CN114795396A - Periosteum moving device - Google Patents

Periosteum moving device Download PDF

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CN114795396A
CN114795396A CN202110091109.0A CN202110091109A CN114795396A CN 114795396 A CN114795396 A CN 114795396A CN 202110091109 A CN202110091109 A CN 202110091109A CN 114795396 A CN114795396 A CN 114795396A
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periosteum
bag
soft tissue
control chip
moving
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吴宇
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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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1635Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for grafts, harvesting or transplants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B2017/320044Blunt dissectors
    • A61B2017/320048Balloon dissectors

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  • Life Sciences & Earth Sciences (AREA)
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Abstract

The invention relates to a periosteum moving device, which is characterized in that: comprises a bag, wherein the bag is provided with a hole; the bag is used for supporting periosteum or soft tissue, and can expand to move the periosteum or the soft tissue when gas or liquid is injected into the hole; the periosteum moving device provides continuous, stable or slow traction force when moving periosteum or soft tissue so as to be suitable for the operation of moving periosteum or soft tissue, and can realize the integral balanced moving of periosteum or soft tissue.

Description

Periosteum moving device
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to a periosteum moving device.
Background
Chronic refractory wounds refer to wounds that have no tendency to heal for at least 1 month of treatment. According to global estimates, the prevalence of chronic wounds is about 1-2%, and is high in developing countries and in people over 65 years of age. At present, about 3000 million people develop chronic refractory wounds on the body surface in the skin, operation incision, sinus tract and other wounds of about 1 hundred million people in China. The etiology of the chronic wound is mainly metabolic diseases (diabetes), wounds, infection, burns, tumors and lower limb vascular diseases, wherein the proportion of the metabolic diseases to the diabetes is increased year by year, and the etiology of the chronic wound is up to 33.3% through domestic investigation by 2008, and the chronic wound becomes the main etiology of the chronic intractable wound. In the life of diabetes patients, about 25 percent of patients (with morbidity) have diabetic feet with different degrees, wherein the diabetic feet refer to the pathological changes of peripheral arteriole occlusion caused by diabetic neuropathy including unextended nerve sensory disturbance and vegetative nerve damage, lower limb angiopathy-arteriosclerosis, or foot pain, foot ulcer, foot gangrene and the like caused by skin microangiopathy and bacterial infection. Diabetic feet appear in diabetic patients, which indicates that the damage of nerves and blood vessels of the body, especially microvessels, reaches a serious stage, the worst result is amputation, the final treatment aim is to protect limbs, and how to promote the wound healing of the diabetic feet and avoid amputation are always the clinical problems of diabetic foot treatment.
Aiming at chronic difficult wound surfaces and diabetic feet, comprehensive treatment is mostly adopted, and the conventional treatment methods mainly comprise debridement, negative pressure suction, flap treatment, anti-infection treatment and the like at present, but still have higher amputation rate and unsatisfactory healing rate. Even if the mesenchymal thousand cells approved by the FDA in 2017 are used for treating diabetes, only Wagner and patients with lighter grade 2 are subjected to random prospective experiments (RCT), and severe diabetes patients with grade Wagner3 or more are not involved.
In addition, the trial designed by Crilly in 1972 was a milestone in the theory of creating periosteal detachment to stimulate bone growth, and he designed the trial to annularly detach periosteum near the radius of the chick, and found that the distal epiphyseal plate was significantly overlength. It is believed that a fibrous periosteal sleeve with elasticity adheres more loosely at the diaphysis and is strong at the epiphyseal end. The periosteum is tense during the bone growth, the tension is a restraining force for the bone growth, and the removal of the restraining force can lead the bone to be overlong, namely the beginning of the theory of releasing the periosteum tension to stimulate the bone growth. Mossm (l972) also indicated that the two epiphyses of a long bone stretched in opposite directions by pulling the periosteum as it grew. The tension is balanced at the trophoblast, the faster the epiphyseal plate grows, and the further away from the trophoblast, the greater the tension. The periosteal ring cut decompresses the epiphyseal plate, stimulating bone growth. This indicates to some extent that periosteal migration can affect bone growth.
In addition, in the prior art, a tibia transverse bone moving technology is adopted to treat the diabetic foot, which is an operation treatment based on an Yirizanoff technology and a tension-stress law principle, and the proliferation and the biosynthesis functions of cells are excited by slow and continuous tibial traction, so that the self-repairing capability of an organism is mobilized, the blood circulation of the foot is improved, and the healing of ulcer is promoted. The Chinese patent of the invention discloses a periosteum and soft tissue distractor, which has the following application number: 202010831910.X, the periosteum and soft tissue distractor not only can be used for periosteum moving technology treatment, but also can be used for the place where the ischemia part needs to be subjected to microvascular network reconstruction, and the growth of blood vessels is stimulated by moving the periosteum; however, when the periosteum and soft tissue distractor is used in the operation process, the periosteum and the soft tissue support sheet need to be placed under the periosteum, the skin and the periosteum shield the holes in the periosteum and the soft tissue support sheet, a doctor needs to drive bone needles into the holes in the periosteum and the soft tissue support sheet by naked eyes, and even the doctor can drive the bone needles askew by carelessness, so that the operation difficulty is increased. In addition: the Chinese invention patent discloses a periosteum mover, which has the following application number: 202010347555.9, the periosteum moving device can be used for periosteum moving technology treatment, and can also be used in the place where the ischemia part needs to be subjected to microvascular network reconstruction, and the growth of blood vessels is stimulated by moving periosteum; however, the same problem exists, when the periosteum support sheet is placed under the periosteum in the operation process, the skin and the periosteum shield the holes on the periosteum and the soft tissue support sheet, a doctor needs to drill the holes on the periosteum support sheet with naked eyes, and even the doctor can also skew spicules by carelessness, so that the operation difficulty is increased. Therefore, the bone needles need to be driven into the bone membrane supporting sheets and holes need to be drilled in the corresponding holes in the bone membrane supporting sheets, and the like, so that the bone membrane moving operation has the defects of high difficulty, slow postoperative recovery and non-compliance with the concept of minimally invasive surgery due to the factors of more holes, complex operation steps, large incision during the operation and the like.
Disclosure of Invention
The invention aims to provide a periosteum moving device which is used for moving periosteum or soft tissues.
The invention is realized by adopting the following technical scheme: a periosteum moving device comprises a bag, wherein holes are formed in the bag; the bag is used for supporting periosteum or soft tissue, and when gas or liquid is injected into the hole, the bag can expand to move the periosteum or the soft tissue.
Further, the pouch is flat
Furthermore, the bag comprises a first supporting surface and a second supporting surface, and an elastic strip is arranged in the inner cavity of the bag and connected with the first supporting surface and the second supporting surface.
Furthermore, the periosteum moving device further comprises a fluid control device, and the fluid control device can perform inflation and deflation control or inflation and deflation liquid control on the bladder.
Further, the fluid control device comprises a control chip, a communicating pipe and a pump, wherein the control chip is electrically connected with the pump, and the pump is connected with the hole through a connecting pipe.
Furthermore, the periosteum moving device further comprises an electric control valve, the connecting pipe comprises a first connecting pipe and a second connecting pipe, the electric control valve is connected with the hole through the first connecting pipe and connected with the pump through the second connecting pipe, and the electric control valve is electrically connected with the control chip and used for controlling gas to enter and exit the hole or controlling liquid charging and discharging.
Preferably, the electrically controlled valve is selected to be a solenoid flow valve by which the rate of flow of gas or liquid into the bladder is conveniently controlled.
Furthermore, the periosteum moving device further comprises a pressure sensor, wherein the pressure sensor is electrically connected with the control chip and used for measuring the pressure of the inner cavity of the sac.
Furthermore, the periosteum moving device further comprises a touch screen, and the touch screen is electrically connected with the control chip.
Furthermore, the periosteum moving device further comprises a wireless communication module, and the wireless communication module is electrically connected with the control chip.
Furthermore, the periosteum moving device further comprises a server and a mobile terminal, the control chip is in wireless communication with the server through the wireless communication module, the mobile terminal is connected with the server, and the mobile terminal comprises a computer, a mobile phone or a tablet.
The invention has the beneficial effects that:
1. in the existing medical theory, the basis of the bone-soft tissue composite moving operation is the Ilizarov technology, the continuous, stable and slow pulling force can be applied to biological tissues to promote cell division and tissue regeneration, so that various defects of limbs can be repaired, and the continuous, stable or slow pulling force is provided when the periosteum or soft tissues are moved by using the periosteum moving device, so that the periosteum or soft tissues can be moved in the operation.
2. The periosteum moving device has small operation wound, only needs to cut a small wound, puts the sac bag below the periosteum (between the periosteum and the bone), and the sac bag expands after being filled with gas to move the periosteum, does not need to be driven into spicules and open holes on the periosteum and soft tissue supporting pieces, reduces the wound, and is more suitable for being used in minimally invasive operation.
3. The moving precision is high, the fluid control device automatically controls the inflation and deflation to enter the sac, and the periosteum or soft tissue can be moved with high precision.
4. The periosteum or soft tissue can be moved integrally and uniformly, the bag can be expanded into a circular shape easily under normal conditions after being inflated, the elastic strip is arranged in the inner cavity of the bag for connection, the middle part of the bag is pulled inwards through the elastic strip, and the bag is prevented from being circular in the moving process so as to move the periosteum or the soft tissue integrally and uniformly.
5. The operation is simple and convenient, the operation of moving can be conveniently realized only by placing the bag under periosteum or soft tissue, complicated operations such as injection of bone needles and the like are not needed, the operation of doctors is greatly facilitated, the anesthesia time of patients is reduced, and related anesthesia risks are reduced.
6. The periosteum moving device has low operation difficulty, can automatically move without manual operation, is convenient for low-age doctors to learn and operate, is convenient for lower-level hospitals to develop, and can be more effectively popularized.
Drawings
FIG. 1 is a top view of a pouch
FIG. 2 is a schematic sectional view taken along line A-A in FIG. 1
FIG. 3 is a right side view of the capsular bag
FIG. 4 is a schematic sectional view taken along line B-B in FIG. 3
FIG. 5 is a three-dimensional schematic view of a capsular bag
FIG. 6 is a schematic view of the capsular bag dislodging periosteum or soft tissue
FIG. 7 is a schematic diagram of a periosteal elevator
FIG. 8 is a schematic circuit diagram of a first periosteal migration device
FIG. 9 is a schematic circuit diagram of a second periosteal transporter
FIG. 10 is a schematic circuit diagram of a third periosteal transfer device
Reference numerals: 1-sac, 10-hole, 11-first supporting surface, 12-second supporting surface, 13 elastic strip, 2-fluid control device, 21-first communicating pipe, 22-pressure sensor, 23-electric control valve, 24-second communicating pipe, 25-pump, 31-bone, 32 periosteum or soft tissue, a-periosteum or soft tissue 32 still connected with bone 31 part, b-periosteum or soft tissue 32 still connected with bone 31 to periosteum or soft tissue 32 separated from bone 31 part, c-periosteum or soft tissue 32 separated from bone 31 part.
Detailed Description
The invention is further illustrated by the following examples, which are not to be construed as limiting the invention thereto. The specific experimental conditions and methods not indicated in the following examples are generally conventional means well known to those skilled in the art.
Example 1
As shown in fig. 1 to 8, a periosteum moving device includes a pouch 1, the pouch 1 having a hole 10; wherein, the bag 1 is used for supporting the periosteum or the soft tissue 32, when the gas is injected into the hole 10, the bag 1 can be expanded to realize the movement of the periosteum or the soft tissue 32; in order to be able to achieve an overall uniform displacement effect of the periosteum or soft tissue 32, the capsular bag 1 is provided flat.
During the process of using the capsular bag 1 to move the periosteum or soft tissue 32, the inventor has found that the pressure of the periosteum at different positions on the capsular bag 1 is different, the pressure on the capsular bag 1 is higher between the periosteum or soft tissue 32 still connecting the bone 31 to the periosteum or soft tissue 32 being separated from the bone 31 (i.e. the pressure on the capsular bag 1 at b in fig. 6 is higher), and the pressure on the capsular bag 1 is lower when the periosteum or soft tissue 32 is far away from the bone 31 (i.e. the pressure on the capsular bag 1 at c in fig. 6 is lower); in addition, after the capsular bag 1 is inflated with gas, normally, the capsular bag 1 is easy to expand into a "circular shape", and in order to solve the problem, the capsular bag 1 comprises a first supporting surface 11 and a second supporting surface 12, the inventor arranges an elastic strip 13 in the inner cavity of the capsular bag 1, connects the first supporting surface 11 with the second supporting surface 12, and arranges the elastic strip 13 in the inner cavity of the capsular bag 1, the elastic strip 13 connects the first supporting surface 11 with the second supporting surface 12, and the elastic strip 13 pulls the first supporting surface 11 and the second supporting surface 12 inwards, so as to avoid the capsular bag 1 from being "circular" in the moving process, so as to realize the overall balanced movement of periosteum or soft tissue 32, wherein the farther the first supporting surface 11 is away from the second supporting surface 12, the greater the tensile force of the elastic strip 13 is, and the greater the pressure in the inner cavity of the capsular bag 1 is.
In order to facilitate the control of the speed and distance of the movement of the capsular bag 1, the inventor invented a fluid control device 2, which uses the fluid control device 2 to realize the inflation and deflation control of the capsular bag 1, so as to provide a continuous, stable or slow pulling force when the periosteal movement device of the present invention is used in surgery. The fluid control device 2 comprises a control chip and a pump 25, the control chip is electrically connected with the pump 25, the pump 25 is connected with the bag 1 through a connecting pipe, and the control chip controls the opening of the pump 25 to fill gas into the bag 1.
In order to control the gas flowing into or out of the bladder 1 conveniently, the periosteum moving device further comprises an electric control valve 23, the electric control valve 23 is electrically connected with the control chip and is arranged in the middle of the connecting pipe, namely, between the hole 10 and the pump 25, the connecting pipe between the hole 10 and the electric control valve 23 is a first communicating pipe 21, and the communicating pipe between the electric control valve 23 and the pump 25 is a second communicating pipe 24.
The periosteum moving device further comprises a pressure sensor 22, the pressure sensor 22 is electrically connected with the control chip and used for measuring the pressure in the inner cavity of the capsular bag 1, the pressure in the first communication pipe 21 is equal to the pressure in the capsular bag 1, the pressure sensor 22 is arranged in the first communication pipe 21 for convenient installation, the control chip can know the expansion degree of the capsular bag 1 by monitoring the pressure, the expansion degree of the capsular bag 1 is larger (the pressure monitored by the pressure sensor 22 is larger as the expansion degree of the capsular bag 1 is larger), the moving distance of the first supporting surface 11 and the second supporting surface 12 is in direct proportion to the pressure in the inner cavity as the extending length of the elastic strip 13 is in direct proportion to the tensile force, and the distance for moving the periosteum or soft tissue 32 by the periosteum moving device can be conveniently controlled by controlling the pressure in the capsular bag 1.
In order to facilitate human-computer interaction, the periosteum moving device further comprises a touch screen, and the touch screen is electrically connected with the control chip.
The periosteum moving device further comprises a wireless communication module, wherein the wireless communication module is electrically connected with the control chip, and the wireless communication module can wirelessly transmit data (such as data of pressure values detected by the pressure sensor 22, starting time of the pump 25 and the like) in the control chip to other electronic equipment or receive data of other equipment through the wireless communication module, so that mutual communication between the periosteum moving device and other electronic equipment is realized (note: the other electronic equipment is electronic equipment with a communication function, such as a mobile phone and the like).
The periosteum moving device further comprises a server and a mobile terminal, the control chip is in wireless communication with the server through the wireless communication module, the mobile terminal is connected with the server, and the mobile terminal is a mobile phone.
The working principle is as follows:
firstly, cutting an opening on the skin, placing the bag 1 under the periosteum (the position between the periosteum and the bone 31) or the soft tissue, when the control chip controls the electric control valve 23 and the pump 25 to be opened, the pump 25 fills gas into the bag 1, the bag 1 expands to slowly move the periosteum, the control chip controls the flow rate of the gas filled into the pump 25 to realize the speed of moving the periosteum or the soft tissue 32, when the gas filled into the bag 1 increases the gas pressure to a specific value, so that the bag 1 moves the periosteum or the soft tissue 320.2MM, the pressure sensor 22 detects that the gas pressure increases to the specific value and feeds back the specific value to the control chip, and the control chip closes the electric control valve 23 and the pump 25 to stop moving; in addition, the touch screen and the control chip can be used for performing a human-computer interaction function, and the wireless module can be used for realizing a communication function with the mobile phone. The periosteum moving device has a simple structure, can realize remote control, does not need manual operation, can be used for periosteum and soft tissue moving technology treatment, and stimulates the growth of blood vessels by stretching periosteum soft tissues; in addition, the periosteum moving device is smaller than a transverse tibia moving device, a large number of holes do not need to be drilled on the tibia to move the tibia, damage to the bone 31 and the periosteum is lower, the periosteum moving device is more suitable for minimally invasive surgery, and the periosteum moving device is higher in applicability, and has the following other beneficial effects:
1. in the existing medical theory, the basis of the bone-soft tissue composite moving operation is the Ilizarov technology, the continuous, stable and slow pulling force on biological tissues can promote cell division and tissue regeneration, so that various defects of limbs can be repaired, and the continuous, stable or slow pulling force is provided when the periosteum moving device is used for moving the periosteum or soft tissues 32, so that the device is suitable for the operation of moving the periosteum or soft tissues 32.
2. The operation wound is small, only one small wound needs to be cut by using the periosteum moving device, the bag 1 is placed below the periosteum (between the periosteum and the bone 31), the bag 1 expands after being filled with gas to move the periosteum, and the bone needle does not need to be driven in and does not need to be arranged in
The opening of the periosteum and the soft tissue supporting sheet reduces the wound and is more suitable for minimally invasive surgery.
3. The moving precision is high, the air charging and discharging are automatically controlled by the fluid control device 2 to enter the sac 1, and the periosteum or soft tissue 32 can be moved with high precision.
4. The periosteum or soft tissue 32 can be integrally and uniformly moved, after the bag 1 is filled with gas, the bag 1 is usually easy to expand into a circular shape, the elastic strip 13 is arranged in the inner cavity of the bag 1 for connection, and the middle part of the bag 1 is pulled inwards through the elastic strip 13, so that the bag 1 is prevented from being in the circular shape in the moving process, and the integral and uniform movement of the periosteum or soft tissue 32 is realized.
5. The operation is simple and convenient, the moving operation can be conveniently realized only by placing the bag 1 under the periosteum or the soft tissue 32, complicated operations such as injection of bone needles and the like are not needed, the operation of doctors is greatly facilitated, the anesthesia time of patients is reduced, and related anesthesia risks are reduced.
6. The periosteum moving device has low operation difficulty, can automatically move, does not need manual operation, is convenient for doctors in low-age to learn and operate, is convenient for lower-level hospitals to develop, and can be more effectively popularized.
Example 2
As shown in fig. 1 to 7 and 9, a periosteum moving device includes a pouch 1, wherein the pouch 1 is provided with a hole 10; wherein, the bag 1 is used for supporting the periosteum or the soft tissue 32, when the liquid is injected into the hole 10, the bag 1 can expand to realize the movement of the periosteum or the soft tissue 32; in order to be able to achieve an overall uniform displacement effect of the periosteum or soft tissue 32, the capsular bag 1 is provided flat.
During the process of using the capsular bag 1 to move the periosteum or soft tissue 32, the inventor has found that the pressure of the periosteum at different positions on the capsular bag 1 is different, the pressure on the capsular bag 1 is higher between the periosteum or soft tissue 32 still connecting the bone 31 to the periosteum or soft tissue 32 being separated from the bone 31 (i.e. the pressure on the capsular bag 1 at b in fig. 6 is higher), and the pressure on the capsular bag 1 is lower when the periosteum or soft tissue 32 is far away from the bone 31 (i.e. the pressure on the capsular bag 1 at c in fig. 6 is lower); in addition, after the capsular bag 1 is filled with liquid, normally, the capsular bag 1 is easy to expand into a "circular shape", and in order to solve the problem, the capsular bag 1 comprises a first supporting surface 11 and a second supporting surface 12, the inventor arranges an elastic strip 13 in the inner cavity of the capsular bag 1, connects the first supporting surface 11 with the second supporting surface 12, and arranges the elastic strip 13 in the inner cavity of the capsular bag 1, the elastic strip 13 connects the first supporting surface 11 with the second supporting surface 12, and the elastic strip 13 pulls the first supporting surface 11 and the second supporting surface 12 inwards, so as to avoid the capsular bag 1 from being in a "circular shape" in the moving process, so as to realize the overall balanced movement of periosteum or soft tissue 32, wherein the farther the first supporting surface 11 is away from the second supporting surface 12, the greater the tensile force of the elastic strip 13 is, and the greater the pressure in the inner cavity of the capsular bag 1 is.
In order to facilitate the control of the speed and distance of the movement of the capsular bag 1, the inventor invented a fluid control device 2, which uses the fluid control device 2 to realize the inflation and deflation control of the capsular bag 1, so as to provide a continuous, stable or slow pulling force when the periosteal movement device of the present invention is used in surgery. The fluid control device 2 comprises a control chip and a pump 25, the control chip is electrically connected with the pump 25, the pump 25 is connected with the bag 1 through a connecting pipe, and the control chip controls the pump 25 to be started so as to fill the bag 1 with liquid.
In order to control the liquid to flow into or out of the bladder 1 conveniently, the periosteum moving device further comprises an electric control valve 23, the electric control valve 23 is electrically connected with the control chip and is arranged in the middle of the connecting pipe, namely, between the hole 10 and the pump 25, the connecting pipe between the hole 10 and the electric control valve 23 is a first communicating pipe 21, and the communicating pipe between the electric control valve 23 and the pump 25 is a second communicating pipe 24.
The periosteum moving device further comprises a pressure sensor 22, the pressure sensor 22 is electrically connected with the control chip and used for measuring the pressure in the inner cavity of the capsular bag 1, the pressure in the first communication pipe 21 is equal to the pressure in the capsular bag 1, the pressure sensor 22 is arranged in the first communication pipe 21 for convenient installation, the control chip can know the expansion degree of the capsular bag 1 by monitoring the pressure, the expansion degree of the capsular bag 1 is larger (the pressure monitored by the pressure sensor 22 is larger as the expansion degree of the capsular bag 1 is larger), the moving distance of the first supporting surface 11 and the second supporting surface 12 is in direct proportion to the pressure in the inner cavity as the extending length of the elastic strip 13 is in direct proportion to the tensile force, and the distance for moving the periosteum or soft tissue 32 by the periosteum moving device can be conveniently controlled by controlling the pressure in the capsular bag 1.
In order to facilitate human-computer interaction, the periosteum moving device further comprises a touch screen, and the touch screen is electrically connected with the control chip.
The periosteum moving device further comprises a wireless communication module, wherein the wireless communication module is electrically connected with the control chip, and the wireless communication module can wirelessly transmit data (such as data of pressure values detected by the pressure sensor 22, starting time of the pump 25 and the like) in the control chip to other electronic equipment or receive data of other equipment through the wireless communication module, so that mutual communication between the periosteum moving device and other electronic equipment is realized (note: the other electronic equipment is electronic equipment with a communication function, such as a mobile phone and the like).
The periosteum moving device further comprises a server and a mobile terminal, the control chip is in wireless communication with the server through the wireless communication module, the mobile terminal is connected with the server, and the mobile terminal is a flat plate.
The working principle is as follows:
firstly, cutting an opening on the skin, placing the bag 1 under the periosteum (the position between the periosteum and the bone 31) or the soft tissue, when the control chip controls the electric control valve 23 and the pump 25 to be opened, the pump 25 fills liquid into the bag 1, the bag 1 expands to slowly move the periosteum, the control chip controls the flow rate of the liquid filled into the pump 25 to realize the speed of moving the periosteum or the soft tissue 32, when the liquid filled into the bag 1 increases the hydraulic pressure to a specific value, so that the bag 1 moves the periosteum or the soft tissue 32 by 0.25MM, the pressure sensor 22 detects that the hydraulic pressure increases to the specific value and feeds back the hydraulic pressure to the control chip, and the control chip closes the electric control valve 23 and the pump 25 to stop moving; in addition, the touch screen and the control chip can be used for performing a human-computer interaction function, and the wireless module can be used for realizing a communication function with the flat panel. The periosteum moving device has a simple structure, can realize remote control, does not need manual operation, can be used for periosteum and soft tissue moving technology treatment, and stimulates the growth of blood vessels by stretching periosteum soft tissues; in addition, the periosteum moving device is smaller than a transverse tibia moving device, a large number of holes do not need to be drilled on the tibia to move the tibia, damage to the bone 31 and the periosteum is lower, the periosteum moving device is more suitable for minimally invasive surgery, and the periosteum moving device is higher in applicability, and has the following other beneficial effects:
1. in the existing medical theory, the basis of the bone-soft tissue composite moving operation is the Ilizarov technology, the continuous, stable and slow pulling force can be applied to biological tissues to promote cell division and tissue regeneration, so that various defects of limbs can be repaired, and the periosteum moving device provided by the invention can provide the continuous, stable or slow pulling force when being used for moving the periosteum or soft tissues 32, so that the device is suitable for the operation of moving the periosteum or soft tissues 32.
2. The operation wound is small, only one small wound needs to be cut by using the periosteum moving device, the bag 1 is placed below the periosteum (between the periosteum and the bone 31), the bag 1 is expanded to move the periosteum after the liquid is filled, bone needles do not need to be driven in and holes do not need to be formed in the periosteum and soft tissue supporting pieces, the wound is reduced, and the periosteum moving device is more suitable for being used in minimally invasive surgery.
3. The moving precision is high, the air charging and discharging are automatically controlled by the fluid control device 2 to enter the sac 1, and the periosteum or soft tissue 32 can be moved with high precision.
4. The periosteum or soft tissue 32 can be moved integrally and uniformly, after the bag 1 is filled with liquid, the bag 1 is easy to expand into a circular shape under normal conditions, the elastic strip 13 is arranged in the inner cavity of the bag 1 for connection, the middle part of the bag 1 is pulled inwards through the elastic strip 13, and the bag 1 is prevented from being circular in the moving process, so that the periosteum or soft tissue 32 can be moved integrally and uniformly.
5. The operation is simple and convenient, the moving operation can be conveniently realized only by placing the bag 1 under the periosteum or the soft tissue 32, complicated operations such as injection of bone needles and the like are not needed, the operation of doctors is greatly facilitated, the anesthesia time of patients is reduced, and related anesthesia risks are reduced.
6. The periosteum moving device has low operation difficulty, can automatically move without manual operation, is convenient for low-age doctors to learn and operate, is convenient for lower-level hospitals to develop, and can be more effectively popularized.
Example 3
As shown in fig. 1 to 7 and 10, a periosteum moving device includes a pouch 1, wherein the pouch 1 is provided with a hole 10; wherein, the bag 1 is used for supporting the periosteum or the soft tissue 32, when the gas is injected into the hole 10, the bag 1 can be expanded to realize the movement of the periosteum or the soft tissue 32; in order to be able to achieve an overall uniform displacement effect of the periosteum or soft tissue 32, the capsular bag 1 is provided flat.
During the process of using the capsular bag 1 to move the periosteum or soft tissue 32, the inventor has found that the pressure of the periosteum at different positions on the capsular bag 1 is different, the pressure on the capsular bag 1 is higher between the periosteum or soft tissue 32 still connecting the bone 31 to the periosteum or soft tissue 32 being separated from the bone 31 (i.e. the pressure on the capsular bag 1 at b in fig. 6 is higher), and the pressure on the capsular bag 1 is lower when the periosteum or soft tissue 32 is far away from the bone 31 (i.e. the pressure on the capsular bag 1 at c in fig. 6 is lower); in addition, after the capsular bag 1 is inflated with gas, normally, the capsular bag 1 is easy to expand into a "circular shape", and in order to solve the problem, the capsular bag 1 comprises a first supporting surface 11 and a second supporting surface 12, the inventor arranges an elastic strip 13 in the inner cavity of the capsular bag 1, connects the first supporting surface 11 with the second supporting surface 12, and arranges the elastic strip 13 in the inner cavity of the capsular bag 1, the elastic strip 13 connects the first supporting surface 11 with the second supporting surface 12, and the elastic strip 13 pulls the first supporting surface 11 and the second supporting surface 12 inwards, so as to avoid the capsular bag 1 from being "circular" in the moving process, so as to realize the overall balanced movement of periosteum or soft tissue 32, wherein the farther the first supporting surface 11 is away from the second supporting surface 12, the greater the tensile force of the elastic strip 13 is, and the greater the pressure in the inner cavity of the capsular bag 1 is.
In order to facilitate the control of the speed and distance of the movement of the capsular bag 1, the inventor invented a fluid control device 2, which uses the fluid control device 2 to realize the inflation and deflation control of the capsular bag 1, so as to provide a continuous, stable or slow pulling force when the periosteal movement device of the present invention is used in surgery. The fluid control device 2 comprises a control chip and a pump 25, the control chip is electrically connected with the pump 25, the pump 25 is connected with the bag 1 through a connecting pipe, and the control chip controls the opening of the pump 25 to fill gas into the bag 1.
In order to facilitate the control of the gas flowing into or out of the bladder 1, the periosteum movement device further comprises an electric control valve 23, the electric control valve 23 is electrically connected with the control chip and is arranged in the middle of the connecting pipe, namely, between the hole 10 and the pump 25, the connecting pipe between the hole 10 and the electric control valve 23 is a first communicating pipe 21, the communicating pipe between the electric control valve 23 and the pump 25 is a second communicating pipe 24, and the electric control valve can be selected from an electromagnetic flow valve.
The periosteum moving device further comprises a pressure sensor 22, the pressure sensor 22 is electrically connected with the control chip and used for measuring the pressure in the inner cavity of the capsular bag 1, as the pressure in the first communication pipe 21 is equal to the pressure in the capsular bag 1, for the convenience of installation, the pressure sensor 22 is arranged in the first communication pipe 21, the control chip can know the expansion degree of the capsular bag 1 by monitoring the pressure (the larger the expansion degree of the capsular bag 1 is, the larger the pressure monitored by the pressure sensor 22 is), as the farther the moving distance of the first supporting surface 11 and the second supporting surface 12 is, the larger the pressure in the inner cavity of the capsular bag 1 is, the distance for the periosteum or soft tissue 32 to be moved by the periosteum moving device of the invention can be controlled by controlling the pressure in the capsular bag 1.
In order to facilitate human-computer interaction, the periosteum moving device further comprises a touch screen, and the touch screen is electrically connected with the control chip.
The periosteum moving device further comprises a wireless communication module, wherein the wireless communication module is electrically connected with the control chip, and the wireless communication module can wirelessly transmit data (such as data of pressure values detected by the pressure sensor 22, starting time of the pump 25 and the like) in the control chip to other electronic equipment or receive data of other equipment through the wireless communication module, so that mutual communication between the periosteum moving device and other electronic equipment is realized (note: the other electronic equipment is electronic equipment with a communication function, such as a flat plate and the like).
The periosteum moving device further comprises a server and a mobile terminal, the control chip is in wireless communication with the server through the wireless communication module, the mobile terminal is connected with the server, and the mobile terminal is a computer.
The working principle is as follows:
firstly, cutting an opening on the skin, placing the bag 1 under the periosteum (the position between the periosteum and the bone 31) or the soft tissue, when the control chip controls the electric control valve 23 and the pump 25 to be opened, the pump 25 fills gas into the bag 1, the bag 1 expands to slowly move the periosteum, the control chip controls the flow rate of the gas filled into the pump 25 to realize the speed of moving the periosteum or the soft tissue 32, when the gas filled into the bag 1 increases the gas pressure to a specific value, the bag 1 moves the periosteum or the soft tissue by 0.3MM, the pressure sensor 22 detects that the gas pressure increases to the specific value and feeds the specific value back to the control chip, and the control chip closes the electric control valve 23 and the pump 25 to stop moving; in addition, the touch screen and the control chip can be used for performing a human-computer interaction function, and the wireless module can be used for realizing a communication function with a computer. The periosteum moving device has a simple structure, can realize remote control, does not need manual operation, can be used for periosteum and soft tissue moving technology treatment, and stimulates the growth of blood vessels by stretching periosteum soft tissues; in addition, the periosteum moving device is smaller than a transverse tibia moving device, a large number of holes do not need to be drilled on the tibia to move the tibia, damage to the bone 31 and the periosteum is lower, the periosteum moving device is more suitable for minimally invasive surgery, and the periosteum moving device is higher in applicability, and has the following other beneficial effects:
1. in the existing medical theory, the basis of the bone-soft tissue composite moving operation is the Ilizarov technology, the continuous, stable and slow pulling force can be applied to biological tissues to promote cell division and tissue regeneration, so that various defects of limbs can be repaired, and the periosteum moving device provided by the invention can provide the continuous, stable or slow pulling force when being used for moving the periosteum or soft tissues 32, so that the device is suitable for the operation of moving the periosteum or soft tissues 32.
2. The operation wound is small, only one small wound needs to be cut by using the periosteum moving device, the bag 1 is placed below the periosteum (between the periosteum and the bone 31), the bag 1 is expanded to move the periosteum after the air is filled, bone needles do not need to be driven in and holes do not need to be formed in the periosteum and soft tissue supporting pieces, the wound is reduced, and the periosteum moving device is more suitable for being used in minimally invasive surgery.
3. The moving precision is high, the air charging and discharging are automatically controlled by the fluid control device 2 to enter the sac 1, and the periosteum or soft tissue 32 can be moved with high precision.
4. The periosteum or soft tissue 32 can be moved integrally and uniformly, after the bag 1 is filled with gas, the bag 1 is easy to expand into a circular shape under normal conditions, the elastic strip 13 is arranged in the inner cavity of the bag 1 for connection, the middle part of the bag 1 is pulled inwards through the elastic strip 13, and the bag 1 is prevented from being circular in the moving process, so that the periosteum or soft tissue 32 can be moved integrally and uniformly.
5. The operation is simple and convenient, the moving operation can be conveniently realized only by placing the bag 1 under the periosteum or the soft tissue 32, complicated operations such as injection of bone needles and the like are not needed, the operation of doctors is greatly facilitated, the anesthesia time of patients is reduced, and related anesthesia risks are reduced.
6. The periosteum moving device has low operation difficulty, can automatically move without manual operation, is convenient for low-age doctors to learn and operate, is convenient for lower-level hospitals to develop, and can be more effectively popularized.
Furthermore, it should be understood that although the present description refers to embodiments, not every embodiment may contain only a single embodiment, and such description is for clarity only, and those skilled in the art should make the description as a whole, and the embodiments may be appropriately combined to form an embodiment understood by those skilled in the art. In addition, the foregoing descriptions of specific exemplary embodiments of the invention are presented for purposes of illustration and description. It is not intended to limit the invention to the precise form disclosed, and obviously many modifications and variations are possible in light of the above teaching. The exemplary embodiments were chosen and described in order to explain certain principles of the invention and its practical application to enable one skilled in the art to make and use various exemplary embodiments of the invention and various alternatives and modifications as are suited to the particular use contemplated. It is intended that the scope of the invention be defined by the claims and their equivalents.

Claims (10)

1. A periosteum moving device is characterized in that: comprises a bag, wherein the bag is provided with a hole; the bag is used for supporting periosteum or soft tissue, and when gas or liquid is injected into the hole, the bag can expand to move the periosteum or the soft tissue.
2. The periosteal elevator of claim 1, further comprising: the pouch is flat.
3. The periosteal elevator of claim 1, further comprising: the bag comprises a first supporting surface and a second supporting surface, and an elastic strip is arranged in an inner cavity of the bag and connected with the first supporting surface and the second supporting surface.
4. A periosteal transporter according to any one of claims 1 to 3, wherein: the fluid control device can perform inflation and deflation control or inflation and deflation liquid control on the bag.
5. The periosteal elevator of claim 4, wherein: the fluid control device comprises a control chip, a communicating pipe and a pump, wherein the control chip is electrically connected with the pump, and the pump is connected with the hole through a connecting pipe.
6. The periosteal elevator of claim 5, wherein: the electric control valve is electrically connected with the control chip and is used for controlling gas or liquid to enter and exit the hole.
7. The periosteal elevator of claim 5, wherein: the pressure sensor is electrically connected with the control chip and is used for measuring the pressure of the inner cavity of the capsular bag.
8. The periosteal elevator of claim 5, wherein: the touch screen is electrically connected with the control chip.
9. The periosteal elevator of claim 5, wherein: the wireless communication module is electrically connected with the control chip.
10. The periosteal mover of claim 9, wherein: the control chip is in wireless communication with the server through the wireless communication module, the mobile terminal is connected with the server, and the mobile terminal comprises a computer, a mobile phone or a tablet.
CN202110091109.0A 2021-01-22 2021-01-22 Periosteum moving device Pending CN114795396A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116509523A (en) * 2023-03-23 2023-08-01 中南大学 Temperature control side square bone membrane stretching device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116509523A (en) * 2023-03-23 2023-08-01 中南大学 Temperature control side square bone membrane stretching device
CN116509523B (en) * 2023-03-23 2024-04-16 中南大学 Temperature control side square bone membrane stretching device

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