CN103431896A - Mammary flap extrication device - Google Patents

Mammary flap extrication device Download PDF

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Publication number
CN103431896A
CN103431896A CN 201310377428 CN201310377428A CN103431896A CN 103431896 A CN103431896 A CN 103431896A CN 201310377428 CN201310377428 CN 201310377428 CN 201310377428 A CN201310377428 A CN 201310377428A CN 103431896 A CN103431896 A CN 103431896A
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part
fixing
clamping
extrication
flap
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CN 201310377428
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Chinese (zh)
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CN103431896B (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 extrication device 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 extrication device 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

一种乳腺皮辦游罔装置 Mammary gland skin indiscriminately means do tour

技术领域 FIELD

[0001] 本发明涉及到医疗器械领域,具体的说是一种乳腺皮瓣游离装置。 [0001] The present invention relates to the field of medical devices, specifically a device free flap breast.

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、或手术刀片、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 or a scalpel blade or scissors 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 the entire mammary gland free when the 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,本发明提供了一种乳腺皮瓣游离装置。 [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 breast apparatus.

[0005] 本发明为解决上述技术问题采用的技术方案为:一种乳腺皮瓣游离装置,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: mammary gland free flap means includes 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;

所述切割刀片包括厚度均一的尾部和厚度变化的切割部,且尾部和切割部的上表面构成光滑平面,所述尾部安装在固定部上,切割部的两侧为向外凸起的弧形,切割部的前端为向前凸起为弧形的切割端,切割部的厚度从切割端向后逐渐减小。 The cutting blade includes a cutting portion having a uniform thickness and thickness variations of the tail, and the tail portion and the upper surface of the cutting portion constituting a smooth plane, the tail mounted on a fixed portion, on both sides of the cut portion outwardly convex arc , the front end portion is cut forwardly convex arcuate cutting end, the cutting portion rearwardly thickness gradually decreases from the cut end.

[0006] 所述夹持部的边缘为弧形,或者所述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] 所述固定部的形状为圆柱形; [0009] The cylindrical shape of the fixing portion;

所述切表I]刀片的如端落后于夹持部的如端0.5cm。 The cutting table I] The end blade 0.5cm The end behind the clamping portion.

[0010] 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。 [0010] 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. [0011] 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一侧向另一侧逐渐增大。 [0011] clamping portion and the cutting blade when disposed parallel or inclined, and inclined both pitch both gradually increased from one side thereof to the other side of the connecting rod.

[0012] 本发明中,固定部可以采用两半结构,并通过拧紧螺栓将切割刀片固定夹紧在两半之间,然后可以通过调整固定部夹持的切割刀片尾部的长度来调整切割刀片的有效切割长度,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。 [0012] In the present invention, the fixing unit may be used two semi-structured, and by tightening the bolts fixing the cutting blade clamped between the two halves, and can be held by adjusting the length of the fixed cutting blade portion end of the cutting blade is adjusted effective cutting length, to suit different patients; while adjusting the distance between the gripping portion and a cutting blade can be adjusted subcutaneous fat thickness retained by a connecting rod.

[0013] 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。 [0013] 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.

[0014] 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,然后把游离装置插入,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。 [0014] 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 device is inserted into the free, embedded in the skin between the cutting blade and the gripping portion, the skin and straighten the same plane, and then pull the handle homeopathy, fast free flap.

[0015] 有益效果:本发明与现有技术相比具有以下优点: [0015] Advantageous 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,减少了术后积 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

[0016] 图1为本发明的结构示意图; [0016] FIG. 1 is a schematic view of the structure of the present invention;

图2为本发明为切割刀片的结构图; FIG 2 is a block diagram of the present invention, the cutting blade;

图3为本发明切割刀片底部的一种实施方式; FIG 3 is an embodiment of the invention, the cutting blade at the bottom;

图4为本发明切割刀片底部的另一种实施方式; FIG bottom cutting blades 4 another embodiment of the present invention;

图5为本发明固定部的一种实施方式; Fixing one embodiment of the present invention, portions of FIG. 5;

附图标记:1、切割刀片,2、夹持部,3、连接杆,4、固定部,5、手柄,101、尾部,102、切表Ij部,103、切割端,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, a handle 101, tail 102, Ij cutting table portion 103, the cutting end 401, the fixed portion , 402, the lower fixing portion 403, tightening bolts.

具体实施方式 detailed description

[0017] 如图所示,一种乳腺皮瓣游离装置,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 ; [0017] As shown, mammary gland free flap means comprises a cutting blade holder portion I and 2, the cutting insert I mounted on the fixed portion 4, the fixing portion 4 and the holding portion 2 by the fixing portion 4 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;

所述切割刀片I包括厚度均一的尾部101和厚度变化的切割部102,且尾部101和切割部102的上表面构成光滑平面,所述尾部101安装在固定部4上,切割部102的两侧为向外凸起的弧形,切割部102的前端为向前凸起为弧形的切割端103,切割部102的厚度从切割端103向后逐渐减小; I comprising the cutting blade 101 and the cutting portion 102 uniform thickness varying thickness of the tail, and the tail portion 101 and the upper surface constituting the cutting portion 102 is smooth plane, the tail portion 101 is mounted on the fixed portion 4, on both sides of the cutting portion 102 of the an outwardly convex arc, the distal end portion 102 is cut forwardly convex arcuate cutting end 103, the thickness of the cutting portion 102 gradually decreases from the rear end of the cut 103;

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. [0018] 本发明中,如图3和4所示,切割部102的厚度从切割端103向后逐渐减小,图3为均匀减小,从侧面看过去,其边缘线为直线,图4为非均匀减小,其边缘线为弧形。 [0018] In the present invention, shown in FIGS. 3 and 4, the thickness of the cutting portion 102 is gradually decreased from the rearward end of the cut 103, FIG. 3 is a uniformly decreases, viewed from the side, which is a straight edge lines, FIG. 4 reducing non-uniform, which arcuate edge line.

[0019] 以上为本发明的基本实施方式,可在以上基础上作进一步的改进或进一步的限定: [0019] The basic embodiment of the present invention described above, further improvements may be made based on the above or further defined:

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,且两者的一侧铰接,另一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 both hinge side, the 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;

所述切表I]刀片I的如端落后于夹持部2的如端0.5cm。 The cutting table I] I insert as terminal end, such as behind the nip portion of 0.5cm 2.

[0020] 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 ; [0020] The clamping portion 2 long 10cm, a thickness of 1cm, 2cm wide stripe structure of the cylinder, the length of the cutting blade is IOCM I, a width of 1.5cm;

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增大。 When the cutting blade and the clamping portion 2 I arranged parallel or inclined, and inclined both, with spacing both from the side of the connecting rod 3 is gradually increased toward the other side.

[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. 1.一种乳腺皮瓣游离装置,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); 所述切割刀片(I)包括厚度均一的尾部(101)和厚度变化的切割部(102),且尾部(101)和切割部(102)的上表面构成光滑平面,所述尾部(101)安装在固定部(4)上,切割部(102)的两侧为向外凸起的弧形,切割部(102)的前端为向前凸起为弧形的切割端(103),切割部(102)的厚度从切割端(103)向后逐渐减小。 A breast free flap apparatus comprising: 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); the cutting blade (I) comprises a tail portion having a uniform thickness (101) and a cutting portion (102) of varying thickness, and the upper surface of the tail portion (101) and a cutting portion (102) constituting a smooth plane, said tail portion (101) mounted on a fixed portion (4), on both sides of the front end of the cutting portion (102) of the arcuate cutting portion (102) is outwardly convex forwardly convex arcuate cut end (103), the cutting portion (102) the thickness is gradually decreased rearwardly from the cutting end (103).
  2. 2.根据权利要求1所述的一种乳腺皮瓣游离装置,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。 A breast free flap apparatus according to 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. 3.根据权利要求1或2所述的一种乳腺皮瓣游离装置,其特征在于:所述夹持部(2)的形状为矩形或条形。 The mammary gland free flap means of claim 1 or claim 2, wherein: the shape of the clamping portion (2) is rectangular or bar.
  4. 4.根据权利要求1所述的一种乳腺皮瓣游离装置,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。 The mammary gland free flap apparatus according to 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. 5.根据权利要求1所述的一种乳腺皮瓣游离装置,其特征在于:所述上固定部(401)和下固定部(402)为对称结构,且两者的一侧铰接,另一侧通过若干拧紧螺栓(403)固定用于夹紧切割刀片(I)。 A breast free flap apparatus according to claim 1, wherein: said fixed portion (401) and a lower fixing portion (402) is a symmetrical structure, and both the hinge side, the other a plurality of side by tightening the bolt (403) for clamping the fixed cutting blade (I).
  6. 6.根据权利要求1所述的一种乳腺皮瓣游离装置,其特征在于:所述固定部(4)的形状为圆柱形。 The mammary gland free flap apparatus according to claim 1, wherein: the shape of the fixing portion (4) is cylindrical.
  7. 7.根据权利要求1所述的一种乳腺皮瓣游离装置,其特征在于:所述切割刀片(I)的前端落后于夹持部(2)的如端0.5cm。 A breast free flap apparatus according to claim 1, wherein: the front end of the cutting blade (I) behind the clamping portion (2) The end of 0.5cm.
  8. 8.根据权利要求1所述的一种乳腺皮瓣游离装置,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 mammary gland free flap apparatus according to claim 1, wherein: the clamping 10cm long portion (2), a thickness of 1cm, 2cm wide stripe structure of a cylindrical cutting blade (I) is length IOcm, a width of 1.5cm.
  9. 9.根据权利要求1所述的一种乳腺皮瓣游离装置,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增大。 A breast free flap apparatus according to claim 1, wherein: when said cutting blade (I) and a clamping portion (2) arranged in parallel or inclined, and inclined both, both pitch gradually increases from a side provided with a connecting rod (3) to the other side.
CN 201310377428 2013-08-27 2013-08-27 Means one kind of free flap breast CN103431896B (en)

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Citations (6)

* 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
CN201056000Y (en) * 2007-06-28 2008-05-07 漆伟宁 Multifunctional kitchen knife
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
CN203524742U (en) * 2013-08-27 2014-04-09 河南科技大学第一附属医院 Mammary gland flap dissociating device

Patent Citations (6)

* 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
CN201056000Y (en) * 2007-06-28 2008-05-07 漆伟宁 Multifunctional kitchen knife
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
CN203524742U (en) * 2013-08-27 2014-04-09 河南科技大学第一附属医院 Mammary gland flap dissociating device

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