CN206228499U - A kind of expander - Google Patents

A kind of expander Download PDF

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Publication number
CN206228499U
CN206228499U CN201620964228.7U CN201620964228U CN206228499U CN 206228499 U CN206228499 U CN 206228499U CN 201620964228 U CN201620964228 U CN 201620964228U CN 206228499 U CN206228499 U CN 206228499U
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CN
China
Prior art keywords
expander
capsule
blister cavities
water injection
injection pipe
Prior art date
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
CN201620964228.7U
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Chinese (zh)
Inventor
陈国成
周栩
尹宁北
李海东
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.)
Plastic Surgery Hospital of CAMS and PUMC
Original Assignee
Plastic Surgery Hospital of CAMS and PUMC
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Publication date
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Priority to CN201620964228.7U priority Critical patent/CN206228499U/en
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Publication of CN206228499U publication Critical patent/CN206228499U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The utility model is a kind of expander, is related to a kind of medicine equipment.It is uneven to solve single-chamber expander capsule intraluminal pressure present in prior art, and the expanded skin flap blood fortune that easily causes pole skin under patient is not good or even the consequence of ulceration occurs;During expander angulation, anaphase process cannot solve the problems, such as angulation, so as to the symptom such as cause patient wound to be gone wrong technical problem and design.The expander includes expander capsule and the water injection pipe for communicating therewith, expander capsule is divided into multiple blister cavities, water injection pipe is communicated with each blister cavities, multiple blister cavities are disperseed the intracapsular total pressure of expander, and both can be with independent operation between multiple blister cavities, can complement each other again, so as to reduce patient, to use the expanded skin flap blood for occurring lower pole skin during expander to transport not good or even when there is ulceration, expander angulation, causes the probability that patient wound is gone wrong.

Description

A kind of expander
Technical field
The utility model is related to a kind of medicine equipment, more particularly to a kind of expander.
Background technology
Microtia is a kind of congenital abnormality, comes from first and second cheek bow and the first cheek ditch depauperation, and Clinical symptoms is related to And position be mainly auricle, external auditory meatus and middle ear, wherein, auricle shows as different degrees of deformity, stricture of external auditory canal or Locking, middle ear and auditory ossicular chain depauperation or deformity, cause conduction deafness, influence hearing and development of speech, and the incidence of disease is about It is 3/10000.
Expansion method reconstruction of auricle is the maturation method for treating congenital microtia, is also the characteristic of cosmetic surgery hospital, but It is that the related complication rate of expander is still higher:The dermatodyspasia of patients with congenital microtia mastoid region, on Extremely thick near skin at hairline edge, and lower pole skin is thin, existing single-chamber expander is inserted after patient's ear after skin, in water filling Cheng Zhong, because of the Action of Gravity Field of water, the stress point of patient's expanded skin flap is concentrated mainly on the lower pole of flap so that patient's expanded skin flap Lower pole skin relatively go up that pole skin is easily thinning, so as to pole skin is easier the not good disease of flap circulation occur under causing patient Shape, the expanded skin flap of pole even can occur ulceration under patient when serious, cause expander to expose;But, now patient's expansion skin The upper pole skin of valve is still thicker, does not reach the ideal thickness that treatment needs.Additionally, in therapeutic process, existing expander is also Angulation situation may occur, and anaphase process cannot solve the problems, such as expander angulation, so as to cause patient wound to be gone wrong Etc. consequence.
That is, there is expander capsule intraluminal pressure when existing single-chamber expander is treated uneven, and easily cause under patient The expanded skin flap blood fortune of pole skin is not good or even the phenomenon of ulceration occurs;During expander angulation, anaphase process cannot be solved Angulation problem, so as to the symptom such as cause patient's expanded skin flap to go wrong.
Utility model content
The purpose of this utility model is to provide a kind of expander, to solve single-chamber expander capsule present in prior art Intraluminal pressure is uneven, and the expanded skin flap blood fortune that easily causes pole skin under patient is not good or even the consequence of ulceration occurs;Expand During prop angulation, anaphase process cannot solve the problems, such as angulation, so as to the technology of the symptom such as cause patient wound to be gone wrong is asked Topic.
The utility model is a kind of expander, including expander capsule and water injection pipe, the water injection pipe and the expander capsule Connection, the expander capsule is divided on multiple blister cavities, and multiple blister cavities and is communicated with the water injection pipe.
Further, the expander capsule is divided into the first blister cavities, the second blister cavities and the 3rd blister cavities, first capsule side by side The water injection pipe is communicated with chamber, second blister cavities and the 3rd blister cavities.
Further, between first blister cavities and second blister cavities, second blister cavities and the 3rd blister cavities it Between separated by separation membrane.
Further, the also fixing hole including being fixedly arranged on the expander capsule.
Further, the fixing hole is two and positioned at the junction of the expander capsule and the water injection pipe, two The fixing hole is symmetrical arranged on the water injection pipe.
Further, the expander capsule is kidney shape expander capsule.
Further, the separation membrane is provided with two panels, and the fan-shaped edge along the kidney shape expander capsule expands the kidney shape Prop capsule even partition is into first blister cavities, second blister cavities and the 3rd blister cavities.
Further, the free end of the water injection pipe is fixedly connected with topping up jug.
Further, the expander capsule is silicon rubber expander capsule.
Further, the separation membrane separation membrane is silicon rubber separation membrane.
The beneficial effects of the utility model are:
The utility model provides a kind of expander, including expander capsule and for the water filling to the intracapsular injection liquid of expander Pipe.Expander is as the distinctive therapeutic system of plastic surgery, its principle:Expander is implanted into soft group of lesion annex normal skin Knit down, by water injection pipe discontinuously to expander intracapsular injection liquid to increase the volume of expander capsule, make it to surface skin Soft tissue produces pressure, makes division growth and the space between cells drawing of tissue and epidermal cell to local effect by expanding mechanism Greatly, so as to increase skin area, after taking out expander capsule, it is possible to carry out tissue repair and device with the skin soft tissue for newly increasing Official reproduces.
In the present embodiment, expander capsule is divided into multiple blister cavities, and each blister cavities is communicated with water injection pipe, i.e. each capsule Chamber independent operation.For congenital microtia, when expander implantation patient mastoid region it is subcutaneous after, to each capsule of expander Liquid is injected in chamber, the expansion of each blister cavities produces pressure to skin soft tissue, increases skin area;Liquid body weight in each blister cavities Power is acted on so that it is also main that the pressure in each blister cavities is concentrated mainly on the lower pole of blister cavities, i.e. external skin soft tissue stress point The lower pole piece position of each blister cavities is concentrated on, but due to each blister cavities dispersed distribution, the influence of expander liquid body gravity is disperseed It is some, accordingly, external pressure is also separated into some in expander capsule, and patient-external skin soft tissue has Multiple scattered main stress points, in the presence of multiple main stress points, the skin soft tissue liquid body weight that patient is expanded Power influence is smaller, can relatively evenly carry out cell propagation, completes the increase of skin area, so as to reduce the implantation of patient mastoid region After expander, under patient there is blood not good or ulceration the phenomenon of fortune in the expanded skin flap of pole skin.
Additionally, each expander capsule can be by the water injection pipe that communicates therewith to injection liquid in it, independent operation, mutually it Between without influence.Over the course for the treatment of, different situations are grown for expanded skin flap, can be by adjusting different expander capsules Liquid injection rate controls the growth thickness of expanded skin flap, so as to obtain the ideal thickness needed for medical treatment.In addition, expander makes Expander capsule is likely to occur angulation problem during, after expander capsule angulation, the expanded skin flap outside the angulation expander capsule It is susceptible to poor arterial inflow or even situation about festering;When finding that angulation occurs in one of expander capsule, stop angulation expansion The liquid injection of device capsule, reduces influence of the angulation expander capsule to corresponding expanded skin flap, and other expander capsules according to Treatment progress still normally injects liquid, so can not only ensure the normal expansion of the expanded skin flap in non-angulation expander capsule region , moreover it is possible to the expanded skin flap for being into angular zone reserves the mastery time, and the flap that the later stage expands can also be the expander capsule of angulation There is provided more improvement spaces such that it is able to alleviate influence of the expander capsule angulation to treating, reduce patient's expanded skin flap and go out to ask The probability of topic.
Brief description of the drawings
In order to illustrate more clearly of the utility model specific embodiment or technical scheme of the prior art, below will be right The accompanying drawing to be used needed for specific embodiment or description of the prior art is briefly described, it should be apparent that, describe below In accompanying drawing be some implementation methods of the present utility model, for those of ordinary skill in the art, do not paying creativeness On the premise of work, other accompanying drawings can also be obtained according to these accompanying drawings.
The first structure schematic diagram of the expander that Fig. 1 is provided for the utility model embodiment;
Second structural representation of the expander that Fig. 2 is provided for the utility model embodiment;
First partial sectional view of the expander that Fig. 3 is provided for the utility model embodiment;
Second partial sectional view of the expander that Fig. 4 is provided for the utility model embodiment.
Reference:
1- expander capsule 2- water injection pipe 3- separation membranes
4- fixing hole 5- topping up jugs
The blister cavities of 11- the first blister cavities the second blister cavities of 12- 13- the 3rd
Specific embodiment
The technical solution of the utility model is clearly and completely described below in conjunction with accompanying drawing, it is clear that described Embodiment is a part of embodiment of the utility model, rather than whole embodiments.Based on the embodiment in the utility model, this The every other embodiment that field those of ordinary skill is obtained under the premise of creative work is not made, belongs to this practicality Novel protected scope.
It is term " " center ", " on ", D score, "left", "right", " perpendicular, it is necessary to explanation in description of the present utility model Directly ", the orientation or position relationship of the instruction such as " level ", " interior ", " outward " are, based on orientation shown in the drawings or position relationship, to be only Described with simplified for the ease of description the utility model, must had rather than the device or element for indicating or implying meaning specific Orientation, with specific azimuth configuration and operation, therefore it is not intended that to limitation of the present utility model.Additionally, term " the One ", " second ", " the 3rd " are only used for describing purpose, and it is not intended that indicating or implying relative importance.
, it is necessary to explanation, unless otherwise clearly defined and limited, term " is pacified in description of the present utility model Dress ", " connected ", " connection " should be interpreted broadly, for example, it may be fixedly connected, or be detachably connected, or integratedly Connection;Can mechanically connect, or electrically connect;Can be joined directly together, it is also possible to be indirectly connected to by intermediary, Can be two connections of element internal.For the ordinary skill in the art, above-mentioned art can be understood with concrete condition Concrete meaning of the language in the utility model.
The present embodiment is a kind of expander, as Figure 1-Figure 4, including expander capsule 1 and water injection pipe 2, water injection pipe 2 with expand Prop capsule 1 is connected, and expander capsule 1 is divided into multiple blister cavities, and is communicated with water injection pipe 2 on multiple blister cavities.
Expander is as the distinctive therapeutic system of plastic surgery, its principle:Expander is implanted into the normal skin of lesion annex Under skin soft tissue, by water injection pipe 2 discontinuously to injecting fluid in expander capsule 1 to increase the volume of expander capsule 1, make its right Surface skin soft tissue produces pressure, and the division growth of tissue and epidermal cell and carefully is made to local effect by expanding mechanism Intercellular space widens, so that increase skin area, after the later stage takes out expander capsule 1, it is possible to entered with the skin soft tissue for newly increasing Row tissue repair and Organ Reconstruction.
In the present embodiment, as shown in figs 2-4, expander capsule 1 is divided into multiple blister cavities, and each blister cavities is communicated with Water injection pipe 2, i.e. each blister cavities independent operation.For congenital microtia, when expander implantation patient mastoid region it is subcutaneous after, To liquid is injected in each blister cavities of expander, the expansion of each blister cavities produces pressure to skin soft tissue, increases skin area, respectively Liquid body Action of Gravity Field in individual blister cavities so that the pressure in each blister cavities is concentrated mainly on the lower pole of blister cavities, i.e. external skin is soft Tissue stress point is also concentrated mainly on the lower pole piece position of each blister cavities, but due to each blister cavities dispersed distribution, expander is received into liquid The influence of body weight power is separated into some, and accordingly, external pressure is also separated into some, patient in expander capsule 1 External skin soft tissue has multiple scattered main stress points, in the presence of multiple main stress points, what patient was expanded The influence of skin soft tissue liquid body gravity is smaller, can relatively evenly carry out cell propagation, completes the increase of skin area, so that After reducing patient mastoid region implantation expander, under patient there is blood not good or ulceration the phenomenon of fortune in the expanded skin flap of pole skin.
Additionally, each expander capsule 1 can be by the water injection pipe 2 that communicates therewith to injection liquid in it, independent operation, mutually Between without influence.Over the course for the treatment of, for the situation that expanded skin flap growth thickness is different, can be by adjusting different expansions The liquid injection rate of device capsule 1 controls the growth thickness of expanded skin flap, so as to obtain the ideal thickness needed for medical treatment.For example, working as The lower pole expanded skin flap thinner thickness of patient mastoid region and during thicker upper pole expanded skin flap, can suitably reduce lower pole expander capsule 1 liquid injection rate, meanwhile, the appropriate liquid injection rate for increasing upper pole expander capsule 1 so, to a certain extent, can be adjusted The cell proliferation rate of expanded skin flap and intercellular gap are saved, so as to adjust the thickness of expanded skin flap, enables expanded skin flap Ideal thickness needed for being enough grown to medical treatment.
In addition, expander is in use, when finding that angulation occurs in one of expander capsule 1, stops angulation and expand The liquid injection of prop capsule 1, reduction angulation expander 1 influence to corresponding expanded skin flap of capsule, and other expander capsules 1 Liquid is still normally injected according to treatment progress, so can not only ensure the expanded skin flap in the non-region of angulation expander capsule 1 just It is frequently grown, moreover it is possible to which the expanded skin flap for being into angular zone reserves the mastery time, and the flap that the later stage expands can also be the expansion of angulation Device capsule 1 provides more improvement spaces such that it is able to which alleviating influence of the angulation of expander capsule 1 to treating reduces patient's expanded skin flap The probability for ging wrong.
Specifically, in the present embodiment, as shown in Fig. 2 expander capsule 1 can be side by side divided into the first blister cavities 11, second The blister cavities 13 of blister cavities 12 and the 3rd, water injection pipe 2 is communicated with the first blister cavities 11, the second blister cavities 12 and the 3rd blister cavities 13.Will expansion Device capsule 1 is divided into three blister cavities, and after under the skin soft tissue of expander implantation patient mastoid region, three blister cavities are respectively at The position of upper, middle and lower, on the basis of it can realize that the intraluminal pressure of expander capsule 1 is scattered, can also alleviate 1 one-tenth of expander capsule The problem at angle.Wherein, the first blister cavities 11, the operation principle of the second blister cavities 12 and the 3rd blister cavities 13 and identical above, here no longer Repeat.
In the present embodiment, between the first blister cavities 11 and the second blister cavities 12, between the second blister cavities 12 and the 3rd blister cavities 13 Separate with by separation membrane 3.When expander capsule 1 is expanded to expanded skin flap, the outside of expander capsule 1 will ensure round and smooth do not have Fold, is separated adjacent blister cavities using separation membrane 3, after under the skin soft tissue of the implantation patient of expander capsule 1 mastoid region, As liquid is injected in the first blister cavities 11, the second blister cavities 12 and the 3rd blister cavities 13, each blister cavities starts expansion, at this moment, separation membrane 3 Opened with the expansion of blister cavities, pulling force will not be produced to the junction of separation membrane 3 and expander capsule 1, so as to expansion will not be made The outside of device capsule 1 produces fold, and the growth for being more beneficial for expanded skin flap expands.
In the present embodiment, as shown in Figure 1, Figure 2 and Figure 4, the expander also includes the fixing hole being fixedly arranged on expander capsule 1 4.During treatment, after expander is determined into good position, expander capsule 1 is fixed on patient skin through fixing hole 4 with suture, from And reduce expander capsule 1 in therapeutic process to be moved and influence the situation of expanded skin flap form, improve treatment success rate and Therapeutic quality.
Specifically, in the present embodiment, as shown in Figure 1, Figure 2 and Figure 4, fixing hole 4 can be for two and positioned at expander capsule 1 With the junction of water injection pipe 2, two fixing holes 4 are symmetrical arranged on water injection pipe 2.First, two fixing holes 4 pairs are passed suture through Expander capsule 1 is fixed, and to be got well compared to the fixed effect of single fixing hole 4, can complete the fixation to expander capsule 1;Its Secondary, fixing hole 4 is located at the junction of expander capsule 1 and water injection pipe 2, and over the course for the treatment of, fixing hole 4 will not be to expander capsule 1 Cause extruding also not contacted with expanded skin flap to have undesirable effect it, expander capsule 1 is moved in therapeutic process is reduced In the case of dynamic, it may also be ensured that the normal work of expander capsule 1.
Specifically, in the present embodiment, as Figure 1-Figure 4, expander capsule 1 can be kidney shape expander capsule.For congenital Property microtia, using expansion method reconstruction of auricle when, expander be used for the skin expansion of mastoid region is gone out for cultivating auricle The space of shape costal cartilage, the shape of kidney shape is consistent with pinna shape, and the flap for expanding out by using kidney shape expander capsule is more Meet post-operative demand, be more beneficial for the cultivation of auricle shape costal cartilage and the treatment of post-operative.
In the present embodiment, as shown in Fig. 2 separation membrane 3 is provided with two panels, the fan-shaped edge along kidney shape expander capsule expands kidney shape Prop capsule even partition is into the first blister cavities 11, the second blister cavities 12 and the 3rd blister cavities 13.Separation membrane 3 along kidney shape expander capsule sector Expander capsule 1 is divided into three blister cavities, during treatment, expander capsule 1 is implanted under the skin soft tissue of patient mastoid region by edge Afterwards, three blister cavities are respectively at the position of upper, middle and lower, on the basis of it can realize that pressure is scattered in expander capsule 1, may be used also To alleviate the problem of the angulation of expander capsule 1.The operation principle of each blister cavities has been described in detail above, no longer goes to live in the household of one's in-laws on getting married here State.
In view of the sealing problem of water injection pipe 2, in the present embodiment, as Figure 1-Figure 4, can also water injection pipe 2 from Topping up jug 5 is fixedly connected with by end.Topping up jug 5 is used to seal the mouth of pipe of water injection pipe 2, it is ensured that the liquid in expander capsule 1 Body will not be leaked, in treatment, topping up jug 5 be typically in sealing state, it is necessary to in expander capsule 1 inject liquid when, with injection Device syringe needle is directly pricked into topping up jug 5, by water injection pipe 2 to liquid is injected in expander capsule 1, after fluid injection is finished, by injection needle Extract, the meeting seal itself of topping up jug 5, the mouth of pipe to water injection pipe 2 seals, reduces and even avoid liquid in expander capsule 1 Leakage.
Further, it is also possible in the fixed sheet metal in the inside of topping up jug 5, the sheet metal is used for reducing syringe the injecting process The middle situation for puncturing topping up jug 5, further ensures that the sealing of expanded balloon 1.
In the present embodiment, expander capsule 1 can be silicon rubber expander capsule.Silicon rubber refers to that main chain is handed over by silicon and oxygen atom For composition, generally there are two rubber of organic group on silicon atom.Good permeability, the OTR oxygen transmission rate of silicon rubber are in synthesized polymer It is highest in thing;Additionally, silicon rubber also has physiological inertia, blood coagulation will not be caused, therefore be widely used in medical field.Especially Its for medical grade silicon rubber, in addition to These characteristics, also with the high grade of transparency, good anti-yellowing property, high anti-tearing strength the features such as, As the material of expander capsule 1, expander capsule 1 can be made to play a role well, improve the treatment probability of patient, reduced Slight illness in patient treatment procedure.
In the present embodiment, separation membrane 3 can also use silicon rubber separation membrane.The characteristics of silicon rubber, has been made in detail above Description, repeats no more here.
Similar, fixing hole 4 can also use silicon rubber retainer plate.
Finally it should be noted that:Various embodiments above is only used to illustrate the technical solution of the utility model, rather than it is limited System;Although being described in detail to the utility model with reference to foregoing embodiments, one of ordinary skill in the art should Understand:It can still modify to the technical scheme described in foregoing embodiments, or to which part or whole Technical characteristic carries out equivalent;And these modifications or replacement, the essence of appropriate technical solution is departed from this practicality newly The scope of each embodiment technical scheme of type.

Claims (10)

1. a kind of expander, including expander capsule (1) and water injection pipe (2), the water injection pipe (2) is with the expander capsule (1) even It is logical, it is characterised in that the expander capsule (1) is divided on multiple blister cavities, and multiple blister cavities and is communicated with the water filling Pipe (2).
2. expander according to claim 1, it is characterised in that the expander capsule (1) is divided into the first blister cavities side by side (11), the second blister cavities (12) and the 3rd blister cavities (13), first blister cavities (11), second blister cavities (12) and the 3rd capsule The water injection pipe (2) is communicated with chamber (13).
3. expander according to claim 2, it is characterised in that first blister cavities (11) and second blister cavities (12) Between, separated by separation membrane (3) between second blister cavities (12) and the 3rd blister cavities (13).
4. expander according to claim 3, it is characterised in that also including being fixedly arranged on consolidating on the expander capsule (1) Determine hole (4).
5. expander according to claim 4, it is characterised in that the fixing hole (4) is for two and positioned at the expansion The junction of device capsule (1) and the water injection pipe (2), two fixing holes (4) are symmetrical arranged on the water injection pipe (2).
6. expander according to claim 5, it is characterised in that the expander capsule (1) is kidney shape expander capsule.
7. expander according to claim 6, it is characterised in that the separation membrane (3) is provided with two panels, expands along the kidney shape The fan-shaped edge of prop capsule is by the kidney shape expander capsule even partition into first blister cavities (11), second blister cavities (12) With the 3rd blister cavities (13).
8. expander according to claim 7, it is characterised in that the free end of the water injection pipe (2) is fixedly connected with note Kettle (5).
9. the expander according to any one of claim 1-8, it is characterised in that the expander capsule (1) is silicon rubber Expander capsule.
10. the expander according to any one of claim 1-8, it is characterised in that the separation membrane (3) is silicon rubber point Barrier film.
CN201620964228.7U 2016-08-27 2016-08-27 A kind of expander Expired - Fee Related CN206228499U (en)

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Application Number Priority Date Filing Date Title
CN201620964228.7U CN206228499U (en) 2016-08-27 2016-08-27 A kind of expander

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Application Number Priority Date Filing Date Title
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Publications (1)

Publication Number Publication Date
CN206228499U true CN206228499U (en) 2017-06-09

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106264864A (en) * 2016-08-27 2017-01-04 中国医学科学院整形外科医院 A kind of dilator

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106264864A (en) * 2016-08-27 2017-01-04 中国医学科学院整形外科医院 A kind of dilator

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