CN106725648B - Multidirectional adsorption breast fixing device for minimally invasive breast surgery and mounting method and using method thereof - Google Patents

Multidirectional adsorption breast fixing device for minimally invasive breast surgery and mounting method and using method thereof Download PDF

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Publication number
CN106725648B
CN106725648B CN201611248205.7A CN201611248205A CN106725648B CN 106725648 B CN106725648 B CN 106725648B CN 201611248205 A CN201611248205 A CN 201611248205A CN 106725648 B CN106725648 B CN 106725648B
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breast
portal frame
adjusting
shaped
traction
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CN106725648A (en
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于志勇
马清华
梁凯丽
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Shandong Institute of Cancer Prevention and Treatment
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Shandong Institute of Cancer Prevention and Treatment
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00796Breast surgery

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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)
  • Accommodation For Nursing Or Treatment Tables (AREA)
  • Surgical Instruments (AREA)

Abstract

The utility model provides a diversified breast fixing device that adsorbs of breast minimally invasive surgery, includes two bases that the symmetry set up be provided with the workstation on the base respectively be provided with rotatory shaft hole on the workstation, be provided with the portal frame between two workstations, the foot side of portal frame respectively with rotatory shaft hole axial connection slide on the crossbeam of portal frame and be provided with the traction portion that is used for drawing fixed breast, realize the adjustment to breast angle through the relative rotation angle between fixed portal frame and the workstation. The utility model designs that the portal frame is connected with the workbench through the shaft, so that the breast can be ensured to be in a firm posture during breast surgery, and a doctor can rapidly and accurately expose the part to be treated by adjusting the rotation angle of the portal frame and the sliding position of the traction part, thereby greatly shortening the surgery time.

Description

Multidirectional adsorption breast fixing device for minimally invasive breast surgery and mounting method and using method thereof
Technical Field
The utility model relates to a multidirectional adsorption breast fixing device for breast minimally invasive surgery, and an installation method and a use method thereof, and belongs to the technical field of medical clinical surgery auxiliary equipment.
Background
With the development of medical technology, more and more operations tend to be performed by adopting minimally invasive operations, particularly operations on breast parts, and the pain of patients can be reduced to the greatest extent by adopting the minimally invasive operations due to the specificity of the breast parts, so that the recovery period is shortened, and the method is favored by the majority of patients; however, when the minimally invasive surgery is adopted at the breast part, as the breast tissue of the breast consists of glands, the breast tissue is difficult to fix during the surgery after color Doppler ultrasound positioning, and the surgery efficiency is affected; therefore, the device is designed to adsorb and fix the mammary tissue when the mammary gland performs the minimally invasive surgery, so that the position of the mammary tissue cannot be changed at will in the surgery process, the surgery accuracy of medical staff is improved, and the pain of patients is reduced.
Aiming at the problem of breast operation fixation, some solutions exist in the prior art, for example, chinese patent application CN205339159U discloses a breast positioner for breast operation, which records that effective traction of breast is realized by using a bracket and a nipple clip erected on the chest of a patient, and operation positioning is realized, wherein the nipple clip and the bracket are sleeved and connected through an annular device, so that position adjustment of the breast is realized, however, in actual use, other medical staff are required to carry out transverse traction positioning on the nipple clip to enable operation to be continuously carried out, and other problems are caused due to incorrect operation force and size.
Therefore, the breast immobilization method for breast surgery becomes a fundamental guarantee for ensuring successful and smooth operation.
Disclosure of Invention
Aiming at the defects of the prior art, the utility model provides a multidirectional adsorption breast fixing device for breast minimally invasive surgery. The utility model realizes the breast fixation of the color ultrasonic guided positioning minimally invasive biopsy system, and after positioning, the target does not deviate, does not move, and is positioned three-dimensionally, fixed and convenient for operation.
The utility model also provides an installation method of the positioning device.
The utility model also provides a using method of the positioning device.
The technical scheme of the utility model is as follows:
the utility model provides a diversified breast fixing device that adsorbs of breast minimally invasive surgery, includes two bases that the symmetry set up be provided with the workstation on the base respectively be provided with rotatory shaft hole on the workstation, be provided with the portal frame between two workstations, the foot side of portal frame respectively with rotatory shaft hole axial connection slide on the crossbeam of portal frame and be provided with the traction portion that is used for drawing fixed breast, realize the adjustment to breast angle through the relative rotation angle between fixed portal frame and the workstation. Most mammary gland operations are minimally invasive operations, but the original firm shape of the mammary gland organs is not easy to keep in the operations due to the specificity of the mammary gland organ structures, so that a plurality of inconveniences are brought to doctors in positioning, cutting and picking.
According to the utility model, the workbench is in a circular arc shape, and the rotary shaft hole is positioned at the circle center of the circular arc shape; the inner side of the circular arc workbench is provided with a circular arc slideway with the same circle center, the vertical rod of the portal frame is provided with a guide bulge, and the guide bulge is arranged in the circular arc slideway in a sliding way. The advantage of the design here is that the strength of the connection between the gantry and the table is increased.
According to the utility model, preferably, the circular arc-shaped slideway is hollowed out and arranged on the circular arc-shaped workbench; at least one auxiliary slideway is arranged on the outer side of the circular arc-shaped workbench, the circle center of the auxiliary slideway is a rotary shaft hole, and the radius of the auxiliary slideway is different from that of the circular arc-shaped slideway; the guide bulge passes through the circular arc-shaped slideway, a locking plate is arranged at the tail end of the guide bulge and comprises a locking bolt and a cross beam plate, and the inner side of the cross beam plate is provided with a locking bulge embedded in the auxiliary slideway. The advantage of the design here lies in that through locking the bolt realization locking board with lead protruding connection to realize through the locking bolt with the protruding compaction of locking of crossbeam board in the auxiliary slideway, realize with the relative angle between portal frame and the workstation is fixed.
According to the present utility model, preferably, the traction unit includes a slider provided on a beam of the gantry and a suction cup connected to the slider for sucking the breast. The advantages of the design here are: avoiding the use of nipple clamps and reducing the damage to mammary tissue.
According to the utility model, preferably, adjusting through holes are distributed on the side edges of the cross beam of the portal frame, and fixing through holes opposite to the adjusting through holes are also arranged on the sliding block. The design has the advantage that the sliding block and the cross beam of the portal frame are fixed in specific positions through bolts.
According to the utility model, the sliding block comprises a main body part, and a pulley and a traction hole are arranged at the bottom of the main body part; the beam comprises two rails for sliding of the pulley, a traction hole is slidably formed between the two rails, and the sucker is connected with the traction hole through a traction wire.
According to the utility model, preferably, the vertical rod of the portal frame comprises a working rod and an adjusting connecting rod which are mutually connected through an adjusting hole and a bolt, and the top of the working rod is connected with the cross beam through an L-shaped connector. The advantage of the design here is that the vertical rods of the portal frame can be adjusted to accommodate different surgical situations.
According to the present utility model, preferably, a sliding key groove for moving the table and a bar-shaped hole for fixing the table are provided on the upper surface of the base. The design has the advantages that the position of the workbench on the base is convenient to further fine-tune, and multidimensional accurate adjustment is realized.
The installation method of the positioning device comprises the following steps:
1) The bases are symmetrically fixed on two sides of the operating table;
2) The workbench is arranged on the base through the sliding key groove and is fixed through the strip-shaped holes and the bolts;
3) Connecting an adjusting connecting rod of the portal frame vertical rod with the rotating shaft hole, and connecting a working rod with the adjusting connecting rod through the adjusting hole and a bolt; the cross beam is arranged at the top of the working rod through an L-shaped connector;
4) And a sliding block is arranged on the cross beam, and a sucker is arranged at the bottom of the sliding block through a traction wire.
The working method of the positioning device comprises the following steps:
1-1) adjusting the height of a cross beam of a portal frame according to the operation requirement, and adjusting the connection length of a working rod and an adjusting connecting rod through an adjusting hole and a bolt;
1-2) arranging the traction part above the operation part of the patient by utilizing the base, the workbench and the portal frame, then fixing the breast to be operated by utilizing the traction part, and when the breast exposure angle needs to be adjusted, driving the portal frame to rotate along the axis of the rotating shaft and/or adjusting the position of the traction part left and right along the cross beam and fixing.
According to the present utility model, in the step 1-2), the method for driving the gantry to rotate along the axis of the rotation shaft and fixing the gantry comprises: when the rotation angle of the vertical rod of the portal frame is determined according to the operation requirement, the locking protrusion of the beam plate is embedded into the auxiliary slideway through the locking bolt, so that the rotation angle of the portal frame is fixed. The design has the advantages that the portal frame is positioned and locked, and the phenomenon of shaking in the operation is prevented.
According to the utility model, in the step 1-2), the method for fixing the position of the traction part along the left and right of the cross beam comprises the steps of pulling the traction wire through the adjusting sliding block, adjusting the exposure angle required by the breast operation, and finally connecting and fixing the sliding block and the cross beam through bolts to prevent shaking in the operation process.
The utility model has the advantages that:
the utility model designs that the portal frame is connected with the workbench through the shaft, so that the breast can be ensured to be in a firm posture and can not move at will during breast surgery, and a doctor can rapidly and accurately expose the part to be treated by adjusting the rotation angle of the portal frame and the sliding position of the traction part, thereby greatly shortening the time of minimally invasive surgery. The utility model has simple structure and convenient operation.
Drawings
FIG. 1 is a front view of a fixture according to the present utility model;
FIG. 2 is a left side view of FIG. 1;
FIG. 3 is a schematic perspective view of FIG. 1;
FIG. 4 is a schematic view of a base according to the present utility model;
FIG. 5 is a schematic view of a slider according to the present utility model;
1. a base; 1-1, sliding key groove; 1-2, strip-shaped holes;
2. a work table; 2-1, arc-shaped slide ways; 2-2, auxiliary slide ways;
3. a rotation shaft hole;
4. a portal frame; 4-1, a beam of a portal frame; 4-2, vertical rods of the portal frame; 4-3, guiding the protrusion; 4-4, locking plate; 4-5, locking the bolt; 4-6, a cross beam plate; 4-7, locking protrusions;
5. a traction section; 5-1, sliding blocks; 5-2, sucking discs;
6. adjusting the through hole; 7. a fixing through hole; 8. a main body portion; 9. an L-shaped connector; 10. a pulling hole; 11. a track; 12. an adjustment aperture; 13. a traction wire; 14. a working rod; 15. and adjusting the connecting rod.
Detailed Description
The present utility model will be described in detail with reference to examples and drawings, but is not limited thereto.
As shown in fig. 1-5.
Example 1,
The utility model provides a diversified breast fixing device that adsorbs of breast minimally invasive surgery, includes two bases 1 that the symmetry set up be provided with workstation 2 on the base 1 respectively be provided with rotatory shaft hole 3 on the workstation 2, be provided with portal frame 4 between two workstations 2, the foot side of portal frame 4 respectively with rotatory shaft hole 3 axial connection sliding on the crossbeam 4-1 of portal frame 4 is provided with the traction portion 5 that is used for drawing fixed breast, realizes the adjustment to the breast angle through the relative rotation angle between fixed portal frame 4 and the workstation 2.
The workbench 2 is in a circular arc shape, and the rotary shaft hole 3 is positioned at the center of the circular arc shape; the inner side of the circular arc-shaped workbench is provided with a circular arc-shaped slideway 2-1 concentric with the circle, a vertical rod 4-2 of the portal frame 4 is provided with a guide protrusion 4-3, and the guide protrusion 4-3 is arranged in the circular arc-shaped slideway 2-1 in a sliding way.
EXAMPLE 2,
The multi-azimuth adsorption breast fixing device for minimally invasive breast surgery of the embodiment 1 is characterized in that the circular arc-shaped slideway 2-1 is hollowed out and arranged on the circular arc-shaped workbench; at least one auxiliary slideway 2-2 is arranged on the outer side of the circular arc-shaped workbench, in the embodiment, 2 auxiliary slideways are arranged, the circle center of each auxiliary slideway 2-2 is a rotary shaft hole 3, and the radius of each auxiliary slideway 2-2 is different from the radius of each circular arc-shaped slideway 2-1; the guide protrusion 4-3 penetrates through the circular arc-shaped slideway 2-1, a locking plate 4-4 is arranged at the tail end of the guide protrusion 4-3, the locking plate 4-4 comprises a locking bolt 4-5 and a cross beam plate 4-6, and a locking protrusion 4-7 embedded in the auxiliary slideway is arranged on the inner side of the cross beam plate 4-6.
EXAMPLE 3,
The breast minimally invasive surgery multi-azimuth suction breast fixing apparatus according to embodiments 1 and 2 is characterized in that the traction part 5 includes a sliding block 5-1 provided on a beam of the gantry and a suction cup 5-2 connected to the sliding block 5-1 for sucking a breast.
The side edge of the cross beam 4-1 of the portal frame 4 is provided with adjusting through holes 6 in a distributed mode, and the sliding block 5-1 is also provided with fixing through holes 7 opposite to the adjusting through holes 6.
The sliding block 5-1 comprises a main body part 8, and a pulley and a traction hole 10 are arranged at the bottom of the main body part; the beam 4-1 comprises two rails 11 for sliding of the pulley, a traction hole 10 is slidably arranged between the two rails 11, and the sucker 5-2 is connected with the traction hole 10 through a traction wire 13.
EXAMPLE 4,
A breast minimally invasive surgery multidirectional adsorption breast fixing apparatus according to embodiments 1-3 is characterized in that a vertical rod 4-2 of a portal frame 4 comprises a working rod 14 and an adjusting connecting rod 15 which are connected with each other through an adjusting hole 12 and a bolt, and the top of the working rod 14 is connected with the cross beam 4-1 through an L-shaped connector 9.
EXAMPLE 5,
A breast minimally invasive surgery multi-azimuth suction breast fixing apparatus according to embodiment 1 is distinguished in that a sliding key groove 1-1 for moving a table 2 and a bar-shaped hole 1-2 for fixing the table are provided on the upper surface of the base 1.
EXAMPLE 6,
The method for installing a positioning device according to any one of embodiments 1 to 5, comprising:
1) The bases 1 are symmetrically fixed at two sides of the operating table;
2) The workbench 2 is arranged on the base 1 through the sliding key groove 1-1 and is fixed by utilizing the strip-shaped holes 1-2 and bolts;
3) The adjusting connecting rod 15 of the portal frame vertical rod 4-2 is connected with the rotating shaft hole 3, and the working rod 14 is connected with the adjusting connecting rod 15 through the adjusting hole 12 and a bolt; the beam 4-1 is mounted on top of the working rod 14 by an L-shaped connector 9;
4) A sliding block 5-1 is arranged on the cross beam 4-1, and a sucking disc 5-2 is arranged at the bottom of the sliding block 5-1 through a traction wire 13.
EXAMPLE 7,
A method for operating the positioning device of embodiments 1-5 above, comprising:
1-1) adjusting the height of the cross beam 4-1 of the portal frame 4 according to the operation requirement, and adjusting the connection length of the working rod 14 and the adjusting connecting rod 15 through the adjusting hole 12 and the bolt;
1-2) the traction part is arranged above the operation part of the patient by the base 1, the workbench 2 and the portal frame 4, then the breast to be operated is fixed by the traction part, and when the breast exposure angle needs to be adjusted, the portal frame 4 is driven to rotate along the axis of the rotating shaft, and/or the position of the traction part is adjusted left and right along the cross beam 4-1 and is fixed.
In the step 1-2), the method for driving the portal frame 4 to rotate along the axis of the rotating shaft and fixing the portal frame comprises the following steps: when the rotation angle of the portal frame vertical rod 4-2 is determined according to the operation requirement, the locking protrusion of the beam plate 4-6 is embedded into the auxiliary slideway 2-2 through the locking bolt 4-5, so that the rotation angle of the portal frame 4 is fixed.
In the step 1-2), the method for fixing the position of the traction part along the left and right of the cross beam 4-1 comprises the steps of pulling the traction wire 13 through the adjusting sliding block 5-1, adjusting the exposure angle required by the breast operation, and finally connecting and fixing the sliding block with the cross beam 4-1 through a bolt to prevent shaking in the operation process.

Claims (4)

1. The utility model provides a breast minimally invasive surgery diversified absorption breast fixing device's installation method, wherein, a breast minimally invasive surgery diversified absorption breast fixing device, the device includes two bases that the symmetry set up be provided with the workstation respectively on the base be provided with rotatory shaft hole on the workstation, be provided with the portal frame between two workstations, the foot side of portal frame respectively with rotatory shaft hole axial connection the crossbeam of portal frame is provided with the traction part that is used for drawing fixed breast in the slip, realizes the adjustment to breast angle through the relative rotation angle between fixed portal frame and the workstation;
the workbench is arc-shaped, and the rotary shaft hole is positioned at the circle center of the arc-shaped workbench; the inner side of the circular arc-shaped workbench is provided with a circular arc-shaped slideway with the same circle center, the vertical rod of the portal frame is provided with a guide bulge, and the guide bulge is arranged in the circular arc-shaped slideway in a sliding way;
the circular arc-shaped slideway is hollowed out and arranged on the circular arc-shaped workbench; at least one auxiliary slideway is arranged on the outer side of the circular arc-shaped workbench, the circle center of the auxiliary slideway is a rotary shaft hole, and the radius of the auxiliary slideway is different from that of the circular arc-shaped slideway; the guide bulge penetrates through the circular arc-shaped slideway, a locking plate is arranged at the tail end of the guide bulge, the locking plate comprises a locking bolt and a cross beam plate, and a locking bulge embedded in the auxiliary slideway is arranged on the inner side of the cross beam plate;
the traction part comprises a sliding block arranged on a beam of the portal frame and a sucker connected with the sliding block and used for sucking breasts;
adjusting through holes are distributed on the lateral edges of the cross beam of the portal frame, and fixing through holes opposite to the adjusting through holes are also arranged on the sliding blocks;
the sliding block comprises a main body part, and a pulley and a traction hole are arranged at the bottom of the main body part; the beam comprises two rails for sliding of the pulley, a traction hole is slidably formed between the two rails, and the sucker is connected with the traction hole through a traction wire;
the vertical rod of the portal frame comprises a working rod and an adjusting connecting rod which are mutually connected through an adjusting hole and a bolt, and the top of the working rod is connected with the cross beam through an L-shaped connector;
the upper surface of the base is provided with a sliding key groove for moving the workbench and a strip-shaped hole for fixing the workbench;
the method is characterized by comprising the following steps:
1) The bases are symmetrically fixed on two sides of the operating table;
2) The workbench is arranged on the base through the sliding key groove and is fixed through the strip-shaped holes and the bolts;
3) Connecting an adjusting connecting rod of the portal frame vertical rod with the rotating shaft hole, and connecting a working rod with the adjusting connecting rod through the adjusting hole and a bolt; the cross beam is arranged at the top of the working rod through an L-shaped connector;
4) And a sliding block is arranged on the cross beam, and a sucker is arranged at the bottom of the sliding block through a traction wire.
2. A method of operating a breast immobilization apparatus for minimally invasive breast surgery comprising:
1-1) adjusting the height of a cross beam of a portal frame according to the operation requirement, and adjusting the connection length of a working rod and an adjusting connecting rod through an adjusting hole and a bolt;
1-2) arranging the traction part above the operation part of the patient by utilizing the base, the workbench and the portal frame, then fixing the breast to be operated by utilizing the traction part, and when the breast exposure angle needs to be adjusted, driving the portal frame to rotate along the axis of the rotating shaft and/or adjusting the position of the traction part left and right along the cross beam and fixing.
3. The method for operating the multi-azimuth suction breast fixing device for minimally invasive breast surgery according to claim 2, wherein in the step 1-2), the method for driving the gantry to rotate along the axis of the rotation shaft and fixing the gantry comprises the following steps: when the rotation angle of the vertical rod of the portal frame is determined according to the operation requirement, the locking protrusion of the beam plate is embedded into the auxiliary slideway through the locking bolt, so that the rotation angle of the portal frame is fixed.
4. The method according to claim 2, wherein in the step 1-2), the method for fixing the breast fixing device by multi-azimuth suction is characterized in that the traction part is adjusted to be positioned along the left and right sides of the cross beam, the traction wire is pulled by the sliding block, the exposure angle required by the breast operation is adjusted, and finally the sliding block is connected and fixed with the cross beam through the bolt, so that shaking is prevented in the operation process.
CN201611248205.7A 2016-12-29 2016-12-29 Multidirectional adsorption breast fixing device for minimally invasive breast surgery and mounting method and using method thereof Active CN106725648B (en)

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