CN110353763A - A kind of sheet soft tissue device for cutting - Google Patents
A kind of sheet soft tissue device for cutting Download PDFInfo
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- CN110353763A CN110353763A CN201910619712.4A CN201910619712A CN110353763A CN 110353763 A CN110353763 A CN 110353763A CN 201910619712 A CN201910619712 A CN 201910619712A CN 110353763 A CN110353763 A CN 110353763A
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- 210000004872 soft tissue Anatomy 0.000 title claims abstract description 14
- 238000009434 installation Methods 0.000 claims 1
- 238000002271 resection Methods 0.000 claims 1
- 230000007306 turnover Effects 0.000 claims 1
- 210000004195 gingiva Anatomy 0.000 description 8
- 230000002980 postoperative effect Effects 0.000 description 5
- 210000001983 hard palate Anatomy 0.000 description 3
- 201000000615 hard palate cancer Diseases 0.000 description 3
- 238000010586 diagram Methods 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 210000000214 mouth Anatomy 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 208000037408 Device failure Diseases 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 208000008312 Tooth Loss Diseases 0.000 description 1
- 206010047531 Visual acuity reduced Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 201000005562 gingival recession Diseases 0.000 description 1
- 210000004907 gland Anatomy 0.000 description 1
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 230000003239 periodontal effect Effects 0.000 description 1
- 230000002028 premature Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 230000004083 survival effect Effects 0.000 description 1
- 238000002054 transplantation Methods 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C19/00—Dental auxiliary appliances
- A61C19/06—Implements for therapeutic treatment
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
- A61C3/00—Dental tools or instruments
- A61C3/02—Tooth drilling or cutting instruments; Instruments acting like a sandblast machine
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Abstract
本发明公开了一种片状软组织切取装置,包括刀座和活动刀具;所述刀座为底面和右侧侧面缺口的长方体支撑壳体,各个侧面的底部均设置有竖直切割刀,两个相互平行的侧面之间固定有止动板支座,两个平行的竖直切割刀的右端端部均加工有圆弧形倒角;活动刀具的上端通过滑杆与刀座两个相互平行的侧面导轨连接,且滑杆通过拉簧与刀座左侧侧面连接;活动刀具的下端设有水平切割刀;止动板通过扭簧转动连接止动板支座上,扭簧自由状态下止动板左端的勾连部与拉簧后端卡位;与刀座顶面连接的竖直按钮控制止动板翻转,释放拉簧。本发明的切取装置可快速切取片状软组织,切取厚度可控。
The invention discloses a sheet soft tissue cutting device, which comprises a knife seat and a movable knife; the knife seat is a cuboid supporting shell with notches on the bottom and the right side, and vertical cutting knives are arranged at the bottom of each side, two A stop plate support is fixed between the parallel sides, and the right ends of the two parallel vertical cutting knives are processed with arc-shaped chamfers; The side guide rail is connected, and the slide bar is connected to the left side of the knife seat through a tension spring; the lower end of the movable knife is equipped with a horizontal cutting knife; the stop plate is connected to the stop plate support through a torsion spring, and the torsion spring stops in a free state The hooking part at the left end of the plate is engaged with the rear end of the extension spring; the vertical button connected with the top surface of the knife seat controls the turning of the stop plate and releases the extension spring. The cutting device of the present invention can quickly cut sheet soft tissue, and the cutting thickness is controllable.
Description
技术领域technical field
本发明属于医疗器械技术领域,具体涉及一种获取人体片状软组织的装置。The invention belongs to the technical field of medical devices, and in particular relates to a device for obtaining sheet-shaped soft tissue of a human body.
背景技术Background technique
对于天然牙周围牙龈退缩,种植体周围角化龈不足等情况,会引起牙周和种植体周围的炎症,从而导致牙齿早失和种植失败。角化龈增宽是解决以上问题的有效方案。取自硬腭处的自体游离龈移植是角化龈增宽的金标准。目前,对于硬腭部的角化龈获取,常规使用15#刀片进行剥离,获取厚度1.5mm×宽度8mm×长度10-30mm的片状角化龈。由于获取角化龈过程中有较多出血,影响医师手术视野,即使是有经验的医师,手术时间大约需要4-6min。而且,移植物的厚度是影响手术效果的关键。移植物过厚会带有深层的脂肪和腺体,常需去除,增加手术时间,且增加术后不适,移植物过薄导致不易于存活。因此,目前临床获取硬腭角化龈面临的问题有:1)视野不好,操作困难;2)厚度不均一,影响术后效果;3)手术时间长,出血量大,增加患者术后不适。For gingival recession around natural teeth and insufficient keratinized gingiva around implants, it will cause inflammation around the periodontal and implants, leading to premature tooth loss and implant failure. Widening of keratinized gingiva is an effective solution to the above problems. Free gingival autografts from the hard palate are the gold standard for widening keratinized gingiva. At present, for the keratinized gingiva of the hard palate, a 15# blade is routinely used for peeling, and the keratinized gingiva with a thickness of 1.5mm×width 8mm×length 10-30mm is obtained. Because there is a lot of bleeding during the process of obtaining keratinized gingiva, which affects the doctor's surgical field of view, even for experienced doctors, the operation time takes about 4-6 minutes. Moreover, the thickness of the graft is the key to the effect of the operation. If the graft is too thick, there will be deep fat and glands, which often need to be removed, which will increase the operation time and increase postoperative discomfort. If the graft is too thin, it will not be easy to survive. Therefore, the current clinical problems in obtaining keratinized gingiva of the hard palate include: 1) poor vision and difficult operation; 2) uneven thickness, which affects postoperative results; 3) long operation time and large amount of blood loss, which increases postoperative discomfort for patients.
因此,需一种操作简便、切取厚度均一、手术时间短的装置完成片状软组织的切取。Therefore, there is a need for a device that is easy to operate, uniform in cutting thickness, and short in operation time to complete the cutting of sheet soft tissue.
发明内容Contents of the invention
本发明的目的是为了解决在进行获取固定形状及厚度软组织的手术中,传统手术刀具存在操作困难、切取厚度不均一、手术时间长等缺点,而提供一种长方体软组织切取装置。The object of the present invention is to provide a rectangular parallelepiped soft tissue cutting device to solve the shortcomings of traditional surgical knives such as difficult operation, uneven cutting thickness, and long operation time in the operation of obtaining soft tissue with a fixed shape and thickness.
本发明的目的是通过以下技术方案实现的:The purpose of the present invention is achieved through the following technical solutions:
本发明的一种片状软组织切取装置,包括刀座、活动刀具、止动板支座、止动板、止动杆、拉簧、竖直按钮、扭簧和拉簧连杆;A sheet-shaped soft tissue cutting device of the present invention includes a knife seat, a movable knife, a stop plate support, a stop plate, a stop rod, an extension spring, a vertical button, a torsion spring and an extension spring connecting rod;
所述刀座为底面和右侧侧面缺口的长方体支撑壳体,刀座的三个侧面的底部均设置有竖直切割刀,所有竖直切割刀的刀刃位于同一水平面,刀座两个相互平行侧面底部的竖直切割刀的右端端部均加工有圆弧形倒角,刀座两个相互平行的侧面上分别加工有导轨,两条导轨的延伸方向与所在侧面底部竖直切割刀的刀刃延伸方向相匹配;Described knife seat is the cuboid supporting shell of bottom surface and right side notch, and the bottom of three sides of knife seat is all provided with vertical cutting knives, and the blade of all vertical cutting knives is positioned at the same horizontal plane, and two knife seats are parallel to each other. The right end of the vertical cutting knife at the bottom of the side is processed with arc-shaped chamfers, and guide rails are respectively processed on the two parallel sides of the knife seat. The extension direction matches;
活动刀具上端为长度与刀座两个相互平行的侧面间距相匹配的滑杆,活动刀具滑杆的两端为外形与刀座上导轨宽度相匹配的定位部;活动刀具的滑杆通过连接杆固定水平切割刀,水平切割刀的刀片延伸方向与滑杆平行;The upper end of the movable tool is a slide bar whose length matches the distance between the two parallel sides of the tool seat, and the two ends of the movable tool slide bar are positioning parts whose shape matches the width of the guide rail on the tool seat; Fix the horizontal cutting knife, the blade extension direction of the horizontal cutting knife is parallel to the slide bar;
刀座的两个相互平行侧面之间固定有止动板支座,止动板的中部与止动板支座转动连接,使止动板绕止动板支座左右翻转,止动板的左端向下延伸有勾连部;刀座的顶面连接竖直按钮,自由状态下竖直按钮的下端与止动板分离,止动板与止动板支座连接处安装扭簧,扭簧自由状态下使得止动板左端向下翻转,竖直按钮下压止动板,使得止动板左端向上翻转,与止动杆分离;活动刀具的滑杆通过两端的定位部与刀座的两条导轨连接,在两条导轨的束缚下使水平切割刀的刀片上表面始终紧贴刀座两个相互平行侧面底部竖直切割刀的刀刃;活动刀具的滑杆通过两根相互平行的拉簧连杆与两根拉簧的右端连接,两根拉簧的左端与刀座左侧侧面连接,两根拉簧连杆之间通过止动杆连接;A stop plate support is fixed between the two parallel sides of the knife seat, and the middle part of the stop plate is rotatably connected with the stop plate support, so that the stop plate turns left and right around the stop plate support, and the left end of the stop plate There is a hook connecting part extending downward; the top surface of the knife seat is connected to the vertical button, and the lower end of the vertical button is separated from the stop plate in the free state, and a torsion spring is installed at the connection between the stop plate and the stop plate support, and the torsion spring is free Press down to make the left end of the stop plate turn downwards, press the vertical button to make the left end of the stop plate turn up and separate from the stop rod; the sliding rod of the movable tool passes through the positioning parts at both ends and the two guide rails Connection, under the constraints of two guide rails, the upper surface of the blade of the horizontal cutting knife is always close to the blade of the vertical cutting knife at the bottom of the two parallel sides of the knife seat; the sliding bar of the movable knife passes through two parallel tension spring connecting rods It is connected with the right ends of the two extension springs, the left end of the two extension springs is connected with the left side of the tool seat, and the connecting rods of the two extension springs are connected by a stop bar;
锁定状态下,活动刀具的滑杆沿刀座的导轨运动至最右端,竖直按钮向上抬起,止动板左端向下翻转,止动板左端的勾连部与止动杆卡位,对活动刀具进行限位。In the locked state, the sliding bar of the movable tool moves to the rightmost end along the guide rail of the tool seat, the vertical button is lifted up, the left end of the stop plate is turned down, and the hooking part at the left end of the stop plate is locked with the stop bar, and the movable The tool is limited.
刀具切割时,将刀座的三个竖直切割刀对准待切割位置,下压刀座,使三个竖直切割刀先对待切割位置形成竖直切割;然后按动竖直按钮,使竖直按钮下压止动板的右端,止动板的左端向上翻转并让开止动杆,解除对活动刀具的限位;在拉簧的拉力作用下,活动刀具通过滑杆沿刀座的导轨向左滑动,使活动刀具的水平切割刀先向下切割后再水平向左切割,直至水平切割刀切割至刀座左侧侧面设置的竖直切割刀处时,完成待切割组织的获取。刀具再次使用前,重新将活动刀具的滑杆沿刀座的导轨运动至最右端,并使止动板左端的勾连部与止动杆重新卡位,使活动刀具复位。When the knife is cutting, align the three vertical cutting knives of the knife seat with the position to be cut, and press down on the knife seat so that the three vertical cutting knives form a vertical cut at the position to be cut; then press the vertical button to make the vertical Press the straight button down on the right end of the stop plate, and the left end of the stop plate will turn up and get out of the stop bar to release the limit on the movable tool; Slide to the left so that the horizontal cutting knife of the movable knife first cuts down and then cuts horizontally to the left until the horizontal cutting knife cuts to the vertical cutting knife set on the left side of the knife seat, and the tissue to be cut is obtained. Before the cutter is used again, the slide bar of the movable cutter is moved to the rightmost end along the guide rail of the cutter seat, and the hooking portion at the left end of the stop plate is re-engaged with the stop rod, so that the movable cutter is reset.
有益效果Beneficial effect
本发明的切取装置将手术切取步骤整合于一体,结构简单,操作简便,手术时间短,减轻患者的术后不适;本发明的切取装置竖直切割刀刃宽度一定,活动刀具有导轨控制路径,保证切取厚度可控,且厚度均一性好,厚度均一的软组织有利于软组织的成活;本发明的切取装置可适用于获取口腔内及其他身体部位的片状软组织,用于口腔内角化龈移植或其他软组织移植,术后效果好。The cutting device of the present invention integrates the surgical cutting steps, has a simple structure, is easy to operate, shortens the operation time, and reduces the postoperative discomfort of the patient; The cutting thickness is controllable, and the thickness uniformity is good, and soft tissue with uniform thickness is conducive to the survival of soft tissue; the cutting device of the present invention can be applied to obtain sheet soft tissue in the oral cavity and other body parts, and is used for keratinized gingiva grafting in the oral cavity or other Soft tissue transplantation, the postoperative effect is good.
附图说明Description of drawings
图1是本发明切取装置的整体结构示意图;Fig. 1 is the overall structural representation of cutting device of the present invention;
图2是本发明切取装置的右视图;Fig. 2 is the right side view of cutting device of the present invention;
图3是本发明切取装置的俯视图;Fig. 3 is the top view of cutting device of the present invention;
图4是本发明切取装置的锁定状态示意图;Fig. 4 is a schematic diagram of the locking state of the cutting device of the present invention;
图5是本发明切取装置的解锁状态示意图;Fig. 5 is a schematic diagram of the unlocked state of the cutting device of the present invention;
图中:1-刀座;2-拉簧;3-竖直切割刀;4-导轨;5-扭簧;6-竖直按钮;7-止动板支座;8-水平切割刀;9-滑杆;10-拉簧连杆;11-止动板;12-止动杆。In the figure: 1-knife seat; 2-extension spring; 3-vertical cutting knife; 4-guide rail; 5-torsion spring; 6-vertical button; 7-stop plate support; 8-horizontal cutting knife; 9 -slide bar; 10-extension spring connecting rod; 11-stop plate; 12-stop rod.
具体实施方式Detailed ways
下面结合附图和实施例对本发明的内容作进一步描述。The content of the present invention will be further described below in conjunction with the accompanying drawings and embodiments.
实施例Example
如图1、2、3所示,一种片状软组织切取装置,包括刀座1、活动刀具、止动板支座7、止动板11、止动杆12、拉簧2、竖直按钮6、扭簧5、拉簧连杆10;As shown in Figures 1, 2, and 3, a sheet-shaped soft tissue cutting device includes a knife seat 1, a movable knife, a stop plate support 7, a stop plate 11, a stop rod 12, a tension spring 2, and a vertical button 6. Torsion spring 5, extension spring connecting rod 10;
所述刀座1为底面和右侧侧面缺口的长方体支撑壳体,刀座1的三个侧面的底部均设置有竖直切割刀,所有竖直切割刀的刀刃位于同一水平面,刀座1两个相互平行侧面底部的竖直切割刀的右端端部均加工有圆弧形倒角,刀座1两个相互平行的侧面上分别加工有导轨4,两条导轨的延伸方向与所在侧面底部竖直切割刀的刀刃延伸方向相匹配;Described knife seat 1 is the cuboid supporting shell of bottom surface and right side notch, and the bottom of three sides of knife seat 1 is all provided with vertical cutting knives, and the blade of all vertical cutting knives is positioned at the same horizontal plane, and knife seat 1 two The right ends of the vertical cutting knives at the bottom of the two parallel sides are all processed with arc-shaped chamfers, and guide rails 4 are respectively processed on the two parallel sides of the knife holder 1, and the extending direction of the two guide rails is vertical to the bottom of the side where they are located. The blade extension direction of the straight cutting knife matches;
活动刀具上端为长度与刀座1两个相互平行的侧面间距相匹配的滑杆9,活动刀具滑杆9的两端为外形与刀座1上导轨宽度相匹配的定位部;活动刀具的滑杆9通过连接杆固定水平切割刀8,水平切割刀8的刀片延伸方向与滑杆9平行;The upper end of the movable tool is a slide bar 9 whose length matches the distance between two sides parallel to each other of the tool holder 1, and the two ends of the movable tool slide bar 9 are positioning parts whose profile matches the width of the guide rail on the tool holder 1; The bar 9 fixes the horizontal cutting knife 8 through the connecting rod, and the blade extension direction of the horizontal cutting knife 8 is parallel to the slide bar 9;
刀座1的两个相互平行侧面之间固定有止动板支座7,止动板11的中部与止动板支座7转动连接,使止动板11绕止动板支座7左右翻转,止动板11的左端向下延伸有勾连部;刀座1的顶面连接竖直按钮6,自由状态下竖直按钮6的下端与止动板11分离,止动板11与止动板支座7连接处安装扭簧5,扭簧5自由状态下使得止动板11左端向下翻转,竖直按钮6下压止动板11,使得止动板11左端向上翻转,与止动杆12分离;活动刀具的滑杆9通过两端的定位部与刀座1的两条导轨连接,在两条导轨的束缚下使水平切割刀8的刀片上表面始终紧贴刀座1两个相互平行侧面底部竖直切割刀的刀刃;活动刀具的滑杆9通过两根相互平行的拉簧连杆10与两根拉簧2的右端连接,两根拉簧2的左端与刀座1左侧侧面连接,两根拉簧连杆10之间通过止动杆12连接;A stop plate support 7 is fixed between the two parallel sides of the knife seat 1, and the middle part of the stop plate 11 is rotatably connected with the stop plate support 7, so that the stop plate 11 is turned left and right around the stop plate support 7 , the left end of the stop plate 11 extends downwards with a hook; the top surface of the knife holder 1 is connected to the vertical button 6, and the lower end of the vertical button 6 is separated from the stop plate 11 in the free state, and the stop plate 11 and the stop plate A torsion spring 5 is installed at the joint of the support 7, and the torsion spring 5 is in a free state so that the left end of the stop plate 11 is turned downwards, and the vertical button 6 presses the stop plate 11, so that the left end of the stop plate 11 is turned upwards, and the left end of the stop plate 11 is turned upwards, and the stop rod 12 separation; the slide bar 9 of the movable tool is connected with the two guide rails of the knife holder 1 through the positioning parts at both ends, and under the restraint of the two guide rails, the upper surface of the blade of the horizontal cutting knife 8 is always close to the knife holder 1 and the two are parallel to each other. The blade of the vertical cutting knife at the bottom of the side; the slide bar 9 of the movable knife is connected with the right end of the two extension springs 2 through two extension spring connecting rods 10 parallel to each other, and the left end of the two extension springs 2 is connected with the left side of the knife holder 1 Connection, two extension spring connecting rods 10 are connected by a stop rod 12;
锁定状态下,活动刀具的滑杆9沿刀座1的导轨4运动至最右端,竖直按钮7向上抬起,止动板11左端向下翻转,止动板11左端的勾连部与止动杆12卡位,对活动刀具进行限位,如图4所示。In the locked state, the slide bar 9 of the movable tool moves to the rightmost end along the guide rail 4 of the tool holder 1, the vertical button 7 is lifted upwards, the left end of the stop plate 11 is turned downward, and the hooking part at the left end of the stop plate 11 is connected with the stop The rod 12 is clamped to limit the movable tool, as shown in Figure 4.
刀具切割时,将刀座1的三个竖直切割刀对准待切割位置,下压刀座1,使三个竖直切割刀先对待切割位置形成竖直切割;然后按动竖直按钮6,使竖直按钮6下压止动板11的右端,止动板11的左端向上翻转并让开止动杆12,解除对活动刀具的限位,如图5所示;在拉簧2的拉力作用下,活动刀具通过滑杆9沿刀座1的导轨4向左滑动,使活动刀具的水平切割刀8先向下切割后再水平向左切割,直至水平切割刀8切割至刀座1左侧侧面设置的竖直切割刀处时,完成待切割组织的获取。刀具再次使用前,重新将活动刀具的滑杆9沿刀座1的导轨4运动至最右端,并使止动板11左端的勾连部与止动杆12重新卡位,使活动刀具复位。When the knife is cutting, align the three vertical cutting knives of the knife seat 1 with the position to be cut, and press down on the knife seat 1 so that the three vertical cutting knives form a vertical cut at the position to be cut; then press the vertical button 6 , so that the vertical button 6 presses down the right end of the stop plate 11, the left end of the stop plate 11 turns upwards and leaves the stop bar 12, and releases the limit to the movable cutter, as shown in Figure 5; Under the action of tension, the movable knife slides to the left along the guide rail 4 of the knife seat 1 through the slide bar 9, so that the horizontal cutting knife 8 of the movable knife first cuts downwards and then cuts horizontally to the left until the horizontal cutting knife 8 cuts to the knife seat 1 When the vertical cutting knife is set on the left side, the acquisition of the tissue to be cut is completed. Before the tool is used again, the slide bar 9 of the movable tool is moved to the rightmost end along the guide rail 4 of the tool holder 1, and the hooking part at the left end of the stop plate 11 is re-engaged with the stop bar 12, so that the movable tool is reset.
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Application publication date: 20191022 |