WO2020080792A1 - Adjustable suture auxiliary device - Google Patents

Adjustable suture auxiliary device Download PDF

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Publication number
WO2020080792A1
WO2020080792A1 PCT/KR2019/013505 KR2019013505W WO2020080792A1 WO 2020080792 A1 WO2020080792 A1 WO 2020080792A1 KR 2019013505 W KR2019013505 W KR 2019013505W WO 2020080792 A1 WO2020080792 A1 WO 2020080792A1
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WO
WIPO (PCT)
Prior art keywords
dial
wire
adjuster
adjustment
support
Prior art date
Application number
PCT/KR2019/013505
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French (fr)
Korean (ko)
Inventor
문성혁
Original Assignee
인제대학교 산학협력단
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Application filed by 인제대학교 산학협력단 filed Critical 인제대학교 산학협력단
Priority claimed from KR1020190127570A external-priority patent/KR102303100B1/en
Publication of WO2020080792A1 publication Critical patent/WO2020080792A1/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007—Methods or devices for eye surgery

Definitions

  • the present invention relates to an auxiliary device for adjusting sutures for correcting strabismus, using a wire connected to an adjuster (thread) tying the surgical eyeball and the external eye muscles by adjusting suture, and adjusting means for adjusting the tension of the wire, Regarding the assistive device for adjustment suture, it is possible to precisely, easily and quickly adjust the length of the adjuster that pulls the extraocular muscles based on the intersection point where the adjuster is tied among the surgical eyeballs.
  • the basic principle of strabismus surgery is to change the power of the extraocular muscles attached to the eyeball to correct the alignment of the eyeball.
  • a typical surgical method for changing the power of the extraocular muscle is to remove the extraocular muscle from the original attachment and reattach it to the posterior position to weaken the force, or to cut the part of the extraocular muscle and attach it again to strengthen the strength. have.
  • the operator's experience and guide table according to the strabismus angle are used.
  • strabismus can achieve the success of the operation without much error, but in strabismus, strabismus-related strabismus, and muscle strabismus, such as myasthenia gravis, the surgical results according to the prescribed amount of surgery do not match. In adults or children with good cooperation, after surgery, after waking up, within a certain period of time, the angle of view can be adjusted to perform adjustment sutures.
  • Sliding loose technique and bow-tie technique can be used as the commonly used method of adjustment suture.
  • surgery is done by measuring the angle of view through prism shift obscuration. After grasping this strong or weak, an appropriate amount of adjustment suture is made by using a thread (adjuster) tied with the adjustment suture during surgery.
  • This adjustment and stitching step is adjusted by the operator's senses, and the method is repeated several times, so that the patient and the operator are cumbersome and require a lot of time.
  • the present invention is to adjust the tension of the wire using a wire to be connected to the coordinator tied the surgical eye and the external eye muscles by adjustment sutures for correcting the strabismus, and adjusting the tension of the coordinator using the wire.
  • the purpose of the present invention is to provide an auxiliary device for adjustment sutures that can easily and quickly adjust the length of the adjuster to pull the external eye muscles based on the crossing point where the adjuster is tied, as well as to precisely adjust the length of the adjuster to pull the external eye muscles at regular intervals. Is done.
  • Auxiliary device for adjustment suture according to the present invention, the center of the external eye of the surgical eye, placed vertically or horizontally on both sides, inside the guide tube formed hollow along the longitudinal direction;
  • a wire provided in the hollow of the guide tube and connected to an adjuster having one end connected to one end of the external eye muscle;
  • adjusting means for adjusting the position of the extraocular muscle by selectively winding or loosening the wire on the other side of the support to adjust the position of the adjuster.
  • the guide tube according to the present invention is provided on a support for opening the upper and lower eyelids of the surgical eye, and the support is a pair, while one end thereof is in contact with the rim of the upper eyelid and the rim of the lower eyelid, respectively.
  • the eyeballs are spaced apart so that the eyeballs are opened, and the other end can face the outer direction of the eyeballs.
  • the present invention may be provided between the pair of supports, and may include a space adjusting means for maintaining the spaced apart state of the supports.
  • one end of the wire according to the present invention may include a clamp for clamping the adjuster.
  • the adjuster is made of two threads, each of which is connected to the external eye muscles, and the two threads are tied to each other to be crossed and extended to the upper and lower sides, and the guide tube has one end of the adjuster's tied crossing point. It is formed to bend toward, and may be disposed as a corner of a square between the pair of supports based on the pupil of the eye.
  • the present invention rotatably connected to one side end of the guide tube, may include a guide means for guiding the wire from the guide tube in the vertical form to the intersection point of the adjuster.
  • the adjustment means is a cylinder that is rotated around an axis when the user manipulates it, coupled to the lower portion of the dial, a case with teeth formed along the inner circumferential surface of the cylindrical receiving space, and the receiving space of the case As it is accommodated, it is connected to the axis of the dial, and is rotated in the forward or reverse direction selectively by the operation of the dial, the winding reel to wind or unwind the wire, and is accommodated in the receiving space of the case and connected to the axis of the dial , A ratchet member protruding around and positioned between the teeth of the case to selectively control the rotation of the dial.
  • the adjustment means is provided to expose one side of the inside of the housing in the form of a disc, and when the user manipulates the exposed one side, the dial rotates around the axis provided horizontally inside the housing, and the dial is coaxial with the dial. It is formed on both the left and right sides of the dial so as to achieve, and is selectively rotated in the forward or reverse direction by the operation of the dial, the winding reel to wind or unwind the wire, and to either side of the dial to be coaxial with the dial
  • a ratchet wheel formed with teeth formed at regular intervals along the outer periphery, and a button projecting toward the upper surface of the housing, and a ratchet formed protruding toward the ratchet wheel is positioned between the teeth of the ratchet wheel, thereby
  • An anti-rotation member for selectively controlling rotation and provided on an axis of the dial, so that the dial is rotated. If you can include a return spring to provide a rotational force to return to its original position.
  • the length of the adjuster pulling the external eye muscles based on the crossing point of the adjuster among the treatment eyes can be adjusted quickly and easily, and it is also applicable to patients with subjective diplopia. .
  • FIG. 1 is an exemplary view showing an auxiliary device for adjustment suture according to an embodiment of the present invention.
  • Figure 2 is an exemplary view showing the implementation of the adjustment suture using the auxiliary device for adjustment suture according to an embodiment of the present invention.
  • FIG 3 is an exemplary view showing another example of a guide tube according to an embodiment of the present invention.
  • Figure 4 is an exemplary view showing the adjustment suture of the lower rectus muscle using the auxiliary device for adjustment suture according to an embodiment of the present invention.
  • FIG 5 is an exemplary view showing an example of use of the guide means according to an embodiment of the present invention.
  • FIG. 6 is an exemplary view showing an adjusting means of an auxiliary device for adjusting suture according to an embodiment of the present invention.
  • FIG. 7 is an exemplary view showing another embodiment of the adjusting means according to the present invention.
  • FIG 8 is an exemplary view showing a state viewed from the upper side of the adjustment means according to another embodiment of the present invention.
  • the present invention is placed in the center of the eyeball (external rectus muscle, lateral rectus muscle, superior rectus muscle, inferior oblique muscle) in the center of the eye, and is disposed on both sides of the upper and lower sides, the inside of the guide tube formed in the hollow along the longitudinal direction, and of the guide tube
  • It provides an assistive device for adjustment sutures, including adjustment means for adjusting the length of an adjuster that pulls the extraocular muscles based on the intersection point where the thread is tied.
  • the present invention uses a wire connected to a coordinator (seal) that connects the surgical eyeball and the external eye muscle by adjustment suture, and the adjustment means for adjusting the tension of the wire, to pull the external eye muscle based on the intersection point of the coordinator tied during the surgical eye
  • a coordinator that connects the surgical eyeball and the external eye muscle by adjustment suture
  • the adjustment means for adjusting the tension of the wire to pull the external eye muscle based on the intersection point of the coordinator tied during the surgical eye
  • the auxiliary device for the adjustment suture which can adjust the length of the adjuster precisely, easily and quickly, as follows, referring to the drawings.
  • the auxiliary device for adjustment suture includes a pair of supports 100, a guide tube 120, a wire 20, and adjustment means 300
  • the pair of support 100 interviews one end of each of the upper and lower eyelids of the eye, and the other end extends outwardly of the eye.
  • one side end of the support 100 forms a contact piece 101 having a cross-section of a ' ⁇ ' shape so that the rim of the eyelid is accommodated, and the other end of the support 100 engages with each other and hinges 110. Connected, rotated in opposite directions with respect to the axis of the hinge 110 to open each other, or rotated in the opposite direction to be closed.
  • the pair of support 100 after placing the contact piece 101 of each of the pair of support 100 on each of the upper and lower eyelids of the surgical eye, the pair of support 100 based on the axis of the hinge 110 to each other Open the procedure so that the eyeball is opened.
  • the hinge 110 may be provided with a torsion spring (not shown), each of the torsion spring so that a pair of support 100 at the other side of the support 100 is always opened in the direction opposite to each other. It can provide elasticity.
  • the spacer adjusting means 200 is provided between the pair of support 100, the separation distance of the support 100 It is maintained after adjustment, so that the treatment eye is maintained in the opened state.
  • the separation adjustment means 200 may be applied in a variety of configurations, for example, the transfer screw 201 method, the transfer screw is disposed orthogonally between the pair of support 100, the support 100 inside the support Each of the transfer screw 201 and the nut member that is screwed is provided, so that the separation distance of the pair of supports 100 is adjusted by selective forward rotation or reverse rotation of the transfer screw.
  • the rack pinion method is rotatable while a rack with teeth formed along a longitudinal direction is disposed orthogonally to any one of the pair of supports 100 between the pair of supports 100.
  • the other support 100 is provided with a pinion gear corresponding to the teeth of the rack, the separation distance of the pair of support 100 by the optional forward rotation or reverse rotation of the pinion gear Is regulated.
  • each of the pair of support 100 is provided with a guide tube 120 for guiding the wire 20 to the adjusting means 300 through the inner hollow.
  • the guide tube 120 is a tube having a hollow inside, and the external eye muscles (external rectus muscle, lateral rectus muscle, superior oblique muscle, and oblique oblique muscle) of the surgical eye are placed at the center, and are disposed vertically or horizontally.
  • the upper and lower eyelids are formed on the contact pieces 101 in which the rims of each are accommodated.
  • the adjuster 10 is composed of two threads, one end of which is connected to the upper and lower sides of the one end of the extraocular muscle, and the two threads are tied to each other and intersected to extend up and down and connected to the wire.
  • the guide tube 120 is formed by bending the front end toward the crossing point so that the wire 20 faces the crossing point of the coordinator 10 among the surgical eyeballs, and is disposed vertically above and below the crossing point. desirable.
  • the guide tube 120 is formed to be bent at a right angle, a total of four of each of the two pieces on the contact piece 101 of the support 100, based on the pupil of the surgical eye It is arranged as a corner of the square between the support 100 of, so that it can correspond to the upper rectus muscle and lower rectus muscle, lateral rectus muscle, and rectus muscle, respectively.
  • the guide tube 120 is one side is cut along the longitudinal direction, without passing through the front and rear ends of the guide tube 120, the inside of the guide tube 120 from the lateral direction of the guide tube 120
  • the hollow wire 20 is easily allowed to enter and exit.
  • this embodiment may include a guide means 130 at one end of the guide tube 120.
  • the guide means 130 is hingedly coupled to the coupling point at one end of the guide tube 120 so as to be rotatable in an axis, and the wire 20 from the guide tube 120 is intersected by the coordinator during the treatment eye. It is guided vertically from the upper and lower sides to the crossing point.
  • the guide means can be rotatably mounted so that the wire can be guided exactly perpendicular to the intersection.
  • the adjuster 10 bound to the treatment eye by adjustment suture is prepared in two strands, and the adjuster 10 of the two strands at the crossing point where the adjuster 10 is tied is placed obliquely in the pupil direction rather than in the vertical direction.
  • a crossover point of the adjuster may move in a horizontal direction, and thus, after adjustment, the position of the crossover point of the adjuster where the muscles and positions are fixed may be changed. This can happen.
  • the guide means guides the wire in the vertical direction above and below the crossing point, so that when the winding means winds or loosens the wire, the distance between the crossing point of the external eye muscle and the adjuster Only the bay is changed and the position of the intersection is not changed.
  • the other side of the wire 20 is wound inside the adjustment means 300, the tension of the wire 20 by selectively loosening or winding the wire 20 wound inside the adjustment means 300 This is adjusted, and the adjuster 10 connected to the wire 20 is also adjusted in connection with the adjustment of the tension so that the alignment of the surgical eye is made.
  • a clamp 21 is provided at one end of the wire 20 accommodated in the guide tube 120, and the adjuster 10 tied to the surgical eyeball and the external eye muscle is clamped. It can be configured, but it is not limited to this, any method that can be fixed by hanging the adjuster 10 can be applied.
  • the adjustment means 300 is provided on the other side of the pair of support 100, the length of the adjuster to pull the extraocular muscle by adjusting the tension of the wire 20 connected to the adjuster 10 Adjust it.
  • the adjustment means 300 may be integrally provided on the other side of the pair of support 100, but is not limited thereto, and may be selectively mounted through a fastening part such as a clip.
  • the adjustment means 300 includes a dial 310, a case 320, a winding reel 330, and a ratchet member 340.
  • the dial 310 is provided to be exposed to the outside from the case 320 of the adjustment means 300 disposed on the other side of the pair of support 100, rotated around the axis of the dial 310 by the user's operation It is like a normal dial.
  • a case 320 is coupled to the lower portion of the dial 310, wherein the case 320 is formed with a fastening portion (not shown) that is fastened to the supports 100 at the lower portion thereof, and the dial 310 ),
  • the cylindrical receiving space 321 is formed in the center of the interview.
  • the receiving space 321 has a shape in which the upper side is open, and a pair of through holes are formed on one side, so that the wires 20 wound around the winding reel 330 penetrate and enter and exit, and the receiving space ( 321) A tooth 322 is formed along its inner peripheral surface.
  • a protrusion or pulley for guiding the wire 20 is provided outside the accommodation space 321 of the case 320, and a winding reel 330 and a ratchet member are provided in the accommodation space 321 of the case 320.
  • the reel 330 is accommodated in the receiving space 321 of the case 320 is connected to the axis of the dial 310, selectively by the operation of the dial 310 Rotating in the forward or reverse direction, the tension of the wire 20 is adjusted by winding or releasing the wire 20.
  • the receiving space 321 of the case 320 is provided with a ratchet member 340 that controls the rotation of the dial 310 together with the winding reel 330, wherein the ratchet member 340 is elastic in the horizontal direction.
  • a ratchet 341 having a protrusion is formed, and a ratchet 341 is positioned between teeth formed along the inner circumferential surface of the receiving space 321 in the lower portion of the dial 310, so that the dial 310 and the winding reel 330 ).
  • the ratchet 341 of the ratchet member 340 is elastic by the incision to yield to the user's operating force so that the winding reel 330 is rotated, but can resist the tension of the wire 20 and the dial ( 310).
  • the The dial 310 can adjust the length of the adjuster by 1 mm per click, so that a precise length (the length of the adjuster that pulls the extraocular muscle) can be adjusted.
  • the adjustment means 300 is not limited to the above-described configuration, and the dial may be rotated in the horizontal direction.
  • the adjustment means 300 includes a dial 310, a winding reel 330, a ratchet wheel 360, a rotation preventing member 370, and a return spring 380.
  • the dial 310 is provided to expose one side of the inside of the housing 350 in a disc shape, and when a user manipulates the exposed one side, the dial 310 of the dial 310 provided horizontally inside the housing 350 is provided. It rotates based on the shaft 311.
  • an exposed hole 351 it is preferable to form an exposed hole 351 so that one side of the dial 310 is exposed on the upper surface of the housing 350, and the wires 20 are passed through the front surface of the housing 350. A pair of through holes are formed.
  • the through-hole is provided with a guide damper 22 that guides the entry and exit of the wire 20.
  • the guide damper 22 is made of a rubber material so as not to contact the wire 20 and the housing 350. , While preventing damage to the wire 20 due to friction, the wire 20 maintains tension due to friction between the rubber material guide damper 22 and the wire 20.
  • winding reel 330 is formed on both left and right sides of the dial 310 so as to be coaxial with the dial 310, and is selectively rotated in the forward or reverse direction by the operation of the dial 310, The wire 20 is wound or unwound.
  • the winding reel 330 that is coaxial with the dial 310 is the In conjunction with the rotation of the dial 310, it is rotated in the forward or reverse direction to wind or unwind the wire 20.
  • the rotation of the dial 310 is interrupted by the ratchet wheel 360 and the rotation preventing member 370, the ratchet wheel 360 is either side of the dial 310 to be coaxial with the dial 310
  • the ratchet wheel 360 formed coaxially with the dial 310 is formed on the dial 310 by forming the teeth at regular intervals along its outer periphery and forming a distance between the teeth and the teeth to 1 mm.
  • the tension of the adjuster 20 is adjusted by 1 mm per click, so that it is possible to adjust the precise length (the length of the adjuster that pulls the extraocular muscle).
  • the rotation preventing member 370 has a button 372 protruding to the upper surface of the housing 350, and a ratchet 371 formed protruding toward the ratchet wheel 360 is between the teeth of the ratchet wheel 360. By positioning, the rotation of the dial 310 is selectively controlled.
  • a return spring 380 is provided on the shaft 311 of the dial 310, and the return spring 380 provides a rotational force to return to the original position when the dial 310 rotates.
  • the winding reel 330 that is coaxial with the dial 310 is the In conjunction with the rotation of the dial 310, it is rotated in the forward or reverse direction to wind or unwind the wire 20.
  • the rotation of the dial 310 is intermittently rotated only in one direction by the ratchet wheel 360 and the rotation preventing member 370, so that the wire 20 is wound only around the winding reel 330.
  • the ratchet 371 of the anti-rotation member 370 is operated by operating the button 372 of the anti-rotation member 370 in order to operate the 310 and release the wire 20 again.
  • the wire 20 is released by rotating the dial 310 to return to its original position with the elasticity of the return spring 380.
  • the position of the external eye muscle can be precisely and easily adjusted by adjusting the adjuster that pulls the external eye muscle during the procedure by the rotation of the dial 310 and the operation of the rotation preventing member 370.
  • the position of the extraocular muscle is adjusted by adjusting the dial, and the operator determines the degree of strabismus.
  • the operator determines that the position of the proximal eye is in the proper position, the operator fixes the position of the adjuster and releases the bond between the adjuster and the wire.
  • the step of measuring the angle of view and the step of adjusting the length of the adjuster to pull the external eye muscles are carried out in one step, eliminating the hassle of the procedure, . It is possible to shorten the treatment time, and the patient can adjust the length of the adjuster who pulls the extraocular muscle by manipulating the dial directly, so it can be applied to patients with subjective diplopia and objectively recognize the degree of rotation (click) of the dial. It can easily and quickly adjust the length of the adjuster that pulls the extraocular muscles, and can precisely and accurately align the eyes.

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Abstract

The present invention provides an adjustable suture auxiliary device using: guide tubes which are arranged at both upper and lower sides or left and right sides thereof while the extraocular muscles (the lateral rectus muscle, the medial rectus muscle, the superior oblique muscle, and the inferior oblique muscle) of an eyeball undergoing surgery are placed in the center thereof, and of which the inner sides are formed to be hollow in a longitudinal direction; a wire which is provided in the hollow of the guide tubes, and of which one end is connected to an adjusting thread that is bound to the eyeball undergoing surgery and the extraocular muscles; and an adjusting means for selectively winding or unwinding the wire at the other side of a support so as to adjust, by the tension adjustment of the wire connected to the adjusting thread, the length of the adjusting thread for pulling the extraocular muscles with respect to the intersecting point, at which the adjusting thread is bound, of the eyeball undergoing surgery, and thus the present invention can precisely, easily and quickly adjust the length of the adjusting thread for pulling the extraocular muscles with respect to an intersecting point, at which the adjusting thread is bound, of the eyeball undergoing surgery.

Description

조정 봉합술용 보조장치Adjustment suture aid
본 발명은 사시를 교정하기 위한 조정 봉합술용 보조장치에 관한 것으로, 조정 봉합술에 의해 시술안구 및 외안근을 묶은 조정사(실)와 연결되는 와이어와, 상기 와이어의 장력을 조정하는 조정수단을 이용하여, 시술안구 중 조정사가 묶인 교차지점을 기준으로 외안근을 견인하는 조정사의 길이를 정밀하면서도 쉽고 빠르게 조절할 수 있도록 하는 조정 봉합술용 보조장치에 관한 것입니다.The present invention relates to an auxiliary device for adjusting sutures for correcting strabismus, using a wire connected to an adjuster (thread) tying the surgical eyeball and the external eye muscles by adjusting suture, and adjusting means for adjusting the tension of the wire, Regarding the assistive device for adjustment suture, it is possible to precisely, easily and quickly adjust the length of the adjuster that pulls the extraocular muscles based on the intersection point where the adjuster is tied among the surgical eyeballs.
일반적으로 사시(strabismus) 수술의 기본 원리는 안구에 붙어있는 외안근의 힘을 변화시켜 안구의 정렬을 바르게 하는 것이다.In general, the basic principle of strabismus surgery is to change the power of the extraocular muscles attached to the eyeball to correct the alignment of the eyeball.
외안근의 힘을 변화시키는 수술적 대표적인 방법은 외안근을 원부착부에서 떼어낸 뒤 후전된 위치에 다시 붙여 힘을 약화시키거나, 외안근의 일부를 잘라낸 뒤 다시 원부착부에 붙여 힘을 강화시키는 방법이 있다. A typical surgical method for changing the power of the extraocular muscle is to remove the extraocular muscle from the original attachment and reattach it to the posterior position to weaken the force, or to cut the part of the extraocular muscle and attach it again to strengthen the strength. have.
사시를 약화시키거나 강화시키기 위한 수술량을 정할 때는 사시각에 따른 수술자의 경험과 가이드 테이블을 이용하게 된다. When determining the amount of surgery to weaken or strengthen the strabismus, the operator's experience and guide table according to the strabismus angle are used.
대부분의 사시는 이를 통해서 큰 오차 없이 수술의 성공을 이룰 수 있으나, 하지만 마비 사시, 갑상선안병증과 관련된 사시, 근무력증과 같은 근육의 힘이 일정하지 않는 사시에서는 정해진 수술량에 따른 수술결과가 일치하지 않아서 성인이나, 협조가 좋은 아이들에서는 수술 후, 깨어난 뒤 일정 시간 안에 사시각을 재어서 다시 조정을 하는 조정 봉합술을 시행할 수 있다. Most strabismus can achieve the success of the operation without much error, but in strabismus, strabismus-related strabismus, and muscle strabismus, such as myasthenia gravis, the surgical results according to the prescribed amount of surgery do not match. In adults or children with good cooperation, after surgery, after waking up, within a certain period of time, the angle of view can be adjusted to perform adjustment sutures.
흔히 사용하는 조정 봉합술의 방법으로는 슬라이딩 루즈 텍닉(sliding loose technique)과, 볼-타이 텍닉(bow-tie technique)을 사용할 수 있으며 현재까지 조정봉합을 위해서는 프리즘 교대 가림 검사를 통해 사시각을 재어 수술이 강하거나 약함을 파악하고, 수술 중 조정봉합술로 묶어놓은 실(조정사)을 이용하여 적당량 조정 봉합을 하게 된다. Sliding loose technique and bow-tie technique can be used as the commonly used method of adjustment suture. To date, surgery is done by measuring the angle of view through prism shift obscuration. After grasping this strong or weak, an appropriate amount of adjustment suture is made by using a thread (adjuster) tied with the adjustment suture during surgery.
이런 조정봉합 단계는 수술자의 감으로 조정을 하게 되어 여러 차례 이와 같은 방법을 반복하게 되어 환자 및 수술자에게는 시술의 번거로움이 따르며, 시간도 많이 소요되게 된다. This adjustment and stitching step is adjusted by the operator's senses, and the method is repeated several times, so that the patient and the operator are cumbersome and require a lot of time.
따라서 환자가 자신의 증상 (복시 등등)이 없어질 때까지 자기가 조정을 하거나, 수술자가 간편하게 조정봉합을 시행할 수 있는 보조장치를 개발할 필요성이 있다.Therefore, there is a need to develop an assistive device that allows the patient to self-adjust until the patient's symptoms (double vision, etc.) disappear, or that the operator can easily perform the adjustment suture.
선행기술로는 공개특허 제10-2018-0037565호(2018.04.12) 사시를 개선하는 안구운동장치 및 방법을 참고할 수 있다.As a prior art, reference may be made to the eyeball exercise device and method for improving the perspective of published patent No. 10-2018-0037565 (2018.04.12).
본 발명은 사시를 교정하기 위한 조정 봉합술에 의해 시술안구 및 외안근을 묶은 조정사와 연결되는 와이어와, 상기 와이어의 장력을 조정하는 조정수단을 이용하여, 상기 와이어를 이용한 조정사의 장력 조절로 시술안구 중 조정사가 묶인 교차지점을 기준으로 외안근을 견인하는 조정사의 길이를 쉽고 빠르게 조절할 수 있을 뿐만 아니라, 외안근을 견인하는 조정사의 길이를 일정 간격 정밀하게 조절할 수 있는 조정 봉합술용 보조장치를 제공하는 것을 그 목적으로 한다.The present invention is to adjust the tension of the wire using a wire to be connected to the coordinator tied the surgical eye and the external eye muscles by adjustment sutures for correcting the strabismus, and adjusting the tension of the coordinator using the wire. The purpose of the present invention is to provide an auxiliary device for adjustment sutures that can easily and quickly adjust the length of the adjuster to pull the external eye muscles based on the crossing point where the adjuster is tied, as well as to precisely adjust the length of the adjuster to pull the external eye muscles at regular intervals. Is done.
본 발명에 따른 조정 봉합술용 보조장치는 시술안구의 외안근을 중앙에 두고, 상하 또는 좌우 양측으로 배치되며, 내부는 길이방향을 따라 중공으로 형성된 안내관; 상기 안내관의 중공에 구비되고, 일측단이 외안근의 일단과 연결된 조정사와 연결되는 와이어; 및 상기 지지대의 타측편에서 상기 와이어를 선택적으로 감거나 풀어 조정사의 위치를 조정함으로써 외안근의 위치를 조정하는 조정수단을 포함한다. Auxiliary device for adjustment suture according to the present invention, the center of the external eye of the surgical eye, placed vertically or horizontally on both sides, inside the guide tube formed hollow along the longitudinal direction; A wire provided in the hollow of the guide tube and connected to an adjuster having one end connected to one end of the external eye muscle; And adjusting means for adjusting the position of the extraocular muscle by selectively winding or loosening the wire on the other side of the support to adjust the position of the adjuster.
이때 본 발명에 따른 상기 안내관은 시술안구의 위 눈꺼풀 및 아래 눈꺼풀을 벌려 개안하는 지지대에 구비되고, 상기 지지대는 한 쌍으로, 그 일측단이 위 눈꺼풀의 테두리 및 아래 눈꺼풀의 테두리에 각각 접하면서 이격시켜 시술안구가 개안되도록 하고, 그 타측단은 시술안구의 외측방향을 향할 수 있다.At this time, the guide tube according to the present invention is provided on a support for opening the upper and lower eyelids of the surgical eye, and the support is a pair, while one end thereof is in contact with the rim of the upper eyelid and the rim of the lower eyelid, respectively. The eyeballs are spaced apart so that the eyeballs are opened, and the other end can face the outer direction of the eyeballs.
본 발명은, 상기 한 쌍의 지지대 사이에 구비되어, 상기 지지대들의 이격 상태를 유지시키는 이격조절수단을 포함할 수 있다.The present invention may be provided between the pair of supports, and may include a space adjusting means for maintaining the spaced apart state of the supports.
그리고 본 발명에 따른 상기 와이어의 일측단에는 상기 조정사를 클램핑하는 클램프를 포함할 수 있다. And one end of the wire according to the present invention may include a clamp for clamping the adjuster.
또한, 본 발명은, 상기 조정사가 일단이 상기 외안근에 각각 연결되는 두 개의 실로 이루어지고, 상기 두 개의 실은 서로 묶여 교차되어 상하측으로 연장되며, 상기 안내관은 그 일측단이 조정사의 묶인 교차지점을 향하게 절곡 형성되고, 시술안구의 눈동자를 기준으로 상기 한 쌍의 지지대 사이에서 사각형의 모서리로 배치될 수 있다. In addition, the present invention, the adjuster is made of two threads, each of which is connected to the external eye muscles, and the two threads are tied to each other to be crossed and extended to the upper and lower sides, and the guide tube has one end of the adjuster's tied crossing point. It is formed to bend toward, and may be disposed as a corner of a square between the pair of supports based on the pupil of the eye.
그리고 본 발명은, 상기 안내관의 일측단에 힌지로 회전 가능하게 연결되어, 상기 안내관에서 나온 와이어를 상기 조정사의 교차지점으로 수직형태로 안내하는 가이드수단을 포함할 수 있다. And the present invention, rotatably connected to one side end of the guide tube, may include a guide means for guiding the wire from the guide tube in the vertical form to the intersection point of the adjuster.
더불어 본 발명에 따른 상기 조정수단은 원통형으로 사용자가 조작하면 축을 기준으로 회전하는 다이얼과, 상기 다이얼의 하부에 결합되고, 원통형의 수용공간 내주면을 따라 톱니가 형성된 케이스와, 상기 케이스의 수용공간에 수용되면서 상기 다이얼의 축과 연결되고, 상기 다이얼의 조작에 의해 선택적으로 정방향 또는 역방향으로 회전되어, 상기 와이어를 감거나 푸는 권취릴과, 상기 케이스의 수용공간에 수용되면서 상기 다이얼의 축과 연결되고, 주변에 돌출 형성된 래칫를 상기 케이스의 톱니 사이에 위치시켜, 상기 다이얼의 회전을 선택적으로 단속하는 래칫부재를 포함한다.In addition, the adjustment means according to the present invention is a cylinder that is rotated around an axis when the user manipulates it, coupled to the lower portion of the dial, a case with teeth formed along the inner circumferential surface of the cylindrical receiving space, and the receiving space of the case As it is accommodated, it is connected to the axis of the dial, and is rotated in the forward or reverse direction selectively by the operation of the dial, the winding reel to wind or unwind the wire, and is accommodated in the receiving space of the case and connected to the axis of the dial , A ratchet member protruding around and positioned between the teeth of the case to selectively control the rotation of the dial.
또한, 상기 조정수단은 원판형으로 하우징 내부에 일측편이 노출되도록 구비되고, 노출된 일측편을 사용자가 조작하면 상기 하우징의 내부에서 수평으로 구비된 축을 기준으로 회전하는 다이얼과, 상기 다이얼과 동축을 이루도록 상기 다이얼의 좌, 우 양측에 각각 형성되고, 상기 다이얼의 조작에 의해 선택적으로 정방향 또는 역방향으로 회전되어, 상기 와이어를 감거나 푸는 권취릴과, 상기 다이얼과 동축을 이루도록 상기 다이얼의 어느 일측에 형성되고, 외주연을 따라 일정한 간격으로 톱니들을 형성한 래칫휠과, 상기 하우징의 상면으로 버튼이 돌출되고, 상기 래칫휠을 향해 돌출 형성된 래칫은 상기 래칫휠의 톱니 사이에 위치시켜, 상기 다이얼의 회전을 선택적으로 단속하는 회전방지부재와, 상기 다이얼의 축에 구비되어, 상기 다이얼이 회전하면 원위치로 되돌아가도록 회전력을 제공하는 복귀스프링을 포함할 수 있다.In addition, the adjustment means is provided to expose one side of the inside of the housing in the form of a disc, and when the user manipulates the exposed one side, the dial rotates around the axis provided horizontally inside the housing, and the dial is coaxial with the dial. It is formed on both the left and right sides of the dial so as to achieve, and is selectively rotated in the forward or reverse direction by the operation of the dial, the winding reel to wind or unwind the wire, and to either side of the dial to be coaxial with the dial A ratchet wheel formed with teeth formed at regular intervals along the outer periphery, and a button projecting toward the upper surface of the housing, and a ratchet formed protruding toward the ratchet wheel is positioned between the teeth of the ratchet wheel, thereby An anti-rotation member for selectively controlling rotation and provided on an axis of the dial, so that the dial is rotated. If you can include a return spring to provide a rotational force to return to its original position.
본 발명에 따른 조정 봉합술용 보조장치에 의해 나타나는 효과는 다음과 같다.Effects of the auxiliary device for adjustment suture according to the present invention are as follows.
첫째, 와이어를 이용한 조정사의 장력 조절로 시술안구 중 조정사의 교차지점을 기준으로 외안근을 견인하는 조정사의 길이를 쉽고 빠르게 조절할 수 있어, 조정 봉합 시, 사시각을 재는 단계와, 안구를 조정하는 단계를 하나의 단계로 실시되어, 시술의 번거로움을 없앨 수 있고, 시술시간을 단축할 수 있다.First, by adjusting the tension of the adjuster using a wire, it is possible to quickly and easily adjust the length of the adjuster pulling the external eye muscles based on the crossing point of the adjuster among the treatment eyes. When adjusting the suture, measuring the angle of view and adjusting the eye It is carried out in one step, it is possible to eliminate the hassle of the procedure, it is possible to shorten the procedure time.
둘째, 환자가 직접 다이얼을 조작하여 와이어를 이용한 조정사의 장력 조절로 시술안구 중 조정사가 묶인 교차지점을 기준으로 외안근을 견인하는 조정사의 길이를 쉽고 빠르게 조절 가능해, 주관적인 복시를 가진 환자에게도 적용 가능하다.Second, by adjusting the tension of the adjuster using a wire by directly controlling the dial, the length of the adjuster pulling the external eye muscles based on the crossing point of the adjuster among the treatment eyes can be adjusted quickly and easily, and it is also applicable to patients with subjective diplopia. .
셋째, 다이얼의 회전 정도(클릭)를 객관적으로 인지할 수 있어 쉽고 빠르게 안구 정렬을 할 수 있고 정량적으로 정밀하게 안구 정렬을 할 수 있다.Third, it is possible to objectively recognize the degree of rotation (click) of the dial so that the eye can be easily and quickly aligned and quantitatively and accurately the eye can be aligned.
도 1은 본 발명의 실시 예에 따른 조정 봉합술용 보조장치를 보인 예시도이다.1 is an exemplary view showing an auxiliary device for adjustment suture according to an embodiment of the present invention.
도 2는 본 발명의 실시 예에 따른 조정 봉합술용 보조장치를 이용한 조정 봉합술의 실시를 보인 예시도이다.Figure 2 is an exemplary view showing the implementation of the adjustment suture using the auxiliary device for adjustment suture according to an embodiment of the present invention.
도 3은 본 발명의 실시 예에 따른 안내관의 다른 예시를 보인 예시도이다.3 is an exemplary view showing another example of a guide tube according to an embodiment of the present invention.
도 4는 본 발명의 실시 예에 따른 조정 봉합술용 보조장치를 이용하여 하직근의 조정 봉합술을 보인 예시도이다.Figure 4 is an exemplary view showing the adjustment suture of the lower rectus muscle using the auxiliary device for adjustment suture according to an embodiment of the present invention.
도 5는 본 발명의 실시 예에 따른 가이드수단의 사용 예를 보인 예시도이다.5 is an exemplary view showing an example of use of the guide means according to an embodiment of the present invention.
도 6은 본 발명의 실시 예에 따른 조정 봉합술용 보조장치의 조정수단을 보인 예시도이다.6 is an exemplary view showing an adjusting means of an auxiliary device for adjusting suture according to an embodiment of the present invention.
도 7은 본 발명에 따른 조정수단의 다른 실시 예를 보인 예시도이다.7 is an exemplary view showing another embodiment of the adjusting means according to the present invention.
도 8은 본 발명의 다른 실시 예에 따른 조정수단을 상측에서 본 상태를 보인 예시도이다.8 is an exemplary view showing a state viewed from the upper side of the adjustment means according to another embodiment of the present invention.
본 발명은 시술안구의 외안근(외직근, 내직근, 상사근, 하사근)을 중앙에 두고, 상하 또는 좌우 양측으로 배치되며, 내부는 길이방향을 따라 중공으로 형성된 안내관과, 상기 안내관의 중공에 구비되고, 일측단이 시술안구와 외안근을 묶은 조정사와 연결되는 와이어, 및 상기 지지대의 타측편에서 상기 와이어를 선택적으로 감거나 풀어, 상기 조정사와 연결된 와이어의 장력 조정으로, 시술안구 중 조정사가 묶인 교차지점을 기준으로 외안근을 견인하는 조정사의 길이를 조정하는 조정수단을 포함한 조정 봉합술용 보조장치를 제공한다.The present invention is placed in the center of the eyeball (external rectus muscle, lateral rectus muscle, superior rectus muscle, inferior oblique muscle) in the center of the eye, and is disposed on both sides of the upper and lower sides, the inside of the guide tube formed in the hollow along the longitudinal direction, and of the guide tube A wire provided in the hollow, connected to a coordinator having one end tied to the surgical eyeball and the external eye, and selectively wound or unwound the wire on the other side of the support to adjust the tension of the wire connected to the coordinator, adjusting the surgical eye It provides an assistive device for adjustment sutures, including adjustment means for adjusting the length of an adjuster that pulls the extraocular muscles based on the intersection point where the thread is tied.
이하, 첨부된 도면을 참조하여 본 발명에 따른 바람직한 실시 예를 상세히 설명하기로 한다. 이에 앞서, 본 명세서 및 청구범위에 사용된 용어나 단어는 통상적이거나 사전적인 의미로 한정해서 해석되어서는 아니 되며, 발명자는 그 자신의 발명을 가장 최선의 방법으로 설명하기 위해 용어의 개념을 적절하게 정의할 수 있다는 원칙에 입각하여, 본 발명의 기술적 사상에 부합하는 의미와 개념으로 해석되어야만 한다.Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings. Prior to this, the terms or words used in the present specification and claims should not be construed as being limited to ordinary or lexical meanings, and the inventor appropriately explains the concept of terms to explain his or her invention in the best way. Based on the principle that it can be defined, it should be interpreted as meanings and concepts consistent with the technical spirit of the present invention.
따라서 본 명세서에 기재된 실시 예와 도면에 도시된 구성은 본 발명의 가장 바람직한 실시 예에 불과할 뿐이고, 본 발명의 기술적 사상을 모두 대변하는 것은 아니므로, 본 출원 시점에 있어서 이들은 대체할 수 있는 균등한 변형 예들이 있을 수 있음을 이해하여야 한다.Therefore, the embodiments shown in the embodiments and the drawings described in this specification are only the most preferred embodiments of the present invention, and do not represent all of the technical spirit of the present invention, and at the time of this application, they can be replaced evenly It should be understood that there may be variations.
본 발명은 조정 봉합술에 의해 시술안구 및 외안근을 묶은 조정사(실)와 연결되는 와이어와, 상기 와이어의 장력을 조정하는 조정수단을 이용하여, 시술안구 중 조정사가 묶인 교차지점을 기준으로 외안근을 견인하는 조정사의 길이를 정밀하면서도 쉽고 빠르게 조절할 수 있도록 하는 조정 봉합술용 보조장치에 관한 것으로, 도면을 참조하여 살펴보면 다음과 같다.The present invention uses a wire connected to a coordinator (seal) that connects the surgical eyeball and the external eye muscle by adjustment suture, and the adjustment means for adjusting the tension of the wire, to pull the external eye muscle based on the intersection point of the coordinator tied during the surgical eye Regarding the auxiliary device for the adjustment suture, which can adjust the length of the adjuster precisely, easily and quickly, as follows, referring to the drawings.
도 1 내지 도 6을 참조한 본 발명의 일 실시 예에 따른 조정 봉합술용 보조장치는 한 쌍의 지지대(100)와, 안내관(120)과, 와이어(20)와, 조정수단(300)을 포함하는데, 상기 한 쌍의 지지대(100)는 시술안구의 위 눈꺼풀 및 아래 눈꺼풀 각각의 테두리에 일측단을 면접하고, 타측단은 시술안구의 외측방향으로 연장형성한다.The auxiliary device for adjustment suture according to an embodiment of the present invention with reference to FIGS. 1 to 6 includes a pair of supports 100, a guide tube 120, a wire 20, and adjustment means 300 However, the pair of support 100 interviews one end of each of the upper and lower eyelids of the eye, and the other end extends outwardly of the eye.
이때 상기 지지대(100)들의 일측단에는 눈꺼풀의 테두리가 수용되도록 '⊂'형태의 단면을 갖는 접촉편(101)을 형성하고, 상기 지지대(100)들의 타측단은 서로 교접하면서 힌지(110)로 연결되어, 상기 힌지(110)의 축을 기준으로 서로 대향 방향으로 회전하여 서로 벌어지거나, 그 반대방향으로 회전하여 오므려진다.At this time, one side end of the support 100 forms a contact piece 101 having a cross-section of a '⊂' shape so that the rim of the eyelid is accommodated, and the other end of the support 100 engages with each other and hinges 110. Connected, rotated in opposite directions with respect to the axis of the hinge 110 to open each other, or rotated in the opposite direction to be closed.
따라서 상기 한 쌍의 지지대(100) 각각의 접촉편(101)을 시술안구의 위 눈꺼풀 및 아래 눈꺼풀 각각의 테두리에 배치한 후, 힌지(110)의 축을 기준으로 한 쌍의 지지대(100)를 서로 벌려 시술안구가 개안되도록 한다.Therefore, after placing the contact piece 101 of each of the pair of support 100 on each of the upper and lower eyelids of the surgical eye, the pair of support 100 based on the axis of the hinge 110 to each other Open the procedure so that the eyeball is opened.
또한, 상기 힌지(110)에는 토션스프링(도시하지 않음)을 구비할 수 있는데, 상기 토션스프링은 상기 지지대(100)들의 타측에서 한 쌍의 지지대(100)가 서로 대향진 방향으로 항시 벌어지도록 각각 탄성을 제공할 수 있다.In addition, the hinge 110 may be provided with a torsion spring (not shown), each of the torsion spring so that a pair of support 100 at the other side of the support 100 is always opened in the direction opposite to each other. It can provide elasticity.
그리고 상기 한 쌍의 지지대(100) 사이에는 이격조절수단(200)을 구비하는데, 상기 이격조절수단(200)은 한 쌍의 지지대(100) 사이에 구비되어, 상기 지지대(100)들의 이격 거리를 조절한 후 유지시켜, 시술안구가 개안된 상태로 유지되게 한다.And between the pair of support 100 is provided with a spacer adjusting means 200, the spacer adjusting means 200 is provided between the pair of support 100, the separation distance of the support 100 It is maintained after adjustment, so that the treatment eye is maintained in the opened state.
상기 이격조절수단(200)은 다양한 구성이 적용될 수 있는데, 일례로 이송스크류(201) 방식은 상기 한 쌍의 지지대(100) 사이에 이송스크류가 직교하게 배치되면서 상기 지지대(100)들 내부에는 상기 이송스크류(201)와 나사체결되는 너트부재를 각각 구비하여, 상기 이송스크류의 선택적인 정방향 회전 또는 역방향 회전에 의해 상기 한 쌍의 지지대(100)들의 이격 거리가 조절된다.The separation adjustment means 200 may be applied in a variety of configurations, for example, the transfer screw 201 method, the transfer screw is disposed orthogonally between the pair of support 100, the support 100 inside the support Each of the transfer screw 201 and the nut member that is screwed is provided, so that the separation distance of the pair of supports 100 is adjusted by selective forward rotation or reverse rotation of the transfer screw.
또한, 다른 예로 랙피니언 방식은 길이방향을 따라 톱니가 형성된 랙이 상기 한 쌍의 지지대(100) 사이에서 상기 한 쌍의 지지대(100) 중 어느 하나의 지지대(100)에 직교하게 배치되면서 회전가능하게 연결되고, 다른 하나의 지지대(100)에는 상기 랙의 톱니와 상응하는 피니언기어가 구비되어, 상기 피니언기어의 선택적인 정방향 회전 또는 역방향 회전에 의해 상기 한 쌍의 지지대(100)들의 이격 거리가 조절된다.In another example, the rack pinion method is rotatable while a rack with teeth formed along a longitudinal direction is disposed orthogonally to any one of the pair of supports 100 between the pair of supports 100. The other support 100 is provided with a pinion gear corresponding to the teeth of the rack, the separation distance of the pair of support 100 by the optional forward rotation or reverse rotation of the pinion gear Is regulated.
이외에도 상기 이격조절수단(200)으로 다양한 구성을 적용할 수 있으나, 본 발명에서는 어느 하나의 구성에 한정하지 않는다.In addition, various configurations may be applied to the separation adjusting means 200, but the present invention is not limited to any one configuration.
더불어 상기 한 쌍의 지지대(100) 각각의 일측에는 내부 중공을 통해 와이어(20)를 조정수단(300)으로 안내하는 안내관(120)을 구비한다.In addition, one side of each of the pair of support 100 is provided with a guide tube 120 for guiding the wire 20 to the adjusting means 300 through the inner hollow.
도 2를 참조하면, 상기 안내관(120)은 내부가 중공을 이루는 관체로, 시술안구의 외안근(외직근, 내직근, 상사근, 하사근)을 중앙에 두고, 상하 또는 좌우로 배치되도록, 상기 한 쌍의 지지대(100) 각각의 일측단 중, 위 눈꺼풀 및 아래 눈꺼풀 각각의 테두리가 수용되는 접촉편(101)들에 형성한다. Referring to FIG. 2, the guide tube 120 is a tube having a hollow inside, and the external eye muscles (external rectus muscle, lateral rectus muscle, superior oblique muscle, and oblique oblique muscle) of the surgical eye are placed at the center, and are disposed vertically or horizontally. Of the one end of each of the pair of support 100, the upper and lower eyelids are formed on the contact pieces 101 in which the rims of each are accommodated.
조정사(10)는 일단이 상기 외안근 일단의 상하측에 각각 연결되는 두 개의 실로 이루어지고, 상기 두 개의 실은 서로 묶여 교차되어 상하측으로 연장되어 상기 와이어에 연결된다. The adjuster 10 is composed of two threads, one end of which is connected to the upper and lower sides of the one end of the extraocular muscle, and the two threads are tied to each other and intersected to extend up and down and connected to the wire.
여기서 상기 안내관(120)은 시술안구 중 조정사(10)의 묶인 교차지점으로 와이어(20)가 향하게 그 전단이 교차지점으로 향하게 절곡 형성되며, 상기 교차지점의 상하측에 수직방향으로 배치되는 것이 바람직하다.Here, the guide tube 120 is formed by bending the front end toward the crossing point so that the wire 20 faces the crossing point of the coordinator 10 among the surgical eyeballs, and is disposed vertically above and below the crossing point. desirable.
도 3 및 도 4를 참조하면, 상기 안내관(120)은 직각으로 절곡 형성되고, 상기 지지대(100)들의 접촉편(101)에 각각 2개씩 총 4개가 시술안구의 눈동자를 기준으로 상기 한 쌍의 지지대(100) 사이에서 사각형의 모서리로 배치되어, 시술안구의 외안근 중 상직근 및 하직근, 외직근 및 내직근에 각각 대응할 수 있도록 한다.3 and 4, the guide tube 120 is formed to be bent at a right angle, a total of four of each of the two pieces on the contact piece 101 of the support 100, based on the pupil of the surgical eye It is arranged as a corner of the square between the support 100 of, so that it can correspond to the upper rectus muscle and lower rectus muscle, lateral rectus muscle, and rectus muscle, respectively.
그리고 상기 안내관(120)은 일측면이 길이방향을 따라 절개되어, 상기 안내관(120)의 전, 후단을 통하지 않고, 상기 안내관(120)의 측방향으로부터 상기 안내관(120)의 내부 중공으로 상기 와이어(20)가 용이하게 입출할 수 있도록 한다. And the guide tube 120 is one side is cut along the longitudinal direction, without passing through the front and rear ends of the guide tube 120, the inside of the guide tube 120 from the lateral direction of the guide tube 120 The hollow wire 20 is easily allowed to enter and exit.
또한, 도 5를 참조하면, 본 실시예는 상기 안내관(120)의 일측단에는 가이드수단(130)을 구비할 수 있다. 상기 가이드수단(130)은 상기 안내관(120)의 일측단에서 결합지점을 축으로 회전 가능하게 힌지 결합되어, 상기 안내관(120)에서 나온 와이어(20)를 시술안구 중 조정사의 교차지점의 상하측에서 상기 교차지점으로 수직형태로 안내되도록 한다.In addition, referring to FIG. 5, this embodiment may include a guide means 130 at one end of the guide tube 120. The guide means 130 is hingedly coupled to the coupling point at one end of the guide tube 120 so as to be rotatable in an axis, and the wire 20 from the guide tube 120 is intersected by the coordinator during the treatment eye. It is guided vertically from the upper and lower sides to the crossing point.
이때 상기 가이드수단은 회전가능하게 장착됨으로써 상기 와이어가 상기 교차지점에 정확하게 수직으로 안내될 수 있도록 할 수 있다. At this time, the guide means can be rotatably mounted so that the wire can be guided exactly perpendicular to the intersection.
통상 조정 봉합술에 의해 시술안구에 묶이는 조정사(10)는 두 가닥으로 준비되는데, 시술안구 중 조정사(10)가 묶인 교차지점에서 두 가닥의 조정사(10)가 상하 수직방향이 아닌 눈동자 방향으로 경사지게 배치되는 경우, 후술할 권취수단이 와이어를 감거나 푸는 경우, 조정사의 교차지점이 수평방향으로 이동하는 경우가 발생하여, 조정 후 근육과 위치가 고정되는 조정사의 교차지점의 위치가 변경될 수 있다는 문제점이 발생할 수 있다. 이러한 문제점이 발생하는 것을 미연에 방지하기 위하여, 상기 가이드수단은 상기 와이어를 상기 교차지점의 상하측 수직방향에서 안내하도록 하여 권취수단이 와이어를 감거나 푸는 경우 상기 외안근과 상기 조정사의 교차지점간의 거리만이 변경되고, 상기 교차지점의 위치 변화는 없도록 한다. Usually, the adjuster 10 bound to the treatment eye by adjustment suture is prepared in two strands, and the adjuster 10 of the two strands at the crossing point where the adjuster 10 is tied is placed obliquely in the pupil direction rather than in the vertical direction. When the winding means to be described later is wound or uncoiled, a crossover point of the adjuster may move in a horizontal direction, and thus, after adjustment, the position of the crossover point of the adjuster where the muscles and positions are fixed may be changed. This can happen. In order to prevent this problem from occurring, the guide means guides the wire in the vertical direction above and below the crossing point, so that when the winding means winds or loosens the wire, the distance between the crossing point of the external eye muscle and the adjuster Only the bay is changed and the position of the intersection is not changed.
더불어 상기 와이어(20)의 타측은 조정수단(300)의 내부에 권취되어 있는데, 상기 조정수단(300)이 내부에 권취된 와이어(20)를 선택적으로 풀거나 감는 것으로 상기 와이어(20)의 장력이 조절되어, 상기 와이어(20)와 연결된 조정사(10) 역시 그 장력 조정에 연동하여 조정되어 시술안구의 정렬이 이루어진다.In addition, the other side of the wire 20 is wound inside the adjustment means 300, the tension of the wire 20 by selectively loosening or winding the wire 20 wound inside the adjustment means 300 This is adjusted, and the adjuster 10 connected to the wire 20 is also adjusted in connection with the adjustment of the tension so that the alignment of the surgical eye is made.
이때 상기 안내관(120)에 수용되는 상기 와이어(20)의 일측단에는 클램프(21)가 구비되어, 시술안구와 외안근에 묶은 조정사(10)가 클램핑되는데, 상기 클램프(21)는 일반적인 집개로 구성할 수 있으나, 이에 한정하지 않고 상기 조정사(10)를 걸어 고정할 수 있는 방식이면 이를 적용할 수 있다.At this time, a clamp 21 is provided at one end of the wire 20 accommodated in the guide tube 120, and the adjuster 10 tied to the surgical eyeball and the external eye muscle is clamped. It can be configured, but it is not limited to this, any method that can be fixed by hanging the adjuster 10 can be applied.
도 6을 참조하면, 상기 조정수단(300)은 한 쌍의 지지대(100)들의 타측편에 구비되는데, 상기 조정사(10)와 연결된 와이어(20)의 장력을 조정하여 외안근을 견인하는 조정사의 길이를 조정한다.Referring to Figure 6, the adjustment means 300 is provided on the other side of the pair of support 100, the length of the adjuster to pull the extraocular muscle by adjusting the tension of the wire 20 connected to the adjuster 10 Adjust it.
여기서 상기 조정수단(300)은 상기 한 쌍의 지지대(100)들의 타측편에 일체로 구비될 수 있으나, 이에 한정하지 않고 클립과 같은 체결부를 통해 선택적으로 장착 구비될 수도 있다.Here, the adjustment means 300 may be integrally provided on the other side of the pair of support 100, but is not limited thereto, and may be selectively mounted through a fastening part such as a clip.
그리고 상기 조정수단(300)을 보다 상세하게 살펴보면, 상기 조정수단(300)은 다이얼(310)과, 케이스(320)와, 권취릴(330)과, 래칫부재(340)를 포함하는데, 먼저 상기 다이얼(310)은 상기 한 쌍의 지지대(100)들의 타측편에 배치되는 조정수단(300)의 케이스(320)에서 외부로 노출되게 구비되어, 사용자의 조작으로 다이얼(310)의 축을 기준으로 회전하는 통상의 다이얼과 같다.And when looking at the adjustment means 300 in more detail, the adjustment means 300 includes a dial 310, a case 320, a winding reel 330, and a ratchet member 340. The dial 310 is provided to be exposed to the outside from the case 320 of the adjustment means 300 disposed on the other side of the pair of support 100, rotated around the axis of the dial 310 by the user's operation It is like a normal dial.
그리고 상기 다이얼(310)의 하부에는 케이스(320)를 결합하는데, 상기 케이스(320)는 그 하부에 상기 지지대(100)들과 체결되는 체결부(도시하지 않음)가 형성되고, 상기 다이얼(310)과 면접하는 중앙에는 원통형의 수용공간(321)이 형성된다.Further, a case 320 is coupled to the lower portion of the dial 310, wherein the case 320 is formed with a fastening portion (not shown) that is fastened to the supports 100 at the lower portion thereof, and the dial 310 ), The cylindrical receiving space 321 is formed in the center of the interview.
상기 수용공간(321)은 그 상측이 개구된 형태이고, 일측면에는 한 쌍의 관통공이 형성되어, 각각 권취릴(330)에 권취되는 상기 와이어(20)가 관통하여 입출되며, 상기 수용공간(321)은 그 내주면을 따라 톱니(322)가 형성된다.The receiving space 321 has a shape in which the upper side is open, and a pair of through holes are formed on one side, so that the wires 20 wound around the winding reel 330 penetrate and enter and exit, and the receiving space ( 321) A tooth 322 is formed along its inner peripheral surface.
그리고 상기 케이스(320)의 수용공간(321) 외측에는 상기 와이어(20)를 안내하는 돌기 또는 풀리 등을 구비하고, 상기 케이스(320)의 수용공간(321)에는 권취릴(330) 및 래칫부재(340)를 수용하는데, 상기 권취릴(330)은 상기 케이스(320)의 수용공간(321)에 수용되면서 상기 다이얼(310)의 축과 연결되고, 상기 다이얼(310)의 조작에 의해 선택적으로 정방향 또는 역방향으로 회전되어, 상기 와이어(20)를 감거나 푸는 것으로 상기 와이어(20)의 장력이 조절된다.In addition, a protrusion or pulley for guiding the wire 20 is provided outside the accommodation space 321 of the case 320, and a winding reel 330 and a ratchet member are provided in the accommodation space 321 of the case 320. To accommodate (340), the reel 330 is accommodated in the receiving space 321 of the case 320 is connected to the axis of the dial 310, selectively by the operation of the dial 310 Rotating in the forward or reverse direction, the tension of the wire 20 is adjusted by winding or releasing the wire 20.
그리고 상기 케이스(320)의 수용공간(321)에는 상기 권취릴(330)과 함께 다이얼(310)의 회전을 단속하는 래칫부재(340)가 구비되는데, 상기 래칫부재(340)는 수평방향으로 탄성을 갖는 래칫(341)가 돌출형성되어, 상기 다이얼(310)의 하부에서 수용공간(321)의 내주면을 따라 형성된 톱니 사이에 래칫(341)가 위치되어, 상기 다이얼(310) 및 권취릴(330)의 회전을 단속한다.In addition, the receiving space 321 of the case 320 is provided with a ratchet member 340 that controls the rotation of the dial 310 together with the winding reel 330, wherein the ratchet member 340 is elastic in the horizontal direction. A ratchet 341 having a protrusion is formed, and a ratchet 341 is positioned between teeth formed along the inner circumferential surface of the receiving space 321 in the lower portion of the dial 310, so that the dial 310 and the winding reel 330 ).
상기 래칫부재(340)의 래칫(341)는 절개부에 의한 탄성으로 사용자의 조작력에는 굴복하여 상기 권취릴(330)이 회전되도록 하나, 상기 와이어(20)의 장력에는 저항할 수 있어 상기 다이얼(310)의 회전을 단속한다.The ratchet 341 of the ratchet member 340 is elastic by the incision to yield to the user's operating force so that the winding reel 330 is rotated, but can resist the tension of the wire 20 and the dial ( 310).
그리고 상기 다이얼(310)의 회전각도를 톱니 사이에 대응하여 미세조절이 가능한데, 이때 상기 다이얼(310)의 톱니와 톱니 사이를 한 클릭이라 하고, 톱니와 톱니 사이의 거리를 1mm로 형성하면, 상기 다이얼(310)은 한 클릭 당 1mm씩 조정사의 장력이 조절되어 정밀한 길이(외안근을 견인하는 조정사의 길이) 조절이 가능하다.And it is possible to fine-adjust the rotation angle of the dial 310 in correspondence between the teeth, wherein the distance between the teeth and the teeth of the dial 310 is called a click, and when the distance between the teeth and the teeth is 1 mm, the The dial 310 can adjust the length of the adjuster by 1 mm per click, so that a precise length (the length of the adjuster that pulls the extraocular muscle) can be adjusted.
여기서 상기 조정수단(300)은 상기한 구성에 한정하지 않고 다이얼을 수평방향을 축으로 회전시킬 수도 있는데, 도 7 및 도 8을 참조한 상기 조정수단(300)의 다른 실시 예로는 상기 조정수단(300)이 다이얼(310)과, 권취릴(330)과, 래칫휠(360)과, 회전방지부재(370) 및 복귀스프링(380)을 포함한다.Here, the adjustment means 300 is not limited to the above-described configuration, and the dial may be rotated in the horizontal direction. As another example of the adjustment means 300 with reference to FIGS. 7 and 8, the adjustment means 300 ) Includes a dial 310, a winding reel 330, a ratchet wheel 360, a rotation preventing member 370, and a return spring 380.
이때 상기 다이얼(310)은 원판형으로 하우징(350) 내부에 일측편이 노출되도록 구비되고, 노출된 일측편을 사용자가 조작하면 상기 하우징(350)의 내부에서 수평으로 구비된 상기 다이얼(310)의 축(311)을 기준으로 회전한다.At this time, the dial 310 is provided to expose one side of the inside of the housing 350 in a disc shape, and when a user manipulates the exposed one side, the dial 310 of the dial 310 provided horizontally inside the housing 350 is provided. It rotates based on the shaft 311.
그리고 상기 하우징(350)의 상면에는 상기 다이얼(310)의 일측편이 노출될 수 있도록, 노출공(351)을 형성하는 것이 바람직하고, 상기 하우징(350)의 정면에는 상기 와이어(20)들을 관통시키는 한 쌍의 관통홀이 형성된다.In addition, it is preferable to form an exposed hole 351 so that one side of the dial 310 is exposed on the upper surface of the housing 350, and the wires 20 are passed through the front surface of the housing 350. A pair of through holes are formed.
여기서 상기 관통홀에는 상기 와이어(20)의 입출을 안내하는 가이드댐퍼(22)를 구비하는데, 상기 가이드댐퍼(22)는 고무재질로 상기 와이어(20)와 하우징(350) 간에 접촉하지 않도록 안내하여, 마찰로 인한 상기 와이어(20)의 손상을 방지하면서, 고무재질인 가이드댐퍼(22)와 상기 와이어(20)와의 마찰로 상기 와이어(20)가 장력을 유지하게 한다.Here, the through-hole is provided with a guide damper 22 that guides the entry and exit of the wire 20. The guide damper 22 is made of a rubber material so as not to contact the wire 20 and the housing 350. , While preventing damage to the wire 20 due to friction, the wire 20 maintains tension due to friction between the rubber material guide damper 22 and the wire 20.
그리고 상기 권취릴(330)은 상기 다이얼(310)과 동축을 이루도록 상기 다이얼(310)의 좌, 우 양측에 각각 형성되고, 상기 다이얼(310)의 조작에 의해 선택적으로 정방향 또는 역방향으로 회전되어, 상기 와이어(20)를 감거나 푼다.And the winding reel 330 is formed on both left and right sides of the dial 310 so as to be coaxial with the dial 310, and is selectively rotated in the forward or reverse direction by the operation of the dial 310, The wire 20 is wound or unwound.
따라서 상기 하우징(350)의 상면에서 외부로 노출된 상기 다이얼(310)의 일측편을 조작하여 상기 다이얼(310)을 회전시키면, 상기 다이얼(310)과 동축을 이루는 상기 권취릴(330)이 상기 다이얼(310)의 회전에 연동하여, 정방향 또는 역방향으로 회전되어, 상기 와이어(20)를 감거나 푼다.Accordingly, when the dial 310 is rotated by manipulating one side of the dial 310 exposed to the outside from the upper surface of the housing 350, the winding reel 330 that is coaxial with the dial 310 is the In conjunction with the rotation of the dial 310, it is rotated in the forward or reverse direction to wind or unwind the wire 20.
상기 다이얼(310)의 회전은 상기 래칫휠(360) 및 회전방지부재(370)에 의해 단속되는데, 상기 래칫휠(360)은 상기 다이얼(310)과 동축을 이루도록 상기 다이얼(310)의 어느 일측에 형성되고, 그 외주연을 따라 일정한 간격으로 톱니들을 형성하는데, 톱니와 톱니 사이의 거리를 1mm로 형성하여, 상기 다이얼(310)과 동축을 이루는 상기 래칫휠(360)은 상기 다이얼(310)의 한 클릭 당 1mm씩 조정사(20)의 장력이 조절되어 정밀한 길이(외안근을 견인하는 조정사의 길이) 조절이 가능하다.The rotation of the dial 310 is interrupted by the ratchet wheel 360 and the rotation preventing member 370, the ratchet wheel 360 is either side of the dial 310 to be coaxial with the dial 310 The ratchet wheel 360 formed coaxially with the dial 310 is formed on the dial 310 by forming the teeth at regular intervals along its outer periphery and forming a distance between the teeth and the teeth to 1 mm. The tension of the adjuster 20 is adjusted by 1 mm per click, so that it is possible to adjust the precise length (the length of the adjuster that pulls the extraocular muscle).
그리고 상기 회전방지부재(370)는 상기 하우징(350)의 상면으로 버튼(372)이 돌출되고, 상기 래칫휠(360)을 향해 돌출 형성된 래칫(371)은 상기 래칫휠(360)의 톱니 사이에 위치시켜, 상기 다이얼(310)의 회전을 선택적으로 단속한다.Further, the rotation preventing member 370 has a button 372 protruding to the upper surface of the housing 350, and a ratchet 371 formed protruding toward the ratchet wheel 360 is between the teeth of the ratchet wheel 360. By positioning, the rotation of the dial 310 is selectively controlled.
또한, 상기 다이얼(310)의 축(311)에는 복귀스프링(380)을 구비하는데, 상기 복귀스프링(380)은 상기 다이얼(310)이 회전하면 원위치로 되돌아가도록 회전력을 제공한다.In addition, a return spring 380 is provided on the shaft 311 of the dial 310, and the return spring 380 provides a rotational force to return to the original position when the dial 310 rotates.
따라서 상기 하우징(350)의 상면에서 외부로 노출된 상기 다이얼(310)의 일측편을 조작하여 상기 다이얼(310)을 회전시키면, 상기 다이얼(310)과 동축을 이루는 상기 권취릴(330)이 상기 다이얼(310)의 회전에 연동하여, 정방향 또는 역방향으로 회전되어, 상기 와이어(20)를 감거나 푼다.Accordingly, when the dial 310 is rotated by manipulating one side of the dial 310 exposed to the outside from the upper surface of the housing 350, the winding reel 330 that is coaxial with the dial 310 is the In conjunction with the rotation of the dial 310, it is rotated in the forward or reverse direction to wind or unwind the wire 20.
이때 상기 래칫휠(360) 및 회전방지부재(370)에 의해 상기 다이얼(310)의 회전이 일방향으로만 회전가능하게 단속되어, 상기 와이어(20)가 상기 권취릴(330)에 감기도록만 다이얼(310)의 조작할 수 있고, 다시 와이어(20)를 풀기 위해서는 회전방지부재(370)의 버튼(372)을 조작하여 회전방지부재(370)의 래칫(371)가 상기 래칫휠(360)의 톱니에서 이탈하게 하면, 복귀스프링(380)의 탄성으로 다이얼(310)이 원위치로 되돌아가도록 회전하여 와이어(20)가 풀리게 된다.At this time, the rotation of the dial 310 is intermittently rotated only in one direction by the ratchet wheel 360 and the rotation preventing member 370, so that the wire 20 is wound only around the winding reel 330. The ratchet 371 of the anti-rotation member 370 is operated by operating the button 372 of the anti-rotation member 370 in order to operate the 310 and release the wire 20 again. When detached from the teeth, the wire 20 is released by rotating the dial 310 to return to its original position with the elasticity of the return spring 380.
따라서 상기 다이얼(310)의 회전과 회전방지부재(370)의 조작으로 시술 중 외안근을 견인하는 조정사를 조정하여 외안근의 위치를 정밀하고 용이하게 조정할 수 있다. 상기 다이얼의 조정에 의하여 외안근의 위치를 조정하며 시술자는 사시 정도를 판단한다. 시술자가 상기 외안근위 위치가 적정위치에 위치하였다고 판단하면, 시술자는 상기 조정사의 위치를 고정하고, 상기 조정사와 상기 와이어의 결합을 해제한다. Therefore, the position of the external eye muscle can be precisely and easily adjusted by adjusting the adjuster that pulls the external eye muscle during the procedure by the rotation of the dial 310 and the operation of the rotation preventing member 370. The position of the extraocular muscle is adjusted by adjusting the dial, and the operator determines the degree of strabismus. When the operator determines that the position of the proximal eye is in the proper position, the operator fixes the position of the adjuster and releases the bond between the adjuster and the wire.
상기한 구성에 따른 조정 봉합술용 보조장치에 의한 조정 봉합 시, 사시각을 재는 단계와, 외안근을 견인하는 조정사의 길이를 조정하는 단계를 하나의 단계로 실시되어, 시술의 번거로움을 없앨 수 있고, 시술시간을 단축할 수 있으며, 환자가 직접 다이얼을 조작하여 외안근을 견인하는 조정사의 길이조정이 가능하여, 주관적인 복시를 가진 환자에게도 적용 가능하고, 다이얼의 회전 정도(클릭)를 객관적으로 인지할 수 있어 쉽고 빠르게 외안근을 견인하는 조정사의 길이를 조정을 할 수 있으며 정량적으로 정밀하게 안구 정렬을 할 수 있다.In the case of the adjustment suture by the auxiliary device for adjustment suture according to the above-described configuration, the step of measuring the angle of view and the step of adjusting the length of the adjuster to pull the external eye muscles are carried out in one step, eliminating the hassle of the procedure, , It is possible to shorten the treatment time, and the patient can adjust the length of the adjuster who pulls the extraocular muscle by manipulating the dial directly, so it can be applied to patients with subjective diplopia and objectively recognize the degree of rotation (click) of the dial. It can easily and quickly adjust the length of the adjuster that pulls the extraocular muscles, and can precisely and accurately align the eyes.
본 발명은 도면에 도시된 실시 예를 참고로 설명되었으나 이는 예시적인 것에 불과하며, 본 기술분야의 통상의 지식을 가진 자라면 이로부터 다양한 변형 및 균등한 다른 실시 예가 가능하다는 점을 이해할 것이다. 따라서 본 발명의 진정한 기술적 보호 범위는 첨부된 특허청구범위의 기술적 사상에 의하여 정해져야 할 것이다.The present invention has been described with reference to the embodiments shown in the drawings, but these are merely examples, and those skilled in the art will understand that various modifications and equivalent other embodiments are possible therefrom. Therefore, the true technical protection scope of the present invention should be determined by the technical spirit of the appended claims.

Claims (8)

  1. 시술안구의 외안근을 중앙에 두고, 상하 또는 좌우 양측으로 배치되며, 내부는 길이방향을 따라 중공으로 형성된 안내관;The external eye muscle of the surgical eye is placed in the center, and is arranged on both sides of the upper, lower, left, and right sides, and the inside is a guide tube formed hollow along the longitudinal direction;
    상기 안내관의 중공에 구비되고, 일측단이 외안근의 일단과 연결된 조정사와 연결되는 와이어; 및A wire provided in the hollow of the guide tube and connected to an adjuster having one end connected to one end of the external eye muscle; And
    상기 지지대의 타측편에서 상기 와이어를 선택적으로 감거나 풀어 조정사의 위치를 조정함으로써 외안근의 위치를 조정하는 조정수단을 포함하는 조정 봉합술 보조장치.Adjustment suture assist device comprising an adjusting means for adjusting the position of the external eye muscle by selectively winding or unwinding the wire on the other side of the support to adjust the position of the adjuster.
  2. 청구항 1에 있어서,The method according to claim 1,
    상기 안내관은 The guide is
    시술안구의 위 눈꺼풀 및 아래 눈꺼풀을 벌려 개안하는 지지대에 구비되고,It is provided on a support for opening the upper eyelid and lower eyelid of the eye,
    상기 지지대는 한 쌍으로, 그 일측단이 위 눈꺼풀의 테두리 및 아래 눈꺼풀의 테두리에 각각 접하면서 이격시켜 시술안구가 개안되도록 하고, 그 타측단은 시술안구의 외측방향을 향하는 조정 봉합술 보조장치.The support is a pair, the one end of which is in contact with the rim of the upper eyelid and the rim of the lower eyelid, respectively, so that the treatment eyes are opened, and the other end of the support is an adjustment suture assisting device facing outward of the treatment eye.
  3. 청구항 2에 있어서,The method according to claim 2,
    상기 한 쌍의 지지대 사이에 구비되어, 상기 지지대들의 이격 상태를 유지시키는 이격조절수단;을 포함하는 조정 봉합술 보조장치.It is provided between the pair of support, the spacer adjusting means for maintaining the spaced apart state of the support; adjustable suture assist device comprising a.
  4. 청구항 1에 있어서,The method according to claim 1,
    상기 와이어의 일측단에는 On one end of the wire
    상기 조정사를 클램핑하는 클램프를 포함하는 조정 봉합술 보조장치.Adjustment suture assisting device comprising a clamp for clamping the adjuster.
  5. 청구항 1에 있어서,The method according to claim 1,
    상기 조정사는 일단이 상기 외안근에 각각 연결되는 두 개의 실로 이루어지고, 상기 두 개의 실은 서로 묶인 교차되어 상하측으로 연장되며, The adjuster is made of two threads, one end of which is connected to the external eye muscles, and the two threads are crossed and extended to the upper and lower sides.
    상기 안내관은 The guide is
    그 일측단이 조정사의 묶인 교차지점을 향하게 절곡 형성되고, 시술안구의 눈동자를 기준으로 상기 한 쌍의 지지대 사이에서 사각형의 모서리로 배치되는 조정 봉합술 보조장치.A coordination suture assisting device whose one end is bent toward the tied crossing point of the coordinator, and is arranged as a corner of the square between the pair of supports based on the pupil of the eye.
  6. 청구항 1에 있어서,The method according to claim 1,
    상기 안내관의 일측단에 힌지로 회전 가능하게 연결되어, 상기 안내관에서 나온 와이어를 상기 조정사의 교차지점으로 수직형태로 안내하는 가이드수단을 포함하는 조정 봉합술 보조장치.Adjustment suture assist device comprising a guide means rotatably connected to one end of the guide tube to guide the wires from the guide tube in a vertical form to the intersection point of the adjuster.
  7. 청구항 1에 있어서,The method according to claim 1,
    상기 조정수단은The adjustment means
    원통형으로 사용자가 조작하면 축을 기준으로 회전하는 다이얼과;A dial that rotates about an axis when the user manipulates the cylinder;
    상기 다이얼의 하부에 결합되고, 원통형의 수용공간 내주면을 따라 톱니가 형성된 케이스와;A case which is coupled to the lower portion of the dial and has teeth formed along an inner circumferential surface of a cylindrical receiving space;
    상기 케이스의 수용공간에 수용되면서 상기 다이얼의 축과 연결되고, 상기 다이얼의 조작에 의해 선택적으로 정방향 또는 역방향으로 회전되어, 상기 와이어를 감거나 푸는 권취릴과;A winding reel connected to an axis of the dial while being accommodated in an accommodation space of the case, and selectively rotated in a forward or reverse direction by manipulation of the dial to wind or unwind the wire;
    상기 케이스의 수용공간에 수용되면서 상기 다이얼의 축과 연결되고, 주변에 돌출 형성된 래칫을 상기 케이스의 톱니 사이에 위치시켜, 상기 다이얼의 회전을 선택적으로 단속하는 래칫부재;를 포함하는 조정 봉합술 보조장치.Adjusting suture assisting device including; ratchet member which is accommodated in the receiving space of the case, is connected to the shaft of the dial, and a ratchet protruding around it is positioned between the teeth of the case to selectively control the rotation of the dial; .
  8. 청구항 1에 있어서,The method according to claim 1,
    상기 조정수단은The adjustment means
    원판형으로 하우징 내부에 일측편이 노출되도록 구비되고, 노출된 일측편을 사용자가 조작하면 상기 하우징의 내부에서 수평으로 구비된 축을 기준으로 회전하는 다이얼과;A dial provided to expose one side inside the housing in a disc shape, and rotated about an axis provided horizontally inside the housing when a user manipulates the exposed one side;
    상기 다이얼과 동축을 이루도록 상기 다이얼의 좌, 우 양측에 각각 형성되고, 상기 다이얼의 조작에 의해 선택적으로 정방향 또는 역방향으로 회전되어, 상기 와이어를 감거나 푸는 권취릴과;A winding reel formed on both left and right sides of the dial so as to be coaxial with the dial, and selectively rotated in the forward or reverse direction by manipulation of the dial to wind or unwind the wire;
    상기 다이얼과 동축을 이루도록 상기 다이얼의 어느 일측에 형성되고, 외주연을 따라 일정한 간격으로 톱니들을 형성한 래칫휠과;A ratchet wheel formed on one side of the dial so as to be coaxial with the dial and having teeth formed at regular intervals along the outer periphery;
    상기 하우징의 상면으로 버튼이 돌출되고, 상기 래칫휠을 향해 돌출 형성된 래칫은 상기 래칫휠의 톱니 사이에 위치시켜, 상기 다이얼의 회전을 선택적으로 단속하는 회전방지부재와;A rotation preventing member protruding toward the upper surface of the housing, and a ratchet formed protruding toward the ratchet wheel is positioned between teeth of the ratchet wheel to selectively regulate rotation of the dial;
    상기 다이얼의 축에 구비되어, 상기 다이얼이 회전하면 원위치로 되돌아가도록 회전력을 제공하는 복귀스프링을 포함하는 조정 봉합술 보조장치.Adjustment suture assist device provided on the shaft of the dial, including a return spring to provide a rotational force to return to the original position when the dial is rotated.
PCT/KR2019/013505 2018-10-15 2019-10-15 Adjustable suture auxiliary device WO2020080792A1 (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
KR10-2018-0122578 2018-10-15
KR20180122578 2018-10-15
KR1020190127570A KR102303100B1 (en) 2018-10-15 2019-10-15 assist device for adjustment surgery
KR10-2019-0127570 2019-10-15

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CN112244941A (en) * 2020-11-13 2021-01-22 徐树建 Thyroid minimally invasive surgery clamping forceps

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US6080169A (en) * 1999-08-10 2000-06-27 Turtel; Lawrence Strabismus recession clamp
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US20050125015A1 (en) * 2003-12-04 2005-06-09 Mcnally-Heintzelman Karen M. Tissue-handling apparatus, system and method
US20070179346A1 (en) * 2002-01-22 2007-08-02 Foulkes Richard B Ophthalmic sulcus speculum
CN205515164U (en) * 2015-12-11 2016-08-31 黄丽萍 Spacing eye speculum of regulation formula

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JP2002508985A (en) * 1998-01-19 2002-03-26 ワイズバンヅ リミテッド Suture tightening device for stitching wounds and method for its use
US6080169A (en) * 1999-08-10 2000-06-27 Turtel; Lawrence Strabismus recession clamp
US20070179346A1 (en) * 2002-01-22 2007-08-02 Foulkes Richard B Ophthalmic sulcus speculum
US20050125015A1 (en) * 2003-12-04 2005-06-09 Mcnally-Heintzelman Karen M. Tissue-handling apparatus, system and method
CN205515164U (en) * 2015-12-11 2016-08-31 黄丽萍 Spacing eye speculum of regulation formula

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112244941A (en) * 2020-11-13 2021-01-22 徐树建 Thyroid minimally invasive surgery clamping forceps
CN112244941B (en) * 2020-11-13 2021-08-03 徐树建 Thyroid minimally invasive surgery clamping forceps

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