CN105919643A - Double-layer shovel-shaped skin closing device - Google Patents
Double-layer shovel-shaped skin closing device Download PDFInfo
- Publication number
- CN105919643A CN105919643A CN201610359791.6A CN201610359791A CN105919643A CN 105919643 A CN105919643 A CN 105919643A CN 201610359791 A CN201610359791 A CN 201610359791A CN 105919643 A CN105919643 A CN 105919643A
- Authority
- CN
- China
- Prior art keywords
- skin
- spade
- combination
- tractive
- worn
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
- A61B17/085—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound with adhesive layer
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
- A61B2017/081—Tissue approximator
Abstract
The invention provides a double-layer shovel-shaped skin closing device which comprises a skin penetration combiner, two shovel-shaped combiners matched with the skin penetration combiner in an insertion manner, two clamping groove traction bars penetrating through the two shovel-shaped combiners transversely in parallel, two clamping groove safety buckles on the clamping groove traction bars and two traction skin bonding plates bonded to surfaces of healthy skin on two sides of a wound surface. The double-layer shovel-shaped skin closing device can be used for pulling the deep layer and the shallow layer of soft tissue on two sides of the wound surface and uniformly shares traction force, so that the local skin is uniformly stressed, the no large pressure is applied to the soft tissue in the slow creeping process of the skin, and vice damage is unlikely to be caused.
Description
Technical field
The invention belongs to medical assistance technique with the apparatus field, be specifically related to a kind of seed coat that cannot be used in the case of directly sewing up the surface of a wound for skin tissue defects and hold together device.
Background technology
In clinical position, often can run into the skin tissue defects caused because of reasons such as wound, pressure sore, tumour or infection.Current methods for the treatment of common are two kinds: one, utilizes operation to carry out surface of a wound covering by flap art or skin grafting；Two, by medicine equipment, slow for skin tractive is closed up to the surface of a wound.
It is i.e. skin to be carried out slow tractive close up to the surface of a wound that the skin occurred on current market holds together device, but its great majority all use the way that superficial skin carries out tractive, the skin soft tissue causing to only have little area is led (leading) pulling force effect, causes local pressure higher, easily causes new damage.Additionally, even if the skin that individual layer skin so carries out tractive holds together device has closed up the skin corium of shallow table, but the soft tissue defects position of deep layer causes the problem that residual dead space occurs when the surface of a wound closes up because can not get tractive Tong Bu with skin corium, the surface of a wound is caused to be difficult to essence healing.
Summary of the invention
The present invention is directed to the skin on current market hold together device and improve, there is provided out a kind of soft tissue for surface of a wound both sides two aspects deep, shallow to carry out tractive simultaneously, traction force can be shared equably, and make the skin pressure acting on local less, during skin occurs slow creep, the double-deck spade skin not easily causing Accessory injury holds together device.
The present invention is achieved through the following technical solutions: a kind of double-deck spade skin holds together device, combiner, spade combiner is worn including skin, described spade combiner is worn combiner grafting with described skin and is coordinated, and also includes two draw-in groove safety buckles on parallel two draw-in groove tractives draw-in groove excellent, the described tractive rod being transverse between said two spade combiner and sticks in two tractive skin pasting boards on healthy skin surface, surface of a wound both sides.
Further, described skin is worn combiner and is included that a pair skin wears combination handle, described skin is worn threaded elongated cylindrical skin between combination handle and is worn combination handle transfer bar, described skin is worn combination handle and is divided into Handheld Division and spiro union portion, Handheld Division and spiro union portion is one-body molded and be 75 ° of oblique hook type structures, described skin is worn the threaded skin of spiro union portion of combination handle and is worn combination cross bar one end, it is elongated cylindrical structure that described skin wears combination cross bar, described skin is worn the combination threaded skin of the cross bar other end and is worn combination cross bar cone, described skin wear combination cross bar end positions in be provided with skin wear combination cross bar bellmouth.
Further, described spade combiner includes spade built-up plate, two-end part on the described long limit of spade built-up plate is respectively equipped with spade combination brace, described spade combination brace is 135 angles with spade built-up plate place plane, the middle part of described spade built-up plate is provided with the spade combination top board being perpendicular to spade built-up plate, described spade combination brace and spade combination top board are positioned at the same side of spade built-up plate, described spade combination top board is provided with spade combination roof hole, spade combination roof hole and spade combination brace (between spade built-up plate in be provided with spade and combine tractive square opening, described spade combiner also includes the spade combination top-plate screw matched with spade combination roof hole.
Further, described tractive skin pasting board is by tractive skin pasting board glued membrane and is perpendicular to the tractive skin pasting board top of tractive skin pasting board along constituting.
Further, described draw-in groove tractive rod surface is provided with equally distributed projection, and draw-in groove safety buckle be located in the draw-in groove formed between adjacent projections, and described draw-in groove safety buckle is to be provided with the circle cap of springlock.
Further, the girth that described spade combination brace is most advanced and sophisticated wears the girth combining cross bar bellmouth less than skin.
Further, it is wave structure with finger contact portion position that described skin wears the Handheld Division of combination handle.
Further, described skin wears combination cross bar and the skin connection of wearing between combination handle can be screw thread, it is also possible to be designed to bayonet arrangement.
Further, vertical sliding motion between described spade combination top board and spade built-up plate.
Further, spade built-up plate arranges the dentation rod-teeth groove hole being involutory mutually, and the elastic card pin of adjustable degree of tightness.
The invention have the benefit that this double-deck spade skin holds together device and formed tractive while hypodermis and epidermal tissue respectively by thrusting the tractive skin pasting board firmly pasted in hypodermic spade combination cross bar and epidermis, make surface of a wound uniform force, the pressure producing the soft tissue of surface of a wound local is less, does not easily cause damage.If the skin histology of shallow table needs to draw close to surface of a wound center quickly, the most rotatable combination top board screw, individually promote tractive skin pasting board to move to surface of a wound center, so that the skin of edge of wound also moves to surface of a wound center, then can accelerate wound healing and not stay residual cavity.
Accompanying drawing explanation
The overall structure schematic diagram of Fig. 1 present invention
The skin of Fig. 2 present invention wears combiner structural representation
The spade combiner structural representation of Fig. 3 present invention
Fig. 4 present invention is fixed on the sectional view during surface of a wound
Reference: 1-draw-in groove safety buckle, 2-skin wears combination handle, and 3-skin is worn combination handle and transferred bar, 4-skin wears combination cross bar, and 5-skin wears combination cross bar cone, and 6-skin wears combination cross bar bellmouth, 7-spade built-up plate, 8-spade combination brace, 9-spade combination roof hole, 10-spade combination top board, 11-spade combination tractive square opening, 12-spade combination top-plate screw, 13-tractive skin pasting board glued membrane, edge, 14-tractive skin pasting board top, 15-tractive skin pasting board, 16-projection.
Detailed description of the invention
Below in conjunction with the drawings and specific embodiments, the invention will be further described:
Double-deck spade skin as Figure 1-3 holds together device, wears including skin that two spade combiners that combiner grafting coordinates worn by combiner with skin, parallel two draw-in groove tractives rod of being transverse between two spade combiners, clips are pressed in two draw-in groove safety buckles 1 on described draw-in groove tractive rod and stick in two tractive skin pasting boards on healthy skin surface, surface of a wound both sides.
Skin is worn combiner and is included that a pair skin wears combination handle 2, skin is worn threaded elongated cylindrical skin between combination handle 2 and is worn combination handle transfer bar 3, skin is worn combination handle 2 and is divided into Handheld Division and spiro union portion, Handheld Division and spiro union portion is one-body molded and for for 75 ° of oblique hook type structures, skin is worn the threaded skin of spiro union portion of combination handle 2 and is worn the one end combining cross bar 4, skin wears combination cross bar 4 for elongated cylindrical structure, skin is worn the combination cross bar 4 threaded skin of the other end and is passed combination cross bar cone 5, skin wear combination cross bar 4 end positions be provided with skin wear combination cross bar hole 6, skin wears combination cross bar hole 6 for bellmouth.
Spade combiner includes spade built-up plate 7, two-end part on the long limit of spade built-up plate 7 is respectively equipped with spade combination brace 8, spade combination brace 8 is positive rectangular pyramid shape, spade combination brace 8 can be plugged on skin and pass in combination cross bar bellmouth 6, spade combination brace 8 and spade built-up plate 7 place plane are 135 angles, the middle part of spade built-up plate 7 is provided with the spade combination top board 10 being perpendicular to spade built-up plate 7, spade combination top board 10 is provided with spade combination roof hole 9, spade combination tractive square opening 11 it is provided with in spade built-up plate 7 between spade combination roof hole 9 and spade combination brace 8, spade combiner also includes the spade combination top-plate screw 12 matched with spade combination roof hole 9.
Tractive skin pasting board is made up of along 14 tractive skin pasting board glued membrane 13 and the tractive skin pasting board top being perpendicular to tractive skin pasting board 15.
Draw-in groove tractive rod surface is provided with equally distributed projection 16, draw-in groove tractive rod one end is respectively provided with removably slightly larger than the draw-in groove safety buckle 1 of spade combination tractive square opening 11 girth, draw-in groove safety buckle 1 can be fastened between adjacent projections 16 in the draw-in groove formed, draw-in groove safety buckle 1 is to be provided with the circle cap of springlock, draw-in groove tractive rod length is more than two spade combiner width and initial surface of a wound sum, draw-in groove tractive rod can be transverse between two spade combiners, draw-in groove safety buckle 1 is held on the draw-in groove tractive rod outside spade combiner, by draw-in groove safety buckle 1 by the distance elastic locking between two spade combiners.
The most advanced and sophisticated cross section of spade combination brace 8 wears the cross section of combination cross bar bellmouth 6 less than skin, makes spade combination brace 8 tip be easily inserted skin and wears in combination cross bar bellmouth 6.
It is wave structure with finger contact portion position that skin wears the Handheld Division of combination handle, and this kind of wave structure design is similar to digital flexion closed configuration, facilitates hand-held person to use.
As shown in Figure 4, skin is worn combination cross bar 4 one end spiral be arranged on skin and wear on the spiro union portion of combination handle 2, again skin wear combination cross bar bore 5 spirals be inserted in skin wear combination cross bar 4 the other end, width according to the surface of a wound, rotate skin and wear combination handle transfer bar 3, it is used for adjusting two skins and wears the distance between combination cross bar 4, make two skins wear the spacing width more than the surface of a wound of combination cross bar 4.
Surgeon's both hands are held skin respectively and are worn combination handle 2, skin is worn the tip of tissue cross bar cone 5 and is become 45 skins thrusting surface of a wound one end with skin surface by the one end selecting the surface of a wound, and along this angle, skin worn the tip thorn of combination cross bar cone 5 and wear the angle of combination cross bar 4 to adjusting skin after deep fascia layer, it is allowed to parallel with skin surface.Hold skin to wear combination handle 2 and continue to press on whole skin and wear combiner forward, wear combination cross bar 4 when skin to wear combination cross bar cone along skin and 5 pass on deep fascia layer tangent plane, after the distance advanced wears the length of combination cross bar 4 equal to skin, skin is made to wear the combination cross bar cone 5 arrival surface of a wound other end, free-hand pressing skin is worn combination cross bar and is bored the skin at 5 and lever up skin simultaneously and wear combination handle 2, make skin wear combination cross bar cone 5 and pierce through the skin of the surface of a wound other end obliquely, make skin wear combination cross bar cone 5 and be completely exposed skin.
Picking up two spade combiners, wear a small distance outside combination cross bar 4 from skin respectively, skin is pierced through in the tip utilizing spade combination brace 8 sharp, arrives at deep fascia shallow-layer, makes the tip of spade combination brace 8 insert skin and passes in combination cross bar bellmouth 6.Tearing the mucous membrane on tractive skin pasting board 15 and paste tractive skin pad pasting 13 in the both sides of surface of a wound skin, being allowed to be in the underface of spade built-up plate 7, tractive skin pasting board top just falls in the skin projection of spade combination top board 10 along 14.
Skin soft tissue is utilized to have this feature elastic, press with finger and promote tractive skin pasting board 15 to surface of a wound center, the outside along 14, the tractive skin pasting board top is made to be close to the medial surface of spade combination top board 10, spade combination top-plate screw 12 is screwed in spade combination roof hole 9, spade combination top-plate screw 12 is made to be against the lateral surface that tractive skin pasting board top is along 14, two clamp bar slot tractive rods are penetrated in spade combination tractive square opening 11, it is used for interim fixing { bilateral } spade combiner, afterbody at draw-in groove tractive rod is inserted in draw-in groove safety buckle 1 respectively, tighten up draw-in groove tractive rod and pin by draw-in groove safety buckle 1 fixing, unload hypodermis and wear combination handle 2, draw-in groove tractive rod is also tightened up in the most free-hand suitable pushing surface of a wound both sides, and at once draw-in groove safety buckle is pinned fixing.
According to skin soft tissue, there is creep properties, draw-in groove tractive rod 1-2mm can be tightened up every day, and buckle draw-in groove safety buckle 1 in time.
Claims (10)
1. a double-deck spade skin holds together device, combiner, spade combiner is worn including skin, it is characterized in that: described spade combiner is worn combiner grafting with described skin and coordinated, also include two draw-in groove safety buckles (1) on parallel two draw-in groove tractives draw-in groove excellent, the described tractive rod being transverse between said two spade combiner and stick in two tractive skin pasting boards on healthy skin surface, surface of a wound both sides.
Double-deck spade skin the most according to claim 1 holds together device, it is characterized in that: described skin is worn combiner and included that a pair skin wears combination handle (2), described skin is worn threaded elongated cylindrical skin between combination handle (2) and is worn combination handle transfer bar (3), described skin is worn combination handle (2) and is divided into Handheld Division and spiro union portion, Handheld Division and spiro union portion is one-body molded and be 75 ° of oblique hook type structures, described skin is worn the threaded skin of spiro union portion of combination handle (2) and is worn combination cross bar (4) one end, it is elongated cylindrical structure that described skin wears combination cross bar (4), described skin is worn the combination threaded skin of cross bar (4) other end and is worn combination cross bar cone (5), described skin wear combination cross bar (4) end positions in be provided with skin wear combination cross bar bellmouth (6).
nullDouble-deck spade skin the most according to claim 1 holds together device，It is characterized in that: described spade combiner includes spade built-up plate (7)，Two-end part on the long limit of described spade built-up plate (7) is respectively equipped with spade combination brace (8)，Described spade combination brace (8) is 135 angles with spade built-up plate (7) place plane，The middle part of described spade built-up plate (7) is provided with spade combination top board (10) being perpendicular to spade built-up plate (7)，Described spade combination brace (8) and spade combination top board (10) are positioned at the same side of spade built-up plate (7)，Described spade combination top board (10) is provided with spade combination roof hole (9)，Spade combination tractive square opening (11) it is provided with in spade built-up plate (7) between spade combination roof hole (9) and spade combination brace (8)，Described spade combiner also includes spade combination top-plate screw (12) matched with spade combination roof hole (9).
Double-deck spade skin the most according to claim 1 holds together device, it is characterised in that: described tractive skin pasting board is by tractive skin pasting board glued membrane (13) and is perpendicular to edge, the tractive skin pasting board top (14) of tractive skin pasting board (15) and constitutes.
Double-deck spade skin the most according to claim 1 holds together device, it is characterized in that, described draw-in groove tractive rod surface is provided with equally distributed projection (16), draw-in groove safety buckle (1) be located in the draw-in groove formed between adjacent projections (16), and described draw-in groove safety buckle (1) is the circle cap being provided with springlock.
Double-deck spade skin the most according to claim 3 holds together device, it is characterised in that: the girth at described spade combination brace (8) tip wears the girth of combination cross bar bellmouth (6) less than skin.
Double-deck spade skin the most according to claim 2 holds together device, it is characterised in that: it is wave structure with finger contact portion position that described skin wears the Handheld Division of combination handle (2).
Double-deck spade skin the most according to claim 2 holds together device, it is characterised in that: described skin wear combination cross bar (4) and skin to wear the connection between combination handle (2) can be screw thread, it is also possible to be designed to bayonet arrangement.
Double-deck spade skin the most according to claim 3 holds together device, it is characterised in that: vertical sliding motion between described spade combination top board (10) and spade built-up plate (7).
Double-deck spade skin the most according to claim 3 holds together device, it is characterised in that: the dentation rod-teeth groove hole being involutory mutually, and the elastic card pin of adjustable degree of tightness are set on described spade built-up plate (7).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610359791.6A CN105919643B (en) | 2016-05-27 | 2016-05-27 | It is a kind of bilayer spade skin hold together device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610359791.6A CN105919643B (en) | 2016-05-27 | 2016-05-27 | It is a kind of bilayer spade skin hold together device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105919643A true CN105919643A (en) | 2016-09-07 |
| CN105919643B CN105919643B (en) | 2018-08-28 |
Family
ID=56842332
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610359791.6A Expired - Fee Related CN105919643B (en) | 2016-05-27 | 2016-05-27 | It is a kind of bilayer spade skin hold together device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN105919643B (en) |
Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| SU1106489A1 (en) * | 1983-06-12 | 1984-08-07 | Научно-производственное объединение "Мединструмент" | Device for bringing together wound edges |
| SU1556666A1 (en) * | 1987-11-02 | 1990-04-15 | Научно-производственное объединение "Мединструмент" | Device for connecting borders of wound |
| CN1126430A (en) * | 1993-05-03 | 1996-07-10 | 药物化学产品股份有限公司 | Apparatus for the closure of wide skin defects by stretching of skin |
| CN1169668A (en) * | 1994-12-12 | 1998-01-07 | 维姆·弗莱施曼 | Skin traction device |
| US20040049171A1 (en) * | 2002-09-09 | 2004-03-11 | Heartstent Corporation | Device for placing transmyocardial implant |
| US20090182374A1 (en) * | 2008-01-10 | 2009-07-16 | John Keith | Surgical staple |
| CN203059796U (en) * | 2013-01-15 | 2013-07-17 | 拜尔卫姆（大连）科技发展有限公司 | Bidirectional skin pulling device |
| CN104586442A (en) * | 2015-01-15 | 2015-05-06 | 天津市新中医疗器械有限公司 | Skin occlusion outer fixing bracket |
| CN105212983A (en) * | 2015-10-16 | 2016-01-06 | 王晓梅 | Medical sutures snap close |
| CN205885482U (en) * | 2016-05-27 | 2017-01-18 | 张�杰 | Double -deck trowel -form skin holds together ware |
-
2016
- 2016-05-27 CN CN201610359791.6A patent/CN105919643B/en not_active Expired - Fee Related
Patent Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| SU1106489A1 (en) * | 1983-06-12 | 1984-08-07 | Научно-производственное объединение "Мединструмент" | Device for bringing together wound edges |
| SU1556666A1 (en) * | 1987-11-02 | 1990-04-15 | Научно-производственное объединение "Мединструмент" | Device for connecting borders of wound |
| CN1126430A (en) * | 1993-05-03 | 1996-07-10 | 药物化学产品股份有限公司 | Apparatus for the closure of wide skin defects by stretching of skin |
| CN1169668A (en) * | 1994-12-12 | 1998-01-07 | 维姆·弗莱施曼 | Skin traction device |
| US20040049171A1 (en) * | 2002-09-09 | 2004-03-11 | Heartstent Corporation | Device for placing transmyocardial implant |
| US20090182374A1 (en) * | 2008-01-10 | 2009-07-16 | John Keith | Surgical staple |
| CN203059796U (en) * | 2013-01-15 | 2013-07-17 | 拜尔卫姆（大连）科技发展有限公司 | Bidirectional skin pulling device |
| CN104586442A (en) * | 2015-01-15 | 2015-05-06 | 天津市新中医疗器械有限公司 | Skin occlusion outer fixing bracket |
| CN105212983A (en) * | 2015-10-16 | 2016-01-06 | 王晓梅 | Medical sutures snap close |
| CN205885482U (en) * | 2016-05-27 | 2017-01-18 | 张�杰 | Double -deck trowel -form skin holds together ware |
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| Publication number | Publication date |
|---|---|
| CN105919643B (en) | 2018-08-28 |
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Granted publication date: 20180828 Termination date: 20190527 |