A posterior capsule polisher for cataract surgery
By designing an automated post-cataract capsule polisher, the combination of visual recognition components and control hosts is used to realize automated polishing and residual adsorption operations, solving the secondary injury problems caused by difficult control of polishing force and handle switching in the prior art, and improving the reliability and success rate of the surgery.
Patent Information
- Application Number
- CN202411207843.9
- Authority / Receiving Office
- CN · China
- Patent Type
- Patents(China)
- Current Assignee / Owner
- Filing Date
- 2024-08-30
- Publication Date
- 2025-03-21
- Estimated Expiration
- 2044-08-30
AI Technical Summary
The existing capsule polisher after cataract surgery is completely dependent on manual operation, and the polishing force is difficult to control, the effect is not ideal, and the handle needs to be switched frequently, which can easily cause secondary damage to the patient's eyes.
A capsule polisher after cataract surgery is designed, adopting a structure including a polishing handle, a polishing head, an adsorption rod, a U-shaped fork and a polishing airbag. Through the cooperation of visual identification components and control host, automated polishing and residual adsorption operations are achieved.
By automatically identifying residual positions and performing polishing operations, the dependence on medical staff's experience is reduced, the reliability and success rate of the surgery is improved, the damage to the eyes is reduced, and the damage caused by switching operations is avoided.
Smart Images

Figure CN119074378B_ABST
Abstract
Description
Technical Field
[0001] The invention relates to the technical field of ophthalmic surgical instruments, and more specifically to a posterior capsule polisher for cataract surgery. Background Art
[0002] Cataract phacoemulsification and posterior capsule polishing are routine steps in ophthalmic surgery, aimed at removing residual lens cortex and epithelial cells to ensure better visual effects. After continuous circular capsulotomy and removal of turbid materials in the capsular bag during cataract surgery, cortical and lens epithelial cells often remain on the posterior capsule. If they are not polished and cleaned, it is easy to cause capsular bag contraction syndrome or secondary cataract after implantation of an artificial lens, affecting postoperative vision. What's more, some patients need examination or treatment due to fundus diseases, but the examination or treatment of the fundus is affected by posterior capsule opacity or contraction.
[0003] The existing posterior capsule polisher is usually composed of a polishing head and a handle connected by a hard pipe. During polishing, the end of the pipe and the polishing head are inserted into the incision of the eye to frictionally polish the posterior capsule. Since it is completely operated by hand, the polishing force is difficult to control and the polishing effect is not ideal. It completely depends on the operating experience of the medical staff. In addition, it is necessary to cooperate with the adsorption handle for adsorption operation. Switching back and forth between different handles can easily cause secondary damage to the patient's eyes. There is a need for a cataract surgery posterior capsule polisher and an application method thereof that can better overcome the above-mentioned defects. Summary of the invention
[0004] The technical problem to be solved by the present invention is to provide a posterior capsule polisher for cataract surgery and an application method of the posterior capsule polisher for cataract surgery in view of the above-mentioned defects of the prior art.
[0005] The technical solution adopted by the present invention to solve its technical problem is:
[0006] A posterior capsule polisher for cataract surgery is constructed, comprising a polishing handle, one end of which is fixedly connected to a polishing head via a connecting rod, wherein the polishing handle also comprises a fixing frame, the fixing frame is provided with a clamping assembly for clamping and fixing the head, a visual recognition assembly, a manipulator for driving the polishing handle to move, and a control host for controlling the manipulator, the visual recognition assembly being communicatively connected to the control host; the polishing head comprises an adsorption rod and a U-shaped fork, a side surface of the adsorption rod is provided with a plurality of flexible adsorption heads with flush surfaces along the length direction, an exhaust hole connecting the plurality of flexible adsorption heads is provided in the adsorption rod; the inner wall of the U-shaped fork is slidably connected to the outer surface of the adsorption rod, and a side surface of the U-shaped fork is matched with a suction hole connected to the suction hole; A U-shaped polishing airbag is provided, and an inflation hole connected to the polishing airbag is provided in the U-shaped fork; the polishing airbag has a first inflation state, a second inflation state and a third inflation state, and in the first inflation state, the surface height of the polishing airbag is lower than the surface height of the flexible adsorption head; in the second inflation state, the surface height of the polishing airbag is higher than the surface height of the flexible adsorption head by a polishing interval; in the third inflation state, the surface height of the polishing airbag is higher than the surface height of the flexible adsorption head by an suction interval; an exhaust and exhaust air control unit and a drive unit are provided on the polishing handle, and both the exhaust and exhaust air control unit and the drive unit are controlled by the control host.
[0007] The posterior capsule polisher for cataract surgery described in the present invention is characterized in that an inflation tube connected to the inflation hole and an exhaust tube connected to the exhaust hole are arranged inside the connecting rod, and a telescopic tube connected to the inflation hole is arranged at the front end of the inflation tube; the exhaust and suction control unit is used to inflate the inflation tube and exhaust the exhaust tube.
[0008] The posterior capsule polisher for cataract surgery described in the present invention, wherein the exhaust and extraction air control unit includes a first air chamber connected to the inflation tube and a second air chamber connected to the exhaust tube, and air pressure sensors are provided in the first air chamber and the second air chamber; the value of the air pressure sensor of the first air chamber is associated with the three inflation states of the polishing air bag; the value of the air pressure sensor of the second air chamber is associated with the adsorption state of the flexible adsorption head; and an interception filter is provided in the second air chamber.
[0009] The posterior capsule polisher for cataract surgery described in the present invention has a driving wire inserted into the inflation tube, one end of the driving wire is connected to the U-shaped fork, and the other end is driven to move by the driving unit.
[0010] The posterior capsule polisher for cataract surgery described in the present invention, wherein the driving unit includes a micro motor and a reciprocating cam mechanism driven by the micro motor, and the driving wire is driven to reciprocate by the reciprocating cam mechanism.
[0011] The posterior capsule polisher for cataract surgery of the present invention comprises the polishing airbag made of elastic material and provided with polishing lines on the surface.
[0012] The posterior capsule polisher for cataract surgery described in the present invention, wherein the clamping assembly includes a supporting base plate, both left and right sides of the supporting base plate are adjustable and provided with movable side plates, and the surfaces of the supporting base plate and the movable side plates are both provided with a rubber layer.
[0013] A method for applying a posterior capsule polisher for cataract surgery is applied to the posterior capsule polisher for cataract surgery as described above, wherein the method comprises the steps of:
[0014] The visual recognition component captures the human eye image, identifies the polishing position that needs to be polished based on the captured image, and transmits the polishing position information to the control host;
[0015] Manually insert the polishing head through the incision of the eye, and the control host controls the manipulator to perform the following polishing operations on the above polishing positions one by one:
[0016] The manipulator moves the polishing head so that the adsorption rod is located at the center of the polishing position, adjusts the polishing airbag to the first inflation state, drives the polishing head to move so that the flexible adsorption head contacts the posterior capsule membrane, evacuates the flexible adsorption head so that it adsorbs the posterior capsule membrane, adjusts the polishing airbag to the second inflation state, and drives the U-shaped fork to reciprocate to perform polishing operation on the edge of the polishing position.
[0017] The manipulator moves the polishing head so that the adsorption rod is located at the edge of the polishing position, and the polishing airbag is adjusted to the first inflation state. The manipulator drives the polishing head to move so that the flexible adsorption head contacts the posterior capsule membrane, and the flexible adsorption head is evacuated to make it adsorb the posterior capsule membrane. The polishing airbag is adjusted to the second inflation state. The driving unit drives the U-shaped fork to reciprocate, and the polishing operation is performed on the center of the polishing position.
[0018] The polishing airbag is adjusted to the third inflation state, the flexible adsorption head is evacuated to make it enter the suction state, and the manipulator moves the polishing head so that the flexible adsorption head performs residual adsorption on the polishing position.
[0019] The beneficial effects of the present invention are as follows: the visual recognition component captures an image of the human eye, recognizes the polishing position that needs to be polished based on the captured image, and transmits the information of the polishing position to the control host; the polishing head is inserted from the incision of the eye manually, and the control host controls the manipulator to perform the following polishing operations on the above-mentioned polishing positions one by one: the manipulator moves the polishing head so that the adsorption rod is located at the center of the polishing position, the polishing airbag is adjusted to a first inflation state, the manipulator drives the polishing head to move so that the flexible adsorption head contacts the posterior capsule membrane, the flexible adsorption head is evacuated to make it adsorb the posterior capsule membrane, the polishing airbag is adjusted to a second inflation state, and the drive unit is driven to operate The U-shaped fork moves back and forth to perform polishing operations on the edge of the polishing position; the manipulator moves the polishing head so that the adsorption rod is located at the edge of the polishing position, and the polishing airbag is adjusted to the first inflation state. The manipulator drives the polishing head to move so that the flexible adsorption head contacts the posterior capsule membrane, and the flexible adsorption head is pumped to make it adsorb the posterior capsule membrane, and the polishing airbag is adjusted to the second inflation state. The drive unit drives the U-shaped fork to move back and forth to perform polishing operations on the center of the polishing position; the polishing airbag is adjusted to the third inflation state, and the flexible adsorption head is pumped to make it enter the suction state. The manipulator moves the polishing head so that the flexible adsorption head performs residual adsorption on the polishing position;
[0020] By applying the method of the present application, it is possible to autonomously identify the residual position and perform automated polishing and residue adsorption operations, without having to rely on the experience of medical staff, thereby improving the reliability and success rate of the operation; in addition, the adsorption rod is slidably combined with a U-shaped fork with a polishing airbag, the former can provide adsorption positioning and residual adsorption functions, and the latter can perform polishing operations and provide the function of adjusting the distance between the adsorption rod and the posterior capsule membrane. The combination of the two has a small size, good stability, and complements each other, thereby effectively improving the positioning reliability of automated polishing, reducing the eye damage that may be caused by residual adsorption, and avoiding damage to the eye caused by switching operations. BRIEF DESCRIPTION OF THE DRAWINGS
[0021] In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the present invention will be further described below in conjunction with the accompanying drawings and embodiments. The drawings described below are only some embodiments of the present invention. For those of ordinary skill in the art, other drawings can be obtained based on these drawings without creative work:
[0022] Figure 1 It is a structural schematic diagram of a posterior capsule polisher for cataract surgery according to a preferred embodiment of the present invention;
[0023] Figure 2 It is a schematic structural diagram of a polishing head of a posterior capsule polisher for cataract surgery according to a preferred embodiment of the present invention;
[0024] Figure 3It is a cross-sectional schematic diagram of a polishing head of a posterior capsule polisher for cataract surgery according to a preferred embodiment of the present invention;
[0025] Figure 4 It is a schematic cross-sectional view of the polishing handle of a posterior capsule polisher for cataract surgery according to a preferred embodiment of the present invention. DETAILED DESCRIPTION
[0026] In order to make the purpose, technical solutions and advantages of the embodiments of the present invention clearer, the following will be described clearly and completely in combination with the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are partial embodiments of the present invention, not all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work belong to the protection scope of the present invention.
[0027] The posterior capsule polisher for cataract surgery of the preferred embodiment of the present invention is as follows: Figure 1 As shown, it includes a polishing handle 1, one end of which is fixedly connected to a polishing head 3 through a connecting rod 2, and also includes a fixing frame 4, on which a clamping component 5 for clamping a fixed head, a visual recognition component 6, a manipulator 7 for driving the polishing handle 1 to move, and a control host 8 for controlling the manipulator 7 are arranged, and the visual recognition component 6 is communicatively connected to the control host 8;
[0028] The polishing head 3 includes an adsorption rod 30 and a U-shaped fork 31. A plurality of flexible adsorption heads 300 with flush surfaces are arranged along the length direction on one side surface of the adsorption rod 30. An air extraction hole 301 connecting the plurality of flexible adsorption heads 300 is arranged in the adsorption rod 30. The inner wall of the U-shaped fork 31 is slidably connected to the outer surface of the adsorption rod 30. A U-shaped polishing airbag 310 is matched and arranged on one side surface of the U-shaped fork 31. An air charging hole 311 connecting the polishing airbag 310 is arranged in the U-shaped fork 31.
[0029] The polishing airbag 310 has a first inflation state, a second inflation state and a third inflation state, and in the first inflation state, the surface height of the polishing airbag 310 is lower than the surface height of the flexible adsorption head 300; in the second inflation state, the surface height of the polishing airbag 310 is higher than the surface height of the flexible adsorption head 300 by a polishing interval; in the third inflation state, the surface height of the polishing airbag 310 is higher than the surface height of the flexible adsorption head 300 by a suction interval;
[0030] The polishing handle 1 is provided with an exhaust gas control unit 10 and a driving unit 11, and both the exhaust gas control unit 10 and the driving unit 11 are controlled by a control host 8;
[0031] The visual recognition component 6 captures the human eye image, identifies the polishing position that needs to be polished based on the captured image, and transmits the polishing position information to the control host 8;
[0032] The polishing head 3 is inserted into the eye through the incision by manual operation (control or operation of the manipulator) (it should be noted that since the incision position may vary, the incision insertion step also requires manual intervention by a human. After the operation is completed, the control host reacquires the position data of the polishing head for subsequent operations), and the control host 8 controls the manipulator 3 to perform the following polishing operations on the above polishing positions one by one:
[0033] The manipulator 7 moves the polishing head 3 so that the adsorption rod 30 is located at the center of the polishing position, and the polishing airbag 310 is adjusted to the first inflation state. The manipulator 7 drives the polishing head 3 to move so that the flexible adsorption head 300 contacts the posterior capsule membrane, and the flexible adsorption head 300 is evacuated to make it adsorb the posterior capsule membrane, and the polishing airbag 310 is adjusted to the second inflation state. The driving unit 11 drives the U-shaped fork 31 to move back and forth, and the polishing operation is performed on the edge of the polishing position; the manipulator 7 moves the polishing head 3 so that the adsorption rod 30 is located at the edge of the polishing position, and the polishing airbag 31 0 is adjusted to the first inflation state, the manipulator 7 drives the polishing head 3 to move so that the flexible adsorption head 300 contacts the posterior capsule, and the flexible adsorption head 300 is evacuated to make it adsorb the posterior capsule, and the polishing airbag 310 is adjusted to the second inflation state, and the driving unit 11 drives the U-shaped fork 31 to move back and forth, and the polishing operation is performed on the center of the polishing position; the polishing airbag 310 is adjusted to the third inflation state, and the flexible adsorption head 300 is evacuated to make it enter the suction state, and the manipulator 7 moves the polishing head 3 so that the flexible adsorption head 300 performs residual adsorption on the polishing position;
[0034] By applying the method of the present application, it is possible to autonomously identify the residual position and perform automated polishing and residue adsorption operations, without having to rely on the experience of medical staff, thereby improving the reliability and success rate of the operation; in addition, the adsorption rod is slidably combined with a U-shaped fork with a polishing airbag, the former can provide adsorption positioning and residual adsorption functions, and the latter can perform polishing operations and provide the function of adjusting the distance between the adsorption rod and the posterior capsule membrane. The combination of the two has a small size, good stability, and complements each other, thereby effectively improving the positioning reliability of automated polishing, reducing the eye damage that may be caused by residual adsorption, and avoiding damage to the eye caused by switching operations.
[0035] Preferably, an inflatable tube 20 connected to the inflatable hole 311 and an exhaust tube 21 connected to the exhaust hole 301 are provided in the connecting rod 2, and a telescopic tube 200 connected to the inflatable hole 311 is provided at the front end of the inflatable tube 20 (to cooperate with the sliding of the U-shaped fork); the exhaust and exhaust air control unit 10 is used to inflate the inflatable tube and exhaust the exhaust tube; the exhaust and exhaust air control unit 10 includes a first air chamber 100 connected to the inflatable tube 20 and a second air chamber 101 connected to the exhaust tube 21, and an air pressure sensor 102 is provided in each of the first air chamber 100 and the second air chamber 101; the first air chamber 100 and the second air chamber 101 are provided with an air pressure sensor 102; The value of the air pressure sensor in chamber 100 is associated with the three inflation states of the polishing airbag 310; the value of the air pressure sensor in the second air chamber 101 is associated with the adsorption state of the flexible adsorption head 300; an interception filter 1010 is arranged in the second air chamber 101; by adopting this inflation and exhaust mechanism design, the corresponding polishing airbag 310 state and flexible adsorption head 300 state can be quickly adjusted by changing the air pressure values of the first air chamber and the second air chamber, and the structure is simple and the precision is high; the first air chamber and the second air chamber can be connected to an inflation and deflation unit 103 accordingly.
[0036] Preferably, a driving steel wire 22 is passed through the inflation tube 20, one end of the driving steel wire 22 is connected to the U-shaped fork 31, and the other end is driven to move by the driving unit 11; the driving unit 11 includes a micro motor 110 and a reciprocating cam mechanism 111 driven by the micro motor 110, and the driving steel wire 22 is driven to reciprocate by the reciprocating cam mechanism 111; the reciprocating cam mechanism 111 can use existing components; the drive control is convenient, the polishing stability is good, and the structure is simple.
[0037] Preferably, the polishing airbag 310 is made of elastic material and has polishing lines on its surface to ensure switching between three inflation states and ensure the polishing effect on the posterior capsule membrane.
[0038] Preferably, the clamping assembly 5 includes a supporting base plate 50, and movable side plates 51 are adjustable on both sides of the supporting base plate 50 (the adjustment structure can adopt existing structures such as screw rods, which are not described here), and the surfaces of the supporting base plate 50 and the movable side plates 51 are both provided with a rubber layer 52; the clamping reliability is good, which can avoid head shaking and ensure the reliability of the operation.
[0039] A method for applying a posterior capsule polisher for cataract surgery is applied to the posterior capsule polisher for cataract surgery as described above, wherein the method comprises the steps of:
[0040] The visual recognition component captures the human eye image, identifies the polishing position that needs to be polished based on the captured image, and transmits the polishing position information to the control host;
[0041] Manually insert the polishing head through the incision of the eye, and the control host controls the manipulator to perform the following polishing operations on the above polishing positions one by one:
[0042] The manipulator moves the polishing head so that the adsorption rod is located at the center of the polishing position, adjusts the polishing airbag to the first inflation state, drives the polishing head to move so that the flexible adsorption head contacts the posterior capsule membrane, evacuates the flexible adsorption head so that it adsorbs the posterior capsule membrane, adjusts the polishing airbag to the second inflation state, and drives the U-shaped fork to reciprocate to perform polishing operation on the edge of the polishing position.
[0043] The manipulator moves the polishing head so that the adsorption rod is located at the edge of the polishing position, and the polishing airbag is adjusted to the first inflation state. The manipulator drives the polishing head to move so that the flexible adsorption head contacts the posterior capsule membrane, and the flexible adsorption head is evacuated to make it adsorb the posterior capsule membrane. The polishing airbag is adjusted to the second inflation state. The driving unit drives the U-shaped fork to reciprocate, and the polishing operation is performed on the center of the polishing position.
[0044] The polishing airbag is adjusted to the third inflation state, the flexible adsorption head is evacuated to make it enter the suction state, and the manipulator moves the polishing head so that the flexible adsorption head performs residual adsorption on the polishing position;
[0045] By applying the method of the present application, it is possible to autonomously identify the residual position and perform automated polishing and residue adsorption operations, without having to rely on the experience of medical staff, thereby improving the reliability and success rate of the operation; in addition, the adsorption rod is slidably combined with a U-shaped fork with a polishing airbag, the former can provide adsorption positioning and residual adsorption functions, and the latter can perform polishing operations and provide the function of adjusting the distance between the adsorption rod and the posterior capsule membrane. The combination of the two has a small size, good stability, and complements each other, thereby effectively improving the positioning reliability of automated polishing, reducing the eye damage that may be caused by residual adsorption, and avoiding damage to the eye caused by switching operations.
[0046] It should be understood that those skilled in the art can make improvements or changes based on the above description, and all these improvements and changes should fall within the scope of protection of the appended claims of the present invention.
Claims
1. A posterior capsule polisher for cataract surgery, comprising a polishing handle, one end of which is fixedly connected to a polishing head via a connecting rod, characterized in that: It also includes a fixed frame, on which are provided a clamping component for clamping a fixed head, a visual recognition component, a manipulator for driving the polishing handle to move, and a control host for controlling the manipulator, and the visual recognition component is communicatively connected to the control host; the polishing head includes an adsorption rod and a U-shaped fork, and a plurality of flexible adsorption heads with flush surfaces are arranged on one side surface of the adsorption rod along the length direction, and an air extraction hole connecting the plurality of flexible adsorption heads is provided in the adsorption rod; the inner wall of the U-shaped fork is slidably connected to the outer surface of the adsorption rod, and a U-shaped polishing air bag is matched and provided on one side surface of the U-shaped fork, and an inflation hole connecting the polishing air bag is provided in the U-shaped fork; an exhaust gas control unit and a driving unit are provided on the polishing handle, and the exhaust gas control unit and the driving unit are both controlled by the The control host controls; the polishing airbag has a first inflation state, a second inflation state and a third inflation state, and in the first inflation state, the surface height of the polishing airbag is lower than the surface height of the flexible adsorption head, the manipulator drives the polishing head to move so that the flexible adsorption head contacts the posterior capsule membrane, and the flexible adsorption head is evacuated to make it adsorb the posterior capsule membrane; in the second inflation state, the surface height of the polishing airbag is higher than the surface height of the flexible adsorption head by a polishing interval, the drive unit drives the U-shaped fork to reciprocate, and polishing operation is performed on the edge or center of the polishing position; in the third inflation state, the surface height of the polishing airbag is higher than the surface height of the flexible adsorption head by an suction interval, and the manipulator moves the polishing head so that the flexible adsorption head performs residual adsorption on the polishing position.
2. The posterior capsule polisher for cataract surgery according to claim 1, characterized in that: An inflation tube connected to the inflation hole and an exhaust tube connected to the exhaust hole are arranged in the connecting rod, and a telescopic tube connected to the inflation hole is arranged at the front end of the inflation tube; the exhaust and exhaust control unit is used to inflate the inflation tube and exhaust the exhaust tube.
3. The posterior capsule polisher for cataract surgery according to claim 2, characterized in that: The exhaust and extraction air control unit includes a first air chamber connected to the inflation pipe and a second air chamber connected to the exhaust pipe, and air pressure sensors are provided in the first air chamber and the second air chamber; the value of the air pressure sensor of the first air chamber is associated with the three inflation states of the polishing air bag; the value of the air pressure sensor of the second air chamber is associated with the adsorption state of the flexible adsorption head; and an interception filter is provided in the second air chamber.
4. The posterior capsule polisher for cataract surgery according to claim 2, characterized in that: A driving steel wire is inserted into the inflation tube, one end of the driving steel wire is connected to the U-shaped fork, and the other end is driven to move by the driving unit.
5. The posterior capsule polisher for cataract surgery according to claim 4, characterized in that: The driving unit comprises a micro motor and a reciprocating cam mechanism driven by the micro motor, and the driving wire is driven by the reciprocating cam mechanism to reciprocate.
6. The posterior capsule polisher for cataract surgery according to claim 1, characterized in that: The polishing airbag is made of elastic material and has polishing lines on its surface.
7. The posterior capsule polisher for cataract surgery according to claim 1, characterized in that: The clamping assembly comprises a supporting bottom plate, and movable side plates are adjustable on both left and right sides of the supporting bottom plate, and rubber layers are arranged on the surfaces of the supporting bottom plate and the movable side plates.
Citation Information
Patent Citations
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