CN220275822U - A postoperative fixation and rehabilitation device for abdominal pedicled skin flaps - Google Patents

Abstract

The utility model relates to a postoperative fixation and rehabilitation device for abdominal pedicled skin flaps, which includes a vest. The vest is provided with shoulder straps. The upper limb part of the vest is also provided with a support device. The support device is supported by a connecting steel plate and an upper arm. The connecting steel plate and the upper arm support plate are connected through hinges, and the side of the connecting steel plate is fixedly connected to the vest; the connecting steel plate is also provided with a side close to the upper arm supporting plate. Positioning buckle, the side of the upper arm support plate close to the connecting steel plate is also rotatably provided with an angle adjustment rod, and the end of the angle adjustment rod close to the connected steel plate is also provided with a locking ring, the locking ring and the connecting steel plate The positioning buckles are engaged with each other, and the upper arm support plate is also provided with an upper arm cuff that can be opened and closed.

Description

A postoperative fixation and rehabilitation device for abdominal pedicled skin flaps

Technical field

The utility model relates to the field of medical auxiliary products, in particular to a postoperative fixation and rehabilitation device for abdominal pedicled skin flaps.

Background technique

Lower abdominal skin flap refers to cutting a flap of skin from the lower abdomen for repair surgery. Clinically, it can be a random pedicled flap in the lower abdomen, or a lower abdominal flap pedicled by the superficial epigastric artery and vein, or a lower abdominal flap anastomosed to the superficial epigastric artery and vein.

Abdominal pedicled skin flap is a commonly used surgical method to repair skin and soft tissue defects in clinical practice. It can be used to repair large-area soft tissue defects and has the advantage of high survival rate. However, postoperative care is very cumbersome and complicated.

During the postoperative recovery period of abdominal pedicled skin flap transplantation surgery, the pedicle of the abdominal pedicled skin flap must be severed only when the flap survives. This time is generally 3-4 weeks. Before cutting the pedicle, the end of the flap near the abdominal wall needs to be tied tightly with a drainage film, and whether there is ischemia is observed within 5 minutes. If there is no ischemia and the skin flap is red in color, extend the time to 15 minutes. If the fingertip turns purple, loosen the drainage film immediately and wait until the skin flap becomes red before ligating it. If the blood supply of the skin flap is good after 15 minutes, the time is changed to 30 minutes or 60 minutes, and the clamping is performed 2 to 3 times a day. The pedicle can be cut after 2 to 3 days.

Patients need to stay in bed for at least 3-4 weeks after abdominal pedicle flap surgery. In order to prevent flap edema or flap compression, which may lead to blood circulation disorders, the patient needs to be in the supine or healthy side position when lying down. Avoid lying on the affected side. Lying on your side under braking for a long time has poor blood circulation, which can easily lead to joint stiffness and complications such as bedsores.

Moreover, the donor and recipient areas of the abdominal pedicled flap need to be immobilized. Usually, after the operation, the doctor uses tape to fix it with tape to restrict limb movement and wrap the dressing around the affected area to reduce the tension of the skin flap. The fixed cycle usually takes at least 3 weeks. Some patients' skin is allergic to the tape and may cause blisters and rashes. Moreover, the tape fixation is easy to fall off and unstable. In addition, human skin has a respiratory function, especially around the armpits, elbows and skin flaps, which are prone to moisture and erosion. Daily care and cleaning are required. Clothes must be changed while ensuring that the limbs are fixed. The operation is cumbersome and it is easy to pull the affected area.

Utility model content

The purpose of this utility model is to propose a postoperative fixation and rehabilitation device for abdominal pedicled skin flaps in order to solve the shortcomings existing in the prior art.

In order to achieve the above purpose, the utility model adopts the following technical solutions:

A postoperative fixed rehabilitation device for abdominal pedicled skin flaps, including a vest. The vest is provided with shoulder straps. The upper limb part of the vest is also provided with a support device. The support device is composed of a connecting steel plate and an upper arm support plate. The connecting steel plate and the upper arm support plate are connected through hinges, and the side of the connecting steel plate is fixedly connected to the vest;

The side of the connecting steel plate close to the upper arm support plate is also provided with a positioning buckle. The side of the upper arm support plate close to the connecting steel plate is also rotatably provided with an angle adjustment rod. The angle adjustment rod is close to the connected steel plate. One end is also provided with a locking ring, and the locking ring and the positioning buckle are interlocked with each other. The upper arm support plate is also provided with an upper arm cuff that can be opened and closed.

Further, an adjusting rod rotating base is provided at the connection point between the angle adjusting rod and the upper arm support plate, and the adjusting rod rotating base is fixedly embedded in the upper arm supporting plate.

Furthermore, the adjusting rod rotating base is also provided with a base rotating hole, and one end of the angle adjusting rod close to the upper arm support plate is inserted into the base rotating hole.

Further, the locking rings are arranged sequentially from top to bottom on a side of the connecting steel plate close to the upper arm support plate.

Further, a lower arm support plate is provided extending outward from the end of the upper arm support plate. The lower arm support plate and the upper arm support plate are connected through a soft connecting belt. The end of the lower arm support plate can be It is rotatably connected to the connecting steel plate, and an angle adjustment device composed of an angle adjustment rod, a locking ring and a positioning buckle is also provided between the lower arm and the bottom end of the vest.

Furthermore, the lower arm support plate is also provided with an openable and closable lower arm cuff.

Further, the back of the upper arm support plate is provided with an upper arm rounded surface, and the upper arm cuff is provided with an upper arm thorned surface, and the upper arm rounded surface and the upper arm thorned surface fit together.

Further, the connecting steel plate, the upper arm support plate and the lower arm support plate are all composed of a support steel plate and a nylon outer sheath. The support steel plate is a rectangular flat steel plate, and the nylon outer sheath is wrapped around the The outer surface of the support steel plate, and the nylon outer sheath and the support steel plate are glued and fixed to each other.

Furthermore, the vest is composed of a skin-friendly layer, a moisture-absorbing layer and a breathable layer from the inside to the outside. The skin-friendly layer is made of mesh skin-friendly material, the moisture-absorbing layer is made of cotton soft material, and the breathable layer is made of nylon.

Further, the front side of the vest is also provided with an opening and closing part, and the opening and closing part is provided with a Velcro. The Velcro is divided into a rounded fleece surface of the vest and a thorny fleece surface of the vest. The rounded fleece surface of the vest is fixedly arranged on the vest. On the outer surface of the breathable layer, the burr surface of the vest is opposite to the rounded velvet surface of the vest. An elastic cloth is also arranged between the velvet surface of the vest and the vest, and the rounded velvet surface of the vest is coated. wide processing.

Compared with the existing technology, the beneficial effects of this utility model are:

1. This utility model is designed with an arm support device, which can replace the tape to limit the patient's limb activities, and solves the problem of patient allergies and the tape easily falling off.

2. The arm support device of the present utility model is also equipped with an angle adjustment rod. The angle adjustment rod can adjust the height of the arm lift arbitrarily, and change the expansion angle of the arm without pulling the affected skin flap, so that the skin of the armpit and the affected area can be adjusted. It can breathe and solves the problem of "moisture and erosion prone to occur near armpits, elbows and skin flaps".

3. This utility model uses an adjustable steel plate to fix the upper limbs to provide external support to the affected area. It no longer requires the patient to adopt a fixed posture to ensure that the affected area is not compressed, and solves the complications caused by long-term braking.

4. The vest designed by this utility model adopts an open type, and is designed with Velcro and elastic cloth at the opening, so that the vest can be suitable for patients with more body shapes.

5. The upper limb support structure of the present utility model is also designed with a lower arm support plate, which can control the entire upper limb and ensure that the affected skin flap will not be pulled.

6. The vest of this utility model adopts a three-layer design, which is soft, breathable and skin-friendly.

Description of drawings

Figure 1 is an overall structural diagram of the utility model;

Figure 2 is an exploded view of the specific structure of the angle adjustment lever of the present utility model;

Figure 3 is a side view of the adjusting rod rotating base of the present utility model;

Figure 4 is a cross-sectional structural view of the upper arm support plate of the present utility model;

Figure 5 is a layered structural diagram of the upper arm support plate of the present invention;

Figure 6 is a structural diagram of the positioning buckle of the present utility model;

Figure 7 is a layered structural diagram of the vest of the present invention;

Figure 8 is a layered structure diagram of the chest strap of the present invention.

In the picture: 1. Vest, 11. Elastic fabric, 12. Round fleece side of vest, 13. Skin-friendly layer, 14. Hygroscopic layer, 15. Breathable layer, 16. Stinged surface of vest, 2. Shoulder straps, 3. Connection Steel plate, 30, support steel plate, 31, hinge, 32, upper arm cuff, 321, upper arm burr surface, 33, upper arm support plate, 331, upper arm round burr surface 3, 34, soft connecting belt, 35, lower arm Cuff, 36. Lower arm support plate, 37. Angle adjustment lever, 371. Locking ring, 372. Adjustment lever rotating base, 373. Base rotating hole, 38. Positioning buckle, 39. Nylon outer sheath.

Detailed ways

Embodiments of the present invention are described in detail below. Examples of the embodiments are shown in the drawings, wherein the same or similar reference numerals throughout represent the same or similar elements or elements with the same or similar functions. The embodiments described below with reference to the drawings are exemplary and are only used to explain the present invention and cannot be understood as limitations of the present invention.

In the description of the present invention, it should be understood that the terms "center", "longitudinal", "transverse", "length", "width", "thickness", "upper", "lower", "front", The directions indicated by "back", "left", "right", "vertical", "horizontal", "top", "bottom", "inside", "outside", "clockwise", "counterclockwise" etc. Or the positional relationship is based on the orientation or positional relationship shown in the drawings, which is only for the convenience of describing the present invention and simplifying the description, and does not indicate or imply that the device or element referred to must have a specific orientation, be constructed in a specific orientation, and operation, therefore it cannot be construed as a limitation of the present invention. In addition, the terms “first” and “second” are used for descriptive purposes only and cannot be understood as indicating or implying relative importance or implicitly indicating the quantity of indicated technical features. Thus, features defined as “first” and “second” may explicitly or implicitly include one or more of the described features. In the description of the present invention, "plurality" means two or more, unless otherwise clearly and specifically limited.

As shown in Figure 1-Figure 8.

A postoperative fixed rehabilitation device for abdominal pedicled skin flaps, including a vest 1. The vest 1 is provided with a shoulder strap 2. The upper limb part of the vest 1 is also provided with a support device. The support device is composed of a connecting steel plate 3 and an upper arm support plate 33. The connection The steel plate 3 and the upper arm support plate 33 are connected through a hinge 31, and the side of the connecting steel plate 3 is fixedly connected to the vest 1; a positioning buckle 38 is also provided on the side of the connecting steel plate 3 close to the upper arm supporting plate 33, and the upper arm The support plate 33 is also provided with an angle adjustment rod 37 rotatably on one side close to the connected steel plate 3. The angle adjustment rod 37 is also provided with a locking ring 371 on one end close to the connected steel plate 3. The locking ring 371 and the positioning buckle 38 are mutually exclusive. After being buckled, the upper arm support plate 33 is also provided with an upper arm cuff 32 that can be opened and closed.

Further, the connection between the angle adjustment rod 37 and the upper arm support plate 33 is provided with an adjustment rod rotation base 372. The adjustment rod rotation base 372 is fixedly embedded in the upper arm support plate 33. The adjustment rod rotation base 372 is also provided with a base rotation hole 373. , one end of the angle adjustment rod 37 close to the upper arm support plate 33 is inserted into the base rotation hole 373.

Furthermore, the locking rings 371 are arranged sequentially from top to bottom on a side of the connecting steel plate 3 close to the upper arm support plate 33 .

Further, a lower arm support plate 36 extends outward from the end of the upper arm support plate 33. The lower arm support plate 36 and the upper arm support plate 33 are connected through a soft connecting belt 34. The lower arm support plate 36 is also provided with a The opening and closing lower arm cuff 35 and the end of the lower arm support plate 36 are connected to the bottom end of the vest. An angle adjustment rod, a locking ring and an angle adjustment rod are also provided between the lower arm and the bottom end of the vest. Angle adjustment device composed of positioning buckle.

Further, a lower arm support plate 36 extends outward from the end of the upper arm support plate 33. The lower arm support plate 33 and the upper arm support plate 36 are connected through a soft connecting belt. The end of the lower arm support plate 36 is rotatably connected. An angle adjustment device consisting of an angle adjustment rod 37, a locking ring 371 and a positioning buckle 38 is also provided on the connecting steel plate 3 and between the lower arm support plate 36 and the bottom end of the vest 1. Due to abdominal flap surgery, The affected limb and the abdomen are connected together. In the design of the present utility model, the lower arm support plate 36 is connected to the connecting steel plate 3 located at the bottom of the vest 1, as shown in Figure 1, and the lower arm support plate 36 is also provided with An angle adjustment device similar to that of the upper arm support plate 33 facilitates the adjustment of the angle of the lower arm support plate 36 according to changes in the position of the affected area.

Further, the connecting steel plate 3, the upper arm support plate 33 and the lower arm support plate 36 are all composed of a support steel plate 30 and a nylon outer sheath 39. The support steel plate 30 is a rectangular flat steel plate, and the nylon outer sheath 39 is wrapped around the support steel plate 30. On the outer surface, the nylon outer sheath 39 and the supporting steel plate 30 are glued and fixed to each other. The nylon outer sheath 39 can reduce the cold feeling of the steel plate, and can also wrap the edges and corners of the steel plate to improve the patient's usability.

Further, the vest 1 is composed of a skin-friendly layer 12, a moisture-absorbing layer 14 and a breathable layer 15 from the inside to the outside. The skin-friendly layer 12 is made of mesh and skin-friendly material, the moisture-absorbing layer 14 is made of cotton and soft material, and the breathable layer 15 is made of nylon. The utility model vest 1 adopts a three-layer design, which is soft, breathable and skin-friendly.

Furthermore, the front side of the vest 1 is also provided with an opening and closing part, and the opening and closing parts are provided with Velcro. The Velcro is divided into a rounded fleece surface 12 and a thorny fleece surface 16 of the vest. The rounded fleece surface 12 of the vest is fixedly arranged on the breathable layer 15 On the outer surface of the vest, the burr surface 16 of the vest is opposite to the rounded velvet surface 12 of the vest. An elastic cloth 11 is also provided between the burr surface 16 of the vest and the vest 1, and the rounded velvet surface 12 of the vest is widened. The design of the present invention The vest 1 adopts an open type, and is designed with Velcro and elastic fabric 11 at the opening, so that the vest 1 can be suitable for patients with more body shapes.

Furthermore, the bottom end of the vest 1 only reaches the ribs to avoid blocking the conventional surgical area of the abdominal pedicled flap, achieving the expected function while saving material, and an opening can also be provided in the middle of the elastic cloth 11, as shown in Figure 1. The design allows the bottom part of the Velcro to be opened when the surgical area is high.

Furthermore, this utility model is designed with an arm support device, which can replace the tape to limit the patient's limb activities, and solves the problem of patient allergies and the tape easily falling off.

Furthermore, the arm support device of the present invention is also provided with an angle adjustment rod 37. The angle adjustment rod 37 can arbitrarily adjust the height of the arm lift, and change the expansion angle of the arm without pulling the affected skin flap, so that the armpit and The skin in the affected area can breathe, which solves the problem of "moisture and erosion prone to occur near armpits, elbows and skin flaps".

Furthermore, this utility model uses an adjustable steel plate to fix the upper limbs to provide external support to the affected area. It no longer requires the patient to adopt a fixed posture to ensure that the affected area is not compressed, and solves the complications caused by long-term braking.

Furthermore, the upper limb support structure of the present invention is also designed with a lower arm support plate 36, which can control the entire upper limb and ensure that the affected skin flap will not be pulled.

Furthermore, the present utility model can be used as a left limb support device, a right limb support device, or a left and right limb support device, these three different positions of support devices.

Furthermore, the shoulder straps 2 of the present invention can also be designed with Velcro, and the fixed position can be adjusted according to the patient's body shape. Considering that the patient's upper limbs and abdomen cannot be separated after surgery, the open "vest 1" of the shoulder straps 2 is easy to wear. Take off.

Further, when in use, the device is laid flat between the patient's back and the bed, and the fixed shoulder straps 2 are adjusted according to the patient's body shape; the patient's upper arm is tied to the upper arm Velcro, and the forearm is tied to the forearm Velcro; open the angle adjustment lever 37, Rotate the angle adjustment lever 37 to the required position, and then buckle the locking ring 371 of the angle adjustment lever 37 into the positioning buckle 38 to fix the position of the angle adjustment lever 37, thus adjusting the angle of the upper arm and forearm and maintaining stable blood supply to the skin flap. Under the premise of keeping the patient in a comfortable posture, and try to ensure a slightly larger angle to keep him dry and reduce sweat immersion; pay attention to the blood supply of the skin flap throughout the process to avoid flap folds and traction; when in the supine/semi-recumbent/sitting/standing position Pay attention to the adjustment device to avoid changes in body posture and posture that affect the fixation effect and blood supply of the skin flap; adjust the angle of the steel plate regularly to avoid the joints being fixed at the same angle for a long time; when performing shoulder, elbow, and wrist joint rehabilitation exercises and when fixation is not required, open the Velcro on the upper arm and forearm , adjust the angle of the steel plate to zero to release the upper limb.

Furthermore, the locking ring 371 adopts the same structural design as the keychain, which is convenient for opening, closing and locking.

Furthermore, the design of the angle adjustment rod 37 is firmly fixed, allowing the patient to get out of bed and move, while reducing the possibility that the torsional folds of the skin flap will affect the blood supply and lead to surgical failure. Getting out of bed can reduce various complications of bed rest, speed up recovery, and improve sleep quality at night. Fixation also avoids the patient’s worries about surgical failure due to turning and moving the upper limbs at night, and the patient can get better sleep and rest.

In the description of this specification, reference to the description of the terms "one embodiment," "certain embodiments," "illustrative embodiments," "examples," "specific examples," or "some examples" or the like is intended to be in conjunction with the description. An embodiment or example describes a specific feature, structure, material or characteristic that is included in at least one embodiment or example of the invention. In this specification, schematic representations of the above terms do not necessarily refer to the same embodiment or example. Furthermore, the specific features, structures, materials or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.

To sum up, although the present utility model has been disclosed as above in terms of preferred embodiments, the above preferred embodiments are not intended to limit the present utility model. Those of ordinary skill in the art can make various modifications without departing from the spirit and scope of the present utility model. Various modifications and modifications can be made, so the protection scope of the present utility model shall be subject to the scope defined by the claims.

Claims (10)

1. A post-operative fixation and rehabilitation device for abdominal pedicled skin flaps, characterized by: comprising a vest, the vest is provided with shoulder straps, the upper limbs of the vest are also provided with a support device, the support device is composed of connecting steel plates and It consists of an upper arm support plate, the connecting steel plate and the upper arm supporting plate are connected through a hinge, and the side of the connecting steel plate is fixedly connected to the vest; The side of the connecting steel plate close to the upper arm support plate is also provided with a positioning buckle. The side of the upper arm support plate close to the connecting steel plate is also rotatably provided with an angle adjustment rod. The angle adjustment rod is close to the connected steel plate. One end is also provided with a locking ring, and the locking ring and the positioning buckle are interlocked with each other. The upper arm support plate is also provided with an upper arm cuff that can be opened and closed. 2. The postoperative fixation and rehabilitation device for abdominal pedicled flaps according to claim 1, characterized in that: an adjusting rod rotating base is provided at the connection between the angle adjusting rod and the upper arm support plate, and the adjusting rod rotates The base is fixedly embedded in the upper arm support plate. 3. The postoperative fixation and rehabilitation device for abdominal pedicled flaps according to claim 2, characterized in that: the rotating base of the adjusting rod is also provided with a base rotating hole, and the angle adjusting rod is close to the upper arm support plate. One end is inserted into the rotation hole of the base. 4. The postoperative fixation and rehabilitation device for abdominal pedicled flaps according to claim 1, characterized in that: the locking rings are arranged sequentially from top to bottom on a side of the connecting steel plate close to the upper arm support plate. 5. The postoperative fixation and rehabilitation device for abdominal pedicled flaps according to claim 1, characterized in that: a lower arm support plate extends outward from the end of the upper arm support plate, and the lower arm support plate and the The upper arm support plates are connected through flexible connecting straps, the end of the lower arm support plate is rotatably connected to the connecting steel plate, and the lower arm is also provided with an angle between the bottom end of the vest and the lower arm support plate. An angle adjustment device composed of an adjusting rod, a locking ring and a positioning buckle. 6. The postoperative fixation and rehabilitation device for abdominal pedicled flaps according to claim 5, characterized in that: the lower arm support plate is also provided with an openable and closable lower arm cuff. 7. The postoperative fixation and rehabilitation device for abdominal pedicled flaps according to claim 1, characterized in that: the back of the upper arm support plate is provided with an upper arm rounded surface, and the upper arm cuff is provided with an upper arm thorn surface. , the rounded surface of the upper arm and the burr surface of the upper arm fit each other. 8. The postoperative fixation and rehabilitation device for abdominal pedicled flaps according to claim 5, characterized in that: the connecting steel plate, the upper arm support plate and the lower arm support plate are all made of a support steel plate and a nylon outer sheath. The support steel plate is a rectangular flat steel plate, the nylon outer sheath is wrapped around the outer surface of the support steel plate, and the nylon outer sheath and the support steel plate are glued and fixed to each other. 9. The abdominal pedicled flap postoperative fixation and rehabilitation device according to claim 1, characterized in that: the vest is composed of a skin-friendly layer, a moisture-absorbing layer and a breathable layer from the inside to the outside, and the skin-friendly layer is a mesh surface. Skin-friendly material, the hygroscopic layer is made of cotton soft material, and the breathable layer is made of nylon material. 10. The postoperative fixation and rehabilitation device for abdominal pedicled flaps according to claim 9, characterized in that: the front side of the vest is also provided with an opening and closing part, and the opening and closing part is provided with Velcro, and the Velcro is divided into two parts. It is a rounded wool surface of a vest and a thorny surface of a vest. The rounded woolen surface of the vest is fixedly arranged on the outer surface of the breathable layer. The thorny surface of the vest is opposite to the rounded woolen surface of the vest. The thorny surface of the vest is An elastic fabric is also provided between the vest and the vest, and the rounded surface of the vest is widened.