CN211796622U

CN211796622U - Positioning and inspecting device for breast protection excision specimen

Info

Publication number: CN211796622U
Application number: CN201921993804.0U
Authority: CN
Inventors: 张明亮
Original assignee: Individual
Current assignee: Individual
Priority date: 2019-11-19
Filing date: 2019-11-19
Publication date: 2020-10-30
Anticipated expiration: 2029-11-19

Abstract

The utility model belongs to the technical field of breast tumor resection positioning devices, in particular to a positioning submission device for breast tumor resection specimens, which comprises a specimen bottom plate with scale marks, wherein the specimen bottom plate is circular, a side plate is obtained by extending upwards at the circular edge, and the specimen bottom plate and the side plate are combined to form a container with an upward opening; the scale marks comprise quadrant boundary lines which are perpendicular to each other and positioning circles which are concentric with the specimen baseplate, numbers are marked at intersection points of the quadrant boundary lines and the boundary of the specimen baseplate, the radius of each positioning circle is 2.5-5cm, and the radius of the specimen baseplate is larger than that of each positioning circle. Compared with the prior art, the utility model has the following advantages: the structure is simple, no similar commercial product exists clinically, the comparison and positioning steps can be completed by a single person, and the mobile inspection is convenient; the use is more flexible and convenient, and the utility model is used for determining the in-situ position of the specimen, and is convenient for accurately removing the participating focus when the incisal margin is positive.

Description

Positioning and inspecting device for breast protection excision specimen

Technical Field

The utility model belongs to the technical field of mammary gland tumour excision positioner, concretely relates to location censorship device of guarantor's breast excision sample.

Background

The breast cancer is a common malignant tumor of women, often occurs in glandular epithelial tissues of mammary glands, the incidence rate of the breast cancer is increased year by year along with the continuous change of living habits of people, the method for performing surgical treatment on the breast cancer is also continuously improved, and the breast cancer is gradually developed towards the non-study breast-conserving operation direction of accurately positioning and cutting, keeping the shape of the breast and maintaining the quality of life; in the existing breast protection operation, the tumor is required to be removed to the maximum extent, the normal mammary gland is required to be reserved to the maximum extent, the incisal margin of the specimen is required to have no tumor residue, in the actual operation process, the removed tumor specimen is manually sent to a pathology department, the periphery of the specimen is observed under a microscope, if the tumor cell residue exists in any direction, the remaining gland in the direction needs to be further enlarged and removed, and in order to avoid enlarging and removing the cheap position, the initial position of the breast corresponding to the specimen needs to be accurately positioned; most doctors in the existing clinic still adopt a simple marking method with a thread to roughly mark the approximate position of the taken tumor specimen, namely the cut specimen is divided into an upper direction, a lower direction, an inner direction and an outer direction, and the marking is realized by sewing different threads, so that the rough positioning can be realized, but the accuracy is not high, the repeatability is poor, and particularly, the positioning of a patient needing secondary re-operation after every other day is worse; the existing foreign related operation is to arrange cloth of a drawing board, and pin a specimen on the cloth by a needle head to realize the rough positioning of the specimen; the application number 2017205074443 discloses a device for in-situ accurate positioning of a breast specimen, which comprises a specimen plate and scale marks, wherein the scale marks are radially arranged at equal angles by taking the center of the specimen plate as the center of a circle, each scale mark is provided with a size scale used for marking, measuring the distance between a tumor and the center, measuring the relative angle of the tumor and accurately marking the position of the tumor, when the device is used, a breast nipple is taken as the origin, coordinate points of the breast tumor are determined according to the same placing principle from the origin, then the excised breast tumor and tissues are placed on the specimen plate, and the breast tumor and tissues are firmly fixed by an dissecting needle and sent to a pathology department for examination; observing the distance between the breast tumor and the incisal margin, rapidly freezing and slicing the tissue close to the incisal margin, and if the incisal margin of a certain point is positive, performing supplementary excision on the same coordinate point on the breast and the breast close to the point; in an actual operation, besides cutting a tumor part, a doctor of the main surgeon also needs to describe the operation content of each time on an application form; in actual operation, the existing foreign dial plate positioning device or the positioning device in the file takes a nipple as a positioning circle center, and the universality is considered, so that the standard plate is generally large in specification, poor in flexibility in the operation process, relatively complex in description position and high in time consumption; in actual clinical practice, the size of a tumor also affects the selection of a treatment mode, when breast cancer is diagnosed definitely, if the tumor is large, the breast cancer is not suitable for receiving breast protection surgery (because the beauty effect of the breast after tumor resection cannot be guaranteed), in the breast protection surgery, the tumor is usually limited to a certain quadrant, the size of the tumor is less than 2cm, surgeons pay more attention to the tumor itself and the peripheral margin, the positioning device in the existing foreign dial plate positioning or the file usually takes a nipple as the center, and the utilization rate of the positioning device is low. Therefore, further research and improvement on auxiliary positioning devices in breast-conserving surgery are needed.

SUMMERY OF THE UTILITY MODEL

The utility model aims at providing a simple structure, easily operation, the location of the high milk excision sample of guarantor of high-usage are submitted and are examined device to current positioner great, complex operation's problem.

The utility model discloses a realize through following technical scheme: a positioning and inspecting device for a breast protection excision specimen is characterized in that a specimen bottom plate is circular, a side plate is obtained by extending upwards at the circular edge, and the specimen bottom plate and the side plate are combined to form a container with an upward opening; the scale marks comprise quadrant boundary lines which are perpendicular to each other and positioning circles which are concentric with the specimen baseplate, numbers are marked at intersection points of the quadrant boundary lines and the boundary of the specimen baseplate, the radius of each positioning circle is 2.5-5cm, and the radius of the specimen baseplate is larger than that of each positioning circle; the skin care patch is characterized by further comprising a transparent adhesive film, wherein an annular adhesive film is arranged in the center of the transparent adhesive film, a circular hole is formed in the middle of the annular adhesive film, the radius of the circular hole is the same as that of a positioning circle, the annular adhesive film is provided with positioning lines corresponding to quadrant boundary lines, the tail end of each positioning line is marked with a number, and the annular adhesive film can be adhered to the surface of skin; the transparent adhesive film is adhered to the surface of the skin through an annular adhesive film, the center of the transparent adhesive film is arranged at the projection center of the tumor on the body surface, and the transparent adhesive film is in one-to-one correspondence with the scale marks of the specimen container base on the surface of the skin; can make things convenient for the handheld location censorship device of staff, make circular port and location circle coincidence, location line and quadrant boundary coincidence make things convenient for the sample to excise the operation position complete coincidence of back incisal edge position and the remaining gland of mammary gland, convenient location.

As a further improvement to the scheme, the diameter of the opening of the container formed by combining the specimen bottom plate and the side plate is larger than that of the specimen bottom plate, so that the specimen can be conveniently taken and placed, and the observation is convenient.

As a further improvement to the above scheme, the specimen bottom plate is made of a transparent soft material, so that observation and positioning can be facilitated; the tumor specimen can be pierced by the needle head, the needle head is kept fixed and is not easy to fall off, and the tumor specimen arranged in the inspection device can be conveniently fixed by the needle head; in order to avoid the hand of a worker from being punctured by the needle head in the process of submission, a supporting base connected with the sample bottom plate is arranged below the sample bottom plate, a hollow safety area is arranged between the supporting base and the sample bottom plate, the base is made of hard materials, the needle head cannot be punctured easily, and the needle head can be located in the hollow safety area after puncturing the sample bottom plate.

As a further improvement to the above scheme, the positioning circle is externally provided with a scale mark tangent to the positioning circle, and the scale mark is marked with a scale; the outer wall of the side plate is marked with height scales; the positioning circle, the scale mark and the quadrant boundary are all arranged at the bottom of the specimen bottom plate; the height, the size and the volume of the tumor cut block can be measured immediately, and the reading and the recording of workers are facilitated.

Compared with the prior art, the utility model has the following advantages: the structure is simple, compared with the existing positioning plate, the size is smaller, the comparison and positioning steps can be completed by a single person, and the mobile inspection is convenient; the use is more flexible and convenient, the in-situ position of the body surface of the specimen is determined, the position of the cutting edge is accurately positioned and described, and the malposition and the miscut can be avoided; when the device is used, the excised specimen is placed at the corresponding position of the specimen bottom plate in the same direction according to the position of the positioning part of the excised precursor table, and is fixed by a needle head, the position of the excised specimen is recorded during pathological material collection and diagnosis, and a surgeon carries out the next operation according to the detection and recording results.

Drawings

FIG. 1 is a front view of the positioning and feeding device of example 1 after fixing a specimen.

FIG. 2 is a front view of the positioning and feeding device of example 2 after fixing a specimen.

FIG. 3 is a plan view of the aligning and feeding apparatus according to embodiment 1.

FIG. 4 is a top view of the positioning feeder device after the specimen has been secured.

FIG. 5 is a plan view of the aligning and feeding apparatus according to embodiment 2.

Fig. 6 is a schematic structural view of the transparent adhesive film.

Detailed Description

The present invention will be further explained with reference to the accompanying drawings.

Example 1

1-4, 6, the positioning and inspecting device for the breast-protecting excision specimen, the specimen bottom plate 1 is circular, a side plate 10 is obtained by extending upwards from the circular edge, and the specimen bottom plate 1 and the side plate 10 are combined to form a container with an upward opening; the scale marks comprise quadrant boundary lines 11 which are perpendicular to each other and positioning circles 13 which are concentric with the specimen bottom plate 1, numbers (shown in the figure as 3/6/9/12 marked by a clock) are marked at intersection points of the quadrant boundary lines 11 and the boundary of the specimen bottom plate 1, the radius of the positioning circles 13 is preferably 3cm, and the radius of the specimen bottom plate 1 is larger than that of the positioning circles 13; the tumor specimen body surface positioning device is characterized by further comprising a transparent adhesive film 4, wherein an annular adhesive film 43 is arranged in the center of the transparent adhesive film 4, a circular hole 42 is formed in the middle of the annular adhesive film 43, the radius of the circular hole 42 is the same as that of the positioning circle 13, the annular adhesive film 43 is provided with positioning lines 41 corresponding to the quadrant dividing line 11, the tail end of each positioning line 41 is marked with a number (marked with a clock 3/6/9/12 as shown in the figure), the transparent adhesive film 4 is adhered to the skin surface through the annular adhesive film 43, the center of the transparent adhesive film is arranged in the center of the body surface projection of a tumor specimen, and the traditional method for directly marking and positioning the skin surface is replaced; the positioning censorship device can be conveniently held by a worker, so that the circular hole 42 is coincided with the positioning circle 13, the positioning line 41 is coincided with the quadrant demarcation line 11, the number of the specific mark is also coincided, the position of the cut specimen is coincided with the operation part of the mammary gland conveniently, and the positioning is convenient;

when the tumor resection device is used, the resected tumor specimen 3 is placed at the corresponding position of the specimen bottom plate 1 according to the position of the resected part, the needle head 2 is used for fixing, the position of the specimen bottom plate is recorded, and the next operation is carried out according to the detection result.

Example 2

As shown in fig. 2, on the basis of embodiment 1, the specimen base plate 1 is made of a transparent soft material, which is convenient for observation and positioning; can be pierced by the needle head 2, so that the tumor specimen 3 in the inspection device can be conveniently fixed by the needle head 2; in order to avoid the hand of a worker from being punctured by a needle in the process of submission, a supporting base 12 connected with the specimen bottom plate is arranged below the specimen bottom plate, a hollow safety zone 14 is arranged between the supporting base 12 and the specimen bottom plate 1, the base is made of a hard material, the needle cannot be easily punctured, and the needle can be positioned in the hollow safety zone 14 after puncturing the specimen bottom plate.

Example 3

As shown in fig. 5, on the basis of embodiment 1, a graduation line 15 tangent to the positioning circle 13 is provided outside the positioning circle 13, and the graduation line 15 is marked with a scale (in this embodiment, the scale is accurate to millimeters); the outer wall of the side plate 10 is marked with height scales (not shown in the figure); the positioning circle 13, the scale mark 15 and the quadrant boundary 11 are all arranged at the bottom of the specimen bottom plate 1; can conveniently measure the height and the size of the tumor cut block, and facilitate the reading and the recording of workers.

The device has simple structure, is small compared with the prior positioning plate, can finish the comparison and positioning steps by a single person, and is convenient for moving for inspection; the use is more flexible and convenient, the in-situ position of the specimen can be determined, the false excision or unnecessary excision of the residual gland caused by inaccurate positioning after the tumor in a certain direction is remained can be avoided, and the popularization and the use are convenient; if a certain position is positive after the breast cancer is submitted for inspection, the corresponding position is positioned by the corresponding body surface film according to the coordinates of the specimen, the residual breast tissue with the residual tumor position is further enlarged and excised, and the breast cancer is submitted for inspection again, so that missed incision and miscut incision are avoided, and the breast cancer protection method has important significance for the smooth implementation of breast cancer protection operation.

In practical use, the production, storage and use processes of the positioning and inspection device all conform to relevant regulations, the transparent adhesive film used by contacting with the skin needs to disinfect the skin before use, all operations conform to relevant specifications, and the description is not provided herein.

The above description is only exemplary of the present invention and should not be taken as limiting the scope of the present invention, as any modifications, equivalents, improvements and the like made within the spirit and principles of the present invention are intended to be included within the scope of the present invention.

Claims

1. A positioning and inspecting device for a breast protection excision specimen comprises a specimen bottom plate with scale marks, and is characterized in that the specimen bottom plate is circular, a side plate is obtained by extending upwards at the circular edge, and the specimen bottom plate and the side plate are combined to form a container with an upward opening; the scale marks comprise quadrant boundary lines which are perpendicular to each other and positioning circles which are concentric with the specimen baseplate, numbers are marked at intersection points of the quadrant boundary lines and the boundary of the specimen baseplate, the radius of each positioning circle is 2.5-5cm, and the radius of the specimen baseplate is larger than that of each positioning circle.

2. The positioning and inspection device for the breast resection specimen according to claim 1, wherein the diameter of the opening of the container formed by the combination of the specimen bottom plate and the side plate is larger than the diameter of the specimen bottom plate.

3. The positioning and inspection device for the breast-protecting excision specimen in accordance with claim 1, wherein the specimen bottom plate is made of transparent soft material, which can be pierced by the needle and keep the needle fixed and not easy to fall off.

4. The positioning and inspection device for the breast protection excision specimen as claimed in claim 1, wherein a supporting base connected with the specimen bottom plate is arranged below the specimen bottom plate, a hollow safety area is arranged between the supporting base and the specimen bottom plate, and the base is made of hard material and cannot be easily pierced by a needle.

5. The positioning and inspection device for the breast protection excision specimen as claimed in claim 1, wherein scale marks tangent to the positioning circle are arranged outside the positioning circle, and the scale marks are marked with scales; the outer wall mark of the side plate is provided with height scales.

6. The positioning and inspecting device for the breast protection excision specimen in accordance with claim 1, wherein the positioning circle, the scale mark and the quadrant dividing line are all disposed at the bottom of the specimen bottom plate.

7. The positioning and inspecting device for the breast protection excision specimen according to claim 1, further comprising a transparent adhesive film, wherein an annular adhesive film is arranged in the center of the transparent adhesive film, a circular hole is formed in the middle of the annular adhesive film, the radius of the circular hole is the same as that of the positioning circle, the annular adhesive film is provided with positioning lines corresponding to the quadrant dividing lines, and the tail end of each positioning line is marked with a number; the annular adhesive film can be stuck to the surface of the skin.