CN211985705U - Mammary gland tumour body surface positioner - Google Patents

Mammary gland tumour body surface positioner Download PDF

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Publication number
CN211985705U
CN211985705U CN201922481485.1U CN201922481485U CN211985705U CN 211985705 U CN211985705 U CN 211985705U CN 201922481485 U CN201922481485 U CN 201922481485U CN 211985705 U CN211985705 U CN 211985705U
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temperature thermoplastic
body surface
low
orientation
breast
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CN201922481485.1U
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田超
周红艳
曾实岩
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Sichuan Cancer Hospital
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Sichuan Cancer Hospital
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Abstract

The utility model relates to a mammary gland tumour body surface positioner, including be used for the laminating breast and can mould the type according to the breast shape mould the type portion and set up in mould the position mark portion of type portion, position mark portion is used for confirming the position of moulding the type portion and by the position of mark tumour. The utility model provides a body surface positioner, simple structure, low cost, convenient to use not only makes things convenient for medical personnel to carry out accuracy, quick, efficient location, can be atraumatic and accurate mark tumour in the projection position of patient's body surface moreover to the excision scope of the primary focus of certainty that can be accurate, the breast cancer of being more convenient for is protected and is suckled the art.

Description

Mammary gland tumour body surface positioner
Technical Field
The utility model relates to the technical field of medical equipment, concretely relates to mammary gland tumour body surface positioner.
Background
Although breast cancer is benign, breast cancer is a common malignant tumor in women, and has a high incidence rate in China.
Currently, when breast cancer (i.e., malignant breast tumor) is diagnosed, it is usually necessary to perform adjuvant chemotherapy, especially for the case of large tumor volume, and then perform surgery to remove the primary lesion. In the actual treatment process, the tumor usually becomes smaller or even disappears along with the application of the auxiliary chemotherapy, and when the breast cancer breast-protecting operation is performed in the later stage, the medical staff needs to know the position of the tumor relative to the body surface before the chemotherapy, so that the excision range of the primary focus can be determined more accurately.
In the prior art, before chemotherapy, a medical staff usually traces a body surface projection of a tumor (or called a tumor block) on the body surface of a patient according to the position and the size of the tumor, so as to accurately determine the position of a primary focus at a later stage; however, the common approaches of the prior art are: the tattoo marking method and the marking clip marking method have the advantages that the tattoo method is used for projecting and describing the body surface of a tumor on the body surface of a patient before auxiliary chemotherapy, the marking clip is arranged in the upper, lower, left and right directions of the tumor by guiding with color ultrasound, the two methods can mark the position of a primary focus, but can cause wounds with different degrees to the patient, not only bring new pain to the patient and increase the risk of infection, but also greatly increase the work burden of medical care personnel and increase the treatment cost of the patient, and especially when the tattoo marking method is adopted, permanent marks can be left on the breast skin of the patient, thus seriously affecting the beauty.
SUMMERY OF THE UTILITY MODEL
An object of the utility model is to improve the not enough that exists among the prior art, provide a mammary gland tumour body surface positioner, simple structure, with low costs, convenient to use can be atraumatic and accurate mark tumour in the projection position of patient's body surface to the excision scope of the primary focus of determination that can be accurate, the breast cancer of being more convenient for is protected and is suckled the art.
The utility model adopts the technical proposal that:
a breast tumor body surface positioning device comprises a modeling part and an orientation marking part, wherein the modeling part is used for being attached to a breast and can be modeled according to the shape of the breast, the orientation marking part is arranged on the modeling part, and the orientation marking part is used for determining the orientation of the modeling part and the orientation of a marked tumor. For patients with confirmed breast cancer, the positioning device can be used for marking the position of a primary focus before auxiliary chemotherapy, and the specific method comprises the following steps: the patient lies down, the medical staff places the shaping part on the breast of the patient, and the shaping part is arranged according to the direction mark part, then the shaping part deforms and fits the breast of the patient by external force, and the shaping is carried out after a certain time; medical personnel can determine the projection position of the tumor on the body surface of the patient according to the position and the size of the tumor, so that the size and/or the position of the tumor can be marked at the corresponding position of the modeling part, and finally the positioning device is taken down; when breast cancer breast protection operation is performed after auxiliary chemotherapy is completed, medical staff only need to attach the modeling part in the positioning device to the breast of a patient and use the direction marking part to align the modeling part, at the moment, a mark made in advance on the modeling part just corresponds to the body surface projection of a primary focus, so that the projection position of a tumor on the body surface of the patient before auxiliary chemotherapy can be conveniently and accurately determined, and the excision range of the primary focus can be accurately determined; therefore, the positioning device is convenient to use, can mark the projection position of the tumor on the body surface of the patient in an atraumatic manner, and can effectively overcome the defects in the prior art.
Preferably, the molding part is made of thermoplastic material. So that the molding part can be softened at a certain temperature and hardened after the temperature is reduced, thereby realizing good molding effect.
Further, the molding part comprises a low-temperature thermoplastic plate. The low-temperature thermoplastic plate is a novel medical material which is prepared by processing special synthetic high-molecular polyester through a series of physical and chemical methods; the low-temperature thermoplastic plate has the outstanding performances of no ray absorption, good molding effect after heating and softening, unique shape memory function (secondary heating, secondary molding or local heating for secondary molding when molding is not satisfactory) and the like, and the requirement of the positioning device is very met.
Further, the low-temperature thermoplastic plate is provided with a plurality of meshes, so that the low-temperature thermoplastic plate forms a net structure. The setting of mesh, not only the low temperature thermoplastic sheet of being convenient for softens the back and warp, increases the gas permeability, when the low temperature thermoplastic sheet covers on patient's breast moreover, can reach patient's skin through the mesh, both the shaping portion of being convenient for is in the location of breast, is convenient for directly to be the reference mark on patient's skin through the mesh again to the accurate projection position of tumour before the supplementary chemotherapy of definite more is favorable to.
Preferably, the orientation mark part comprises an orientation mark line arranged on the surface of the low-temperature thermoplastic plate, and the orientation mark line comprises a horizontal orientation mark line arranged horizontally and/or a vertical orientation mark line arranged vertically. In the process of placing and positioning the molding part, the molding part can be more conveniently, accurately and efficiently aligned by taking the horizontally arranged horizontal direction marking line and/or the vertically arranged vertical direction marking line as reference.
Further, the orientation mark line is a protrusion or a groove arranged on the low-temperature thermoplastic plate. In order to implement the orientation mark.
In order to distinguish the horizontal direction marking line from the vertical direction marking line, the direction marking part further comprises a distinguishing mark arranged on the surface of the low-temperature thermoplastic plate. By utilizing the distinguishing mark, medical personnel can conveniently distinguish the horizontal direction mark line and the vertical direction mark line so as to accurately determine the projection position of the tumor on the body surface of the patient before the auxiliary chemotherapy.
Preferably, the distinguishing mark is an azimuth, a text and/or a map.
In order to facilitate the molding operation, the molding part further comprises a holding part, and the holding part is arranged at the edge of the low-temperature thermoplastic plate. So that the medical staff can hold the medical staff.
Preferably, the holding part is a side strip arranged on one circle of the edge of the low-temperature thermoplastic plate, or the holding part is two side strips which are arranged on the left side and the right side of the low-temperature thermoplastic plate and are independent of each other. Not only is convenient to hold, but also does not influence the molding of the low-temperature thermoplastic plate. The arrangement of the edge strips is beneficial to the smoothness of the edges of the low-temperature thermoplastic plate, is more convenient to use and is also beneficial to the stable molding.
Further, the low-temperature thermoplastic plate is of a circular or rectangular structure.
In order to facilitate the positioning of the center of the low temperature thermoplastic plate, the nipple of the breast may be used as a reference, and further, the orientation marking part further includes a positioning hole, which is disposed at the center of the low temperature thermoplastic plate, for positioning the nipple. When the size and/or the position of a tumor needs to be marked on the low-temperature thermoplastic plate, the low-temperature thermoplastic plate is placed on the breast for the first time, and in the process of positioning the low-temperature thermoplastic plate, the nipple can be accommodated by the positioning hole and positioned at the center position of the positioning hole, and then the low-temperature thermoplastic plate can be accurately aligned by combining the direction marking line; when the projection size and/or the position of tumour on the body surface are confirmed to this positioner of needs utilization, place low temperature thermoplastic sheet on the breast again, utilize the locating hole to hold the nipple, and make the nipple be located the central point department of locating hole, the position mark line that combines again, can accurately confirm low temperature thermoplastic sheet, make the position and the position of current low temperature thermoplastic sheet and the position of preceding low temperature thermoplastic sheet identical, thereby can utilize the tumour size and/or the position of mark on the current low temperature thermoplastic sheet, it is accurate, fast, the efficient projection position of tumour on patient's body surface before supplementary chemotherapy of confirming, so that carry out breast cancer and protect the breast operation.
Furthermore, edge strips are arranged on the edges of the positioning holes. The strake can increase the rigidity of locating hole, prevents to mould the type in-process at low temperature thermoplastic sheet, and the shape of locating hole changes, is favorable to realizing accurate positioning.
Compared with the prior art, use the utility model provides a pair of breast tumour body surface positioner has following beneficial effect:
1. the positioning device has the advantages of simple structure, low cost and convenient use, and can mark the projection position of the tumor on the body surface of a patient in a non-invasive and accurate manner, thereby accurately determining the excision range of the primary focus and facilitating the breast cancer preservation.
2. This positioner, easy operation, convenient to use, medical personnel can be accurate, quick, efficient make twice of type portion of moulding place the position unanimous to be favorable to the accurate projection position of confirming the tumour before supplementary chemotherapy at the patient body surface.
3. The positioning device marks and positions the position of the primary tumor focus in an atraumatic mode, and can effectively avoid the problems caused by the existing invasive marking mode.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings that are required to be used in the embodiments will be briefly described below, it should be understood that the following drawings only illustrate some embodiments of the present invention, and therefore should not be considered as limiting the scope, and for those skilled in the art, other related drawings can be obtained according to the drawings without inventive efforts.
Fig. 1 is a schematic structural diagram (top view) of a first body surface positioning device provided in embodiment 1 of the present invention.
Fig. 2 is a schematic structural diagram of a second body surface positioning device provided in embodiment 1 of the present invention.
Fig. 3 is a schematic structural diagram of a third body surface positioning device provided in embodiment 1 of the present invention.
Fig. 4 is a schematic structural diagram of a fourth body surface positioning device provided in embodiment 1 of the present invention.
Fig. 5 is a partial schematic view of the cross-section of fig. 3.
Fig. 6 is a schematic structural diagram of a body surface positioning device provided in embodiment 2 of the present invention.
Fig. 7 is a schematic structural view of another body surface positioning device provided in embodiment 2 of the present invention.
Description of the drawings
Low temperature thermoplastic sheet 101, mesh 102, edge banding 103, horizontal orientation mark line 104, vertical orientation mark line 105, azimuth 106, label 107, locating hole 108.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. The components of embodiments of the present invention, as generally described and illustrated in the figures herein, may be arranged and designed in a wide variety of different configurations. Thus, the following detailed description of the embodiments of the present invention, presented in the accompanying drawings, is not intended to limit the scope of the invention, as claimed, but is merely representative of selected embodiments of the invention. Based on the embodiment of the present invention, all other embodiments obtained by the person skilled in the art without creative work belong to the protection scope of the present invention.
Example 1
Referring to fig. 1 to 4, the present embodiment provides a breast tumor body surface positioning device, which includes a modeling portion configured to fit to a breast and being moldable according to a shape of the breast, and an orientation mark portion disposed on the modeling portion, where the orientation mark portion is configured to determine an orientation of the modeling portion and an orientation of a marked tumor. For patients with confirmed breast cancer, the positioning device can be used for marking the position of a primary focus before auxiliary chemotherapy, and the specific method comprises the following steps: the patient lies down, the medical staff places the shaping part on the breast of the patient, and the shaping part is arranged (as a reference position) according to the position marking part, then the shaping part deforms and fits the breast of the patient by using external force, and the shaping is carried out after a certain time; medical personnel can determine the projection position of the tumor on the body surface of the patient according to the position and the size of the tumor, so that the size and/or the position of the tumor can be marked at the corresponding position of the molding part, for example, a water pen is used for marking the molding part, and finally the positioning device is taken down; when breast cancer breast protection is performed after auxiliary chemotherapy is completed, medical staff only need to attach the molding part in the positioning device to the breast of a patient, and the orientation marking part is utilized to align the molding part (namely, the orientation marking part coincides with the reference orientation), at the moment, a mark made in advance on the molding part just corresponds to the body surface projection of a primary focus, so that the projection position of the tumor on the body surface of the patient before the auxiliary chemotherapy can be conveniently and accurately determined, and the resection range of the primary focus can be accurately determined. This positioner, convenient to use not only, the projection position of mark tumour at patient's body surface that moreover can be atraumatic can effectively solve the not enough that prior art exists.
Preferably, the molding part is made of thermoplastic material. So that the molding part can be softened at a certain temperature and hardened after the temperature is reduced, thereby realizing good molding effect
By way of example, in one embodiment, the molding portion includes a low temperature thermoplastic sheet 101 (or referred to as a low temperature thermoplastic film, which will not be described in detail below). The low-temperature thermoplastic plate 101 is a special synthetic high-molecular polyester, and is a novel medical material formed by processing through a series of physical and chemical methods; the low-temperature thermoplastic plate 101 has the outstanding performances of no ray absorption, good molding effect after heating and softening, unique shape memory function (secondary heating, secondary molding or local heating for secondary molding when molding is not satisfactory) and the like, and the requirement of the positioning device is very met.
It will be appreciated that the low temperature thermoplastic sheet 101 is a common type of sheet in the prior art: 1. strong plasticity, complete transparent softening after being put into hot water of 60-70 ℃, free and proper stretching and shaping, simple and convenient operation. 2. Has the memory function: when the molding is not satisfactory, the material can be put into hot water with the temperature of 60-70 ℃ again for softening again, and the material can recover the former size and shape and can be molded again for reuse. 3. Light weight, thin thickness, high strength: the thickness of the low-temperature thermoplastic plate 101 is 1.6-4.0mm, and the low-temperature thermoplastic plate has high toughness, is not easy to damage or break, and is safe and reliable to use.
By way of example, as shown in fig. 2, the low temperature thermoplastic sheet 101 may be a light sheet. As another example, the low temperature thermoplastic sheet 101 is provided with a plurality of mesh holes 102, as shown in fig. 1, 3 and 4, the mesh holes 102 are used for forming the low temperature thermoplastic sheet 101 into a net structure; not only is convenient for the low temperature thermoplastic sheet 101 to soften and then deform and increase the air permeability, but also when the low temperature thermoplastic sheet 101 covers the breasts of the patient, the skin of the patient can be directly reached through the mesh holes 102, thereby being convenient for the positioning of the molding part on the breasts and being convenient for directly making reference marks on the skin of the patient through the mesh holes 102, and being more beneficial to accurately determining the projection position of the tumor on the body surface of the patient before the auxiliary chemotherapy.
It is understood that the shape of the mesh 102 may be circular, square, triangular, parallel, etc., and will not be illustrated herein.
The shape of the low temperature thermoplastic sheet 101 may be determined according to actual circumstances, and preferably, the low temperature thermoplastic sheet 101 may have a circular or rectangular configuration, as shown in fig. 3 or fig. 4.
In order to facilitate the molding operation, in a further aspect, the molding portion further includes a holding portion disposed at an edge of the low temperature thermoplastic sheet 101. So that the medical staff can hold the medical staff.
As an example, as shown in fig. 3, the holding portion is an edge strip 103 disposed around the edge of the low-temperature thermoplastic plate 101; as another example, as shown in fig. 4, the holding portion is two side bars 103 which are disposed on the left and right sides of the low-temperature thermoplastic sheet 101 and are independent from each other; not only is convenient to hold, but also does not influence the molding of the low-temperature thermoplastic plate 101.
Since at least two positioning operations with the breast are required during the use of the positioning device, in a preferred embodiment, the orientation mark portion comprises orientation mark lines disposed on the surface of the low-temperature thermoplastic plate 101, and the orientation mark lines comprise horizontal orientation mark lines 104 disposed horizontally and/or vertical orientation mark lines 105 disposed vertically, as shown in fig. 1-4. In the process of placing and positioning the shaping part, the horizontal direction mark line 104 and/or the vertical direction mark line 105 which are horizontally arranged are/is used as reference to determine the relative position of the shaping part and the breast, so that the shaping part can be more conveniently, accurately and efficiently aligned (in the embodiment, the alignment refers to placing in the same direction, for example, the direction when the horizontal direction mark line 104 is overlapped with the horizontal direction of the lying patient can be used as the alignment direction, and the direction when the vertical direction mark line 105 is overlapped with the vertical direction of the lying patient (namely, the height direction of the human body) can be used as the alignment direction).
Preferably, in the present embodiment, the orientation mark line is a protrusion or a groove provided on the low temperature thermoplastic sheet 101 so as to realize an orientation mark, and it is understood that the protrusion or the groove is smaller relative to the thickness of the low temperature thermoplastic sheet 101 so as not to affect the molding.
In order to distinguish between the horizontal orientation mark line 104 and the vertical orientation mark line 105, in a further aspect, the orientation mark portion further includes a distinguishing mark provided on the surface of the low-temperature thermoplastic sheet 101. By using the distinguishing mark, the medical staff can conveniently distinguish the horizontal direction mark line 104 and the vertical direction mark line 105 so as to accurately determine the projection position of the tumor on the body surface of the patient before the auxiliary chemotherapy. It is understood that the distinguishing mark may be an azimuth 106, a text and/or a map, etc., for example, as shown in fig. 1 to 4, in the present embodiment, the distinguishing mark is an azimuth 106 disposed at an azimuth mark line.
It can be understood that after each breast cancer patient is individually configured with the positioning device provided in this embodiment, in order to distinguish the positioning devices of different patients, the holding portion is provided with a label 107, and the label 107 is used for filling information of the patient, such as name, bed number, hospital number, and the like, so as to distinguish the different patients, for example, as shown in fig. 3 or fig. 4, in this embodiment, the label 107 is provided on the edge strip 103.
Example 2
In order to facilitate the positioning of the center of the low-temperature thermoplastic plate 101, the nipple of the breast can be used as a reference, so the main difference between this embodiment 2 and the above embodiment 1 is that in the positioning device provided in this embodiment, the orientation mark portion further includes a positioning hole 108, the positioning hole 108 is disposed at the center of the low-temperature thermoplastic plate 101, as shown in fig. 6 or fig. 7, the positioning hole 108 is used for positioning the nipple.
Before auxiliary radiotherapy is carried out, when the size and/or the position of a tumor needs to be marked on the low-temperature thermoplastic plate 101, the low-temperature thermoplastic plate 101 is placed on a breast for the first time, in the process of positioning the low-temperature thermoplastic plate 101, a nipple can be accommodated by using the positioning hole 108 and is positioned at the central position of the positioning hole 108, and the low-temperature thermoplastic plate 101 can be accurately aligned by combining an azimuth marking line, so that the size and/or the position of the tumor can be marked on the low-temperature thermoplastic plate 101;
after carrying out supplementary radiotherapy, before the operation, when needing to utilize this positioner to confirm the projection size and/or the position of tumour at the body surface, place low temperature thermoplastic sheet 101 on the breast again, utilize locating hole 108 to hold the nipple, and make the nipple be located the central point department of locating hole 108, combine the position mark line again, can accurately confirm low temperature thermoplastic sheet 101, make the position and the position of current low temperature thermoplastic sheet 101 and the position of preceding low temperature thermoplastic sheet 101 identical, thereby can utilize the tumour size and/or the position of mark on current low temperature thermoplastic sheet 101, accurate, quick, the efficient projection position of tumour on patient's body surface before the supplementary chemotherapy of confirming, so that carry out breast cancer and protect the breast art.
In a further aspect, as shown in fig. 6 or fig. 7, an edge strip 103 is disposed at an edge of the positioning hole 108. The shape of the positioning hole 108 is prevented from changing in the molding process of the low-temperature thermoplastic plate 101, which is beneficial to realizing accurate positioning.
The above description is only for the specific embodiments of the present invention, but the protection scope of the present invention is not limited thereto, and any person skilled in the art can easily think of the changes or substitutions within the technical scope of the present invention, and all should be covered within the protection scope of the present invention.

Claims (7)

1. The breast tumor body surface positioning device is characterized by comprising a modeling part and an orientation marking part, wherein the modeling part is used for being attached to a breast and modeling according to the shape of the breast, the orientation marking part is arranged on the modeling part and is used for determining the orientation of the modeling part and the orientation of a marked tumor;
the molding part comprises a low-temperature thermoplastic plate,
the low temperature thermoplastic sheet is provided with a plurality of meshes, the mesh is used for making the low temperature thermoplastic sheet form network structure.
2. The breast tumor body surface positioning device of claim 1, wherein the low temperature thermoplastic sheet is of a circular or rectangular configuration.
3. The breast tumor body surface positioning device of claim 1, wherein the orientation mark comprises an orientation mark line arranged on the surface of the low-temperature thermoplastic plate, and the orientation mark line comprises a horizontal orientation mark line arranged horizontally and/or a vertical orientation mark line arranged vertically.
4. The breast tumor body surface positioning device of claim 3, wherein the orientation mark lines are protrusions or grooves provided on the low temperature thermoplastic plate.
5. The breast tumor body surface positioning device of claim 3, wherein the orientation mark further comprises a distinguishing mark disposed on the surface of the low-temperature thermoplastic plate, and the distinguishing mark is used for distinguishing the horizontal orientation mark line from the vertical orientation mark line.
6. The breast tumor body surface positioning device of any one of claims 3 to 5, wherein the orientation marking part further comprises a positioning hole, the positioning hole is arranged at the center of the low temperature thermoplastic plate for positioning the nipple.
7. The breast tumor body surface positioning device of any one of claims 1 to 5, wherein the shaping part further comprises a holding part, the holding part is a circle of edge strips arranged on the edge of the low-temperature thermoplastic plate, or the holding part is two independent edge strips arranged on the left and right sides of the low-temperature thermoplastic plate.
CN201922481485.1U 2019-12-31 2019-12-31 Mammary gland tumour body surface positioner Active CN211985705U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201922481485.1U CN211985705U (en) 2019-12-31 2019-12-31 Mammary gland tumour body surface positioner

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201922481485.1U CN211985705U (en) 2019-12-31 2019-12-31 Mammary gland tumour body surface positioner

Publications (1)

Publication Number Publication Date
CN211985705U true CN211985705U (en) 2020-11-24

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Application Number Title Priority Date Filing Date
CN201922481485.1U Active CN211985705U (en) 2019-12-31 2019-12-31 Mammary gland tumour body surface positioner

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Country Link
CN (1) CN211985705U (en)

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Inventor after: Tian Chao

Inventor after: Zhou Hongyan

Inventor after: Zeng Shiyan

Inventor before: Tian Chao

Inventor before: Zhou Hongyan

Inventor before: Zeng Shiyan