WO2017213300A1 - Rétracteur endoscopique destiné à la chirurgie du sein - Google Patents

Rétracteur endoscopique destiné à la chirurgie du sein Download PDF

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Publication number
WO2017213300A1
WO2017213300A1 PCT/KR2016/009612 KR2016009612W WO2017213300A1 WO 2017213300 A1 WO2017213300 A1 WO 2017213300A1 KR 2016009612 W KR2016009612 W KR 2016009612W WO 2017213300 A1 WO2017213300 A1 WO 2017213300A1
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WO
WIPO (PCT)
Prior art keywords
retractor
support part
horizontal support
bent
endoscope
Prior art date
Application number
PCT/KR2016/009612
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English (en)
Korean (ko)
Inventor
이상달
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이상달
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 이상달 filed Critical 이상달
Publication of WO2017213300A1 publication Critical patent/WO2017213300A1/fr

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00147—Holding or positioning arrangements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00792—Plastic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00796—Breast surgery

Definitions

  • 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.
  • breast augmentation 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.
  • Endo-scissors, endo-dissectors, and other endoscopy instruments are used to precisely undergo secondary exfoliation and hemostasis between the pectoral muscles and intercostal membranes.
  • endoscopic surgical instruments such as Ligasure or Harmonic, which can simultaneously cut tissue with hemostasis, has been increasing.
  • 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 conventional endoscope for shaping the breast is operated by using an integrally attached form to the retractor.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • both hands are fixed to the lower end of the retractor, so the free hand
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • the inclined support is bent to form an angle of 90 degrees or less with the second support.
  • 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.
  • 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.
  • 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.
  • FIG. 1 is a perspective view of an endoscopic retractor for chest shaping in accordance with a preferred embodiment of the present invention.
  • FIG. 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.
  • FIG. 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 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 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.
  • 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.
  • 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.
  • 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.
  • the suction suction port 70 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • the inclined support portion 50 is bent and extended in the inclined direction.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • the operator 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.
  • 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.
  • the assistant grips the grip knob 60 and pulls it toward the chest of the person.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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).

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne un rétracteur endoscopique destiné à la chirurgie du sein, comprenant : une partie traction qui se présente sous la forme d'une longue plaque plate linéaire dans une direction et doit être introduite dans un site chirurgical ; une première partie de support horizontale qui est fixée à une partie inférieure d'un côté de la partie traction ; une partie de support verticale qui est courbée et s'étend dans une direction verticale à partir d'une partie d'extrémité de la première partie de support horizontale ; une seconde partie de support horizontale qui est courbée dans une direction horizontale à partir d'une partie d'extrémité de la partie de support verticale et qui s'étend dans la direction de la partie traction ; une partie de support inclinée qui est courbée dans une direction oblique à partir d'une partie d'extrémité de la seconde partie de support horizontale et qui s'étend dans la direction de la seconde partie de support horizontale ; et une poignée de préhension disposée au niveau de la partie de support inclinée.
PCT/KR2016/009612 2016-06-07 2016-08-30 Rétracteur endoscopique destiné à la chirurgie du sein WO2017213300A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR20-2016-0003072 2016-06-07
KR2020160003072U KR200481188Y1 (ko) 2016-06-07 2016-06-07 가슴 성형을 위한 내시경술 견인기

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WO2017213300A1 true WO2017213300A1 (fr) 2017-12-14

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Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR200481188Y1 (ko) * 2016-06-07 2016-08-26 이상달 가슴 성형을 위한 내시경술 견인기
KR101890257B1 (ko) * 2016-12-08 2018-08-21 박성재 내시경 고정용 견인기
KR102050536B1 (ko) * 2017-07-31 2019-11-29 심형보 가슴 성형을 위한 보형물 삽입용 견인기
KR102196498B1 (ko) 2018-11-21 2020-12-29 (주)와우메디칼 가슴라인 쉐이핑용 견인 실 취급기구

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR960040322A (ko) * 1995-05-09 1996-12-17 남성대 내시경이 설치된 성형수술용 의료기구
KR20060011091A (ko) * 2004-07-29 2006-02-03 최현영 심장 수술을 위한 흉골 견인기
JP2009195265A (ja) * 2008-02-19 2009-09-03 Kyoko Mantani 片手操作可能な開創具
KR20120051130A (ko) * 2010-11-12 2012-05-22 주식회사 위노바 수술용 견인 기구
KR20160047689A (ko) * 2014-10-23 2016-05-03 장상훈 견인 기능을 갖춘 석션 카테터
KR200481188Y1 (ko) * 2016-06-07 2016-08-26 이상달 가슴 성형을 위한 내시경술 견인기

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR100660650B1 (ko) 2005-12-14 2006-12-21 최종욱 갑상선 내시경 시술용 견인기
US20110282376A1 (en) * 2010-05-17 2011-11-17 Kirk Brandow Brandow breast tunneler
KR101349210B1 (ko) * 2012-06-26 2014-01-08 손고운 질 성형 임플란트용 시술 도구

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR960040322A (ko) * 1995-05-09 1996-12-17 남성대 내시경이 설치된 성형수술용 의료기구
KR20060011091A (ko) * 2004-07-29 2006-02-03 최현영 심장 수술을 위한 흉골 견인기
JP2009195265A (ja) * 2008-02-19 2009-09-03 Kyoko Mantani 片手操作可能な開創具
KR20120051130A (ko) * 2010-11-12 2012-05-22 주식회사 위노바 수술용 견인 기구
KR20160047689A (ko) * 2014-10-23 2016-05-03 장상훈 견인 기능을 갖춘 석션 카테터
KR200481188Y1 (ko) * 2016-06-07 2016-08-26 이상달 가슴 성형을 위한 내시경술 견인기

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