CN113017784B - Three-dimensional cone skin grafting method - Google Patents

Three-dimensional cone skin grafting method Download PDF

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Publication number
CN113017784B
CN113017784B CN202110232032.4A CN202110232032A CN113017784B CN 113017784 B CN113017784 B CN 113017784B CN 202110232032 A CN202110232032 A CN 202110232032A CN 113017784 B CN113017784 B CN 113017784B
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cone
skin
module
cutter
falling
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CN113017784A (en
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胡泉
温学辉
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Fourth Medical Center General Hospital of Chinese PLA
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Fourth Medical Center General Hospital of Chinese PLA
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/322Skin grafting apparatus

Abstract

The invention discloses a cone skin three-dimensional skin grafting method, which comprises the following steps: selecting a proper anesthesia mode and a proper position according to the size of the operation part and the wound surface; removing necrotic tissue; cutting the wound surface into a cone wave surface by using a cone skin taking device, stopping bleeding on the cone wave surface, and washing the wound surface; cutting cone skin according to the requirement of the wound surface by using a cone skin taking device; the cone skin is correspondingly embedded into the cone wave surface, and is properly pressed and bound after being fixed. The cone skin can be well combined with the broken layer tissue in the cone wavy surface of the wound surface, the contracture of the transplanted cone skin sheet is reduced by changing the direction of the connection plane of the transplanted cone skin sheet and the broken layer tissue of the skin receiving area in the wound surface, and meanwhile, the dermis carrying capacity of the transplanted skin sheet is increased while the multi-plane skin receiving surface is established, so that the effects of reducing the contracture of the transplanted skin sheet to the maximum extent and improving the healing quality can be achieved.

Description

Three-dimensional cone skin grafting method
Technical Field
The invention relates to the technical field of medical operations, in particular to a conical skin three-dimensional skin grafting method.
Background
In the field of burn plastic surgery, autologous skin grafting is a main treatment operation. Since the particle skin grafting method which is known as Chinese grafting method at home and abroad in 1985 provides revolutionary development for burn clinic, no substantial progress is made to the current skin grafting. At present, the autologous skin grafting can be divided into a full-thickness skin grafting method, a fault skin grafting method (further divided into a blade-thickness skin grafting method and a medium-thickness skin grafting method according to the thickness) and a particle skin grafting method. Since the nature of autologous skin transplantation is that the patient himself takes the treatment method of 'removing east wall and filling west wall', we have to take the gains and losses of the skin receiving area and the skin supplying area into consideration. For large-area burn patients, the knife-thick skin grafting method and the particle skin grafting method are widely applied clinically because the damage to the skin supply area is small. But many clinicians will have such experience: after the skin grafting of a large-area patient, the contracture of the blade-thick skin graft is much more serious than that of the microsomal skin.
We have discovered, by summarizing the results of many studies at home and abroad and many clinical practices we have done by themselves: the mechanism by which contractures in knife-thick graft are more severe than those of microsomes should include the following three aspects: 1) the influence of the contact plane direction of the graft and the skin tissue; 2) when the autologous dermal tissue is embedded into the repair tissue, the scar hyperplasia can be inhibited through the action of autologous fibroblasts to relieve the skin contracture; 3) wound healing is a complex biological process, and relates to the processes of proliferation, migration, differentiation, apoptosis and the like of various repairing cells, and the repairing cells are the main body of wound repair. Therefore, we propose a pyramidal volumetric skin grafting method to at least partially solve the problems of the prior art.
Disclosure of Invention
In this summary, concepts in a simplified form are introduced that are further described in the detailed description. This summary of the invention is not intended to identify key features or essential features of the claimed subject matter, nor is it intended to be used as an aid in determining the scope of the claimed subject matter.
In order to at least partially solve the above problems, the present invention provides a conical skin three-dimensional skin grafting method, comprising: step S1: selecting a proper anesthesia mode and a proper position according to the size of the operation part and the wound surface;
step S2: removing necrotic tissue;
step S3: cutting the wound surface into a cone wave surface by using a cone skin taking device, stopping bleeding on the cone wave surface, and washing the wound surface;
step S4: cutting cone skin according to the requirement of the wound surface by using a cone skin taking device;
step S5: the cone skin is correspondingly embedded into the cone wave surface, and is properly pressed and bound after being fixed.
Preferably, the step S3 further includes the step S31: cutting a plurality of conical skin-accepting incisions on the wound surface by using a scalpel;
the step S4 further includes a step S41: after the cone leather is obtained, cutting cone leather strips on the cone leather; step S42: cutting the cone skin strip into a plurality of cone skin particles using a cone skin particle former;
the step S5 further includes a step S51: the cone skin particles are correspondingly embedded into the cone-shaped skin receiving incision, and are properly pressed and bound after being fixed
Preferably, the cone skin taking device comprises a bearing plate, a handle and a cone cutter, wherein the handle is arranged on the upper surface of the bearing plate, the cone cutter is arranged on the lower surface of the bearing plate, and a cutting edge is arranged on one end wall of the cone cutter.
Preferably, a motor and a battery module are arranged in the handle, a switch is arranged on the outer wall of the handle, and the motor is electrically connected with the battery module through the switch;
the lower surface of the bearing plate is provided with a driving module and an auxiliary cutter, an output shaft of the motor is connected with the driving module, the auxiliary cutter is arranged outside the cone cutter, an auxiliary blade is arranged at one end of the auxiliary cutter, the lower surface of the cone cutter is attached to the upper surface of the auxiliary cutter, and the cone cutter is connected with the driving module, so that the cutting blade moves back and forth relative to the auxiliary blade to cut skin tissues.
Preferably, the cone cutter comprises a first toothed blade and two first side plates, the two first side plates are respectively arranged at the end part of the first toothed blade, and one end of the first toothed blade is provided with the cutting edge;
the auxiliary cutter comprises a second toothed blade and two second side plates, the two second side plates are arranged at the end part of the second toothed blade respectively, and one end of the second toothed blade is provided with the auxiliary edge.
Preferably, the upper surface of the forming base is provided with a cone groove, and the side wall of the forming base is provided with a plurality of cutting grooves, and the cutting grooves are communicated with the cone groove.
Preferably, the method further comprises the following steps: the shaping sword, the shaping sword includes blade holder and a plurality of blade, and is a plurality of the blade equipartition is in proper order in on the blade holder, the blade with cut groove corresponding, be provided with left side sword, top sword and right side sword on the blade.
Preferably, a plurality of fixing grooves are formed on an end surface of the forming base, the plurality of fixing grooves are located on two sides of the cone groove, and a partition plate is selectively arranged in the fixing grooves.
Preferably, an anti-falling frame is arranged on the peripheral side wall of the bearing plate, the anti-falling frame is formed by connecting a plurality of anti-falling rods, the anti-falling rods sequentially comprise an appearance disinfection module, a first drying module, a first anti-falling module, a middle supporting plate, an inner support module, a second anti-falling module and a second drying module from outside to inside, the appearance disinfection module comprises a first disinfection paste and a second disinfection paste, and a plurality of release pastes are arranged between the first disinfection paste and the second disinfection paste; the first drying module comprises a fixed plate and a first drying silica gel particle plate arranged on the inner surface of the fixed plate, the first anti-falling module comprises a hexagonal supporting block and a plurality of connecting rods arranged on the lateral part of the hexagonal supporting block, a first light hole and a plurality of second light holes are arranged in the hexagonal supporting block, the plurality of second light holes are uniformly distributed around the first light hole, the middle supporting plate comprises a plate body and two transverse supporting plates, the transverse supporting plates are arranged at the end parts of the plate body, the inner supporting module comprises a plurality of built-in modules, each built-in module comprises two inclined rods, two vertical supporting plates and a middle block, the middle block is arranged between the two vertical supporting plates, the two inclined rods are respectively arranged on the two sides of the vertical supporting plates on the outer side, and the second anti-falling module comprises a concave-convex plate, a first spring and a transverse supporting rod, the first spring abuts against the concave part of the concave-convex plate, the transverse supporting rod abuts against the convex part of the concave-convex plate, and the second drying module comprises a second drying silica gel particle plate and a bottom plate arranged on the inner surface of the second drying silica gel particle plate.
Preferably, the ends of the anti-falling rods are in a slope shape, the ends of two adjacent anti-falling rods are respectively provided with a first elastic module and a second elastic module, the first elastic module comprises a first elastic inclined frame and a plurality of second springs, the plurality of second springs are arranged in the first elastic inclined frame, the first elastic inclined frame is provided with a first clamping groove and a first clamping rod, the second elastic module comprises a second elastic inclined frame and a plurality of third springs, the plurality of third springs are arranged in the second elastic inclined frame, the second elastic inclined frame is provided with a second clamping groove and a second clamping rod, the first clamping rod is inserted in the second clamping groove, and the second clamping rod is inserted in the first clamping groove.
Compared with the prior art, the invention at least comprises the following beneficial effects:
the invention provides a conical skin three-dimensional skin grafting method, in particular to a conical skin three-dimensional skin grafting method which is implemented by medical workers selecting a proper anesthesia mode and a proper body position according to the sizes of an operation part and a wound surface, and then disinfecting and laying a sterile sheet in a conventional operation area after satisfactory anesthesia; medical care personnel thoroughly remove necrotic tissues by using a roller knife or a scalpel so as to conveniently expose the wound surface; cutting the wound surface into a cone wave surface by using a cone skin taking device, stopping bleeding on the cone wave surface, and washing the wound surface; cutting cone skin in the skin supply area according to the requirement of the wound surface by using a cone skin taking device, correspondingly embedding the taken cone skin into a cone wave surface, fixing, and then appropriately pressurizing and binding. The cone skin can be well combined with the broken layer tissue in the cone wavy surface of the wound surface, the contracture of the transplanted cone skin is reduced by changing the direction of the connection plane of the transplanted cone skin and the broken layer tissue of the skin receiving area in the wound surface, and meanwhile, the dermis carrying capacity of the transplanted skin is increased while the multi-plane skin receiving surface is established, so that the effects of reducing the contracture of the transplanted skin to the maximum extent and improving the healing quality can be achieved.
The pyramidal volumetric skin grafting method of the present invention, together with other advantages, objects, and features thereof, will be set forth in part in the description which follows and in part will become apparent to those having ordinary skill in the art upon examination of the following or may be learned from practice of the invention.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention and not to limit the invention. In the drawings:
FIG. 1 is a schematic flow chart of the operation of the present invention.
FIG. 2 is another flow chart illustrating the operation of the present invention.
FIG. 3 is a schematic view of the cone-shaped dermatome of the present invention.
Fig. 4 is a schematic structural view of a cone cutter and an auxiliary cutter according to the present invention.
FIG. 5 is a front view of the cone dermatome of the present invention.
Fig. 6 is a schematic structural view of the forming base of the present invention.
Fig. 7 is a schematic structural view of the forming knife of the present invention.
Fig. 8 is a schematic structural view of a fixing groove in the present invention.
FIG. 9 is a schematic view of the structure of the partition board installed in the forming seat of the present invention.
Fig. 10 is a schematic structural view of the separator of the present invention.
FIG. 11 is a top view of the cone dermatome of the present invention.
Fig. 12 is a schematic structural view of the anti-falling rod of the present invention.
Fig. 13 is a schematic view of the construction of an exterior sterilization module of the present invention.
Fig. 14 is a schematic structural diagram of a first anti-drop module according to the present invention.
Fig. 15 is a schematic structural diagram of the internal support module of the present invention.
Fig. 16 is an enlarged view of a portion a of fig. 11 according to the present invention.
Detailed Description
The present invention is further described in detail below with reference to the drawings and examples so that those skilled in the art can practice the invention with reference to the description.
It will be understood that terms such as "having," "including," and "comprising," as used herein, do not preclude the presence or addition of one or more other elements or groups thereof.
As shown in figure 1, the invention provides a cone skin three-dimensional skin grafting method, which comprises the following steps:
step S1: selecting a proper anesthesia mode and a proper position according to the size of the operation part and the wound surface;
step S2: removing necrotic tissue;
step S3: cutting the wound surface into a cone wave surface by using a cone skin taking device, stopping bleeding on the cone wave surface, and washing the wound surface;
step S4: cutting cone skin according to the requirement of the wound surface by using a cone skin taking device;
step S5: the cone skin is correspondingly embedded into the cone wave surface, and is properly pressed and bound after being fixed.
The working principle and the beneficial effects of the technical scheme are as follows: the invention provides a conical skin three-dimensional skin grafting method, in particular to a conical skin three-dimensional skin grafting method which is implemented by medical workers selecting a proper anesthesia mode and a proper body position according to the sizes of an operation part and a wound surface, and then disinfecting and laying a sterile sheet in a conventional operation area after satisfactory anesthesia; medical care personnel thoroughly remove necrotic tissues by using a roller knife or a scalpel so as to conveniently expose the wound surface; cutting the wound surface into a cone wave surface by using a cone skin taking device, stopping bleeding on the cone wave surface, and washing the wound surface; cutting cone skin in the skin supply area according to the requirement of the wound surface by using a cone skin taking device, correspondingly embedding the taken cone skin into a cone wave surface, fixing, and then appropriately pressurizing and binding.
The cone skin can be well combined with the broken layer tissue in the cone wave surface of the wound surface, the contracture of the graft skin is reduced by changing the direction of the connection plane of the transplanted cone skin and the broken layer tissue of the skin receiving area in the wound surface, and meanwhile, the dermal carrying capacity of the graft skin is increased while the multi-plane skin receiving surface is established, so that the effects of reducing the contracture of the graft skin to the maximum extent and improving the healing quality can be achieved.
As shown in fig. 2, in an embodiment, the step S3 further includes a step S31: cutting a plurality of conical skin-accepting incisions on the wound surface by using a scalpel;
the step S4 further includes a step S41: after the cone leather is obtained, cutting cone leather strips on the cone leather; step S42: cutting the cone skin strip into a plurality of cone skin particles using a cone skin particle former;
the step S5 further includes a step S51: the taken cone skin particles are correspondingly embedded into the cone-shaped skin receiving incision, and are properly pressed and bound after being fixed.
The working principle and the beneficial effects of the technical scheme are as follows: in the embodiment, a doctor can cut a plurality of conical skin-receiving cuts on the wound surface by using a scalpel according to the actual condition in the wound surface of the skin-receiving area; correspondingly, after the cone skin is obtained, cutting cone skin strips on the cone skin; and cutting the cone leather strip into a plurality of cone leather grains by using a cone leather grain former, correspondingly embedding the cone leather grains into a cone-shaped skin receiving incision, fixing and then appropriately pressurizing and binding, thereby further changing the direction of a connecting plane of the transplanted cone leather sheet and the broken layer tissue of the skin receiving area in the wound surface to reduce the contracture of the transplanted cone leather sheet.
It can be understood that medical staff can cut out a plurality of cone-shaped skin-receiving cuts on the wound surface according to the actual situation in the wound surface, and can also cut out cone wave surfaces simultaneously, so that the steps are combined to use the cone skin three-dimensional skin grafting method to carry out skin grafting operation in a skin-receiving area, and the contracture of skin grafting sheets is reduced.
As shown in fig. 3-5, in one embodiment, the conical dermatome comprises a bearing plate 1, a handle 2, and a conical cutter 16, wherein the handle 2 is disposed on the upper surface of the bearing plate 1, the conical cutter 16 is disposed on the lower surface of the bearing plate 1, and a cutting edge 14 is disposed on one end wall of the conical cutter 16.
The working principle of the technical scheme is as follows: the embodiment provides a cone skin taking device, which comprises a bearing plate 1, a handle 2 and a cone cutter 16, in particular, when a medical worker uses the cone skin taking device, the medical worker holds the handle 2 of the cone skin taking device with hands, the cone cutter 16 is then used to align the donor area, since one end of the cone cutter 16 is the cutting edge 14, the medical staff pushes the cone skin-taking device in one direction along the skin-supplying area, so that the cone cutter 16 cuts the skin tissue 100 in the skin-supplying area, since the cone-shaped cutter 16 is cone-shaped, the skin tissue 100 includes the cone-shaped skin sheet 101 and the cone-shaped skin strip 102, the medical staff can use the cutter to cut the wound surface according to the actual situation of the wound surface, a cone skin taking device is used for cutting a skin-accepting incision in a wound surface, the interior of the skin-accepting incision is cone-shaped, and then the skin tissue 100 is integrally implanted into the skin-accepting incision; or, the medical staff can use the cone skin taking device to cut a skin-accepting incision on the wound surface according to the actual situation of the wound surface, the skin-accepting incision is in a single cone shape at the moment, the medical staff uses the cutter to cut the cone skin strip 102 from the cone skin sheet 101, and the cone skin strip 102 is implanted into the skin-accepting incision.
The beneficial effects of the above technical scheme are that: through the design of the structure, the invention provides a cone skin taking device which comprises a bearing plate 1, a handle 2 and a cone cutter 16, so that medical personnel can conveniently use the cone skin taking device to cut skin tissues 100 from a skin supply area, and then a cone skin strip 102 can be obtained to meet the skin grafting requirement, and the speed and the efficiency of the medical personnel for taking the cone skin strip 102 are improved.
In one embodiment, a motor 21 and a battery module 22 are arranged in the handle 2, a switch 23 is arranged on the outer wall of the handle 2, and the motor 21 is electrically connected with the battery module 22 through the switch 23;
the lower surface of the bearing plate 1 is provided with a driving module 11 and an auxiliary cutter 12, an output shaft 211 of the motor 21 is connected with the driving module 11, the auxiliary cutter 12 is arranged outside the cone cutter 16, an auxiliary blade 13 is arranged at one end of the auxiliary cutter 12, the lower surface of the cone cutter 16 is attached to the upper surface of the auxiliary cutter 12, and the cone cutter 16 is connected with the driving module 11, so that the cutting blade 14 moves back and forth relative to the auxiliary blade 13 to cut skin tissues.
The working principle of the technical scheme is as follows: in order to further improve the efficiency of the medical staff cutting the cone leather strip 102, the present embodiment provides the driving module 11, the auxiliary cutter 12, and the motor 21 and the battery module 22 are provided in the handle 2, specifically, when the medical staff uses the device, the switch 23 can be started, so that the motor 21 and the battery module 22 are turned on, the motor 21 is turned on and drives the output shaft 211 to rotate, so as to drive the driving module 11 to move, so that the driving module 11 drives the cone cutter 16 to reciprocate, so that the cone cutter 16 moves outwards and inwards relative to the auxiliary cutter 12, after the medical staff holds the handle 2, the medical staff only needs to push the cone leather picker with a small force, so that the cone cutter 16 can cut the skin tissue of the skin supply area rapidly, and the cone cutter 16 and the auxiliary cutter 12 can divide the skin tissue together.
It should be noted that the motor 21, the battery module 22, the driving module 11, and the like are all conventional components well known to those skilled in the art, and the specific models are not described in detail.
The beneficial effects of the above technical scheme are as follows: through the design of above-mentioned structure, structure such as drive module 11, supplementary cutter 12 has been provided in this embodiment, and be provided with motor 21 in handle 2, battery module 22, with this through motor 21, battery module 22, drive module 11 provides power to cone cutter 16, make cone cutter 16 can be quick the cutting supply skin tissue in dermatoglyph district, supplementary cutter 12 then provides direction and limit function for cone cutter 16, provide the homogeneity of the skin tissue of cutting, so that improved medical personnel's cutting cone leather strap 102's efficiency, medical personnel's intensity of labour has also been reduced.
In one embodiment, the cone cutter 16 includes a first toothed blade 161, two first side plates 162, the two first side plates 162 are respectively disposed at the end of the first toothed blade 161, and one end of the first toothed blade 161 is disposed with the cutting edge 14;
the auxiliary cutter 12 includes a second toothed blade 121 and two second side plates 122, the two second side plates 122 are respectively disposed at ends of the second toothed blade 121, and one end of the second toothed blade 121 is provided with the auxiliary blade 13.
The working principle of the technical scheme is as follows: in order to further improve the efficiency of cutting the skin tissue to obtain better conic skin strips, the present embodiment provides the structure of the cone-shaped cutter 16, the cone-shaped cutter 16 includes a first tooth-shaped blade 161 and two first side plates 162, the first tooth-shaped blade 161 is composed of a plurality of continuous conic teeth, so that the medical staff can cut the skin tissue 100 once, and the conic skin 101 is provided with a plurality of conic skin strips 102;
similarly, the auxiliary cutter 12 includes a second toothed blade 121 and two second side plates 122, the two second side plates 122 are respectively disposed at the end of the second toothed blade 121, and the auxiliary blade 13 is disposed at one end of the second toothed blade 121, so that the cone cutters 16 and the auxiliary cutter 12 jointly cut the plurality of cone leather strips 102.
The beneficial effects of the above technical scheme are that: through the design of above-mentioned structure, provide the structure of cone cutter 16, supplementary cutter 12 in this embodiment, further improve the efficiency of cutting skin tissue 100 to obtain better cone leather strap 102, and then reduced medical personnel's intensity of labour and the operation degree of difficulty, also reduced the confession skin time of confession skin personnel.
As shown in fig. 6 to 11, in one embodiment, a cone groove 301 is provided on an upper surface of the forming base 3, and a plurality of cutting grooves 302 are provided on a side wall of the forming base 3, and the cutting grooves 302 are communicated with the cone groove 301.
The working principle of the technical scheme is as follows: the embodiment provides a cone leather grain former, which is used for cutting a cone leather strip into a plurality of cone leather grains, and comprises a forming seat 3, wherein a cone groove 301 is formed in the upper surface of the forming seat 3, it can be understood that a cutting groove 302 penetrates from one side surface of the forming seat 3 to the other side surface and extends to the bottom surface of the forming seat 3, the whole forming seat 3 is designed to be trapezoidal, the cone groove 301 is formed in the upper surface of the trapezoidal forming seat 3, meanwhile, the cutting groove 302 is formed in the side wall, the cutting groove 302 penetrates through three surfaces of the forming seat 3 except the upper surface, specifically, a medical worker places the taken-off cone leather strip in the cone groove 301 when using, and then the medical worker can use a cutter to cut the cone leather strip into the cone leather grains one by one from the plurality of cutting grooves 302 on the side wall of the forming seat 3, the pyramidal skin particles are then transplanted into the percutaneous incision, where the medical practitioner is required to cut the percutaneous incision into a conical shape as well, so that the pyramidal skin particles grow in contact with the surrounding tissue in the conical percutaneous incision.
The beneficial effects of the above technical scheme are that: through the design of the structure, the invention provides a cone leather-grain forming device which comprises a forming seat 3, wherein the upper surface of the forming seat 3 is provided with a cone groove 301, the side wall of the forming seat is provided with a plurality of cutting grooves 302, medical workers can cut a cone leather strip into required cone leather grains through the cone leather-grain forming device, so that the contracture of a transplanted leather sheet is reduced by changing the direction of a tissue connecting plane of the transplanted leather sheet and a skin-broken layer, meanwhile, the carrying capacity of the transplanted leather sheet is increased while a multi-plane skin-receiving surface is established, and the contracture of the transplanted leather sheet can be reduced to the maximum extent.
In one embodiment, further comprising: the forming knife 4 comprises a knife seat 401 and a plurality of blades 402, the blades 402 are sequentially and uniformly distributed on the knife seat 401, the blades 402 correspond to the cutting groove 302, and a left side edge 403, a top edge 404 and a right side edge 405 are arranged on the blades 402.
The working principle of the technical scheme is as follows: in order to further improve the speed and efficiency of the medical staff cutting the cone skin particles, in this embodiment, a forming knife 4 is provided, the forming knife 4 is dedicated to and used for cutting the cone skin strips into the cone skin particles, the forming knife 4 includes a knife holder 401 and a plurality of blades 402, specifically, the plurality of blades 402 are sequentially mounted on the knife holder 401, the medical staff can take up the knife holder 401 with hands, so that the blades 402 are aligned with the cutting groove 302 on the forming base 3, and then the knife holder 401 is pushed forcefully from one side surface to the other side surface of the cutting groove 302, and then the blades 402 cut the cone skin strips in the cone groove 301 in the forming base 3 into the plurality of cone skin particles along the cutting groove 302; because the blade 402 is provided with the left side edge 403, the top edge 404 and the right side edge 405, the medical staff can cut off the cone leather strip by using the left side edge 403, the top edge 404 or the right side edge 405 to form cone leather particles.
The beneficial effects of the above technical scheme are that: through the design of above-mentioned structure, provide the structure of shaping sword 4 in this embodiment, this shaping sword 4 includes blade holder 401 and a plurality of blade 402, can cut into a plurality of cone grains of leather with the cone leather strap better to this has improved medical personnel's cutting speed, has improved cutting efficiency.
It can be understood that a plurality of blade grooves with the same interval are formed in the knife holder 401, so that the blades are detachably mounted in the blade grooves, and further, the interval between two adjacent blades 402 is designed to be 2mm, and certainly, medical personnel can arrange the blades 402 to be placed at adjacent positions or at intervals or even at two intervals according to the specific needs of skin grafting to cut the cone skin grains with different widths, so that the cone skin grains and the skin-affected fractured layer are conveniently organized and connected, and contracture of the skin grafting sheets is reduced; it will be appreciated that the spacing between the blades 402 can be of any value, such as: one or more of 2mm, 4mm and 6mm, thereby greatly meeting the adjustment requirement of medical staff for using the forming knife 4; the specific value of the distance between the two blades 402 is not limited in the present application, and may be selected according to specific situations.
In one embodiment, a plurality of fixing grooves 304 are formed on an end surface of the forming base 3, the plurality of fixing grooves 304 are located at both sides of the cone groove 301, and a partition 305 is selectively disposed in the fixing grooves 304.
The working principle of the technical scheme is as follows: the working principle of the technical scheme is as follows: in order to further facilitate the medical staff to cut the cone leather strip into a plurality of cone leather particles, in this embodiment, the partition plate 305 is provided for the cone leather particles, the fixing grooves 104 are respectively designed on two sides of the cone groove 301 of the forming seat 3, meanwhile, the fixing grooves 104 are communicated to the other end face from one end face of the forming seat 3, so that the medical staff places the cone leather strip in the cone groove 301, the partition plate 305 is inserted into the other end of the fixing groove 104 along one end of the fixing groove 104, so that the cone leather strip is fixed in the cone groove 301, and then the medical staff can turn over the forming seat 3, so that the bottom face of the whole forming seat 3 faces upwards, and the medical staff uses the forming knife 4 to insert the plurality of blades 402 into the plurality of cutting grooves 302 from top to bottom, so that the cone leather strip can be cut into the needed cone leather particles.
The beneficial effects of the above technical scheme are that: through the design of above-mentioned structure, be provided with a plurality of fixed slots 104 on the terminal surface of shaping seat 3 in this embodiment to designed baffle 305, to this the cone leather strap of placing in cone groove 301 is pushed down, takes place the dislocation and removes out from cone groove 301 during the avoiding cutting, makes things convenient for medical personnel to cut into the cone leather grain with the cone leather strap like this.
It can be understood that baffle 305 includes cardboard 306 and briquetting 307, specifically speaking, medical personnel push cardboard 306 along its inside in the one end of fixed slot 104 during the use, make briquetting 307 press in the top of cone leather strap simultaneously to this realizes that baffle 305 fixes the cone leather strap, avoids the cone leather strap to take place the dislocation in cone groove 301 and remove, influences medical personnel and cuts it.
As shown in fig. 12 to 16, in an embodiment, an anti-falling frame 6 is disposed on a peripheral side wall of the bearing plate 1, the anti-falling frame 6 is formed by connecting a plurality of anti-falling rods 61, the anti-falling rods 61 sequentially include an exterior sterilizing module 62, a first drying module 63, a first anti-falling module 64, a middle supporting plate 65, an inner supporting module 66, a second anti-falling module 67 and a second drying module 68 from outside to inside, the exterior sterilizing module 62 includes a first sterilizing sticker 621 and a second sterilizing sticker 622, and a plurality of release stickers 623 are disposed between the first sterilizing sticker 621 and the second sterilizing sticker 622; the first drying module 63 comprises a fixing plate 631 and a first dry silica gel particle plate 632 arranged on the inner surface of the fixing plate 631, the first anti-drop module 64 comprises a hexagonal support block 641 and a plurality of connecting rods 642 arranged on the side of the hexagonal support block 641, a first light hole 643 and a plurality of second light holes 644 are arranged in the hexagonal support block 641, the plurality of second light holes 644 are uniformly distributed around the first light hole 643, the middle support plate 65 comprises a plate body 651 and two transverse support plates 652, the transverse support plates 652 are arranged at the ends of the plate body 651, the inner support module 66 comprises a plurality of built-in modules, the built-in modules comprise two inclined rods 661, two vertical support plates 662 and a middle block 663, the middle block 663 is arranged in the middle of the two vertical support plates 662, the two inclined rods 661 are respectively arranged on the two sides of the outer vertical support plate 662, the second anti-falling module 67 comprises a concave-convex plate 671, a first spring 672 and a transverse supporting rod 673, the first spring 672 abuts against the concave part of the concave-convex plate 671, the transverse supporting rod 673 abuts against the convex part of the concave-convex plate 671, and the second drying module 68 comprises a second dried silica gel particle plate 681 and a bottom plate 682 arranged on the inner surface of the second dried silica gel particle plate 681.
The working principle and the beneficial effects of the technical scheme are as follows: in this embodiment, the anti-falling frame 6 is disposed on the peripheral side wall of the carrier plate 1 to increase the anti-falling performance of the forming seat 3, the anti-falling plate 6 includes two anti-falling rods 61, the anti-falling rods 61 are mounted on the end surface of the forming seat 3, specifically, the anti-falling rods 61 sequentially include an exterior sterilizing module 62, a first drying module 63, a first anti-falling module 64, a middle supporting plate 65, an inner supporting module 66, a second anti-falling module 67, and a second drying module 68 from outside to inside, wherein the exterior sterilizing module 62 includes a first sterilizing sticker 621 and a second sterilizing sticker 622, a plurality of release stickers 623 are disposed between the first sterilizing sticker 621 and the second sterilizing sticker 622, so that a thumb and an index finger of a medical worker can press the two ends of the forming seat 3, that is, the thumb and the index finger can press the first sterilizing sticker 621 to perform a sterilizing function, and then the first sterilizing sticker can be torn off the second sterilizing sticker 622 several times after the first sterilizing sticker is used, the release patch 623 facilitates medical staff to tear the first disinfection patch 621 off from the second disinfection patch 622 and then replace the first disinfection patch 621 with a new one; the first drying module 63 plays a drying role in the anti-falling rod 61, and the second drying module 68 further adds a drying role in the anti-falling rod 61 to keep the medical staff from adhering the liquid on the fingers to the forming base 3 to cause contamination when using the forming base 3, specifically, the first drying module 63 includes a fixing plate 631 and a first dried silica gel particle plate 632 disposed on the inner surface of the fixing plate 631, and the second drying module 68 includes a second dried silica gel particle plate 681 and a bottom plate 682 disposed on the inner surface of the second dried silica gel particle plate 681; the first anti-falling module 64 plays a role in preventing falling in the anti-falling rod 61, and the second anti-falling module 67 further increases the role in preventing falling in the anti-falling rod 61, specifically, the first anti-falling module 64 comprises a hexagonal support block 641 and a plurality of connecting rods 642 designed at the side of the hexagonal support block 641, a first light hole 643 and a plurality of second light holes 644 are arranged in the hexagonal support block 641, and the plurality of second light holes 644 are uniformly distributed around the first light hole 643, so that the weight of the first anti-falling module 64 can be reduced while the function of preventing falling is played; the second anti-falling module 67 comprises a concave-convex plate 671, a first spring 672 and a transverse supporting rod 673, wherein the first spring 672 abuts against the concave part of the concave-convex plate 671, and the transverse supporting rod 673 abuts against the convex part of the concave-convex plate 671, and here the first spring 672 and the concave-convex plate 671 can provide better elastic support for the whole anti-falling rod 61 to offset the impact force of the forming seat 3 falling to the ground; and the middle supporting plate 65 and the inner supporting module 66 are positioned at the middle part of the anti-falling rod 61 together to play a role of supporting and fixing.
In one embodiment, the ends of the anti-falling rods 61 are in a slope shape, the ends of two adjacent anti-falling rods 61 are respectively provided with a first elastic module 7 and a second elastic module 8, the first elastic module 7 includes a first elastic inclined frame 71 and a plurality of second springs 72, the plurality of second springs 72 are arranged in the first elastic inclined frame 71, the first elastic inclined frame 71 is provided with a first clamping groove 73 and a first clamping rod 74, the second elastic module 8 includes a second elastic inclined frame 81 and a plurality of third springs 82, the plurality of third springs 82 are arranged in the second elastic inclined frame 81, the second elastic inclined frame 81 is provided with a second clamping groove 83 and a second clamping rod 84, the first clamping rod 74 is inserted in the second clamping groove 83, and the second clamping rod 84 is inserted in the first clamping groove 73.
The working principle of the technical scheme is as follows: in the present embodiment, the bottom of the anti-falling rod 61 is made into a slope, so that the two anti-falling rods 61 can communicate with the first elastic module 7 and the second elastic module 8 to absorb and offset the impact when the impact is applied, specifically, the first elastic module 7 includes a first elastic inclined frame 71, a plurality of second springs 72, the plurality of second springs 72 are disposed in the first elastic inclined frame 71, the first elastic inclined frame 71 is provided with a first locking slot 73 and a first locking rod 74, correspondingly, the second elastic module 8 comprises a second elastic inclined frame 81, a plurality of third springs 82, the plurality of third springs 82 are arranged in the second elastic inclined frame 81, a second clamping groove 83 and a second clamping rod 84 are arranged on the second elastic inclined frame 81, therefore, the first elastic module 7 and the second elastic module 8 are inserted into the second clamping groove 83 through the first clamping rod 74, and the second clamping rod 84 is inserted into the first clamping groove 73 to realize the fixed connection of the two; it can be understood that the corner of the bearing plate 1 falls onto the ground first, when the bearing plate is impacted, the first elastic oblique frame 71 and the second elastic oblique frame 81 can absorb and offset the impact in the vertical direction, and the second springs 72 and the third springs 82 can absorb and offset the impact in the transverse direction.
The beneficial effects of the above technical scheme are that: through the design of the structure, the bottom of the falling-resistant rod 61 is made into a slope shape in this embodiment, when the two falling-resistant rods 61 are impacted, the two falling-resistant rods can mutually communicate with the first elastic module 7 and the second elastic module 8 to absorb and offset the impact, that is, when the two falling-resistant rods are impacted, the first elastic inclined frame 71 and the second elastic inclined frame 81 can absorb and offset the impact in the vertical direction, and the second springs 72 and the third springs 82 absorb and offset the impact in the transverse direction, so that the falling-resistant performance of the whole falling-resistant rod 61 is further improved.
In the description of the present invention, it is to be understood that the terms "central," "longitudinal," "lateral," "length," "width," "thickness," "upper," "lower," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," "clockwise," "counterclockwise," "axial," "radial," "circumferential," and the like are used in the orientations and positional relationships indicated in the drawings for convenience in describing the invention and to simplify the description, but are not intended to indicate or imply that the device or element so referred to must have a particular orientation, be constructed in a particular orientation, and be operated in a particular manner, and are not to be construed as limiting the invention.
In the present invention, unless otherwise expressly stated or limited, the terms "mounted," "connected," "secured," and the like are to be construed broadly and can, for example, be fixedly connected, detachably connected, or integrally formed; may be mechanically coupled, may be electrically coupled or may be in communication with each other; they may be directly connected or indirectly connected through intervening media, or they may be connected internally or in any other suitable relationship, unless expressly stated otherwise. The specific meanings of the above terms in the present invention can be understood by those skilled in the art according to specific situations.
While embodiments of the invention have been disclosed above, it is not limited to the applications set forth in the description and the embodiments, which are fully applicable in various fields of endeavor to which the invention pertains, and further modifications may readily be made by those skilled in the art, it being understood that the invention is not limited to the details shown and described herein without departing from the general concept defined by the appended claims and their equivalents.

Claims (5)

1. A device for three-dimensional skin grafting of cone skin is characterized by comprising:
the peeling machine comprises a conical peeling device and a forming seat (3), wherein the conical peeling device comprises a bearing plate (1), a handle (2) and a conical cutter (16), the handle (2) is arranged on the upper surface of the bearing plate (1), the conical cutter (16) is arranged on the lower surface of the bearing plate (1), and a cutting edge (14) is arranged on one end wall of the conical cutter (16);
a motor (21) and a battery module (22) are arranged in the handle (2), a switch (23) is arranged on the outer wall of the handle (2), and the motor (21) is electrically connected with the battery module (22) through the switch (23);
the lower surface of the bearing plate (1) is provided with a driving module (11) and an auxiliary cutter (12), an output shaft (211) of the motor (21) is connected with the driving module (11), the auxiliary cutter (12) is arranged outside the cone cutter (16), an auxiliary blade (13) is arranged at one end of the auxiliary cutter (12), the lower surface of the cone cutter (16) is attached to the upper surface of the auxiliary cutter (12), and the cone cutter (16) is connected with the driving module (11) so that the cutting blade (14) moves back and forth relative to the auxiliary blade (13) to cut skin tissues;
the cone cutter (16) comprises a first toothed blade (161) and two first side plates (162), the two first side plates (162) are respectively arranged at the end part of the first toothed blade (161), and one end of the first toothed blade (161) is provided with the cutting edge (14);
the auxiliary cutter (12) comprises a second toothed blade (121) and two second side plates (122), the two second side plates (122) are respectively arranged at the end part of the second toothed blade (121), and one end of the second toothed blade (121) is provided with the auxiliary edge (13);
the upper surface of shaping seat (3) is provided with cone groove (301), and be provided with a plurality of cutting grooves (302) on the lateral wall of shaping seat (3), cutting groove (302) with cone groove (301) are linked together.
2. The device for the stereoscopic grafting of conical skins as claimed in claim 1, further comprising: the forming cutter (4) comprises a cutter seat (401) and a plurality of blades (402), the blades (402) are uniformly distributed on the cutter seat (401) in sequence, the blades (402) correspond to the cutting groove (302), and a left side edge (403), a top edge (404) and a right side edge (405) are arranged on the blades (402).
3. The device for the stereoscopic cone skin grafting according to the claim 1, characterized in that a plurality of fixing grooves (304) are provided on the end surface of the forming base (3), the plurality of fixing grooves (304) are located at both sides of the cone groove (301), and a partition (305) is selectively provided in the fixing grooves (304).
4. The device for the stereoscopic cone skin grafting according to claim 3, wherein an anti-falling frame (6) is arranged on the peripheral side wall of the bearing plate (1), the anti-falling frame (6) is formed by connecting a plurality of anti-falling rods (61), the anti-falling rods (61) sequentially comprise an exterior disinfection module (62), a first drying module (63), a first anti-falling module (64), a middle supporting plate (65), an inner support module (66), a second anti-falling module (67) and a second drying module (68) from outside to inside, the exterior disinfection module (62) comprises a first disinfection sticker (621) and a second disinfection sticker (622), and a plurality of release stickers (623) are arranged between the first disinfection sticker (621) and the second disinfection sticker (622); the first drying module (63) comprises a fixing plate (631) and a first drying silica gel particle plate (632) arranged on the inner surface of the fixing plate (631), the first anti-falling module (64) comprises a hexagonal support block (641) and a plurality of connecting rods (642) arranged on the side portion of the hexagonal support block (641), a first light hole (643) and a plurality of second light holes (644) are arranged in the hexagonal support block (641), the plurality of second light holes (644) are uniformly distributed around the first light hole (643), the middle support plate (65) comprises a plate body (651) and two transverse support plates (652), the transverse support plates (652) are arranged at the end portion of the plate body (651), the inner support module (66) comprises a plurality of built-in modules, and each built-in module comprises two vertical oblique support plates (661), two vertical oblique support plates (662) and a middle block (663), middle piece (663) sets up two in the middle of vertical extension board (662), two slant pole (661) sets up respectively in the outside the both sides of vertical extension board (662), the second is resisted and is fallen module (67) and includes buckle plate (671), first spring (672) and horizontal branch pole (673), first spring (672) support and push against the concave part of buckle plate (671), horizontal branch pole (673) support and push against the convex part of buckle plate (671), second drying module (68) include second dry silica gel particle board (681) and set up bottom plate (682) at second dry silica gel particle board (681) internal surface.
5. The device for the conical skin three-dimensional skin grafting according to claim 4, wherein the ends of the anti-falling rods (61) are in a slope shape, the ends of two adjacent anti-falling rods (61) are respectively provided with a first elastic module (7) and a second elastic module (8), the first elastic module (7) comprises a first elastic inclined frame (71) and a plurality of second springs (72), the plurality of second springs (72) are arranged in the first elastic inclined frame (71), the first elastic inclined frame (71) is provided with a first clamping groove (73) and a first clamping rod (74), the second elastic module (8) comprises a second elastic inclined frame (81) and a plurality of third springs (82), the plurality of third springs (82) are arranged in the second elastic inclined frame (81), and the second elastic inclined frame (81) is provided with a second clamping groove (83) and a second clamping rod (84), the first clamping rod (74) is inserted into the second clamping groove (83), and the second clamping rod (84) is inserted into the first clamping groove (73).
CN202110232032.4A 2021-03-02 2021-03-02 Three-dimensional cone skin grafting method Active CN113017784B (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4917086A (en) * 1988-05-26 1990-04-17 Snyder Laboratories, Inc. Dermatome blade assembly
CN2815284Y (en) * 2005-07-06 2006-09-13 赵成跃 Skin-cutting and grafting machine
CN201046149Y (en) * 2007-06-14 2008-04-16 张怀田 Human body skin-grafting piece cutting-net skin-enlarging machine
CN203988260U (en) * 2014-07-04 2014-12-10 中国人民解放军沈阳军区总医院 A kind of negative pressure microgranule bark fetching skin-grafting device
CN104983451A (en) * 2015-07-10 2015-10-21 郭秀丽 Skin transplanting device for dermatological department operations
CN108478260A (en) * 2018-04-28 2018-09-04 焦亚桂 Microparticle skin intelligently takes skin skin-grafting device

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU2004211977A1 (en) * 2003-02-10 2004-08-26 Applied Tissue Technologies, Llc Apparatus for dermal tissue harvesting

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4917086A (en) * 1988-05-26 1990-04-17 Snyder Laboratories, Inc. Dermatome blade assembly
CN2815284Y (en) * 2005-07-06 2006-09-13 赵成跃 Skin-cutting and grafting machine
CN201046149Y (en) * 2007-06-14 2008-04-16 张怀田 Human body skin-grafting piece cutting-net skin-enlarging machine
CN203988260U (en) * 2014-07-04 2014-12-10 中国人民解放军沈阳军区总医院 A kind of negative pressure microgranule bark fetching skin-grafting device
CN104983451A (en) * 2015-07-10 2015-10-21 郭秀丽 Skin transplanting device for dermatological department operations
CN108478260A (en) * 2018-04-28 2018-09-04 焦亚桂 Microparticle skin intelligently takes skin skin-grafting device

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