CN108498183A - The skin tissue expander of the skin difference inflexion point tension of monitoring expansion in real time - Google Patents

The skin tissue expander of the skin difference inflexion point tension of monitoring expansion in real time Download PDF

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Publication number
CN108498183A
CN108498183A CN201810665372.4A CN201810665372A CN108498183A CN 108498183 A CN108498183 A CN 108498183A CN 201810665372 A CN201810665372 A CN 201810665372A CN 108498183 A CN108498183 A CN 108498183A
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CN
China
Prior art keywords
skin
expansion
real
difference
inflexion point
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.)
Pending
Application number
CN201810665372.4A
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Chinese (zh)
Inventor
谢芸
黄如林
方斌
程辰
李青峰
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine filed Critical Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
Priority to CN201810665372.4A priority Critical patent/CN108498183A/en
Publication of CN108498183A publication Critical patent/CN108498183A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/02Devices for expanding tissue, e.g. skin tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/064Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension

Abstract

The present invention relates to a kind of skin tissue expanders of real-time monitoring expansion skin difference inflexion point tension, including:Expand the conduit of capsule, topping up jug and the connection expansion capsule and topping up jug, which is characterized in that further include multiple pliable pressure sensors and the corresponding wireless data transmitter being arranged in the expansion capsule outer surface.Advantageous effect:Expander outer surface is distributed in the pliable pressure sensor of different location, the pressure value of difference can be monitored in real time by electronic equipments such as mobile phones, when the pressure anomaly of certain point increases, radio transmitting device to corresponding electronic equipment (such as mobile phone app can be passed through, computer program etc.) alarm, patient is notified to see a doctor in time, or prompt nurse reduces water filling, or prompt doctor will carry out therapeutic intervention.

Description

The skin tissue expander of the skin difference inflexion point tension of monitoring expansion in real time
Technical field
The present invention relates to the field of medical instrument technology, especially a kind of real-time monitoring expansion skin difference inflexion point tension Skin tissue expander.
Background technology
Soft tissue expander, also known as skin tissue expander (hereinafter referred to as expander) are usually used in shaping and repair weight The surgical operation therapy built, is widely used in clinical treatment.Expander is to utilize skin soft tissue under certain tension, there is expansion It opens and increases the physiological function of area and the instrument that designs.Using the increased skin soft tissue obtained after tissue expander, to repair Multiple institute tissue injury or tissue defect to be treated, or carry out the reconstruction reconstruction of corresponding histoorgan.It is increased by expanding Color and luster, quality or the hair that skin soft tissue has and adjacent skin tissue is similar, do not generate new monstrum deficiens, to Obtain preferable shaping and beauty and reconstruction curative effect.
The structure of common expander is made of three expansion capsule, conduit and topping up jug parts.In process of expansion due to The difference at the different or embedding positions of expander shape, it is not uniform to the surface pressing for expanding skin, therefore during expansion It just will appear the place that local skin is thinning or local pressure is big and the complication such as red blood silk occur, and gradually because pressure increase is led Local blood circulation is caused to decline and poor even ulceration.There are no solve soft tissue expander in the process used in existing document In, overextended leads to the serious problems of skin ulceration.Existing Authorization Notice No. CN205698043 discloses a kind of wireless prison The skin dilator of governor pressure specifically discloses and waterproof electronic pressure transmitter is arranged in the inner surface for expanding capsule, passes through survey Inside water pressure is measured, prompts user that hospital is gone to handle in time.What is detected in the patent is the pressure for expanding intracapsular portion, cannot be monitored The pressure of skin surface, and it is equal everywhere to belong to closed container its pressure inside expander, but outer surface is for each of skin surface A single point pressure is not equal everywhere, all related to the shape of expander and the skin thickness for being embedded to position;So working as part Locally there is hypertonia in the surface of skin, then may cause to expand early metaphase local skin ulceration or late period multipoint pressure Increase excessive, skin is difficult to support pressure that expansion is caused to fail.Based on the above issues, as being monitored in real time during expansion each The pressure of point, finds high pressure points, gives intervene as early as possible in time, such as changes the position of expander, injects autologous fat, then can be with Prevent the possibility of expansion failure.
With the upsurge of intelligent wearable device, the exploitation of pliable pressure sensor is gradually ripe, and one kind can be deformed can The pliable pressure receptor of stretching, extension, which is applied to skin tissue expander, becomes a kind of technological innovation.Carry flexible wireless transmission The pressure real-time radio measured is transferred to mobile phone app or computer terminal, in time by system or common wireless transmitting system It notifies doctors and patients, will greatly be conducive to the prevention of expander complication, prevent expansion from failing.
Therefore, a kind of skin tissue expander of real-time monitoring expansion skin difference inflexion point tension of design is very must It wants.
Content
The present invention provides a kind of skin tissue expander of real-time monitoring expansion skin difference inflexion point tension, solves The easy failure problem of expansion in the prior art, that is, since the tension difference that skin surface is subject to leads to epidermatic atrophy very during expanding To ulceration.
The skin tissue expander of the present invention can prompt patient's follow-up on time or the early warning before skin problems, and When solve the problems, such as, reduce expansion failure risk.Wireless transmission signal can remind patient and doctor simultaneously, accomplish two-way prison Control.
Technical problem solved by the invention is realized using following technical scheme:
A kind of skin tissue expander that can monitor expansion skin difference inflexion point tension in real time, including:Expand capsule, note The conduit of kettle and the connection expansion capsule and topping up jug further includes the multiple flexible pressures being arranged in the expansion capsule outer surface Force snesor, and the wireless data transmitter that is connected with the pliable pressure sensor.
There is silica-gel coating in the outside of the pliable pressure sensor as a preferred technical solution, can be transmitted pressure but Be not in direct contact with subcutaneous tissue, also not with expander inside saline contacts.
The pliable pressure sensor is uniformly distributed as a preferred technical solution, or single-point is distributed in skin soft tissue expansion Prop is likely to occur high-tension point.
As a preferred technical solution, temperature sensor and/or blood oxygen saturation are additionally provided in the expansion capsule outer surface Sensor, by the temperature sensor and/or oximetry sensor can monitor expansion skin surface temperature and/or Blood oxygen saturation state.
The radio transmitter is set in topping up jug as a preferred technical solution,.
The topping up jug includes shell as a preferred technical solution, and the water filling bowl being arranged in the shell;Institute State water filling bowl inside have hollow cavity, the conduit pass through the topping up jug shell, and in the water filling bowl Empty cavity is connected;In use, in order to completing water flood operations.
The expansion capsule is made of medical grade medical silica-gel material as a preferred technical solution,.
The outer surface of the expansion capsule is equipped with fungistatic coating as a preferred technical solution,.
The fungistatic coating is made of nano silver or Nano-Zinc as a preferred technical solution,.
The fungistatic coating is antibiotic coating as a preferred technical solution,.
Advantageous effect:
(1) the expansion skin surface pressure of real-time dynamic monitoring different loci, when skin not yet complication occurs, to height Point of tension is alarmed, and is taken measures.Objective data guidance such as is provided for nurse or family numbers of patients in expander water filling, with The increase of water filling, the variation of expansion skin surface pressure can be real-time monitored, can be reduced if pressure increase is excessive Water filling, insufficient pressure can then increase water filling.
(2) wirelessly transmitting data, can be with Intelligent Notification doctor and sufferers themselves to mobile phone app.
(3) pliable pressure sensor is not contacted with subcutaneous and intracapsular liquid, safety.
Description of the drawings
It, below will be to embodiment in order to illustrate more clearly of embodiment of the present invention or technical solution in the prior art Or attached drawing needed to be used in the description of the prior art is briefly described, it should be apparent that, the accompanying drawings in the following description is only It is some embodiments of the present invention, for those of ordinary skill in the art, in the premise of not making the creative labor property Under, other drawings may also be obtained based on these drawings.
Fig. 1 is the present invention:A kind of skin tissue expander signal of real-time monitoring expansion skin difference inflexion point tension Figure.
Specific implementation mode
In order to which the technical means, creative features, achievable purpose and effectiveness for making this patent realize are easy to understand, tie below Conjunction is specifically illustrating, and the present invention is further explained.
The present invention is targetedly to give solution based on the realistic problem encountered in practical operation.For expanding The problem of opening failure, the solution of the prior art are mostly to go to solve from the pressure of control inside air bag.But the present inventor exists In practical operation, epidermatic atrophy caused by the discovery program still can not solve the ability to bear difference of local skin pressure is even burst Rotten problem.It searches to the bottom, is to be, the pressure in intracapsular portion is expanded in monitoring, can only monitor the pressure injected to skin inside Size, and do not know each area skin itself endurance, so necessarily cause monitoring result failure.
The present inventor is on the basis of practice, by the expansion skin surface pressure of real-time dynamic monitoring different loci, When complication not yet occurs in skin, alarms high-tension point, take measures.It is such as nurse or patient in expander water filling Family members provide objective data guidance can real-time monitor the variation of expansion skin surface pressure, such as with the increase of water filling The increase of fruit pressure is excessive, can reduce water filling, insufficient pressure can then increase water filling.
In the following, the solution of the present invention is described in further detail.
It is shown in Figure 1:A kind of skin tissue expander of real-time monitoring expansion skin difference inflexion point tension, packet It includes:Including:Expand capsule 1, topping up jug 2, conduit 3, pliable pressure sensor 4, wireless data transmitter 5.Wherein, 1 He of capsule is expanded Topping up jug 2 is connected by conduit 3, since expansion capsule 1, topping up jug 2 and conduit 3 are required to be embedded in lower layers of skin, Expansion capsule 1, topping up jug 2 and conduit 3 are required to be made of medical grade medical silica-gel material, to prevent to infect.This implementation Pliable pressure sensor 4 in example is arranged in the outer surface of expansion capsule 1, and there is silica-gel coating (figure in the outside of pliable pressure sensor 4 In do not mark), can be transmitted pressure but be not in direct contact with subcutaneous tissue, also not with expander inside saline contacts, therefore compare It is safer.The pliable pressure sensor 4 needs to place according to cost and clinical practice, for example is uniformly distributed or single-point is distributed in skin Skin soft tissue expander is likely to occur high-tension point.Wireless data transmitter 5 is set in topping up jug 2.The expansion capsule 1 Shape can be arranged as required to, such as round or ellipse etc..Those skilled in the art can decide whether to set as needed Set fungistatic coating.Wherein, fungistatic coating is antibiotic coating, or is made of nano silver or Nano-Zinc, can effectively be prevented The only generation of the illnesss such as infection or inflammation.The present embodiment is not provided with antibiotic coating in the outer surface of expansion capsule 1.
Above-mentioned topping up jug 2 includes shell 21, and the water filling bowl 22 being arranged in shell 21;The inside of water filling bowl 22 has There is hollow cavity 23, conduit 3 passes through the shell 21 of topping up jug 2, and the hollow cavity 23 with water filling bowl 22 is connected, with Convenient for completing water flood operations.
The pressure real-time radio measured is transferred to mobile phone app or electricity by the flexible wireless transmitting system in this implementation column Brain terminal, the expansion skin surface pressure of real-time dynamic monitoring different loci, when skin not yet complication occurs, to high-tension Point is alarmed, and is taken measures.The prevention that expander complication will be greatly conducive in this way prevents expansion from failing.
Specifically, the flexible wireless transmitting system in the present invention include pliable pressure sensor 4, wireless data transmitter 5, Cell phone application or computer terminal.For the present embodiment by taking the flexible wireless transmitting system that mobile phone terminal forms as an example, APP is to apply journey Sequence can carry out operation operation based on mobile phone terminal, due to wireless data transmitter 5 by wireless communication mode and mobile phone terminal into Row signal transmission, therefore, mobile phone terminal can receive the tool of the pliable pressure sensor 4 of skin surface difference point in real time Volume data can judge the expansion state of skin surface according to the data variation of pliable pressure sensor 4, to monitor skin in real time The tension critical value of skin, prevents unexpected symptom.When there is data exception in a certain or certain several pliable pressure sensor 4, Illustrating that skin expansion goes wrong, according to the program setting of APP, prompting can be sent out, it is proposed that operator is handled, to prevent It is only unexpected to occur.
Wireless communication mode in the present invention may be used as the method for transmitting signals of existing comparative maturity, as WIFI, Bluetooth, 3G/4G/5G, 6LoWPAN, LoRa, ZigBee use other transmission of wireless signals mode.
In order to save the space of topping up jug 2, the power supply module of wireless data transmitter 5 can be chargeable film power supply Or it is lithium battery.Wherein, when power supply mode can be solar energy or use the body heat for collecting mankind itself or human motion The mechanical energy of time is as electron monitoring system power supply or to being recharged for the battery of these system power supplies.Therefore root According to technique when making, wireless data transmitter 5 and power supply module can be not arranged in topping up jug, that is, be directly integrated in flexibility On pressure sensor 5.
Further, temperature sensor and/or blood oxygen can also be added in addition to the pliable pressure sensor of setting in the present invention Saturation degree sensor can monitor the state of expansion skin surface by temperature sensor and/or oximetry sensor.Cause For when expanded skin flap is inflamed infection, flap temperature can increase, when expander because the excessive vascular compression of pressure expands skin Valve temperature can reduce, and be detected simultaneously for two kinds by pressure and temperature, and data can more have accurately.In addition, blood oxygen saturation also and pressure Power is related, and when usual hypertonia, expanding the blood sample saturation degree of skin can reduce, and also may be used by the detection of blood oxygen saturation To advanced optimize the detection of expanded skin flap.
The foregoing is merely illustrative of the preferred embodiments of the present invention, is not intended to limit the invention, all essences in the present invention With within principle, any modification, equivalent replacement, improvement and so on should all be included in the protection scope of the present invention god.

Claims (9)

1. a kind of skin tissue expander of real-time monitoring expansion skin difference inflexion point tension, including:Expand capsule, topping up jug And the conduit of the connection expansion capsule and topping up jug, which is characterized in that further include being arranged in the more of the expansion capsule outer surface A pliable pressure sensor and corresponding wireless data transmitter.
2. a kind of skin soft tissue expansion of real-time monitoring expansion skin difference inflexion point tension according to claim 1 Device, which is characterized in that there is silica-gel coating in the outside of the pliable pressure sensor, can be transmitted pressure but not straight with subcutaneous tissue Contact, also not with expander inside saline contacts.
3. a kind of skin soft tissue of real-time monitoring expansion skin difference inflexion point tension according to claim 1 or 2 expands Prop, which is characterized in that the pliable pressure sensor is uniformly distributed or single-point is distributed in the possibility of skin tissue expander There is high-tension point.
4. a kind of skin soft tissue of real-time monitoring expansion skin difference inflexion point tension according to claim 1 or 2 expands Prop, which is characterized in that the wireless data transmitter is set in topping up jug.
5. a kind of skin soft tissue expansion of real-time monitoring expansion skin difference inflexion point tension according to claim 1 Device, which is characterized in that the temperature and/or blood oxygen saturation of expansion skin surface can be monitored by being additionally provided in the expansion capsule outer surface The temperature sensor and/or oximetry sensor of degree state.
6. a kind of skin soft tissue expansion of real-time monitoring expansion skin difference inflexion point tension according to claim 1 Device, which is characterized in that the topping up jug includes shell, and the water filling bowl being arranged in the shell;The water filling bowl it is interior There is hollow cavity, the conduit to pass through the shell of the topping up jug in portion, and be connected with the hollow cavity of the water filling bowl It is logical;In use, in order to completing water flood operations.
7. a kind of skin soft tissue expansion of real-time monitoring expansion skin difference inflexion point tension according to claim 1 Device, which is characterized in that the expansion capsule is made of medical grade medical silica-gel material.
8. a kind of skin soft tissue expansion of real-time monitoring expansion skin difference inflexion point tension according to claim 1 Device, which is characterized in that the outer surface of the expansion capsule is equipped with fungistatic coating.
9. the skin tissue expander of the according to claim a kind of skin difference inflexion point tension of monitoring expansion in real time, It is characterized in that, the fungistatic coating is made of nano silver or Nano-Zinc;Or the fungistatic coating is antibiotic coating.
CN201810665372.4A 2018-06-26 2018-06-26 The skin tissue expander of the skin difference inflexion point tension of monitoring expansion in real time Pending CN108498183A (en)

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109998468A (en) * 2019-04-24 2019-07-12 广西中医药大学附属瑞康医院 A kind of graphene laparoscope and its application method
CN110013322A (en) * 2019-05-10 2019-07-16 上海懿熹医疗科技有限公司 A kind of skin dilator, skin expansion system with and preparation method thereof
CN110013323A (en) * 2019-05-10 2019-07-16 上海懿熹医疗科技有限公司 A kind of skin dilator, skin expansion system with and preparation method thereof
WO2020207341A1 (en) * 2019-04-11 2020-10-15 上海交通大学医学院附属第九人民医院 Soft tissue expander for improving skin regeneration efficiency

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CN106618803A (en) * 2017-02-08 2017-05-10 上海纽脉太惟医疗科技有限公司 Artificial heart valve prosthesis conveying device
CN106725838A (en) * 2016-02-11 2017-05-31 上海魅丽纬叶医疗科技有限公司 Have the conduit and its ablation method of balloon expandable and RF ablation function concurrently
CN107648720A (en) * 2016-07-26 2018-02-02 北京万生人和科技有限公司 A kind of built-in catheter
CN209253159U (en) * 2018-06-26 2019-08-16 上海交通大学医学院附属第九人民医院 The skin tissue expander of real-time monitoring expansion skin difference inflexion point tension

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US5865801A (en) * 1995-07-18 1999-02-02 Houser; Russell A. Multiple compartmented balloon catheter with external pressure sensing
CN103491862A (en) * 2011-02-16 2014-01-01 艾尔弗雷德·伊·曼科学研究基金会 Implantable shunt system and associated pressure sensors
CN106725838A (en) * 2016-02-11 2017-05-31 上海魅丽纬叶医疗科技有限公司 Have the conduit and its ablation method of balloon expandable and RF ablation function concurrently
CN205698043U (en) * 2016-03-17 2016-11-23 上海交通大学医学院附属第九人民医院 A kind of skin dilator of wireless monitor pressure
CN105616071A (en) * 2016-03-20 2016-06-01 漳州卫生职业学院 Reconstructed ear supporting bracket with temperature control, pressure sensing and oxyhemoglobin saturation detection functions
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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020207341A1 (en) * 2019-04-11 2020-10-15 上海交通大学医学院附属第九人民医院 Soft tissue expander for improving skin regeneration efficiency
CN109998468A (en) * 2019-04-24 2019-07-12 广西中医药大学附属瑞康医院 A kind of graphene laparoscope and its application method
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CN110013322A (en) * 2019-05-10 2019-07-16 上海懿熹医疗科技有限公司 A kind of skin dilator, skin expansion system with and preparation method thereof
CN110013323A (en) * 2019-05-10 2019-07-16 上海懿熹医疗科技有限公司 A kind of skin dilator, skin expansion system with and preparation method thereof

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