201002292 九、發明說明： 【發明所屬之技術領域】 本發明涉及一種簡便地操作東方人常實施之重驗成 形術的工具，更詳細地說，涉及一種重瞼手術用鉗子，在 重瞼成形術時，完全不使用手術刀、線、針，只利用一種 帶有多個凸出齒的鉗子（器具），從患者需要高度的重驗線 處，在重瞼線下組織（皮膚、肌肉、脂肪、瞼板）上形成 多種或鈍或銳的創傷，造成熱損傷，利用創傷癒合過程弓丨 起的疤痕組織粘連’自然地形成重瞼線。 【先前技術】 普通重瞼手術法是利用手術刀切開，利用針和線完成 〇 這種重瞼成形手術是用線連接眼瞼皮膚（真皮）與使 眼睁開之瞼提肌的腱膜或瞼板。 、 以往的重瞼成形手術存在各種問題，例如切開法是用 手術刀切開皮膚’再用剪刀切除組織，手術過程繁瑣。即 使是簡單的埋線法，也需要沿重瞼線用線縫合或連接，比 較繁項，手術㈣有重輯展m線露出皮膚表面的情 形，手術時間雖然比切開法短，但仍然比本發明的手術^ 間長得多。 【發明内容】 的，其目的 重驗成形術 本發明正是為了解決上述習知問題而提出 ’重臉手賴削、，魏可以姆操作，患者因 在於提供一種重瞼手術用鉗子，手術時間短， 容易 201002292 =Γ用’與以往重臉成形術相比，減少引進術後 問題的因素’從而深受重臉成形十分普遍的韓國人（也包 括東方人）喜愛。 為實現上述目的，針對容易用手握住的手柄部調節彈 力的f子，本發明所提供之重驗手術用鉗子包括如下部分 :上部咬合部’它在上述手柄部的前方_面上形成有多 個或銳或鈍的針板；下部咬合部，它比上述上部咬合部務 長並與其對應’且翻侧面具有接觸板。 〜因此’握住钳子手柄部，把上部咬合部的測定線置於 受術者,瞼設魏，使下部咬合部接觸上⑽的結膜部 位:接著按下手柄部，在上部咬合部與下部咬合部咬合的 同針板（夕個凸出的齒）在受術者的重驗線下的眼臉 (皮膚、肌肉、脂肪、瞼板）造成切創或屢創等多發性創 傷，受到損傷的組織通過自然創傷癒合過程，瞼板與真皮 之間形成的_組_連，可雜濟、簡便、容易地製造 出重驗。 、、’丁、上所述，本發明具有縮短重瞼成形手術時間的效果 手術方法簡單’對實施醫生*言，即使重臉成形經驗稍 有不足’從手術結果來看，仍然比較安全，沒有手術的繁 瑣’提供了便利性與容易性’對近來重臉成形十分普遍的 東方人（特別是韓國人）患者而言，降低了手術所需經費 負擔’在時财面實現了節約，可以經濟、高效地使用。 【實施方式】 以下根據附圖，詳細說明本發明。 201002292 2岐本發明重臉手術祕子之外觀示意圖，第2 發明鉗子之剖面示意圖，第3圖是本發明針板咬合 部的底面圖。 如第1至3 _^本發明是在容㈣手握住的手柄 4 l〇a、前端，一體形成有上部咬合部2〇與下部咬合 部30 ’構成可彈力調節的鉗子1〇〇。 上述上部咬合部20在上述手柄部咖的前方内側面形 成了夕個針板22 (多個凸出的齒）。 其t，針板22最好由多排齒狀凸出部構成，上、下 排間隔為1〜2麵’排列3〜4排，#與齒之間間隔約y 、，但無法確定準確_，只要不至於因密集的齒的咬合而 造成皮膚血液循環障礙即可。 另外，針板22尺寸大小多樣，橫向長度在i〜2 cm左 右，縱向長度在3〜7 mm左右，但並不以此為限，而是根 據重瞼線的大小與瞼緣的大小適當應用。 其中，針板22的齒的形態可以製成或銳或純的四角 或半圓、開口狀等多種形態。 上述下部咬合部30較佳形成稱長於上述上部咬合部 20且與上咬合部2〇對應，在内側面加裝接觸板μ。 ^其中，上述下部咬合部3〇與接觸板32及手柄部10b 採用透明、耐熱材質製作，使實施醫生可以確認眼瞼組織 在施術過程中被咬合時的狀態。 其令’如第5圖所示，在上述上部咬合部2〇外側面 至少形成一條以上的線5〇，以便可進行測量。 201002292 其中，線的間隔最好為1 mm，作不限定於此，可以201002292 IX. Description of the Invention: [Technical Field] The present invention relates to a tool for easily operating re-integration performed by the Orientals, and more particularly to a surgical forceps for heavy fistula When using scalpels, wires, and needles at all, use only a pair of pliers (apparatus) with multiple protruding teeth to organize under the heavy sputum line (skin, muscle, fat) from the height of the patient's re-examination line. A variety of blunt or sharp wounds are formed on the tarsal plate, causing thermal damage, and the scar tissue adhesion caused by the healing process of the wound healing process naturally forms a double-twist line. [Prior Art] The general double-surgery operation is performed by using a scalpel and using a needle and a thread. This double-folding operation is a sacral membrane or a sac that connects the eyelid skin (dermis) with the levator muscle that opens the eye. board. In the past, there were various problems in the resection surgery. For example, the incision method is to cut the skin with a scalpel and then use scissors to remove the tissue. The operation process is cumbersome. Even if it is a simple embedding method, it needs to be sutured or connected along the double-twisted line. It is more complicated. The surgery (4) has a re-expanding m-line to reveal the surface of the skin. Although the operation time is shorter than the incision method, it is still better than this. The surgical procedure of the invention is much longer. SUMMARY OF THE INVENTION The purpose of the present invention is to solve the above-mentioned conventional problems and to propose a 'heavy face hand ploughing, Wei can be operated, the patient is to provide a heavy surgical pliers, operation time Short, easy 201002292 = Γ ' ' 与 与 以往 以往 以往 以往 以往 以往 以往 以往 以往 以往 以往 以往 以往 以往 以往 以往 以往 以往 以往 以往 以往 以往 重 重 重 重 重 重 重 重 重 重 重 与 与 与 与In order to achieve the above object, the re-inspection surgical forceps provided by the present invention include a portion for the upper occlusal portion which is formed on the front surface of the handle portion. a plurality of sharp or blunt needle plates; a lower occlusal portion that is longer than and corresponds to the upper occlusal portion and has a contact plate on the turned side. ~ So 'hold the handle of the pliers, place the measurement line of the upper occlusal part on the subject, set the Wei, and make the lower occlusal part contact the conjunctival part of the upper (10): then press the handle part, and engage the lower part at the upper occlusal part The occlusal needle plate (the bulging teeth) causes multiple traumas such as incision or repeated trauma in the eye face (skin, muscle, fat, and tarsal plate) under the re-examination line of the subject, and is damaged. Through the natural wound healing process, the tissue formed between the seesaw and the dermis can be re-tested in a simple, easy and easy manner. According to the above, the invention has the effect of shortening the operation time of the double-concave forming operation. The surgical method is simple 'for the implementation doctor*, even if the experience of heavy-face forming is slightly insufficient', it is still safe from the surgical results, no The cumbersome operation of 'providing convenience and easiness' reduces the financial burden of surgery for the elderly (especially Koreans) who are very common in the recent form of heavy-face formation. Use efficiently. [Embodiment] Hereinafter, the present invention will be described in detail with reference to the accompanying drawings. 201002292 2 is a schematic view showing the appearance of the heavy-duty surgical secret of the present invention, a schematic cross-sectional view of the second invention pliers, and Fig. 3 is a bottom view of the needle-bit engaging portion of the present invention. For example, the first to third inventions are the handles 4 l〇a and the front end which are held by the hand (4), and the upper nip portion 2 〇 and the lower nip portion 30 ′ are integrally formed to constitute the elastically adjustable pliers 1 . The upper engaging portion 20 is formed with a needle plate 22 (a plurality of protruding teeth) on the front inner side surface of the handle portion. Preferably, the needle plate 22 is preferably composed of a plurality of rows of tooth-like projections, and the upper and lower rows are spaced apart by 1 to 2 faces '3 to 4 rows, and # is spaced from the teeth by about y, but cannot be determined accurately _ As long as it does not cause skin blood circulation disorder due to intensive tooth bite. In addition, the needle plate 22 has various sizes, the lateral length is about i~2 cm, and the longitudinal length is about 3 to 7 mm, but it is not limited thereto, but is appropriately applied according to the size of the double-twisted wire and the size of the rim. . Among them, the shape of the teeth of the needle plate 22 can be formed into various shapes such as sharp or pure four-corner or semi-circular shape and opening shape. The lower engaging portion 30 is preferably formed to be longer than the upper engaging portion 20 and corresponds to the upper engaging portion 2, and the contact plate μ is attached to the inner side. The lower occlusal portion 3, the contact plate 32, and the handle portion 10b are made of a transparent, heat-resistant material, so that the practitioner can confirm the state in which the eyelid tissue is engaged during the operation. As shown in Fig. 5, at least one line 5〇 is formed on the outer side surface of the upper nip portion 2 so that measurement can be performed. 201002292 where the spacing of the lines is preferably 1 mm, which is not limited to this,
標:實施醫生識別所需的多種間隔的可 以瞭解重瞼的高度。 子…深使貫施醫生J 成的卜立卜如第4圖所不，與上述手拘部10a、10b 一體形 成的上部咬合部2〇和下邱 合於上述上部咬” 合部3G採賴賴製作，結 祕22a構成，電流或高頻通過上述上部咬合部2〇 外4蕗出的接觸部24傳遞。 其中’在上述導體成形物22中，由於上述針板22與 ，觸部位的底面是與皮膚接觸的面，所以進行絕緣體塗敷 2 ’使電流或高頻可以只通過針板22的末端傳遞。即， ¥體成形物22的底面為絕緣體，只有導體成形物22與針 板22末端為導體，保證電流或高頻安全傳遞。 其中，為使熱（電流或高頻）通過端面傳 可以利用導體製成，或是在該子100 一體二二 針板22末端之後處實施絕緣體物質塗敷。 另一方面，如第6圖所示，上述下部咬合部3〇的下 部形成與眼球曲面對應的凹陷面6〇。 而且’在上述手柄部10㈣某個區域内部加農螺检仞 ，利用螺帽44與上述螺栓40結合，使上述螺栓4〇可在另 一手柄部10a上形成的小孔42進出。 第7圖是本發明另—實施例之夾子部的主要部分外觀 不意圖。 如第7圖所示’在上述手柄部l〇a、1〇b外部某一區域 201002292 豎直加裝了一對鋸齒部66、66a。 實施醫 在手搞mob上無需相互嗜合的固定裳置， 生可以用手壓住使用。 瞼成形術時，首先在眼 重瞼設計線為基礎實施 使用如上構成的本發明進行重 驗較薄處繪出需要重瞼設計線，以 重瞼成形術作業。 馬裂造重瞼，把鉗子 上部咬合部20的上端對準 ，術者為要高度的重驗設計線，把與手柄部恤、伽上 =的螺栓40結合的螺帽44_旋緊，使多個銳利的針 m出齒）刺入皮膚，在刺入瞼板之前，利用電或高 頻的熱讀險板前的肌肉與脂肪和部分驗板凝固，缺 過驗板，以多個針板22咬合，經過約Η分鐘後，解 瞼鉗子100。 ’、重 此時’由於多個或銳或鈍的針板22所造成的皮膚、 =、驗㈣損傷和熱造成的損傷，組織在迅速治癒^傷 ，受到損傷的組織相互纏結，成形_個症痕組織 。’膚（真皮）與驗板點連，自然而然地形成需要的重驗 Α 〃中，首先f要掌握適合受術者（患者）的重臉線， 虽皮膚與肌肉過厚時，m實施原有的切開法成形術，在 皮膚與肌肉較薄的情況下，利用本發明的鉗子1⑽。 而且，當脂肪較多時，在眼瞼皮膚上透過小切口，先 去除脂肪，然後利用本鉗子100實施重瞼成形。 為利用本發明的鉗子〗00製造重瞼線，在進行全身麻 201002292 醉或局部麻醉後，把上部咬合部20末端對準用筆設計的重 臉線’利用多個凸出的針板22的端面（末端）壓迫或刺入 皮膚組織，在感到接觸瞼板後，在該狀態下向針板22通電 或尚頻，使瞼板前的脂肪組織和肌肉組織以及瞼板一部分 組織（上面部分）因熱而受到損傷（凝固），隨後夾住眼瞼 瞼板，在約1〜2分鐘後，取下钳子，即可完全手術。 該手術是利用多個凸出的針板20 (齒）造成組織創傷 ，或是在此基礎上，利用電發熱或高頻發熱引起凝固，作 為創傷治癒的結果而產生的疤痕組織在皮膚（真皮）與使 眼睁開的瞼板之間誘發粘連，形成自然的重瞼線。 該方法的手術時間短，手術方法簡單，對手術實施醫 生而言，即使重瞼成形經驗稍有不足，從手術結果來看， 仍然比較安全，沒有手術的繁瑣，提供了便利性與容易性 ，手術時間非常短，患者可以減少心理負擔。 因此’由於製作重瞼簡單，手術時間很短，手術方法 簡單’對手術實施醫生而言，即使重瞼成形經驗稍有不足 ，從手術結果來看，仍然比較安全，沒有手術的繁瑣，提 供了便利性與容易性’對重瞼成形十分普遍的東方人（韓 國人）而言，在經濟、時間方面實現了最大節約。 另一方面’在上部咬合部20上面形成有線50，實施 醫生可以準確預測受術者的重瞼位置，測定上部咬合部2〇 的前進程度’從而能夠根據每位受術者的不同重瞼位置實 施手術。 另外’在與眼球曲面對應的下部咬合部3〇的下面形 201002292 成凹陷面60，可以與眼球的曲面相匹配。 另一方面，可以取代上述螺栓40與螺帽44，如第7 圖所示，形成鑛齒部66、66a，使實施醫生在保持响合持 續性的同時，完全、便利地安全咬合。 另外，實施醫生無需任何固定裝置，可以用手握住本 發明的重瞼手術用鉗子，以咬合狀態保持適當時間。 —11 — 201002292 【圖式簡單說明】 ' 冑1圖··本發明重驗手術用鉼子之外觀示意圖。 • 第2圖：本發明重驗手術騎子之剖面示意圖。 第3圖.本發明重瞼手術用鉗子之針板咬合部底面圖 〇 . 第4圖.本發明另一實施例之針板咬合部的部分剖面 示意圖。 第5圖：本發明重瞼手術用鉗子之針板咬合部平面示 意圖。 第6圖.本發明另一實施例之下部咬合部的主要部分 斷面示意圖。 第7圖.本發明另一實施例之夾子部的主要部分外觀 示意圖。 【主要元件符號說明】 100 鉗子 10a 手柄部 10b 手柄部 20 上部咬合部 22 針板 22a 導體成形物 24 接觸部 30 下部咬合部 32 接觸板 40 螺检 42 小孔 44 螺帽 50 線 60 凹陷面 66 鋸齒部 —12 — 201002292 66a 鋸齒部 —13Mark: The height of the weight can be understood by implementing the various intervals required for doctor identification. In the case of the Bianbu, the doctor of the doctor, as shown in the fourth figure, the upper occlusal part 2〇 and the lower part of the above-mentioned hand-clawed parts 10a and 10b are combined with the above-mentioned upper bite. In the case of the bonding, the junction 22a is formed, and the current or the high frequency is transmitted through the contact portion 24 which is ejected from the upper portion 2 of the upper nip portion 2, wherein 'in the conductor formed article 22, the bottom surface of the contact portion due to the needle plate 22 It is a surface that comes into contact with the skin, so the insulator coating 2' is performed so that the current or the high frequency can be transmitted only through the end of the needle plate 22. That is, the bottom surface of the body molded article 22 is an insulator, and only the conductor molded article 22 and the needle plate 22 The end is a conductor to ensure safe transfer of current or high frequency. In order to make heat (current or high frequency) pass through the end face, it can be made of a conductor, or an insulator material can be implemented after the end of the sub-integrated two-two-plate 22 On the other hand, as shown in Fig. 6, the lower portion of the lower engaging portion 3A forms a concave surface 6〇 corresponding to the curved surface of the eyeball. Further, 'the inside of the handle portion 10 (four) is filled with a snail, and the snail is used. Nut 44 and upper The bolts 40 are coupled to allow the above-mentioned bolts 4 to pass in and out of the small holes 42 formed in the other handle portion 10a. Fig. 7 is a schematic view showing the main portion of the clip portion of the other embodiment of the present invention. 'A pair of serrations 66, 66a are vertically attached to a certain area 201002292 outside the handle portions l〇a, 1〇b. The medical practitioner can carry the mob on the mob without the need for mutual fit. Pressing and using. When sputum plasty is performed, firstly, based on the eye 睑 design line, the present invention using the above composition is re-examined and thinned to draw a design line to be used for heavy sputum forming operations.睑, aligning the upper end of the upper occlusal portion 20 of the forceps, the operator is a re-inspection design line of height, and screwing the nut 44_ combined with the handle shirt and the bolt 40 of the gamma== to make a plurality of sharp The needle m is out of the teeth and penetrates into the skin. Before piercing the seesaw, the muscles and fats in front of the heat reading plate of the electric or high frequency are solidified, and the test plate is lacking, and the multiple needle plates 22 are engaged. After about a minute, untwist the pliers 100. ', heavy at this time' due to multiple or The skin caused by the sharp or blunt needle plate 22, the damage caused by the injury and the heat, the tissue is rapidly cured, the damaged tissue is entangled, and the tissue is formed. The skin (dermis) Connected with the test board, naturally forming the necessary re-testing 〃 , ,, first f must grasp the heavy line suitable for the subject (patient), although the skin and muscles are too thick, m to perform the original incision angioplasty In the case where the skin and muscles are thin, the forceps 1 (10) of the present invention are used. Further, when there is a large amount of fat, a small incision is passed through the eyelid skin to remove the fat first, and then the pliers 100 is used to perform the re-formation. The pliers 00 of the present invention manufactures a double-twist line, and after performing the general-purpose hemp 201002292 drunk or local anesthesia, aligning the end of the upper occlusal portion 20 with the end face of the pen-designed end face 'using the end faces (ends of the plurality of protruding needle plates 22) Pressing or piercing the skin tissue, after feeling the contact with the seesaw, the needle plate 22 is energized or frequently in this state, so that the adipose tissue and muscle tissue in front of the seesaw and a part of the tissue (upper part) of the seesaw are heated. After being damaged (coagulated), then the eyelids are clamped. After about 1 to 2 minutes, the forceps are removed and the surgery is completed. The surgery uses a plurality of protruding needle plates 20 (tooth) to cause tissue trauma, or on the basis of this, using electric heating or high-frequency heating to cause coagulation, as a result of wound healing, scar tissue is produced on the skin (dermis ) Inducing adhesion between the eyelids that open the eye, forming a natural double-twisting line. The method has a short operation time and a simple operation method. Even if the experience of the surgery is slightly insufficient for the surgeon, it is safer from the operation result, and the operation is not complicated, and the convenience and the ease are provided. The operation time is very short and the patient can reduce the psychological burden. Therefore, 'Since the production is simple, the operation time is short, and the operation method is simple'. For the surgeon, even if the experience of the sputum formation is slightly insufficient, it is safer from the surgical results, and there is no cumbersome operation. Convenience and easiness Achieving maximum savings in terms of economy and time for the Orientals (Koreans) who are very common in shaping. On the other hand, 'the line 50 is formed on the upper occlusal portion 20, and the doctor can accurately predict the position of the subject's heel, and measure the degree of advancement of the upper occlusal portion 2' so as to be able to position according to each subject. Perform surgery. Further, in the lower surface of the lower occlusal portion 3 corresponding to the curved surface of the eye, the shape 201002292 is formed into a concave surface 60, which can be matched with the curved surface of the eyeball. On the other hand, instead of the above-described bolt 40 and nut 44, as shown in Fig. 7, the ore-tooth portions 66, 66a can be formed, so that the practitioner can safely and conveniently securely engage the needle while maintaining the continuity of the sound. Further, the practitioner does not need any fixing means, and the grasping forceps of the present invention can be held by hand to maintain the proper state in the occlusal state. —11 — 201002292 [Simple description of the diagram] '胄1图·· This is a schematic diagram of the appearance of the surgical tweezers. • Figure 2: Schematic diagram of the re-examination of the surgical rider of the present invention. Fig. 3 is a bottom plan view showing the occlusal portion of the needle plate of the surgical forceps of the present invention. Fig. 4 is a partial cross-sectional view showing the occlusal portion of the needle plate according to another embodiment of the present invention. Fig. 5 is a plan view showing the needle occlusion portion of the forceps for surgical use of the present invention. Fig. 6 is a cross-sectional view showing the main part of the lower occlusion portion of another embodiment of the present invention. Fig. 7 is a view showing the appearance of a main portion of a clip portion according to another embodiment of the present invention. [Main component symbol description] 100 pliers 10a handle portion 10b handle portion 20 upper nip portion 22 needle plate 22a conductor forming member 24 contact portion 30 lower nip portion 32 contact plate 40 screwing 42 small hole 44 nut 50 wire 60 concave surface 66 Serrated -12 — 201002292 66a Serrated -13