Mammary gland flap dissociation device
By designing a breast flap freeing device, the problems of uneven flap thickness and thermal damage in existing technologies have been solved, enabling adjustable flap thickness and flexible use of the scalpel, thus meeting the needs of laparoscopic breast cancer surgery.
Patent Information
- Application Number
- CN202410221686.0
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2024-02-28
- Publication Date
- 2026-01-27
AI Technical Summary
In current breast cancer surgeries, high-frequency electrosurgical units and ordinary scalpels are unable to effectively preserve the uniformity of skin flap thickness, leading to thermal damage or destruction of the vascular network. Furthermore, the scalpel length under laparoscopy is insufficient, making it difficult to achieve distant flap mobilization.
A breast flap freeing device was designed, including a fixing rod, a handle, a positioning and adjustment mechanism, and an adjustable-length scalpel. By adjusting the position of the pressure plate and the scalpel blade, the uniformity of the flap thickness is ensured and thermal damage is avoided, adapting to different surgical needs.
It allows for adjustment of flap thickness based on actual conditions to avoid thermal damage, and the scalpel can be adjusted in length to meet the needs of flap dissection in different ranges.
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Figure CN121400932A_ABST
Abstract
Description
TECHNICAL FIELD
[0001] The present application relates to the technical field of medical devices, in particular to a breast flap isolation device. BACKGROUND
[0002] Breast cancer is the highest incidence of malignant tumors in women, and modified radical mastectomy is one of the main surgical treatments. During the operation, the flap is isolated in the superficial layer of the superficial fascia of the breast tissue, and the preservation of the subdermal vascular network of the isolated flap is the key to the survival of the flap. However, the existing surgical instruments for breast flap isolation have more or less some shortcomings. Among them, (1) the high-frequency electric knife separates the flap, which may cause uneven thickness of the flap, local flap heat damage due to high temperature, and finally lead to flap necrosis; (2) the conventional ordinary surgical knife isolation may still cause uneven thickness of the flap, which may affect the survival of the flap due to the destruction of the subdermal vascular network, and the uneven thickness of the flap may lead to the risk of tumor residue.
[0003] In addition, in the endoscopic breast cancer radical mastectomy, the length of the high-frequency electric knife and the ordinary surgical knife is not enough, and the target isolation range cannot be reached when isolating the flap at a distance. SUMMARY
[0004] In view of the shortcomings of the prior art, the present application discloses a breast flap isolation device.
[0005] The breast flap isolation device comprises a fixed rod, a handle, a first positioning adjusting mechanism, a pressing piece, a second positioning adjusting mechanism and a surgical knife blade. The handle is connected to the fixed rod. The first positioning adjusting mechanism is arranged on the fixed rod. The pressing piece is arranged on the first positioning adjusting mechanism. A positioning structure is arranged on the pressing piece. The second positioning adjusting mechanism is arranged on the fixed rod. The surgical knife blade is installed on the second positioning adjusting mechanism. The surgical knife blade is located below the same side of the pressing piece.
[0006] According to a preferred embodiment of the present application, the first positioning adjusting mechanism comprises an up-down movable sleeve, a telescopic frame body and an extension fixing piece. One end of the telescopic frame body is connected to the up-down movable sleeve. The other end of the telescopic frame body is connected to the extension fixing piece. The up-down movable sleeve is movably sleeved on the fixed rod. The up-down movable sleeve is fixed on the fixed rod by a first threaded locking piece.
[0007] According to a preferred embodiment of the present application, a first strip-shaped mounting hole is arranged on the extension fixing piece. A threaded connecting column is arranged on one side of the pressing piece. In the connected state, the threaded connecting column is connected to the locking nut through the first strip-shaped mounting hole.
[0008] According to one preferred embodiment of the present application, a counterbore is arranged on the extension fixing plate. A connecting hole is arranged on the telescopic frame body. A counterbore screw or a counterbore bolt is connected through the counterbore and the connecting hole, and the extension fixing plate is fixed on the telescopic frame body.
[0009] According to one preferred embodiment of the present application, a second strip-shaped mounting hole and a third strip-shaped mounting hole are arranged vertically on the fixing rod. A first through hole and a first threaded hole are arranged vertically on the upper and lower movable sleeve. In the connected state, the telescopic frame body is connected to the upper and lower movable sleeve horizontally movably through the second strip-shaped mounting hole and the first through hole. The first threaded locking member is inserted into the third strip-shaped mounting hole through the first threaded hole, and is used for locking the telescopic frame body and the upper and lower movable sleeve on the fixing rod.
[0010] According to one preferred embodiment of the present application, the positioning structure is an arc-shaped structure formed on the pressing plate.
[0011] According to one preferred embodiment of the present application, the second positioning and adjusting mechanism comprises a scalpel handle and a second through hole arranged on the fixing rod. One end of the scalpel handle is movably connected to the second through hole. The other end of the scalpel handle is connected to the scalpel blade. A second threaded hole is arranged on the fixing rod and is perpendicular to the second through hole. A second threaded locking member is arranged on the fixing rod and is used for locking the scalpel handle on the fixing rod.
[0012] According to one preferred embodiment of the present application, the locking nut is a butterfly nut.
[0013] According to one preferred embodiment of the present application, the first threaded locking member is a locking bolt.
[0014] According to one preferred embodiment of the present application, the second threaded locking member is a locking bolt.
[0015] The breast flap free device provided by the embodiment of the present application has at least one of the following technical effects:
[0016] The breast flap free device provided by the embodiment of the present application can determine the thickness of the free flap according to the actual situation, has no thermal damage, and the scalpel can be adjusted in length and can reach the range of the free flap required to be separated.
[0017] Additional features of the invention will be described hereinafter in the description of the application. Some of the features of the invention can be apparent from the description and drawings that follow, or can be learned by practice of the application. The features of the invention disclosed by the application can be realized and attained by means of the various means, instrumentalities and combinations particularly pointed out in the description of the specific embodiments below. BRIEF DESCRIPTION OF DRAWINGS
[0018] The accompanying drawings, which are included to provide a further understanding of the application and are incorporated in and constitute a part of this application, illustrate embodiments of the application and together with the description serve to explain the application. In the drawings:
[0019] Figure 1 , Figure 2 is a structural schematic diagram of a breast flap free device according to some embodiments of the present application. DETAILED DESCRIPTION
[0020] In order to make the technical personnel of the present application better understand the present application, the following will be combined with the drawings of the embodiments of the present application, the technical solutions in the embodiments of the present application are described clearly and completely, obviously, the described embodiments are only a part of the embodiments of the present application, not all the embodiments. Based on the embodiments in the present application, all other embodiments obtained by those skilled in the art without creative labor should belong to the scope of protection of the present application.
[0021] It should be noted that if the specification and claims of the present application and the above-mentioned drawings involve the terms "first", "second" and the like, they are used to distinguish similar objects, and do not necessarily describe a specific order or sequence. It should be understood that the data thus used can be interchanged under appropriate circumstances, so that the embodiments of the present application described herein can be implemented. In addition, if the terms "include" and "have" and any variations thereof are involved, it is intended to cover non-exclusive inclusion, for example, a process, method, system, product or equipment including a series of steps or units does not necessarily limit to those steps or units clearly listed, but can include other steps or units not clearly listed or inherent to these processes, methods, products or equipment.
[0022] In this invention, when terms such as "upper," "lower," "left," "right," "front," "rear," "top," "bottom," "inner," "outer," "middle," "vertical," "horizontal," "lateral," and "longitudinal" are used, they indicate the orientation or positional relationship based on the orientation or positional relationship shown in the accompanying drawings. These terms are primarily for the purpose of better describing this invention and its embodiments, and are not intended to limit the indicated device, element, or component to having a specific orientation, or to be constructed and operated in a specific orientation.
[0023] Furthermore, in addition to indicating direction or positional relationship, some of the aforementioned terms may also have other meanings. For example, the term "above" may also be used in certain situations to indicate a dependency or connection. Those skilled in the art can understand the specific meaning of these terms in this invention based on the specific circumstances.
[0024] Furthermore, in this invention, the terms "installation," "setting," "equipped with," "connection," "linking," and "sleeving," etc., should be interpreted broadly. For example, they can refer to a fixed connection, a detachable connection, or an integral structure; they can refer to a mechanical connection or an electrical connection; they can refer to a direct connection or an indirect connection through an intermediate medium, or an internal connection between two devices, components, or parts. Those skilled in the art can understand the specific meaning of the above terms in this invention according to the specific circumstances.
[0025] It should be noted that, unless otherwise specified, the embodiments and features described in the present invention can be combined with each other. The present invention will now be described in detail with reference to the accompanying drawings and embodiments.
[0026] This invention discloses a breast flap freeing device.
[0027] like Figure 1 , Figure 2 As shown, the breast flap freeing device includes a fixing rod 100, a handle 200, a first positioning adjustment mechanism 300, a pressure plate 400, a second positioning adjustment mechanism 500, and a scalpel blade 600.
[0028] The handle 200 is connected to the fixed rod 100.
[0029] The first positioning adjustment mechanism 300 is mounted on the fixed rod 100.
[0030] For example, such as Figure 1 , Figure 2As shown, the first positioning and adjusting mechanism 300 includes an upper and lower movable sleeve 310, a telescopic frame 320, and an extension fixing plate 330. One end of the telescopic frame 320 is connected to the upper and lower movable sleeve 310. The other end of the telescopic frame 320 is connected to the extension fixing plate 330. The upper and lower movable sleeve 310 is movably fitted onto the fixed rod 100. The upper and lower movable sleeve 310 is fixed to the fixed rod 100 by a first threaded locking member 340.
[0031] Specifically, the fixed rod 100 has a second strip-shaped mounting hole 110 and a third strip-shaped mounting hole 120 that are perpendicular to each other. The upper and lower movable sleeves 310 have a first through hole 311 and a first threaded hole 312 that are perpendicular to each other. In the connected state, the telescopic frame 320 passes through the second strip-shaped mounting hole 110 and the first through hole 311 and is connected to the upper and lower movable sleeves 310. The first threaded locking member 340 passes through the first threaded hole 312 and is inserted into the third strip-shaped mounting hole 120 to lock the telescopic frame 320 and the upper and lower movable sleeves 310 onto the fixed rod 100. As a preferred embodiment, the first threaded locking member 340 can lock a bolt, such as a wing bolt, to facilitate tightening and loosening operations.
[0032] Furthermore, in the connected state, the telescopic frame 320 passes through the second strip-shaped mounting hole 110 and the first through hole 311, and is horizontally movable to the upper and lower movable sleeves 310 to provide additional telescopic length.
[0033] The tablet press 400 is located in the first positioning adjustment mechanism 300. Furthermore, a positioning structure 410 is provided on the tablet press 400.
[0034] Specifically, a first strip-shaped mounting hole 331 is provided on the extension fixing plate 330. A threaded connecting post is provided on one side of the pressure plate 400. In the connected state, the threaded connecting post passes through the first strip-shaped mounting hole 331 and connects to the locking nut 420. As a preferred embodiment, the locking nut 420 can be a wing nut for easy tightening and loosening. A countersunk hole 332 is provided on the extension fixing plate 330. A connecting hole is provided on the telescopic frame 320. A countersunk screw or countersunk bolt passes through the countersunk hole 332 and connects to the connecting hole to fix the extension fixing plate 330 to the telescopic frame 320. By adopting the above connection method, the space between the pressure plate 400 and the scalpel is unobstructed.
[0035] For example, the positioning structure 410 can be an arc-shaped structure formed on the compression tablet 400. On the one hand, the positioning structure 410 can play a certain positioning role; on the other hand, by setting the positioning structure 410, the nipple can pass through during freeing, thereby preventing uneven skin flap thickness caused by the nipple blocking during freeing.
[0036] The second positioning adjusting mechanism 500 is arranged on the fixed rod 100.
[0037] The second positioning adjusting mechanism 500 includes a surgical knife handle 510 and a second through hole 130 arranged on the fixed rod 100. One end of the surgical knife handle 510 is movably threaded in the second through hole 130. The other end of the surgical knife handle 510 is connected with the surgical knife blade 600. A second threaded hole 140 perpendicular to the second through hole 130 is arranged on the fixed rod 100. A second threaded locking piece 520 is threaded through the second threaded hole 140 to lock the surgical knife handle 510 on the fixed rod 100. The second threaded locking piece 520 can be a locking bolt, such as a butterfly bolt, to facilitate tightening and loosening operations.
[0038] The surgical knife blade 600 is mounted on the second positioning adjusting mechanism 500. The surgical knife blade 600 is located on the same side below the pressing piece 400.
[0039] The use process of the breast flap releasing device is as follows:
[0040] The positioning structure 410 on the pressing piece 400 is positioned at the nipple position. The horizontal position is adjusted by the threaded connecting column arranged on the pressing piece 400 at the position of the first bar-shaped mounting hole 331. The up-down position of the telescopic frame body 320 and the extension fixed piece 330 is adjusted by the up-down movable sleeve 310 in the first positioning adjusting mechanism 300, so as to adjust the up-down position of the pressing piece 400. The distance between the pressing piece 400 and the surgical knife blade 600 is adjusted, so as to adjust the thickness of the flap releasing.
[0041] The left-right position of the surgical knife handle 510 in the second positioning adjusting mechanism 500 is adjusted, so as to adjust the left-right position of the surgical knife blade 600, thereby adjusting the size of the flap releasing.
[0042] In summary, the breast flap releasing device can determine the thickness of the released flap according to the actual situation, without thermal damage, and the surgical knife can be adjusted in length, so as to reach the range of the flap to be released.
[0043] It should be noted that all the features disclosed in the specification, or all the steps of the disclosed methods or processes, can be combined in any manner, except for mutually exclusive features and / or steps.
[0044] In addition, the above specific embodiments are exemplary, and those skilled in the art can think of various solutions under the inspiration of the disclosure of the present application, and these solutions also belong to the disclosed range of the present application and fall within the protection scope of the present application. Those skilled in the art should understand that the specification and drawings of the present application are illustrative and do not constitute a limitation on the claims. The protection scope of the present application is defined by the claims and their equivalents.
Claims
1. A breast flap freeing device, characterized in that, The breast flap freeing device includes: Fixed rod (100); A handle (200) is attached to the fixed rod (100); A first positioning adjustment mechanism (300) is provided on the fixed rod (100); A pressure plate (400) is disposed on the first positioning adjustment mechanism (300); and a positioning structure (410) is provided on the pressure plate (400); The second positioning adjustment mechanism (500) is disposed on the fixed rod (100); as well as A scalpel blade (600) is mounted on the second positioning adjustment mechanism (500); Furthermore, the scalpel blade (600) is located on the same side below the compression tablet (400).
2. The breast flap freeing device according to claim 1, characterized in that, The first positioning adjustment mechanism (300) includes an upper and lower movable sleeve (310), a telescopic frame (320), and an extension fixing piece (330); One end of the telescopic frame (320) is connected to the upper and lower movable sleeves (310); the other end of the telescopic frame (320) is connected to the extension fixing piece (330); The upper and lower movable sleeve (310) is movably sleeved on the fixed rod (100); the upper and lower movable sleeve (310) is fixed on the fixed rod (100) by the first threaded locking member (340).
3. The breast flap freeing device according to claim 2, characterized in that, A first strip-shaped mounting hole (331) is provided on the extended fixing piece (330); A threaded connecting post is provided on one side of the pressure plate (400); in the connected state, the threaded connecting post passes through the first strip-shaped mounting hole (331) and connects to the locking nut (420).
4. The breast flap freeing device according to claim 2, characterized in that, A countersunk hole (332) is provided on the extension fixing piece (330); a connecting hole is provided on the telescopic frame (320); a countersunk screw or countersunk bolt passes through the countersunk hole (332) and connects to the connecting hole to fix the extension fixing piece (330) on the telescopic frame (320).
5. The breast flap freeing device according to claim 2, characterized in that, The fixing rod (100) is provided with a second strip-shaped mounting hole (110) and a third strip-shaped mounting hole (120) that are perpendicular to each other in the vertical direction; The upper and lower movable sleeves (310) are provided with a first through hole (311) and a first threaded hole (312) that are perpendicular to each other; In the connected state, the telescopic frame (320) passes through the second strip-shaped mounting hole (110) and the first through hole (311) and is horizontally movable and connected to the upper and lower movable sleeves (310); the first threaded locking member (340) passes through the first threaded hole (312) and is inserted into the third strip-shaped mounting hole (120) to lock the telescopic frame (320) and the upper and lower movable sleeves (310) onto the fixed rod (100).
6. The breast flap freeing device according to claim 1, characterized in that, The positioning structure (410) is an arc-shaped structure formed on the pressure plate (400).
7. The breast flap freeing device according to claim 1, characterized in that, The second positioning adjustment mechanism (500) includes a scalpel handle (510) and a second through hole (130) provided on the fixed rod (100); One end of the scalpel handle (510) is horizontally movable and inserted into the second insertion hole (130); the other end of the scalpel handle (510) is connected to the scalpel blade (600); A second threaded hole (140) perpendicular to the second through hole (130) is also provided on the fixing rod (100); The second threaded locking member (520) passes through the second threaded hole (140) and locks the scalpel handle (510) onto the fixing rod (100).
8. The breast flap freeing device according to claim 3, characterized in that, The locking nut (420) is a wing nut.
9. The breast flap freeing device according to claim 2, characterized in that, The first threaded locking element (340) is a locking bolt.
10. The breast flap freeing device according to claim 7, characterized in that, The second threaded locking element (520) is a locking bolt.