Meibomian gland hot shock interventional therapy device
By designing the thermal shock intervention mechanism and eyelid traction mechanism, uniform heating and effective discharge of lipids in the meibomian gland cavity is achieved, solving the problems of uneven heating and incomplete liquefaction of lipids in the prior art, and improving the meibomian The treatment efficiency and effectiveness of gland blockage.
Patent Information
- Application Number
- CN202411228825.9
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2024-09-03
- Publication Date
- 2024-12-06
- Estimated Expiration
- 2044-09-03
AI Technical Summary
After heating, some lipids cannot be completely liquefied, affecting the dissolution and excretion efficiency of lipids in the meibomian gland cavity, resulting in poor treatment effect of meibomian gland blockage.
A meibomian gland thermal shock interventional treatment device is designed, including a heat shock intervention mechanism and an eyelid traction mechanism. The eyelid hook is pulled to the appropriate position through the cooperation of the movable frame and slider to ensure that the meibomian gland cavity is uniformly heated and utilized After the needle is heated to 42 degrees, the potion is injected into the gland cavity through the push of the piston, achieving the complete melting and discharge of lipids in the gland cavity.
It improves the efficiency of lipid discharge in the meibomian glands, improves the treatment effect of meibomian gland blockage, reduces the difficulty and time of operation of medical staff, and avoids the risk of affecting treatment due to the patient's blinking.
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Figure CN119074081A_ABST
Abstract
Description
Technical Field
[0001] The invention relates to the technical field of medical equipment, in particular to a meibomian gland thermal shock intervention treatment device. Background Art
[0002] With the widespread use of electronic products, dry eye has become one of the important and common eye diseases, seriously affecting people's quality of life. According to statistics, the global incidence of dry eye is 5.5%-33.7%, and in my country it is 21-33%. Therefore, paying attention to the diagnosis and treatment of dry eye has become an important research topic in ophthalmology. Among them, 70% of dry eye is caused by meibomian gland dysfunction (MGD), and the proportion of MGD in dry eyes is as high as 87.6%. Therefore, the research and development of medical equipment for MGD is one of the important development directions for the treatment of dry eye.
[0003] Meibomian glands are located in the tarsal plates of the upper and lower eyelids and can be seen through the conjunctiva. The texture of the tarsal plates is relatively hard. There are about 30 meibomian glands in the upper eyelid and about 20 meibomian glands in the lower eyelid. Their direction is perpendicular to the eyelid margin and they open at the eyelid margin. The distal end is a blind end. Meibomian glands secrete a large amount of lipids, which are discharged through the meibomian gland openings at the eyelid margin with blinking and evenly spread on the ocular surface. They are the outermost layer of the three-layer component of the tear film and have the function of reducing tear evaporation and lubricating the ocular surface. The reduction of meibomian gland secretion and discharge of oil will accelerate the evaporation of tears and lead to dry eyes. MGD is divided into insufficient secretion type and discharge disorder type, of which the latter accounts for the vast majority. Long-term meibomian gland lipid discharge disorder, on the one hand, the accumulated old lipids seriously affect the gland's secretory function, and at the same time, it will cause excessive pressure in the meibomian gland cavity, leading to gland atrophy, further aggravating the secretion disorder of the meibomian gland. Therefore, dredging the meibomian glands and dissolving and discharging the old lipids in the meibomian glands are currently important and main methods for treating MGD in clinical practice.
[0004] Currently, the meibomian glands can be unblocked by massaging and squeezing the eyelids, which indirectly applies pressure to the meibomian glands and squeezes out the old lipids in the meibomian gland cavity. However, due to the hard texture of the tarsal plate, a large amount of squeezing force is often required to squeeze out the lipids in the meibomian glands, and the patient feels obvious pain. In addition, the lipids in the meibomian glands need to become liquid before they can be discharged smoothly. MGD causes a large amount of lipids in the meibomian gland cavity to harden and cannot be discharged. Currently, heating is generally used to liquefy the lipids. Studies have shown that when the temperature is 42 degrees, the lipids in the meibomian glands can be dissolved without causing damage to the surrounding tissues. Therefore, the main theoretical basis for treatment is the combined external heating of the meibomian glands to promote the melting of the old lipids in the meibomian gland cavity and then combined with external squeezing to expel them.
[0005] Currently, the devices that use this principle and are on the market or under development include heat or liquid pulsation dry eye treatment devices, warm pulse dry eye treatment devices, etc. This type of device is similar to the manual massage squeezing method in squeezing the meibomian glands. The heating method requires indirectly transferring heat to the meibomian glands by heating the conjunctiva. This process is bound to cause heat loss. At the same time, due to the three-dimensional structure of the meibomian glands and their different depths, the meibomian glands may be heated unevenly, thereby affecting the dissolution and liquefaction of lipids in the meibomian gland cavity. Summary of the invention
[0006] The purpose of the present invention is to provide a meibomian gland thermal interventional treatment device to solve the problem that some lipids cannot be completely liquefied after the meibomian gland cavity is heated, improve the discharge efficiency of lipids in the gland cavity, and thus enhance the treatment effect of meibomian gland blockage.
[0007] In order to achieve the above-mentioned purpose, the invention is implemented through the following technical solutions:
[0008] A meibomian gland thermal shock interventional treatment device, comprising a thermal shock intervention mechanism and an eyelid traction mechanism arranged on an operating table, wherein the eyelid traction mechanism comprises a movable frame slidably arranged on the operating table, wherein the movable frame is symmetrically slidably connected with a slider, wherein the slider is slidably connected with a support rod, and an eyelid hook is arranged at the end of the support rod;
[0009] The thermal shock intervention mechanism includes a tube body and a piston slidably arranged on the tube body, the end of the piston is provided with a pressing block extending to the outside of the tube body, the end of the tube body is provided with a needle, and also includes a heating wire sleeved on the outside of the tube body and connected to the needle.
[0010] Furthermore, a clamping plate is provided on both sides of the movable frame, and a plurality of grooves are provided on the clamping plate. A limiting block is slidably connected to the sliding block, and a plurality of first protrusions and a first wedge block are slidably connected to the end of the limiting block. A first inclined surface and a second inclined surface in contact with the grooves are respectively provided on one side of the first protrusion and the first wedge block.
[0011] Furthermore, a first spring is provided between the limit block and the slider, a guide block slidably connected to the slider is provided at the end of the limit block, a first screw is threadedly connected to the guide block, an end of the first screw is provided with a conical surface in contact with the first wedge block, and a second screw is threadedly connected to the slider, an end of the second screw is in contact with the guide block.
[0012] Furthermore, a sliding groove is provided at the end of the limiting block, and a second protrusion slidably connected to the sliding groove is provided on the first wedge block.
[0013] Furthermore, the support rod is provided with a plurality of grooves, the sliding block is slidably connected with a ball in contact with the grooves, and a second spring is provided between the ball and the sliding block.
[0014] Furthermore, a third screw is threadedly connected to the sliding block, the second spring is sleeved on the outside of the third screw, and the end of the third screw is in contact with the ball.
[0015] Furthermore, the eyelid hook is slidably arranged on the support rod, and a third spring is arranged between the support rod and the eyelid hook.
[0016] Furthermore, the operating bed is provided with a plurality of fixed blocks, the movable frame is provided with a plurality of second wedge blocks slidably connected to the fixed blocks, third inclined surfaces are respectively provided on both sides of the second wedge blocks, the fixed blocks are slidably connected with clamping blocks, and the ends of the clamping blocks are symmetrically provided with third protrusions in contact with the third inclined surfaces.
[0017] Furthermore, a T-slot is provided at the end of the clamping block, a fourth screw is threadedly connected to the fixing block, a T-block rotatably connected to the T-slot is provided at the end of the fourth screw, and two sides of the T-block are respectively in contact with the T-slot.
[0018] Furthermore, a slit lamp is provided on the movable frame, and an elastic bracket is provided between the slit lamp and the movable frame.
[0019] Compared with the prior art, the beneficial effects of the present invention are:
[0020] 1. After the patient lies flat on the operating table, the eyelid hook is placed in the patient's eye socket through the cooperation between the movable frame, the slider, the support rod and the operating table. Then the support rod is slid on the slider to both sides to drive the eyelid hook to move to both sides, pulling the upper eyelid upward and the lower eyelid downward respectively, so that the patient's eyelids are opened, which is convenient for medical staff to observe the location of the patient's meibomian glands and improve the treatment effect of meibomian gland blockage; at the same time, it is prevented that the patient blinks during the treatment process to affect the treatment effect, and there is no need for medical staff to continuously open the patient's eyelids, thereby improving the treatment efficiency of meibomian gland blockage;
[0021] 2. Power on the heating wire to heat the needle at the end of the injection device to 42 degrees. Then move the injection device so that the needle passes through the opening of the meibomian gland and is inserted into the bottom of the meibomian gland cavity along the direction of the meibomian gland. After heating the meibomian gland with the needle for 30 seconds, the lipid in the meibomian gland is completely melted. Then press the block extending to the outside of the tube body to push the piston to slide on the tube body, squeeze the medicine in the tube body into the meibomian gland, thereby flushing the meibomian gland cavity, accelerating the discharge of lipids in the meibomian gland, and then improving the discharge efficiency of lipids in the gland cavity, and improving the treatment effect of meibomian gland blockage.
[0022] 3. When it is necessary to adjust the lateral position of the eyelid hook on the operating table, the restriction on the sliding of the slider on the movable frame is released through the cooperation between the limit block, the first protrusion, the first wedge block, and the groove. Then, the limit block is restricted from sliding on the slider through the cooperation between the slider, the second screw, and the guide block, so as to facilitate the subsequent adjustment of the position of the slider on the movable frame, improve the efficiency of the eyelid hook position adjustment, and thus improve the treatment efficiency of meibomian gland obstruction;
[0023] By sliding the slider on the movable frame so that the eyelid hook and the eyeball are on the same horizontal line, the slider, the first screw, the second screw, the guide block, the movable frame, the first spring, the limit block, the first protrusion, the groove, the conical surface, the first inclined surface, and the second inclined surface are matched to limit the slider from sliding relative to the movable frame, so as to avoid the external force accidentally driving the slider to slide on the movable frame during the operation, thereby affecting the fixation effect of the eyelid hook on the patient's eyelid, thereby improving the treatment effect of meibomian gland blockage; in addition, according to actual needs, the slider can be fixed at different positions to avoid the slider being driven to move slightly on the movable frame during the fixation process, thereby affecting the effect of the eyelid traction mechanism on fixing the patient's eyelid, thereby further improving the treatment effect of meibomian gland blockage;
[0024] 4. When the longitudinal position of the eyelid hook needs to be adjusted on the operating table, the position of the support rod on the slider is adjusted by the cooperation among the slider, the support rod, the ball, the groove and the second spring, thereby improving the efficiency of adjusting the position of the eyelid hook and thus improving the treatment efficiency of meibomian gland obstruction;
[0025] When the eyelid hook is above the eyeball, the slider, the third screw and the ball bearing cooperate to limit the support rod from sliding on the slider, thereby preventing the slider from sliding on the movable frame accidentally due to external force during surgery, thereby affecting the fixation effect of the eyelid hook on the patient's eyelid, thereby improving the treatment effect of meibomian gland obstruction;
[0026] 5. After the two corresponding eyelid hooks are hung on the patient's upper eyelid and lower eyelid respectively, the eyelid hook slides relative to the support rod by sliding the support rod on the slider, and compresses the third spring provided between the support rod and the eyelid hook. The rebound force generated by the compression of the third spring applies a pulling force to the upper eyelid and the lower eyelid, so that the upper eyelid and the lower eyelid are in an open state, which is convenient for medical staff to observe the position of the patient's meibomian glands and improve the treatment effect of meibomian gland blockage; at the same time, it avoids the patient's blinking during the treatment process to affect the treatment effect, and there is no need for medical staff to continuously open the patient's eyelids, thereby improving the treatment efficiency of meibomian gland blockage;
[0027] 6. When it is necessary to adjust the vertical position of the eyelid hook on the operating table, the movable frame, the second wedge block and the fixed block are used to limit the moving direction of the movable frame to ensure that the movable frame moves vertically, thereby avoiding the need to readjust the horizontal and vertical positions of the eyelid hook on the operating table, thereby improving the treatment efficiency of meibomian gland obstruction;
[0028] When the two corresponding eyelid hooks are in contact with the upper eyelid and the lower eyelid respectively, the second wedge block is restricted from moving relative to the fixed block through the cooperation among the fixed block, the fourth screw, the T-shaped block, the T-slot, the clamping block, the third protrusion, the second wedge block and the third inclined plane, thereby achieving the fixation of the movable frame on the operating table, avoiding the external force from accidentally driving the movable frame to slide on the operating table, affecting the fixation effect of the eyelid hooks on the patient's eyelids, and thus improving the treatment effect on meibomian gland obstruction; at the same time, avoiding the fourth screw from driving the clamping block to rotate, affecting the fixation of the movable frame on the operating table, and thus improving the treatment effect on meibomian gland obstruction. BRIEF DESCRIPTION OF THE DRAWINGS
[0029] Attached Figure 1 It is a structural schematic diagram of the movable frame of the present invention.
[0030] Attached Figure 2 It is a structural schematic diagram of the support rod of the present invention.
[0031] Attached Figure 3 It is a structural schematic diagram of the limit block of the present invention.
[0032] Attached Figure 4 It is a schematic structural diagram of the ball of the present invention.
[0033] Attached Figure 5 It is a schematic structural diagram of the third spring of the present invention.
[0034] Attached Figure 6 It is a structural schematic diagram of the clamping block of the present invention.
[0035] Attached Figure 7 It is a structural schematic diagram of the pipe body of the present invention.
[0036] Numbers shown in the accompanying drawings:
[0037] 1. Operating table; 2. Movable frame; 3. Sliding block; 4. Support rod; 5. Eyelid hook; 6. Tube body; 7. Piston; 8. Press block; 9. Needle; 10. Heating wire;
[0038] 11. card plate; 12. groove; 13. stopper; 14. first protrusion; 15. first wedge block; 16. first inclined surface; 17. second inclined surface; 18. first spring; 19. guide block; 20. first screw rod; 21. conical surface; 22. second screw rod; 23. slide groove; 24. second protrusion;
[0039] 25. groove; 26. ball bearing; 27. second spring; 28. third screw rod; 29. third spring;
[0040] 30. fixed block; 31. second wedge block; 32. third inclined surface; 33. clamping block; 34. third protrusion; 35. T-slot; 36. fourth screw rod; 37. T-block;
[0041] 38. Slit lamp; 39. Elastic bracket. DETAILED DESCRIPTION
[0042] The present invention will be further described below in conjunction with specific embodiments. It should be understood that these embodiments are only used to illustrate the present invention and are not intended to limit the scope of the present invention. In addition, it should be understood that after reading the content taught by the present invention, those skilled in the art can make various changes or modifications to the present invention, and these equivalent forms fall within the scope limited by the application equally.
[0043] The present invention provides a meibomian gland thermal shock interventional treatment device, such as Figure 1 , Figure 2 and Figure 7 As shown, it includes a thermal impact intervention mechanism and an eyelid traction mechanism arranged on an operating table 1. Specifically, a headrest is provided on the operating table 1 to preliminarily fix the patient's head. The eyelid traction mechanism includes a movable frame 2 slidably arranged on the operating table 1. Slide blocks 3 are symmetrically slidably connected to the movable frame 2. A support rod 4 is slidably connected to the slide block 3. An eyelid hook 5 is provided at the end of the support rod 4. The slide block 3 is slid on the movable frame 2 so that the support rod 4 and the patient's eyeball are in the same straight line. Then, the support rod 4 is slid on the slide block 3 so that the two eyelid hooks 5 are respectively above the upper eyelid and the lower eyelid of the patient. Then, the movable frame 2 is slowly moved down to a certain height on the operating table 1 to hook the eyelid. The hook 5 is placed in the patient's eye socket, and then the support rod 4 is slid on the slider 3 to both sides, driving the eyelid hook 5 to move to both sides, pulling the upper eyelid upward and the lower eyelid downward respectively, so that the patient's eyelids are opened, which is convenient for medical staff to observe the location of the patient's meibomian glands and improve the treatment effect of meibomian gland blockage; at the same time, it is prevented that the patient's blinking affects the treatment effect during the treatment by the medical staff, and there is no need for the medical staff to continuously open the patient's eyelids, thereby improving the treatment efficiency of meibomian gland blockage; the eyelid hook 5 can be made of silicone to avoid the eyelid hook 5 from rigidly contacting the eyelid during the process of opening the eyelid, resulting in damage to the eyelid, thereby improving the treatment effect of meibomian gland blockage;
[0044] The hot shock intervention mechanism includes a tube body 6 and a piston 7 slidably arranged on the tube body 6, the end of the piston 7 is provided with a pressing block 8 extending to the outside of the tube body 6, the end of the tube body 6 is provided with a needle 9, and also includes a heating wire 10 sleeved on the outside of the tube body 6 and connected to the needle 9; the heating wire 10 is energized to heat the needle 9 at the end of the injection device to 42 degrees, and then the injection device is moved so that the needle 9 passes through the opening of the meibomian gland and is inserted into the bottom of the meibomian gland cavity along the direction of the meibomian gland. After the meibomian gland is heated by the needle 9 for 30 seconds, the lipid in the meibomian gland is completely melted; then the pressing block 8 extending to the outside of the tube body 6 is pressed to push the piston 7 to slide on the tube body 6, and the medicine in the tube body 6 is squeezed into the meibomian gland, thereby flushing the meibomian gland cavity, accelerating the discharge of lipids in the meibomian gland, and then improving the discharge efficiency of lipids in the gland cavity, and improving the treatment effect of meibomian gland blockage.
[0045] Preferably, Figure 2 and Figure 3 As shown, a clamping plate 11 is provided on both sides of the movable frame 2, and a plurality of grooves 12 are provided on the clamping plate 11. A limiting block 13 is slidably connected to the slider 3. The end of the limiting block 13 is provided with a plurality of first protrusions 14 and a first wedge block 15 is slidably connected. One side of the first protrusion 14 and the first wedge block 15 is respectively provided with a first inclined surface 16 and a second inclined surface 17 in contact with the groove 12. The resistance generated by the first inclined surface 16 and the second inclined surface 17 contacting the groove 12 limits the sliding of the slider 3 relative to the movable frame 2, so as to avoid the external force inadvertently driving the slider 3 to slide on the movable frame 2 during the operation, affecting the fixing effect of the eyelid hook 5 on the patient's eyelid, thereby improving the treatment effect on the blockage of the meibomian gland; in addition, according to actual needs, the slider 3 can be fixed at different positions to avoid the slider 3 being driven to move slightly on the movable frame 2 during the fixing process, affecting the effect of the eyelid traction mechanism on fixing the patient's eyelid, and further improving the treatment effect on the blockage of the meibomian gland.
[0046] Preferably, Figure 3As shown, a first spring 18 is provided between the limit block 13 and the slider 3 for realizing automatic resetting of the limit block 13 without the need for medical staff to move it, so as to avoid driving the slider 3 to move slightly on the movable frame 2 during the moving process, thereby affecting the effect of the eyelid traction mechanism in fixing the patient's eyelid, and further improving the treatment effect of meibomian gland obstruction; a guide block 19 is provided at the end of the limit block 13, which is slidably connected to the slider 3, and guides the sliding of the limit block 13 on the slider 3; a first screw 20 is threadedly connected to the guide block 19, and a conical surface 21 is provided at the end of the first screw 20, which contacts the first wedge block 15, thereby driving the wedge block to slide on the slider 3, and through the resistance generated by the first inclined surface 16 and the second inclined surface 17 contacting the groove 12, the slider 3 is limited from sliding relative to the movable frame 2. This prevents the external force from accidentally driving the slider 3 to slide on the movable frame 2 during the operation, thereby affecting the fixing effect of the eyelid hook 5 on the patient's eyelid, thereby improving the treatment effect on meibomian gland obstruction; the slider 3 is threadedly connected with a second screw 22, and the end of the second screw 22 is in contact with the guide block 19, which is used to limit the sliding of the limit block 13 on the slider 3. When adjusting the position of the slider 3 on the movable frame 2, it is convenient to subsequently adjust the position of the slider 3 on the movable frame 2, thereby improving the efficiency of adjusting the position of the eyelid hook 5, thereby improving the treatment efficiency of meibomian gland obstruction; and after fixing the position of the slider 3 on the movable frame 2, it is prevented from accidentally driving the limit block 13 to move by external force, thereby affecting the fixing effect of the slider 3 on the movable frame 2, thereby ensuring the stability of the overall structure and improving the treatment effect on meibomian gland obstruction.
[0047] Preferably, Figure 3 As shown, a slide groove 23 is provided at the end of the limit block 13, and a second protrusion 24 slidably connected to the slide groove 23 is provided on the first wedge block 15 to prevent the wedge block from deviating from the track and affecting the fixing effect of the slider 3 on the movable frame 2, thereby ensuring the stability of the overall structure and improving the treatment effect on meibomian gland obstruction.
[0048] Preferably, Figure 4 As shown, the support rod 4 is provided with a plurality of grooves 25, and the slider 3 is slidably connected with a ball 26 in contact with the groove 25, and a second spring 27 is provided between the ball 26 and the slider 3. By sliding the support rod 4 on the slider 3, the ball 26 is driven to move outward through the force generated by the contact between the ball 26 and the groove 25, and the second spring 27 between the ball 26 and the slider 3 is compressed until the ball 26 moves into the next groove 25, and under the action of the rebound force of the second spring 27, the ball 26 is driven to reset and contact with the next groove 25, so as to facilitate the adjustment of the position of the support rod 4 on the slider 3, improve the efficiency of the position adjustment of the eyelid hook 5, and further improve the treatment efficiency of meibomian gland obstruction.
[0049] Preferably, Figure 4 As shown, the slider 3 is threadedly connected with a third screw rod 28, and the second spring 27 is sleeved on the outside of the third screw rod 28. The end of the third screw rod 28 contacts the ball 26. When the eyelid hook 5 is above the eyeball, the third screw rod 28 is tightened on the slider 3 to make its end contact with the ball 26. The resistance generated after the contact limits the movement of the ball 26 outward, and the resistance generated after the ball 26 contacts the groove 25 limits the sliding of the support rod 4 on the slider 3, so as to avoid the external force accidentally driving the slider 3 to slide on the movable frame 2 during the operation, thereby affecting the fixing effect of the eyelid hook 5 on the patient's eyelid, thereby improving the treatment effect of meibomian gland blockage.
[0050] Preferably, Figure 5 As shown, the eyelid hook 5 is slidably arranged on the support rod 4, and a third spring 29 is arranged between the support rod 4 and the eyelid hook 5. When the two corresponding eyelid hooks 5 are respectively hung on the upper eyelid and the lower eyelid of the patient, the support rod 4 is slid on the slider 3, so that the eyelid hook 5 slides relative to the support rod 4, and the third spring 29 arranged between the support rod 4 and the eyelid hook 5 is compressed. The rebound force generated by the compression of the third spring 29 applies a pulling force to the upper eyelid and the lower eyelid, so that they are in an open state, which is convenient for medical staff to observe the position of the patient's meibomian glands and improve the treatment effect of meibomian gland blockage; at the same time, it avoids the patient's blinking during the treatment by the medical staff to affect the treatment effect, and there is no need for the medical staff to continuously open the patient's eyelids, thereby improving the treatment efficiency of meibomian gland blockage.
[0051] Preferably, Figure 6 As shown, the operating bed 1 is provided with a plurality of fixed blocks 30, and the movable frame 2 is provided with a plurality of second wedge blocks 31 slidably connected with the fixed blocks 30, so as to limit the moving direction of the movable frame 2 and ensure that the movable frame 2 moves vertically, thereby avoiding the need to readjust the lateral and longitudinal positions of the eyelid hook 5 on the operating bed 1, thereby improving the treatment efficiency of meibomian gland obstruction; third inclined surfaces 32 are respectively provided on both sides of the second wedge block 31, and a clamping block 33 is slidably connected to the fixed block 30, and the ends of the clamping block 33 are symmetrically provided with third protrusions 34 in contact with the third inclined surfaces 32, and the third protrusion 34 provided on one side of the clamping block 33 contacts the third inclined surface 32 on the second wedge block 31, and the friction force generated after the contact limits the movement of the second wedge block 31 relative to the fixed block 30, thereby realizing the fixation of the movable frame 2 on the operating bed 1, avoiding the external force from accidentally driving the movable frame 2 to slide on the operating bed 1, affecting the fixing effect of the eyelid hook 5 on the patient's eyelid, thereby improving the treatment effect of meibomian gland obstruction.
[0052] Preferably, Figure 6As shown, a T-slot 35 is provided at the end of the clamping block 33, and a fourth screw 36 is threadedly connected to the fixing block 30. A T-block 37 rotatably connected to the T-slot 35 is provided at the end of the fourth screw 36. Both sides of the T-block 37 are in contact with the T-slot 35 respectively, so that the fourth screw 36 drives the clamping block 33 to move on the fixing block 30, and contacts the third inclined surface 32 on the second wedge block 31 through a third protrusion 34 provided on one side of the clamping block 33, thereby achieving the fixation of the movable frame 2 on the operating bed 1, avoiding the external force from accidentally driving the movable frame 2 to slide on the operating bed 1, affecting the fixing effect of the eyelid hook 5 on the patient's eyelid, thereby improving the treatment effect on meibomian gland obstruction; at the same time, avoiding the fourth screw 36 from driving the clamping block 33 to rotate, affecting the fixation of the movable frame 2 on the operating bed 1, thereby improving the treatment effect on meibomian gland obstruction.
[0053] Preferably, Figure 1 and Figure 2 As shown, a slit lamp 38 is provided on the movable frame 2, and an elastic bracket 39 is provided between the slit lamp 38 and the movable frame 2. The shape of the elastic bracket 39 is changed by bending, and the irradiation angle of the slit lamp 38 is adjusted, so that medical staff can observe the location of the patient's meibomian glands and improve the treatment effect of meibomian gland blockage.
[0054] Example 1
[0055] The present invention provides a meibomian gland thermal shock interventional treatment device, such as Figure 1 , Figure 2 and Figure 7 As shown, after the patient lies flat on the operating table 1, the slider 3 is slid on the movable frame 2 so that the support rod 4 and the patient's eyeball are in the same straight line, and then the support rod 4 is slid on the slider 3 so that the two eyelid hooks 5 are respectively above the patient's upper eyelid and lower eyelid, and then the movable frame 2 is slowly moved down to a certain height on the operating table 1, and the eyelid hooks 5 are placed in the patient's eye sockets, and then the support rods 4 are slid on the slider 3 to both sides respectively, driving the eyelid hooks 5 to move to both sides, pulling the upper eyelid upward and the lower eyelid downward respectively, so that the patient's eyelids are opened, which is convenient for medical staff to observe the position of the patient's meibomian glands and improve the treatment effect of meibomian gland blockage; at the same time, it is prevented that the patient's blinking affects the treatment effect during the treatment process of medical staff, and there is no need for medical staff to continuously open the patient's eyelids, thereby improving the treatment efficiency of meibomian gland blockage;
[0056] Then, the heating wire 10 is energized to heat the needle 9 at the end of the injection device to 42 degrees, and then the injection device is moved so that the needle 9 passes through the opening of the meibomian gland and is inserted into the bottom of the meibomian gland cavity along the direction of the meibomian gland. After the meibomian gland is heated by the needle 9 for 30 seconds, the lipid in the meibomian gland is completely melted; then, the pressing block 8 extending to the outside of the tube body 6 is pressed to push the piston 7 to slide on the tube body 6, and the medicine in the tube body 6 is squeezed into the meibomian gland, thereby flushing the meibomian gland cavity, accelerating the discharge of lipids in the meibomian gland, and then improving the discharge efficiency of lipids in the gland cavity, and improving the treatment effect of meibomian gland blockage;
[0057] Finally, pull out the needle 9, wipe the end with alcohol and let it dry naturally, and repeat the above process to heat and rinse the other meibomian glands internally.
[0058] Example 2
[0059] On the basis of Example 1, Figure 2 and Figure 3 As shown, when it is necessary to adjust the lateral position of the eyelid hook 5 on the operating table 1, the limit block 13 is pulled outward so that the first protrusion and the first wedge block 15 provided at the end thereof slide out of the groove 12, thereby releasing the restriction on the sliding of the slider 3 on the movable frame 2, and then the second screw 22 is tightened on the slider 3 so that it contacts the guide block 19, and the resistance generated limits the sliding of the limit block 13 on the slider 3, which facilitates the subsequent adjustment of the position of the slider 3 on the movable frame 2, improves the efficiency of the position adjustment of the eyelid hook 5, and further improves the treatment efficiency of the meibomian gland obstruction;
[0060] After the eyelid hook 5 and the eyeball are on the same horizontal line by sliding the slider 3 on the movable frame 2, the second screw 22 is then loosened on the slider 3 to release the restriction on the sliding of the guide block 19 on the movable frame 2, and the limit block 13 is driven to move inward under the action of the rebound force generated by the compression of the first spring 18, until the first inclined surface 16 provided on the first protrusion 14 on the limit block 13 contacts the groove 12, and then the second screw 22 is tightened on the slider 3 to restrict the limit block 13 from sliding on the slider 3, and then the first screw 20 is tightened on the guide block 19, and the conical surface 21 provided at the end of the first screw 20 contacts the first wedge block 15, and the component force generated will drive the wedge The block slides on the limit block 13 until the second inclined surface 17 provided on one side of the wedge-shaped block contacts the groove 12, and the resistance generated by the contact between the first inclined surface 16 and the second inclined surface 17 and the groove 12 limits the sliding of the slider 3 relative to the movable frame 2, so as to avoid the external force inadvertently driving the slider 3 to slide on the movable frame 2 during the operation, thereby affecting the fixing effect of the eyelid hook 5 on the patient's eyelid, thereby improving the treatment effect on the blockage of the meibomian gland; in addition, according to actual needs, the slider 3 can be fixed at different positions to avoid the slider 3 being driven to move slightly on the movable frame 2 during the fixing process, thereby affecting the effect of the eyelid traction mechanism on fixing the patient's eyelid, thereby further improving the treatment effect on the blockage of the meibomian gland.
[0061] Example 3
[0062] On the basis of Example 1, Figure 4 and Figure 5 As shown, when the longitudinal position of the eyelid hook 5 needs to be adjusted on the operating table 1, the support rod 4 is slid on the slider 3, and the ball 26 is driven to move outward by the force generated by the contact between the ball 26 and the groove 25, and the second spring 27 between the ball 26 and the slider 3 is compressed until the ball 26 moves into the next groove 25, and under the action of the rebound force of the second spring 27, the ball 26 is driven to reset and contact with the next groove 25, so as to facilitate the adjustment of the position of the support rod 4 on the slider 3, improve the efficiency of the position adjustment of the eyelid hook 5, and further improve the treatment efficiency of the meibomian gland blockage;
[0063] When the eyelid hook 5 is above the eyeball, the third screw 28 is tightened on the slider 3 so that its end contacts the ball 26. The resistance generated after the contact limits the movement of the ball 26 outward, and the resistance generated after the ball 26 contacts the groove 25 limits the sliding of the support rod 4 on the slider 3, so as to avoid the external force inadvertently driving the slider 3 to slide on the movable frame 2 during the operation, thereby affecting the fixing effect of the eyelid hook 5 on the patient's eyelid, thereby improving the treatment effect of meibomian gland blockage;
[0064] In addition, when the two corresponding eyelid hooks 5 are respectively hung on the patient's upper eyelid and lower eyelid, the eyelid hook 5 slides relative to the support rod 4 by sliding the support rod 4 on the slider 3, and compresses the third spring 29 provided between the support rod 4 and the eyelid hook 5. The rebound force generated by the compression of the third spring 29 applies a pulling force to the upper eyelid and the lower eyelid, so that they are in an open state, which is convenient for medical staff to observe the position of the patient's meibomian glands and improve the treatment effect of meibomian gland blockage; at the same time, it avoids the patient's blinking during the treatment process to affect the treatment effect, and there is no need for medical staff to continuously open the patient's eyelids, thereby improving the treatment efficiency of meibomian gland blockage.
[0065] Example 4
[0066] On the basis of Example 1, Figure 6 As shown, when the vertical position of the eyelid hook 5 needs to be adjusted on the operating table 1, the movable frame 2 is moved up and down, and the second wedge block 31 provided on the movable frame 2 slides on the fixed block 30 to limit the moving direction of the movable frame 2, so as to ensure that the movable frame 2 moves vertically, thereby avoiding the need to readjust the horizontal and vertical positions of the eyelid hook 5 on the operating table 1, thereby improving the treatment efficiency of meibomian gland obstruction;
[0067] After the two corresponding eyelid hooks 5 are in contact with the upper eyelid and the lower eyelid respectively, the fourth screw 36 is tightened on the fixing block 30, and the two sides of the T-shaped block are in contact with the T-slot 35 respectively, and the T-shaped block 37 is rotatably connected with the T-slot 35, so that the fourth screw 36 drives the clamping block 33 to move on the fixing block 30, and contacts the third inclined surface 32 on the second wedge block 31 through the third protrusion 34 provided on one side of the clamping block 33. The friction force generated after the contact limits the movement of the second wedge block 31 relative to the fixing block 30, thereby achieving the fixation of the movable frame 2 on the operating bed 1, avoiding the external force from accidentally driving the movable frame 2 to slide on the operating bed 1, affecting the fixing effect of the eyelid hook 5 on the patient's eyelid, thereby improving the treatment effect on meibomian gland obstruction; at the same time, avoiding the fourth screw 36 from driving the clamping block 33 to rotate, affecting the fixation of the movable frame 2 on the operating bed 1, thereby improving the treatment effect on meibomian gland obstruction.
Claims
1. A meibomian gland thermal shock intervention treatment device, comprising a thermal shock intervention mechanism and an eyelid traction mechanism arranged on an operating table (1), Features: The eyelid traction mechanism comprises a movable frame (2) slidably arranged on an operating table (1), a slider (3) symmetrically slidably connected to the movable frame (2), a support rod (4) slidably connected to the slider (3), and an eyelid hook (5) is provided at the end of the support rod (4); The thermal shock insertion mechanism comprises a tube body (6) and a piston (7) slidably arranged on the tube body (6); the end of the piston (7) is provided with a pressing block (8) extending to the outside of the tube body (6); the end of the tube body (6) is provided with a needle (9); and further comprises a heating wire (10) sleeved on the outside of the tube body (6) and connected to the needle (9).
2. A meibomian gland thermal shock interventional treatment device according to claim 1, Features: A clamping plate (11) is provided on both sides of the movable frame (2), and a plurality of grooves (12) are provided on the clamping plate (11). A limit block (13) is slidably connected to the slider (3), and a plurality of first protrusions (14) and a first wedge block (15) are slidably connected to the end of the limit block (13). One side of the first protrusion (14) and the first wedge block (15) are respectively provided with a first inclined surface (16) and a second inclined surface (17) that are in contact with the groove (12).
3. A meibomian gland thermal shock interventional treatment device according to claim 2, Features: A first spring (18) is provided between the limit block (13) and the slider (3); a guide block (19) is provided at the end of the limit block (13) and is slidably connected to the slider (3); a first screw rod (20) is threadedly connected to the guide block (19); a conical surface (21) is provided at the end of the first screw rod (20) and is in contact with the first wedge block (15); a second screw rod (22) is threadedly connected to the slider (3); an end of the second screw rod (22) is in contact with the guide block (19).
4. The meibomian gland thermal shock interventional treatment device according to claim 2, Features: A sliding groove (23) is provided at the end of the limit block (13), and a second protrusion (24) slidably connected to the sliding groove (23) is provided on the first wedge block (15).
5. The meibomian gland thermal shock interventional treatment device according to claim 1, Features: The support rod (4) is provided with a plurality of grooves (25), the slider (3) is slidably connected with a ball (26) in contact with the grooves (25), and a second spring (27) is provided between the ball (26) and the slider (3).
6. The meibomian gland thermal shock interventional treatment device according to claim 5, Features: The slider (3) is threadedly connected with a third screw rod (28), the second spring (27) is sleeved on the outside of the third screw rod (28), and the end of the third screw rod (28) is in contact with the ball (26).
7. The meibomian gland thermal shock interventional treatment device according to claim 1, Features: The eyelid hook (5) is slidably arranged on the support rod (4), and a third spring (29) is arranged between the support rod (4) and the eyelid hook (5).
8. The meibomian gland thermal shock interventional treatment device according to claim 1, Features: The operating bed (1) is provided with a plurality of fixed blocks (30), the movable frame (2) is provided with a plurality of second wedge blocks (31) slidably connected to the fixed blocks (30), third inclined surfaces (32) are respectively provided on both sides of the second wedge blocks (31), the fixed blocks (30) are slidably connected with clamping blocks (33), and the ends of the clamping blocks (33) are symmetrically provided with third protrusions (34) in contact with the third inclined surfaces (32).
9. The meibomian gland thermal shock interventional treatment device according to claim 8, Features: The end of the clamping block (33) is provided with a T-shaped slot (35), the fixing block (30) is threadedly connected with a fourth screw rod (36), the end of the fourth screw rod (36) is provided with a T-shaped block (37) rotatably connected to the T-shaped slot (35), and two sides of the T-shaped block (37) are respectively in contact with the T-shaped slot (35).
10. The meibomian gland thermal shock interventional treatment device according to claim 1, Features: A slit lamp (38) is provided on the movable frame (2), and an elastic bracket (39) is provided between the slit lamp (38) and the movable frame (2).
Citation Information
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