CN103431896A - Mammary flap extrication device - Google Patents
Mammary flap extrication device Download PDFInfo
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- CN103431896A CN103431896A CN2013103774283A CN201310377428A CN103431896A CN 103431896 A CN103431896 A CN 103431896A CN 2013103774283 A CN2013103774283 A CN 2013103774283A CN 201310377428 A CN201310377428 A CN 201310377428A CN 103431896 A CN103431896 A CN 103431896A
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- clamping part
- cutting blade
- mammary gland
- connecting rod
- fixed part
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Abstract
A mammary flap extrication device comprises a cutting blade and a clamping part, wherein the cutting blade is installed on a fixing part, the fixing part is connected with the clamping part through a connecting rod arranged at one end of the fixing part, the distance between the clamping part and the fixing part can be adjusted through the connecting rod, and a handle perpendicular to the cutting blade is arranged at one end, provided with the connecting rod, of the fixing part. Due to the fact that the clamping part is arranged and attached to the skin, extricated flaps are positioned in the same plane, and postoperative hydrops is reduced. Compared with an electrotome extrication method, the mammary flap extrication device avoids flat liquefaction and necrosis caused by high temperature of an electrotome, less skin superficial layer blood vessels are injured, and the occurrence rate of postoperative subcutaneous hydrops and flap necrosis is lowered.
Description
Technical field
The present invention relates to medical instruments field, specifically the free device of a kind of mammary gland flap.
Background technology
So-called mammary gland flap is free refer to and cut skin after, with several, tissue forceps is clamped subcutaneous, the tissue forceps spacing is at 2-3cm, bark pocket skin not, mention tissue forceps, make the whole mammary gland be raised on same aspect, then use electric knife or knife blade or tissue shear to insert subcutaneous, peeled off (subcutaneous only stay a small amount of thin layer fat) along fatty shallow-layer, from the near to the remote, advance step by step, progressively dissociate to whole corpus mamma scope, when application electric knife, blade or tissue shear, the cutter head direction is as far as possible parallel with the skin of mammary gland direction, avoids transdermal.
Existing mammary gland flap is free is mainly that the electric knife flap is free, after subcutaneous injection epinephrine saline with knife blade free skin flap and application tissue shear free skin flap, there is following problem in the free mode of above-mentioned flap:
1) intraoperative hemorrhage: take application blade, tissue shear as obvious;
2) postoperative hypohydrops: application electric knife, blade or tissue shear, bad assurance is free always in same plane, so that free skin flap is uneven, and in art, the application electric knife is free causes high temperature, liquefaction of fat, necrosis, abovely all can cause that postoperative hydrops is more;
3) in art, flap is free blocked up or excessively thin;
4) postoperative skin flap necrosis: because free skin flap is too thin, flap of blood is for electric knife high temperature, liquefaction of fat, thrombosis, hypohydrops, infection etc. in poor, art.
Summary of the invention
The inhomogeneous series of problems caused of free skin flap existed for solving the free mode of existing mammary gland flap, the invention provides the free device of a kind of mammary gland flap.
The present invention solves the problems of the technologies described above the technical scheme of employing to be: a kind of mammary gland flap device that dissociates, comprise cutting blade and clamping part, described cutting blade is arranged on fixed part, fixed part is connected with the connecting rod that clamping part arranges by fixed part one end, and the spacing between clamping part and fixed part is by the connecting rod adjustment, the rear end of clamping part and fixed part is positioned at same vertical, and fixed part arranges on an end of connecting rod and is provided with the handle perpendicular with cutting blade;
Described cutting blade comprises the afterbody of thickness homogeneous and the cutting part of varied in thickness, and the upper surface of afterbody and cutting part forms smooth flat, described afterbody is arranged on fixed part, the arc that the both sides of cutting part are outwardly convex, the front end of cutting part is that projection is the cut end of arc forward, and the thickness of cutting part reduces backward gradually from cut end.
The edge of described clamping part is arc, or between described clamping part bottom surface and end face, is arc-shaped transition.
Described clamping part be shaped as rectangle or bar shaped.
The free end of described connecting rod passes clamping part, and is connected by threaded engagement with clamping part.
Being shaped as of described fixed part is cylindrical;
The front end of described cutting blade lags behind the front end 0.5cm of clamping part.
The cylinder list structure that described clamping part is long 10cm, thick 1cm, wide 2cm, the length of cutting blade is 10cm, width is 1.5cm.
Described cutting blade and clamping part be arranged in parallel or are obliquely installed, and both are while being obliquely installed, and both spacings increase gradually from a side direction opposite side that is provided with connecting rod.
In the present invention, fixed part can adopt the two halves structure, and by tighting a bolt, cutting blade is fixed to clamp between two halves, the length of the cutting blade afterbody that then can clamp by the adjustment fixed part is adjusted the effective cutting length of cutting blade, to be applicable to different patients; Simultaneously, the distance of adjusting between clamping part and cutting blade by connecting rod can be adjusted the subcutaneous fat thickness of reservation.
In the present invention, the relative position of clamping part and cutting blade can be any, that is to say, before clamping part protrudes from cutting blade, also can lag behind cutting blade, also can be mutually concordant, being advisable slightly forward with respect to cutting blade in the position that preferred mode is clamping part, that is to say that the front end of cutting blade lags behind the front position of clamping part.
Using method of the present invention is: after cutting skin, first from an end the mammary gland seam of dissociating, then free device insertion, skin is embedded between clamping part and cutting blade, and skin is stretched at same plane, the pull handle of then taking advantage of a situation, free skin flap fast.
Beneficial effect: the present invention compared with prior art has the following advantages:
1) by clamping part being set and making clamping part be close to skin, make free flap at same plane, reduced postoperative hydrops;
2) with electric knife free phase ratio, avoid liquefaction of fat, necrosis due to electric knife high temperature, skin shallow-layer angiolysis is relatively less, and postoperative hypohydrops, flap necrosis may incidence rate reduce;
3) free speed is accelerated, and reduces operating time.
The accompanying drawing explanation
Fig. 1 is structural representation of the present invention;
Fig. 2 is the structure chart that the present invention is cutting blade;
A kind of embodiment that Fig. 3 is cutting blade of the present invention bottom;
The another kind of embodiment that Fig. 4 is cutting blade of the present invention bottom;
A kind of embodiment that Fig. 5 is fixed part of the present invention;
Reference numeral: 1, cutting blade, 2, clamping part, 3, connecting rod, 4, fixed part, 5, handle, 101, afterbody, 102, cutting part, 103, cut end, 401, upper fixed part, 402, lower fixed part, 403, tight a bolt.
The specific embodiment
As shown in the figure, a kind of mammary gland flap device that dissociates, comprise cutting blade 1 and clamping part 2, described cutting blade 1 is arranged on fixed part 4, fixed part 4 is connected with the connecting rod 3 that clamping part 2 arranges by fixed part 4 one ends, and the spacing between clamping part 2 and fixed part 4 is adjusted by connecting rod 3, and the rear end of clamping part 2 and fixed part 4 is positioned at same vertical, fixed part 4 arranges on an end of connecting rod 3 and is provided with the handle 5 perpendicular with cutting blade 1;
Described cutting blade 1 comprises the afterbody 101 of thickness homogeneous and the cutting part 102 of varied in thickness, and the upper surface of afterbody 101 and cutting part 102 forms smooth flat, described afterbody 101 is arranged on fixed part 4, the arc that the both sides of cutting part 102 are outwardly convex, the front end of cutting part 102 is that projection is the cut end 103 of arc forward, and the thickness of cutting part 102 reduces backward gradually from cut end 103;
Described fixed part 4 comprises fixed part 401 and lower fixed part 402, and upper fixed part 401 and lower fixed part 402 clamp cutting blade 1 and be 403 fixing by tighting a bolt.
In the present invention, as shown in Figures 3 and 4, the thickness of cutting part 102 reduces backward gradually from cut end 103, and Fig. 3, for evenly reducing, passes by from the side, and its edge line is straight line, and Fig. 4 is non-homogeneous reducing, and its edge line is arc.
Be more than basic embodiment of the present invention, can on above basis, be improved further or further limit:
As, the edge of described clamping part 2 is set to arc, or is arc-shaped transition between clamping part 2 bottom surfaces and end face, makes like this with the laminating of skin softlyer, can prevent from scratching skin;
As, described clamping part 2 be shaped as rectangle or bar shaped, to there is better better guiding function, can certainly be other shapes;
As, the free end of described connecting rod 3 is through clamping part 2, and be connected by threaded engagement with clamping part 2, to adjust the spacing of clamping part 2 and cutting blade 1, can certainly be by other set-up mode, as connecting rod 3 and clamping part 2 are flexibly connected, after the spacing of good clamping part 2 to be determined and cutting blade 1, change into and being fixedly connected with again;
As, fixed section 401 and lower fixed part 402 are symmetrical structure, and both sides are hinged, opposite side 403 is fixed for clamping cutting blade 1 by some tighting a bolt;
The shape of described fixed part 4 is preferably cylindrical, to prevent corner angle damage flap;
The front end of described cutting blade 1 lags behind the front end 0.5cm of clamping part 2.
The cylinder list structure that described clamping part 2 is long 10cm, thick 1cm, wide 2cm, the length of cutting blade 1 is 10cm, width is 1.5cm;
Described cutting blade 1 and clamping part 2 be arranged in parallel or are obliquely installed, and both are while being obliquely installed, and both spacings increase gradually from a side direction opposite side that is provided with connecting rod 3.
In the present invention, handle 5 is not limited only to be arranged on fixed part 4, also can be arranged on clamping part 2, is arranged on connecting rod 3, and preferred set-up mode is arranged on fixed part 4.
For each parts material used in the present invention, with rustless steel, be advisable, also can adopt other material to make.
Claims (9)
1. the free device of a mammary gland flap, it is characterized in that: comprise cutting blade (1) and clamping part (2), described cutting blade (1) is arranged on fixed part (4), fixed part (4) is connected with the connecting rod (3) that clamping part (2) arranges by fixed part (4) one ends, and the spacing between clamping part (2) and fixed part (4) is adjusted by connecting rod (3), the rear end of clamping part (2) and fixed part (4) is positioned at same vertical, and fixed part (4) arranges on an end of connecting rod (3) and is provided with the handle (5) perpendicular with cutting blade (1);
Described cutting blade (1) comprises the afterbody (101) of thickness homogeneous and the cutting part (102) of varied in thickness, and the upper surface of afterbody (101) and cutting part (102) forms smooth flat, described afterbody (101) is arranged on fixed part (4), the arc that the both sides of cutting part (102) are outwardly convex, the front end of cutting part (102) is that projection is the cut end of arc (103) forward, and the thickness of cutting part (102) reduces backward gradually from cut end (103).
2. the free device of a kind of mammary gland flap according to claim 1, it is characterized in that: the edge of described clamping part (2) is arc, or is arc-shaped transition between clamping part (2) bottom surface and end face.
3. the free device of a kind of mammary gland flap according to claim 1 and 2 is characterized in that: described clamping part (2) be shaped as rectangle or bar shaped.
4. the free device of a kind of mammary gland flap according to claim 1 is characterized in that: the free end of described connecting rod (3) is through clamping part (2), and is connected by threaded engagement with clamping part (2).
5. the free device of a kind of mammary gland flap according to claim 1, it is characterized in that: fixed section (401) and lower fixed part (402) are symmetrical structure, and both sides are hinged, opposite side is fixed for clamping cutting blade (1) by some tighting a bolt (403).
6. the free device of a kind of mammary gland flap according to claim 1, it is characterized in that: being shaped as of described fixed part (4) is cylindrical.
7. the free device of a kind of mammary gland flap according to claim 1, it is characterized in that: the front end of described cutting blade (1) lags behind the front end 0.5cm of clamping part (2).
8. the free device of a kind of mammary gland flap according to claim 1, it is characterized in that: described clamping part (2) is the cylinder list structure of long 10cm, thick 1cm, wide 2cm, and the length of cutting blade (1) is 10cm, and width is 1.5cm.
9. the free device of a kind of mammary gland flap according to claim 1, it is characterized in that: described cutting blade (1) and clamping part (2) be arranged in parallel or are obliquely installed, and, when both are obliquely installed, both spacings increase gradually from a side direction opposite side that is provided with connecting rod (3).
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201310377428.3A CN103431896B (en) | 2013-08-27 | 2013-08-27 | A kind of mammary gland flap dissociates device |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201310377428.3A CN103431896B (en) | 2013-08-27 | 2013-08-27 | A kind of mammary gland flap dissociates device |
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CN103431896A true CN103431896A (en) | 2013-12-11 |
CN103431896B CN103431896B (en) | 2015-12-23 |
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CN201310377428.3A Expired - Fee Related CN103431896B (en) | 2013-08-27 | 2013-08-27 | A kind of mammary gland flap dissociates device |
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Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5111828A (en) * | 1990-09-18 | 1992-05-12 | Peb Biopsy Corporation | Device for percutaneous excisional breast biopsy |
US5871454A (en) * | 1997-04-22 | 1999-02-16 | Majlessi; Heshmat | Percutaneous excisional biopsy device |
CN201056000Y (en) * | 2007-06-28 | 2008-05-07 | 漆伟宁 | Multifunctional kitchen knife |
CN201949102U (en) * | 2011-01-26 | 2011-08-31 | 王晖 | Free knife for subcutaneous fatty tissue |
CN202458585U (en) * | 2012-02-29 | 2012-10-03 | 高强方 | Peeling knife for mammectomy |
CN203524742U (en) * | 2013-08-27 | 2014-04-09 | 河南科技大学第一附属医院 | Mammary gland flap dissociating device |
-
2013
- 2013-08-27 CN CN201310377428.3A patent/CN103431896B/en not_active Expired - Fee Related
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5111828A (en) * | 1990-09-18 | 1992-05-12 | Peb Biopsy Corporation | Device for percutaneous excisional breast biopsy |
US5871454A (en) * | 1997-04-22 | 1999-02-16 | Majlessi; Heshmat | Percutaneous excisional biopsy device |
CN201056000Y (en) * | 2007-06-28 | 2008-05-07 | 漆伟宁 | Multifunctional kitchen knife |
CN201949102U (en) * | 2011-01-26 | 2011-08-31 | 王晖 | Free knife for subcutaneous fatty tissue |
CN202458585U (en) * | 2012-02-29 | 2012-10-03 | 高强方 | Peeling knife for mammectomy |
CN203524742U (en) * | 2013-08-27 | 2014-04-09 | 河南科技大学第一附属医院 | Mammary gland flap dissociating device |
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CN103431896B (en) | 2015-12-23 |
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