The present invention relates to a vitreous body surgical probe used in ophthalmic surgery.
A vitreous body surgical probe used in ophthalmic surgery is used for cutting and removing from an eyeball a jelly-like vitreous body and/or a proliferative membrane (hereafter referred to as ‘vitreous body etc.’) on the retina generated through denaturation of the vitreous body (see Patent Documents 1 and 2, for example).
An opening 13 is provided in a side near the tip of the probe main body 11, and vitreous bodies etc. 50 are sucked in through the opening. At this time, the vitreous bodies 50 are cut when the cutter 20 slides and the blade part 21 passes by the opening 21, and the vitreous bodies etc. 50 that are cut into small pieces are sucked in at the back side of the probe (left side of
It is preferable that the vitreous body surgical probe 100 has a short distance between the tip surface 14 and the opening 13. This is because the vitreous bodies etc. 50 are either near the retina or are floating in the vicinity of the retina, and provision of the opening 13 as close to the retina as possible allows reduction of residual vitreous bodies etc. 50. Moreover, the tip surface 14 is preferably a flat surface without any protrusions so that the probe main body 11 does not touch and damage the retina.
Furthermore, a vitreous body surgical probe 101 having a slanted tip surface 14 is used for bringing the probe main body 11 closer to the retina (see Patent Document 2, for example).
Slanting the tip surface 14 as such may bring the probe main body 11 closer to the retina, thereby making it easier to suck in the vitreous bodies etc. 50 in the vicinity of the retina. However, since this cutter 20 may rotate when sliding along the inner side of the probe main body 11, provision of the opening 13 on the very end part is impossible. Therefore, it does not reach the tip side of the slanted surface 14. That is, the opening 13 should be provided to the position having a certain distance to the slanted surface 14 to which the blade part 21 of the cutter 20 reaches.
In light of the problem, the present invention aims to provide a vitreous body surgical probe that includes a probe main body having sufficient bending rigidity obtained by an end part having an approximately tube shape and a smaller diameter than the probe main body, and that secures sufficient suction force, and that can make it easy to collect vitreous bodies etc. in the vicinity of the retina, which are difficult to reach using the conventional vitreous body surgical probe.
A vitreous body surgical probe includes: a probe main body having a pipe shape; an end part having an approximately tube shape, which is connected to the very end part of the probe main body, has a smaller diameter than the probe main body, and includes a sealed tip surface and an opening in the side; and a cutter, which has matching diameters to respective inner diameters of the probe main body and the end part, has a blade part on a tip, and slides along inner surfaces of the probe main body and the end part.
Here, the inner diameters of the probe main body and the end part may be the same.
Use of the vitreous body surgical probe according to the present invention, which secures sufficient bending rigidity and suction force and has an end part small in diameter, brings about beneficial effects that allow easy collection of vitreous bodies etc. in the vicinity of the retina.
An embodiment according to the present invention is described below with reference to accompanying drawings.
The end part 12 has an approximately tube shape with a sealed, flat tip surface 14, and the diameter of the end part 12 is smaller than that of the probe main body 11. As for materials for forming such a vitreous body surgical probe 10, a conventionally-used 27 gauge pipe may be used for the probe main body 11, and a 29 gauge pipe may be used for the end part 12, although not limited to this combination of materials.
Vitreous bodies etc. in the vicinity of the opening are cut when a cutter 20 slides along the inner surface of the probe main body 11 and the end part 12, and a blade part 21 provided on the tip of the cutter 20 passes by an opening 13, making it easy to collect the vitreous bodies etc.
On the other hand, the opening 13 provided in the end part 12 is an inlet for the vitreous bodies etc. 50 and is therefore preferably provided as close to the vitreous bodies etc. 50 to be collected. Therefore, while the end part 12 is made to have a smaller diameter than the probe main body 11, the vitreous body surgical probe 10 has the end part 12 with a small diameter connected to the probe main body 11, which is why the probe main body 11 and the end part 12 typically have differing inner diameters. Accordingly, in order to make it possible for the cutter 20 to slide along the respective inner surfaces of the probe main body 11 and the end part 12, the cutter 20 is squeezed and reduced in diameter, so as for the diameter of the cutter 20 to match to the respective inner diameters of the probe main body 11 and the end part 12. Note that there are times when the cutter 20 rotates within the probe. Therefore, the central axes of the probe main body 11 and the end part 12 should be matched to each other.
The vitreous bodies etc. 50 that are cut into small pieces are sucked in at the back side (left side of the drawing) of the vitreous body surgical probe 10 and collected. At this time, since the probe main body 11 may be a pipe having the same thickness as conventional products, it has the same suction force as in the past, and the same collecting ability as in the past can be assured while the vitreous bodies etc. 50 do not clog up the probe much at the time of suctioning. Note that the bending rigidity of the probe main body 11 is also the same as the conventional products.
The structure of the vitreous body surgical probe 10a as illustrated in
Use of the vitreous body surgical probe 10a has an advantage that it is easier to manufacture the cutter 20 than with the vitreous body surgical probe illustrated in
Number | Date | Country | Kind |
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2015-171769 | Sep 2015 | JP | national |
Filing Document | Filing Date | Country | Kind |
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PCT/JP2016/075638 | 9/1/2016 | WO | 00 |