WO2017213300A1

WO2017213300A1 - Endoscopic retractor for breast surgery

Info

Publication number: WO2017213300A1
Application number: PCT/KR2016/009612
Authority: WO
Inventors: 이상달
Original assignee: 이상달
Priority date: 2016-06-07
Filing date: 2016-08-30
Publication date: 2017-12-14
Also published as: KR200481188Y1

Abstract

The present invention relates to an endoscopic retractor for breast surgery, comprising: a traction part which is formed in a form of a linear flat plate long in one direction and is to be inserted into a surgical site; a first horizontal support part which is fixed to a lower portion of one side of the traction part; a vertical support part which is bent and extends in a vertical direction from an end portion of the first horizontal support part; a second horizontal support part which is bent in a horizontal direction from an end portion of the vertical support part and extends in a direction of the traction part; an inclined support part which is bent in an oblique direction from an end portion of the second horizontal support part and extends in a direction of the second horizontal support part; and a gripping handle disposed at the inclined support part.

Description

Endoscopic retractor for chest shaping

The present invention relates to an endoscopic retractor for breast augmentation, and more particularly, because a retractor used for pulmonary pectoral traction during chest augmentation is used by an operator located opposite or on the side of the operator, rather than by the operator. Accordingly, the endoscope on one hand and the endoscope surgical tool on the other hand can be used, allowing both hands to be used freely, thereby reducing the time required for the operation as well as enabling sophisticated surgery and reducing the cumulative fatigue of the operator. Continuous operation is possible, and since the endoscope and retractor are not formed integrally, perspective operation is possible, as well as securing the field of view, and the grip handle of the retractor formed in the U-shape is bent inclined toward the operator, so the assistant is located on the opposite side of the operator. Is your own breast room As will be pulling on retractor retractors endoscopic surgery for breast Pectoralis major, which can be easily towed.

The breast is a representative body part that symbolizes women's beauty, and every woman has a desire to keep the breast in a beautiful shape. Therefore, if the shape is not normal due to aging or inferior due to aging, or due to a disease, it is molded and restored more beautifully through surgery.

In the case of breast augmentation during breast formation, a method of inserting a prosthesis by cutting a part of the body such as the armpit, the areola, the underline, and the navel is used. Recently, breast augmentation is often operated for the purpose of further enhancing the beauty of a woman. Therefore, in order to minimize the external appearance of a wound due to breast augmentation, a portion of the armpit is incised to insert a implant under the pectoral muscle. The method is the most preferred.

Usually, surgery to insert a implant in the lower part of the pectoral muscle by cutting a part of the armpit is usually performed by using an endoscope because the surgery should be performed at a long distance of the chest. Underarm incision method is to cut a portion of the armpit (3-5cm) first, and then the excision between the pectoral muscle and the rib membrane to the lower part of the breast using a peeler to insert the implant. In this case, the shape of the breast seen from the outside is determined by the position of the implant, so that the endo-shear and the endo-shear (Endo-shear) and endoscopy (Endocopy) are inserted to check the internal structure of the body by inserting an endoscopy. Endo-scissors, endo-dissectors, and other endoscopy instruments are used to precisely undergo secondary exfoliation and hemostasis between the pectoral muscles and intercostal membranes. In addition, recently, surgery using endoscopic surgical instruments such as Ligasure or Harmonic, which can simultaneously cut tissue with hemostasis, has been increasing.

On the other hand, the retractor (Retractor) is located in the body during the surgical operation as a surgical instrument for securing the operator's view is known in various types of retractors according to each surgical method or surgical position. The chest shaping retractor is not an independent type, and is usually attached to the upper end of the endoscope camera and is integrally connected with the endoscope, and the retractor having a function as a mounting tool for the endoscope to fix the endoscope and various surgical instruments. It is commonly used.

The reason is that during axillary chest augmentation, the operator's position must be located above the patient's open arms, ie between the patient's arm and head, to perform up to the lateral and lateral detachment of the chest, and this space is too narrow. This is because there is a characteristic that surgery must be performed alone without being located. Therefore, the conventional endoscope for shaping the breast is operated by using an integrally attached form to the retractor. First, the surgeon lifts the pectoral muscle using a retractor that is integrally connected to the upper end of the endoscope with one hand (usually the left hand), and the lower end of the retractor. Ensure visibility of the endoscope mounted on the The other hand (usually the right hand) is an endo-shear, endo-scissor, endo-dissector, etc. in the endoscope insertion instrument insertion portion provided at the bottom of the retractor. By inserting the same endoscopic surgical instruments through the space secured by the retractor approach the bottom of the pectoral muscles through the image through the endoscope to perform separation and hemostasis.

However, such a conventional retractor is first formed integrally with the endoscope, so when the endoscope moves forward and backward or in the left and right directions, the retractor also moves simultaneously with the endoscope. There is a problem that can not be secured so that in the conventional sense as a surgical retractor has a problem that does not play any role. That is, since the endoscope is also fixed in the fixed position of the retractor so that only the endoscope cannot be moved forward or backward or left and right, there is a problem in that peeling or hemostasis of body tissues visible only when the retractor and the endoscope are fixed at the same time. More specifically, in order to accurately separate and detach the muscular membranes, ribs, and periosteal membranes of the pectoral muscle in a narrow field of view, the exact position and periphery of the surgical site may be changed while the pectoral muscle is traction fixed and the endoscope is moved forward or backward. It is essential to sufficiently check the organization of the existing retractor, which is formed integrally with the endoscope and secures a space for insertion of the endoscope at the same time as the traction, and has the effect of mounting the endoscope surgical instrument, but eventually the retractor and the endoscope move simultaneously Since there is no other structure, the operator can freely change the endoscope while being pulled to accurately check the inside of body tissues and cannot secure sufficient vision for detailed surgery, thereby having no practical effect as a surgical retractor.

In addition, the bottom of the conventional retractor is provided with a cradle for inserting the endoscope surgical instrument is to allow the surgical instrument to be inserted to the position to peel or hemostatically sleeping along the retractor. However, because the conventional endoscope integrated retractor with one hand to hold the retractor to insert the endoscope surgical instrument to the end and the mounting portion located on the lower end, both hands are fixed to the lower end of the retractor, so the free hand There was a problem that can not be used. In particular, the nature of axillary incisions should be used with both the pneumothorax and endoscopy at the same time. The pectoral muscles belong to relatively large muscles, and their tension is also considerable. There is a problem of feeling a considerable fatigue, this increases the operation time, as well as the problem that the careful operation is difficult, such as the operator can not peel and hemostasis of the desired position, which causes the operator's fatigue cumulative and long-term operation There was a difficult problem.

In addition, the assistant cannot use the retractor instead of the operator because the assistant cannot be in the same position in the narrow space due to the location of the armpit incision.In particular, the existing retractor is formed integrally with the endoscope so that the assistant replaces the retractor. Even if it is used, the retractor direction and the endoscope direction must be the same limit, the operator had a problem that is virtually difficult to secure the view of the desired position.

Recently, with advanced endoscopy instruments such as Ligasure or Harmonic, Endo-shear and Endo-scissor within the inserts for surgical instruments at the bottom of the retractor ), It is impossible to use the existing retractor with one-piece insert that inserts the endo-dissector and the like.

Therefore, an object of the present invention is to use an endoscope in one hand of the operator as the retractor used to pull the pectoral muscle upward during chest plastic endoscopy is used by an assistant located on the opposite or side of the operator. Endoscopic surgical instruments can be used on the other hand, so that both hands can be freely used, thereby shortening the operation time and providing an endoscopy retractor for chest surgery capable of precise surgery.

And it is possible to reduce the cumulative fatigue of the operator, so that long-term operation is possible, and since the endoscope and the retractor are not formed integrally, only the endoscope can be moved back and forth or the left and right directions can be viewed while viewing the perspective image through the endoscope. Surgery is possible, as well as to provide an endoscopic retractor for breast surgery to facilitate the operator to secure the desired field of view.

In addition, the grip handle of the retractor formed in the U-shape is bent inclined toward the operator, so the assistant located at the side or the opposite side of the operator can pull the retractor toward the chest by simply adjusting the inclined angle so that the pectoral muscle can be easily towed. To provide an endoscopic retractor for.

In addition, the introduction of advanced endoscopic surgical equipment, such as Ligasure or Harmonic, eliminates the need for the operator to grip the retractor, allowing the user to choose a new surgical method that requires the use of both hands. To provide an endoscopic retractor.

An object of the present invention is formed in a linear flat plate shape having a length to one side and is inserted into the surgical site, the first horizontal support is fixed to one side lower portion of the tow, and the vertical direction from the end of the first horizontal support A vertical support portion which is bent and extended in a horizontal direction, a second horizontal support portion which is bent in a horizontal direction from an end portion of the vertical support portion, and extends in the direction of the towing portion, and is bent in an oblique direction from an end portion of the second horizontal support portion, It is achieved by providing an endoscopic retractor for breast shaping which includes a support for inclination extending in the direction of the support and a grip knob provided on the inclination support.

In the present invention, the end of the towing unit is provided with an extension bent upwardly in an expanded state in the shape of a fan for securing visibility and increasing traction force.

In the present invention, the suction connection member is provided at the lower portion of the towing unit, and the suction connection port is connected, and the suction connection member is formed in a tubular shape, one end of which extends to the outside of the first horizontal support and the other end to the end side of the towing unit. Is extended.

In the present invention, the inclined support is bent to form an angle of 90 degrees or less with the second support.

In the present invention, the outer peripheral side of the gripping handle is provided with a locking member located between the ring finger and the finger of the user when gripping.

According to the endoscopic retractor for breast augmentation as described above, a retractor used for pulmonary pectoral muscle retraction during chest augmentation is used by an assistant located on the side or side of the operator rather than by the operator. An endoscope is used in the hand, and an endoscope surgical tool may be used in the other hand, and both the hands can be used freely, thereby reducing the operation time and having the advantage of enabling sophisticated surgery.

And it is possible to reduce the cumulative fatigue of the operator is possible to continue the operation, since the endoscope and the retractor is not formed integrally, the operation with perspective is possible and has the advantage of easy visibility.

In addition, the grip handle of the retractor formed in the U-shape is bent inclined in the direction of the operator has the advantage that the assistant located on the side or the opposite side of the operator to pull the retractor in the direction of his chest can easily be pulled large pectoral muscles.

In addition, by allowing the operator to use both hands, there is an effect of using advanced endoscope surgical equipment such as Ligasure or Harmonic.

1 is a perspective view of an endoscopic retractor for chest shaping in accordance with a preferred embodiment of the present invention.

2 is another perspective view of an endoscopic retractor for chest shaping in accordance with a preferred embodiment of the present invention.

Figure 3 is a state of use of the endoscopic retractor for the chest shaping according to an embodiment of the present invention.

Figure 4 is a state of use of the endoscopic retractor for the chest shaping according to an embodiment of the present invention.

* Explanation of symbols for the main parts of the drawings *

1: Endoscopic Retractor for Chest Shaping

10: towing unit

11: extension

12: suction connecting member

20: first horizontal support

30: vertical support part

40: second horizontal support

50: inclined support

60: grip handle

61: locking member

70: suction inlet

80: pectoral muscle

Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings. However, this is only to describe in detail enough to be able to easily carry out the invention by those skilled in the art, which does not mean that the technical spirit and scope of the present invention is limited.

1 is a perspective view of an endoscopic retractor for chest shaping according to a preferred embodiment of the present invention, Figure 2 is another perspective view of an endoscopic retractor for chest shaping according to a preferred embodiment of the present invention, Figure 3 Figure 4 is a state of use of the endoscopic retractor for chest shaping according to a preferred embodiment of the present invention, Figure 4 is a state of use of the endoscopic retractor for chest shaping according to a preferred embodiment of the present invention.

Endoscopic retractor for chest shaping according to an embodiment of the present invention is formed in a linear flat plate shape having a length to one side and is inserted into the surgical site, and the first horizontal support is fixed to one side lower portion of the traction And a vertical support portion which is bent and extended in a vertical direction from an end of the first horizontal support portion, a second horizontal support portion which is bent in a horizontal direction from an end of the vertical support portion and extends in the direction of the towing portion, and the second horizontal support portion. And an inclined support portion bent in an inclined direction from an end of the inclined direction and extending in the direction of the second horizontal support portion, and a grip handle provided in the inclined support portion.

Hereinafter, with reference to FIGS. 1 to 3 will be described in detail with respect to the components of the endoscopic retractor (1) for the chest shaping according to an embodiment of the present invention and the connection between the components.

First, the above-described traction unit 10 is inserted into the surgical site to serve to pull the pectoral muscle 80, and is formed in a linear flat shape having a length on one side. The towing unit 10 is made of a metal material harmless to the human body and its length and size may be variously changed.

An extension part 11 is provided at an end of the traction part 10, and the aforementioned extension part 11 enables to secure the field of view of the surgical site and at the same time serves to increase the traction force, and expands in a fan shape. Is formed in the upward bending state.

In addition, a suction connection member 12 is provided below the towing unit 10, and the suction connection member 12 serves to connect the suction inlet 70. The suction connection member 12 is formed in a tubular shape, one end of which extends to the outside of the first horizontal support 20 to be described later, and the other end of which extends to the end side of the towing unit 10.

Therefore, when the suction suction port 70 is connected to the suction connection member 12 side during surgery, the suction can be performed immediately without the inconvenience of inserting a separate suction device during the surgery. Therefore, foreign substances generated during the exfoliation or hemostatic process can be inhaled and removed in real time, so that more rapid and sophisticated surgery can be performed.

On the other hand, the first horizontal support portion 20 is fixed to one side lower portion of the above-mentioned towing portion 10, the first horizontal support portion 20 described above serves to firmly secure the towing portion 10 and later The vertical support 30 to be described later serves to extend. The first horizontal support portion 20 is made of a metal material that is harmless to the human body like the above-mentioned tow portion 10.

In addition, the vertical support part 30 is bent and extended in a vertical direction from an end of the above-described first horizontal support part 20. The vertical support part 30 allows the second horizontal support part 40 to be described later to extend. Play a role. In addition, when pulling the grip handle 60 to be described later to the assistant's chest direction, the towing unit 10 is no longer inserted into the body to support the pectoral muscles 80 to serve as a locking jaw. The height of the vertical support 30 may be changed in various ways and is made of a metal material that is harmless to the human body like the above-mentioned tow 10 and the first horizontal support 20.

In addition, the second horizontal support portion 40 is bent and extended in the horizontal direction from the end of the vertical support portion 30 described above. At this time, the second horizontal support portion 40 extends in the direction of the above-mentioned tow portion 10 to be parallel to the tow portion 10, and serves to extend the inclined support portion 50 to be described later. Therefore, the first horizontal support portion 20, the vertical support portion 30 and the second horizontal support portion 40 has a c-shape. The second horizontal support portion 40 is made of a metal material that is harmless to the human body like the above-mentioned tow portion 10, the first horizontal support portion 20 and the second horizontal support portion 40.

From the end of the second horizontal support portion 40 described above, the inclined support portion 50 is bent and extended in the inclined direction. In this case, the inclined support part 50 extends in the direction of the second horizontal support part 40 described above, and serves to provide a grip handle 60 to be described later. The inclined support 50 is bent to form an angle of 90 degrees or less with the second support. This is because the assistant using the endoscopic retractor (1) for breast shaping pulls the grip (60) in his waist position while pulling in the direction of his chest when the pectoral muscles (80) This is to be pulled in the upper direction, and to facilitate the securing of the field of view for peeling or hemostasis by the expansion portion (11). In addition, this operation allows the assistant to easily pull the pectoral muscle 80 with a relatively low force, so that fatigue accumulation is low and prolonged or continuous surgery is possible.

On the other hand, the above-mentioned inclined support 50 is provided with a grip handle 60, the grip handle 60 described above is to play a role of being held by the assistant. On the outer circumferential side of the gripping handle 60, the gripping member 61 is provided between the ring finger and the finger of the user when gripping. The above-described locking member 61 serves to prevent the gripping handle 60 from slipping in the assistant's hand. In addition, although not shown, the grip handle 60 described above is preferably made of a synthetic rubber material generating friction force with the skin, or a plurality of friction protrusions are further formed.

Hereinafter, with reference to Figure 4 will be described in detail the overall method of using the endoscopic retractor (1) for breast shaping according to an embodiment of the present invention.

First, the operator is lying on the operating table in the correct position, the operator is located in the armpit side of the chest where the operation is performed. The assistant is located opposite the operator, that is, in the armpit side of the unoperated chest.

When the armpit is dissected by the operator, the operator inserts the traction unit 10 into the surgical site and inserts an endoscope to check whether the traction unit 10 is positioned at the correct point. At this time, the end of the traction part 10 inserted into the surgical part is provided with a suction connection member 12 connected to the suction inlet 70 so that the suction can be performed immediately without the inconvenience of inserting a separate suction device. Therefore, foreign substances generated during the exfoliation or hemostasis process can be inhaled and removed in real time, so that more rapid and sophisticated surgery can be performed.

When the towing unit 10 is positioned correctly, the assistant grips the grip knob 60 and pulls it toward the chest of the person. In this case, the pectoral muscles may be formed by the first horizontal support part 20, the vertical support part 30, and the second horizontal support part 40 formed in the c-shape, and the inclined support part 50 bent in an oblique direction from the second horizontal support part 40. 80 can be easily towed in the upward direction. In addition, the field of view of the surgical site can be secured to the maximum by the expansion unit 11 provided at the end of the towing unit 10 at the same time.

In addition, as the assistant uses the endoscopic retractor 1 for chest shaping by an assistant, an operator who is free of both hands can perform an operation while holding an endoscope in one hand and an endoscope surgical instrument in the other hand.

According to the endoscopic retractor 1 for breast shaping as described above, the retractor used for pulling the pectoral muscle 80 during breast plastic endoscopy is not used by the operator but by an assistant located on the side or side opposite to the operator. As it is used, an endoscope is used on one hand of the operator, and an endoscope surgical tool can be used on the other hand, so that both hands can be freely used, thus shortening the operation time and enabling sophisticated surgery. In addition, it is possible to reduce the cumulative fatigue of the operator, so that continuous surgery is possible, and since the endoscope and the retractor are not integrally formed, the operation can be performed with perspective and easy to secure the vision. In addition, the grip handle 60 of the retractor formed in the U-shape is bent inclined in the direction of the operator, the assistant located on the opposite or side of the operator to pull the retractor in the direction of his chest can be easily towed the pectoral muscles (80).

Although some embodiments have been described above by way of example, it will be apparent to those skilled in the art that the present invention may be embodied in many other forms without departing from the spirit and scope thereof. Accordingly, the above-described embodiments should be considered as illustrative and not restrictive, and all embodiments within the scope of the appended claims and their equivalents shall be included within the scope of the present invention.

Claims

Towing portion 10 is formed in a linear flat plate shape having a length on one side and inserted into the surgical site;

A first horizontal support part 20 fixed to one lower side of the towing part 10;

A vertical support part (30) bent and extended in a vertical direction from an end of the first horizontal support part (20);

A second horizontal support part (40) which is bent in the horizontal direction from an end of the vertical support part (30) and extends in the direction of the towing part (10);

An inclined support part 50 which is bent in an inclined direction from an end of the second horizontal support part 40 and extends in the direction of the second horizontal support part 40; And

Endoscopic retractor for breast shaping, characterized in that the grip handle 60 is provided on the inclined support (50).
The method according to claim 1,

End of the traction unit 10 is an endoscopy retractor for breast shaping, characterized in that the expansion is formed in the form of an upward bent in the expanded state in the form of a fan for securing visibility and traction.
The method according to claim 2,

The suction connection member 12 to which the suction inlet 70 is connected is provided at the lower portion of the towing unit 10, and the suction connection member 12 is formed in a tubular shape and one end thereof is the first horizontal support part 20. Endoscopic retractor for breast shaping, characterized in that extending outward and the other end is extended to the end side of the towing portion (10).
The method according to claim 1,

The inclined support part 50 is bent to form an angle of 90 degrees or less with the second support endoscopy retractor for breast molding, characterized in that.
The method according to claim 1,

An outer circumferential side of the grip handle 60, the endoscope traction retractor for breast shaping, characterized in that the gripping member 61 is positioned between the ring finger and the finger of the user when gripping.