CN113476112B - Step-by-step reverse-taking subcutaneous fat cutter - Google Patents
Step-by-step reverse-taking subcutaneous fat cutter Download PDFInfo
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Abstract
本发明公开了分步式反取皮下脂肪切除器,包括辊轴和辊轴支架,辊轴上安装有用于夹持固定皮肤的夹持组件,辊轴的两侧连接有跟刀架,跟刀架上装有切削组件,夹持组件带动皮肤固定在辊轴上后,切削组件绕辊轴转动并对皮肤上的脂肪层进行切削,跟刀架滑装在辊轴支架上,并在辊轴支架上移动。使用时,将患者撕脱的皮肤边缘处通过夹持组件夹持在辊轴上,将剥离皮肤翻转,皮下脂肪层外露,并将切削组件抵在皮下脂肪层上。转动切削组件,切削组件切入皮肤,从而分离皮下脂肪层。该分步式反取皮下脂肪切除器不仅使用方便,设计巧妙,切除皮下脂肪层厚度可调,而且切削面平整,不易产生剪破皮肤等二次伤害的问题。
The invention discloses a step-by-step reverse extraction subcutaneous fat remover, which comprises a roller shaft and a roller shaft bracket, a clamping component for clamping and fixing the skin is installed on the roller shaft, two sides of the roller shaft are connected with a follower rest, the follower knife The frame is equipped with a cutting assembly. After the clamping assembly drives the skin to be fixed on the roller shaft, the cutting assembly rotates around the roller shaft and cuts the fat layer on the skin. move up. When in use, the edge of the peeled skin of the patient is clamped on the roller by the clamping component, the peeled skin is turned over, the subcutaneous fat layer is exposed, and the cutting component is pressed against the subcutaneous fat layer. The cutting assembly is turned, and the cutting assembly cuts into the skin, thereby separating the subcutaneous fat layer. The step-by-step reverse subcutaneous fat excisor is not only convenient to use, cleverly designed, the thickness of the subcutaneous fat layer removed is adjustable, and the cutting surface is smooth, which is not easy to cause secondary injuries such as cutting the skin.
Description
技术领域technical field
本发明涉及医疗器械技术领域,具体涉及分步式反取皮下脂肪切除器。The invention relates to the technical field of medical devices, in particular to a step-by-step reverse extraction subcutaneous fat remover.
背景技术Background technique
近年来,交通事故发生率不断增加,四肢皮肤撕脱伤患者的发病率呈现出逐年上升趋势,撕脱部位的皮肤会出现全部无血供及部分无血供的情况,若不能及时对患者受伤的皮肤进行处理,将会引发严重的皮肤坏死,造成肢体大面积皮肤软组织缺损,治疗颇为棘手。In recent years, the incidence of traffic accidents has continued to increase, and the incidence of patients with skin avulsion injuries on the limbs has shown an upward trend year by year. The treatment of the damaged skin will cause severe skin necrosis, resulting in a large area of skin and soft tissue defects of the limbs, and the treatment is quite difficult.
为了提升皮肤撕脱患者疾病预后,相关医学专家学者提出彻底清创后,将撕脱的皮肤皮下脂肪组织剔除,修剪成全厚皮,在其表面均匀打孔形成筛网,原位回植于皮肤缺损处,通过加压而获得皮下软组织的血供,从而提高撕脱皮肤的成活率。然而,目前由于缺少相关的辅助手术工具,医生只能将连体的撕脱皮肤采用手术钳夹紧,张开剥离皮肤,再利用手术剪,将撕脱皮肤上的皮下脂肪一层一层的剪除,此操作不仅费时、费力、繁琐,而且所剪除的皮肤厚度也难以控制,修剪时容易对皮肤造成二次伤害。传统的鼓式取皮刀虽能剔除撕脱皮肤皮下脂肪,但操作繁琐,需要将撕脱皮肤离体,裁剪成多块皮肤才能完成操作,而且离体的皮肤缺乏血供,成活的难度以及质量均有很大的影响。In order to improve the prognosis of patients with skin avulsion, relevant medical experts and scholars proposed that after thorough debridement, the subcutaneous adipose tissue of the avulsed skin should be removed, trimmed into a full-thickness skin, and the surface of the skin should be uniformly perforated to form a screen mesh, and then replanted in the skin in situ. At the defect, the blood supply of the subcutaneous soft tissue is obtained by pressing, thereby improving the survival rate of the avulsed skin. However, due to the lack of relevant auxiliary surgical tools, doctors can only clamp the conjoined avulsion skin with surgical forceps, open and peel the skin, and then use surgical scissors to cut the subcutaneous fat on the avulsion skin layer by layer. Cutting, this operation is not only time-consuming, laborious and cumbersome, but also the thickness of the skin to be cut is difficult to control, and it is easy to cause secondary damage to the skin during cutting. Although the traditional drum dermatome can remove the subcutaneous fat from the avulsion skin, the operation is cumbersome. Quality has a big impact.
发明内容SUMMARY OF THE INVENTION
本发明要解决的技术问题是克服现有技术存在的不足,提供一种使用方便,切除脂肪层轻快,切割面平整的分步式反取皮下脂肪切除器。The technical problem to be solved by the present invention is to overcome the deficiencies of the prior art, and to provide a step-by-step reverse subcutaneous fat excisor which is convenient to use, quick to remove the fat layer, and has a flat cutting surface.
为解决上述技术问题,本发明采用以下技术方案:In order to solve the above-mentioned technical problems, the present invention adopts the following technical solutions:
分步式反取皮下脂肪切除器,包括辊轴和辊轴支架,所述辊轴上安装有用于夹持固定皮肤的夹持组件,所述辊轴的两侧连接有跟刀架,所述跟刀架上装有切削组件,所述夹持组件带动皮肤固定在辊轴上后,所述切削组件绕辊轴转动并对皮肤上的脂肪层进行切削,所述跟刀架滑装在辊轴支架上,并在辊轴支架上移动。The step-by-step reverse removal subcutaneous fat remover includes a roller shaft and a roller shaft bracket, a clamping component for clamping and fixing the skin is installed on the roller shaft, and a stiletto holder is connected on both sides of the roller shaft. A cutting assembly is installed on the stiletto frame. After the clamping assembly drives the skin to be fixed on the roller shaft, the cutting assembly rotates around the roller shaft and cuts the fat layer on the skin. The stiletto frame is slidably mounted on the roller shaft. on the stand and move on the roller stand.
上述的分步式反取皮下脂肪切除器,优选的,所述跟刀架包括用于连接辊轴的第一连接孔、用于连接辊轴支架的第二连接孔和安装切削组件的第一安装槽。In the above-mentioned step-by-step reverse-removal subcutaneous fat remover, preferably, the follower rest includes a first connecting hole for connecting the roller shaft, a second connecting hole for connecting the roller shaft support, and a first connecting hole for installing the cutting assembly. installation slot.
上述的分步式反取皮下脂肪切除器,优选的,所述切削组件包括刀杆,所述刀杆一端安装在第一安装槽内,另一端设有安装孔,所述安装孔内安装有能调节切削角度和切削厚度的装刀座,所述装刀座上安装有用于固定装刀座位置和角度的旋钮,所述装刀座内可拆卸连接有刀片。In the above-mentioned step-by-step reverse removal subcutaneous fat remover, preferably, the cutting assembly includes a cutter bar, one end of the cutter bar is installed in the first installation groove, and the other end is provided with an installation hole, and the installation hole is installed with a A tool holder capable of adjusting the cutting angle and cutting thickness, a knob for fixing the position and angle of the tool holder is installed on the tool holder, and a blade is detachably connected in the tool holder.
上述的分步式反取皮下脂肪切除器,优选的,所述跟刀架还包括第二安装槽,所述第二安装槽内安装有压辊连杆,所述压辊连杆上安装有压辊,所述压辊抵靠在辊轴上。In the above-mentioned step-by-step reverse removal subcutaneous fat remover, preferably, the follower rest further includes a second installation groove, a pressure roller connecting rod is installed in the second installation groove, and a pressure roller connecting rod is installed on the pressure roller connecting rod. A pressure roller, the pressure roller abuts on the roller shaft.
上述的分步式反取皮下脂肪切除器,优选的,所述跟刀架上安装有用于固定刀杆位置的第一紧固件。In the above-mentioned step-by-step reverse removal subcutaneous fat remover, preferably, a first fastener for fixing the position of the knife bar is installed on the pedestal holder.
上述的分步式反取皮下脂肪切除器,优选的,所述跟刀架上还安装有用于固定压辊连杆位置的第二紧固件。In the above-mentioned step-by-step reverse removal subcutaneous fat excisor, preferably, a second fastener for fixing the position of the connecting rod of the pressing roller is also installed on the turret.
上述的分步式反取皮下脂肪切除器,优选的,所述辊轴的一端还装有手轮,所述手轮带动辊轴转动,所述辊轴包括辊筒部,所述辊筒部两端设有连接轴,所述辊筒部为开口辊筒,所述开口处一侧的筒壁上设有安装夹持组件的滑槽,所述滑槽内设有至少两组夹持组件。In the above-mentioned step-by-step reverse removal subcutaneous fat remover, preferably, one end of the roller shaft is further equipped with a hand wheel, and the hand wheel drives the roller shaft to rotate, the roller shaft includes a roller portion, and the roller portion Both ends are provided with connecting shafts, the roller part is an open roller, and the cylinder wall on one side of the opening is provided with a chute for mounting the clamping components, and at least two sets of clamping components are arranged in the chute .
上述的分步式反取皮下脂肪切除器,优选的,所述夹持组件包括夹头,所述夹头上固装有锁紧杆,所述锁紧杆上套装有锁紧螺母,所述夹头设于辊筒部外侧,所述锁紧螺母设于辊筒部内侧。In the above-mentioned step-by-step reverse removal subcutaneous fat remover, preferably, the clamping assembly includes a collet, a locking rod is fixedly mounted on the collet, and a locking nut is sleeved on the locking rod. The chuck is arranged on the outer side of the roller part, and the locking nut is arranged on the inner side of the roller part.
上述的分步式反取皮下脂肪切除器,优选的,所述辊轴支架包括连接于辊轴两端的辊轴滑轨,所述辊轴滑轨上固装有连接架。In the above-mentioned step-by-step reverse removal subcutaneous fat remover, preferably, the roller support includes roller slide rails connected to both ends of the roller shaft, and a connecting frame is fixedly mounted on the roller slide rail.
上述的分步式反取皮下脂肪切除器,优选的,所述辊轴滑轨上设有齿条,所述辊轴上设有齿轮,所述齿轮与齿条互相啮合,所述辊轴滑轨上设有刻度。In the above-mentioned step-by-step reverse removal subcutaneous fat remover, preferably, a rack is provided on the sliding rail of the roller shaft, a gear is provided on the roller shaft, the gear and the rack are meshed with each other, and the roller shaft slides. There are scales on the rail.
与现有技术相比,本发明的优点在于:Compared with the prior art, the advantages of the present invention are:
本发明的分步式反取皮下脂肪切除器,包括辊轴和辊轴支架,辊轴上安装有用于夹持固定皮肤的夹持组件,辊轴的两侧连接有跟刀架,跟刀架上装有切削组件,夹持组件带动皮肤固定在辊轴上后,切削组件绕辊轴转动并对皮肤上的脂肪层进行切削,跟刀架滑装在辊轴支架上,并在辊轴支架上移动。该分步式反取皮下脂肪切除器使用时,将患者撕脱的皮肤边缘处通过夹持组件夹持在辊轴上,使皮肤的真皮层贴合辊轴一侧,皮肤的皮下脂肪层远离辊轴一侧,即将剥离皮肤翻转,将皮下脂肪层外露。还可在撕脱皮肤与辊轴之间粘贴双面胶,加强撕脱皮肤在切削过程中的稳固性。并将调节好切削角度和切削厚度的切削组件抵在皮下脂肪层上。转动切削组件,切削组件随即切入皮肤,并将皮肤上的皮下脂肪层切除,留下皮肤的真皮层。将皮肤上的皮下脂肪层全部切除后,反向转动辊轴,即可将真皮层完好的覆盖在患者创口处。该分步式反取皮下脂肪切除器不需将撕脱皮肤整体从患者身上取下进行除脂,通过该分步式反取皮下脂肪切除器可以在撕脱皮肤依然与患者连体的情况下取出皮下脂肪,提高术后皮肤成活率。该分步式反取皮下脂肪切除器不仅使用方便,设计巧妙,切除皮下脂肪层厚度可调,而且切削面平整,不易产生剪破皮肤等二次伤害的问题。The step-by-step reverse removal subcutaneous fat remover comprises a roller shaft and a roller shaft bracket, a clamping component for clamping and fixing the skin is installed on the roller shaft, and two sides of the roller shaft are connected with a follower rest, and the follower rest There is a cutting assembly on it. After the clamping assembly drives the skin to be fixed on the roller shaft, the cutting assembly rotates around the roller shaft and cuts the fat layer on the skin. move. When the step-by-step reverse subcutaneous fat remover is used, the edge of the skin torn off by the patient is clamped on the roller through the clamping component, so that the dermis layer of the skin is attached to the side of the roller, and the subcutaneous fat layer of the skin is far away from the roller. On one side of the roller, the skin is about to be peeled and turned over to expose the subcutaneous fat layer. Double-sided tape can also be pasted between the peeled skin and the roller to enhance the stability of the peeled skin during cutting. The cutting component with adjusted cutting angle and cutting thickness is pressed against the subcutaneous fat layer. When the cutting assembly is rotated, the cutting assembly cuts into the skin and excise the subcutaneous fat layer on the skin, leaving the dermis layer of the skin. After all the subcutaneous fat layer on the skin is excised, the roller can be reversely rotated, and the dermis layer can be completely covered on the wound of the patient. The step-by-step reverse removal subcutaneous fat remover does not need to remove the entire avulsion skin from the patient for fat removal. The step-by-step reverse removal of the subcutaneous fat remover can be used to remove the avulsion skin in the condition that it is still connected to the patient. Subcutaneous fat is removed to improve postoperative skin survival rate. The step-by-step reverse subcutaneous fat excisor is not only convenient to use, cleverly designed, the thickness of the subcutaneous fat layer removed is adjustable, and the cutting surface is flat, which is not easy to cause secondary injuries such as cutting the skin.
附图说明Description of drawings
为了更清楚地说明本申请实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本申请的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the following briefly introduces the accompanying drawings required for the description of the embodiments or the prior art. Obviously, the drawings in the following description are only These are some embodiments of the present application. For those of ordinary skill in the art, other drawings can also be obtained based on these drawings without any creative effort.
图1为分步式反取皮下脂肪切除器的侧视结构示意图。Figure 1 is a schematic side view of the structure of the step-by-step reverse subcutaneous fat excisor.
图2为分步式反取皮下脂肪切除器的后视结构示意图。FIG. 2 is a schematic diagram of the rear view of the step-by-step reverse subcutaneous fat removal device.
图3为分步式反取皮下脂肪切除器的第一视角立体结构示意图。FIG. 3 is a schematic perspective view of a first-view perspective structure of a step-by-step reverse subcutaneous fat removal device.
图4为分步式反取皮下脂肪切除器的第二视角立体结构示意图。FIG. 4 is a schematic three-dimensional structural diagram of a step-by-step reverse removal subcutaneous fat remover from a second perspective.
图5为分步式反取皮下脂肪切除器的切削组件的局部放大结构示意图。Fig. 5 is a partial enlarged structural schematic diagram of the cutting assembly of the step-by-step reverse subcutaneous fat removal device.
图6为分步式反取皮下脂肪切除器的跟刀架的立体结构示意图。FIG. 6 is a schematic three-dimensional structural diagram of a heel blade holder of a step-by-step reverse subcutaneous fat removal device.
图7为分步式反取皮下脂肪切除器的跟刀架的俯视结构示意图。FIG. 7 is a schematic top view of the structure of the heel blade holder of the step-by-step reverse subcutaneous fat removal device.
图例说明:illustration:
1、辊轴;11、手轮;12、辊筒部;13、连接轴;14、滑槽;2、辊轴支架;21、辊轴滑轨;22、连接架;23、齿条;24、刻度;3、夹持组件;31、夹头;32、锁紧杆;33、锁紧螺母;4、跟刀架;41、第一连接孔;42、第二连接孔;43、第一安装槽;44、第二安装槽;5、切削组件;51、刀杆;52、安装孔;53、装刀座;54、旋钮;55、刀片;6、压辊连杆;7、压辊;8、第一紧固件;9、第二紧固件。1. Roller shaft; 11. Hand wheel; 12. Roller part; 13. Connecting shaft; 14. Chute; 2. Roller shaft bracket; 21. Roller shaft slide rail; 22. Connecting frame; 23. Rack; 24 , scale; 3, clamping assembly; 31, collet; 32, locking rod; 33, locking nut; 4, with the tool holder; 41, the first connection hole; 42, the second connection hole; 43, the first Installation slot; 44, Second installation slot; 5, Cutting assembly; 51, Tool holder; 52, Installation hole; 53, Tool seat; 54, Knob; 55, Blade; 6, Roller connecting rod; 7,
具体实施方式Detailed ways
为了使本领域的技术人员更好地理解本申请中的技术方案,下面将结合本申请实施例中的附图对本申请实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本申请的一部分实施例,而不是全部的实施例。基于本申请中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本申请保护的范围。In order for those skilled in the art to better understand the technical solutions in the present application, the technical solutions in the embodiments of the present application will be clearly and completely described below with reference to the drawings in the embodiments of the present application. Obviously, the described implementation The examples are only some of the embodiments of the present application, but not all of the embodiments. Based on the embodiments in the present application, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present application.
如图1至图7所示,本实施例的分步式反取皮下脂肪切除器,包括辊轴1和辊轴支架2,辊轴1上安装有用于夹持固定皮肤的夹持组件3,辊轴1的两侧连接有跟刀架4,跟刀架4上装有切削组件5,夹持组件3带动皮肤固定在辊轴1上后,切削组件5绕辊轴1转动并对皮肤上的脂肪层进行切削,跟刀架4滑装在辊轴支架2上,并在辊轴支架2上移动。该分步式反取皮下脂肪切除器使用时,将患者撕脱的皮肤边缘处通过夹持组件3夹持在辊轴1上,使皮肤的真皮层贴合辊轴1一侧,皮肤的皮下脂肪层远离辊轴1一侧,即将剥离皮肤翻转,将皮下脂肪层外露。还可在撕脱皮肤与辊轴1之间粘贴双面胶,加强撕脱皮肤在切削过程中的稳固性。并将调节好切削角度和切削厚度的切削组件5抵在皮下脂肪层上。转动切削组件5,切削组件5随即切入皮肤,并将皮肤上的皮下脂肪层切除,留下皮肤的真皮层。将皮肤上的皮下脂肪层全部切除后,反向转动辊轴1,即可将真皮层完好的覆盖在患者创口处。该分步式反取皮下脂肪切除器不需将撕脱皮肤整体从患者身上取下进行除脂,通过该分步式反取皮下脂肪切除器可以在撕脱皮肤依然与患者连体的情况下取出皮下脂肪,提高术后皮肤成活率。该分步式反取皮下脂肪切除器不仅使用方便,设计巧妙,切除皮下脂肪层厚度可调,而且切削面平整,不易产生剪破皮肤等二次伤害的问题。As shown in FIGS. 1 to 7 , the step-by-step reverse removal subcutaneous fat remover in this embodiment includes a
本实施例中,跟刀架4包括用于连接辊轴1的第一连接孔41、用于连接辊轴支架2的第二连接孔42和安装切削组件5的第一安装槽43。In this embodiment, the
本实施例中,切削组件5包括刀杆51,刀杆51一端安装在第一安装槽43内,另一端设有安装孔52,安装孔52内安装有能调节切削角度和切削厚度的装刀座53,装刀座53上安装有用于固定装刀座53位置和角度的旋钮54,装刀座53内可拆卸连接有刀片55。刀杆51带动装刀座53随辊轴1一起移动,并通过转动刀杆51带动刀片55对固定在辊轴1上的皮肤进行切削,从而切除皮下脂肪层。In this embodiment, the cutting
本实施例中,跟刀架4还包括第二安装槽44,第二安装槽44内安装有压辊连杆6,压辊连杆6上安装有压辊7,压辊7抵靠在辊轴1上,将皮肤压实在辊轴1上。In this embodiment, the
本实施例中,跟刀架4上安装有用于固定刀杆51位置的第一紧固件8。第一紧固件8为D型螺钉,转动第一紧固件8,使第一紧固件8顶紧刀杆51,从而固定刀杆51的位置。In this embodiment, a
本实施例中,跟刀架4上还安装有用于固定压辊连杆6位置的第二紧固件9。第二紧固件9为紧定螺钉,旋紧第二紧固件9顶压在压辊连杆6上,从而固定压辊连杆6。In this embodiment, a
本实施例中,辊轴1的一端还装有手轮11,手轮11带动辊轴1转动,辊轴1包括辊筒部12,辊筒部12两端设有连接轴13,辊筒部12用于支承患者的皮肤;连接轴13便于辊筒部12与手轮11连接,并保证辊轴1在辊轴支架2上顺畅的转动。辊筒部12为开口辊筒,开口处一侧的筒壁上设有安装夹持组件3的滑槽14,便于夹持组件3在滑槽14内移动,以此调节夹持组件3的夹持位置,保证夹持皮肤的稳定性。滑槽14内设有至少两组夹持组件3,为保证夹持组件3的夹持稳定性,以及降低夹持部分皮肤收到的压强,其他实施例中夹持组件3可以多于两组。In this embodiment, one end of the
本实施例中,夹持组件3包括夹头31,夹头31上固装有锁紧杆32,锁紧杆32上套装有锁紧螺母33,夹头31设于辊筒部12外侧,锁紧螺母33设于辊筒部12内侧。使用时,由夹头31夹持皮肤,再由锁紧螺母33锁紧夹头31,从而使夹头31夹紧撕脱皮肤边缘。其他实施例中,夹头31还可为带有弹簧的弹性夹头。In this embodiment, the clamping
本实施例中,辊轴支架2包括连接于辊轴1两端的辊轴滑轨21,辊轴滑轨21上固装有连接架22。连接架22上可连接手柄。辊轴滑轨21便于保持辊轴1沿指定方向移动。并通过连接架22和手柄连接,方便使用者的持握。其他实施例中,连接架22上还可连接转接架,将辊轴支架2转接支承于手术床周边,而解放使用者的双手,减轻使用者的工作压力。In this embodiment, the
本实施例中,辊轴滑轨21上设有齿条23,辊轴1上设有齿轮,齿轮与齿条23互相啮合,辊轴滑轨21上设有刻度24。齿轮传动方式使辊轴1在辊轴滑轨21上传动更加平稳,不易产生打滑。刻度24便于准确观察切除脂肪层的切削长度。In this embodiment, the roller
以上所述仅是本发明的优选实施方式,本发明的保护范围并不仅局限于上述实施例。对于本技术领域的技术人员来说,在不脱离本发明技术构思前提下所得到的改进和变换也应视为本发明的保护范围。The above are only preferred embodiments of the present invention, and the protection scope of the present invention is not limited to the above embodiments. For those skilled in the art, improvements and transformations obtained without departing from the technical concept of the present invention should also be regarded as the protection scope of the present invention.
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