CN112057123A - A kind of multifunctional skin flap retractor in breast surgery - Google Patents

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

A kind of multifunctional skin flap retractor in breast surgery

technical field

The invention relates to the technical field of medical devices, in particular to a multifunctional skin flap retractor in breast surgery.

Background technique

Breast surgery is the next branch of clinical surgery. During breast surgery, skin flaps or tissue separation operations are often performed on the subcutaneous, chest skin tissue or rib surface. Due to the large separation surface and abundant blood vessels, there are high The operation is difficult, time-consuming, and the blood loss is large, and there are certain surgical obstacles. Therefore, good traction on the flap or tissue and exposure of the target field of view are helpful for the smooth operation of the operation.

At present, when dealing with free skin flaps or tissues, most medical staff use tissue forceps, vascular forceps and other machines to clamp the skin margin and expose the target field of view. However, in the prior art, breast surgery uses skin flap traction In the process of using the device, it is inconvenient to adjust, the flexibility is poor, the operation is extremely inconvenient, and it is easy to cause damage to the tissue, which will affect the healing of the patient after surgery. If it is not good, it is easy to cause medical staff to spend more time in operation and poor practicability.

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

SUMMARY OF THE INVENTION

(1) Technical problems solved

In view of the deficiencies of the prior art, the present invention provides a multifunctional skin flap retractor in breast surgery to solve the problems raised in the above background art.

(2) Technical solutions

In order to achieve the above purpose, the present invention is achieved through the following technical solutions: a multifunctional skin flap retractor in breast surgery, comprising a limit transverse plate, and both ends of the bottom of the limit transverse plate are fixedly connected with a limit vertical plate. , the top of the limit cross plate is provided with a movable lifting mechanism;

The movable lifting mechanism includes a spiral cross bar, a first inclined bar and a second inclined bar, and sliding transverse grooves are formed on both ends of the top of the limiting cross plate, and the first inclined bar and the second inclined bar are respectively located at The tops of the two ends of the limiting horizontal plate, the bottom of the first inclined rod is provided with a first sliding block, the top of the first sliding block is hinged with the bottom of the first inclined rod, and the bottom of the second inclined rod is provided with a second sliding block The top of the second sliding block is articulated with the bottom of the second inclined rod, the first sliding block and the second sliding block are respectively slidably connected with two sliding transverse grooves, and one end of the limiting transverse plate is provided with a second sliding block. screw cap, the screw cross bar is located on the side of the second screw cap close to the limit cross plate, the screw cross bar is fixedly connected with the second screw cap, the middle part of the screw cross bar penetrates the limit cross plate and is connected with the limit cross plate The plates are movably sleeved, and both ends of the spiral cross bar penetrate one side of the first slider and the second slider and are threadedly connected with the first slider and the second slider, and the spiral cross bar is far away from the second screw cap. There is a second bearing, the second bearing is fixedly connected with the limit cross plate, the top of the first inclined rod and the top of the second inclined rod are hinged, and the top of the first inclined rod is provided with a movable vertical plate, and the movable vertical Both sides of the bottom of the plate are fixedly connected with fixed clamping blocks, and a fixed shaft is fixedly connected between the two fixed clamping blocks. The second inclined rod is movably socketed, the top of the movable vertical plate is fixedly connected to a limiting block, and a limiting pulling component is arranged on one side of the limiting block.

Preferably, the limit pulling assembly includes a movable ball, a movable horizontal tube and a pulling rod, a spherical groove is opened inside the limiting block, the movable ball is located inside the spherical groove, and the movable ball is connected to the inner side of the spherical groove. The spherical groove is articulated, the movable transverse tube is located on one side of the limit block, the movable transverse tube penetrates the limit block and is fixedly connected with the movable ball, and the inner side of one end of the movable transverse tube away from the limit block is movably sleeved with a movable circle rod.

Preferably, a support frame is provided at the bottom of one end of the movable horizontal tube close to the limiting block, and the support frame is fixedly connected to the movable vertical plate.

Preferably, a triangular frame is fixedly connected to one end of the movable round rod away from the movable transverse tube, a limit shaft is fixedly connected to the inner top of the triangular frame, the pulling rod is located at the bottom of the limit shaft, and the limit shaft runs through the pulling shaft. The top of the rod is movably sleeved with the pulling rod, and both ends of the bottom of the pulling rod pass through the triangular frame.

Preferably, the bottom of the limiting shaft is provided with a threaded cross rod, both ends of the threaded cross rod penetrate both sides of the pulling rod and are threadedly connected with the pulling rod, and the bottom of one end of the triangular frame away from the movable round rod is provided with a screw thread A ring gear is threadedly connected to the bottom of the threaded crossbar, and the screw button is threadedly connected to the ring gear.

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

Preferably, a connecting horizontal plate is slidably connected between the two limiting vertical plates, a movable horizontal plate is fixedly connected to both ends of one side of the connecting horizontal plate, and a sliding vertical plate is opened on one surface of the limiting vertical plate. groove.

Preferably, a sliding block is fixedly connected to one end of the movable horizontal plate close to the limit vertical plate, the sliding block is slidably connected to the sliding vertical groove, the bottom of the connecting horizontal plate is provided with a first screw cap, and the first screw cap is The top is fixedly connected with a spiral vertical rod.

Preferably, the top of the spiral vertical rod is provided with a first bearing, the spiral vertical rod penetrates the connecting horizontal plate and is threadedly connected with the connecting horizontal plate, the top of the spiral vertical rod is fixedly connected to the inner side of the first bearing, and the first The bearing is fixedly connected with the limit cross plate.

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

1. The multifunctional skin flap retractor in breast surgery adjusts the height of the limit pulling component by setting a movable lifting mechanism, and drives the first slider and the screw rod to rotate by rotating the second screw cap. The second sliding block moves in the opposite direction, and at the same time pushes the movable vertical rod to move, adjusts the height of the movable vertical rod, thereby adjusting the height of the limit pulling assembly, which is convenient for the normal use of the flap retractor, and the structure of the present invention is clear The operation is convenient and quick, avoiding the inconvenient adjustment of the flap retractor for breast surgery during use, making the retractor less flexible and affecting the surgical process of medical staff, preventing the retractor from causing damage to the tissue and causing damage to the tissue. It affects the healing of patients after surgery, and improves the safety of the retractor for tissue pulling.

2. The multifunctional skin flap retractor in breast surgery can pull the patient's skin flap or tissue by setting a limit pulling component, and the medical staff holds the movable round rod and slides in the movable horizontal tube to adjust the pulling At the same time, the movable horizontal tube drives the movable ball to change the angle in the spherical groove, and the ring gear is driven by rotating the screw knob. The size of the tissue pulling wound, the operation of the retractor is convenient and quick, and it is convenient for medical staff to pull the patient's skin flap or tissue, which expands the scope of application of the retractor and improves the practicability.

3. The multifunctional skin flap retractor in breast surgery is provided with a movable horizontal plate, a limit vertical plate and a first screw cap. Before pulling, the limit horizontal plate is first placed at the top of the edge of the hospital bed, and then Rotating the first screw cap drives the spiral vertical rod to rotate, the screw vertical rod drives the connecting horizontal plate and the movable horizontal plate to move, the movable horizontal plate drives the sliding block to move in the sliding vertical groove, and the movable horizontal plate moves to the bottom of the edge of the hospital bed, and passes through the movable horizontal plate. It clamps the hospital bed with the limit transverse plate, so that the whole retractor is fixed, which improves the installation and removal effect of the flap retractor, reduces the operation time of medical personnel for installation, and improves the stability of the fixation of the flap retractor. sex.

Description of drawings

Fig. 1 is the overall structure schematic diagram of the present invention;

Fig. 2 is the overall explosion structure schematic diagram of the present invention;

Fig. 3 is the front sectional view of the present invention;

Fig. 4 is the side sectional view of the present invention;

FIG. 5 is an enlarged view of the structure of part A of FIG. 2 of the present invention;

FIG. 6 is an enlarged view of the structure of part B of FIG. 2 of the present invention;

FIG. 7 is an enlarged view of the structure of part C of FIG. 3 of the present invention.

In the figure: 1. Limiting horizontal plate; 2. Limiting vertical plate; 3. Spiral cross-bar; 4. The first inclined rod; 5. The second inclined rod; 6. The first sliding block; ;8, sliding horizontal groove; 9, second screw cap; 10, movable vertical plate; 11, fixed block; 12, fixed shaft; 13, limit block; 14, movable ball; 15, movable horizontal tube; 16 , pulling rod; 17, movable round rod; 18, support frame; 19, triangular frame; 20, limit shaft; 21, threaded cross rod; 22, screw knob; 23, ring gear; 24, connecting cross plate; 25 , movable horizontal plate; 26, sliding vertical groove; 27, sliding block; 28, first screw cap; 29, spiral vertical rod.

Detailed ways

An embodiment of the present invention provides a multifunctional skin flap retractor for breast surgery, as shown in Figures 1-7 , comprising a limiter transverse plate 1, and both ends of the bottom of the limiter transverse plate 1 are fixedly connected to a limiter vertical plate 2 A connecting horizontal plate 24 is slidably connected between the two limiting vertical plates 2, and a movable horizontal plate 25 is fixedly connected to both ends of one side of the connecting horizontal plate 24, and a sliding vertical groove 26 is opened on one side of the limiting vertical plate 2, A sliding block 27 is fixedly connected to one end of the movable horizontal plate 25 near the limit vertical plate 2 , and the sliding block 27 is slidably connected to the sliding vertical groove 26 . The bottom of the connecting horizontal plate 24 is provided with a first screw cap 28 , and the top of the first screw cap 28 is fixedly connected There is a spiral vertical rod 29, the top of the spiral vertical rod 29 is provided with a first bearing, the spiral vertical rod 29 penetrates through the connecting horizontal plate 24 and is threadedly connected with the connecting horizontal plate 24, and the top of the spiral vertical rod 29 is fixedly connected to the inner side of the first bearing. The bearing is fixedly connected with the limit cross plate 1, the limit cross plate 1 is placed at the top of the edge of the hospital bed, and then the first screw cap 28 is rotated to drive the spiral vertical rod 29 to rotate, and the spiral vertical rod 29 drives the connecting cross plate 24 and the movable cross plate. 25 moves, the movable transverse plate 25 drives the sliding block 27 to move in the sliding vertical slot 26, the movable transverse plate 25 moves to the bottom of the edge of the hospital bed, and the hospital bed is clamped by the movable transverse plate 25 and the limit transverse plate 1, so that the whole pulling The device is fixed, which reduces the operation time for medical personnel to install and improves the stability of the fixation of the flap retractor.

The top of the limit cross plate 1 is provided with a movable lifting mechanism, and the movable lifting mechanism includes a spiral cross bar 3, a first inclined rod 4 and a second inclined rod 5, and the two end surfaces of the top of the limit cross plate 1 are provided with sliding transverse grooves 8. The first oblique rod 4 and the second oblique rod 5 are respectively located at the tops of both ends of the limiting cross plate 1 , the bottom of the first oblique rod 4 is provided with a first sliding block 6 , and the top of the first sliding block 6 and the bottom of the first oblique rod 4 are movable. The bottom of the second inclined rod 5 is provided with a second sliding block 7, the top of the second sliding block 7 is hinged with the bottom of the second inclined rod 5, and the first sliding block 6 and the second sliding block 7 are respectively connected with two sliding transverse grooves. 8. Sliding connection, one end of the limit cross plate 1 is provided with a second screw cap 9, the screw cross bar 3 is located on the side of the second screw cap 9 close to the limit cross plate 1, the screw cross bar 3 is fixedly connected with the second screw cap 9, The middle part of the spiral cross bar 3 penetrates the limit cross plate 1 and is movably sleeved with the limit cross plate 1 , and both ends of the spiral cross bar 3 penetrate one side of the first slider 6 and the second slider 7 and are connected with the first slider 6 It is threadedly connected with the second slider 7, and the screw cross bar 3 is provided with a second bearing away from the second screw cap 9. The second bearing is fixedly connected with the limit cross plate 1, and the tops of the first inclined rod 4 and the second inclined rod 5 are movable. Hinged, the top of the first inclined rod 4 is provided with a movable vertical plate 10, the bottom of the movable vertical plate 10 is fixedly connected with a fixed block 11 on both sides, and a fixed shaft 12 is fixedly connected between the two fixed blocking blocks 11, and the fixed shaft 12 is at the same time. Passing through the top of the first inclined rod 4 and the second inclined rod 5 and is movably sleeved with the first inclined rod 4 and the second inclined rod 5, the top of the movable vertical plate 10 is fixedly connected to the limiting block 13, and is driven by rotating the second screw cap 9 The spiral cross bar 3 rotates, thereby driving the first slider 6 and the second slider 7 to move in opposite directions, and at the same time pushes the movable vertical bar to move, and adjusts the height of the movable vertical bar, thereby adjusting the height of the limit pulling assembly, It is convenient for the normal use of the skin flap retractor, prevents the retractor from causing damage to the tissue and affects the post-operative healing of the patient, and improves the safety of the retractor for tissue pulling.

One side of the limit block 13 is provided with a limit pull component. The limit pull component includes a movable ball 14, a movable cross tube 15 and a pull rod 16. A spherical groove is formed on the inner side of the limit block 13, and the movable ball 14 is located in the spherical On the inner side of the groove, the movable ball 14 is hinged with the spherical groove, the movable horizontal tube 15 is located on the side of the limit block 13, the movable horizontal tube 15 penetrates the limit block 13 and is fixedly connected with the movable ball 14, and the movable horizontal tube 15 is close to the limit block. 13. A support frame 18 is provided at the bottom of one end, the support frame 18 is fixedly connected with the movable vertical plate 10, the movable horizontal tube 15 is away from the limit block 13 and the inner side of one end is movably sleeved with a movable circular rod 17, and the movable circular rod 17 is away from the movable horizontal tube 15. A triangular frame 19 is fixedly connected, the inner top of the triangular frame 19 is fixedly connected to the limit shaft 20, the pulling rod 16 is located at the bottom of the limit shaft 20, the cross section of the pulling rod 16 is set to a V shape, and the pulling rod 16 is made of elastic metal. Made of material, the limit shaft 20 penetrates through the top of the pulling rod 16 and is movably sleeved with the pulling rod 16, and both ends of the bottom of the pulling rod 16 pass through the triangular frame 19. The bottom of the limit shaft 20 is provided with a threaded cross bar 21. Both ends of the cross rod 21 penetrate both sides of the pulling rod 16 and are threadedly connected with the pulling rod 16. The bottom of one end of the triangular frame 19 away from the movable round rod 17 is provided with a screw button 22, and the bottom of the threaded cross rod 21 is threadedly connected with a ring gear 23. The screw knob 22 is threadedly connected with the ring gear 23, and one end of the screw knob 22 close to the movable round rod 17 is provided with a third bearing, and the third bearing is fixedly connected with the triangular frame 19. In this way, the position of the retractor is adjusted, and at the same time, the movable cross tube 15 drives the movable ball 14 to change the angle in the spherical groove. By rotating the screw knob 22, the ring gear 23 is driven. The two sides of the pull rod 16 move to adjust the size of the patient's skin flap or tissue pulling wound. The retractor is convenient and quick to operate, which is convenient for medical staff to pull the patient's skin flap or tissue, and expands the scope of application of the retractor. .

The specific embodiment is as follows: during the actual use of the present invention, before the medical staff stretches the patient's skin flap or tissue, the limiting transverse plate 1 is first placed at the top of the edge of the hospital bed, and then the first screw cap 28 is rotated. The first screw cap 28 drives the spiral vertical rod 29 to rotate, the screw vertical rod 29 drives the connecting horizontal plate 24 to slide between the two limiting vertical plates 2 , the connecting horizontal plate 24 drives the movable horizontal plate 25 to move, and the movable horizontal plate 25 drives the sliding The block 27 moves in the sliding vertical groove 26, the movable cross plate 25 moves to the bottom of the edge of the hospital bed, and the hospital bed is clamped by the movable cross plate 25 and the limit cross plate 1, so that the entire retractor is fixed, and the second screw cap 9 is rotated. , the second screw cap 9 drives the screw cross bar 3 to rotate, the screw cross bar 3 drives the first slider 6 and the second slider 7 to move in opposite directions, the first slider 6 and the second slider 7 are respectively in the two When the sliding transverse groove 8 moves, the first sliding block 6 and the second sliding block 7 simultaneously push the movable vertical rod to move, and adjust the height of the movable vertical rod, thereby adjusting the height of the limit pulling assembly.

Next, the medical staff holds the movable rod 17 and slides in the movable horizontal tube 15 to adjust the position of the retractor. At the same time, the movable horizontal tube 15 drives the movable ball 14 to change the angle in the spherical groove. The knob 22 drives the ring gear 23 to rotate, the ring gear 23 drives the threaded crossbar 21 to rotate, and the threaded crossbar 21 drives the two sides of the pulling rod 16 to move to adjust the size of the patient's skin flap or tissue pulling wound, and at the same time, the patient's skin flap is adjusted. Or tissue stretch.

The basic principles and main features of the present invention and the advantages of the present invention have been shown and described above. Those skilled in the art should understand the multifunctional skin flap retractor in breast surgery. The present invention is not limited by the above-mentioned embodiments. The above-mentioned embodiments and descriptions only illustrate the principle of the present invention, without departing from the spirit of the present invention. Under the premise of the scope of the present invention, there will be various changes and improvements in the present invention, and these changes and improvements all fall within the scope of the claimed invention. The claimed scope of the present invention is defined by the appended claims and their equivalents.

Claims (9)

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.

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