CN103417259B - Tip bromhidrosis is taken out and is scraped pin - Google Patents

Tip bromhidrosis is taken out and is scraped pin Download PDF

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Publication number
CN103417259B
CN103417259B CN201310305245.0A CN201310305245A CN103417259B CN 103417259 B CN103417259 B CN 103417259B CN 201310305245 A CN201310305245 A CN 201310305245A CN 103417259 B CN103417259 B CN 103417259B
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tip
side opening
scrape
take out
suction pipe
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CN103417259A (en
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谈伟强
陈敏媛
丁仕力
张利云
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Zhejiang University ZJU
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Zhejiang University ZJU
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Abstract

A kind of tip bromhidrosis provided by the invention is taken out and is scraped pin, is made up of suction pipe main body, union joint and handle, and suction pipe body front end is tip, sharp keen inclined-plane in open state, have positive side opening in the same way with inclined-plane, the both sides of positive side opening have left hole and right ports, form 3 holes and take out and scrape pin.Or have a hole of tossing about again at the positive side opening back side, form 4 holes and take out and scrape pin.Side opening quantity of the present invention, size and arrangement design are reasonable, can once take out to scrape to cover wholely to grip position, and take out and scrape hole arrangement rationally, also can take out very among a small circle and scrape.Tip inclined design is conducive to being close to corium dark face inserting needle, and simultaneously the inclined-plane of tip is also effectively take out to scrape parts, meets operation needs, use safety, effective, is easy to promote the use of.

Description

Tip bromhidrosis is taken out and is scraped pin
Technical field
The invention belongs to medical apparatus and instruments, relate to a kind of tip bromhidrosis and take out and scrape pin, is that a kind of taking out for micro-incision negative pressure under swelling anaesthesia is scraped tip bromhidrosis that ruling by law treats bromhidrosis and taken out and scrape pin.
Background technology
Bromhidrosis (axillary osmidrosis), is commonly called as bromhidrosis, fetid sweat, and clinical manifestation is that the perspiration that bilateral oxter is discharged has pungent unpleasant abnormal flavour, has a strong impact on life and the social activity of patient, causes psychological burden, be more common in adolescence, often have family history.Current various Therapeutic Method main purposes are thoroughly destroy and remove the apocrine gland tissue being positioned at deep skin, the method wounds such as scratching of developing in recent years is scraped, suction are little, easily by extensive patients is accepted, but often clearance rate is not high, the suction simultaneously carrying out sweat gland adds to be scratched the method for scraping treatment bromhidrosis not only wound is little, and clearance rate is high.Under we improve swelling anaesthesia, negative pressure takes out the surgical technic scraping ruling by law treatment bromhidrosis, " compressing " (compressing armpit hair district contact skin takes out the front of scraping pin) and " gripping " (grip skin and be covered in the front and two sides of taking out and scraping pin) two kinds is adopted to take out the method for scraping (Du Feiya, Yu Yusheng, yellow newly-built, Yang Hu, Tan Weiqiang. under swelling anaesthesia, micro-cutting negative pressure is taken out and is scraped ruling by law treatment bromhidrosis 110 example. Chinese journal of dermatology. 2011.6,44 (6): 447-8), more effectively remove subcutaneous sweat gland, sebaceous gland, hair follicle etc., thus achieve better clinical effectiveness.
Concrete operation method is as follows: patient gets the two arm held upward of dorsal position, and with marker pen along armpit hair edge of distributed labelling operative region, top, region and Pang Kaishu district, below are about 0.5cm labelling two and take out and scrape entry point.Bilateral armpit hair is struck off, routine disinfection paving aseptic towel by disposable razor.Preparation swelling anaesthesia liquid (500ml normal saline+2% lignocaine 20ml+0.1% epinephrine 0.5ml+5% sodium bicarbonate 15m1) 2 bottles, divide two-layer injection Tumescent fluid, first evenly inject subcutaneous layer of fat, evenly inject subcutis afterwards, injection rate is determined, general every side consumption 400-500ml depending on operative region size.Insert tip to take out and scrape pin, connect negative pressure device, open negative pressure to 0.1MPa, take out and scrape pin pinpoint inclined plane and homonymy side opening upward, reverse side opening down, take out at the art district expert Dragsaw type of labelling and scrape, syringe needle (compressing is taken out and scraped) is compeled with hand, can feel along with taking out the carrying out of scraping, subcutaneous fat and sweat gland tissue are drawn out of, flap is thinning gradually, take out the negative pressure depression of scraping pin side opening formation upward high-visible, and under striking off corium by side opening and inclined-plane, be difficult to the apocrine gland aspirating removing, through take out the strip region scraped comparatively around non-operative region have significant depressions, radial taking out is scraped whole art district and is completed first pass and take out and scrape.Second time change is taken out and is scraped the gauge point that top, Dian Zhishu district inserted by pin, takes out scrape whole art district with the radial intersection of method.Third and fourth is all over respectively by above-mentioned two entry point inserting needles, radially grips whole art district skin (grip to take out and scrape), and constantly change side opening direction, multiple directions are taken out to scrape and gripped position.Check that art district carries out picking up any lost article from the road mending-leakage for 5th time, supplement to take out in thicker region, local and scrape.Take out scrape terminate after skin evenly thinning, surface slightly reddens or livid purple.
Then, the above-mentioned suction pipe head scraping pin of taking out plays negative pressure-pumping and scratches the side opening part of the effect of scraping longer, and armpit hair region (art district) general range is less, and the seal that side opening is easily deviate from operative region and made to take out the system of scraping destroys, thus reduce negative pressure absolute value, cause taking out and scrape effect decline.Meanwhile, grip and take out when scraping, due to common take out scrape pin side opening multidigit in the outside of belly and back side both direction, need constantly to change side opening direction, take out to scrape grip position from multiple directions, therefore take out that to scrape pass more, the operating time is longer, and easily omits; Too much taking out in addition to scrape also to cause skin injury to increase the weight of, and dermonecrotic probability and degree can increase.
For the problems referred to above, pin is scraped in desirable taking out should have following two features: 1) take out scrape part very short.2) take out and scrape hole and can cover on cross section and grip the whole of skin, namely take out the front of scraping pin and two sides and all take out and scrape hole, once take out scraping operation and can cover and wholely grip position.Current commercialization and patent (as CN 202096252 U etc.) disclose take out scrape pin all different time possess this two features.In addition, take out the diameter of scraping pin and length is also the problem that must consider, diameter is excessive, and wound is large and be difficult to accurate operation, and diameter is too small, takes out to scrape efficiency and decline, and length is long or too short is also all unfavorable for operation technique.
Summary of the invention
In order to solve the problem, the invention provides a kind of tip bromhidrosis and taking out and scrape pin, there are 3 holes or 4 holes, once can take out to scrape to cover and wholely grip position, and take out scrape hole arrangement rationally, take out and scrape very short the taking out of part and scrape pin
The one three hole tip bromhidrosis that an object of the present invention is to provide is taken out and is scraped pin, be made up of suction pipe main body, union joint and handle, suction pipe main body is columniform hollow pipe, union joint is positioned at suction pipe body trailing end, by union joint connecting handle, the diameter of suction pipe main body is 3mm, long 17cm, the long 2cm of union joint; Suction pipe body front end is tip, sharp keen inclined-plane in open state, with inclined-plane in the same way (front) have a positive side opening, be positioned at both sides, inclined-plane (be 90 degree with positive side opening) and respectively have left hole and right ports, each side opening shape is identical, rectangle all in fillet, the long 6.5mm of rectangle, wide 2mm, 3 side openings are near suction pipe main body tip, positive side opening distance tip inclined-plane 1.5 mm, the fore-and-aft distance of left hole and right ports and positive side opening is 1mm.
Another object of the present invention is to provide a kind of four hole tip bromhidrosis and takes out and scrape pin, be made up of suction pipe main body 1, union joint 2 and handle 3, the tail end that suction pipe main body is columniform hollow pipe, union joint is positioned at suction pipe main body, by union joint connecting handle, suction pipe main diameter is 3mm, long 17cm, the long 2cm of union joint, the front end of suction pipe main body is tip, is the sharp keen inclined-plane of open state; With inclined-plane in the same way (front) have a canonical hole, a hole of tossing about is had with inclined-plane reverse (back side), be positioned at that both sides, inclined-plane (be 90 degree with positive side opening) are relative has left hole and right ports, 4 side opening shapes are identical, the rectangle all in fillet, the long 6.5mm of rectangle, wide 2mm, positive side opening is apart from inclined-plane 1.5mm, and pitch-row of tossing about pointed tip 5.5mm, the fore-and-aft distance of the left hole of side and right ports and positive side opening is about 1.5mm.
Provided by the present invention taking out is scraped pin and is scraped compared with pin with existing taking out, and this tip is taken out and scraped pin and have following improvement: (1) rationally arranges side opening quantity, size and arrangement, makes its 3 or 4 sides all have side opening.(2) shorten the Distance geometry distance between borehole of the length in hole, distance needle point, thus whole the taking out shortening suction pipe head scrapes part.(3) cusp design is conducive to being close to corium dark face inserting needle, and the inclined-plane of tip is also effectively take out to scrape parts simultaneously.(4) diameter scraping pin is taken out and length is also passed through preferably.
The present invention has the following advantages: (1) 3 or 4 side openings cover respectively cylindrical cross-section 3/4 or all, once take out scraping operation can cover monoblock and grip skin, be particularly useful for gripping taking out and scrape, thus improve to take out and scrape efficiency, decrease to take out and scrape number of times, simplify operation, reduce too much to take out because of art district skin and scrape and the damage that causes, be conducive to the degree and the probability that reduce postoperative skin necrosis.(2) shorten taking out of suction pipe head and scrape part, make side opening not easily deviate from art district, thus handled easily, raising are taken out and scraped effect.(3) cusp design is conducive to being close to corium dark face inserting needle, thus efficiently takes out scrape the apocrine gland (this part apocrine gland is the most difficult removal, is the key point affecting osmidrosis treatment effect, and subcutaneous apocrine gland is very easy to remove) being close to corium; This is to (the Yang H that is even more important when having the bromhidrosis patient of the subcutaneous cicatrix of axillary fossa again to perform the operation; Zhang MY; Ding SL; Li CY, Tan WQ. Modified Tumescent Liposuction-Curettage through Mini Incisions for the Treatment of Secondary Axillary Bromhidrosis with Subcutaneous Scarring. Plast Reconstr Surg. 2012 Dec; 130 (6): 916e-8e), blunt nosed taking out is scraped pin and cannot be entered in cicatrix and remove residual apocrine gland; Meanwhile, the inclined-plane of tip is also effectively take out to scrape parts.(4) diameter and Design of length are all just right, and the diameter of 3mm makes otch little and takes out the speed of scraping soon, and the length of about 19cm is conveniently taken out and scraped pin placement Rhizoma Atractylodis Macrocephalae district.(5) four holes take out scrape pin in front, the back side and 2 sides all take out and scrape hole, except being applicable to grip and taking out and scrape, can also aspirate the fatty tissue in its back side (dark face), be also applicable to compressing and take out and scrape; But using this to take out negative pressure when scraping pin can not be excessive, otherwise the muscular tissue (after phase subcutaneus adipose tissue is removed especially after surgery) in dark face may be damaged, cause the complication such as Massive Bleeding, hematoma.(6) three holes are taken out and are scraped pin and all take out in front and 2 sides and scrape hole, and scrape for gripping to take out, use this to take out negative pressure absolute value when scraping pin and can increase to increase suction effect, because its back side is without side opening, the probability damaging dark facial muscle meat tissue significantly reduces.
Accompanying drawing explanation
Fig. 1 is that three hole tip bromhidrosis are taken out and scraped needle construction schematic diagram.
Fig. 2 is that four hole tip bromhidrosis are taken out and scraped needle construction.
Fig. 3 is the schematic diagram of embodiment 3.
Fig. 4 is the schematic diagram of embodiment 4.
Detailed description of the invention
The present invention is further described in conjunction with the accompanying drawings and embodiments.Should be appreciated that; what describe in the embodiment of the present invention and description just illustrates principle of the present invention and structural representation; under the prerequisite not departing from the principle of the invention and scope, the present invention has multiple changes and improvements, and these changes and improvements all fall in claimed scope.Scope is defined by its claim and equivalent thereof.
embodiment 1: three hole tip bromhidrosis is taken out and is scraped pin
See Fig. 1, three hole tip bromhidrosis are taken out and are scraped pin by suction pipe main body 1, union joint 2 and handle 3 are formed, suction pipe main body 1 is columniform hollow pipe, union joint 2 is positioned at suction pipe body trailing end, by union joint 2 connecting handle 3, the diameter of suction pipe main body 1 is 3mm, long 17cm, the long 2cm of union joint 2, suction pipe main body 1 front end is tip, sharp keen inclined-plane in open state, a positive side opening 5 is had in (front) close inclined-plane in the same way with inclined-plane, be positioned at both sides, inclined-plane (with positive side opening 5 in 90 degree) and have left hole 6 and right ports 7, 3 side opening shapes are identical, rectangle all in fillet, the long 6.5mm of rectangle, wide 2mm, 3 side openings are all near suction pipe main body 1 tip end, positive side opening 5 is apart from tip inclined-plane 1.5mm, left hole 6 and right ports 7 are 1mm with the fore-and-aft distance of positive side opening 5.
embodiment 2: four hole tip bromhidrosis is taken out and is scraped pin
See Fig. 2, four hole tip bromhidrosis are taken out and are scraped pin and be made up of suction pipe main body 1, union joint 2 and handle 3, the tail end that suction pipe main body 1 is columniform hollow pipe, union joint 2 is positioned at suction pipe main body, by union joint 2 connecting handle 3, suction pipe main body 1 diameter is 3mm, long 17cm, the long 2cm of union joint 2, the front end of suction pipe main body 1 is tip, is the sharp keen inclined-plane of open state; With inclined-plane in the same way (front) have a canonical hole 5, a hole 8 of tossing about is had with inclined-plane reverse (back side), be positioned at that both sides, inclined-plane (with positive side opening 5 in 90 degree) are relative has left hole 6 and right ports 7,4 side opening shapes are identical, the rectangle all in fillet, the long 6.5mm of rectangle, wide 2mm, positive side opening 5 is apart from inclined-plane 1.5mm, and hole 8 of tossing about is apart from tip 5.5mm, and left hole 6 and right ports 7 are about 1.5mm with the fore-and-aft distance of positive side opening 5.
embodiment 3
See Fig. 3, use three hole tip bromhidrosis of embodiment 1 to take out and scrape pin, vacuum extractor 4 is inserted suction pipe main body 1 by handle 3, open negative pressure to 0.1MPa, take out the pinpoint inclined plane of scraping pin and positive side opening 5 upward, take out at the art district expert Dragsaw type of labelling and scrape, syringe needle (compressing is taken out and scraped) is compeled with hand, can feel along with taking out the carrying out of scraping, subcutaneous fat and sweat gland tissue are drawn out of, flap is thinning gradually, take out the negative pressure depression of scraping the formation of pin positive side opening 5 high-visible, and be difficult to the apocrine gland aspirating removing under striking off corium by left hole 6 and right ports 7 and inclined-plane, through take out the strip region scraped comparatively around non-operative region have significant depressions, radial taking out is scraped whole art district and is completed first pass and take out and scrape.The present invention takes out and scrapes pin and scrape compared with pin with existing taking out, and rationally arranges side opening quantity, size and arrangement, makes its side all have side opening, shorten the length in hole, Distance geometry distance between borehole apart from needle point, thus whole the taking out shortening suction pipe head scrapes part.Being designed with to be beneficial to of tip is close to corium dark face inserting needle, and the inclined-plane of tip is also effectively take out to scrape parts simultaneously.
embodiment 4
See Fig. 4, use four hole tip bromhidrosis of embodiment 1 to take out and scrape pin, vacuum extractor 4 is inserted suction pipe main body 1 by handle 3, open negative pressure to 0.1MPa, take out scrape pin pinpoint inclined plane upward, toss about hole 8 down, take out at the art district expert Dragsaw type of labelling and scrape, syringe needle (compressing is taken out and scraped) is compeled with hand, can feel along with taking out the carrying out of scraping, subcutaneous fat and sweat gland tissue are drawn out of, flap is thinning gradually, take out the negative pressure depression of scraping the formation of pin positive side opening 5 high-visible, and under striking off corium by side opening and inclined-plane, be difficult to the apocrine gland aspirating removing, through take out the strip region scraped comparatively around non-operative region have significant depressions, radial taking out is scraped whole art district and is completed first pass and take out and scrape.The present invention takes out extension and scrapes pin and scrape compared with pin with existing taking out, and rationally arranges side opening quantity, size and arrangement, makes its side all have side opening.Shorten the Distance geometry distance between borehole of the length in hole, distance needle point, thus whole the taking out shortening suction pipe head scrapes part.Being designed with to be beneficial to of tip is close to corium dark face inserting needle, and the inclined-plane of tip is also effectively take out to scrape parts simultaneously.

Claims (3)

1. a tip bromhidrosis is taken out and is scraped pin, it is characterized in that, by suction pipe main body (1), union joint (2) and handle (3) are formed, suction pipe main body (1) is columniform hollow pipe, union joint (2) is positioned at suction pipe main body (1) tail end, by union joint (2) connecting handle (3), suction pipe main body (1) front end is tip, sharp keen inclined-plane in open state, a positive side opening (5) is had in the same way with inclined-plane, left hole (6) and right ports (7) is had in two sides of 90 degree with positive side opening (5), 3 side openings are all near the tip end of suction pipe main body (1), positive side opening (5) distance tip inclined-plane 1.5mm, left hole (6) and right ports (7) are 1mm with the fore-and-aft distance of positive side opening (5), wherein the hole shape of each side opening is identical, the rectangle in fillet, the long 6.5mm of rectangle, wide 2mm, wherein union joint (2) long 2cm.
2. a tip bromhidrosis is taken out and is scraped pin, it is characterized in that, by suction pipe main body (1), union joint (2) and handle (3) are formed, suction pipe main body (1) is columniform hollow pipe, union joint (2) is positioned at suction pipe main body (1) tail end, by union joint (2) connecting handle (3), suction pipe main body (1) front end is tip, sharp keen inclined-plane in open state, a positive side opening (5) is had in the same way with inclined-plane, a hole of tossing about (8) is oppositely had with inclined-plane, left hole (6) and right ports (7) is had in two sides of 90 degree with positive side opening (5), 4 side openings are all near the tip end of suction pipe main body (1), positive side opening (5) distance tip inclined-plane 1.5mm, toss about hole (8) apart from tip 5.5mm, left hole (6) and right ports (7) are 1.5mm with the fore-and-aft distance of positive side opening (5), wherein the hole shape of each side opening is identical, the rectangle in fillet, the long 6.5mm of rectangle, wide 2mm, wherein union joint (2) long 2cm.
3. a kind of tip bromhidrosis according to claim 1 and 2 is taken out and is scraped pin, it is characterized in that, the diameter of suction pipe main body (1) is 3mm, long 17cm.
CN201310305245.0A 2013-07-20 2013-07-20 Tip bromhidrosis is taken out and is scraped pin Active CN103417259B (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4428748A (en) * 1980-04-09 1984-01-31 Peyman Gholam A Combined ultrasonic emulsifier and mechanical cutter for surgery
US5190518A (en) * 1990-10-12 1993-03-02 Katsuya Takasu Surgical device for the treatment of hyper hidrosis
CN201022724Y (en) * 2007-01-23 2008-02-20 张烨峰 Suction device for axillary sweat gland
CN202096252U (en) * 2011-06-04 2012-01-04 卓阳 Bromhidrosis scrapping and sucking instrument
CN203408084U (en) * 2013-07-20 2014-01-29 浙江大学 Pointed-end bromhidrosis suction and scraping needle

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4428748A (en) * 1980-04-09 1984-01-31 Peyman Gholam A Combined ultrasonic emulsifier and mechanical cutter for surgery
US5190518A (en) * 1990-10-12 1993-03-02 Katsuya Takasu Surgical device for the treatment of hyper hidrosis
CN201022724Y (en) * 2007-01-23 2008-02-20 张烨峰 Suction device for axillary sweat gland
CN202096252U (en) * 2011-06-04 2012-01-04 卓阳 Bromhidrosis scrapping and sucking instrument
CN203408084U (en) * 2013-07-20 2014-01-29 浙江大学 Pointed-end bromhidrosis suction and scraping needle

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