CN105769267B - Double-deck mammary cancer surgery in the same direction pushs fixing device aside with armpit muscular fascia - Google Patents

Double-deck mammary cancer surgery in the same direction pushs fixing device aside with armpit muscular fascia Download PDF

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Publication number
CN105769267B
CN105769267B CN201610253254.3A CN201610253254A CN105769267B CN 105769267 B CN105769267 B CN 105769267B CN 201610253254 A CN201610253254 A CN 201610253254A CN 105769267 B CN105769267 B CN 105769267B
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China
Prior art keywords
aside
armpit
deck
fixing device
sleeve
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CN201610253254.3A
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Chinese (zh)
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CN105769267A (en
Inventor
于志勇
卓培英
于千
张戈
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ZHONGSHANG MEDICAL INSTRUMENT (SHENZHEN) Co.,Ltd.
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SHANDONG TUMOR HOSPITAL
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0206Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with antagonistic arms as supports for retractor elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention provides a kind of double-deck mammary cancer surgery in the same direction to push fixing device aside with armpit muscular fascia, can realize that first layer, second layer lymph manadesma are fixed, it is not necessary to which special messenger carries out fixed by hand.A kind of double-deck mammary cancer surgery in the same direction pushs fixing device aside with armpit muscular fascia, body is pushed aside including setting up and down two layers, pushing body aside includes two retractor heads and a sleeve, linear transmission mechanism is provided with sleeve, retractor head is fixed on working beam, the working beam other end is connected through rotating mechanism and sleeve connection, rotating mechanism with linear transmission mechanism.

Description

Double-deck mammary cancer surgery in the same direction pushs fixing device aside with armpit muscular fascia
Technical field
The present invention relates to one kind operation drawing device, and in particular to a kind of double-deck mammary cancer surgery armpit muscle muscle in the same direction Film pushs fixing device aside, belongs to medical operation device field.
Background technology
There are extremely abundant lymphatic vessel matches mutually Cheng Cong, whole body of gland, gland leaf, armpit leaflet in the tissue of female breast All surrounded by dense and fine lymph net.
During mammary cancer surgery, it is necessary to remove muscle inferior gluteal lymph node tissue particularly in Breast-consering surgery, armpit is being pushed aside , it is necessary to which special messenger pushes fixed first layer aside during nest manadesma lymph, another people retracts the second layer, so that operative doctor operates next layer Armpit lymph adipose tissue is removed in tissue, successively dissection.
The content of the invention
The invention provides a kind of double-deck mammary cancer surgery in the same direction to push fixing device aside with armpit muscular fascia, can realize First layer, second layer lymph manadesma are fixed, it is not necessary to which special messenger carries out fixed by hand.
To achieve these goals, the present invention uses following scheme:
A kind of double-deck mammary cancer surgery in the same direction pushs fixing device aside with armpit muscular fascia, including setting up and down two layers is taken off Body is opened, pushing body aside includes two retractor heads and a sleeve, is provided with linear transmission mechanism in sleeve, retractor head is fixed on work On bar, the working beam other end is connected through rotating mechanism and sleeve connection, rotating mechanism with linear transmission mechanism.
Above-mentioned double-deck mammary cancer surgery in the same direction pushs fixing device aside with armpit muscular fascia, and linear transmission mechanism includes silk Bar, screw, carrier ring and building ring, screw mandrel are fixed on sleeve inner, and screw coordinates with screw mandrel, and carrier ring is connected with screw end And be sleeved on screw mandrel, building ring is arranged on carrier ring periphery, a connecting rod is provided with building ring, the connecting rod other end is in curved It is hook-shaped;Rotating mechanism includes rotating shaft and rotating bar, and rotating shaft is arranged on sleeve, and rotating bar is connected with rotating shaft, rotating bar one end with Working beam connects, and the other end is in hook solid, and is connected with connecting rod in hook solid one end.
Above-mentioned double-deck mammary cancer surgery in the same direction pushs fixing device aside with armpit muscular fascia, and sleeve upper and lower surface is planar junction Structure, inside are manhole structure, and both ends have mounting blocks, install the screw mandrel with patchhole on each mounting blocks and fix Block, screw mandrel both ends are inserted in patchhole, and rotating shaft is arranged on mounting blocks.
Above-mentioned double-deck mammary cancer surgery in the same direction pushs fixing device aside with armpit muscular fascia, leads between working beam and rotating bar Cross spline connection.
Above-mentioned double-deck mammary cancer surgery in the same direction pushs fixing device aside with armpit muscular fascia, and retractor head is comb teeth-shaped or streamline Type.
Above-mentioned double-deck mammary cancer surgery in the same direction pushs fixing device aside with armpit muscular fascia, working beam material be stainless steel or Medical plastic.
The present invention operation principle be:Screw mandrel is rotated, and screw mandrel drivening rod is axially moved along screw mandrel, and connecting rod drives rotating bar Rotated along the rotating shaft on sleeve, make working beam open or close.
Beneficial effects of the present invention:
Body is pushed in setting up and down two layers aside, is coordinated by linear transmission mechanism with rotating mechanism and is realized that two retractor heads are opened Close, and then can realize that first layer, second layer lymph manadesma are fixed, operating efficiency is high, it is not necessary to which special messenger fix by hand, subtracts Few human error;It is simple to operate, it is easy to use;Linear transmission mechanism is screw-nut, and registration, pushing width aside can accurately control System.
Brief description of the drawings
Fig. 1 is the selected embodiment schematic perspective view of the present invention;
Fig. 2 is the selected embodiment schematic front view of the present invention;
Fig. 3 is the selected embodiment left view schematic diagram of the present invention;
Fig. 4 is the selected embodiment schematic top plan view of the present invention;
Fig. 5 is the enlarged diagram of part A in Fig. 4;
Fig. 6 is sleeve schematic perspective view;
Fig. 7 is sleeve schematic front view;
Fig. 8 is sleeve left view schematic diagram;
Fig. 9 is screw structural representation;
Figure 10 is rotating bar schematic diagram;
Figure 11 is building ring schematic diagram;
Figure 12 is connecting rod schematic diagram;
Figure 13 is carrier ring schematic diagram.
Wherein, 1. retractor head, 2. working beams, 3. sleeves, 4. screw mandrel fixed blocks, 5. bearing pins, 6. rotating shafts, 7. lack Mouthful, 8. screws, 9. rotating bars, 10. building rings, 11. connecting rods, 12. carrier rings, 13. screw mandrels, 8-1. projections, 9-1. pins Hole, 9-2. shaft holes, 9-3. hook solids, 10-1. side plates, 10-2. inserted blocks, 11-1. hook solids, 11-2. through holes, 12- 1. socket.
Embodiment
The present invention is better understood from for the ease of those skilled in the art, the present invention is done with specific embodiment below in conjunction with the accompanying drawings It is further described, following is only exemplary not limit protection scope of the present invention.
Refer to the attached drawing 1, Fig. 2 and Fig. 3, a kind of double-deck mammary cancer surgery in the same direction push fixing device aside with armpit muscular fascia, Body is pushed aside including setting up and down two layers, and pushing body aside includes two retractor heads 1 and a sleeve 3, and straight-line transmitting is provided with sleeve 3 Motivation structure, retractor head 1 are fixed on working beam 2, and the other end of working beam 2 is connected through rotating mechanism with sleeve 3, rotating mechanism with it is straight Line transmission mechanism connects.
Refer to the attached drawing 4 to Fig. 8, linear transmission mechanism includes screw mandrel 13, screw 8, carrier ring 12, connecting rod 11 and building ring 10;The upper and lower surface of sleeve 3 is planar structure, and both sides are provided with breach 7 vertically, and inside is manhole structure, and both ends have peace Block is filled, the screw mandrel fixed block 4 with patchhole is installed on each mounting blocks;The both ends of screw mandrel 13 are inserted in patchhole to be fixed on On sleeve 3;Screw 8 coordinates with screw mandrel 13, refer to the attached drawing 9, and the end of screw 8 has two projection 8-1;With reference to figure 13, carrier ring 12 are provided with two socket 12-1, by projection 8-1 and socket 12-1 grafting, carrier ring 12 is connected and is covered with the end of screw 8 On screw mandrel 13;Building ring 10 is arranged on the periphery of carrier ring 12, refer to the attached drawing 11, and the both sides of building ring 10 are provided with slotting Block 10-2 side plate 10-1;Refer to the attached drawing 12, the one end of connecting rod 11 are provided with through hole 11-2, are coordinated by inserted block 10-2 and through hole 11-2 Connection, makes connecting rod 11 be connected as one with building ring 11, the other end of connecting rod 11 is in hook solid 11-1;Rotating mechanism includes rotating shaft 6 With rotating bar 9, rotating shaft 6 is arranged on the mounting blocks of sleeve 3, refer to the attached drawing 10, and rotating bar 9 is provided with pin-and-hole 9-1 and shaft hole 9-2, shaft hole 9-2 coordinate with rotating shaft 6, rotating bar 9-2 is connected with rotating shaft 6, and the one end of rotating bar 9 passes through pin-and-hole 9-1 and bearing pin 5 It is connected with working beam 2, the other end is in hook solid 9-3, and is connected with connecting rod 11 in hook solid one end.
In the present embodiment, connected between working beam 2 and rotating bar 9 by spline.
In the present embodiment, retractor head 1 is comb teeth-shaped or streamlined.
In the present embodiment, the material of working beam 2 is stainless steel or medical plastic.
It is as follows using operating procedure of the present invention:
1, linear transmission mechanism is arranged in sleeve 3;
2, working beam 2 is arranged on building ring 10, is connected with linear transmission mechanism;
3, the drivening rod 11 of screw mandrel 13 drives rotating bar 9 to be rotated along sleeve rotating shaft 6 along the axial-movement of screw mandrel 13, connecting rod 11, Rotating bar 9 drives working beam 2 to be opened along rotating shaft 6.
Above only describes the general principle and preferred embodiment of the present invention, those skilled in the art can be according to foregoing description Many changes may be made and improves, and these changes and improvements should belong to protection scope of the present invention.

Claims (5)

1. a kind of double-deck mammary cancer surgery in the same direction pushs fixing device aside with armpit muscular fascia, it is characterised in that, including above divide into Body is pushed in two layers put aside, and pushing body aside includes two retractor heads and a sleeve, and linear transmission mechanism, retractor head are provided with sleeve It is fixed on working beam, the working beam other end is connected through rotating mechanism and sleeve connection, rotating mechanism with linear transmission mechanism;Directly Line transmission mechanism includes screw mandrel, screw, carrier ring and building ring, and screw mandrel is fixed on sleeve inner, and screw coordinates with screw mandrel, carrying Circle is connected and is sleeved on screw mandrel with screw end, and building ring is arranged on carrier ring periphery, and a company is provided with building ring Bar, the connecting rod other end are in hook solid;Rotating mechanism includes rotating shaft and rotating bar, and rotating shaft is arranged on sleeve, rotating bar and rotating shaft Connection, rotating bar one end are connected with working beam, and the other end is in hook solid, and is connected with connecting rod in hook solid one end.
2. double-deck mammary cancer surgery in the same direction pushs fixing device aside with armpit muscular fascia according to claim 1, its feature exists In:Sleeve upper and lower surface is planar structure, and inside is manhole structure, and both ends have mounting blocks, pacified on each mounting blocks Screw mandrel fixed block of the dress with patchhole, screw mandrel both ends are inserted in patchhole, and rotating shaft is arranged on mounting blocks.
3. double-deck mammary cancer surgery in the same direction pushs fixing device aside with armpit muscular fascia according to claim 1, its feature exists In:Connected between working beam and rotating bar by spline.
4. fixing device is pushed aside with armpit muscular fascia according to the double-deck mammary cancer surgery in the same direction of claim 1 or 2 or 3, its It is characterised by:Retractor head is comb teeth-shaped or streamlined.
5. fixing device is pushed aside with armpit muscular fascia according to the double-deck mammary cancer surgery in the same direction of claim 1 or 2 or 3, its It is characterised by:Working beam material is stainless steel or medical plastic.
CN201610253254.3A 2016-04-22 2016-04-22 Double-deck mammary cancer surgery in the same direction pushs fixing device aside with armpit muscular fascia Active CN105769267B (en)

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CN105769267B true CN105769267B (en) 2018-01-30

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108784761B (en) * 2017-05-04 2023-08-22 崔家鸣 Distractor for subscapularis

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101366645A (en) * 2007-08-17 2009-02-18 罗婷 Multifunctional drag hook for mammary cancer surgery
CN104116531A (en) * 2013-04-28 2014-10-29 上海依红科技工程有限公司 Multi-layer retractor frame
CN204147067U (en) * 2014-08-24 2015-02-11 邵杰 A kind of surgical operation self-retractor
CN205433776U (en) * 2015-12-30 2016-08-10 深圳市第二人民医院 Device is led out to pancreas transplantation operation intelligence
CN205658940U (en) * 2016-04-22 2016-10-26 山东省肿瘤医院 Fixing device is pushed aside with armpit muscle manadesma to double -deck syntropy breast cancer operation

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101366645A (en) * 2007-08-17 2009-02-18 罗婷 Multifunctional drag hook for mammary cancer surgery
CN104116531A (en) * 2013-04-28 2014-10-29 上海依红科技工程有限公司 Multi-layer retractor frame
CN204147067U (en) * 2014-08-24 2015-02-11 邵杰 A kind of surgical operation self-retractor
CN205433776U (en) * 2015-12-30 2016-08-10 深圳市第二人民医院 Device is led out to pancreas transplantation operation intelligence
CN205658940U (en) * 2016-04-22 2016-10-26 山东省肿瘤医院 Fixing device is pushed aside with armpit muscle manadesma to double -deck syntropy breast cancer operation

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Effective date of registration: 20210510

Address after: 518000 4th floor, building B, No.2 Luozu Industrial Avenue, Luozu community, Shiyan street, Bao'an District, Shenzhen City, Guangdong Province

Patentee after: ZHONGSHANG MEDICAL INSTRUMENT (SHENZHEN) Co.,Ltd.

Address before: 250117 Shandong city of Ji'nan province Yan Ji Road, No. 440

Patentee before: SHANDONG CANCER Hospital