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Pressure stabilizing system for accurately preparing ultrathin corneal endothelium graft

A technology with stable pressure and corneal endothelium, which is used in eye implants, ophthalmic surgery, etc., can solve the problems affecting the accuracy of corneal cutting and unstable corneal shape, and achieve the effect of maintaining shape and real-time fine-tuning of pressure.

Active Publication Date: 2022-02-25
THE EYE HOSPITAL OF WENZHOU MEDICAL UNIV
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

During the operation of the MORIA artificial anterior chamber pressurization device, it was found that when the cornea was cut, although the pressure was stable, the liquid in the pressurization device still flowed, indicating that the corneal shape was still unstable during cutting
Moreover, the difference in the preservation state of the isolated cornea and the shape of the cornea itself (including curvature, thickness, flexibility, etc.) will also affect the accuracy of corneal cutting.

Method used

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  • Pressure stabilizing system for accurately preparing ultrathin corneal endothelium graft
  • Pressure stabilizing system for accurately preparing ultrathin corneal endothelium graft

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0022] Such as figure 1 A pressure stabilization system for accurately preparing ultra-thin corneal endothelial grafts is shown, including an artificial anterior chamber stent 1 for cutting endothelial grafts from the isolated cornea (the artificial anterior chamber stent 1 used in this example is an existing technology, provided by the manufacturer of the corneal lamellar knife), the artificial anterior chamber support 1 is provided with a placement part 11 for placing the isolated cornea, and the artificial anterior chamber support 1 is provided with a flow channel (the flow channel That is, the passage between the balanced salt solution in the artificial anterior chamber stent and the upper cornea), the flow passage is connected with the placement part 11, and there is a liquid medium in the flow passage, and the liquid medium is a simulated anterior chamber Balanced salt solution of aqueous humor components, the artificial anterior chamber stent 1 is connected with a press...

Embodiment 2

[0025]The difference from Embodiment 1 is that the pressure stabilization mechanism 3 is also provided with a pressure fine-tuning device 7, and the pressure fine-tuning device includes a section of tubular buffer chamber 71, and a cock 72 is arranged in the buffer chamber , the cock 72 is provided with external threads, and the inner wall of the buffer chamber 71 is provided with internal threads, and the threaded cooperation between the cock 72 and the buffer chamber 71 realizes the fine adjustment of the space size of the buffer chamber 71 to achieve pressure stability Real-time adjustment of pressure in the piping structure of Mechanism 3. Before cutting, measure the corneal thickness and corneal curvature to adjust the position of the movable buckle. During the cutting process, the pressure change is observed, and the pressure change is controlled by adjusting the space of the buffer chamber 71 with the cock 72 of the pressure trimming device 7 .

Embodiment 3

[0027] The difference from Example 2 is that the artificial anterior chamber stent 1 is also provided with a pressure sensor and a display mechanism 6 for real-time detection of the internal pressure of the placement part 11, which can monitor the inside of the artificial anterior chamber stent and the cornea in vitro. The change and fluctuation of the medium pressure can be adjusted through the movable buckle 5.

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Abstract

The invention discloses a pressure stabilizing system for accurately preparing an ultrathin corneal endothelium graft. The system comprises an artificial anterior chamber support for cutting the endothelium graft of an in-vitro cornea, a placing part for placing the in-vitro cornea is arranged on the artificial anterior chamber support, and a pressure supply mechanism and a pressure stabilizing mechanism are connected to the artificial anterior chamber support. The pressure supply mechanism and the pressure stabilizing mechanism are both of an elastic pipeline structure, the pressure supply mechanism is connected with a pressurizing device and provides pressure for the liquid medium in the flow channel so as to support the in-vitro cornea on the placing part, and a movable buckle is arranged on the pipeline structure of the pressure stabilizing mechanism. The movable buckle is in sliding fit with the pipeline structure of the pressure stabilizing mechanism so as to cut off all positions of the pipeline structure. A liquid medium of the artificial anterior chamber support enters the pipeline structure of the pressure stabilizing mechanism, and fluctuation generated by internal pressure caused by cutting is reduced through the elastic pipe wall of the pipeline structure so as to maintain the stability of the form of the in-vitro cornea, so that the required thickness can be accurately cut; and real-time fine adjustment of the pressure during cutting operation is realized through a pressure fine adjustment device, so that the success rate of the ultrathin corneal endothelium graft reaches 96% or above.

Description

technical field [0001] The invention relates to the technical field of corneal endothelial graft preparation, in particular to a pressure stabilization system for accurately preparing ultra-thin corneal endothelial grafts. Background technique [0002] The corneal endothelium maintains the transparency and thickness of the cornea due to the barrier function formed by the tight junctions between the cells and the function of the sodium-potassium pump. , refractive surgery, early penetrating or endothelial keratoplasty, endothelial dystrophy, or certain disease stresses (such as diabetes or glaucoma) will cause a significant decrease in the density of corneal endothelial cells, once the density of corneal endothelial cells is less than 400 ~500 cells / mm 2 When there is a cascade of corneal stromal edema, corneal opacity, bullous keratopathy, and vision loss, that is corneal endothelial decompensation. [0003] At present, corneal endothelial transplantation using automatic l...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61F2/14A61F9/007
CPCA61F2/142A61F9/007
Inventor 赵泽林陈蔚郑钦象
Owner THE EYE HOSPITAL OF WENZHOU MEDICAL UNIV
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