Tube holder for irrigation system or silicone feeding systems for vitreoretinal surgery
SUBSTANCE: tube holder for irrigation system or silicone feeding systems for vitreoretinal surgery comprises a base with at least two longitudinal slots on the bottom surface, one with the minimum width of 10.0 mm and the other with the minimum width of 5.0 mm, depth of each slot is not less than 5.0 mm. The base between the slots has a through threaded hole with a stand screwed in from the side opposite to the base slots with a free end in the form of an arc, located above the base. The free end of the arc is spirally twisted with a pitch greater than the diameter of the tube with the irrigation system or silicone delivery system cannula.
EFFECT: use of this invention allows to support and maintain a stable position of the fluid supply system and, accordingly, cannula position in the port.
3 dwg, 1 ex
SUBSTANCE: implant layers are presented in the form of congruent ellipsoids of rotation consisting of polymers and/or copolymers of glycosaminoglycans, lactic acid and polyvinylpyrrolidone; all drug-saturated layers are alternated with drug-unsaturated layers, while solubility of each implant layer is provided by hydrolysis of cross linkage and directly proportional to their number.
EFFECT: achieving and maintaining the required drug concentration in the vitreal cavity for the required period of time, no risk of damaging the intraocular structures with high-concentrated drug substances, reducing the intraoperative injury.
SUBSTANCE: implant for the revascularisation of a posterior pole of eyeball is a porous composite of polyethylene tetraphthalate or polycarbonate track-etched membranes with the improved medical-biological properties. Improving the medical-biological properties of the track-etched membranes requires additional plasma processing of cyclohexane.
EFFECT: using the given implant enables improving the trophism and mechanical properties of the sclera in the posterior pole of the eyeball that prevents an optic nerve disorder.
2 dwg, 3 ex
SUBSTANCE: invention can be used for performing a goniopuncture of trabeculo-Descemet's membrane following a non-penetrating deep sclerectomy (NPDS) if observing disturbed transparency of a cornea or fluid flow of an anterior chamber. The trabeculo-Descemet's membrane is micro-perforated from an angle of the anterior chamber within a projection of a postoperative intrascleral cavity by means of a non-traumatic boomerang needle 10-0, needle bend 3/8. The needle is pricked into the cornea at 3-3.5 mm from a limb with its distal end delivered towards an opened portion of the Descemet's membrane. A needle tip is brought through the cornea and further and advanced along a trajectory aligned with its flexion; the needle tip perforates the trabeculo-Descemet's membrane.
EFFECT: method enables achieving the stable normalisation of intraocular pressure following a minimum surgical intervention.
SUBSTANCE: nasolachrymal canal is intubated with a perforated silicone tube with a hole diameter 23G; the holes are staggered at 3 or 4 mm from each other. A distal end of the tube is blocked, whereas a proximal one is fixed in a projection of semilunar fold. A medicinal gel is introduced into a tube lumen every 7 days during the whole period of intubation - up to 3 months.
EFFECT: method provides the prolonged dilation of the lumen of the lachrymal passages and a possibility of the dosed administration of a medicinal preparation around a silicone frame for a long period of time and the recovery of the lachrymal passages patency, and the prevention of recurrent stricture formation, and the lower injury rate.
SUBSTANCE: anaesthetising patients with chronic pain syndrome undergoing a cyclophotocoagulation surgery involves the intravenous administration of the hormonal preparation dexamethasone in a dose of no more than 8 mg followed by the anxiolytic droperidol in a dose of no more than 2.5 mg 5 minutes prior to the operation before the peribulbar anaesthesia. A peripheral block in the form of the peribulbar anaesthesia involving administration of no more than 6 ml of a local anaesthetic follows. At the moment the surgical procedure starts, benzodiazepin, e.g. diazepam, is administered in a dose of no more than 5 mg.
EFFECT: achieving adequate anaesthesia in the given category of patients by blocking all the links of a pathological pain chain.
SUBSTANCE: method involves removing an epithelial layer, exposing a cornea by saturating it through multiple instillations of 0.1% riboflavin followed by the ultraviolet exposure. After the epithelial layer has been removed, a ring made of an ultraviolet-protected contact lens is applied on a surface of the eyeball perilimbally. An outer diameter of the ring covers the limb by no more than 2 mm, whereas an inner diameter of the ring is equal to a basic diameter of the keratoconus. The whole duration of the ultraviolet exposure involves additional instillations of riboflavin on the cornea every 3-4 minutes. The exposure is characterised by wavelength 365 nm, power 3.0 mWt/cm2 at 50 mm for 30 minutes with the ring to be removed after the exposure is completed.
EFFECT: method is easy to implement, involves no difficulties for specialists, providing higher clinical effectiveness by limiting the ultraviolet exposure area, preventing the ultraviolet involvement of the limb and reducing a risk of postoperative complications.
SUBSTANCE: group of inventions refers to surgery. A surgical console comprises a pneumatically operated valve; the first port and the second port connected to the valve configured to feed compressed gas into each of the first port and the second port alternatively; a pressure sensor connected to the ports; and a controller connected to the valve and pressure sensor. The controller is configured to control the time of open and closed state of a valve passage in accordance with the working cycle of the valve. The time of the open state of the valve corresponds to the first port open time, whereas the time of the close state of the valve corresponds to the first port close time. The controller is also configured to receive a measured port pressure differential and to calculate the port pressure differential in accordance with the pressure sensor data, and to modify the working cycle of the valve depending on the difference of the measured or calculated pressure differential and the desired mean pressure differential for reducing a difference of these values. What is disclosed is a method for the valve adjustment.
EFFECT: maintaining the pressure required for the correct operation of the attached instruments.
19 cl, 6 dwg
SUBSTANCE: conjunctival flap is formed. Surface sclera and deep triangular flaps are formed with base to limbus with exposure of ciliary body. 2 scleral channels are formed on each side of triangular flap, perpendicular to them. External end of sclera channels must project beyond bed of surface sclera flap. Two collagen drainages "xenoplast" 0.8-1.2 mm thick, 1.0-1.5 mm wide, 4.0-5.0 mm long, are sutured to formed sclera bed. Length of collagen drainages must not exceed length of sclera flap. Anterior eye chamber is opened by cut along limbus. Iridectomy is performed. Anterior chamber is fully filled with viscoelastic. Ends of two drainages are introduced into anterior chamber, with formation of window in trabeculo-Descemet's membrane. Root of iris must not overlap ends of drainages. Surface sclera flap is laid into place and fixed with sutures.
EFFECT: method provides activation of intraocular fluid outflow for long term, formation of flat spilled filtration pillow with strong wall, prevention of scarring of created pathways for outflow without application of antimethabolites due to formation of sclera channels, external end of which lies beyond bed of surface sclera flap, application of collagen drainages without their overlapping by iris root and length which does not exceed length of scleral flap.
4 cl, 2 ex
SUBSTANCE: invention refers to medicine, particularly to ophthalmology, and can be used in treating amblyopia in children. One 10-minute procedure involves alternating 1-2-minute exposure to green-range laser speckle structures at wavelength 0.5-0.65 mcm and red-range laser speckle structures at wavelength 0.63-0.7 mcm. Laser fluence is (4-8)×10-5 W/cm2. That is combined with autoscan exposure to a travelling magnetic field from temporal lobes to an occipital region by bitemporal method at a scan frequency of 90-180 Hz. A field density is 30-45 mT. The procedures are daily for 10 days.
EFFECT: method provides stimulating the maximum count of retinal cells responsible for colour vision, prevents the eye tissue adaptation to laser light, optimises delivering visual pulses along the visual pathway to the visual cortex.
1 tbl, 2 ex
SUBSTANCE: invention relates to medicine, namely to ophthalmology, and can be used for the removal of silicone oil from the anterior eye chamber. 2 paracenteses are performed. An irrigation cannula of the phacoemulsifier is introduced into one of the paracenteses. Supply of physiological solution is realised. Removal of silicone takes place passively (by gravity) through the second paracentesis.
EFFECT: method makes it possible to remove silicone oil form the anterior eye chamber in a reliable way with low trauma due to the uniform, without differences in pressure, supply of physiological solution by means of an irrigation system and passive removal of silicone oil through the paracentesis.
SUBSTANCE: invention relates to medical equipment, namely to instruments for measuring length of cervix of uterus in vaginal vault and cervix of uterus dilation. Device for measuring cervix of uterus length contains elongated measuring unit, hollow unit, flange, handle and lock mechanism. Elongated measuring unit extends along longitudinal axis and includes measuring scale located on it. Hollow unit is coaxial with elongated measuring unit and is located above it. Flange is displaced from longitudinal axis and is fixed to distal end of hollow unit. Handle is fixed to proximal end of measuring unit. Lock mechanism is made on handle. Lock mechanism is made with possibility to fix hollow unit relative to measuring unit in case of blocking, and in case of de-blocking to provide possibility for hollow unit to slide along measuring unit and to rotate around longitudinal axis in such a way as to place flange in required position of rotation without moving measuring scale. Proximal end of hollow unit is made with possibility of sliding in handle.
EFFECT: invention provides simplicity, ease and accuracy of performing measurements.
11 cl, 8 dwg
SUBSTANCE: animal is placed on the movable thermostated preparation microscope stage. Median laparotomy is carried out. Bleeding is stopped by thermocoagulation, fixing the wound edges using ligatures. Paramedial incision is made in the right at the level of lower third of abdomen, through which the removable hollow light guide of cylindrical shape is inserted into the abdominal cavity and it is filled with indifferent oils or normal saline. The mesentery of small intestine is thrown on the upper end of the light guide and biomicroscopy is carried out using a fixed camera for a microscope, connected to the personal computer, the results are recorded at various stages of research, followed by treatment of the data obtained, using a computer program.
EFFECT: method eliminates drying and adhesion of the area under study, as well as bending the vessels, which enables to perform long-term studies.
SUBSTANCE: method of detecting pathology of respiratory organs includes the visual examination of the tracheobronchial tree with the application of an optic system of a bronchoscope. The bronchoscope is introduced into the tracheobronchial system, with the control of the introduction depth, position of the bronchoscope is changed and listening to acoustic phenomena in real time at different levels of the tracheobronchial tree is realised. For this purpose used is an acoustic sensor, installed in a detachable way in the instrumental channel of the bronchoscope and made in the form of a microphone and connected to means for registration, recording and analysis. Zones of the tracheobronchial tree are simultaneously subjected to visual examination. A zone of the tracheobronchial tree affection is determined by data of visual examination and the form and intensity of the acoustic phenomena. The bronchoscope includes an elongated tube with the instrumental channel for the installation of detachable surgical instruments and an optic channel for the detachable optic system and the acoustic sensor, installed in a detachable way in the instrumental channel.
EFFECT: increased accuracy of pathology detection in real time.
2 cl, 1 dwg
SUBSTANCE: invention relates to medicine and can be applied for the fixation of an external endoscope catheter. Fastening elements are made in the form of two mechanically conjugated semi-rings, facing opposite sides, the internal diameter of which corresponds to the external diameter of the catheter and the external diameter of the endoscope, the width of the smaller ring constitutes 2-6 catheter diameters, and the width of the larger ring constitutes 1-4 endoscope diameter(s).
EFFECT: device makes it possible to increase exploitation reliability.
2 dwg, 3 ex
SUBSTANCE: invention relates to medicine, namely to neurosurgery, neurooncology, and can be used for the treatment of glial brain tumours of a supratentorial localisation. For this purpose photodithazine in a dose of 1 mg/kg of body weight is introduced to a patient 2 hours before the tumour ablation. After that, surgical access to the tumour is performed. The operation wound is illuminated by blue colour with a wavelength of 400 nm, and the tumour boundaries are determined by means of fluorescence of photodithazine, selectively accumulated in the tumour tissue. The tumour is ablated under control of the tumour luminescence in blue colour with the application of an operation microscope. After that, a flexible light guide from a radiation source with a wavelength of 662 nm and power of 2.0 W with a light dispersing nozzle is placed into the tumour bed and the perifocal zone of the tumour is irradiated. The dose of irradiation is determined by the disappearance of fluorescence.
EFFECT: method provides an increase of the treatment efficiency due to the reliable clear determination of the tumour tissue boundaries with the normal brain substance independent on the malignancy degree and character of the tumour growth, with an increase of its ablation radicality, as well as due to the destruction of cells, located in the perifocal zone.
2 cl, 1 ex
SUBSTANCE: duodenoscopy is performed with the use of an endoscope with its inspection window on the side. The greater duodenal papilla is visualised. It is cannulated with a Teflon catheter with a working end having an aperture in the middle. An end face of the working end of the catheter is inclined at an angle of 45°. Two apertures of 0.2 cm in diameter are arranged oppositely diametrically on its sides. The first aperture is arranged at 0.4 cm from the end face. The second is found at 0.8 cm. A metal lift is actuated to advance the catheter into a lumen of the common bile duct. A sterile syringe is attached to a connector of the catheter; the syringe is pulled out to draw the bile into the catheter. The syringe piston is pulled out to a 8 ml mark and then released. The manipulation is repeated until the bile penetrates into the syringe. After the bile ingress into the syringe is visualised, the piston is pulled out to a 5 ml mark. A 2-second pause is made. The piston is released. In the course of bile aspiration, the catheter is advanced along the common bile duct 1-2 cm above.
EFFECT: method enables fast and effective bile aspiration from the lumen of the common bile duct, preparation of the material free from the intestinal discharge and pancreatic fluid, as well as reduces a risk of the catheter suction to a wall of the common bile duct ensured by the catheter structure and a certain sequence of the syringe piston motions.
4 dwg, 1 ex
SUBSTANCE: group of inventions refers to medicine. An optical probe comprises: an optic guide with a distal end; a drive body and system with driven coils displacing the distal end by a displacement force. The optic guide is integrated inside the body so that the distal end can be displaced in relation to the body. Exciting current is corrected by a drive train with a feedback circuit. The feedback circuit determines an adjustment member and comprises: a unit for current feed to the driven coils; a unit for temporary exciting current cut-off and a unit for comparing a specified position and measured speed. The unit for temporary exciting current cut-off comprises a switch; a measuring chain configured to measure a speed of the distal end. The unit for comparing is configured to: measure the specified speed from the specified position and to compare the specified speed and the measured speed to derive a difference; or to determine the measured position from the measured speed and to compare the specified position and the measured position to derive the difference, thereby correcting the exciting current, if the difference exceeds the specified level. An optical visualisation system comprises: an optical probe, an emitting source and an emission sensor optically connected to the optical probe.
EFFECT: using the given group of inventions enables eliminating the onset of artefacts in image construction from the probe travel.
10 cl, 6 dwg
SUBSTANCE: invention can be used for the purpose of the early prediction of a risk of peripheral vitreochorioretinal dystrophies (PVCRD) on a paired eye after regmatogenous retinal detachment (RRD) surgeries. The IL18 content in the sub-retinal fluid (SRF) taken intraoperatively from an RRD eye is measured; if the measured value makes 550 pcg/ml, the PVCRD is predicted on the paired eye.
EFFECT: invention enables the preventive treatment of the paired eye in case of the risk of the developing PVCRD before the clinical manifestations of the developing PVCRD in the individual with operated retinal detachment on the other eye.
SUBSTANCE: invention refers to medicine, to surgery. A patient is fixed on a surgical table. An anaesthesia care is provided. That is followed by approaching from a superior-median laparotomy. Wound retractor hooks have an effect on the ribcage and breast bone. That is combined with forming a surgical approach, first by separating the incision wound edges with two rib hooks for normosthenic, asthenic and hypersthenic types.
EFFECT: method provides the adequate wound opening with the low number of patient's injuries, improves the objective control when performing the surgical approach.
2 dwg, 2 tbl
SUBSTANCE: endoscope with a variable scan direction configured so that to insert the device into a human or animal cranial cavity; it comprises an extended body having a proximal end, a distal end and an outer diameter equal to no more than approximately 5mm, an inspection window along the body on the distal end or thereby, an in-built rotary prism integrated into the body close to the distal end, designed for varying the endoscope scan direction, and built into a case functionally mated with a rotating axis directed proximally; a distal portion of the axis is threaded to engage with teeth on the case; there are also provided a self-focusing lens inside the body and automatically focusing an image displayed in the inspection window as the prism rotates, and a handle connected to the proximal end of the extended body. The handle comprises a first rotating dial to adjust a viewing angle of the endoscope by turning the prism, and the first dial rotates about a long axis of the body.
EFFECT: device enables avoiding the intraoperative removal of a lesser pancreas.
10 cl, 31 dwg
FIELD: medicine, pulmonology.
SUBSTANCE: one should perform lovage in three stages:during the 1st stage one should carry out lovage of tracheoalveolar tree for 3-4 min with 60-80 ml 0.08%-sodium hypochlorite solution, at the 2nd stage one should introduce 5-7 ml 10%-fluimucyl solution into tracheobronchial tree for 4-6 min, and at the 3d stage one should perform lovage of tracheobronchial tree for 3-4 min with 60-80 ml 0.11%-sodium hypochlorite solution. The present innovation favors secreta release of decreased viscosity into large bronchi that simplifies its evacuation and this, in its turn, simplifies the access of antiphlogistic and antibacterial preparations towards tracheobronchial tree's mucosa that leads to interrupting inflammatory process in more shortened terms.
EFFECT: more prolonged period of remission.