CN216136018U - Surgical instrument suitable for mastitis - Google Patents
Surgical instrument suitable for mastitis Download PDFInfo
- Publication number
- CN216136018U CN216136018U CN202121760556.2U CN202121760556U CN216136018U CN 216136018 U CN216136018 U CN 216136018U CN 202121760556 U CN202121760556 U CN 202121760556U CN 216136018 U CN216136018 U CN 216136018U
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- Prior art keywords
- sheath
- tunnel shield
- catheter
- reduced
- mastitis
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- 208000004396 mastitis Diseases 0.000 title claims abstract description 26
- 238000011010 flushing procedure Methods 0.000 claims abstract description 19
- 238000003780 insertion Methods 0.000 claims description 5
- 230000037431 insertion Effects 0.000 claims description 5
- 230000002262 irrigation Effects 0.000 claims description 5
- 238000003973 irrigation Methods 0.000 claims description 5
- 210000000481 breast Anatomy 0.000 abstract description 37
- 238000000034 method Methods 0.000 abstract description 19
- 230000008569 process Effects 0.000 abstract description 14
- 210000001519 tissue Anatomy 0.000 abstract description 13
- 230000000007 visual effect Effects 0.000 abstract description 10
- 210000005075 mammary gland Anatomy 0.000 abstract description 9
- 230000006378 damage Effects 0.000 abstract description 8
- 210000004907 gland Anatomy 0.000 abstract description 7
- 230000015572 biosynthetic process Effects 0.000 abstract description 6
- 231100000241 scar Toxicity 0.000 abstract description 5
- 238000002513 implantation Methods 0.000 abstract description 4
- 230000003902 lesion Effects 0.000 description 14
- 208000033809 Suppuration Diseases 0.000 description 13
- 230000008859 change Effects 0.000 description 10
- 239000008267 milk Substances 0.000 description 8
- 210000004080 milk Anatomy 0.000 description 8
- 230000002980 postoperative effect Effects 0.000 description 4
- 206010052428 Wound Diseases 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 3
- 230000009286 beneficial effect Effects 0.000 description 3
- 238000001574 biopsy Methods 0.000 description 3
- 239000008280 blood Substances 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 238000002271 resection Methods 0.000 description 3
- 208000032912 Local swelling Diseases 0.000 description 2
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 2
- 238000009412 basement excavation Methods 0.000 description 2
- 230000000740 bleeding effect Effects 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 238000002324 minimally invasive surgery Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000001338 necrotic effect Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 238000012360 testing method Methods 0.000 description 2
- 208000032544 Cicatrix Diseases 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 208000002847 Surgical Wound Diseases 0.000 description 1
- 206010000269 abscess Diseases 0.000 description 1
- 238000007792 addition Methods 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- 239000002390 adhesive tape Substances 0.000 description 1
- 230000003796 beauty Effects 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 238000003759 clinical diagnosis Methods 0.000 description 1
- 230000000593 degrading effect Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000010339 dilation Effects 0.000 description 1
- 238000007599 discharging Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 230000003179 granulation Effects 0.000 description 1
- 238000005469 granulation Methods 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 239000011505 plaster Substances 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 238000002601 radiography Methods 0.000 description 1
- 230000037387 scars Effects 0.000 description 1
- 239000000779 smoke Substances 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 230000009772 tissue formation Effects 0.000 description 1
- 238000012795 verification Methods 0.000 description 1
- 238000005406 washing Methods 0.000 description 1
- 239000002699 waste material Substances 0.000 description 1
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Abstract
The utility model relates to a surgical instrument suitable for mastitis, which consists of a tunnel shield sheath, an arc electrotome, a ductoscope, a flushing catheter, a suction catheter, an absorbable biomembrane bracket implanting catheter, a flushing channel and a suction channel, wherein the tunnel shield sheath is of a tubular soft structure, and the front end of the tunnel shield sheath is of an inclined surface structure; the arc type electrotome traverses a bevel structure at the front end of the sheath of the tunnel shield and is connected with the sheath of the tunnel shield, and an absorbable biomembrane stent implantation catheter is also arranged inside the sheath of the tunnel shield; its advantages are: the utility model can solve the problems of large wound and obvious incision in the current mammary gland operation process, and avoids the formation of scar tissues on the surface of the breast; and through the visual operation interface, the uncertainty of the operation process is reduced, the dependence on personal experience of doctors is reduced, the operation difficulty is reduced, the discomfort of a patient in the operation process is reduced, the breast volume is reserved, and the gland damage is reduced.
Description
Technical Field
The utility model relates to the technical field of medical instruments, in particular to a surgical instrument suitable for mastitis.
Background
Mastitis, especially chronic mastitis, is a universally recognized intractable disease, the quality of life is extremely poor when the mastitis is taken, and the appearance of breasts is greatly influenced by improper treatment. In the process of the disease, the pus cavity and the sinus of the lesion extend to the gland and the surface of the skin along the duct in a staggered way to form complex lesions, which greatly affect the appearance of the mammary gland.
The formation of the shield incision is inspired by the shield method in the tunnel excavation engineering, the breast skin is kept as much as possible during operation, the sinus wall or the lesion duct is removed along the curved sinus or the lesion duct and the branch until the bottom of the pus cavity or the end of the sinus, and the shape of the breast can be maintained to the maximum extent while pus and rot are discharged and the lesion is removed.
The existing invasive treatment for mastitis mainly takes traditional surgical operation treatment as a main part, the wound of a patient after operation is large, the incision is obvious, the dressing change is painful, part of patients need to carry out secondary operation, and the breast appearance is greatly influenced after the operation.
For a patient with mastitis abscess, surgical incision and drainage are routinely performed, an incision of about 30-40 mm is usually needed, necrotic tissues in a focus are cut off by an electrotome, residual tissues are scraped by a spatula, and then the necrotic tissues are removed out of a body by using instruments such as a drainage device, a drainage tube and the like. The disadvantages of this procedure are: the postoperative incision is large, so that the breast beauty of a patient is affected; the step-by-step operation is not beneficial to clear exposure of the operation visual field; long operation time and large damage, which is not beneficial to the rapid rehabilitation of patients. Meanwhile, the postoperative pus cavity is complicated, so that the dressing change of doctors is difficult, and the drainage sliver can not reach the affected part directly, thereby affecting the treatment effect.
The traditional dilatation drainage operation has the problems of easy formation of 'pocket pus', improper dressing change, difficult discharge of pus blood in breasts and the like; meanwhile, the pain of dressing change after operation is large, the gland is damaged greatly, the amount of bleeding is increased obviously, and the influence on the body is large; and the shape damage of the breast caused by the operation is not negligible due to the obvious incision. The functions of the current minimally invasive medical instruments for mammary glands are mostly limited to tissue biopsy, pus suction and the like; the diameter of the instrument is small, so that the instrument is not suitable for the pustular sinus; meanwhile, the pus cavity and the sinus cannot be opened in a visual state, which is not favorable for the intuitive operation of an operator; the problem of incomplete dressing change after the operation cannot be solved. The development and exploration of mastitis minimally invasive surgery are limited.
The existing mastitis minimally invasive surgical device is multifunctional and single, and part of the mastitis minimally invasive surgical device is invisible equipment. The Chinese patent application: CN212729793U discloses an appurtenance is diagnose to multi-functional sinus, appurtenance is diagnose to sinus by hose, rubber buffer, wire, fixed adhesive tape and closed clamp and constitutes, the one end of hose is sealed, the other end is opened and can freely be crooked, there is a side opening hose closed end department, the wire can stretch into the hose inside and reach hose closed end from the hose open end, there is a through-hole inside the rubber buffer from the bottom to the lateral wall, the external diameter of hose is the same with rubber buffer through-hole diameter, the hose inserts in the through-hole of rubber buffer to can freely move in the rubber buffer; the fixing adhesive plaster can be used for fixing the rubber plug at the sinus meatus, and the closing clamp can be used for closing the open end of the hose. Although the device can simultaneously complete sinus measurement, sinus flushing and sinus auxiliary radiography, the instrument has no visual device, is not beneficial to the visual operation of an operator, and cannot carry out invasive operation and postoperative dressing change.
In view of the above, there is a need for a surgical instrument suitable for mastitis, which can retain breast volume, reduce gland destruction, avoid scar tissue formation on the surface of the breast, and reduce uncertainty of the surgical procedure through a visual operation interface, but no report on the "wangshi shield" instrument suitable for mammary gland is available.
Disclosure of Invention
The utility model aims to solve the problems in the prior art, and provides a Wanshi incision shield device suitable for mammary gland.
In order to achieve the purpose, the utility model adopts the technical scheme that:
a surgical instrument suitable for mastitis is composed of a tunnel shield sheath, an arc type electrotome, a ductoscope, a flushing catheter, a suction catheter, an absorbable biomembrane bracket implanting catheter, a flushing channel and a suction channel, wherein the tunnel shield sheath is of a tubular soft structure; the arc type electrotome crosses the inclined plane structure at the front end of the sheath of the tunnel shield or is superposed with the low point position of the inclined plane structure in an arc manner, two ends of the arc type electrotome are connected with the sheath of the tunnel shield, the arc type electrotome is positioned at the lower side of the inclined plane at the front end of the sheath of the endoscope, an absorbable biomembrane bracket embedding catheter is further arranged inside the sheath of the tunnel shield, the absorbable biomembrane bracket embedding catheter passes through the bottom of the sheath of the tunnel shield, and a part is reserved at the outer end of the sheath of the tunnel shield.
In the above surgical instrument for mastitis, as a preferable scheme, the "tunnel shield" sheath is also internally provided with a flushing channel and a suction channel.
In the above surgical instrument for mastitis, as a preferable scheme, a ductoscope is further arranged in the instrument, and the ductoscope is inserted into a 'tunnel shield' sheath for use.
In the above surgical instrument for mastitis, preferably, the instrument is further provided with a flushing catheter and a suction catheter, and the flushing catheter and the suction catheter are inserted into a 'tunnel shield' sheath for use.
The utility model has the advantages that:
1. the utility model can solve the problems of large wound and obvious incision in the current mammary gland operation process, and avoids the formation of scar tissues on the surface of the breast; through a visual operation interface, the uncertainty of the operation process is reduced, the dependence on personal experience of doctors is reduced, the operation difficulty is reduced, the discomfort of a patient in the operation process is reduced, the breast volume is reserved, and the gland damage is reduced; meanwhile, the absorbable biological stent is placed, so that the pain of a patient during dressing change is relieved, and secondary operation is avoided.
Drawings
FIG. 1 is a schematic structural diagram of a "Wangshi incision shield" apparatus suitable for mammary gland in the present invention.
FIG. 2 is a partial structural implementation diagram of the breast lesion tissue resection device suitable for the breast Wang incising shield.
FIG. 3 is a schematic view of a partial structure of the device for introducing absorbable biomembranes of a breast shield.
Detailed Description
The utility model will be further illustrated with reference to specific embodiments. It should be understood that these examples are for illustrative purposes only and are not intended to limit the scope of the present invention. Furthermore, it should be understood that various changes and modifications can be made by those skilled in the art after reading the disclosure of the present invention, and equivalents fall within the scope of the appended claims.
The reference numerals and components referred to in the drawings are as follows:
| sheath for' |
2. Arc type |
3. |
| 4. |
5. |
6. Absorbable biomembrane stent |
| 7. Flushing channel | 8. Suction channel |
Example 1
Referring to fig. 1-3, fig. 1 is a schematic structural view of a "wangshi shield" apparatus suitable for breast cutting according to the present invention. FIG. 2 is a partial structural implementation diagram of the breast lesion tissue resection device suitable for the breast Wang incising shield. FIG. 3 is a schematic view of a partial structure of the device for introducing absorbable biomembranes of a breast shield.
The device is mainly suitable for clinical diagnosis and treatment practice of mastitis, the formation of a Wanshi incision shield device is inspired by a shield method in tunnel excavation engineering, the device is a mammary gland tunnel shield device which is suitable for visual biopsy and negative pressure drainage of mastitis and can absorb a biomembrane bracket to be placed, the device is mainly an operating instrument suitable for mastitis, the instrument consists of a tunnel shield sheath 1, an arc type electrotome 2, a mammoscope 3, a flushing catheter 4, a suction catheter 5, an absorbable biomembrane bracket placing catheter 6, a flushing channel 7 and a suction channel 8, the tunnel shield sheath 1 is a tubular soft structure, the front end of the tunnel shield sheath is an inclined surface structure, the soft structure can reduce pain of a patient in the insertion process, and the damage to an internal structure of the breast is reduced; the arc type electrotome 2 transversely penetrates through an inclined plane structure at the front end of the tunnel shield sheath, two ends of the arc type electrotome 2 are connected with the tunnel shield sheath 1, the arc type electrotome 2 can be connected with an external power supply of the tunnel shield sheath through a lead, and the arc type electrotome is positioned at the lower side of the inclined plane position at the front end of the sheath, so that the arc type electrotome can be favorably cut off from the root of diseased tissues in a breast duct, and the probability of damage caused by collision of the breast duct endoscope and the arc type electrotome during insertion work and insertion of the breast duct endoscope and the tunnel shield sheath into the breast duct is reduced; an absorbable biomembrane stent implantation catheter 6 is also arranged inside the tunnel shield sheath 1, the absorbable biomembrane stent implantation catheter 6 penetrates through the bottom of the tunnel shield sheath 1, and a part is reserved at the outer end of the tunnel shield sheath.
In this embodiment, it is preferable that the "tunnel shield" sheath 1 further includes a flushing passage 7 and a suction passage 8, the flushing passage is used for continuously injecting saline or air into the "tunnel shield" sheath for local flushing, and the suction passage is used for sucking waste in the milk duct.
In this embodiment, it is preferable that a milk duct mirror 3 is further arranged in the instrument, the milk duct mirror 3 is inserted into a tunnel shield sheath for use, and the milk duct mirror and the tunnel shield sheath are inserted into a milk duct where a lesion is located, so that the lesion in the milk duct can be found through the milk duct mirror, the lesion can be conveniently positioned and removed, further the uncertainty of the operation process is reduced, the dependence on personal experience of a doctor is reduced, the operation difficulty of the operation is reduced, and the discomfort of a patient in the operation process is reduced.
In this embodiment, it is preferable that the apparatus further comprises an irrigation catheter 4 and a suction catheter 5, and the irrigation catheter 4 and the suction catheter 5 can be inserted into a "tunnel shield" sheath for use, so as to realize the irrigation and suction functions.
The use method of the utility model comprises the following steps: for breast lesion tissue resection: when the medical tunnel shield sheath is used, the tunnel shield sheath is firstly placed at a position needing surgical dilation, then a mammoscope, a flushing catheter and a suction catheter are inserted into the sheath, lesions in glands and sinus tracts are observed through the mammoscope, the arc type electrotome is electrified, the tunnel shield sheath is gradually moved by a lesion tissue cutting method, and lesion tissues are completely removed. If bleeding or smoke occurs during the operation to affect the operation, the washing and suction functions are needed to ensure clear vision. Taking out the specimen through a suction tube for inspection;
when the absorbable biomembrane is placed, a tunnel shield sheath is placed in the sinus to be placed in the stent, then a ductoscopy is inserted into the sheath, and the granulation and pyogenic rot conditions in the sinus are observed; if the pus is more, the flushing catheter and the suction catheter are inserted into the sheath, the normal saline and the liquid medicine are injected, then the absorbable biomembrane stent is placed into the catheter and is placed into the tunnel shield sheath, the stent is effectively delivered to the bottom of the sinus, and the situations of pus retention, bag pus and the like are avoided. The absorbable biomembrane scaffold can ensure that pus and blood in the breast leak, relieve local swelling of the breast, automatically degrade and absorb after a plurality of weeks, and avoid secondary operation of a patient.
It should be noted that: the breast tunnel shield device is reasonable in structural design, conforms to the breast operation of a patient, is a breast tunnel shield device with multiple functions and high flexibility for mastitis visual biopsy, negative pressure drainage and dressing change, effectively solves the problems of large wound and obvious incision in the current breast operation process, reduces the uncertainty of the operation process through a visual operation interface, reduces the dependence on personal experience of a doctor, reduces the operation difficulty of the operation and reduces the discomfort of the patient in the operation process; in addition, the breast volume can be reserved and the gland damage can be reduced in the invasive operation process; the formation of scar tissue on the surface of the breast is avoided; the absorbable biomembrane scaffold is used for discharging pus and blood in the breast, relieving local swelling, automatically degrading and absorbing after a plurality of weeks, relieving pain of a patient during dressing change and avoiding the implementation of a secondary operation; and combined with clinical trial verification, the instrument has small scars and small breast deformation after the operation healing, can effectively protect the original appearance of the breast and has minimally invasive property. Structural design is reasonable, controls the convenience, and is fixed firm, the safety and stability, and patient's postoperative comfort level is good, and the preparation is simple and convenient, and is with low costs, and easy cleaning and disinfection, can satisfy the operation requirement of mammary gland inflammation, can improve the accuracy and the security of minimal access surgery, and the practicality is strong. Provides great convenience for minimally invasive surgery and dressing change of the mastitis, and improves the working efficiency. Can be disassembled and washed, can be repeatedly used, can obviously reduce the test cost and improve the test efficiency.
The foregoing is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, various modifications and additions can be made without departing from the principle of the present invention, and these should also be considered as the protection scope of the present invention.
Claims (4)
1. A surgical instrument suitable for mastitis is characterized by comprising a tunnel shield sheath, an arc type electrotome, a mammoscope, a flushing catheter, a suction catheter, an absorbable biomembrane stent implanting catheter, a flushing channel and a suction channel, wherein the tunnel shield sheath is of a tubular soft structure, and the front end of the tunnel shield sheath is of an inclined surface structure; the arc type electrotome crosses the inclined plane structure at the front end of the sheath of the tunnel shield, two ends of the arc type electrotome are connected with the sheath of the tunnel shield, the arc type electrotome is positioned at the lower side of the inclined plane at the front end of the sheath of the endoscope, an absorbable biomembrane support imbedding catheter is further arranged inside the sheath of the tunnel shield, the absorbable biomembrane support imbedding catheter penetrates through the bottom of the sheath of the tunnel shield, and a part is reserved at the outer end of the sheath of the tunnel shield.
2. Surgical instrument for mastitis according to claim 1, characterized in that the "tunnel shield" sheath is provided with an irrigation channel and a suction channel inside.
3. A surgical instrument adapted for mastitis according to claim 1, further comprising a scope, wherein the scope is configured for use by insertion into a "tunnel shield" sheath.
4. A surgical instrument adapted for mastitis according to claim 1, further comprising a flushing catheter and a suction catheter for insertion into a "tunnel shield" sheath.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202121760556.2U CN216136018U (en) | 2021-07-30 | 2021-07-30 | Surgical instrument suitable for mastitis |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202121760556.2U CN216136018U (en) | 2021-07-30 | 2021-07-30 | Surgical instrument suitable for mastitis |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN216136018U true CN216136018U (en) | 2022-03-29 |
Family
ID=80804802
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202121760556.2U Expired - Fee Related CN216136018U (en) | 2021-07-30 | 2021-07-30 | Surgical instrument suitable for mastitis |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN216136018U (en) |
-
2021
- 2021-07-30 CN CN202121760556.2U patent/CN216136018U/en not_active Expired - Fee Related
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| GR01 | Patent grant | ||
| 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: 20220329 |