CN105919643B - It is a kind of bilayer spade skin hold together device - Google Patents

It is a kind of bilayer spade skin hold together device Download PDF

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Publication number
CN105919643B
CN105919643B CN201610359791.6A CN201610359791A CN105919643B CN 105919643 B CN105919643 B CN 105919643B CN 201610359791 A CN201610359791 A CN 201610359791A CN 105919643 B CN105919643 B CN 105919643B
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China
Prior art keywords
spade
skin
combination
plate
wears
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Expired - Fee Related
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CN201610359791.6A
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Chinese (zh)
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CN105919643A (en
Inventor
张�杰
冯晓林
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Individual
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Individual
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Priority to CN201610359791.6A priority Critical patent/CN105919643B/en
Publication of CN105919643A publication Critical patent/CN105919643A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B17/085Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound with adhesive layer
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B2017/081Tissue approximator

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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)
  • Roof Covering Using Slabs Or Stiff Sheets (AREA)
  • Prostheses (AREA)

Abstract

The present invention provides one kind and wearing combiner including skin, two mating spade combiners of combiner are worn with skin, parallel two card slot tractive rods being transverse between two spade combiners, two card slot safety buckles in card slot tractive rod and the double-deck spade skins of two drawing skin pasting boards for sticking in surface of a wound both sides healthy skin surface hold together device, it can be deep to the soft tissue of surface of a wound both sides, shallow two level is carried out at the same time drawing, uniformly share traction force, and make local skin uniform stressed, keep the pressure acted on during slow creep occurs for skin on soft tissue little, do not easily cause Accessory injury.

Description

It is a kind of bilayer spade skin hold together device
Technical field
The invention belongs to medical assistance equipment technology fields, and in particular to one kind can not be straight for skin tissue defects A kind of used skin holds together device in the case that seam closes the surface of a wound.
Background technology
In clinical position, it can often encounter the skin soft tissue caused by the reasons such as wound, pressure sore, tumour or infection and lack Damage.Current therapy common are two kinds:One, surface of a wound covering is carried out by flap art or skin grafting using surgical operation; Two, by medical instrument, skin is slowly pulled to the surface of a wound and is closed up.
The skin occurred on current market hold together device be skin is carried out slowly drawing to close up to the surface of a wound, but its most of all adopt With the way pulled to superficial skin, the skin soft tissue for only having small area is caused to be led(It leads)Pulling force effect leads to office Portion's pressure is higher, be easy to cause new damage.In addition, even if the skin pulled in this way to single layer skin, which holds together device, has closed up superficial Skin corium, but the soft tissue defects position of deep layer due to drawing synchronous with skin corium because that cannot cause when the surface of a wound closes up The problem of remaining dead space, causes the surface of a wound to be difficult to substantive healing.
Invention content
The present invention holds together device for the skin on current market and improves, and provides a kind of soft tissue for surface of a wound both sides Deep, shallow two level is carried out at the same time drawing, can equably share traction force, and it is smaller to make to act on local skin pressure, During slow creep occurs for skin, the double-deck spade skin for not easily causing Accessory injury holds together device.
The invention is realized by the following technical scheme:A kind of bilayer spade skin holds together device, including skin wears combiner, spade combination Device, it is mating that the spade combiner and the skin wear combiner, further includes parallel being transverse in described two spade combiners Between two card slot tractive rods, two card slot safety buckles in the card slot tractive rod and stick in surface of a wound both sides health skin Two drawing skin pasting boards on skin surface.
Further, it includes that skin wears combination handle to a pair of, the skin wears spiral shell between combination handle that the skin, which wears combiner, Line connection elongated cylindrical skin wears combination handle and transfers bar, and the skin wears combination handle and is divided into hand-held part and spiro union portion, hand-held part and Spiro union portion is integrally formed and is 75 ° of oblique hook type structures, and the spiro union portion threaded connection skin that the skin wears combination handle wears combination cross bar One end, it is elongated cylindrical structure that the skin, which wears combination cross bar, and the skin wears combination cross bar other end threaded connection skin and wears group Cross bar cone is closed, the skin is worn in the end positions for combining cross bar and wears combination cross bar bellmouth equipped with skin.
Further, the spade combiner includes spade built-up plate, the two of the spade built-up plate long side End position is respectively equipped with spade combination brace, and the spade combines brace and pressed from both sides in 135o with plane where spade built-up plate Angle, the intermediate position of the spade built-up plate are equipped with the spade combination top plate perpendicular to spade built-up plate, the spade Combination brace and spade combination top plate are located at the same side of spade built-up plate, and the spade combination top plate is combined equipped with spade Roof hole, spade combination roof hole combine brace with spade(Between spade built-up plate in be equipped with spade combination drawing it is rectangular Hole, the spade combiner further include that the matched spade combination top-plate screw of roof hole is combined with spade.
Further, the drawing skin pasting board is pasted by drawing skin pasting board glued membrane and perpendicular to the drawing skin of drawing skin pasting board Plate top edge is constituted.
Further, the card slot tractive rod surface is equipped with equally distributed convex block, and card slot safety buckle be located in adjacent In the card slot formed between convex block, the card slot safety buckle is the circle cap equipped with springlock.
Further, the perimeter at spade combination brace tip is less than the perimeter that skin wears combination cross bar bellmouth.
Further, the skin wears the hand-held part of combination handle and finger contact portion position is wave structure.
Further, it can be screw thread that the skin, which wears the connection that combination cross bar and skin are worn between combination handle, can also set Count into bayonet arrangement.
Further, vertical sliding motion between the spade combination top plate and spade built-up plate.
Further, the dentation stick-tooth socket hole being mutually involutory, and adjustable elastic bullet are set on spade built-up plate Property card needle.
Beneficial effects of the present invention are:It is this bilayer spade skin hold together device by be pierced into subcutaneous tissue spade combine cross bar and The drawing skin pasting board securely pasted in epidermis is respectively formed to being pulled while subcutaneous tissue and epidermal tissue, keeps surface of a wound stress equal Even, the pressure generated to the soft tissue of surface of a wound part is smaller, does not easily cause damage.If the skin histology of superficial need quickly to Surface of a wound center is drawn close, also rotatable combination top plate screw, individually drawing skin pasting board is pushed to be moved to surface of a wound center, to make edge of wound Skin also to surface of a wound center move, can accelerate wound healing then and not stay residual cavity.
Description of the drawings
The overall structure diagram of Fig. 1 present invention
The skin of Fig. 2 present invention wears combiner structural schematic diagram
The spade combiner structural schematic diagram of Fig. 3 present invention
Fig. 4 present invention is fixed on the sectional view when surface of a wound
Reference numeral:1- card slot safety buckles, 2- skins wear combination handle, and 3- skins wear combination handle and transfer bar, and 4- skins wear combination Cross bar, 5- skins wear combination cross bar cone, and 6- skins wear combination cross bar bellmouth, 7- spade built-up plates, and 8- spade combines brace, 9- shovels Shape combines roof hole, and 10- spade combines top plate, 11- spade combination drawing square hole, and 12- spade combines top-plate screw, and 13- is led Skin pasting board glued membrane, 14- is drawn to pull skin pasting board top edge, 15- pulls skin pasting board, 16- convex blocks.
Specific implementation mode
Below in conjunction with the drawings and specific embodiments, the invention will be further described:
The double-deck spade skin as shown in Figs. 1-3 holds together device, including skin wears combiner, wears mating two of combiner with skin Spade combiner, parallel two card slot tractive rods being transverse between two spade combiners, fixing buckle are pressed in the card slot and lead Two card slot safety buckles 1 on pull-rod and two drawing skin pasting boards for sticking in surface of a wound both sides healthy skin surface.
It includes that a pair of of skin wears combination handle 2, skin is worn and is threadedly coupled elongated cylindrical skin between combination handle 2 and wears that skin, which wears combiner, Combination handle, which transfers bar 3, skin and wears combination handle 2, to be divided for hand-held part and spiro union portion, hand-held part and spiro union portion be integrally formed and for for 75 ° of oblique hook type structures, the spiro union portion that skin wears combination handle 2 are threadedly coupled one end that skin wears combination cross bar 4, and skin wears combination cross bar 4 For elongated cylindrical structure, skin wears combination 4 other end of cross bar and is threadedly coupled skin biography combination cross bar cone 5, and skin wears the both ends of combination cross bar 4 Combination cross bar hole 6 is worn in position equipped with skin, and it is bellmouth that skin, which wears combination cross bar hole 6,.
Spade combiner includes spade built-up plate 7, and spade is respectively equipped in the two-end part of 7 long side of spade built-up plate Brace 8 is combined, it is positive pyramid shape that spade, which combines brace 8, and spade combination brace 8 can be plugged on skin and pass combination cross bar bellmouth In 6, it is in 135o angles that spade, which combines brace 8 with 7 place plane of spade built-up plate, and the intermediate position of spade built-up plate 7 is set There is the spade perpendicular to spade built-up plate 7 to combine top plate 10, spade combines top plate 10 and is equipped with spade combination roof hole 9, shovel Shape combination roof hole 9 is combined with spade is equipped with spade combination drawing square hole 11, shovel in the spade built-up plate 7 between brace 8 Shape combiner further includes that 9 matched spade of roof hole combination top-plate screw 12 is combined with spade.
Skin pasting board is pulled by drawing skin pasting board glued membrane 13 and perpendicular to 14 structure of drawing skin pasting board top edge of drawing skin pasting board 15 At.
Card slot tractive rod surface is equipped with equally distributed convex block 16, and card slot tractive rod one end, which is respectively provided with, to be removably slightly larger than The card slot safety buckle 1 of spade combination drawing 11 perimeter of square hole, card slot safety buckle 1 are formed between being fastened on adjacent projections 16 Card slot in, card slot safety buckle 1 be the circle cap equipped with springlock, card slot tractive rod length be more than two spade combiner width and The sum of initial surface of a wound, card slot tractive rod can be transverse between two spade combiners, and card slot safety buckle 1 is held in spade combiner In the card slot tractive rod in outside, by card slot safety buckle 1 by the distance between two spade combiners elastic locking.
The tip cross section of spade combination brace 8 is less than the cross section that skin wears combination cross bar bellmouth 6, keeps spade combination oblique 8 tip of bar is easily inserted skin and wears in combination cross bar bellmouth 6.
Skin wears the hand-held part of combination handle and finger contact portion position is wave structure, and such wave structure design is curved with finger Bent closed configuration is similar, and convenient hand-held person uses.
It is worn on the spiro union portion of combination handle 2 mounted on skin as shown in figure 4, skin is worn combination 4 one end spiral of cross bar, then skin It wears combination cross bar 5 spirals of cone and is inserted in the other end that skin wears combination cross bar 4, according to the width of the surface of a wound, rotation skin wears combination handle tune Lever 3 wears the distance between combination cross bar 4 for adjusting two root skins, the spacing that two skins wear combination cross bar 4 is made to be more than the surface of a wound Width.
Surgeon's both hands hold skin and wear combination handle 2 respectively, select one end of the surface of a wound that skin is worn to the tip of tissue cross bar cone 5 The skin of surface of a wound one end is pierced at 45o with skin surface, and the tip that skin is worn to along this angle combination cross bar cone 5 is pierced to depth The angle that skin wears combination cross bar 4 is adjusted after fascia layer, is allowed to parallel with skin surface.Holding skin is worn combination handle 2 and is continued to press on Entire skin wears combiner forward, passes through, pushes away on deep fascia layer section when skin wears combination cross bar 4 and wears combination cross bar cone 5 along skin Into distance be equal to skin wear combination cross bar 4 length after so that skin wear combination cross bar cone 5 reach the surface of a wound other ends, manually press Skin, which wears the skin at combination cross bar cone 5 and levers up skin simultaneously, wears combination handle 2, so that skin is worn combination cross bar cone 5 and pierces through wound obliquely The skin of the face other end makes skin wear combination cross bar cone 5 and is completely exposed skin.
Two spade combiners are picked up, wear a small distance in 4 outside of combination cross bar from skin respectively, are combined using spade oblique Skin is pierced through in the sharp tip of bar 8, arrives at deep fascia shallow-layer, so that the tip of spade combination brace 8 is inserted into skin and passes combination cross bar cone In shape hole 6.It tears the mucous membrane on drawing skin pasting board 15 and pastes drawing skin pad pasting 13 in the both sides of surface of a wound skin, be allowed to be in The underface of spade built-up plate 7, drawing skin pasting board top edge 14 are just fallen in the skin projection that spade combines top plate 10.
Using skin soft tissue have the characteristics that elasticity this, press with finger and to surface of a wound center push drawing skin pasting board 15, so that the outside of drawing skin pasting board top edge 14 is tightly attached to the medial surface of spade combination top plate 10, is revolved in spade combines roof hole 9 Enter spade combination top-plate screw 12, so that spade combination top-plate screw 12 is against the lateral surface of drawing skin pasting board top edge 14, by two Card slot tractive rod penetrates in spade combination drawing square hole 11, for being fixed temporarily { bilateral } spade combiner, respectively in card slot Card slot safety buckle 1 is inserted in the tail portion of tractive rod, tightens card slot tractive rod and is lockked with card slot safety buckle 1 and fixed, unloads hypodermis and wear group Handle 2 is closed, it is manually appropriate again to push surface of a wound both sides and tighten card slot tractive rod, and card slot safety buckle is lockked at once and is fixed.
There is creep properties according to skin soft tissue, card slot tractive rod 1-2mm, and fastening card slot safety in time can be tightened daily Button 1.

Claims (8)

1. a kind of bilayer spade skin holds together device, including skin wears combiner, spade combiner, it is characterised in that:The spade combiner It wears that combiner is mating with the skin, further includes the parallel two card slots drawing being transverse between two spade combiners Two card slot safety buckles on stick, the card slot tractive rod(1)And it sticks in two of surface of a wound both sides healthy skin surface and leads Draw skin pasting board;The spade combiner includes spade built-up plate(7), in the spade built-up plate(7)The both ends of long side Position is respectively equipped with spade combination brace(8), the spade combines brace(8)With spade built-up plate(7)Place plane is in 135o angles, the spade built-up plate(7)Intermediate position be equipped with perpendicular to spade built-up plate(7)Spade combine top plate (10), the spade combines brace(8)Top plate is combined with spade(10)Positioned at spade built-up plate(7)The same side, it is described Spade combines top plate(10)It is equipped with spade and combines roof hole(9), spade combination roof hole(9)Brace is combined with spade(8)It Between spade built-up plate(7)It is interior to be equipped with spade combination drawing square hole(11), the spade combiner further includes and spade Combine roof hole(9)Matched spade combines top-plate screw(12);It includes that a pair of of skin wears combination hand that the skin, which wears combiner, Handle(2), the skin wear combination handle(2)Between be threadedly coupled elongated cylindrical skin wear combination handle transfer bar(3), the skin wears group Close handle(2)It is divided into hand-held part and spiro union portion, hand-held part and spiro union portion are integrally formed and are 75 ° of oblique hook type structures, and the skin is worn Combination handle(2)Spiro union portion be threadedly coupled skin wear combination cross bar(4)One end, the skin wear combination cross bar(4)For long cylinder Shape structure, the skin wear combination cross bar(4)The other end is threadedly coupled skin and wears combination cross bar cone(5), it is horizontal that the skin wears combination Bar(4)End positions in equipped with skin wear combination cross bar bellmouth(6).
2. bilayer spade skin according to claim 1 holds together device, it is characterised in that:The drawing skin pasting board is pasted by drawing skin Plate glued membrane(13)With perpendicular to drawing skin pasting board(15)Drawing skin pasting board top edge(14)It constitutes.
3. bilayer spade skin according to claim 1 holds together device, which is characterized in that the card slot tractive rod surface is equipped with equal The convex block of even distribution(16), card slot safety buckle(1)It is located in adjacent projections(16)Between in the card slot that is formed, card slot peace Full button(1)For the circle cap equipped with springlock.
4. bilayer spade skin according to claim 1 holds together device, it is characterised in that:The spade combines brace(8)Tip Perimeter less than skin wear combination cross bar bellmouth(6)Perimeter.
5. bilayer spade skin according to claim 1 holds together device, it is characterised in that:The skin wears combination handle(2)Hand It is wave structure that portion, which is held, with finger contact portion position.
6. bilayer spade skin according to claim 1 holds together device, it is characterised in that:The skin wears combination cross bar(4)It is worn with skin Combination handle(2)Between connection can be screw thread, can also be designed to bayonet arrangement.
7. bilayer spade skin according to claim 1 holds together device, it is characterised in that:The spade combines top plate(10)With spade Built-up plate(7)Between vertical sliding motion.
8. bilayer spade skin according to claim 1 holds together device, it is characterised in that:The spade built-up plate(7)Upper setting Dentation stick-tooth socket the hole being mutually involutory, and adjustable elastic elastic card needle.
CN201610359791.6A 2016-05-27 2016-05-27 It is a kind of bilayer spade skin hold together device Expired - Fee Related CN105919643B (en)

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CN201610359791.6A CN105919643B (en) 2016-05-27 2016-05-27 It is a kind of bilayer spade skin hold together device

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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

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CN105919643A CN105919643A (en) 2016-09-07
CN105919643B true CN105919643B (en) 2018-08-28

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Citations (8)

* Cited by examiner, † Cited by third party
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
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

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7326219B2 (en) * 2002-09-09 2008-02-05 Wilk Patent Development Device for placing transmyocardial implant
US20090182374A1 (en) * 2008-01-10 2009-07-16 John Keith Surgical staple

Patent Citations (8)

* Cited by examiner, † Cited by third party
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
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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