CN106691546B - Dissector for cutting costal cartilage junction - Google Patents

Dissector for cutting costal cartilage junction Download PDF

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Publication number
CN106691546B
CN106691546B CN201710017918.0A CN201710017918A CN106691546B CN 106691546 B CN106691546 B CN 106691546B CN 201710017918 A CN201710017918 A CN 201710017918A CN 106691546 B CN106691546 B CN 106691546B
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China
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cutting
costal cartilage
dissector
bevel gear
head
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Expired - Fee Related
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CN201710017918.0A
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Chinese (zh)
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CN106691546A (en
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刘波
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3209Incision instruments

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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 costal cartilage joint section cutting stripper comprises a knob and an adjusting mechanism, wherein the knob is partially exposed out of a shell, and the adjusting mechanism is positioned in the shell; the adjusting mechanism comprises a first bevel gear connected with the knob, the first bevel gear is meshed with a second bevel gear, the first bevel gear is connected with a second conveying shaft, and the second bevel gear is connected with a first conveying shaft; the other end of the first transmission shaft is connected with a third bevel gear, the third bevel gear is meshed with a fourth bevel gear, the fourth bevel gear is connected with a supporting column, and the supporting column is connected with a bottom plate and can push the inner shell to be far away from or close to the video playing device. The costal cartilage joint cutting stripper can conveniently, effectively and stably adjust the focal length.

Description

Dissector for cutting costal cartilage junction
Technical Field
The invention belongs to surgical instruments, and particularly relates to a costal cartilage joint cutting and stripping device.
Background
The costal cartilage augmentation nose refers to a plastic cosmetic operation by using autologous costal cartilage transplantation as a material for augmentation nose. In the plastic medicine field, the most reasonable nasal augmentation material is generally accepted as autologous cartilage, and ear cartilage, nasal septum cartilage and costal cartilage are used. The medical field gradually recognizes the benefits of autologous cartilage, particularly autologous costal cartilage, and the benefits are more and more popularized in clinic and good effects are achieved.
At present, the conventional costal cartilage augmentation rhinoplasty is to take a 3cm long incision under the contour line of a breast or on the surface of the seventh costal cartilage under local anesthesia, expose a periosteum, strip the periosteum and cut the costal cartilage with the required length. The length of the nasal back is determined according to the nasal root point and the point on the nasal tip, the cartilage with the required length is cut, the costal cartilage graft is carved according to the fine aesthetic standard, and the cartilage needs to be cut from four surfaces 2/3 in a staggered way after being carved, so that the cohesive stress of the cartilage is eliminated, and the cartilage is prevented from bending.
Costal cartilage has a great source and reliable texture; the absorption rate is low; does not penetrate the skin; the blood vessel is not available, the survival is easy, and the rejection reaction is not generated; can be carved into an ideal shape at will; the use range is wide, and the instrument is an ultimate weapon for various difficult congenital nasal deformities and postnatal nasal deformities caused by trauma or operations. However, no effective special costal cartilage cutting equipment exists at present, and the operation wound is large and slow.
Disclosure of Invention
The invention provides a costal cartilage joint cutting and stripping device for overcoming at least one defect in the prior art, and aims to achieve the purposes of conveniently and quickly cutting costal cartilage and small operation wound.
In order to achieve the purpose, the invention adopts the following technical scheme:
the invention provides a costal cartilage joint cutting stripper, which comprises a rod body, a handle and a cutting stripping head, wherein the handle is connected with the cutting stripping head; the handle is connected to one end of the rod body, and the cutting and stripping head is connected to the other end of the rod body; the cutting and stripping head comprises two parts, the first part is a cutting part and is positioned at the front end of the rod body, and at least one side edge of the cutting part is provided with a blade; the second part is for peeling off the head, peel off the head and connect at the portion front end that cuts open to and cut open and form certain contained angle between the portion, the contained angle is greater than 90 degrees.
Further, as an embodiment of the present invention, in an embodiment of the present invention, two cutting edges are respectively disposed on two sides of the incision portion, and the cutting edges disposed on two sides can cut with both hands, so that a doctor can conveniently and quickly obtain a required costal cartilage sheet.
Further, as an embodiment of the present invention, in an embodiment of the present invention, the length of the blade is 0.8 to 1.6 cm.
Preferably, the length of the blade is 1-1.5 cm.
Further, as an embodiment of the present invention, in an embodiment of the present invention, the cutting and peeling head is a sheet-like structure formed by extending the front end of the rod, and the front end of the sheet is bent to form the peeling head. The slice is bent to form the stripping head, and the stripping head and the cutting part are in arc transition, so that other tissues of a human body cannot be damaged.
Further, as an embodiment of the present invention, in an embodiment of the present invention, the thickness of the rod body gradually increases from the front end to the rear end of the handle, and in the present invention, the stripping head and the cutting part are of a sheet-like structure and can be well inserted into the pores of the costal cartilage for stripping and cutting; the thickness of the rod body is gradually increased, so that the rib cartilage joint incising dissector provided by the invention has enough strength while the dissecting and cutting sensitivity is not influenced.
Further, as an embodiment of the present invention, in an embodiment of the present invention, one surface of the peeling head bent toward the cut part is a plane; the surface of the cutting part opposite to the stripping head is a plane. The surfaces of the stripping head and the cutting part, which are opposite to each other in bending, are direct contact surfaces of the costal cartilage combining part, the contact surfaces are all set to be planes, and the costal cartilage combining part can be better attached to the surfaces, so that stripping and cutting are facilitated.
Preferably, the included angle is 100-110 degrees. The included angle between the stripping head and the cutting part is selected to be 100-110 degrees, so that the stripping head can effectively penetrate into the gap of the costal cartilage to facilitate cutting without being clamped, and can quickly move along the extending direction of the costal cartilage to cut the surface of the costal cartilage to obtain the required costal cartilage sheet.
Further, as an embodiment of the present invention, in an embodiment of the present invention, the shaft, the handle and the incised peeling head are integrally formed. Adopt integrated into one piece technique, guarantee that whole costal cartilage joint portion cuts the surface of peeling off and be smooth, seamless, reduce the injury to the tissue, reduce the resistance simultaneously, realize quick effective cutting, shorten operation time, reduce the infection probability.
Further, as an embodiment of the present invention, in an embodiment of the present invention, the handle is provided with an anti-slip pattern. The anti-slip lines can prevent the handle from slipping from the hand, and avoid injuring the incision tissue and the internal tissue in the cutting process. Meanwhile, the utility model is beneficial to the doctor to hold and cut quickly and effectively.
In the invention, the edges of the stripping head and the cutting part of the costal cartilage joint part cutting stripper are provided with the fillets, and the fillets can prevent edges of the cutting part and the stripping head from causing secondary damage to a human body.
Compared with the prior art, the invention has the following advantages:
when the costal cartilage joint part cutting stripper is used for performing face-lifting or repairing on a nose by selecting the costal cartilage, a surgical knife is used for cutting a corresponding position of the costal cartilage joint part, then the stripping head of the costal cartilage joint part cutting stripper is inserted into a gap of the costal cartilage, and the flaky costal cartilage is cut by dragging on the surface of the costal cartilage while stripping is realized. The invention can be provided with double-side blades, and after the double-side blade is pulled forwards once, the double-side blade can be pulled back reversely, and the blade on the other side is used for cutting again. The scalpel for cutting the costal cartilage has a small incision, does not need to cut the whole section of costal cartilage, has small harm to the human body, is convenient to operate, has high operation speed and short operation time, and reduces the infection probability and the pain of patients.
In order to make the aforementioned and other objects, features and advantages of the present invention comprehensible, preferred embodiments accompanied with figures are described in detail below.
Drawings
FIG. 1 is a schematic front view of a costal cartilage joint section dissector in accordance with example 1 of the present invention.
Fig. 2 is a schematic view showing a reverse structure of the costal cartilage joint dissector in fig. 1.
Fig. 3 is a side view of the costal cartilage joint dissection detacher in fig. 1.
Fig. 4 is a partially enlarged view of a of fig. 3.
Detailed Description
The invention is described in detail below with reference to the figures and the specific embodiments.
FIG. 1 is a schematic front view of a costal cartilage joint section dissector in accordance with example 1 of the present invention. As shown in fig. 1, the costal cartilage joint section dissection detacher of the embodiment comprises a rod body 1, a handle 2 and a dissection head 3. The handle 2 is connected at the one end of the body of rod 1, cuts and peels off head 3 and connects at the other end of the body of rod 1. The costal cartilage joint section dissector of the present invention may be made of a variety of materials, as long as it is sufficient to be suitable for surgical procedures. Preferably, it is made of medical stainless steel.
The shaft body 1 needs to have sufficient strength, and therefore the shaft body 1 in the preferred embodiment has an elongated cylindrical body.
The handle 2 may be provided in a variety of shapes and configurations, only to meet the requirements for a suitable grip.
In this embodiment, the handle 2 is provided with anti-slip threads 21. The anti-slip lines 21 can prevent the handle 2 from slipping off from the hand, are beneficial to being held by a doctor, can cut quickly and effectively, and can avoid damaging the knife edge tissue and the internal tissue in the cutting process.
Fig. 2 is a schematic view showing a reverse structure of the costal cartilage joint dissector in fig. 1. Fig. 3 is a side view of the costal cartilage joint dissection detacher in fig. 1. Fig. 4 is a partially enlarged view of a of fig. 3. Referring to fig. 1, 2, 3 and 4, the cutting and stripping head 3 includes two parts, the first part is a cutting part 31 located at the front end of the rod body 1. The second part is a peeling head 32, and the peeling head 32 is connected to the front end of the cutting part 31 and forms a certain included angle a with the cutting part 31.
In this embodiment, two cutting edges 311 are respectively arranged on two side edges of the incision portion 31, and the cutting edges 311 are arranged on two sides of the incision portion, so that the front and back hands can be used for bidirectional cutting, and a doctor can conveniently and quickly obtain required costal cartilage sheets.
In order to ensure that a sufficient width of the costal cartilage sheet is obtained and simultaneously ensure that other tissues of the human body are not accidentally injured, the length of the blade is 0.8-1.6cm, and preferably, the length of the blade is 1-1.5 cm. In this embodiment, the length of the blade is 1.2 cm.
In the invention, the included angle a is larger than 90 degrees. If the angle a is 90 degrees, the costal cartilage joint dissector of the present invention is caught by the rib and is difficult to move after the dissecting head 32 penetrates into the gap of the costal cartilage. If the angle is too large, the cut portion cannot be attached to the surface of the costal cartilage, and cutting is difficult. Therefore, the included angle a is preferably 100 degrees to 110 degrees, and in this embodiment, the included angle a is 104 degrees. The included angle a in the range is selected, so that the stripping head 32 can effectively go deep into the gap of the costal cartilage, the cutting is convenient, the clamping is avoided, the stripping head can quickly move along the extending direction of the costal cartilage, the cutting is carried out on the surface of the costal cartilage, and the required costal cartilage sheet is obtained.
In this embodiment, the shaft body 1, the handle 2 and the cutting and peeling head 3 are integrally formed. Adopt integrated into one piece technique, guarantee that whole costal cartilage joint portion cuts the surface of peeling off and be smooth, seamless, reduce the injury to the tissue, reduce the resistance simultaneously, realize quick effective cutting, shorten operation time, reduce the infection probability.
Specifically, the cutting and peeling head 3 is a sheet-like structure formed by extending the front end of the rod body 1, and the front end of the sheet is bent to form the peeling head 32. The sheet is bent to form the peeling head 32, and the peeling head 32 and the incision part 31 are in arc transition, so that other tissues of a human body cannot be damaged.
In order to further avoid the injury to the human body, the edges of the stripping head 32 and the cutting part 31 of the costal cartilage joint cutting stripper are provided with rounded corners, and the rounded corners can prevent edges of the cutting part 31 and the stripping head 32 from causing secondary injury to the human body.
In this embodiment, the thickness of the rod body 1 gradually increases from the front end to the rear end of the handle 2. In the invention, the stripping head 32 and the cutting part 31 are arranged into a sheet structure, and can be well inserted into the pores of costal cartilage for stripping and cutting; the thickness of the rod body 1 is gradually increased, so that the rib cartilage joint incising dissector provided by the invention has enough strength while the dissecting and cutting sensitivity is not influenced.
In order to achieve better cutting, the surface of the stripping head 32 bent to the incision part 31 in the present embodiment is a stripping surface 320, and the stripping surface 320 is a plane.
The surface of the cut portion 31 facing the peeling head 32 is a cut surface 310, and is also a flat surface. The two opposite curved surfaces of the stripping surface 320 and the incision surface 310 are direct contact surfaces of the costal cartilage joint, and the contact surfaces are smooth planes, so that the costal cartilage joint can be better attached to the costal cartilage joint, and stripping and cutting are facilitated.
Further for better realization of the joint, the rod body 1 extends upwards from the end connected with the cut-out portion 31 by a section, in which a side surface of the cylindrical rod body 1 is pressed flat to form a joint surface 11, and the joint surface 11 is also a plane and is located on the same plane with the cut-out surface 310. By adopting the arrangement, the rod body 1 which is a cylinder can be better attached to a human body, so that the cutting operation is convenient.
Although the present invention has been described with reference to the preferred embodiments, it should be understood that various changes and modifications can be made therein by those skilled in the art without departing from the spirit and scope of the invention as defined by the appended claims.

Claims (8)

1. The costal cartilage joint cutting and stripping device is characterized by comprising a rod body, a handle and a cutting and stripping head; the handle is connected to one end of the rod body, and the cutting and stripping head is connected to the other end of the rod body; the cutting and stripping head comprises two parts, the first part is a cutting part and is positioned at the front end of the rod body, and at least one side edge of the cutting part is provided with a blade; the second part is a stripping head which is connected to the front end of the cutting part and forms a certain included angle with the cutting part, and the included angle is larger than 90 degrees;
one surface of the stripping head bending to the cutting part is a plane; the surface of the cutting part opposite to the stripping head is a plane;
the cutting and stripping head is a sheet-shaped structure formed by extending the front end of the rod body, and the front end of the sheet is bent to form the stripping head;
all edges of the stripping head and the cutting part are provided with rounded corners.
2. The costal cartilage joint section dissector according to claim 1, wherein the dissecting section is provided with one cutting edge on each of both side edges.
3. The costal cartilage joint incision dissector of claim 1, wherein the blade has a length of 0.8-1.6 cm.
4. The costal cartilage joint incision dissector of claim 3, wherein the blade has a length of 1-1.5 cm.
5. The costal cartilage joint incision dissector of claim 4, wherein the shaft body has a thickness that increases from the front end to the rear end handle.
6. The costal cartilage joint section dissector of claim 1 wherein the included angle is 100-110 degrees.
7. The costal cartilage joint incision dissector of claim 1 wherein the shaft, handle and incision dissector head are integrally formed.
8. The costal cartilage joint incision dissector of claim 1, wherein the handle is provided with anti-slip threads.
CN201710017918.0A 2017-01-11 2017-01-11 Dissector for cutting costal cartilage junction Expired - Fee Related CN106691546B (en)

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Application Number Priority Date Filing Date Title
CN201710017918.0A CN106691546B (en) 2017-01-11 2017-01-11 Dissector for cutting costal cartilage junction

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Application Number Priority Date Filing Date Title
CN201710017918.0A CN106691546B (en) 2017-01-11 2017-01-11 Dissector for cutting costal cartilage junction

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CN106691546A CN106691546A (en) 2017-05-24
CN106691546B true CN106691546B (en) 2020-08-07

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SU1489734A1 (en) * 1987-11-10 1989-06-30 Ki Nii Ortopedii Tendoosteotome
CN102160805A (en) * 2011-06-01 2011-08-24 王喆 Nerve dissector with cutting function
CN202537602U (en) * 2012-04-23 2012-11-21 齐晓军 Novel periosteum separating knife
CN202801740U (en) * 2012-06-08 2013-03-20 刘宝东 Rib periosteal raspatory for thoracoscope
CN203953749U (en) * 2014-07-03 2014-11-26 华东医院 A kind of periosteal elevator that is applicable to privileged sites
CN204318853U (en) * 2014-11-28 2015-05-13 中国人民解放军第四军医大学 A kind of joint of vertebral column is dashed forward special osteotome

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8894672B2 (en) * 2011-05-06 2014-11-25 Paul Leach Burroughs, III Quadriceps tendon stripper

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SU1489734A1 (en) * 1987-11-10 1989-06-30 Ki Nii Ortopedii Tendoosteotome
CN102160805A (en) * 2011-06-01 2011-08-24 王喆 Nerve dissector with cutting function
CN202537602U (en) * 2012-04-23 2012-11-21 齐晓军 Novel periosteum separating knife
CN202801740U (en) * 2012-06-08 2013-03-20 刘宝东 Rib periosteal raspatory for thoracoscope
CN203953749U (en) * 2014-07-03 2014-11-26 华东医院 A kind of periosteal elevator that is applicable to privileged sites
CN204318853U (en) * 2014-11-28 2015-05-13 中国人民解放军第四军医大学 A kind of joint of vertebral column is dashed forward special osteotome

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