CN112057123A

CN112057123A - Multifunctional flap retractor in mammary gland surgery

Info

Publication number: CN112057123A
Application number: CN202011083402.4A
Authority: CN
Inventors: 吕伟
Original assignee: Shandong Provincial Hospital Affiliated to Shandong First Medical University
Current assignee: Shandong Provincial Hospital Affiliated to Shandong First Medical University
Priority date: 2020-10-12
Filing date: 2020-10-12
Publication date: 2020-12-11

Abstract

The invention provides a multifunctional flap retractor in a breast surgery, and relates to the technical field of medical instruments. This multi-functional flap tractive ware in mammary gland surgery art, including spacing diaphragm, the equal fixedly connected with spacing riser in spacing diaphragm bottom both ends, spacing diaphragm top is equipped with movable elevating system, and movable elevating system includes spiral horizontal pole, first down tube and second down tube, and the slip cross slot has all been seted up on spacing diaphragm top both ends surface, and first down tube and second down tube are located spacing diaphragm both ends top respectively, and first down tube bottom is equipped with first slider. This multi-functional skin flap tractive ware in mammary gland surgery, the structure is organized clearly, and convenient operation is swift, has avoided skin flap tractive ware for mammary gland surgery to be not convenient for adjust at the in-process that uses and makes the relatively poor operation process that influences medical personnel of this tractive ware flexibility, prevents that the tractive ware from forming the damage and healing after giving patient's operation and bring the influence to weaving, has improved the security of tractive ware to the tissue.

Description

Multifunctional flap retractor in mammary gland surgery

Technical Field

The invention relates to the technical field of medical instruments, in particular to a multifunctional skin flap retractor in a mammary gland surgery.

Background

The breast surgery is the next branch of clinical surgery, and during the breast surgery, skin flaps or tissue separation operations are often required to be performed on the surfaces of subcutaneous skin tissues, breast skin tissues or ribs, and because the separation surfaces are large, the blood vessels are rich, the operation difficulty is high, the time consumption is long, the bleeding amount is large, and certain operation obstacles exist, the skin flaps or the tissues are well drawn, and the target visual field is exposed, so that the smooth operation is facilitated.

At present when handling free flap or tissue, medical staff uses tissue pincers mostly, machinery such as vascular pincers carries out the forceps holder of skin reason part, and expose the target field of vision, but among the prior art mammary surgery is with flap tractive ware in the in-process of using, be not convenient for adjust, the flexibility is relatively poor, the operation is very inconvenient and constitute the damage to the tissue easily, heal after the operation for patient and bring the influence, the effect of current flap tractive ware installation and dismantlement is not good simultaneously, easily lead to medical staff operating time to spend more, the practicality is relatively poor.

Therefore, it is necessary to invent a multifunctional flap retractor for breast surgery to solve the above problems.

Disclosure of Invention

Technical problem to be solved

Aiming at the defects of the prior art, the invention provides a multifunctional flap retractor in a breast surgery to solve the problems in the background technology.

(II) technical scheme

In order to achieve the purpose, the invention is realized by the following technical scheme: a multifunctional flap retractor in a breast surgery comprises a limiting transverse plate, wherein both ends of the bottom of the limiting transverse plate are fixedly connected with limiting vertical plates, and the top of the limiting transverse plate is provided with a movable lifting mechanism;

the movable lifting mechanism comprises a spiral cross rod, a first inclined rod and a second inclined rod, sliding transverse grooves are formed in the two end surfaces of the top of the limiting transverse plate, the first inclined rod and the second inclined rod are respectively located at the tops of the two ends of the limiting transverse plate, a first sliding block is arranged at the bottom of the first inclined rod, the top of the first sliding block is movably hinged with the bottom of the first inclined rod, a second sliding block is arranged at the bottom of the second inclined rod, the top of the second sliding block is movably hinged with the bottom of the second inclined rod, the first sliding block and the second sliding block are respectively in sliding connection with the two sliding transverse grooves, a second spiral cap is arranged at one end of the limiting transverse plate, the spiral cross rod is located at one side, close to the limiting transverse plate, of the second spiral cap and fixedly connected with the spiral cross rod, the middle of the spiral cross rod penetrates through the limiting transverse plate and is movably sleeved with the limiting transverse plate, and the two ends of the spiral cross rod penetrate through one sides of the first sliding block and, the spiral cross rod is kept away from the second screw cap and is equipped with the second bearing, second bearing and spacing diaphragm fixed connection, first down tube and second down tube top activity are articulated, first down tube top is equipped with movable riser, the equal fixedly connected with fixture block in activity riser bottom both sides, two fixedly connected with fixed axle between the fixture block, the fixed axle runs through first down tube and second down tube top simultaneously and cup joints with first down tube and second down tube activity, the spacing square of activity riser top fixedly connected with, spacing square one side is equipped with spacing tractive subassembly.

Preferably, the limiting traction assembly comprises a movable ball, a movable transverse pipe and a traction rod, a spherical groove is formed in the inner side of the limiting square, the movable ball is located in the spherical groove, the movable ball is movably hinged to the spherical groove, the movable transverse pipe is located on one side of the limiting square, the movable transverse pipe penetrates through the limiting square and is fixedly connected with the movable ball, and a movable round rod is movably sleeved on the inner side of the end, away from the limiting square, of the movable transverse pipe.

Preferably, the bottom of one end, close to the limiting block, of the movable transverse pipe is provided with a support frame, and the support frame is fixedly connected with the movable vertical plate.

Preferably, one end, far away from the movable transverse pipe, of the movable round rod is fixedly connected with a triangular frame, the top of the inner side of the triangular frame is fixedly connected with a limiting shaft, the traction rod is located at the bottom of the limiting shaft, the limiting shaft penetrates through the top of the traction rod and is movably sleeved with the traction rod, and two ends of the bottom of the traction rod penetrate through the triangular frame.

Preferably, the bottom of the limiting shaft is provided with a threaded cross rod, two ends of the threaded cross rod penetrate through two sides of the traction rod and are in threaded connection with the traction rod, the bottom of one end, away from the movable round rod, of the triangular frame is provided with a screw knob, the bottom of the threaded cross rod is in threaded connection with a ring gear, and the screw knob is in threaded connection with the ring gear.

Preferably, one end of the screw button, which is close to the movable round rod, is provided with a third bearing, and the third bearing is fixedly connected with the triangular frame.

Preferably, two sliding connection has the connection diaphragm between the spacing riser, connect the equal fixedly connected with activity diaphragm in diaphragm one side both ends, spacing riser side surface has seted up the slip and has erect the groove.

Preferably, the movable transverse plate is close to one end of the limiting vertical plate and is fixedly connected with a sliding block, the sliding block is connected with the sliding vertical groove in a sliding mode, a first spiral cap is arranged at the bottom of the connecting transverse plate, and a spiral vertical rod is fixedly connected to the top of the first spiral cap.

Preferably, the top of the spiral vertical rod is provided with a first bearing, the spiral vertical rod penetrates through the connecting transverse plate and is in threaded connection with the connecting transverse plate, the top of the spiral vertical rod is fixedly connected with the inner side of the first bearing, and the first bearing is fixedly connected with the limiting transverse plate.

The invention provides a multifunctional flap retractor in a breast surgery, which has the following beneficial effects:

1. the multifunctional flap retractor in the mammary gland surgery adjusts the height of the limiting traction assembly by arranging the movable lifting mechanism, the second spiral cap is rotated to drive the spiral cross rod to rotate, so that the first sliding block and the second sliding block are driven to move in opposite directions, the movable vertical rod is pushed to move at the same time, and the height of the movable vertical rod is adjusted, so that the height of the limiting traction assembly is adjusted, and the flap retractor is convenient to use normally.

2. This multi-functional skin flap tractive ware in mammary gland surgery comes to carry out the tractive to patient's skin flap or tissue through setting up spacing tractive subassembly, the handheld activity round bar of medical personnel is violently managed in the activity and is slided, with this position of adjusting this tractive ware, the activity is violently managed simultaneously and is driven the activity ball and can change the angle in spherical groove, drive ring gear through rotatory spiral button, ring gear drives the rotatory motion that drives the tractive pole both sides simultaneously of screw thread horizontal pole, adjust the size of patient's skin flap or tissue tractive wound, the convenient operation of this tractive ware is swift, the medical personnel of being convenient for carry out the tractive to patient's skin flap or tissue, the application scope of tractive ware has been enlarged, the practicality has been improved.

3. This multi-functional flap tractive ware in mammary gland surgery is through setting up movable diaphragm, spacing riser and first screw cap, before carrying out the tractive, at first place spacing diaphragm in sick bed edge top department, it is rotatory to rotate first screw cap after that, the spiral montant drives and connects diaphragm and activity diaphragm motion, the activity diaphragm drives the sliding block and moves at the vertical inslot that slides, activity diaphragm motion is to sick bed edge bottom, press from both sides tightly the sick bed through activity diaphragm and spacing diaphragm, make whole tractive ware fixed, the effect of flap tractive ware installation and dismantlement has been promoted, the operating time of medical staff installation has been reduced, the fixed stability of flap tractive ware has been improved.

Drawings

FIG. 1 is a schematic view of the overall structure of the present invention;

FIG. 2 is a schematic diagram of the overall explosive structure of the present invention;

FIG. 3 is a front cross-sectional view of the present invention;

FIG. 4 is a side cross-sectional view of the present invention;

FIG. 5 is an enlarged view of the portion A of FIG. 2 according to the present invention;

FIG. 6 is an enlarged view of the portion B of FIG. 2 according to the present invention;

FIG. 7 is an enlarged view of the structure of the portion C of FIG. 3 according to the present invention.

In the figure: 1. a transverse limiting plate; 2. a limiting vertical plate; 3. a spiral cross bar; 4. a first diagonal member; 5. a second diagonal member; 6. a first slider; 7. a second slider; 8. a sliding transverse slot; 9. a second screw cap; 10. a movable vertical plate; 11. fixing the fixture block; 12. a fixed shaft; 13. a limiting square block; 14. a movable ball; 15. a movable transverse tube; 16. a traction rod; 17. a movable round bar; 18. a support frame; 19. a triangular frame; 20. a limiting shaft; 21. a threaded cross bar; 22. a screw knob; 23. a ring gear; 24. connecting the transverse plates; 25. a movable transverse plate; 26. a sliding vertical slot; 27. a slider; 28. a first screw cap; 29. a spiral vertical rod.

Detailed Description

The embodiment of the invention provides a multifunctional skin flap retractor in mammary gland surgery, which comprises a limiting transverse plate 1, wherein two ends of the bottom of the limiting transverse plate 1 are fixedly connected with limiting vertical plates 2, a connecting transverse plate 24 is connected between the two limiting vertical plates 2 in a sliding manner, two ends of one side of the connecting transverse plate 24 are fixedly connected with movable transverse plates 25, the surface of one side of each limiting vertical plate 2 is provided with a sliding vertical groove 26, one end of each movable transverse plate 25, which is close to each limiting vertical plate 2, is fixedly connected with a sliding block 27, the sliding block 27 is connected with the sliding vertical groove 26 in a sliding manner, the bottom of the connecting transverse plate 24 is provided with a first screw cap 28, the top of the first screw cap 28 is fixedly connected with a screw vertical rod 29, the top of the screw vertical rod 29 is provided with a first bearing, the screw vertical rod 29 penetrates through the connecting transverse plate 24 and is in threaded connection with the connecting, place spacing diaphragm 1 in sick bed edge top department, it is rotatory to rotate first screw cap 28 and drive spiral montant 29 rotatory subsequently, spiral montant 29 drives and connects diaphragm 24 and activity diaphragm 25 motion, activity diaphragm 25 drives sliding block 27 and moves in slip vertical slot 26, activity diaphragm 25 moves to sick bed edge bottom, press from both sides tightly the sick bed through activity diaphragm 25 and spacing diaphragm 1, make whole tractive ware fixed, the operating time of medical staff's installation has been reduced, the fixed stability of flap tractive ware has been improved.

The top of the limiting transverse plate 1 is provided with a movable lifting mechanism, the movable lifting mechanism comprises a spiral transverse rod 3, a first inclined rod 4 and a second inclined rod 5, the two end surfaces of the top of the limiting transverse plate 1 are respectively provided with a sliding transverse groove 8, the first inclined rod 4 and the second inclined rod 5 are respectively positioned at the tops of the two ends of the limiting transverse plate 1, the bottom of the first inclined rod 4 is provided with a first slide block 6, the top of the first slide block 6 is movably hinged with the bottom of the first inclined rod 4, the bottom of the second inclined rod 5 is provided with a second slide block 7, the top of the second slide block 7 is movably hinged with the bottom of the second inclined rod 5, the first slide block 6 and the second slide block 7 are respectively connected with the two sliding transverse grooves 8 in a sliding manner, one end of the limiting transverse plate 1 is provided with a second spiral cap 9, the spiral transverse rod 3 is positioned at one side of the second spiral cap 9 close to the limiting transverse plate 1, the spiral transverse rod 3 is fixedly, two ends of a spiral cross rod 3 penetrate through one side of a first sliding block 6 and a second sliding block 7 and are in threaded connection with the first sliding block 6 and the second sliding block 7, a second bearing is arranged on the spiral cross rod 3 far away from a second spiral cap 9 and is fixedly connected with a limiting transverse plate 1, the tops of a first inclined rod 4 and a second inclined rod 5 are movably hinged, a movable vertical plate 10 is arranged on the top of the first inclined rod 4, fixed clamping blocks 11 are fixedly connected on two sides of the bottom of the movable vertical plate 10, a fixed shaft 12 is fixedly connected between the two fixed clamping blocks 11 and penetrates through the tops of the first inclined rod 4 and the second inclined rod 5 at the same time and is movably sleeved with the first inclined rod 4 and the second inclined rod 5, a limiting block 13 is fixedly connected on the top of the movable vertical plate 10, the spiral cross rod 3 is driven to rotate by rotating the second spiral cap 9, so that the first sliding block 6 and the second sliding block 7 are driven to move in, the height of the movable vertical rod is adjusted, so that the height of the limiting traction assembly is adjusted, the normal use of the flap retractor is facilitated, the retractor is prevented from damaging tissues and causing influence on healing of a patient after an operation, and the safety of the retractor for tissue traction is improved.

A limiting traction component is arranged on one side of the limiting block 13, the limiting traction component comprises a movable ball 14, a movable transverse pipe 15 and a traction rod 16, a spherical groove is formed in the inner side of the limiting block 13, the movable ball 14 is positioned on the inner side of the spherical groove, the movable ball 14 is movably hinged with the spherical groove, the movable transverse pipe 15 is positioned on one side of the limiting block 13, the movable transverse pipe 15 penetrates through the limiting block 13 and is fixedly connected with the movable ball 14, a support frame 18 is arranged at the bottom of one end, close to the limiting block 13, of the movable transverse pipe 15, the support frame 18 is fixedly connected with a movable vertical plate 10, a movable round rod 17 is movably sleeved on the inner side of one end, far away from the limiting block 13, of the movable round rod 17, one end, far away from the movable transverse pipe 15, is fixedly connected with a triangular frame 19, a limiting shaft 20 is fixedly connected to the top of the inner side of the, the limiting shaft 20 penetrates through the top of the traction rod 16 and is movably sleeved with the traction rod 16, two ends of the bottom of the traction rod 16 penetrate through a triangular frame 19, a threaded cross rod 21 is arranged at the bottom of the limiting shaft 20, two ends of the threaded cross rod 21 penetrate through two sides of the traction rod 16 and are in threaded connection with the traction rod 16, a threaded knob 22 is arranged at the bottom of one end, away from the movable round rod 17, of the triangular frame 19, a ring gear 23 is in threaded connection with the bottom of the threaded cross rod 21, the threaded knob 22 is in threaded connection with the ring gear 23, a third bearing is arranged at one end, close to the movable round rod 17, of the threaded knob 22 and is fixedly connected with the triangular frame 19, a medical worker holds the movable round rod 17 to slide in the movable transverse pipe 15 by hand to adjust the position of the traction device, the movable transverse pipe 15 drives the movable round ball 14 to change the angle in the spherical groove, the ring gear 23 is driven by rotating the threaded, the traction apparatus has the advantages that the size of a skin flap or tissue traction wound of a patient is adjusted, the operation is convenient and rapid, medical personnel can conveniently pull the skin flap or tissue of the patient, and the application range of the traction apparatus is expanded.

The implementation mode is specifically as follows: in the process of practical use, before a medical staff pulls a skin flap or tissue of a patient, the medical staff firstly places the limiting transverse plate 1 at the top of the edge of a sickbed, then rotates the first screw cap 28, the first screw cap 28 drives the screw vertical rod 29 to rotate, the screw vertical rod 29 drives the connecting transverse plate 24 to slide between the two limiting vertical plates 2, the connecting transverse plate 24 drives the movable transverse plate 25 to move, the movable transverse plate 25 drives the sliding block 27 to move in the sliding vertical groove 26, the movable transverse plate 25 moves to the bottom of the edge of the sickbed, the sickbed is clamped through the movable transverse plate 25 and the limiting transverse plate 1, so that the whole retractor is fixed, the second screw cap 9 is rotated, the second screw cap 9 drives the screw cross rod 3, the screw cross rod 3 drives the first sliding block 6 and the second sliding block 7 to move in opposite directions, and the first sliding block 6 and the second sliding block 7 respectively move in the two sliding transverse grooves 8, the first sliding block 6 and the second sliding block 7 simultaneously push the movable vertical rod to move, and the height of the movable vertical rod is adjusted, so that the height of the limiting traction assembly is adjusted.

Then the medical staff holds the movable round rod 17 by hand to slide in the movable transverse tube 15 so as to adjust the position of the tractor, meanwhile, the movable transverse tube 15 drives the movable round ball 14 to change the angle in the spherical groove, the screw button 22 is rotated, the screw button 22 drives the ring gear 23 to rotate, the ring gear 23 drives the threaded cross rod 21 to rotate, meanwhile, the threaded cross rod 21 drives the two sides of the traction rod 16 to move, the size of a skin flap or tissue traction wound of a patient is adjusted, and meanwhile, the skin flap or tissue of the patient is pulled.

The foregoing shows and describes the general principles and broad features of the present invention and advantages thereof. It should be understood by those skilled in the art that the present invention is not limited to the above-described embodiments, which are described in the specification and illustrated only for the purpose of illustrating the principles of the present invention, and that various changes and modifications may be made without departing from the spirit and scope of the invention as hereinafter claimed. The scope of the invention is defined by the appended claims and equivalents thereof.

Claims

1. The utility model provides a multi-functional skin flap tractive ware in mammary gland surgery art, includes spacing diaphragm (1), its characterized in that: both ends of the bottom of the limiting transverse plate (1) are fixedly connected with limiting vertical plates (2), and the top of the limiting transverse plate (1) is provided with a movable lifting mechanism;

the movable lifting mechanism comprises a spiral cross rod (3), a first inclined rod (4) and a second inclined rod (5), sliding cross grooves (8) are formed in the surfaces of two ends of the top of the limiting transverse plate (1), the first inclined rod (4) and the second inclined rod (5) are respectively located at the tops of two ends of the limiting transverse plate (1), a first sliding block (6) is arranged at the bottom of the first inclined rod (4), the top of the first sliding block (6) is movably hinged with the bottom of the first inclined rod (4), a second sliding block (7) is arranged at the bottom of the second inclined rod (5), the top of the second sliding block (7) is movably hinged with the bottom of the second inclined rod (5), the first sliding block (6) and the second sliding block (7) are respectively in sliding connection with the two sliding cross grooves (8), a second spiral cap (9) is arranged at one end of the limiting transverse plate (1), and the spiral cross rod (3) is located at one side, close to the limiting transverse plate (1), of the second spiral cap (9), spiral horizontal pole (3) and second spiral cap (9) fixed connection, spiral horizontal pole (3) middle part runs through spacing diaphragm (1) and cup joints with spacing diaphragm (1) activity, spiral horizontal pole (3) both ends all run through first slider (6) and second slider (7) one side and with first slider (6) and second slider (7) threaded connection, second spiral cap (9) are kept away from in spiral horizontal pole (3) are equipped with the second bearing, second bearing and spacing diaphragm (1) fixed connection, first down tube (4) and second down tube (5) top activity are articulated, first down tube (4) top is equipped with activity riser (10), the equal fixedly connected with fixture block (11) in activity riser (10) bottom both sides, two fixedly connected with fixed axle (12) between fixture block (11), fixed axle (12) run through first down tube (4) and second down tube (5) top simultaneously and with first down tube (4) ) The second inclined rod (5) is movably sleeved, a limiting block (13) is fixedly connected to the top of the movable vertical plate (10), and a limiting drawing component is arranged on one side of the limiting block (13).

2. The multifunctional flap retractor in breast surgery as claimed in claim 1, wherein: the limiting traction assembly comprises a movable round ball (14), a movable transverse pipe (15) and a traction rod (16), a spherical groove is formed in the inner side of the limiting square block (13), the movable round ball (14) is located in the inner side of the spherical groove, the movable round ball (14) is movably hinged with the spherical groove, the movable transverse pipe (15) is located on one side of the limiting square block (13), the movable transverse pipe (15) penetrates through the limiting square block (13) and is fixedly connected with the movable round ball (14), and a movable round rod (17) is movably sleeved on the inner side of one end, away from the limiting square block (13), of the movable transverse pipe (15).

3. The multifunctional flap retractor in breast surgery as claimed in claim 2, wherein: the bottom of one end of the movable transverse tube (15) close to the limiting block (13) is provided with a support frame (18), and the support frame (18) is fixedly connected with the movable vertical plate (10).

4. The multifunctional flap retractor in breast surgery as claimed in claim 2, wherein: the utility model discloses a horizontal pipe of activity, including horizontal pipe of activity (15), draw rod (16), triangle-shaped frame (19), triangle-shaped frame (17) keep away from activity horizontal pipe (15) one end fixedly connected with triangle-shaped frame (19), triangle-shaped frame (19) inboard top fixedly connected with spacing axle (20), draw rod (16) are located spacing axle (20) bottom, spacing axle (20) run through draw rod (16) top and cup joint with draw rod (16) activity, draw rod (16) bottom both ends all run through triangle-shaped frame (19).

5. The multifunctional flap retractor in breast surgery as claimed in claim 4, wherein: the utility model discloses a spacing axle, including spacing axle (20), pull rod (16), triangle-shaped frame (19), movable round bar (17), limit shaft (20) bottom is equipped with screw thread horizontal pole (21), screw thread horizontal pole (21) both ends all run through pull rod (16) both sides and with pull rod (16) threaded connection, triangle-shaped frame (19) are kept away from movable round bar (17) one end bottom and are equipped with screw knob (22), screw thread horizontal pole (21) bottom threaded connection has ring gear (23), screw knob (22) and ring gear (23) threaded connection.

6. The multifunctional flap retractor in breast surgery as claimed in claim 5, wherein: and a third bearing is arranged at one end of the screw knob (22) close to the movable round rod (17), and the third bearing is fixedly connected with the triangular frame (19).

7. The multifunctional flap retractor in breast surgery as claimed in claim 1, wherein: two sliding connection has connecting diaphragm (24) between spacing riser (2), connect equal fixedly connected with activity diaphragm (25) in diaphragm (24) one side both ends, the perpendicular groove of slip (26) has been seted up to spacing riser (2) side surface.

8. The multifunctional flap retractor in breast surgery as claimed in claim 7, wherein: activity diaphragm (25) are close to spacing riser (2) one end fixedly connected with sliding block (27), sliding block (27) and slip erect groove (26) sliding connection, it is equipped with first screw cap (28) to connect diaphragm (24) bottom, first screw cap (28) top fixedly connected with spiral montant (29).

9. The multifunctional flap retractor in breast surgery as recited in claim 8, characterized in that: spiral montant (29) top is equipped with first bearing, spiral montant (29) through connection diaphragm (24) and with be connected diaphragm (24) threaded connection, spiral montant (29) top and the inboard fixed connection of first bearing, first bearing and spacing diaphragm (1) fixed connection.