Longitudinal and transverse-VI eyelid marginal tumor resection and surgical repair integrated device

Abstract

The invention relates to the technical field of medical instruments, in particular to a longitudinal and transverse-VI eyelid margin tumor resection and surgical repair integrated device which comprises a rack, a position adjusting module, a transverse knife module, a longitudinal knife module, a knife control module, an eyelid base plate, a folding module and a needle guiding module. The transverse knife module and the longitudinal knife module are installed below the position adjusting module from back to front, the knife control module is arranged above the transverse knife module and the longitudinal knife module, the eyelid base plate is installed below the position adjusting module, and the involution module and the needle guiding module are both installed on the eyelid base plate. An inner thread hole and an outer thread hole are sequentially formed in the eyelid base plate from the middle to the left side and the right side; by optimizing a surgical incision and improving a suturing mode and executing the optimization and the improvement through an integrated device, the purposes of layered involution of meibomian tissues and skin tissues and improvement and stabilization of the surgical effect are achieved.

Description

Technical Field

[0001] The present invention relates to the technical field of medical devices, in particular to a longitudinal-transverse-VI eyelid margin tumor removal and surgical repair integrated device. Background Art

[0002] Eyelids, also called eyelids in medical terms, include upper and lower eyelids, and are key structures that protect the eyeball. The junction between the skin and the eyelid is called the eyelid margin, and tumors that grow near the eyelid margin are called eyelid margin tumors. Although eyelid margin tumors can be benign or malignant, with benign tumors being the majority, surgical removal is usually the first choice for patients for aesthetic reasons.

[0003] Before performing an eyelid margin tumor removal, the incision of the eyelid margin tissue must be designed first. Currently, there are two main types of incisions: one is a single-plane straight line incision, and the other is a V-shaped incision. Taking the removal of an eyelid margin tumor on the lower eyelid as an example, the former is to use a sharp knife to first penetrate the tarsal plate and skin on the left and right sides of the eyelid margin tumor and make an incision, and then penetrate the tarsal plate and skin below the eyelid tumor and make an incision, and connect the previous two incisions to remove the eyelid margin tumor. This removal method is simple to operate, but the removal area is large, and after the eyelid margin tumor is removed by three coplanar straight line incisions, a rectangular wound is formed on the eyelid margin, which will result in excessive tension on the left and right tissues during surgical repair (i.e. suturing). , and wrinkles are formed on the bottom surface of the rectangular incision, which leads to inaccurate tissue apposition, thereby increasing the incidence of postoperative complications (manifested as obvious scars, eyelash dislocation and eyelid shape defects); therefore, the second method optimizes the above method, and also first cuts through the tarsal plate and skin on the left and right sides of the eyelid margin tumor. The difference is that the V-shaped incision method will tilt inward at the end ends of the above two incisions. In this way, after the eyelid margin tumor is removed, a V-shaped wound will be formed on the eyelid margin, thereby reducing the removal area, reducing the apposition tension of the left and right tissues, and eliminating the bottom surface of the wound to avoid the formation of wrinkles, thereby reducing the incidence of postoperative complications.

[0004] Compared with the single-plane straight-line incision resection method, the V-shaped incision resection method can further reduce the incidence of postoperative complications, but it still has obvious limitations: during surgical resection, the incision must pass through the tarsal tissue and skin tissue. When the incision is formed, the tarsal tissue and skin tissue will be separated, but the gap between the two is not enough to suture them separately. Therefore, after the eyelid tumor is removed and surgical repair is performed, the tarsal tissue and skin tissue will be sutured together (that is, only one suture is made), which makes it difficult to ensure the alignment of the tarsal tissue and the tarsal tissue, and the skin tissue and the skin tissue, and thus there is still a risk of causing postoperative complications; and manual surgery relies more on personal experience, and it is difficult to form a standardized incision parameter system, which leads to uneven surgical results. On the other hand, the eyelid tumor removal surgery itself is not complicated, it only requires high precision. Therefore, suitable medical devices can avoid this effect deviation to a great extent.

[0005] To this end, a device integrating longitudinal and transverse VI eyelid margin tumor removal and surgical repair was proposed. Summary of the invention

[0006] The purpose of the present invention is to provide an integrated device for longitudinal and transverse-VI eyelid margin tumor resection and surgical repair, which solves the problem that the existing eyelid margin tumor resection method cannot accurately align the tarsal plate tissue, and the problem that the effects of manual surgery are uneven. By optimizing the surgical incision and improving the suturing method, and implementing this optimization and improvement through an integrated device, the layered alignment of the tarsal plate tissue and the skin tissue is achieved to ensure the alignment accuracy of the two, and to improve and stabilize the surgical effect.

[0007] To achieve the above object, the present invention provides the following technical solutions: The integrated device of vertical and horizontal-VI eyelid margin tumor removal and surgical repair is installed on the operating table, controls surgical blades and suture needles, and removes and repairs eyelids. It includes a frame, a positioning module, a horizontal knife module, a vertical knife module, a knife control module, an eyelid pad, an alignment module, and a needle guide module. The frame is installed on the operating table, the positioning module is installed on the frame, and the positioning module has translational freedom in the up-down, left-right, and front-back directions. The horizontal knife module and the vertical knife module are installed below the positioning module from back to front. The surgical blades on the horizontal knife module and the vertical knife module have three translational freedoms, and respectively have rotational freedoms around the front-back and up-down directions. The knife control module is arranged above the horizontal knife module and the vertical knife module, and the eyelid pad is installed below the positioning module. The alignment module and the needle guide module are both installed on the eyelid pad. The alignment module and the needle guide module have translational freedoms in the left-right direction, and respectively have translational freedoms in the up-down and front-back directions. The eyelid pad is provided with inner thread holes and outer thread holes in sequence from the middle to the left and right sides; The eyelid pad moves with the frame and the positioning module to hold up the eyelid, and the two surgical blades are respectively adjusted by the horizontal knife module and the vertical knife module to cut the eyelid horizontally and vertically, and form a small V-shaped and a large V-shaped wound on the tarsal plate and the skin of the eyelid respectively. The eyelid is aligned by the alignment module, and the suture needle passes through the inner thread hole and the outer thread hole with the help of the needle guide module to sew the small V-shaped and the large V-shaped wounds in turn, and form an I-shaped suture.

[0008] Before the operation, the patient's eyelids need to be fixed. In traditional manual surgery, the fixation work is usually done by additional medical staff. The disadvantages are obvious. First, the fixation personnel need to maintain the stability of their hands for a long time. Second, the fixation personnel also need to have a tacit cooperation with the surgeon, otherwise it is difficult to ensure accurate removal, thus affecting the effect of the operation. Moreover, eyelid margin tumor removal is not a complex large-scale operation. The collaboration of multiple people causes manpower consumption, which is not conducive to the full utilization of medical resources. Preferably, the frame slides along the front-to-back direction of the operating table, and the frame is wide at the top and narrow at the bottom. A positioning slide rail is arranged below the frame. The positioning module includes an upper and lower plate, a left and right plate, and a front and rear plate. The upper and lower plates are installed on the positioning slide rail, and a positioning cylinder is installed above the upper and lower plates. The positioning cylinder is rotatably connected to the upper and lower plates. The left and right plates are arranged below the upper and lower plates, and the front and rear plates are arranged on the right side of the left and right plates. In the above scheme, after the patient lies flat on the operating table, the surgeon pushes the frame and fixes it in a suitable position, so that the patient's head enters the lower space of the integrated device, and then moves the upper and lower plates, left and right plates, and front and rear plates in the up and down, left and right, and front and back directions respectively, so that the eyelid pad is adjusted to the top of the patient's diseased eyelid, and the center of the eyelid pad is aligned with the center of the eyelid margin tumor. The surgeon then lifts the patient's eyelid and places it on the eyelid pad, thus completing the fixation of the eyelid. Through the above-mentioned fixation method, no additional medical staff is required, thereby avoiding various problems caused by eyelid fixation in traditional surgery; in addition, through the arrangement of the frame with wide upper and narrow lower parts, after the positioning cylinder drives the upper and lower plates to enter the "wide upper" area, the surgeon can rotate the upper and lower plates, and then after the upper and lower plates fall again, the eyelid pad faces backwards to perform upper eyelid surgery, and after the eyelid pad faces backwards, it is more convenient to replace the surgical blades on the horizontal knife module and the vertical knife module, and therefore the eyelid pad is set to face backwards as the default state of the integrated device.

[0009] Reference Figure 8When performing "vertical and horizontal-VI eyelid margin tumor resection and surgical repair", first use a sharp knife to make horizontal incisions along the gray line on both sides of the tumor, that is, "one horizontal", with a length of 10mm and a depth of 5mm. The incision should be neat and of moderate thickness; then, 1mm outside the edge of the tumor, perpendicular to the "one horizontal" incision, cut through the tarsal plate and eyelid margin skin on both sides of the tumor, that is, "two verticals"; then completely remove the tumor while keeping the wound in a V shape after tumor resection, and use 8-0 or 6-0 absorbable sutures to perform layered interrupted sutures of the tarsal plate and eyelid margin skin, with two stitches on the tarsal plate and three to four stitches on the skin; the thread head near the eyelid margin is pressed into the second stitch knot to avoid the thread head irritating the cornea. After suturing, the wound is I-shaped to maintain the natural curvature of the eyelid and the continuity of the eyelashes, that is, "VI layered suture"; Preferably, the horizontal blade module includes a horizontal plate 1, a horizontal plate 2 and a horizontal plate 3, and the vertical blade module includes a vertical plate 1, a vertical plate 2 and a vertical plate 3, the horizontal plate 1, the horizontal plate 2 and the horizontal plate 3 are combined, and the horizontal plate 3 is used as the end of the combination, and the vertical plate 1, the vertical plate 2 and the vertical plate 3 are combined, and the vertical plate 3 is used as the end of the combination; In the above scheme, in the case of "one horizontal", the surgical blade is first adjusted to the back side of the eyelid and located on the left or right side of the tumor by sliding the first horizontal plate, the second horizontal plate and the third horizontal plate, and then the surgical blade is controlled to move forward 5mm, and then the surgical blade is controlled to move left or right 10mm; in the case of "two vertical", the surgical blade is first adjusted to the upper side of the eyelid and kept 1mm away from the left or right side of the tumor by sliding the first vertical plate, the second vertical plate and the third vertical plate, and then the surgical blade is controlled to move downward and against the eyelid pad, and then the surgical blade is controlled to move forward, and then the surgical blade is lifted and adjusted to the other side of the tumor to complete the longitudinal incision on the other side; The above-mentioned "one horizontal" and "two vertical" are both incomplete. The surgical blade is usually set with a single-sided blade. In the "one horizontal" method, after the surgical blade completes a resection to the left or right, it cannot be resected to the right or left (in order to ensure the symmetry of the two incisions during the horizontal incision and to ensure the effect of the operation, the two resection movements of the surgical blade follow the rule of from the middle to the sides or from the sides to the middle); in the "two vertical" method, after the two vertical incisions are completed, the eyelid part with the tumor needs to be removed. At this time, another incision is required to connect the previous two incisions, which is also impossible to complete in the above process; in order to make the "one horizontal" and "two vertical" processes complete, you can try to replace the surgical blades, such as replacing the surgical blades on the horizontal blade module with blades in the opposite direction, and replacing the surgical blades on the vertical blade module with blades that are perpendicular to each other. Compared with this solution, although the above solution can meet the conditions of "one horizontal" and "two vertical" complete, the replacement of the surgical blades will increase the operation steps of the operation and prolong the operation time. On the other hand, as disposable consumables, the increase in the number of surgical blades used will increase the cost of the operation; Preferably, the horizontal knife module and the vertical knife module both further include a knife holder, the two knife holders are respectively mounted on the horizontal three-plate and the vertical three-plate, and the knife holders are rotatably connected to the horizontal three-plate and the vertical three-plate, and the surgical blade is mounted on the knife holder; In the above scheme, the knife holder is slidably connected with the three horizontal plates and the three vertical plates, so that when doing "one horizontal", after the surgical blade completes the incision on one side of the tumor, it can rotate 180 degrees on the three horizontal plates, so that the blade faces the other side of the tumor, thereby completing the incision on the other side of the tumor; when doing "two vertical", after the two vertical cuts are completed, the knife holder rotates 90 degrees on the three vertical plates, so that the blade of the surgical blade faces the right or left side of the tumor from the left side or right side of the tumor, thereby completing the connection of the previous two vertical cuts to remove the eyelid with the tumor; and when doing "one horizontal" excision, the surgical blade moves along the "gray line of the eyelid margin". However, the "eyelid gray line" is not a straight line, but a curve with a variable curvature. By rotating the knife holder on the horizontal three-plate, the cutting angle of the surgical blade can be made tangent to the eyelid gray line, thereby improving the accuracy of resection. In addition, setting the rotating connection between the knife holder and the horizontal three-plate, rather than between the horizontal three-plate and the horizontal two-plate, or between the horizontal two-plate and the horizontal one-plate, can minimize the amplitude of the change in the posture of the surgical blade caused by the rotation, thereby avoiding large adjustments of the horizontal one-plate, the horizontal two-plate and the horizontal three-plate after the surgical blade blade direction is adjusted, so as to simplify the operation and thus improve the surgical efficiency. The principle of setting the rotating connection between another knife holder and the vertical three-plate is the same as above.

[0010] When the operation is “one horizontal”, the surgical blade needs to move along the gray line of the eyelid margin, and the incision is not a straight line. When the operation is “two vertical”, the surgical blade needs to form a V-shaped wound, so the incision is also not a straight line. Therefore, it is necessary to ensure that when the operation is “one horizontal”, the surgical blade can be adjusted upward or downward while moving to the left or right; when the operation is “two vertical”, the surgical blade can be adjusted left or right while moving forward. Preferably, the knife control module includes a joystick, flywheel teeth, a first clutch, a second clutch, a horizontal knife screw, a longitudinal knife screw and a transmission rod, the joystick is installed on the front and rear plates, and a toothed structure is arranged at the front end of the joystick, the flywheel teeth are meshed with the toothed structure of the joystick, the first clutch and the second clutch are respectively installed on the lower side and the upper side of the flywheel teeth, the horizontal knife screw and the longitudinal knife screw pass through the horizontal plate and the longitudinal plate respectively, and the upper end of the horizontal knife screw is inserted into the first clutch, the flywheel teeth and the second clutch in sequence, the transmission rod is located above the longitudinal knife screw, and a belt transmission is provided between the transmission rod and the second clutch, and a gear transmission is provided between the transmission rod and the longitudinal knife screw; In the above scheme, the control of the horizontal knife screw and the vertical knife screw by the joystick is respectively realized through the contact between the flywheel teeth and the first clutch and the second clutch. When the horizontal knife screw rotates, it will control the horizontal plate to move up and down to complete the up and down adjustment of the surgical blade during "one horizontal" operation, thereby ensuring the coincidence of the horizontal cutting trajectory with the gray line of the eyelid margin; when the vertical knife screw rotates, it will control the vertical plate to move left and right to complete the left and right adjustment of the surgical blade during "two vertical" operations, thereby making the incision trajectory tilt toward the tumor after a certain distance forward, and then forming a V-shaped wound after connecting the two vertical cuts; whether it is the coincidence of the height of the "one horizontal" incision with the gray line of the eyelid margin, or the V-shaped wound formed by the "two vertical" incisions, it has a positive impact on the surgical effect.

[0011] Preferably, the knife control module further comprises a traction rope and a shift fork, the interior of the joystick is hollow, and an elastic self-locking mechanism is installed at the right end of the joystick, one end of the traction rope extends into the joystick and is connected to the elastic self-locking mechanism, the two shift forks are respectively installed on the first clutch and the second clutch, and the other end of the traction rope is connected to the two shift forks; In the above scheme, the transmission connection state between the joystick and the horizontal knife screw and the longitudinal knife screw is switched by an elastic self-locking mechanism: when the elastic self-locking mechanism is pressed, the traction rope is relaxed, so that the second clutch contacts the upper end surface of the flywheel teeth, and the first clutch disconnects the contact with the lower end surface of the flywheel teeth, so that the longitudinal knife screw rotates with the joystick; when the elastic self-locking mechanism is reset, the traction rope is tightened, so that the second clutch disconnects the contact with the upper end surface of the flywheel teeth, and the first clutch contacts the lower end surface of the flywheel teeth, so that the horizontal knife screw rotates with the joystick; the elastic self-locking setting avoids the surgeon from pressing for a long time, making the operation more convenient and stable, thereby improving the effect of the operation.

[0012] After the eyelid tumor is removed, the wound needs to be sutured, and before suturing, the wound needs to be aligned. Through the above-mentioned excision method, a small V-shaped wound of the eyelid tissue and a large V-shaped wound of the skin tissue are formed, which provides conditions for the layer-by-layer alignment of the two, but also puts forward further requirements for the function of the integrated device. Preferably, the eyelid pad includes a bracket and a bottom plate, the bracket is installed on the lower side of the front and rear plates, the bottom plate is installed on the lower side of the bracket, the matching module includes a pressing plate, an extrusion plate and a matching screw, the pressing plate is installed on the bracket, the two extrusion plates are installed on the front side of the pressing plate, the matching screw passes through the two extrusion plates, and the rotation directions of the threads at both ends of the matching screw are opposite; In the above scheme, the pressing plate is pressed down, and the engaging screw rotates to bring the two squeezing plates closer together, thereby completing the engagement of the tarsal plate tissue. When the sutures of the tarsal plate tissue are completed, the engaging screw rotates again to bring the two squeezing plates closer together, thereby engaging the skin tissue; and in the "one horizontal" and "two vertical" steps, the compression effect of the pressing plate can achieve a hemostatic effect.

[0013] Suturing is the last step of the operation, but it is also the most repetitive step. Due to the high concentration of energy in the early stage of the operation, it is inevitable that the suture spacing will be inconsistent when the surgeon sutures the wound, which will lead to uneven suture tension of the wound, thus affecting postoperative recovery and increasing the probability of postoperative complications. Preferably, the inner thread hole and the outer thread hole are formed by scanning a circular cross section along an arc path, the central angles of the arc paths of the inner thread hole and the outer thread hole are not greater than 180°, and the angle of the central angle of the arc path is smaller than the angle of the central angle of the suture needle; In the above scheme, inner thread holes and outer thread holes with equal spacing are respectively arranged on the eyelid pad. When the suture needle passes through the inner thread hole and the outer thread hole respectively, the suturing of the tarsal plate tissue and the skin tissue can be completed respectively. The central angles corresponding to the arc paths of the inner thread hole and the outer thread hole are not greater than 180°, so that the suture needle can enter from one end of the inner thread hole and the outer thread hole and exit from the other end. The angle of the central angle corresponding to the arc wheel diameter is smaller than the angle of the central angle corresponding to the suture needle, so that before the tail end of the suture needle enters the inner thread hole or the outer thread hole, the head section of the suture needle can extend from the inner thread hole or the outer thread hole, thereby facilitating the removal of the suture needle.

[0014] Preferably, the inner thread hole and the outer thread hole are both obliquely opened on the bottom plate, and the openings of the inner thread hole and the outer thread hole are closer to the eye-entry side edge of the bottom plate than the internal structure; In the above scheme, the inner and outer thread holes are opened obliquely on the bottom plate, so that the cavities of the inner and outer thread holes on the bottom plate can be extended along the front-to-back direction of the bottom plate, thereby reducing the extension length along the up-and-down direction of the bottom plate, so as to reduce the thickness of the bottom plate as much as possible (when suturing, the suture needle can only pass through the inside of the bottom plate. If it passes through the bottom plate, it will damage the eyeball under the bottom plate) to reduce the height of the eyelid being lifted; and make the openings of the inner and outer thread holes closer to the eye-entry side of the bottom plate, so that the bottom plate does not need to extend too much into the eyelid. Through the above settings, the damage to the patient caused by the operation can be effectively reduced.

[0015] Preferably, the bottom plate is detachably mounted on the bracket, and the bottom plate is made of a transparent material, and the inner wire hole and the outer wire hole are provided with through grooves pointing upwards along their own inclination directions; In the above scheme, the base plate is in direct contact with the eyelid tissue. For medical and hygienic considerations, it is necessary to make the base plate a disposable consumable. Therefore, it is convenient to replace it through a detachable installation. The through grooves are opened along the inclined direction of the inner thread hole and the outer thread hole to remove the suture thread flowing through the inner thread hole or the outer thread hole with the suture needle to complete the suturing of the eyelid tissue; and in order to ensure that the suture thread can be removed normally, the base plate is made of transparent material, which makes it convenient for the surgeon to observe through the optical lens and make timely adjustments, thereby ensuring the safety of the operation.

[0016] Preferably, the needle introduction module comprises a first needle introduction plate, a second needle introduction plate and a needle sleeve, the first needle introduction plate is installed on the right side of the bracket, the second needle introduction plate is installed on the lower side of the first needle introduction plate, the needle sleeve is obliquely installed on the second needle introduction plate, and the inclination direction of the needle sleeve is consistent with the inclination direction of the inner thread hole and the outer thread hole, and the curvature of the inner hole of the needle sleeve is equal to the curvature of the inner thread hole or the outer thread hole; In the above scheme, the position of the needle sleeve is adjusted by the first needle guide plate and the second needle guide plate, so that the inner hole of the needle sleeve coincides with each inner thread hole and the outer thread hole respectively, so that the suture needle passing through the needle sleeve can accurately enter the inner thread hole or the outer thread hole, thereby completing the suturing of the wound; and after the suture needle passes through the needle sleeve, the suture thread at the tail of the needle will be retained in the needle sleeve without the need for manual lifting, thereby playing a role in assisting knotting when the suture needle is passed out again.

[0017] Compared with the prior art, the present invention has the following beneficial effects: 1. The present invention uses a horizontal knife module and a vertical knife module to control two surgical blades to make horizontal and vertical cuts on the eyelids respectively, so as to remove the eyelid margin part with the tumor. On the one hand, machine excision has stronger stability than manual excision, which can ensure the consistency of the incision height, thereby ensuring the effect of the operation. On the other hand, under the combined effect of horizontal and vertical incisions, a small V-shaped wound can be obtained on the tarsal plate tissue and a large V-shaped wound can be obtained on the skin tissue, so that the tarsal plate tissue and the skin tissue can be aligned and sutured in turn, thereby improving the accuracy of alignment and reducing the probability of postoperative complications.

[0018] 2. The present invention controls the main feed of the surgical blade during transverse and longitudinal cutting by moving three horizontal plates and three vertical plates respectively, and uses a joystick to control one horizontal plate or one vertical plate to fine-tune the surgical blade during transverse or longitudinal cutting, so that the transverse cutting trajectory coincides with the gray line of the eyelid margin, and the end of the vertical cutting trajectory faces the eyelid margin tumor to form a V-shaped wound, thereby ensuring the accuracy of the incision, so that the tarsal plate tissue and skin tissue can be more accurately aligned to reduce the probability of postoperative complications.

[0019] 3. The present invention respectively arranges equidistant inner and outer holes on the eyelid pad, thereby ensuring that equal suture spacing can be formed when the suture needle passes through, so that the suture tension is uniform, thereby making the wound easier to recover and reducing the probability of postoperative complications. The inner and outer holes are arranged at an angle on the eyelid pad to reduce the thickness of the eyelid pad and the length of the eyelid pad extending into the eyelid, thereby reducing the damage to the patient caused by the operation. BRIEF DESCRIPTION OF THE DRAWINGS

[0020] Figure 1 It is a schematic diagram of the overall isometric structure of the present invention; Figure 2 It is an isometric structural schematic diagram of the eyelid pad of the present invention; Figure 3 For the present invention Figure 1The enlarged schematic diagram of part A in the middle; Figure 4 It is a schematic diagram of the overall right side structure of the present invention; Figure 5 For the present invention Figure 4 Middle B is an enlarged schematic diagram of the cross-section state; Figure 6 For the present invention Figure 4 The middle B part is an enlarged schematic diagram of the longitudinal section state; Figure 7 A schematic diagram of the turning and running trajectory of the surgical blade of the present invention; Figure 8 It is a schematic diagram of the eyelid status during surgery of the present invention.

[0021] In the figure: 1, frame; 11, adjustment slide rail; 12, adjustment cylinder; 2, adjustment module; 21, upper and lower plates; 22, left and right plates; 23, front and rear plates; 3, horizontal knife module; 31, horizontal plate 1; 32, horizontal plate 2; 33, horizontal plate 3; 34, knife holder; 4, vertical knife module; 41, vertical plate 1; 42, vertical plate 2; 43, vertical plate 3; 5, knife control module; 51, joystick; 511, elastic self-locking mechanism; 52, flywheel teeth; 53, first clutch; 54. Second clutch; 55. Horizontal blade screw; 56. Vertical blade screw; 57. Transmission rod; 58. Traction rope; 59. Fork; 6. Eyelid pad; 61. Inner thread hole; 62. Outer thread hole; 63. Bracket; 64. Bottom plate; 7. Matching module; 71. Pressing plate; 72. Extrusion plate; 73. Matching screw; 8. Needle introduction module; 81. Needle introduction plate one; 82. Needle introduction plate two; 83. Needle sleeve; 9. Operating table; 10. Surgical blade; 13. Suture needle. DETAILED DESCRIPTION

[0022] The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

[0023] See also Figures 1 to 7 The present invention provides a vertical-horizontal-VI eyelid margin tumor removal and surgical repair integrated device, the technical solution is as follows: The vertical-horizontal-VI integrated device for eyelid margin tumor removal and surgical repair is installed on the operating table 9, controls the surgical blade 10 and the suture needle 13, and removes and repairs the eyelid, including a frame 1, a positioning module 2, a horizontal knife module 3, a vertical knife module 4, a knife control module 5, an eyelid pad 6, an aligning module 7, and a needle guide module 8. The frame 1 is installed on the operating table 9, and the frame 1 slides along the front and back directions of the operating table 9. The positioning module 2 is installed on the frame 1, and the positioning module 2 has the degree of freedom of translation in the up-down, left-right and front-back directions. The horizontal knife module 3 and the vertical knife module 4 are installed on the positioning module 2 from back to front. The surgical blades 10 on the horizontal knife module 3 and the vertical knife module 4 have three degrees of freedom in translation, and respectively have the degrees of freedom of rotation around the front-back and up-down directions. The knife control module 5 is arranged above the horizontal knife module 3 and the vertical knife module 4. The eyelid pad 6 is installed below the adjustment module 2. The matching module 7 and the needle guide module 8 are both installed on the eyelid pad 6. The matching module 7 and the needle guide module 8 have the degrees of freedom of translation in the left-right direction, and respectively have the degrees of freedom of translation in the up-down and front-back directions. The eyelid pad 6 is provided with inner thread holes 61 and outer thread holes 62 in sequence from the middle to the left and right sides; The eyelid pad 6 moves with the frame 1 and the positioning module 2 to lift the eyelid, and the two surgical blades 10 are respectively adjusted by the horizontal knife module 3 and the vertical knife module 4 to cut the eyelid horizontally and vertically, and form a small V-shaped and a large V-shaped wound on the tarsal plate and the skin of the eyelid respectively. The eyelid is aligned by the alignment module 7, and the suture needle 13 passes through the inner thread hole 61 and the outer thread hole 62 with the help of the needle guide module 8 to sew the small V-shaped and the large V-shaped wounds in turn, and form an I-shaped suture.

[0024] As an embodiment of the present invention, refer to Figure 1 The positioning module 2 includes an upper and lower plate 21, a left and right plate 22, and a front and rear plate 23. The frame 1 is wide at the top and narrow at the bottom, and a positioning slide rail 11 is arranged below the frame 1. The upper and lower plates 21 are installed on the positioning slide rail 11, and a positioning cylinder 12 is installed above the upper and lower plates 21. The positioning cylinder 12 is rotatably connected to the upper and lower plates 21. The left and right plates 22 are arranged below the upper and lower plates 21, and the front and rear plates 23 are arranged on the right side of the left and right plates 22; the rotation connection between the positioning cylinder 12 and the upper and lower plates 21 is realized by a bearing, first in A circular plate is installed on the top of the push rod of the positioning cylinder 12, and then the circular plate is inserted into the inner ring of the bearing, and then the outer ring of the bearing is placed inside the upper and lower plates 21, and the bearing is axially positioned by the flanges of the circular plate and the upper and lower plates 21; referring to the connection method between the upper and lower plates 21 and the frame 1, the upper and lower plates 21 and the left and right plates 22 can also be connected by using a slide rail, a slider and a cylinder; for medical and health considerations, the surgical blade 10 is usually a disposable consumable and needs to be removed after each operation and assembled before the operation; When disassembling and assembling the surgical blade 10, the positioning cylinder 12 is used to raise the upper and lower plates 21 to the "upper width" area of ​​the frame 1, and then the upper and lower plates 21 are manually moved so that the eye-entry side of the eyelid pad 6 faces the rear side, and then the cylinder is controlled to slightly lower the upper and lower plates 21, and positioned by the positioning slide rail 11, and then the two surgical blades 10 are disassembled and assembled. When disassembling, the horizontal three-plate 33 is first driven by the surgical blade 10 to move forward, so as to provide a safe environment for the disassembly of the surgical blade 10 on the vertical three-plate 43, and then the horizontal three-plate 33 is moved backward after disassembly, so as to disassemble the other surgical blade 10; when installing, the horizontal three-plate 33 is first moved backward to complete the installation of the surgical blade 10, and then the horizontal three-plate 33 with the surgical blade 10 installed is moved forward to provide a safe environment for the installation of the surgical blade 10 on the vertical three-plate 43.

[0025] As an embodiment of the present invention, refer to Figure 2 The eyelid pad 6 includes a bracket 63 and a bottom plate 64, the bracket 63 is mounted on the lower side of the front and rear plates 23, the bottom plate 64 is mounted on the lower side of the bracket 63, the bottom plate 64 is detachably mounted on the bracket 63, and the bottom plate 64 is made of a transparent material, such as medical grade transparent plastic, the inner line hole 61 and the outer line hole 62 are provided with a through groove facing upward along their own inclination direction; the matching module 7 includes a pressing plate 71, a squeezing plate 72 and a matching screw 73, the pressing plate 71 is mounted on the bracket 63, and the two squeezing plates 72 are mounted on the bottom of the bracket 63. On the front side of the pressing plate 71, the matching screw 73 passes through the two extrusion plates 72, and the threads at both ends of the matching screw 73 have opposite rotation directions; the pressing plate 71 can slide up and down on the bracket 63, which can be achieved by means of a slider, a slide rail and a cylinder; in order to realize the rotation of the matching screw 73, a gear (as a driven gear) can be installed in the middle of the matching screw 73, and a micro motor can be installed on the pressing plate 71, and then a driving tooth meshing with the gear in the middle of the matching screw 73 is sleeved on the output shaft of the micro motor; Both the inner thread hole 61 and the outer thread hole 62 are formed by scanning a circular cross-section along an arc path. The central angles corresponding to the arc paths of the inner thread hole 61 and the outer thread hole 62 are not greater than 180°, and the angles of the central angles corresponding to the arc paths are smaller than the angles of the central angles corresponding to the suture needle 13; both the inner thread hole 61 and the outer thread hole 62 are obliquely opened on the base plate 64, and the openings of the inner thread hole 61 and the outer thread hole 62 are closer to the eye-entry side edge of the base plate 64 compared to the internal structure; the parameter setting of the suture needle 13 and the inner thread hole 61 and the outer thread hole 62 should be based on the inner thread hole 61 and the outer thread hole 62, first ensure the necessary parameters for surgical suturing, such as suture width, and then suture spacing, after setting the parameters of the inner thread hole 61 and the outer thread hole 62, then design the corresponding suture needle 13 for customized procurement.

[0026] As an embodiment of the present invention, refer to Figure 2The needle introduction module 8 includes a needle introduction plate 81, a needle introduction plate 82 and a needle sleeve 83. The needle introduction plate 81 is installed on the right side of the bracket 63, and the needle introduction plate 82 is installed on the lower side of the needle introduction plate 81. The needle sleeve 83 is installed on the needle introduction plate 82 at an angle, and the inclination direction of the needle sleeve 83 is consistent with the inclination direction of the inner thread hole 61 and the outer thread hole 62. The curvature of the inner hole of the needle sleeve 83 is equal to the curvature of the inner thread hole 61 or the outer thread hole 62; the curvatures of the inner thread hole 61 and the outer thread hole 62 are different, so different suture needles 13 need to be used during suturing, and the corresponding needle sleeves 83 need to be replaced. Before the operation, a test machine operation should be performed to detect whether the suture needle 13 can accurately enter the inner thread hole 61 and the outer thread hole 62 through the needle sleeve 83.

[0027] As an embodiment of the present invention, refer to Figure 3 The horizontal blade module 3 includes a horizontal plate 31, a horizontal plate 32 and a horizontal plate 33, and the vertical blade module 4 includes a vertical plate 41, a vertical plate 42 and a vertical plate 43. The horizontal plate 31 is installed on the rear side of the front and rear plates 23, the horizontal plate 32 is installed on the lower side of the horizontal plate 31, and the horizontal plate 33 is installed on the front side of the horizontal plate 32. The vertical plate 41 is installed on the front side of the front and rear plates 23, the vertical plate 42 is installed on the left side of the vertical plate 41, and the vertical plate 43 is installed on the vertical plate On the lower side of 42, the above-mentioned connected plates slide through a motor in conjunction with a lead screw or a cylinder, an electric cylinder, etc., and a motor or a swing cylinder can be arranged between the tool holder 34 and the longitudinal three plates 43 and the transverse three plates 33; the transverse knife module 3 and the longitudinal knife module 4 also include a tool holder 34, and the two tool holders 34 are respectively installed on the transverse three plates 33 and the longitudinal three plates 43, and the tool holder 34 is rotatably connected with the transverse three plates 33 and the longitudinal three plates 43, and the surgical blade 10 is installed on the tool holder 34.

[0028] As an embodiment of the present invention, refer to Figures 4 to 6The knife control module 5 includes a joystick 51, a flywheel tooth 52, a first clutch 53, a second clutch 54, a horizontal knife screw 55, a longitudinal knife screw 56 and a transmission rod 57. The joystick 51 is installed on the front and rear plates 23, and a toothed structure is provided at the front end of the joystick 51. The flywheel tooth 52 is meshed with the toothed structure of the joystick 51. The first clutch 53 and the second clutch 54 are respectively installed on the lower side and the upper side of the flywheel tooth 52. The horizontal knife screw 55 and the longitudinal knife screw 56 are respectively connected to the front and rear plates 23. The first clutch 53, the flywheel teeth 52 and the second clutch 54 are inserted through the first horizontal plate 31 and the first vertical plate 41, and the upper end of the horizontal blade screw 55 is inserted into the first clutch 53, the flywheel teeth 52 and the second clutch 54 in sequence. The first clutch 53 and the second clutch 54 usually include a friction plate and a pressure plate. The friction plate of the first clutch 53 is spline-connected with the upper end of the horizontal blade screw 55. When the friction plate is in close contact with the lower end surface of the flywheel teeth 52, the flywheel teeth 52 drive the friction plate through the static friction between the friction plate, and then drive the horizontal blade screw 55 to rotate. When the friction plate is separated from the lower end surface of the flywheel tooth 52, the friction plate no longer rotates, the cross-knife screw 55 also remains stationary, and the movement and stillness of the longitudinal knife screw 56 are similar. The flywheel tooth 52 is rotatably connected to the upper end of the cross-knife screw 55, and a bearing can be arranged between the two. The second clutch 54 is also rotatably connected to the upper end of the cross-knife screw 55. The transmission rod 57 is located above the longitudinal knife screw 56, and there is a belt transmission between the transmission rod 57 and the second clutch 54. In order to ensure the accuracy of the transmission and achieve precise control, thereby ensuring the effect of the operation, a synchronous belt can be used, and corresponding synchronous pulleys can be installed on the transmission rod 57 and the second clutch 54. There is a gear transmission between the transmission rod 57 and the longitudinal knife screw 56, and the transmission ratio of the belt transmission and the gear transmission is 1, so as to ensure that the cross-knife screw 55 and the longitudinal knife screw 56 rotate. The same amount of feed to the horizontal plate 31 and the longitudinal plate 41 is ensured, so that the surgeon can adapt to the joystick 51 more easily; The knife control module 5 also includes a traction rope 58 and a shift fork 59. The interior of the joystick 51 is hollow, and an elastic self-locking mechanism 511 is installed at the right end of the joystick 51. The elastic self-locking mechanism 511 usually includes a button, a cam and a spring. When the button is pressed (a protrusion is arranged on the circumference of the button, and it moves linearly with the guide groove on the inner wall of the joystick 51), the cam is driven to move (the cam will be linearly limited by the guide groove on the inner wall of the joystick 51 in the front part of the movement. When the cam is out of the guide groove, it will be locked by the inclined surface of the button port). When the button is released, the cam will be reset under the action of the spring, thereby contacting and rotating with the raised end face of the inner wall of the operating rod 51 until it is stuck in the groove of the raised end face of the operating rod 51, thereby maintaining the pressed state; when the button is pressed again, the cam is pushed up again, and moves along the other inclined surface of the raised end face of the operating rod 51 as it falls again, so as to enter another longer groove on the inner wall of the operating rod 51, thereby restoring the pop-up state; one end of the traction rope 58 extends into the interior of the operating rod 51 and is connected to the elastic self-locking mechanism 5 11, the two shift forks 59 are respectively installed on the first clutch 53 and the second clutch 54, and the other end of the traction rope 58 is connected to the two shift forks 59; in this mode, under the condition of no external force, the friction plate of the first clutch 53 contacts the lower end surface of the flywheel tooth 52, and the friction plate of the second clutch 54 is separated from the upper end surface of the flywheel tooth 52. When the button of the elastic self-locking mechanism 511 is not pressed, the traction rope 58 is tightened, and the front ends of the two shift forks 59 are tilted downward, so that the friction plate in the first clutch 53 is in contact with the lower end surface of the flywheel tooth 52 under the action of the pressure plate. The end faces are separated, so that the friction plate in the second clutch 54 is in contact with the upper end face of the flywheel tooth 52 under the action of the pressure plate, thereby realizing the operation of the longitudinal knife screw 56 by the joystick 51; when the button of the elastic self-locking mechanism 511 is pressed, the traction rope 58 is relaxed, so that the pressure plates in the first clutch 53 and the second clutch 54 are both reset, and then the friction plate in the first clutch 53 is in contact with the lower end face of the flywheel tooth 52, and the friction plate in the second clutch 54 is in contact with the upper end face of the flywheel tooth 52, thereby realizing the operation of the transverse knife screw 55 by the joystick 51.

[0029] Working principle: The present invention controls two surgical blades 10 to perform horizontal and vertical incisions on the eyelids through the horizontal blade module 3 and the vertical blade module 4, so as to remove the tumor on the eyelid margin, and form a small V-shaped wound on the tarsal plate tissue and a large V-shaped wound on the skin tissue, so that during surgical repair, the tarsal plate tissue and the skin tissue can be layered and aligned to improve the accuracy of alignment, thereby reducing the probability of postoperative complications; Specifically, in order to ensure the stability of the eyelids during transverse and longitudinal incision, the eyelids need to be fixed first; after the patient lies flat on the operating table 9, the surgeon pushes the frame 1 and fixes it in a suitable position, so that the patient's head enters the lower space of the integrated device, and then the upper and lower plates 21, the left and right plates 22, and the front and rear plates 23 are moved in the up and down, left and right, and front and rear directions respectively, so that the eyelid pad 6 is adjusted to the top of the patient's diseased eyelid, and the center of the eyelid pad 6 is aligned with the center of the eyelid margin tumor, and then the surgeon lifts the patient's eyelid and places it on the eyelid pad 6, so as to complete the fixation of the eyelid; In order to enable the surgical blade 10 to move from the middle of the eyelid pad 6 to both sides during transverse cutting, thereby forming two symmetrical incisions, so as to ensure the accuracy of subsequent alignment, thereby reducing the probability of postoperative complications; the blade holder 34 is slidably connected with the horizontal three-plate 33 and the vertical three-plate 43, so that when "one horizontal", the surgical blade 10 can rotate 180 degrees on the horizontal three-plate 33 after completing the incision on one side of the tumor (refer to Figure 7 ), and then the blade is directed toward the other side of the tumor, so that the incision on the other side of the tumor can be completed; In order to make the surgical blade 10 tilt toward the tumor at the end of the longitudinal incision during longitudinal incision, so as to provide conditions for forming a V-shaped wound, and to make the transverse cutting trajectory coincide with the gray line of the eyelid margin; the control lever 51 controls the horizontal blade screw 55 and the vertical blade screw 56 respectively through the contact between the flywheel teeth 52 and the first clutch 53 and the second clutch 54. When the horizontal blade screw 55 rotates, it controls the horizontal plate 31 to move up and down to complete the up and down adjustment of the surgical blade 10 during "one horizontal", thereby ensuring the coincidence degree of the transverse cutting trajectory with the gray line of the eyelid margin; when the vertical blade screw 56 rotates, it controls the vertical plate 41 to move left and right to complete the left and right adjustment of the surgical blade 10 during "two verticals", so that the end of the longitudinal cutting trajectory tilts toward the tumor, thereby providing conditions for the formation of a V-shaped wound; In order to connect the two incisions formed by the longitudinal incision and remove the eyelid part with the tumor to form a V-shaped wound; after the two longitudinal incisions are completed, the knife holder 34 is rotated 90 degrees on the longitudinal three-plate 43 (refer to Figure 7 ), and then the blade of the surgical blade 10 is moved from the left or right side of the tumor toward the right or left side of the tumor, thereby completing the connection of the previous two longitudinal incisions to remove the eyelid with the tumor; In order to align the tarsal plate tissue and the skin tissue in layers to improve the alignment accuracy and thus reduce the probability of postoperative complications; the pressing plate 71 is pressed down, and the alignment screw 73 is rotated to bring the two squeeze plates 72 closer together, so that the tarsal plate tissue is aligned. After the suture of the tarsal plate tissue is completed, the alignment screw 73 is rotated again to bring the two squeeze plates 72 closer together, so that the skin tissue is aligned; In order to ensure uniform suture spacing, promote postoperative recovery and reduce the probability of postoperative complications, inner thread holes 61 and outer thread holes 62 with equal spacing are respectively set on the eyelid pad 6. When the suture needle 13 passes through the inner thread hole 61 and the outer thread hole 62 respectively, the suturing of the tarsal plate tissue and the skin tissue can be completed respectively, and a needle sleeve 83 is set to guide the suture needle 13 to accurately enter the inner thread hole 61 or the outer thread hole 62.

[0030] Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that various changes, modifications, substitutions and variations may be made to the embodiments without departing from the principles and spirit of the present invention, and that the scope of the present invention is defined by the appended claims and their equivalents.

Claims

1. A device for integrating vertical and horizontal VI eyelid margin tumor removal and surgical repair, installed on an operating table (9), controlling a surgical blade (10) and a suture needle (13), characterized in that: The surgical instrument comprises a frame (1), a positioning module (2), a horizontal blade module (3), a vertical blade module (4), a blade control module (5), an eyelid pad (6), an alignment module (7) and a needle guide module (8), wherein the frame (1) is mounted on an operating table (9), the positioning module (2) is mounted on the frame (1), the horizontal blade module (3) and the vertical blade module (4) are mounted below the positioning module (2) from back to front, and the surgical blades on the horizontal blade module (3) and the vertical blade module (4) are The plates (10) each have three translational degrees of freedom and respectively have rotational degrees of freedom about the front-back and up-down directions; the knife control module (5) is arranged above the horizontal knife module (3) and the vertical knife module (4); the eyelid pad (6) is installed below the positioning module (2); the matching module (7) and the needle guide module (8) are both installed on the eyelid pad (6); the eyelid pad (6) is provided with inner thread holes (61) and outer thread holes (62) in sequence from the middle to the left and right sides; The two surgical blades (10) are respectively adjusted by the transverse blade module (3) and the longitudinal blade module (4) to cut the eyelid transversely and longitudinally, and form a small V-shaped wound and a large V-shaped wound on the tarsal plate and the skin of the eyelid respectively. The suture needle (13) passes through the inner thread hole (61) and the outer thread hole (62) with the help of the needle guide module (8) to suture the small V-shaped wound and the large V-shaped wound in sequence, and form an I-shaped suture wound.

2. The integrated device for vertical and horizontal VI eyelid margin tumor removal and surgical repair according to claim 1, characterized in that: The frame (1) slides along the front-to-back direction of the operating table (9), and the frame (1) is wider at the top and narrower at the bottom. A positioning slide rail (11) is arranged below the frame (1). The positioning module (2) comprises an upper and lower plate (21), a left and right plate (22), and a front and rear plate (23). The upper and lower plates (21) are mounted on the positioning slide rail (11), and a positioning cylinder (12) is mounted above the upper and lower plates (21). The positioning cylinder (12) is rotatably connected to the upper and lower plates (21). The left and right plates (22) are arranged below the upper and lower plates (21), and the front and rear plates (23) are arranged on the right side of the left and right plates (22).

3. The integrated device for vertical and horizontal VI eyelid margin tumor removal and surgical repair according to claim 2, characterized in that: The horizontal blade module (3) comprises a first horizontal plate (31), a second horizontal plate (32) and a third horizontal plate (33); the vertical blade module (4) comprises a first vertical plate (41), a second vertical plate (42) and a third vertical plate (43); the first horizontal plate (31), the second horizontal plate (32) and the third horizontal plate (33) are combined, and the third horizontal plate (33) serves as the end of the combination; the first vertical plate (41), the second vertical plate (42) and the third vertical plate (43) are combined, and the third vertical plate (43) serves as the end of the combination; the horizontal blade module (3) and the vertical blade module (4) both further comprise a blade holder (34); the two blade holders (34) are respectively mounted on the third horizontal plate (33) and the third vertical plate (43); the blade holder (34) is rotatably connected to the third horizontal plate (33) and the third vertical plate (43); and the surgical blade (10) is mounted on the blade holder (34).

4. The integrated device for vertical and horizontal VI eyelid margin tumor removal and surgical repair according to claim 3 is characterized in that: The knife control module (5) comprises a joystick (51), flywheel teeth (52), a first clutch (53), a second clutch (54), a horizontal knife lead screw (55), a vertical knife lead screw (56) and a transmission rod (57); the joystick (51) is mounted on the front and rear plates (23); a toothed structure is arranged at the front end of the joystick (51); the flywheel teeth (52) mesh with the toothed structure of the joystick (51); the first clutch (53) and the second clutch (54) are respectively mounted on the flywheel The horizontal blade screw (55) and the vertical blade screw (56) are respectively inserted through the horizontal plate (31) and the vertical plate (41), and the upper end of the horizontal blade screw (55) is inserted into the first clutch (53), the flywheel tooth (52) and the second clutch (54) in sequence. The transmission rod (57) is located above the vertical blade screw (56), and a belt transmission is implemented between the transmission rod (57) and the second clutch (54), and a gear transmission is implemented between the transmission rod (57) and the vertical blade screw (56).

5. The integrated device for vertical and horizontal VI eyelid margin tumor removal and surgical repair according to claim 4, characterized in that: The knife control module (5) further comprises a traction rope (58) and a shift fork (59); the interior of the joystick (51) is hollow, and an elastic self-locking mechanism (511) is installed at the right end of the joystick (51); one end of the traction rope (58) extends into the joystick (51) and is connected to the elastic self-locking mechanism (511); the two shift forks (59) are respectively installed on the first clutch (53) and the second clutch (54); and the other end of the traction rope (58) is connected to the two shift forks (59).

6. The integrated device for vertical and horizontal VI eyelid margin tumor removal and surgical repair according to claim 1, characterized in that: The eyelid pad (6) comprises a bracket (63) and a base plate (64), wherein the bracket (63) is mounted on the lower side of the front and rear plates (23), and the base plate (64) is mounted on the lower side of the bracket (63). The mating module (7) comprises a pressure plate (71), an extrusion plate (72) and a mating screw (73), wherein the pressure plate (71) is mounted on the bracket (63), and the two extrusion plates (72) are mounted on the front side of the pressure plate (71). The mating screw (73) passes through the two extrusion plates (72), and the threads at both ends of the mating screw (73) have opposite rotation directions.

7. The integrated device for vertical and horizontal VI eyelid margin tumor removal and surgical repair according to claim 6, characterized in that: The inner thread hole (61) and the outer thread hole (62) are both formed by scanning a circular cross section along an arc path, the center angles corresponding to the arc paths of the inner thread hole (61) and the outer thread hole (62) are both no greater than 180°, and the angles of the center angles corresponding to the arc paths are smaller than the angles of the center angles corresponding to the suture needle (13).

8. The integrated device for vertical and horizontal VI eyelid margin tumor removal and surgical repair according to claim 7, characterized in that: The inner thread hole (61) and the outer thread hole (62) are both obliquely opened on the bottom plate (64), and the openings of the inner thread hole (61) and the outer thread hole (62) are closer to the eye-entry side edge of the bottom plate (64) than the internal structure.

9. The integrated device for vertical and horizontal VI eyelid margin tumor removal and surgical repair according to claim 8, characterized in that: The bottom plate (64) is detachably mounted on the bracket (63), and the bottom plate (64) is made of a transparent material. The inner wire hole (61) and the outer wire hole (62) are provided with through grooves facing upwards along their own inclination directions.

10. The integrated device for vertical and horizontal VI eyelid margin tumor removal and surgical repair according to claim 9, characterized in that: The needle guide module (8) comprises a first needle guide plate (81), a second needle guide plate (82) and a needle sleeve (83); the first needle guide plate (81) is mounted on the right side of the bracket (63); the second needle guide plate (82) is mounted on the lower side of the first needle guide plate (81); the needle sleeve (83) is mounted obliquely on the second needle guide plate (82); and the inclination direction of the needle sleeve (83) is consistent with the inclination direction of the inner thread hole (61) and the outer thread hole (62); and the curvature of the inner hole of the needle sleeve (83) is equal to the curvature of the inner thread hole (61) or the outer thread hole (62).

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