Flap retractor used in breast surgery

By designing a flap retractor for intraoperative breast surgery including a rotating disc and a flap pulling assembly, the problem of difficulty in realizing accurate positioning of the patient's incision position and flap pulling in the prior art is solved, and the problem of the difficulty in realizing the accuracy of the patient's incision position and flap pulling is achieved. Small movement and pulling improves the stability and safety of the surgery.

CN119423865APending Publication Date: 2025-02-14HEILONGJIANG PROVINCIAL POISONING RESCUE & TREATMENT CENT (HEILONGJIANG PROVINCIAL SECOND HOSPITAL HEILONGJIANG PROVINCIAL LABOR HEALTH & OCCUPATIONAL DISEASE RES INST)
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Patent Information

Application Number
CN202411586766.2
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2024-11-08
Publication Date
2025-02-14

AI Technical Summary

Technical Problem

Existing flap retractors for breast surgery are difficult to accurately locate the patient's incision position and pull the flap through a structure, and small movement and pulling are not possible.

Method used

Design a flap retractor including a rotating disc and a flap pulling assembly, and the flap pulling assembly is deployed or contracted on the rotating disc in an arc-shaped motion trajectory to realize positioning the patient's incision position and flap pulling. Pull and adjust the height and angle of the device through the adjustment unit.

Benefits of technology

Accurate position of the patient's incision position and small movement and pulling of the flap are achieved, improving the stability and safety of the surgery and reducing the pain of the patient.

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Abstract

The invention discloses a flap retractor used in a breast surgery, belongs to the field of medical instruments, and aims to solve the problem that the existing flap retractor used in the breast surgery generally cannot realize the positioning and traction actions of a positioning surgical incision through one structure, and can accurately position the incision position of a patient and pull a flap. The invention provides a skin flap traction device used in breast surgery. The skin flap traction device comprises a fixator, a skin flap traction part and an adjusting part. The flap traction assembly is arranged to expand or contract on the rotating disc in an arc-shaped movement track, so that the flap traction assembly can position the incision position of a patient and pull the flap according to the rotation of the rotating disc; therefore, the rotating disc of the flap traction part rotates to drive the flap traction assembly to expand and contract, the height and angle of the device are adjusted in cooperation with the adjusting part, the incision position of a patient and flap traction are achieved, small-amplitude movement and traction are achieved, and positioning is accurate.
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Description

Technical Field

[0001] The invention belongs to the technical field of medical instruments, and in particular relates to a skin flap retractor used in breast surgery. Background Art

[0002] In actual clinical medicine, flap retractors are widely used. Their main function is to flexibly retract the incision skin to ensure the smooth progress of the operation. They are also widely used in breast surgery diagnosis and treatment.

[0003] Publication No. CN113876373A discloses a skin flap retractor used during breast surgery. By setting up a traction mechanism, multiple groups of traction hooks cooperate with hollow rings to achieve traction of the skin flap at the surgical site in all directions. There is no need to adjust the position of the retractor multiple times during the operation, which facilitates the operation. By setting up a support mechanism that can be adjusted as the position of the traction mechanism is adjusted, the traction mechanism is supported, making the device as a whole more stable. Publication No. CN116058896A discloses an adjustable skin flap retractor, comprising a mounting support part; a lifting adapter part is threadedly connected to the mounting support part; a positioning connection part is rotatably connected to the lifting adapter part; a circle of multi-directional adjustment parts is sleeved on the positioning connection part; a circle of multi-directional adjustment parts are respectively threadedly connected to pulling and pressing adapter parts; a pulling device is threadedly connected to the pulling and pressing adapter part; the pulling device of the mounting support part passes through the pulling and pressing adapter part; the skin flap retractor can achieve auxiliary pulling of skin flap tissue, avoid skin flap tissue damage, and is safer while positioning the chest and maintaining stability.

[0004] However, the above device cannot realize the positioning of the surgical incision and the pulling action through one structure, and can not realize accurate positioning of the patient's incision position and pulling of the skin flap. Summary of the invention

[0005] In view of the above-mentioned problems, the present invention aims to provide a skin flap retractor for use in breast surgery, which can locate the surgical incision position of the patient and retract the skin flap during breast surgery, and can achieve small-amplitude movement and retraction with accurate positioning.

[0006] The main idea of ​​the technical solution adopted by the present invention is to design a flap retractor for breast surgery that can realize positioning of the patient's incision position and pulling of the skin flap through a structure, realize small-amplitude movement and pulling, and accurate positioning. The flap retractor includes a rotating disk and a flap retractor assembly, and the flap retractor assembly is arranged to expand or contract in an arc-shaped motion trajectory on the rotating disk, so that the flap retractor assembly can position the patient's incision position and pull the skin flap according to the rotation of the rotating disk; thereby, the rotation of the rotating disk of the flap retractor assembly drives the expansion and contraction of the flap retractor assembly, and the height and angle adjustment of the device by the adjustment part can be realized to realize positioning of the patient's incision position and pulling of the skin flap, realize small-amplitude movement and pulling, and accurate positioning.

[0007] In order to achieve the above object, the technical solution adopted by the present invention is as follows: A skin flap retractor for breast surgery comprises: a fixer, an adjustment part and a skin flap retractor, wherein the fixer is arranged at the bottom end of the adjustment part and connected to the operating table, and the skin flap retractor is arranged at the end of the adjustment part, characterized in that: The flap pulling part includes a rotating disk and at least two flap pulling components, wherein: A rotating disk connected to the end of the adjusting portion, and at least two flap pulling components, which expand or contract in an arc motion trajectory on the rotating disk; The skin flap pulling component is used to locate the incision position of the patient and pull the skin flap according to the rotation of the rotating disk.

[0008] The flap traction assembly designed through the above technical solution expands or contracts in an arc-shaped motion trajectory on the rotating disk, so that the flap traction assembly can locate the patient's incision position and pull the flap according to the rotation of the rotating disk; thereby, the rotation of the turntable of the flap traction part drives the expansion and contraction of the flap traction assembly, and the height and angle of the device are adjusted by the adjustment part to achieve the positioning of the patient's incision position and the traction of the flap, realizing small-amplitude movement and traction, and accurate positioning.

[0009] Furthermore, the flap traction assembly includes a rotating column and a "T"-shaped traction rod and traction plate; the rotating disk is provided with an arc-shaped groove that slides with the rotating column; the traction rod is connected to the lower end of the rotating column, and the traction plate is arranged at the lower end of the traction rod.

[0010] Furthermore, the pulling rod and the pulling plate are both inwardly curved structures.

[0011] Through the arc structure designed in the above technical solution, the pulling part adapts to the direction of the breast skin grain, which is helpful to alleviate the pain of the patient and improve the safety of breast surgery.

[0012] Furthermore, the pulling rod is connected to the pulling plate through an oscillator, and the oscillator is used to change the angle of the pulling plate.

[0013] Furthermore, the pulling rod and the pulling plate are connected via a crank rocker.

[0014] The crank rocker designed in the above technical solution can change the angle of the traction hook by adjusting the crank rocker, avoiding manual fixation of the skin flap on the traction hook, relieving surgical operation pressure, helping to reduce the patient's pain and improving the safety of breast surgery.

[0015] Furthermore, the pulling plate is a "C"-shaped groove structure, and a pulling hook component is arranged in the "C"-shaped groove structure.

[0016] Furthermore, the hook component comprises a hook plate and a plurality of pulling hooks (3025) arranged at intervals on the hook plate, and the hook plate is located in a "C"-shaped groove structure.

[0017] The multiple traction hooks designed in the above technical solution can prevent the skin flap from being injured by traction, avoid human power to fix the skin flap on the traction hook, and relieve the pressure of surgical operation.

[0018] Furthermore, the pulling hook comprises a hook handle and a hook rake, wherein the hook rake is arranged at the end of the hook handle and has a row of hook teeth formed on the hook rake.

[0019] The hook and rake structure designed by the above scheme can avoid damage to the patient's skin caused by pulling with thin hooks, prevent tearing of skin flaps, and alleviate the patient's pain.

[0020] Furthermore, an elastic component is provided between the "C"-shaped groove structure and the hook component, and the elastic component is used to drive the hook component to pop out and be recovered.

[0021] Furthermore, a limiter is provided at the bottom of the "C"-shaped groove structure, and the limiter is used to control the pop-up depth of the elastic component.

[0022] Compared with the prior art, the technical effects achieved by the present invention are as follows: 1. The flap traction component is designed to expand or contract in an arc-shaped motion trajectory on the rotating disk, so that the flap traction component can locate the patient's incision position and pull the flap according to the rotation of the rotating disk; thereby, the rotation of the turntable of the flap traction part drives the expansion and contraction of the flap traction component, and the height and angle of the device are adjusted by the adjustment part to achieve the positioning of the patient's incision position and the pulling of the flap, and realize small-amplitude movement and pulling, and accurate positioning.

[0023] 2. By designing the traction rod and the traction plate to be an inward arc structure, the traction part adapts to the direction of the breast skin grain, which is helpful to reduce the patient's pain and improve the safety of breast surgery.

[0024] 3. The traction rod and the traction plate are connected by a crank rocker. The angle of the traction hook can be changed by adjusting the crank rocker, avoiding manual fixation of the skin flap on the traction hook, relieving surgical operation pressure, alleviating the patient's pain, and improving the safety of breast surgery. BRIEF DESCRIPTION OF THE DRAWINGS

[0025] Figure 1 It is a schematic diagram of the overall structure of a skin flap retractor used in breast surgery in an embodiment of the present application; Figure 2 is a schematic diagram of the structure of an adjusting portion of a skin flap retractor used in breast surgery according to an embodiment of the present invention; Figure 3 It is a schematic diagram of the internal structure of a sleeve of a skin flap retractor used in breast surgery according to an embodiment of the present invention; Figure 4 It is a schematic structural diagram of an adjustment handle of a skin flap retractor used in breast surgery according to an embodiment of the present invention; Figure 5 1. is a front view of a flap retractor for use in breast surgery according to an embodiment of the present invention; Figure 6 is a top view of a flap retractor used in breast surgery according to an embodiment of the present invention; Figure 7 1. is a bottom view of a flap retractor for use in breast surgery according to an embodiment of the present invention; Figure 8 This is a schematic structural diagram of a rotating disk of a skin flap retractor used in breast surgery according to an embodiment of the present application; Fig. 9 This is a schematic diagram of the structure of a groove plate of a skin flap retractor used in breast surgery according to an embodiment of the present application; Fig.10 It is a schematic diagram of the connection structure of a pulling plate of a flap pulling device used in breast surgery according to an embodiment of the present invention; Fig.11 It is a schematic diagram of the internal structure of a retracting plate of a skin flap retractor used in breast surgery according to an embodiment of the present invention; Fig.12 1 is a schematic diagram of the structure of a retractor component used in breast surgery in an embodiment of the present invention; Fig.13 This is a front view of a skin flap retractor used in breast surgery in actual use; Fig.14 The present invention is a left view of a skin flap retractor used in breast surgery during actual application.

[0026] Markings in the figure: 1-fixer, 2-adjusting part, 201-first vertical rod, 202-second vertical rod, 203-horizontal rod, 204-adjusting knob, 205-sleeve, 206-adjusting handle, 3-skin flap pulling part, 301-turntable, 302-skin flap pulling assembly, 3021-rotating column, 3022-pulling rod, 3023-pulling plate rod, 3024-crank rocker, 3025-pulling hook. DETAILED DESCRIPTION

[0027] The present invention will be described in detail below in conjunction with the accompanying drawings.

[0028] The present invention and its embodiments are described below. This description is not restrictive and the actual embodiments are not limited to the following. In short, if ordinary technicians in this field are inspired by it and design structural methods and embodiments similar to the technical solution without creativity without departing from the purpose of the invention, they should all fall within the protection scope of the present invention.

[0029] The development of a flap traction device for breast patients is of great significance for breast surgery. It can locate the surgical incision and traction flap tissue, which is conducive to simplifying the operation steps of breast surgery. It can also change the angle of the traction hook during traction, which is of great significance in terms of intraoperative traction, improving patient comfort, and improving medical quality. This is not only a reflection of the progress of medical technology, but also a guarantee of patient rights and life safety.

[0030] The applicant has found through research that the flap retractors currently used in breast surgery are usually unable to achieve both surgical incision positioning and retraction actions through one structure, and can also achieve accurate positioning of the patient's incision position and retraction of the flap.

[0031] Based on the above findings, the present application proposes a flap retractor for use during breast surgery. The adjusting part is adjusted to drive the turntable of the retraction part to rotate, so that the flap retraction component expands or contracts in an arc-shaped motion trajectory on the rotating disk; the angle and height adjustment of the horizontal bar and the vertical bar of the adjusting part are coordinated to realize the positioning of the patient's incision position and the retraction of the flap, and small-amplitude movement and retraction can be achieved with accurate positioning.

[0032] The top of the traction hook is designed for multi-point traction to increase the contact area with the skin flap and prevent the skin flap from being injured by traction at one point. The angle of the traction hook can be adjusted by the crank rocker to avoid manual fixation of the skin flap on the traction hook and relieve the pressure of surgical operation. It is helpful to reduce the pain of patients and improve the safety of breast surgery.

[0033] As attached Figure 1 As shown, attached Figure 1The present application discloses a skin flap retractor for breast surgery, comprising: a fixator 1, an adjustment part 2 and a skin flap retractor 3, wherein the fixator 1 is arranged at the bottom end of the adjustment part 2 and connected to the operating table, and the skin flap retractor 3 is arranged at the end of the adjustment part 2; The flap pulling part 3 includes a rotating disk 301 and at least two flap pulling components 302; The rotating disk 301 is connected to the end of the adjusting portion 2, and at least two flap pulling components 302 expand or contract in an arc-shaped motion trajectory on the rotating disk 301; The flap pulling component 302 is used to locate the incision position of the patient and pull the flap according to the rotation of the rotating disk.

[0034] In the embodiment of the present application, the flap traction component is designed to expand or contract in an arc-shaped motion trajectory on the rotating disk, so that the flap traction component can locate the patient's incision position and pull the flap according to the rotation of the rotating disk; thereby, the rotation of the turntable of the flap traction part drives the expansion and contraction of the flap traction component, and the height and angle of the device are adjusted by the adjustment part to achieve the positioning of the patient's incision position and the traction of the flap, and realize small-amplitude movement and traction, and accurate positioning.

[0035] Specifically, the fixator 1 is used for the overall fixed support of a retractor for breast surgery in the embodiment of the present application, which can be set according to the structural setting and installation requirements of the operating bed. The existing fixator includes a primary clamp, a secondary clamp and a threaded bolt, and the threaded bolt is threadedly connected to the primary clamp and is threadedly connected to the secondary clamp after passing through the primary clamp. The primary clamp and the secondary clamp are of the same shape and size and are arranged opposite each other. The bottom of the primary clamp and the top of the secondary clamp are both provided with a plurality of groups of clamping teeth. The arrangement of the clamping teeth enables the primary clamp and the secondary clamp to increase friction, so that the primary clamp and the secondary clamp further clamp and fix the skin flap retractor for breast surgery in the present application. Exemplarily, in the present embodiment, the fixator uses two alloy plates with a thickness of 3 cm, which are square in shape, and are provided with a plurality of groups of clamping teeth that can increase friction. In addition, the fixator can also use plates of other shapes and materials that can be combined with the bed body, and can achieve the overall fixed support of a retractor for breast surgery in the embodiment of the present application.

[0036] The adjusting portion 2 is disposed at the upper end of the fixator 1, and the adjusting portion 2 is used to adjust the direction and angle of the flap pulling portion 2; Specifically, as attached Figure 2 As shown, attached Figure 22 is a schematic diagram of the structure of the adjustment portion 2 of a skin flap retractor used in breast surgery in an embodiment of the present application, wherein the adjustment portion 2 comprises a first vertical rod 201, a second vertical rod 202, a horizontal rod 203, an adjustment knob 204 and a sleeve 205; the lower end of the first vertical rod 201 is fixedly connected to the fixator 1, and the overall fixed support of the skin flap retractor used in breast surgery in an embodiment of the present application is achieved by fixing the first vertical rod 201 and the fixator 1; the second vertical rod 202 is sleeved and connected to the first vertical rod 201, and the first vertical rod 203 is sleeved and connected to the first vertical rod 201. The upper part 201 is provided with an adjustment knob 204, and the extension length of the second vertical rod 202 is adjusted by adjusting the knob 204, so as to adjust the height of the skin flap retractor used in breast surgery of the present application; the upper end of the second vertical rod 202 and the cross bar 203 are connected by a sleeve 205, and the direction of the cross bar 203 is adjusted by the sleeve 205, so as to adjust the angle of the skin flap retractor used in breast surgery of the present application, so as to achieve the preliminary positioning of the traction part of the skin flap retractor used in breast surgery of the present application on the surgical incision position of the patient. As an embodiment, a motor is installed at the end of the cross bar 203, which is used to drive the movement of the skin flap retractor to achieve the positioning of the incision position of the patient and the traction of the skin flap during breast surgery.

[0037] When the skin flap retractor used in breast surgery is actually used in breast surgery, the entire device is fixed to the side of the operating table by a fixing device, and the extension length of the second vertical rod is adjusted by the adjusting knob on the second vertical rod to achieve height adjustment of the skin flap retractor used in breast surgery; the direction of the horizontal rod is adjusted by the sleeve to achieve angle adjustment of the skin flap retractor used in breast surgery; the incision positioning in breast surgery is achieved, and the skin flap traction in breast surgery is achieved by the motor driving the traction part, thereby achieving the positioning of the patient's incision position and the traction of the skin flap, realizing small-amplitude movement and traction, and accurate positioning.

[0038] As an implementation mode, in the embodiment of the present application, a first through hole is provided on the first vertical rod; a plurality of second through holes are provided on the second vertical rod at intervals; the second vertical rod is sleeved in the first vertical rod; an adjustment knob is provided on the first vertical rod, and the vertical height of the adjustment part is changed by adjusting the knob. Preferably, the second through holes are provided at equal intervals.

[0039] As an implementation method, in the embodiment of the present application, a first through hole is provided on the first vertical rod; a sawtooth structure is provided in the vertical direction of the second vertical rod, and the second vertical rod is sleeved in the first vertical rod; an adjustment knob is provided on the first vertical rod, and the vertical height of the part is adjusted by adjusting the adjustment knob. Specifically, as an implementation method, the sawtooth structures on the second vertical rod are arranged at equal intervals.

[0040] As attached Figure 3-4 As shown, attached Figure 3FIG. 1 is a schematic diagram of the internal structure of a sleeve of a flap retractor used in breast surgery according to an embodiment of the present application, and FIG. Figure 4 The schematic diagram of the structure of the adjustment handle of a skin flap retractor used in breast surgery in the embodiment of the present application. As an implementation mode, the second vertical rod 202 and the horizontal rod 203 are connected by a sleeve 205, and a gear is provided at the connection between the second vertical rod 202 and the horizontal rod 203; an adjustment handle 206 is provided on the sleeve 205, and the inner side of the adjustment handle 206 is meshed with the gear at the connection between the second vertical rod 202 and the horizontal rod 203. By adjusting the adjustment handle 206 to adjust the gear, the horizontal position of the horizontal rod 203 can be adjusted, thereby achieving the angle adjustment of a skin flap retractor used in breast surgery in the embodiment of the present application. In addition, as shown in the attached Figure 4 As shown, the adjustment handle 206 has a toothed structure that matches the gear. After adjusting the horizontal position of the crossbar 203, the handle 206 can be pulled down to make it stuck in the corresponding arc groove on the gear, and the crossbar 203 is limited. By pulling down the handle to limit the crossbar, the patient's skin damage and other surgical risks caused by the movement of the crossbar during the operation can be avoided. As an implementation method, the pull-down handle can be controlled by an electric control method to adjust the horizontal position of the crossbar.

[0041] As attached Figure 5-7 As shown, attached Figure 5 -Attached Figure 7 The present invention is a front view, a top view and a bottom view of the flap pulling part of a flap retractor used in breast surgery in the embodiment of the present application. Specifically, the flap pulling assembly includes a rotating column 3021 and a pulling rod 3022 and a pulling plate 3023 in a "T" shape; an arc groove that slides with the rotating column 3021 is provided on the rotating disk 301; the pulling rod 3022 is connected to the lower end of the rotating column 3021, and the pulling plate 3023 is provided at the lower end of the pulling rod 3022. The rotating disk 301 is used to drive the contraction and expansion of the pulling plate 3023, so as to achieve the positioning of the surgical incision position of the patient and the pulling of the flap. In specific implementation, the rotating disk 301 rotates to drive the rotating column 3021 to move in the arc groove of the rotating disk 301, thereby driving the expansion and contraction of the pulling rod 3022 and the pulling plate 3023, and cooperating with the adjustment of the horizontal rod and the vertical rod of the adjustment part to move to the surgical incision position of the patient. In the embodiment of the present application, the turntable rotates, driving the rotating column to move in the arc-shaped groove of the turntable, thereby driving the expansion and contraction of the traction rod and the traction plate, and cooperating with the adjustment part to adjust the direction and angle of the traction part, and moving to the patient's surgical incision position, thereby positioning the patient's incision position and traction of the skin flap, achieving small-amplitude movement and traction, and accurate positioning.

[0042] As an embodiment, the traction rod 3022 and the traction plate 3023 are both inwardly curved structures. By setting the traction plate and the traction rod as inwardly curved structures, the traction of the skin flap can better adapt to the expansion and contraction of the traction plate in the direction of the breast skin texture, avoiding causing greater damage to the patient's skin.

[0043] As an implementation mode, a motor is provided at the end of the adjustment part, and a turntable is connected to the lower end of the motor. When the motor rotates, the turntable is driven to rotate in the reverse direction to contract the traction plate, and when the turntable rotates in the forward direction, the traction plate is expanded. The forward and reverse rotation of the turntable drives the expansion and contraction of the traction plate, thereby realizing the positioning of the surgical incision position of the patient and the traction of the skin flap, which saves manpower and is easy to use.

[0044] As an implementation method of this application, as shown in the attached Figure 8-9 As shown, attached Figure 8 FIG. 1 is a schematic diagram of the structure of a rotating disk of a skin flap retractor used in breast surgery according to an embodiment of the present application, and FIG. Fig. 9 The present invention is a schematic diagram of the structure of the groove plate of a skin flap retractor used in breast surgery in an embodiment of the present application. Specifically, a circular hole is provided in the center of the turntable 301, and an arc-shaped groove is provided on the turntable. The arc-shaped groove is used to slide with the rotating column to realize the expansion and contraction of the traction rod. A connecting shaft is provided on the central circular hole of the turntable 301 on the turntable. The lower end of the connecting shaft is connected to the groove plate, and the groove of the groove plate is adapted to the traction rod 3021. Specifically, when performing breast surgery, the turntable rotates to drive the rotating column 3021 to move in the arc-shaped groove of the turntable 301, thereby driving the traction plate 3022 to extend and retract in the groove plate, and cooperate with the adjustment of the horizontal bar and the vertical bar of the adjustment part to move to the patient's surgical incision position. In the embodiment of the present application, a groove plate is provided at the bottom of the turntable, and the traction plate extends and contracts in the groove plate as the rotating column moves, so that the position of the traction plate is more stable and accurate when extending and contracting, thereby ensuring the accurate positioning of the patient's incision position and the stability of the traction of the skin flap, achieving small-amplitude movement and traction, and at the same time improving the comfort of skin flap traction during breast surgery and reducing the patient's pain.

[0045] As attached Fig.10 As shown, attached Fig.10This is a schematic diagram of the specific structure of a traction plate of a skin flap retractor used in breast surgery in an embodiment of the present application. The traction rod 3022 is connected to the traction plate 3023 through an oscillator, and the oscillator is used to change the angle of the traction plate 3023. The setting of the oscillator allows the traction plate to swing and pull a certain amplitude along with the oscillator when the turntable drives the traction rod to expand and contract, thereby changing the angle of the traction hook on the traction plate, so that the traction hook hooks the skin flap tissue of the patient's incision and pulls it. Through the design of the oscillator, it is possible to effectively avoid human power from fixing the skin flap on the traction hook, relieve the pressure of surgical operation, help alleviate the patient's pain, and improve the safety of breast surgery.

[0046] As an implementation method, the pulling rod 3022 and the pulling plate 3023 are connected by a crank rocker 3024. The motor of the adjusting part rotates, driving the turntable to rotate, so that the rotating column moves in the arc groove of the turntable to achieve the expansion of the pulling plate. Since the pulling rod and the pulling plate are connected by the crank rocker, when the pulling plate is expanded, the crank rocker swings around the axis with the expansion of the pulling plate to a certain extent, so that the angle of the pulling hook on the pulling plate changes, hooking the flap tissue of the patient's incision to pull. Further, the motor is reversed to shrink the pulling plate, and the crank rocker swings around the axis with the expansion of the pulling plate to a certain extent, so that the angle of the pulling hook on the pulling plate changes, so that the pulling hook is separated from the flap.

[0047] As attached Fig.11 As shown, attached Fig.11 The internal structure diagram of the pulling plate of a skin flap retractor used in breast surgery in the embodiment of the present application is shown in FIG. The pulling plate 3023 is a "C"-shaped groove structure, and a retracting hook component is arranged in the "C"-shaped groove structure. Specifically, the retracting hook component includes a retracting hook plate 3027 and a plurality of retracting hooks 3025 arranged at intervals on the retracting hook plate. The retracting hook plate is located in the "C"-shaped groove structure. Through the design of the retracting hook plate.

[0048] As an implementation mode, the retraction hook component includes a retraction hook plate and a plurality of retraction hooks 3025 spaced apart on the retraction hook plate, and the retraction hook plate is located in a "C"-shaped groove structure. Specifically, the retraction hook component includes a retraction hook plate and a plurality of retraction hooks 3025 spaced apart on the retraction hook plate, and the retraction hook plate is located in a "C"-shaped groove structure. In specific implementation, the motor is rotated to drive the turntable to rotate, so that the rotating column 3021 moves in the arc-shaped groove on the turntable 301, driving the expansion of the retraction plate 3023, so that the retraction hook of the retraction hook member hooks the flap tissue to achieve the retraction of the flap. Preferably, three to five retraction hooks are provided on the retraction hook plate 3023. The provision of three to five retraction hooks is sufficient to complete the retraction of the flap at the incision position of the patient on the one hand, and on the other hand, the retraction hook achieves multi-point retraction, increases the contact area with the flap, and prevents the flap from being injured by one-point retraction.

[0049] As an implementation method, an elastic member 3026 is further provided between the "C"-shaped groove structure and the retracting hook member, and the elastic member is used to drive the retracting hook member to pop out and retract. Specifically, the elastic member can be a spring. Preferably, the spring coefficient of the spring is 1.5-3.9. A spring with a spring coefficient of 1.5-3.9 is used to ensure that when the spring pops out to realize the retraction and popping out of the retracting hook, it does not cause pulling and damage to the patient's skin flap, which is conducive to relieving the pressure of surgical operation, reducing the pain of the patient, and improving the safety of breast surgery.

[0050] As attached Fig.12 As shown, attached Fig.12 Schematic diagram of the structure of the retracting hook component in the embodiment of the present application. The retracting hook 3025 includes a hook handle 3028 and a hook rake 3029. The hook rake 3029 is arranged at the end of the hook handle 3028, and a row of hook teeth (3030) is provided on the hook rake 3029. By providing a row of hook teeth on the hook rake, on the one hand, the retracting hook design is prevented from damaging the patient's skin and tearing the skin flap; on the other hand, it is prevented from fixing the skin flap on the retracting hook by manpower, relieving the pressure of the surgical operation, which is conducive to alleviating the patient's pain and improving the safety of breast surgery.

[0051] As an implementation mode of the present application, a heating rod is provided on the inner wall of the "C"-shaped groove of the traction plate 3023. After the traction is completed, the retracted traction hook is heated at high temperature using the heating rod to achieve high-temperature disinfection of the traction hook, thereby ensuring hygiene and safety during the operation.

[0052] As an implementation method, as shown in the attached Fig. 9 As shown, a limiter is provided at the bottom of the "C"-shaped groove structure. The limiter is used to control the pop-up of the elastic member. On the one hand, it can adjust the pop-up and retraction of the traction hook to avoid long-term exposure of the traction hook, improve the safety and hygiene during the operation, and on the other hand, it limits the elastic member to improve the stability of the elastic member during the surgical operation. Specifically, the limiter adopts a contact limiter, which detects the extreme position of the flap traction and sends a signal through the contact with the flap during the movement of the traction part, so as to facilitate the pop-up movement of the elastic structure and ensure the safety during breast surgery. Common materials for limiters include silver-nickel alloy, cemented carbide, etc.

[0053] As attached Fig.13 -Attached Fig.14 As shown, attached Fig.11 This is a front view of a skin flap retractor used in breast surgery in actual application, attached Fig.12 This is a left view of a skin flap retractor used in breast surgery in the present application in actual application. The present application embodiment is a skin flap retractor used in breast surgery, which is used in breast surgery, and its working principle is as follows: First, when performing breast surgery, a skin flap retractor used in breast surgery of the present application is fixed to one side of a bed by a fixator 1; Next, by adjusting the adjusting knob 204, the extension length of the second vertical rod 202 in the first vertical rod 201 is adjusted to adjust the vertical height of the entire device; Then, the adjustment handle 206 is turned to adjust the horizontal position of the crossbar 203. After the adjustment is completed, the handle 206 is pulled down to make it stuck in the corresponding arc groove on the gear to limit the crossbar 303. Finally, the motor on the crossbar 203 controls the rotation of the turntable 301, driving the flap pulling assembly 302 to move in the arc groove of the turntable 301, and then driving the expansion of the pulling rod 3022 and the pulling plate 3023 to pull the flap.

[0054] The present application discloses a skin flap retractor for use in breast surgery, which is provided with a fixator, a retracting part and an adjusting part; thereby achieving fixed support of the entire device through the fixator, and driving the expansion and contraction of the retracting plate by rotating the turntable of the retracting part, and coordinating with the height and angle adjustment of the horizontal bar and the vertical bar bracket to achieve positioning of the patient's incision position and retracting of the skin flap, realize small-amplitude movement and retracting, and accurate positioning.

[0055] The above shows and describes the basic principles, main features and advantages of the present invention. It should be understood by those skilled in the art that the present invention is not limited to the above embodiments, and the above embodiments and descriptions are only for explaining the principles of the present invention. Without departing from the spirit and scope of the present invention, the present invention may have various changes and improvements, which fall within the scope of the present invention to be protected. The scope of protection of the present invention is defined by the attached claims and their equivalents.

Claims

1. A skin flap retractor for use in breast surgery, comprising a fixator (1), an adjustment portion (2) and a skin flap retractor (3), wherein the fixator (1) is arranged at the bottom end of the adjustment portion (2) and is connected to an operating table, and the skin flap retractor (3) is arranged at the end of the adjustment portion (2), characterized in that: The skin flap pulling part (3) comprises a rotating disk (301) and at least two skin flap pulling components (302); The rotating disk (301) is connected to the end of the regulating portion (2), and at least two flap pulling components (302) expand or contract in an arc-shaped motion trajectory on the rotating disk (301); The skin flap pulling component (302) is used to locate the incision position of the patient and pull the skin flap according to the rotation of the rotating disk (301).

2. A skin flap retractor for use in breast surgery as claimed in claim 1, characterized in that: The flap pulling assembly comprises a rotating column (3021), a pulling rod (3022) and a pulling plate (3023) in a "T" shape; an arc-shaped groove is provided on the rotating disk (301) and slides with the rotating column (3021); the pulling rod (3022) is connected to the lower end of the rotating column (3021), and the pulling plate (3023) is provided at the lower end of the pulling rod (3022).

3. A skin flap retractor for use in breast surgery as claimed in claim 1, characterized in that: The pulling rod (3022) and the pulling plate (3023) are both inwardly curved structures.

4. A skin flap retractor for use in breast surgery as claimed in claim 1, characterized in that: The pulling rod (3022) is connected to the pulling plate (3023) via an oscillator, and the oscillator is used to change the angle of the pulling plate (3023).

5. A skin flap retractor for use in breast surgery as claimed in claim 4, characterized in that: The oscillator is a crank rocker (3024).

6. A skin flap retractor for use in breast surgery as claimed in claim 2, characterized in that: The pulling plate (3023) is a "C"-shaped groove structure, and a pulling hook component (3027) is arranged in the "C"-shaped groove structure.

7. A skin flap retractor for use in breast surgery as claimed in claim 6, characterized in that: The hook component comprises a hook plate (3026) and a plurality of pulling hooks (3025) arranged at intervals on the hook plate, and the hook plate is located in a "C"-shaped groove structure.

8. A skin flap retractor for use in breast surgery as claimed in claim 6, characterized in that: The pulling hook (3025) comprises a hook handle (3028) and a hook rake (3029). The hook rake (3029) is arranged at the end of the hook handle (3028), and a row of hook teeth (3030) is provided on the hook rake (3029).

9. A skin flap retractor for use in breast surgery as claimed in claim 6, characterized in that: An elastic component is also provided between the "C"-shaped groove structure and the hook component, and the elastic component is used to drive the hook component to pop out and retract.

10. A skin flap retractor for use in breast surgery as claimed in claim 9, characterized in that: A limiter is arranged at the bottom of the "C"-shaped groove structure, and the limiter is used to control the pop-up depth of the elastic member.

Citation Information

Patent Citations

  • Flap retractor used in breast surgery

    CN113876373A

  • Adjustable flap retractor

    CN116058896A