Inner bound membrane forceps for inner bound membrane tamponade

By improving the gripper structure of the internal limiting membrane forceps, making the ends of the grippers protrude outward in an L-shape, the problem of difficulty in fixing the internal limiting membrane within the macular hole was solved, achieving stable packing of the internal limiting membrane and improving the precision and safety of the surgery.

CN224251630UActive Publication Date: 2026-05-19SHANGHAI NINTH PEOPLES HOSPITAL SHANGHAI JIAO TONG UNIV SCHOOL OF MEDICINE
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Patent Information

Authority / Receiving Office
CN · China
Patent Type
Utility models(China)
Current Assignee / Owner
SHANGHAI NINTH PEOPLES HOSPITAL SHANGHAI JIAO TONG UNIV SCHOOL OF MEDICINE
Filing Date
2025-04-07
Publication Date
2026-05-19

AI Technical Summary

Technical Problem

Existing microsurgical internal limiting membrane forceps are difficult to fix in internal limiting membrane tamponade surgery within the macular hole, causing the membrane to float in the fluid-flowing environment of the eye and affecting the surgical outcome.

Method used

Design an internal limiting membrane forceps with L-shaped claws that protrude outwards. The short side is narrower on the outside and wider on the inside. When the claws are closed, they grasp the internal limiting membrane. When they are open, the short side extends under the edge of the macular hole, burying the internal limiting membrane under the edge of the macular hole.

Benefits of technology

This method achieves stable tamponade of the internal limiting membrane (ILM) below the edge of the macular hole, preventing the ILM from floating in the intraocular fluid flow and improving the precision and safety of the procedure.

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Abstract

The utility model provides a pair of inbound membrane tweezers for inbound membrane tamponade, which comprises a holding part, a handle, a connecting guide rod and two clamping jaws, one end of the connecting guide rod is connected with the holding part, the other end of the connecting guide rod is connected with the clamping jaws, the handle is arranged on the holding part, the opening and closing movement of the handle enables the two clamping jaws to be opened or closed, and the tail ends of the two clamping jaws protrude outwards; the utility model provides a pair of inner bound membrane forceps which is used for inner bound membrane tamponade, can clamp and tamponade an inner bound membrane, and is particularly used for embedding the inner bound membrane under a macular fissure.
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Description

Technical Field

[0001] This utility model relates to an internal limiting membrane forceps for internal limiting membrane tamponade, belonging to the field of medical ophthalmology technology. Background Technology

[0002] For refractory macular holes, the internal limiting membrane (ILM) needs to be removed and packed into the macular hole during surgery to close it. The ILM is extremely thin and difficult to fix within the macular hole, easily floating in the intraocular fluid. Current techniques utilize microsurgical internal limiting membrane forceps for this procedure.

[0003] Microforceps for the Internal Limiting Membrane (ILM forceps) are specialized instruments used in intraocular internal limiting membrane (ILM) removal surgery. They are typically made of stainless steel or titanium alloy and feature slender arms and fine occlusal surfaces. Their principle is to use the opening and closing motion of the forceps to grasp and fix intraocular tissue. Microforceps generally consist of a handle, two jaws, and a connecting guide rod. The jaws open and close by moving the handle. The jaws are usually a double-clamp design with the clamping surfaces bent inwards. In use, the microforceps are first inserted into the eye, and the internal limiting membrane is aligned using a microscope. Then, the jaws are opened and positioned on the internal limiting membrane. The jaws are then closed by moving the handle to grasp the internal limiting membrane. After grasping the internal limiting membrane, the surgeon can perform surgical operations such as peeling, moving, and removing the membrane. After completion, the gripping of the internal limiting membrane is released by unlocking the jaws. In summary, microsurgical internal limiting membrane forceps achieve the removal, movement, and extraction of the internal limiting membrane through the opening and closing of the grippers, the locking and unlocking of the fixation mechanism. The design and operation of this instrument allow for more precise, safe, and effective internal limiting membrane removal surgery.

[0004] However, microscopic internal limiting membrane forceps are not convenient to use when performing internal limiting membrane tamponade within the macular hole. Specifically, because the gripping surfaces of the claws are curved inward, the internal limiting membrane cannot be fixed after being grasped and placed into the macular hole, and may drift away in the fluid-filled environment of the eye. Utility Model Content

[0005] This invention provides a forceps for internal limiting membrane tamponade, which can grasp and tamp the internal limiting membrane, particularly for internal limiting membrane tamponade under the macular hole.

[0006] To achieve this objective, the present invention provides the following technical solution:

[0007] The first aspect of this utility model provides an internal limiting membrane forceps for internal limiting membrane tamponade, comprising a gripping part, a handle, a connecting guide rod, and two grippers. One end of the connecting guide rod is connected to the gripping part, and the other end is connected to the grippers. The handle is disposed on the gripping part, and the opening and closing movement of the handle causes the two grippers to open or close. The ends of the two grippers both protrude outward.

[0008] In this invention, the internal limiting membrane forceps used for internal limiting membrane tamponade mainly improves the gripper structure. Other structures, including but not limited to the structure of connecting guide rods to control the grippers, are the same as those in the prior art.

[0009] In this invention, the ends of the grippers all protrude outwards. When the grippers of the internal limiting membrane forceps used for internal limiting membrane tamponade are closed, they can grasp the internal limiting membrane. When the grippers are open, the internal limiting membrane forceps bury the internal limiting membrane under the edge of the macular hole and prevent it from drifting away.

[0010] Preferably, the gripper is L-shaped.

[0011] Preferably, the short side of the L-shaped gripper is narrower on the outside and wider on the inside.

[0012] In this invention, the grippers are L-shaped with the short side being narrower on the outside and wider on the inside. When the inner limiting membrane is filled in and the inner limiting membrane forceps are opened, the outward-facing short side of the L-shape can extend under the edge of the macular hole, thereby burying the edge of the inner limiting membrane under the edge of the macular hole.

[0013] Preferably, the long side of the L-shaped gripper is 2-3 mm long, and the short side is 0.2-0.5 mm long.

[0014] Preferably, the thickness of the short side of the L-shaped gripper is 0.01-0.02 mm at its maximum and 0.001-0.01 mm at its minimum.

[0015] Preferably, the thickness of the long side of the L-shaped gripper is 0.1-0.5 mm.

[0016] In this invention, the thickness of the short side of the L-shaped gripper is 0.01-0.02 mm at its maximum and 0.001-0.01 mm at its minimum. When the inner limiting membrane is inserted and the inner limiting membrane forceps are opened, the outward-facing short side of the L-shape extends into the edge of the macular hole, making it easy to insert the short side under the edge of the macular hole, thus facilitating the embedding of the inner limiting membrane under the edge of the macular hole.

[0017] Preferably, the contact surfaces of both grippers when closed are smooth, so that the inner limiting membrane can be easily separated from the tweezers after being placed into the macular pore.

[0018] Preferably, the grippers are made of metal.

[0019] The method of using the internal limiting membrane forceps for internal limiting membrane tamponade of this invention is briefly summarized as follows:

[0020] 1. First, sterilize the internal limiting membrane forceps with high-pressure steam to ensure thorough sterilization;

[0021] 2. Before the procedure, the patient should keep their eyes stable. Anesthetic eye drops can be used to reduce the patient's blinking reflex.

[0022] 3. Use sterile gauze or cotton balls to wipe away secretions or dirt from the surface of the patient's eyeball. At the same time, make sure your hands are also clean.

[0023] 4. Once you are ready to perform the operation, slowly grasp the internal limiting membrane forceps, ensuring your hand remains steady;

[0024] 5. Gently place the grippers of the internal limiting membrane forceps on the internal limiting membrane and clamp it with moderate pressure;

[0025] 6. Ensure the contact point between the internal limiting membrane forceps and the internal limiting membrane, and gently grasp the internal limiting membrane;

[0026] 7. Insert the gripper holding the internal limiting membrane into the macular aperture, release the gripper, and let the internal limiting membrane fall naturally and cover the macular aperture. At this time, the short side is still covering the internal limiting membrane to prevent it from drifting away.

[0027] 8. The short, outward-facing L-shaped side of the gripper extends into the edge of the macular hole, burying the edge of the internal limiting membrane below the edge of the macular hole;

[0028] 9. After the operation is completed, gently and slowly remove the internal limiting membrane forceps;

[0029] 10. Before cleaning the internal limiting membrane forceps and proceeding to the next step, soak them in disinfectant.

[0030] Compared with the prior art, the beneficial effects and significant progress of the technical solution of this utility model are as follows: The internal limiting membrane forceps of this utility model, used for internal limiting membrane tamponade, can grasp and tamponade the internal limiting membrane, especially burying the edge of the internal limiting membrane under the edge of the macular hole. When the grippers of the internal limiting membrane forceps are closed, they can hold the internal limiting membrane; when the grippers are open, the internal limiting membrane can naturally cover the macular hole, and the outward L-shaped short side extends into the edge of the macular hole, burying the edge of the internal limiting membrane under the edge of the macular hole. Attached Figure Description

[0031] To more clearly illustrate the technical solution of this utility model, the accompanying drawings used in the embodiments of this utility model will be briefly introduced below.

[0032] Figure 1 This is a schematic diagram of the internal limiting membrane forceps used in internal limiting membrane tamponade according to the present invention;

[0033] Figure 2This is a partial structural schematic diagram of an internal limiting membrane forceps for internal limiting membrane tamponade according to the present invention.

[0034] Figure 3 This is a diagram illustrating the usage of an internal limiting membrane forceps for internal limiting membrane tamponade, according to this utility model.

[0035] Reference numerals in the attached diagram: 1. Gripper; 2. Connecting guide rod; 3. Handle; 4. Grip part; 5. Inner limiting membrane; 1.1. Long side; 1.2. Short side. Detailed Implementation

[0036] To make the objectives, technical solutions, beneficial effects and significant advancements of the embodiments of this utility model clearer, the technical solutions of the embodiments of this utility model will be clearly and completely described below with reference to the accompanying drawings provided in the embodiments of this utility model.

[0037] Obviously, all the embodiments described are only some embodiments of this utility model, and not all embodiments; based on the embodiments of this utility model, all other embodiments obtained by those skilled in the art without creative effort are within the protection scope of this utility model.

[0038] It should be noted that the terms "first," "second," and "third" (if present), etc., in the specification, claims, and accompanying drawings of the embodiments of this utility model are only used to distinguish different objects and not to describe a specific order. Furthermore, the term "comprising" and any variations thereof are intended to cover non-exclusive inclusion. For example, a process, method, system, product, or device that includes a series of steps or units is not limited to the listed steps or units, but may optionally include steps or units not listed, or may optionally include other steps or units inherent to these processes, methods, products, or devices.

[0039] What needs to be understood is:

[0040] In this utility model, unless otherwise explicitly specified and limited, the terms "installation", "connection", "fixing" and other such terms should be interpreted broadly. For example, it can be a fixed connection, a detachable connection or a movable connection, or it can be integrated; it can be a direct connection, an indirect connection through an intermediate medium, or an invisible signal connection, or even an optical connection; it can be the internal connection of two components or the interaction between two components, unless otherwise explicitly limited.

[0041] Those skilled in the art can understand the specific meaning of the above terms in this utility model according to the specific circumstances.

[0042] It should also be noted that the following specific embodiments can be combined with each other, and the same or similar concepts or processes may not be described again in some embodiments.

[0043] The technical solution of this utility model will now be described in detail with reference to specific embodiments.

[0044] Example 1

[0045] like Figure 1-2 As shown, an internal limiting membrane forceps for internal limiting membrane tamponade includes a gripping part 4, a handle 3, a connecting guide rod 2, and two grippers 1. One end of the connecting guide rod 2 is connected to the gripping part 4, and the other end is connected to the grippers 1. The handle 3 is disposed on the gripping part 4, and the opening and closing movement of the handle 3 causes the two grippers 1 to open or close. The ends of the two grippers 1 protrude outward.

[0046] In this embodiment, the gripper 1 is L-shaped.

[0047] In this embodiment, the long side of the L-shaped gripper 1 is 2.5 mm long and the short side is 0.25 mm long.

[0048] like Figure 2 As shown, the short side of the L-shaped gripper 1 is narrower on the outside and wider on the inside, similar to a right trapezoid. The narrow part of the short side of the L-shaped gripper 1 can extend beyond the edge of the macular hole, burying the edge of the internal limiting membrane under the edge of the macular hole.

[0049] In this embodiment, the thickness of the short side of the L-shaped gripper 1 is 0.01 mm at its maximum and 0.005 mm at its minimum.

[0050] In this embodiment, the cross-section of the long side of the L-shaped gripper 1 is a right trapezoid.

[0051] In this embodiment, the thickness of the long side of the L-shaped gripper 1 is 0.25 mm at its maximum and 0.15 mm at its minimum.

[0052] In this embodiment, the contact surfaces of the two grippers 1 when they are closed are both smooth surfaces.

[0053] In this embodiment, the gripper 1 is made of metal.

[0054] like Figure 1 As shown, the structure of the gripping part 4, handle 3, and connecting guide rod 2 of the internal limiting membrane forceps in this embodiment is the same as that of the prior art, except that the two grippers 1 have been improved.

[0055] Example 2

[0056] like Figure 3 As shown, the internal limiting membrane forceps used in Example 1 for internal limiting membrane tamponade were used for internal limiting membrane tamponade. The method of use is briefly summarized as follows:

[0057] Step 1: First, sterilize the internal limiting membrane forceps with high-pressure steam to ensure thorough sterilization;

[0058] Step 2: Before the procedure, the patient should keep their eyes stable. Anesthetic eye drops can be used to reduce the patient's blinking reflex.

[0059] Step 3: Use sterile gauze or cotton balls to wipe away secretions or dirt from the surface of the patient's eyeball. At the same time, make sure your hands are also clean.

[0060] Step 4: Once you are ready to perform the operation, slowly grasp the internal limiting membrane forceps, ensuring your hand remains steady.

[0061] Step 5: Gently place the gripper 1 of the internal limiting membrane forceps on the internal limiting membrane 5 and clamp it with moderate pressure;

[0062] Step 6: Ensure the contact point between the internal limiting membrane forceps and the internal limiting membrane 5, and gently grasp the internal limiting membrane 5;

[0063] Step 7: Insert the gripper 1 that holds the internal limiting membrane into the macular pore, release the gripper 1, and let the internal limiting membrane 5 fall down naturally and cover the macular pore. At this time, the short side is still covering the internal limiting membrane to prevent the internal limiting membrane from being drifted away.

[0064] Step 8: The short L-shaped side of the gripper 1 extends outward into the edge of the macular hole, burying the edge of the inner limiting membrane 5 under the edge of the macular hole.

[0065] Step 9: After the operation is completed, gently and slowly remove the internal limiting membrane forceps;

[0066] Step 10: Before cleaning the internal limiting membrane forceps and proceeding to the next step, soak them in disinfectant.

[0067] In summary, the improved internal limiting membrane forceps of this invention embed the internal limiting membrane beneath the edge of the macular hole, preventing it from drifting away. The L-shaped grippers of the internal limiting membrane forceps allow them to hold the internal limiting membrane when closed and to enter beneath the edge of the macular hole when open.

[0068] The applicant declares that, in the process of describing the above-mentioned specification:

[0069] The terms "this embodiment," "this utility model embodiment," "as shown," "further," and "further improved technical sub-scheme," etc., refer to specific features, structures, materials, or characteristics described in the embodiment or example that are included in at least one embodiment or example of the present utility model. In this specification, the illustrative expressions of the above terms are not necessarily directed at the same embodiment or example, and the specific features, structures, materials, or characteristics described can be combined or combined in any suitable manner in one or more embodiments or examples. Furthermore, without causing contradiction, those skilled in the art can combine or combine the different embodiments or examples described in this specification and the features of the different embodiments or examples.

[0070] Finally, it should be noted that:

[0071] The above embodiments are only used to illustrate the technical solutions of this utility model, and are not intended to limit it;

[0072] Although the present invention has been described in detail with reference to the foregoing embodiments, those skilled in the art should understand that modifications can still be made to the technical solutions described in the foregoing embodiments, or equivalent substitutions can be made to some or all of the technical features. Such modifications or substitutions do not cause the essence of the corresponding technical solutions to deviate from the scope of the technical solutions of the embodiments of the present invention. Non-essential improvements, adjustments or substitutions made by those skilled in the art based on the content of this specification are all within the scope of protection claimed by the present invention.

Claims

1. An internal limiting membrane forceps for internal limiting membrane tamponade, comprising a gripping part, a handle, a connecting guide rod, and two grippers, wherein one end of the connecting guide rod is connected to the gripping part, and the other end is connected to the grippers; the handle is disposed on the gripping part, and the opening and closing movement of the handle causes the two grippers to open or close, characterized in that... The ends of the two clamping jaws are outwardly protruding.

2. An internal limiting membrane forceps for internal limiting membrane plugging according to claim 1, wherein The clamping jaws are L-shaped.

3. An internal limiting membrane forceps for internal limiting membrane plugging according to claim 2, wherein The short side of the L-shaped clamping jaws is narrow outside and wide inside.

4. An internal limiting membrane forceps for internal limiting membrane plugging according to claim 2, wherein The length of the long side of the L-shaped clamping jaws is 2-3 mm, and the length of the short side is 0.2-0.5 mm.

5. An internal limiting membrane forceps for internal limiting membrane plugging according to claim 3, wherein The maximum thickness of the short side of the L-shaped clamping jaws is 0.01-0.02 mm, and the minimum thickness is 0.001-0.01 mm.

6. An internal limiting membrane forceps for internal limiting membrane plugging according to claim 2, wherein The thickness of the long side of the L-shaped clamping jaws is 0.1-0.5 mm.

7. An internal limiting membrane forceps for internal limiting membrane plugging according to claim 1, wherein The contact surfaces of the two clamping jaws when closed are smooth.

8. An internal limiting membrane forceps for internal limiting membrane plugging according to claim 1, wherein The clamping jaws are made of metal.