CN204106105U - Expanded skin flap ring retard - Google Patents

Expanded skin flap ring retard Download PDF

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Publication number
CN204106105U
CN204106105U CN201420624904.7U CN201420624904U CN204106105U CN 204106105 U CN204106105 U CN 204106105U CN 201420624904 U CN201420624904 U CN 201420624904U CN 204106105 U CN204106105 U CN 204106105U
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CN
China
Prior art keywords
ring
semi
sections
rings
caliber
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201420624904.7U
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Chinese (zh)
Inventor
谢峰
李青峰
朱海男
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
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Application filed by Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine filed Critical Ninth Peoples Hospital Shanghai Jiaotong University School of Medicine
Priority to CN201420624904.7U priority Critical patent/CN204106105U/en
Application granted granted Critical
Publication of CN204106105U publication Critical patent/CN204106105U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The open expanded skin flap ring retard of this utility model, comprise hard ring, flexible pipe, pressure gauge and air bag, described hard ring is opening-like, be made up of two sections of semi-rings, wherein the caliber of one section of semi-ring is less than another section of semi-ring, and the little semi-ring of caliber inserts in the large semi-ring of caliber just, hard ring openings of sizes is controlled by the lap of two sections of semi-rings, two sections of semi-rings all arrange several screw holes, screw fixes the relative position of two sections of semi-rings through the screw hole of two sections of semi-ring overlaps, the other end of semi-ring respectively arranges an aperture, the described other end refers to the one end do not overlapped, the aperture that the two ends of described flexible pipe be able to be each passed through the other end is connected with hard ring, described pressure gauge and air bag respectively with soft pipe connection.Use this installation method simple, the used time is few, process safety, and patient can be instructed at home to carry out voluntarily.Alleviate the misery of patient, save valuable medical resource.

Description

Expanded skin flap ring retard
Technical field
This utility model relates to medical apparatus and instruments, more particularly, relates to the expanded skin flap ring retard of the preoperative delay being applied to dilator expanded skin flap.
Background technology
The present major technique of the preoperative delay of dilator expanded skin flap postpones for operation, and operation process can be sketched and determine for transposition of flap range size for (1); (2) retain the base of a fruit, prolong around flap and cut, and by the blood vessel coagulation of cutting section or ligation; (3) suture in situ cuts flap.Its objective is by surgical incision, block other blood of flap except the base of a fruit for source, and cause the hypoxic-ischemic environment of local, impel the base of a fruit's vasodilation and new capillary vessel growth.Thus postoperative in transfer of skin flap, reduce the situation of the far-end necrosis that flap causes because of the base of a fruit's blood supply insufficiency.
Use operation method to carry out postponing major defect to expanded skin flap to have: (1) needs in the preoperative to the range size of the flap for transfer, the base of a fruit position, and width etc. make comprehensive judgement, and after making decision, be difficult to change again operation plan; (2) operation process is complicated, and has and cause dilator ulceration, and postoperative appearance is hemorrhage, the possibility of the complication such as infection of expanded skin; (3) add the misery of patient, financial burden, occupy valuable medical resource.
Summary of the invention
Technical problem to be solved in the utility model is, provides a kind of expanded skin flap ring retard.
In order to solve the problem, this utility model provides expanded skin flap ring retard, it is characterized in that, comprise hard ring, flexible pipe, pressure gauge and air bag, described hard ring is opening-like, be made up of two sections of semi-rings, wherein the caliber of one section of semi-ring is less than another section of semi-ring, and the little semi-ring of caliber inserts in the large semi-ring of caliber just, hard ring openings of sizes is controlled by the lap of two sections of semi-rings, two sections of semi-rings all arrange several screw holes, screw fixes the relative position of two sections of semi-rings through the screw hole of two sections of semi-ring overlaps, the other end of semi-ring respectively arranges an aperture, the described other end refers to the one end do not overlapped, the aperture that the two ends of described flexible pipe be able to be each passed through the other end is connected with hard ring, described pressure gauge and air bag respectively with soft pipe connection.
As a preferred version, a nonelastic restraining belt is set outside described flexible pipe.Be set to after on dilator at flexible pipe, before air bag is inflated, not having elastic restraining belt to tighten up knotting, inwardly can only apply pressure to expanded skin flap after such flexible pipe expansion, can not expand outwardly (be invalid expansion, do not have elastic restraining belt to block).Such raising flexible pipe, to the pressure of flap, is raised the efficiency.
As a preferred version, a point prong for soft pipe connection air bag and pressure gauge arranges a criss-cross protective sleeve.
As a preferred version, the hard silica gel tube that described hard ring is out of shape by inflexibility is made, and silica gel tube is the pipeline of hollow.
As a preferred version, the caliber of one section of semi-ring is 0.9 centimetre, and the caliber of another section of semi-ring is 1 centimetre.
As a preferred version, described flexible pipe is made up of bending deformed soft silicone tube, and silica gel tube is the pipeline of hollow.
As a preferred version, described hose diameter is 0.5 centimetre or 1 centimetre.
The utility model has the advantage of, (1) postpones with this device, postpones the cicatrix stayed without operation, admittedly can change operation method in the transfer of skin flap preoperative any time, solves the postoperative shortcoming can not carrying out changing of flap that operation postpones.(2) with the delay that this device carries out, without any otch, stitching, Gu there is not infection, hematoma, the problems such as dilator ulceration.(3) use this installation method simple, the used time is few, process safety, and patient can be instructed at home to carry out voluntarily.Alleviate the misery of patient, save valuable medical resource.
Accompanying drawing explanation
Fig. 1 is this utility model expanded skin flap ring retard structural representation.
Schematic diagram when Fig. 2 is hard ring two sections of semi-rings overlaps.
Fig. 3 is hard ring side schematic view.
Label in diagram is: 1---hard ring; 11---one section of semi-ring; 12---another section of semi-ring; 13---screw hole; 14---screw; 15---aperture; 2---flexible pipe; 3---pressure gauge; 4---air bag.
Detailed description of the invention
Elaborate to this utility model below in conjunction with accompanying drawing, the purposes of embodiment is only to explain the present invention and non-limiting technical scheme.
Embodiment 1
Refer to Fig. 1, expanded skin flap ring retard comprises hard ring 1, flexible pipe 2, pressure gauge 3 and air bag 4, the c-shaped opening shape of hard ring 1, be made up of two sections of semi-rings, wherein the caliber of one section of semi-ring 11 is less than another section of semi-ring 12, and the little semi-ring of caliber inserts in the large semi-ring of caliber just, controls hard ring openings of sizes by the lap of two sections of semi-rings, schematic diagram when being hard ring two sections of semi-rings overlaps see Fig. 2, Fig. 2.Refer to Fig. 3, Fig. 3 is hard ring 1 side schematic view, two sections of semi-rings is all arranged several screw holes 13, and the screw hole that screw 14 passes two sections of semi-ring overlaps fixes the relative position of two sections of semi-rings.Continue see Fig. 1, the other end of semi-ring respectively arranges an aperture 15, and the described other end refers to the one end do not overlapped, and the aperture 15 that the two ends of flexible pipe 2 be able to be each passed through the other end is connected with hard ring 1, and pressure gauge 3 is communicated with flexible pipe 2 respectively with air bag 4.
Flexible pipe, air bag, pressure gauge three is connected, and is inflated in flexible pipe by air bag, increases pressure to flap after expansion flexible pipe, and the pressure of pressure gauge then in recording process, guarantees that pressure exceedes arterial pressure in flap.
One nonelastic restraining belt (diagram does not draw) is set outside described flexible pipe, be set to after on dilator at flexible pipe, before air bag is inflated, knotting is tightened up there is no elastic restraining belt, inwardly pressure can only be applied to expanded skin flap after such flexible pipe expansion, can not expand outwardly (be invalid expansion, do not have elastic restraining belt to block).Such raising flexible pipe, to the pressure of flap, is raised the efficiency.
A point prong for soft pipe connection air bag and pressure gauge can arrange a criss-cross protective sleeve (diagram does not draw), avoids soft tube winding and destruction.
The hard silica gel tube that hard ring 1 is out of shape by inflexibility is made, and silica gel tube is the pipeline of hollow.Wherein the caliber of one section of semi-ring 11 is 0.9 centimetre, and the caliber of another section of semi-ring 12 is 1 centimetre.Two sections of semi-rings are equipped with a screw hole every 1.5 centimetres, bore dia 0.5 centimetre.Whole ring has a breach, and breach size is undertaken regulating (2 centimetres to 10 centimetres) by the lap of two sections of semi-rings.The hole diameter 0.5 centimetre of the semi-ring other end or 1 centimetre, can pass through flexible pipe 2.
Flexible pipe 2 is made up of bending deformed soft silicone tube, and silica gel tube is the pipeline of hollow, and flexible pipe 2 diameter is 0.5 centimetre or 1 centimetre.Flexible pipe 2 two ends are fixing through knotting after semi-ring other end aperture 15, regulate flexible pipe 2 length with this.
During use, 1. confirm expanded skin flap the base of a fruit position and width (a), confirm that bottom expanded skin flap, Zhou Jing deducts the length (b) of the base of a fruit's width simultaneously;
2. regulate c shape hard ring notch length to the width (a) corresponding to the base of a fruit, be screwed the two sections of semi-rings connecting hard ring afterwards, by flexible pipe two through regulating hose length to length (b) behind hard ring two ends and tiing a knot fixing.
3. the base of a fruit two ends are aimed at hard ring two ends, make hard ring breach just to flap the base of a fruit.Flexible pipe is inserted in all the other the expanded skin flap bottoms except the base of a fruit, by the nonelastic restraining belt tighten outside flexible pipe.
4. inflated in flexible pipe by air bag, and observe piezometer situation of change, when piezometer reaches 140mmhg, stop inflating.
5. observe expanded skin flap change, when pressure exceedes local skin flap's systolic arterial pressure, expanded skin flap can occur gloomy, purplish grey, the cool situation of Pi Wenfa, illustrates that flexible pipe has successfully blocked flap the base of a fruit and entered blood flow in flap with outer skin.Delayer is unclamped after 5 minutes.Once preoperative delay completes.Within one day, twice delay can be carried out, increase the time of delay gradually and postpone pressure, make the vasodilation of flap the base of a fruit, new capillary vessel grows, when flexible pipe blocks flap blood flow 1 hour, flap is when still blood fortune is good, and prompting flap can to whole flap, without disturbance of blood circulation, patient can undergo surgery from the base of a fruit's blood supply.
The above is only preferred implementation of the present utility model; it should be pointed out that for those skilled in the art, under the prerequisite not departing from this utility model principle; can also make some improvements and modifications, these improvements and modifications also should be considered as protection domain of the present utility model.

Claims (7)

1. expanded skin flap ring retard, it is characterized in that, comprise hard ring, flexible pipe, pressure gauge and air bag, described hard ring is opening-like, be made up of two sections of semi-rings, wherein the caliber of one section of semi-ring is less than another section of semi-ring, and the little semi-ring of caliber inserts in the large semi-ring of caliber just, hard ring openings of sizes is controlled by the lap of two sections of semi-rings, two sections of semi-rings all arrange several screw holes, screw fixes the relative position of two sections of semi-rings through the screw hole of two sections of semi-ring overlaps, the other end of semi-ring respectively arranges an aperture, the described other end refers to the one end do not overlapped, the aperture that the two ends of described flexible pipe be able to be each passed through the other end is connected with hard ring, described pressure gauge and air bag respectively with soft pipe connection.
2. expanded skin flap ring retard according to claim 1, is characterized in that, arranges a nonelastic restraining belt outside described flexible pipe.
3. expanded skin flap ring retard according to claim 1, is characterized in that, a point prong for soft pipe connection air bag and pressure gauge arranges a criss-cross protective sleeve.
4. expanded skin flap ring retard according to claim 1, is characterized in that, the hard silica gel tube that described hard ring is out of shape by inflexibility is made, and silica gel tube is the pipeline of hollow.
5. expanded skin flap ring retard according to claim 1, is characterized in that, the caliber of one section of semi-ring is 0.9 centimetre, and the caliber of another section of semi-ring is 1 centimetre.
6. expanded skin flap ring retard according to claim 1, is characterized in that, described flexible pipe is made up of bending deformed soft silicone tube, and silica gel tube is the pipeline of hollow.
7. expanded skin flap ring retard according to claim 1, is characterized in that, described hose diameter is 0.5 centimetre or 1 centimetre.
CN201420624904.7U 2014-10-27 2014-10-27 Expanded skin flap ring retard Expired - Fee Related CN204106105U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201420624904.7U CN204106105U (en) 2014-10-27 2014-10-27 Expanded skin flap ring retard

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201420624904.7U CN204106105U (en) 2014-10-27 2014-10-27 Expanded skin flap ring retard

Publications (1)

Publication Number Publication Date
CN204106105U true CN204106105U (en) 2015-01-21

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Application Number Title Priority Date Filing Date
CN201420624904.7U Expired - Fee Related CN204106105U (en) 2014-10-27 2014-10-27 Expanded skin flap ring retard

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105615935A (en) * 2014-10-27 2016-06-01 上海交通大学医学院附属第九人民医院 Expansion flap delay ring

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105615935A (en) * 2014-10-27 2016-06-01 上海交通大学医学院附属第九人民医院 Expansion flap delay ring

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C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20150121

Termination date: 20161027