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Mammary flap extricator

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Publication number
CN103431895A
CN103431895A CN 201310377488 CN201310377488A CN103431895A CN 103431895 A CN103431895 A CN 103431895A CN 201310377488 CN201310377488 CN 201310377488 CN 201310377488 A CN201310377488 A CN 201310377488A CN 103431895 A CN103431895 A CN 103431895A
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part
fixing
clamping
flap
arranged
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CN 201310377488
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Chinese (zh)
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CN103431895B (en )
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王明军
毛秋粉
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河南科技大学第一附属医院
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Abstract

A mammary flap extricator comprises a cutting blade and a clamping part, wherein the cutting blade is installed on a fixing part, the fixing part is connected with the clamping part through a connecting rod arranged at one end of the fixing part, the distance between the clamping part and the fixing part can be adjusted through the connecting rod, and a handle perpendicular to the cutting blade is arranged at one end, provided with the connecting rod, of the fixing part. Due to the fact that the clamping part is arranged and attached to the skin, extricated flaps are positioned in the same plane, and postoperative hydrops is reduced. Compared with an electrotome extrication method, the mammary flap extricator avoids flat liquefaction and necrosis caused by high temperature of an electrotome, less skin superficial layer blood vessels are injured, and the occurrence rate of postoperative subcutaneous hydrops and flap necrosis is lowered.

Description

ー种乳腺皮瓣游离器ー kinds of free flap breast unit

技术领域 FIELD

[0001] 本发明涉及到医疗器械领域,具体的说是ー种乳腺皮瓣游离器。 [0001] The present invention relates to the field of medical devices, specifically to the free flap is breast ー species.

背景技术 Background technique

[0002] 所谓的乳腺皮瓣游离是指切开皮肤后,用数把组织钳将皮下夹住,组织钳间距在2-3cm,勿夹皮肤,提起组织钳,使整个被提起的乳腺在同一层面上,然后用电刀、或手木刀片、或组织剪插入皮下,沿脂肪浅层进行剥离(皮下仅留少量薄层脂肪),由近到远,步步推进,逐步游离到整个乳腺腺体范围,应用电刀、刀片或组织剪时刀头方向尽量与乳腺皮肤方向平行,避免穿透皮肤。 [0002] The so-called free flap refers to the breast skin incision, with the number of the subcutaneous tissue clamped forceps, tissue forceps 2-3cm pitch, do not clip the skin, tissue forceps lift, the entire breast is lifted at the same the level and electric knife, a blade or hand wood, or cut into the subcutaneous tissue, peeling (subcutaneously sheet leaving only a small amount of fat) in the superficial fat layer, from near to far, step forward, and gradually migrates to the whole breast gland when the body scope, applicability electric knife, scissors blade tip direction or tissue and breast skin direction as parallel as possible to avoid penetration of the skin.

[0003] 现有的乳腺皮瓣游离主要为电刀皮瓣游离、皮下注射肾上腺素盐水后用手术刀片游离皮瓣和应用组织剪游离皮瓣,上述皮瓣游离方式存在以下问题: [0003] conventional free flap breast predominantly free flap electric knife, after subcutaneous injection of adrenaline with brine and surgical blade free flap free flap tissue scissors, the following problem free flap above manner:

1)术中出血:以应用刀片、组织剪为明显; 1) bleeding: application to the blade, cut tissue is obvious;

2)术后皮下积液:应用电刀、刀片或组织剪,不好把握游离一直处于同一平面,以致游离皮瓣高低不平,术中应用电刀游离导致高温、脂肪液化、坏死,以上均可引起术后积液较多; 2) after subcutaneous fluid: The electric knife, blade or scissors organization, poor grasp of the free has been in the same plane, so that the free flap rugged, intraoperative lead to high-temperature electric knife free, fat liquefaction necrosis, can be more than cause postoperative effusion more;

3)术中皮瓣游离过厚或过薄; 3) free flap surgery is too thick or too thin;

4)术后皮瓣坏死:由于游离皮瓣太薄、皮瓣血供差、术中电刀高温、脂肪液化、血栓形成、皮下积液、感染等。 4) skin flap necrosis after: Since free flap is too thin, poor blood supply flap, electric knife surgery temperature, liquefied fat, thrombosis, seroma, infection and the like. 发明内容 SUMMARY

[0004]为解决现有乳腺皮瓣游离方式存在的游离皮瓣不均匀导致的一系列问题,本发明提供了ー种乳腺皮瓣游离器。 [0004] In order to solve a series of problems of the prior breast free flap free flap due to non-uniform manner, the present invention provides a free flap is breast ー species.

[0005] 本发明为解决上述技术问题采用的技术方案为:ー种乳腺皮瓣游离器,包括切割刀片和夹持部,所述切割刀片安装在固定部上,固定部和夹持部通过固定部一端设置的连接杆连接,且夹持部和固定部之间的间距通过连接杆调整,夹持部和固定部的后端位于同一垂直面,固定部设置连接杆的一端上设置有与切割刀片相垂直的手柄; [0005] aspect of the invention to solve the above problems is used: Species breast ー free flap comprising a cutting blade and a clamping portion, the cutting blade is mounted on the fixed portion, the fixed portion and the holding portion is fixed by connecting rod connecting portion provided at one end, and the interval between the nip portion and the fixed portion by adjusting the connecting rod, and a fixing portion holding a rear end portion located on the same vertical plane, the fixed portion is provided on one end of the connecting rod is provided with a cutting and perpendicular to the blade handle;

所述固定部包括上固定部和下固定部,上固定部和下固定部将切割刀片夹紧并通过拧紧螺栓固定。 The fixing portion includes a fixing portion and a lower fixing portion, the fixing portion and the lower portion of the cutting blade is fixed and secured by tightening the clamping bolts.

[0006] 所述夹持部的边缘为弧形,或者夹持部底面与顶面之间为弧形过渡。 Edge of the [0006] arcuate clamping portion, the clamping portion or between the bottom and the top transition surface is arcuate.

[0007] 所述夹持部的形状为矩形或条形。 The shape of the [0007] clamp portion is rectangular or bar.

[0008] 所述连接杆的自由端穿过夹持部,且与夹持部通过螺纹配合连接。 [0008] The free end of the connecting rod through the clamping portion, the clamping portion and connected by mating threads.

[0009] 所述上固定部和下固定部为对称结构,且两者的ー侧铰接,另ー侧通过若干拧紧螺栓固定用于夹紧切割刀片。 [0009] The upper portion and the lower fixing portion is fixed to be symmetrical, and the two side hinge ー, ー other side by a plurality of tightening bolts for clamping the cutting blade.

[0010] 所述固定部的形状为圆柱形。 [0010] The shape of the fixing portion is cylindrical.

[0011] 所述切割刀片的前端落后于夹持部的前端0.5cm。 [0011] The distal end of the cutting blade behind distal gripper portion 0.5cm.

[0012] 所述夹持部为长10cm、厚1cm、宽2cm的圆柱条状结构,切割刀片的长度为IOcm,宽度为1.5cm。 [0012] The long nip is 10cm, a thickness of 1cm, 2cm wide stripe structure of the cylinder, the cutting blade IOCM length, a width of 1.5cm.

[0013] 所述切割刀片和夹持部平行设置或倾斜设置,且两者倾斜设置时,两者的间距从设有连接杆的ー侧向另一侧逐渐増大。 [0013] When disposed in parallel or inclined, and inclined both pitch both gradually large enlargement of the cutting blade and the clamp portion is provided with laterally from another side of the connecting rod ー.

[0014] 本发明中,可以通过调整固定部夹持的切割刀片的长度来调整切割刀片的长度,以适用于不同的患者;同时,通过连接杆调整夹持部和切割刀片间的距离可以调整保留的皮下脂肪厚度。 [0014] In the present invention, the length of the cutting blade can be adjusted by adjusting the length of the fixed portion of the cutting blade clamped, to apply to different patients; while adjusting the distance between the holding portion and the cutting blade can be adjusted by a connecting rod subcutaneous fat thickness reserved.

[0015] 本发明中,夹持部与切割刀片的相对位置可以任意,也就是说,夹持部突出于切割刀片之前,也可以落后于切割刀片,也可以相平齐,优选的方式是夹持部的位置相对于切割刀片略向前为宜,也就是说切割刀片的前端落后于夹持部的前端位置。 [0015] In the present invention, the relative position of the clamping portion and the cutting blade is arbitrary, that is, before the holding portion projecting cutting blade, behind the cutting blade may be, may be flush with, sandwiched preferred holding portion with respect to the position of the cutting blade preferably slightly forward, the front end of the cutting blade that is behind the front end position of the clamping portion.

[0016] 本发明的使用方法为:切开皮肤后,先从一端把乳腺游离出一道缝,然后把游离器插入,使皮肤嵌于夹持部与切割刀片之间,并使皮肤伸直在同一平面,然后顺势拉动把手,快速游离皮瓣。 [0016] using the method of the present invention is as follows: After cutting the skin, free start end of the breast out of a seam, then the free insertion, the skin and embedded in the nip between the cutting blade and the skin straighten the same plane, and then pull the handle homeopathy, fast free flap.

[0017] 有益效果:本发明与现有技术相比具有以下优点: [0017] The beneficial effects: the present invention and the prior art has the following advantages:

1)通过设置夹持部并使夹持部紧贴皮肤,使得游离的皮瓣在同一平面,減少了术后积 1) by providing the holding portion and the clamping portion close to the skin, so that the free flap in the same plane, reducing the product after

液; liquid;

2)与电刀游离相比,避免电刀高温所致的脂肪液化、坏死,皮肤浅层血管破坏相对较少,术后皮下积液、皮瓣坏死可能发生率降低; 2) Compared with the electric knife free, to avoid the high temperature caused by electric knife fat liquefaction necrosis, vascular damage is relatively small superficial skin, reduce postoperative subcutaneous fluid, the rate of skin flap necrosis may occur;

3)游离速度加快,减少手术时间。 3) free faster, reduce the operation time.

附图说明 BRIEF DESCRIPTION

[0018] 图1为本发明的结构示意图; [0018] FIG. 1 is a schematic view of the structure of the present invention;

图2为本发明为底面与顶面之间采用弧形过渡的夹持部示意图; FIG 2 is a schematic view of the present disclosure employ an arcuate transition portion sandwiched between the bottom and the top surface;

图3为本发明边缘为弧形的夹持部示意图; FIG 3 is a schematic diagram of the present invention, the arcuate edge of the clamping portion;

图4为固定部的结构示意图; FIG 4 is a schematic view of the structure of the fixed portion;

附图标记:1、切割刀片,2、夹持部,3、连接杆,4、固定部,5、手柄,401、上固定部,402、下固定部,403、拧紧螺栓。 Reference numerals: 1, the cutting blade 2, the gripping portion 3, connecting rod 4, the fixed portion 5, the handle 401, the fixed portion 402, the lower fixing portion 403, tightening bolts.

具体实施方式 detailed description

[0019] 如图所示,ー种乳腺皮瓣游离器,包括切割刀片I和夹持部2,所述切割刀片I安装在固定部4上,固定部4和夹持部2通过固定部4 一端设置的连接杆3连接,且夹持部2和固定部4之间的间距通过连接杆3调整,夹持部2和固定部4的后端位于同一垂直面,固定部4设置连接杆3的一端上设置有与切割刀片I相垂直的手柄5 ; [0019] As illustrated, the free flap breast ー species, comprising a cutting blade nip portion I and 2, the cutting insert I mounted on the fixed portion 4, the fixing portion 4 and the clamping portion 24 by the fixing portion One end of the connecting rod 3 is connected to the set, and the interval between the nip portion and the fixing portion 4 through the connecting rod 3 is adjusted, the rear end portion 2 and the fixing nip portion 4 is located in the same vertical plane, the fixing portion 4 is provided connecting rod 3 disposed on one end of the cutting blade 5 I perpendicular to the handle;

所述固定部4包括上固定部401和下固定部402,上固定部401和下固定部402将切割刀片I夹紧并通过拧紧螺栓403固定。 The fixing section 4 includes a fixing portion 401 and a lower fixing portion 402, the fixed portion 401 and a lower fixing portion 402 and the cutting blade I is fixed by tightening the clamping screw 403.

[0020] 以上为本发明的基本实施方式,可在以上基础上作进ー步的改进或进ー步的限定: [0020] The basic embodiment of the present invention described above, further improvements may be made into ー basis of the above defined steps or intake ー:

如,所述夹持部2的边缘设置为弧形,或者夹持部2底面与顶面之间为弧形过渡,这样使得与皮肤的贴合更柔和,可以防止划伤皮肤; The edges of the clamping portion 2 is provided as an arc, or sandwiched between the bottom portion and the top surface 2 of arcuate transitions, such that the bonded skin softer, can prevent scratching of the skin;

如,所述夹持部2的形状为矩形或条形,以具有更好更好的引导作用,当然也可以是其他形状; For example, the clamping portion 2 is rectangular shaped or strip-shaped, to better guiding a better effect, of course, be other shapes;

如,所述连接杆3的自由端穿过夹持部2,且与夹持部2通过螺纹配合连接,以调整夹持部2和切割刀片I的间距,当然也可以由其他的设置方式,如连接杆3与夹持部2活动连接,待确定好夹持部2和切割刀片I的间距后再改为固定连接; For example, the free end of the connecting rod 3 passing through the clamping portions 2, 2 and the mating connector by screwing and the clamping portion, the clamping portion 2 in order to adjust the pitch of the cutting blade and I, of course, may be made of another arrangement, the connecting rod 3 is connected to the second movable holding portions, the pitch is determined to be good and the clamping portion 2 and then to the cutting blade I is fixedly connected;

如,所述上固定部401和下固定部402为对称结构,且两者的ー侧铰接,另ー侧通过若干拧紧螺栓403固定用于夹紧切割刀片I ; For example, the upper fixing portion 401 and a lower fixing portion 402 to be symmetrical, and the two side hinge ー, ー other side by a plurality of tightening bolts for clamping the cutting blade 403 is fixed I;

所述固定部4的形状最好为圆柱形,以防止棱角损伤皮瓣; The fixing portion 4 is preferably cylindrical in shape, in order to prevent damage to the flap edges;

所述切割刀片I的如端落后于夹持部2的如端0.5cm ; I as the cutting blade behind an end as the end of the clamping portion 2 0.5cm;

所述夹持部2为长10cm、厚1cm、宽2cm的圆柱条状结构,切割刀片I的长度为IOcm,宽度为1.5cm ; The clamping portion 2 long 10cm, a thickness of 1cm, 2cm wide cylindrical stripe structure, the length of the cutting insert I is IOCM, width 1.5cm;

所述切割刀片I和夹持部2平行设置或倾斜设置,且当两者倾斜设置时,两者的间距从设有连接杆3的一侧向另一侧逐渐増大,也就是靠近手柄5的一侧间距小,远离手柄5的一侧间距大。 I and the cutting blade holder portion 2 is provided in parallel or inclined, and when the two inclined, with spacing both from the connecting rod 3 side to the other side of the large zo gradually, i.e. close to the handle 5 side small pitch, the side away from the handle 5 of large pitch.

[0021] 本发明中,手柄5不仅限于设置在固定部4上,也可以设置在夹持部2上,设置设置在连接杆3上,优选的设置方式是设置在固定部4上。 [0021] The present invention is not limited to the handle 5 disposed on the fixed portion 4 may be provided on the gripper portion 2, is provided in the connecting rod 3 is provided, the arrangement is preferably provided on the fixing section 4.

[0022] 对于本发明中各部件所用的材料,以不锈钢为宜,也可以采用其他的材料制作。 [0022] For the material of the present invention, each of the components used, preferably stainless steel, other materials may also be employed production.

Claims (9)

1.ー种乳腺皮瓣游离器,其特征在于:包括切割刀片(I)和夹持部(2),所述切割刀片(I)安装在固定部(4)上,固定部(4)和夹持部(2)通过固定部(4) 一端设置的连接杆(3)连接,且夹持部(2)和固定部(4)之间的间距通过连接杆(3)调整,夹持部(2)和固定部(4)的后端位于同一垂直面,固定部(4)设置连接杆(3)的一端上设置有与切割刀片(I)相垂直的手柄(5); 所述固定部(4)包括上固定部(401)和下固定部(402),上固定部(401)和下固定部(402)将切割刀片(I)夹紧并通过拧紧螺栓(403)固定。 1. ー species breast free flap, characterized in that: a cutting blade (I) and a clamping portion (2), said cutting blade (I) is mounted on the fixed portion (4), the fixed portion (4) and clamping portion (2) (4) a connecting rod (3) provided at one end connected by a fixing portion, and the clamping portion (2) and the spacing between the fixing portion (4) (3) through a connecting rod to adjust the clamping portion the rear end (2) and the fixing portion (4) is located in the same vertical plane, provided with a cutting blade (I) perpendicular to the handle (5) fixed to one end portion (4) is provided a connecting rod (3); said fixed section (4) comprises a fixing portion (401) and a lower fixing portion (402), the fixed portion (401) and a lower fixing portion (402) of the cutting blade (I) clamped and fixed by tightening bolts (403).
2.根据权利要求1所述的ー种乳腺皮瓣游离器,其特征在于:所述夹持部(2)的边缘为弧形,或者夹持部(2)底面与顶面之间为弧形过渡。 Species according to claim ー breast free flap of claim 1, wherein: the edge of the clamping portion (2) is arcuate, or nip section (2) as an arc between the bottom and the top surface shaped transition.
3.根据权利要求1或2所述的ー种乳腺皮瓣游离器,其特征在于:所述夹持部(2)的形状为矩形或条形。 The breast ー species or free flap according to claim 1, wherein: the shape of the clamping portion (2) is rectangular or bar.
4.根据权利要求1所述的ー种乳腺皮瓣游离器,其特征在于:所述连接杆(3)的自由端穿过夹持部(2),且与夹持部(2)通过螺纹配合连接。 Species according to claim ー breast free flap of claim 1, wherein: the free end of the connecting rod (3) through the clamping portion (2), and the clamping portion (2) by a screw fit connection.
5.根据权利要求1所述的ー种乳腺皮瓣游离器,其特征在于:所述上固定部(401)和下固定部(402)为对称结构,且两者的ー侧铰接,另ー侧通过若干拧紧螺栓(403)固定用于夹紧切割刀片(I)。 The ー according to claim 1 kind of breast free flap, characterized in that: said fixed portion (401) and a lower fixing portion (402) to be symmetrical, and the two side hinge ー other ーa plurality of side by tightening the bolt (403) for clamping the fixed cutting blade (I).
6.根据权利要求1所述的ー种乳腺皮瓣游离器,其特征在于:所述固定部(4)的形状为圆柱形。 The free flap breast ー kinds of claim claim 1, wherein: the shape of the fixing portion (4) is cylindrical.
7.根据权利要求1所述的ー种乳腺皮瓣游离器,其特征在于:所述切割刀片(I)的前端落后于夹持部(2)的前端0..5cm。 The free flap ー species breast claim claim 1, wherein: the front end of the cutting blade (I) is behind distal gripper portion 0..5cm (2).
8.根据权利要求1所述的ー种乳腺皮瓣游离器,其特征在于:所述夹持部(2)为长10cm、厚1cm、宽2cm的圆柱条状结构,切割刀片(I)的长度为IOcm,宽度为1.5cm。 The free flap ー species breast claim claim 1, wherein: the clamping 10cm long portion (2), a thickness of 1cm, 2cm wide stripe structure of the cylinder, the cutting blade (I) is length IOcm, a width of 1.5cm.
9.根据权利要求1所述的ー种乳腺皮瓣游离器,其特征在于:所述切割刀片(I)和夹持部(2)平行设置或倾斜设置,且两者倾斜设置时,两者的间距从设有连接杆(3)的一侧向另一侧逐渐増大。 9. The free flap ー species breast claim 1, wherein: when said cutting blade (I) and a clamping portion (2) arranged in parallel or inclined, and inclined both, both zo pitch gradually large from the side with the connecting rod (3) to the other side.
CN 201310377488 2013-08-27 2013-08-27 Mammary gland is free flap CN103431895B (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5111828A (en) * 1990-09-18 1992-05-12 Peb Biopsy Corporation Device for percutaneous excisional breast biopsy
US5871454A (en) * 1997-04-22 1999-02-16 Majlessi; Heshmat Percutaneous excisional biopsy device
CN201949102U (en) * 2011-01-26 2011-08-31 王晖 Free knife for subcutaneous fatty tissue
CN202458585U (en) * 2012-02-29 2012-10-03 高强方 Peeling knife for mammectomy
CN203736272U (en) * 2013-08-27 2014-07-30 河南科技大学第一附属医院 Mammary gland flap extricator

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5111828A (en) * 1990-09-18 1992-05-12 Peb Biopsy Corporation Device for percutaneous excisional breast biopsy
US5871454A (en) * 1997-04-22 1999-02-16 Majlessi; Heshmat Percutaneous excisional biopsy device
CN201949102U (en) * 2011-01-26 2011-08-31 王晖 Free knife for subcutaneous fatty tissue
CN202458585U (en) * 2012-02-29 2012-10-03 高强方 Peeling knife for mammectomy
CN203736272U (en) * 2013-08-27 2014-07-30 河南科技大学第一附属医院 Mammary gland flap extricator

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