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CN103829990B - Negative-pressure type skin external expander - Google Patents

Negative-pressure type skin external expander Download PDF

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Publication number
CN103829990B
CN103829990B CN201210485033.0A CN201210485033A CN103829990B CN 103829990 B CN103829990 B CN 103829990B CN 201210485033 A CN201210485033 A CN 201210485033A CN 103829990 B CN103829990 B CN 103829990B
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negative pressure
cover
air
generating device
cover body
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CN103829990A (en
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潘博
郄淑燕
蒋海越
赵延勇
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Plastic Surgery Hospital of CAMS and PUMC
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/02Devices for expanding tissue, e.g. skin tissue

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  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
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  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Dermatology (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgical Instruments (AREA)

Abstract

本发明涉及一种皮肤扩张器。本发明公开了一种负压式皮肤外扩张器,包括气垫式负压罩、直角转换管、连接管、负压产生装置,所述直角转换管的一端连接在气垫式负压罩的顶部,直角转换管的另一端与所述连接管连接,所述连接管与负压产生装置连接。本发明能够充分贴合人体不同曲面的部位,也能贴合毛发较多的部位,能形成密闭局部空间,本发明操作简单,便于调节,能消除病人恐惧心理,解决病人就医难的问题,提高了工作效率。

The invention relates to a skin expander. The invention discloses a negative pressure type skin external dilator, which comprises an air cushion type negative pressure cover, a right angle conversion tube, a connecting tube, and a negative pressure generating device. One end of the right angle conversion tube is connected to the top of the air cushion type negative pressure cover. The other end of the right-angle conversion pipe is connected with the connecting pipe, and the connecting pipe is connected with the negative pressure generating device. The invention can fully fit the parts of different curved surfaces of the human body, and can also fit the parts with more hair, and can form a closed local space. work efficiency.

Description

负压式皮肤外扩张器Negative pressure external skin dilator

技术领域technical field

本发明涉及一种皮肤扩张器,具体涉及一种负压式皮肤外扩张器。The invention relates to a skin expander, in particular to a negative pressure external skin expander.

背景技术Background technique

组织扩张术是利用组织扩张器的扩张作用获得额外皮肤软组织进行皮肤缺损修复和器官再造的一种外科方法。组织扩张术是近20年来整形外科领域的一项革命性成果,在瘢痕、体表肿物等治疗中用最为广泛,解决了临床上许多疑难问题,取代了一些皮肤移植术和皮瓣移植术。皮肤扩张术的应用不仅提高了整形外科的治疗质量,而且减轻了手术损伤。Tissue expansion is a surgical method that uses the expansion of tissue expanders to obtain extra skin and soft tissue for skin defect repair and organ reconstruction. Tissue expansion is a revolutionary achievement in the field of plastic surgery in the past 20 years. It is the most widely used in the treatment of scars and body surface tumors. It solves many difficult clinical problems and replaces some skin grafts and flaps. . The application of skin expansion not only improves the quality of plastic surgery, but also reduces the surgical injury.

扩张可增加皮肤面积,这一部分额外获得的皮肤软组织有三个来源:①扩张刺激诱导的组织生长,皮肤的生长在扩张过程中和扩张皮瓣转移后都存在。扩张中的细胞增殖和细胞间质物质的合成有助于皮肤面积的扩展;扩张皮瓣转移后又有助于皮肤厚度的恢复。②蠕变效应,此效应是生物性组织在力的作用下面积发生扩展或长度增加,而力的作用解除后生物性组织的面积或长度不能完全复原的特性。而不能复原的那一部分面积或长度即是组织的面积或长度增加量。由组织蠕变效应产生的皮肤面积增长是扩张区皮肤面积增长总量中的一部分,但最终要在扩张组织移植后被组织细胞的真正生长所取代。③皮肤软组织移位,是机体皮肤受力向力源方向移动的特性,它构成扩张区皮肤的外围部分,也是扩张区面积增长的一个组成部分。这部分皮肤软组织的获取在皮瓣转移时要部分回复到原来部位,另一部分最终也要在扩张组织移植后被组织细胞的真正生长所取代。Expansion can increase the area of skin, and there are three sources of extra skin and soft tissue: ① tissue growth induced by expansion stimulation, and skin growth exists both during the expansion process and after the expansion flap is transferred. The expansion of cell proliferation and the synthesis of intercellular substances contribute to the expansion of the skin area; the expansion of the flap transfer contributes to the restoration of skin thickness. ②Creep effect, this effect is the characteristic that the area or length of biological tissue expands or increases under the action of force, but the area or length of biological tissue cannot be completely restored after the action of force is released. The area or length of the part that cannot be restored is the increase in the area or length of the tissue. Skin area growth due to tissue creep effects is part of the total skin area growth in the expansion zone, but is eventually replaced by true growth of histiocytes after the expansion tissue graft. ③The displacement of skin and soft tissue is the characteristic that the skin of the body moves toward the direction of the force source under force. It constitutes the peripheral part of the skin in the expansion zone, and is also a component of the increase in the area of the expansion zone. This part of the skin and soft tissue will be partially restored to the original position during the flap transfer, and the other part will eventually be replaced by the real growth of tissue cells after the expanded tissue transplantation.

经典的扩张术是内扩张,其基本步骤包括:扩张区和扩张器的选择、扩张器埋置术、术中注水扩张和术后定期注水扩张等。由于涉及技术步骤多,治疗周期长,很容易出现问题。血肿、感染、扩张器外露和扩张后皮瓣血运障碍是皮肤软组织扩张术最常见的并发症,发生率约在10%左右。由于扩张器的置入通常需要住院治疗,注水也需要一个长期的过程,导致费用相对较高。另外,由于进行注水需要针头进行治疗,对于一些儿童患者具有非常大的恐惧心理。The classic dilation is internal dilation, and its basic steps include: selection of dilation area and dilator, dilator embedding, intraoperative water dilation and postoperative regular water dilation, etc. Due to the many technical steps involved and the long treatment cycle, problems are prone to occur. Hematoma, infection, dilator exposure, and flap blood supply disturbance after expansion are the most common complications of skin and soft tissue expansion, with an incidence rate of about 10%. Since dilator placement usually requires hospitalization, water injection also requires a long-term process, resulting in relatively high costs. In addition, because of the need for needles for water injection, some children have a lot of fear.

皮肤外扩张器主要是针对以上的缺点设计的,主要通过所制装备,在皮肤外持续牵引皮肤绀织,随着牵引重量的增加和的推移,使得病变(如:瘢痕)周围的皮肤逐渐延伸,提供“额外”的皮肤组织供修复之用。传统皮肤外扩张装置由外扩张器及牵引架组成。扩张器由牵引夹头、牵引臂及其调节结构共同组成。外扩张器能够实现在家庭中自行操作,“产生”新生的皮肤,为组织缺损的修复提供可能。相对于内扩张,减少了埋置扩张器的一次住院治疗,减轻了就医难的医疗难题。目前外扩张器可以分为两类:一类是使用简单的晾衣夹子这样简陋的日常用品;另外一类就是价格比较昂贵的专门器械,操作相对复杂,成本随着增加。The external skin expander is mainly designed for the above shortcomings. It mainly uses the equipment to continuously pull the skin tissue outside the skin. With the increase and passage of the traction weight, the skin around the lesion (such as: scar) is gradually extended. , to provide "extra" skin tissue for repair. The traditional skin external expansion device is composed of an external expander and a traction frame. The expander is composed of a traction chuck, a traction arm and its adjustment structure. The external dilator can be operated at home to "generate" new skin and provide the possibility for the repair of tissue defects. Compared with internal expansion, it reduces one hospitalization for implanting the dilator, and alleviates the medical difficulty of seeking medical treatment. At present, external expanders can be divided into two categories: one is simple daily necessities such as simple clothespins; the other is relatively expensive special instruments, the operation is relatively complicated, and the cost increases.

发明内容Contents of the invention

本发明的目的是提供一种负压式皮肤外扩张器,用于皮肤扩张的治疗期短,治疗费用低,不易产生并发症,而且可以根据患者的个人疼痛承受能力不同,设定不同的扩张压力,痛苦小,操作简单,能够充分贴合人体不同曲面的部位,也能贴合毛发较多的部位,能形成密闭局部空间。The purpose of the present invention is to provide a negative pressure external skin dilator, which has a short treatment period for skin expansion, low treatment cost, and is not prone to complications, and can be set according to the patient's individual pain tolerance. The pressure and pain are small, and the operation is simple. It can fully fit the parts of different curved surfaces of the human body, and can also fit the parts with more hair, and can form a closed local space.

为了达到上述目的,本发明有如下技术方案:In order to achieve the above object, the present invention has the following technical solutions:

本发明的一种负压式皮肤外扩张器,包括气垫式负压罩、直角转换管、连接管、负压产生装置,所述直角转换管的一端连接在气垫式负压罩的顶部,直角转换管的另一端与所述连接管连接,所述连接管与负压产生装置连接。A negative pressure skin external dilator of the present invention comprises an air cushion type negative pressure cover, a right angle conversion tube, a connecting tube, and a negative pressure generating device. One end of the right angle conversion tube is connected to the top of the air cushion type negative pressure cover, and the right angle The other end of the conversion pipe is connected with the connection pipe, and the connection pipe is connected with the negative pressure generating device.

其中,所述气垫式负压罩包括罩体、气囊、气门,所述气囊连接在罩体底部的边缘上,气门固定在罩体上,且气门与气囊连通。Wherein, the air cushion type negative pressure cover includes a cover body, an air bag, and an air valve, the air bag is connected to the edge of the bottom of the cover body, the air valve is fixed on the cover body, and the air valve communicates with the air bag.

其中,所述直角转换管顶部设有通孔,该通孔上设有顶盖。Wherein, the top of the right-angle conversion tube is provided with a through hole, and the through hole is provided with a top cover.

其中,所述罩体为圆台形,所述罩体采用透明材料。Wherein, the cover body is in the shape of a truncated cone, and the cover body is made of transparent material.

其中,所述气囊横截面为管状,所述气囊采用医用硅胶。Wherein, the cross section of the airbag is tubular, and the airbag is made of medical silica gel.

其中,所述气门包括气道、气道盖、弹簧,所述气道盖与气道连接,弹簧顶在气道盖上。Wherein, the air valve includes an air channel, an air channel cover, and a spring, the air channel cover is connected with the air channel, and the spring bears on the air channel cover.

由于采取了以上技术方案,本发明的优点在于:Owing to taking above technical scheme, the advantage of the present invention is:

1本发明用于皮肤扩张的治疗期短,治疗费用低,不易产生并发症,而且可以根据患者的个人疼痛承受能力不同,设定不同的扩张压力,痛苦小,能够充分贴合人体不同曲面的部位,也能贴合毛发较多的部位,能形成密闭局部空间。1 The skin expansion of the present invention has a short treatment period, low treatment cost, and is not easy to produce complications. Moreover, different expansion pressures can be set according to the patient's individual pain tolerance, which is less painful and can fully fit different curved surfaces of the human body. It can also fit the part with more hair and form a closed local space.

2本发明操作简单,便于调节,能消除病人恐惧心理,解决病人就医难的问题,提高了工作效率。2. The present invention is easy to operate and easy to adjust, can eliminate the patient's fear, solve the problem of the patient's difficulty in seeking medical treatment, and improve work efficiency.

附图说明Description of drawings

图1为本发明整体结构的示意图;Fig. 1 is the schematic diagram of overall structure of the present invention;

图2为本发明气垫式负压罩的示意图。Fig. 2 is a schematic diagram of the air cushion negative pressure mask of the present invention.

图中:1、气垫式负压罩;2、直角转换管;3、连接管;4、负压产生装置、5、罩体;6、气囊;7、气门;8、顶盖。In the figure: 1. Air cushion type negative pressure cover; 2. Right-angle conversion tube; 3. Connecting tube; 4. Negative pressure generating device; 5. Cover body; 6. Air bag; 7. Air valve; 8. Top cover.

具体实施方式detailed description

以下实施例用于说明本发明,但不用来限制本发明的范围。The following examples are used to illustrate the present invention, but are not intended to limit the scope of the present invention.

参见图1-图2,本发明的一种负压式皮肤外扩张器,由气垫式负压罩、直角转换管、连接管、负压产生装置组成,所述直角转换管的一端连接在气垫式负压罩的顶部,直角转换管的另一端与所述连接管连接,所述连接管与负压产生装置连接。Referring to Fig. 1-Fig. 2, a kind of negative pressure type skin external dilator of the present invention is made up of air cushion type negative pressure cover, right-angle conversion tube, connecting tube, negative pressure generating device, and one end of described right-angle conversion tube is connected on the air cushion The top of the type negative pressure cover, the other end of the right-angle conversion pipe is connected with the connecting pipe, and the connecting pipe is connected with the negative pressure generating device.

所述气垫式负压罩由罩体、气囊、气门组成,所述气囊连接在罩体底部的边缘上,气门固定在罩体上,且气门与气囊连通。所述罩体为圆台形,所述罩体采用透明材料。气垫式负压罩能够清晰显现被吸引皮肤的状况。气垫式负压罩的下缘有一个可以调节压力的气囊,能够充分贴合不同起伏的身体表面或毛发较多部位,形成密闭的局部环境。气垫式负压罩采用PVC材料制作,经久耐用,气垫采用医用硅胶,柔软富有弹性。气垫式负压罩无毒、无害,可以长期和人体皮肤接触。The air cushion type negative pressure cover is composed of a cover body, an air bag, and an air valve. The air bag is connected to the edge of the bottom of the cover body, and the air valve is fixed on the cover body, and the air valve communicates with the air bag. The cover body is in the shape of a truncated cone, and the cover body is made of transparent material. The air cushion negative pressure mask can clearly show the condition of the attracted skin. The lower edge of the air cushion negative pressure mask has an airbag that can adjust the pressure, which can fully fit different undulating body surfaces or parts with more hair to form a closed local environment. The air cushion negative pressure cover is made of PVC material, which is durable, and the air cushion is made of medical silicone, which is soft and elastic. The air cushion negative pressure mask is non-toxic and harmless, and can be in contact with human skin for a long time.

所述直角转换管顶部设有通孔,该通孔上设有顶盖。A through hole is arranged on the top of the right-angle conversion tube, and a top cover is arranged on the through hole.

所述气门包括气道、气道盖、弹簧,所述气道盖与气道连接,弹簧顶在气道盖上。The air valve includes an air passage, an air passage cover and a spring, the air passage cover is connected with the air passage, and the spring bears on the air passage cover.

负压产生装置采用便携式负压吸引器,能够持续产生负压,负压可以调节,通过气垫式负压罩的控制面板可以清晰显示中心负压吸引,适于医院就诊的患者使用。负压产生装置由电机、叶轮、电机控制电路、外壳组成。The negative pressure generating device adopts a portable negative pressure suction device, which can continuously generate negative pressure, and the negative pressure can be adjusted. The control panel of the air cushion negative pressure cover can clearly display the central negative pressure suction, which is suitable for patients visiting the hospital. The negative pressure generating device is composed of a motor, an impeller, a motor control circuit and a casing.

显然,本发明的上述实施仅仅是为清楚地说明本发明所作的举例,而并非是对本发明的实施方式的限定。对于所属领域的普通技术人员来说,在上述说明的基础上还可以做出其它不同形式的变化或变动。这里无法对所有的实施方式予以穷举。凡是属于本发明的技术方案所引伸出的显而易见的变化或变动仍处于本发明的保护范围之列。Apparently, the above-mentioned implementation of the present invention is only an example for clearly illustrating the present invention, rather than limiting the implementation of the present invention. For those of ordinary skill in the art, other changes or changes in different forms can be made on the basis of the above description. All the implementation manners cannot be exhaustively listed here. All obvious changes or variations derived from the technical solutions of the present invention are still within the protection scope of the present invention.

Claims (2)

1. a negative-pressure type skin external expander, it is characterised in that: include air-cushion type negative pressure cover, Right angle crossover connection, connecting tube, negative pressure generating device, one end of described right angle crossover connection is connected to The top of air-cushion type negative pressure cover, the other end of right angle crossover connection is connected with described connecting tube, described Connecting tube is connected with negative pressure generating device;Described air-cushion type negative pressure cover includes cover body, air bag, gas Door, described air bag is connected on the edge bottom cover body, and valve is fixed on cover body, and valve Connect with air bag;Negative pressure generating device can persistently produce negative pressure, and negative pressure can regulate, by gas The control panel of cushion negative pressure cover can clearly display centre vacuum suction, be suitable to hospital admission Patient uses, and negative pressure generating device is made up of motor, impeller, circuit for controlling motor, shell; Described cover body is truncated cone-shaped, and described cover body uses transparent material;Described balloon cross-sectional is tubulose, Described air bag uses medical silica-gel;Described valve includes air flue, air flue lid, spring, described gas Drive cap is connected with air flue, and spring top is on air flue lid.
2. a kind of negative-pressure type skin external expander as claimed in claim 1, it is characterised in that: institute Stating crossover connection top, right angle and be provided with through hole, this through hole is provided with top cover.
CN201210485033.0A 2012-11-23 2012-11-23 Negative-pressure type skin external expander Expired - Fee Related CN103829990B (en)

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109925105A (en) * 2019-03-29 2019-06-25 中国医学科学院整形外科医院 It is a kind of for promoting the mancarried device of hair growth rate and transplanting success

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US4823815A (en) * 1986-09-19 1989-04-25 Mentor Corporation Tissue expanding device and method of making same
CN2267822Y (en) * 1995-03-30 1997-11-19 中国人民解放军第二五一医院 Negative-pressure suction type skin dilator
CN2738740Y (en) * 2004-10-18 2005-11-09 沈秀中 Skin separator
CN201642134U (en) * 2010-05-10 2010-11-24 陈晓栋 Skin expander
CN201968791U (en) * 2011-01-06 2011-09-14 管雪峰 Skin separator
CN202908804U (en) * 2012-11-23 2013-05-01 中国医学科学院整形外科医院 Negative pressure type skin outer dilator

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Publication number Priority date Publication date Assignee Title
US4685447A (en) * 1985-03-25 1987-08-11 Pmt Corporation Tissue expander system
US4823815A (en) * 1986-09-19 1989-04-25 Mentor Corporation Tissue expanding device and method of making same
CN2267822Y (en) * 1995-03-30 1997-11-19 中国人民解放军第二五一医院 Negative-pressure suction type skin dilator
CN2738740Y (en) * 2004-10-18 2005-11-09 沈秀中 Skin separator
CN201642134U (en) * 2010-05-10 2010-11-24 陈晓栋 Skin expander
CN201968791U (en) * 2011-01-06 2011-09-14 管雪峰 Skin separator
CN202908804U (en) * 2012-11-23 2013-05-01 中国医学科学院整形外科医院 Negative pressure type skin outer dilator

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