 As is clear from FIG. 3, the ends of the legs 5 are tapered and the gauge marks 8, 9 are provided across the legs 5 at both end edges of the projections 6.
ゲージマーク8および9の間の距離は正確な測
定値を得るため厳守なものである。 The distance between gauge marks 8 and 9 must be strictly adhered to in order to obtain accurate measurements.
言うまでもなく、上記の図面は本発明の眼球の
無穿孔切開の深さ測定器具の可能な具体例の1つ
を例示しているにすぎず、従つてこの器具の成分
および部材は本発明の精神および範囲を逸脱する
ことなく変更することができる。例えば、第1図
には0.3mmの測定能力を有する本発明器具を例示
している。 It goes without saying that the above drawings illustrate only one possible embodiment of the ocular non-perforating depth measuring instrument of the present invention, and therefore the components and elements of this instrument do not fall within the spirit of the present invention. and may be changed without departing from the scope. For example, FIG. 1 illustrates an instrument of the invention having a measurement capability of 0.3 mm.
外科医に与える一組の器具は、脚5の自由端か
らゲージマーク8までの距離が約0.05mmきざみで
異なつているものである。 The set of instruments provided to the surgeon differs in the distance from the free end of the leg 5 to the gauge mark 8 in steps of about 0.05 mm.
無穿孔切開の深さを測定する本発明器具は、眼
科手術の最も重要な段階、例えば近視の外科的矯
正、積層角膜移植、網膜剥離(鞏膜の均一な切
開)、縁内障の外科的処置において使用するもの
である。角膜を放射状に切開した後(近視の外科
的矯正の場合)、あるいは鞏膜の均一な切開後
(網膜剥離の手術の場合)、外科医は切開の深さを
測る(第4図)。このため、外科医は器具のハン
ドル1を把持し、切開部に器具を挿入し、脚5を
手術切開溝の底に当てて保持し、計測突出部6の
位置により切開の深さを測定する。もし切開の深
さが必要な値に達していない時、外科医は必要な
深さまでさらに均一に切開し、その後、別個の同
様な器具によつて切り込みの深さを測定する。 The inventive instrument for measuring the depth of a non-perforating incision can be used in the most important stages of ophthalmic surgery, such as surgical correction of myopia, laminated keratoplasty, retinal detachment (uniform incision of the sclera), and surgical treatment of intramarginal defects. It is used in After making a radial incision in the cornea (for surgical correction of myopia) or a uniform incision in the sclera (for retinal detachment surgery), the surgeon measures the depth of the incision (Figure 4). To this end, the surgeon grasps the handle 1 of the instrument, inserts the instrument into the incision, holds the leg 5 against the bottom of the surgical incision groove, and measures the depth of the incision by the position of the measuring protrusion 6. If the depth of the incision does not reach the required value, the surgeon makes a more uniform incision to the required depth and then measures the depth of the incision with a separate similar instrument.
無穿孔切開の深さを測る本発明器具によれば、
近視の外科的矯正、積層角膜移植、網膜剥離(鞏
膜の均一な切開)、緑内障の外科的処置における
均一な切開を一層正確に行なうことができ、従つ
て、上記眼科手術の性状および信頼性を増加させ
る。 According to the present invention instrument for measuring the depth of a non-perforating incision,
Uniform incisions in surgical correction of myopia, laminated keratoplasty, retinal detachment (uniform incision of the sclera), and glaucoma surgical procedures can be made more accurately, thus improving the properties and reliability of the above-mentioned ophthalmic surgeries. increase.
第1図は眼科手術において無穿孔切開の深さを
測定する本発明の器具の側面図である。第2図は
第1図の矢印Aから見た拡大図である。第3図は
第2図の−線に沿う断面図である。第4図は
本発明の器具の使用状態を表わす斜視図である。
1……ハンドル、3……V字形部材、4,5…
…脚、6……突出部、OO……軸線、β……角
度。
FIG. 1 is a side view of an instrument of the invention for measuring the depth of a clean incision in ophthalmic surgery. FIG. 2 is an enlarged view taken from arrow A in FIG. FIG. 3 is a sectional view taken along the - line in FIG. 2. FIG. 4 is a perspective view showing the device of the present invention in use. 1... Handle, 3... V-shaped member, 4, 5...
...Leg, 6...Protrusion, OO...Axis, β...Angle.
Claims (1)
た突出部6とから成り、上記脚の1つ4は細長い
ハンドル1に堅固に設け、他の脚5は上記ハンド
ル1の軸線OOに対して約10〜約75゜の角度
(β)に形成すると共に脚5の自由端を上記軸線
OO上に配置し、且つ上記突出部6は脚の自由端
の縁から適宜離れた位置に脚を横切つて位置して
いることを特徴とする眼科手術における無穿孔切
開の深さ測定器具。 2 計測目盛が突出部6の前端および後端付近に
おいて脚5の幅にわたつて脚自体に設けてあるこ
とを特徴とする特許請求の範囲第1項記載の器
具。 3 突出部6から自由端の縁までの脚5の部分が
薄く形成してあることを特徴とする特許請求の範
囲第1項または第2項記載の器具。Claims: 1 Consists of a V-shaped member 3 with two legs and a projection 6 provided on the legs, one of said legs 4 being firmly attached to the elongated handle 1 and the other leg 5 It is formed at an angle (β) of about 10 to about 75 degrees with respect to the axis OO of the handle 1, and the free end of the leg 5 is formed at an angle (β) of about 10 to about 75 degrees to the axis OO of the handle 1.
An instrument for measuring the depth of a non-perforating incision in ophthalmic surgery, which is disposed on the OO, and the protruding portion 6 is located across the leg at an appropriate distance from the edge of the free end of the leg. 2. The instrument according to claim 1, wherein a measurement scale is provided on the leg itself over the width of the leg 5 near the front and rear ends of the protrusion 6. 3. An instrument according to claim 1 or 2, characterized in that the portion of the leg 5 from the protrusion 6 to the edge of the free end is formed thin.
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU802891901A SU961670A1 (en) | 1980-03-19 | 1980-03-19 | Device for measuring depth |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JPS56132949A JPS56132949A (en) | 1981-10-17 |
| JPS6230017B2 true JPS6230017B2 (en) | 1987-06-30 |
Family
ID=20881762
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP1817681A Granted JPS56132949A (en) | 1980-03-19 | 1981-02-12 | Measuring instrument for depth of non-boring incision in ophthalmic operation |
Country Status (4)
| Country | Link |
|---|---|
| JP (1) | JPS56132949A (en) |
| CS (1) | CS236910B1 (en) |
| FR (1) | FR2478464A3 (en) |
| SU (1) | SU961670A1 (en) |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5653725A (en) * | 1990-07-12 | 1997-08-05 | University Of Miami | Instrument for initiating an intralamellar channel |
| WO2000078258A1 (en) * | 1999-06-21 | 2000-12-28 | Keravision, Inc. | Corneal depth measuring system and method |
-
1980
- 1980-03-19 SU SU802891901A patent/SU961670A1/en active
- 1980-09-26 FR FR8020755A patent/FR2478464A3/en active Granted
-
1981
- 1981-02-12 JP JP1817681A patent/JPS56132949A/en active Granted
- 1981-03-18 CS CS811994A patent/CS236910B1/en unknown
Also Published As
| Publication number | Publication date |
|---|---|
| JPS56132949A (en) | 1981-10-17 |
| FR2478464A3 (en) | 1981-09-25 |
| FR2478464B3 (en) | 1982-01-08 |
| CS236910B1 (en) | 1985-05-15 |
| CS199481A1 (en) | 1984-05-14 |
| SU961670A1 (en) | 1982-09-30 |
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