CN100345521C

CN100345521C - Disposable prepuce circularly cutting and suturing device

Info

Publication number: CN100345521C
Application number: CNB2005100532790A
Authority: CN
Inventors: 黄新添
Original assignee: Individual
Current assignee: Individual
Priority date: 2005-02-22
Filing date: 2005-02-22
Publication date: 2007-10-31
Anticipated expiration: 2025-02-22
Also published as: CN1771887A

Abstract

The present invention relates to an operative instrument for circularly cutting an overlong prepuce and simultaneously suturing an incised margin. A circumcision is conventionally used for treating redundant prepuces and has the disadvantages of 1 serious bleeding in an operation, 2 prepuce edema, 3 pain, 4 long operation time, 5 prepuce hematoma and 6 irregular excision interface. The present invention is characterized in that The operative instrument is composed of a cutting table link rod (1), an annular cutter link rod (2), a nail bin driving link rod (3), an annular cutter driving pinch plate (5), a releasing pinch plate (6) of a nail bin driving withdrawing rod, an annular cutter (8), nail bin assemblies (9, 10, 11), cutting tables (12, 13), a gun body (14), a nail bin driving withdrawing rod head (16) and a cutting table adjusting bolt (17). The present invention has the advantages of (1) easy operation, (2) little time, (3) no bleeding, (4) no pain, (5) no edema, (6) hematoma avoidance, (7) regular incised margin, proper left prepuce length and (8) suitability for adults and children.

Description

Disposable prepuce circularly cutting and suturing device

Technical field

The present invention relates to a kind of medical surgical instrument, disposable prepuce circularly cutting and suturing device, more particularly, it relates to a kind of medical surgical instrument that adopts the long foreskin of mechanical type circular resection and do the incisxal edge stitching simultaneously.

Background technology

At present, the conventional treatments of redundant prepuce, phimosis disease is to make Prepucectomy, and traditional surgical approaches is to make posthetomy, adopt posthetomy treatment redundant prepuce, the sick existing very long history of phimosis, this method exists much not enough in clinical practice and the complication problem easily takes place: 1, intraoperative hemorrhage is more.2, the postoperative Foreskin edema time is longer.3, postoperative pain is obvious in the art.4, operating time is grown (about 30 minutes).5, the foreskin hematoma easily takes place.6, the excision interface is irregular, and excision foreskin amount is difficult to grasp and is unified.7, there is the feared state of mind etc. in patient to operative treatment.

Though a lot of medical and technical staff are also arranged for a long time make great efforts to explore seeking treatment redundant prepuce, phimosis new method and new technique, as the laser scalpel excision, the foreskin circle is pricked art etc., a lot of ideamongers, new method and new technique application have also been arranged patent.But these ideamongers, new method and new technique all exist not enough in clinical use: as using complex operation, inconvenience; Or there is not a fine solution operation pain problem; Recovery time is long etc., does not have extensive use in clinical, also fails to allow vast medical profession colleague accept popularization, fails to form the market advantage, is not accepted by extensive patients.

Summary of the invention

In order to solve peritomize operation method existing problems and may developing complications of above-mentioned tradition, and a lot of at present existing defectives of patent of invention method about posthetomys, the present invention uses for reference existing gastrointestinal anastomosis device structure, operation principle, design a kind of apparatus that can disposablely finish circumcision, sew up two aspect operation methods, and can accomplish without any letup, the same with the traditional surgical approaches rule, but can avoid the many deficiencies that exist in the traditional surgical approaches and the disposable prepuce circularly cutting and suturing device of contingent complication.

Disposable prepuce circularly cutting and suturing device of the present invention is characterized in that: by comprising that cutting bed connecting rod (1), annular cutter connecting rod (2), nail bin advance connecting rod (3), nail bin propelling spring (4), annular cutter to advance buckle (5), nail bin to advance dead man release buckle (6), nail bin to advance dead man buckle (7), annular cutter (8), nail bin assembly (11,10,9), cutting bed (12,13), rifle body (14), nail bin to advance dead man head (16), cutting bed to regulate Luo bolt formations such as (17);

Described disposable prepuce circularly cutting and suturing device, it is characterized in that: described cutting bed connecting rod (1), annular cutter connecting rod (2), nail bin propelling connecting rod (3), annular cutter advance buckle (5), nail bin to advance dead man release buckle (6), rifle body (14), nail bin to advance dead man head (16), cutting bed adjusting Luo bolt (17), cutting bed (12) to be stainless steel material and to constitute novelty handsome in appearance; The about 12mm-25mm of described cutting bed (12) diameter, about 22-25mm that is grown up, children's 12-16mm, high about 8mm, front end caves inward and can hold glans penis, and there is an inside recessed trapezoid platform in cutting bed (12) front, that can place that a pvc material constitutes cuts the about 12mm-25mm of pad (13) diameter, about 22-25mm that is grown up, children's 12-16mm has an annular grooving on it, the about 7mm-20mm of diameter, about 18-20mm that is grown up, children's 8-12mm, and with annular cutting knife

(8) match, cutting the nail groove that there is a radial arrangement in the gasket ring shape grooving outside, about altogether 16-26, the about 0.5-1mm of nail groove width is about 3-4mm, about deeply 1.5mm, and annular grooving and cutting bed outer rim are at a distance of about 4-5mm; Described annular cutter (8) is to be made of stainless steel material, the about 7mm-20mm of size diameter, about 18-20mm is grown up, children's 8-12mm, match with the annular grooving of cutting pad on the cutting bed, its front end has sharp cutting edge, and annular cutter (8) is installed on nail bin assembly (11,10,9) inboard, be close to nail bin assembly (11,10,9) medial surface, and advance connecting rod (2) and annular cutter to advance buckle (5) to link to each other by cutter; Described nail bin assembly is to be made of the pvc material, the about 12mm-25mm of diameter, about 22-25mm is grown up, children's 12-16mm, the about 4-5mm of its thickness, by the wide about 0.5-1mm of seam nail bin (11), be about 3-4mm, about altogether 16-26, be built-in with synthetic metal staples, seam nail bin rear side has a pushing ring (10), nail bin shell (9) constitutes one, nail bin assembly (11,10,9) rear side has a nail bin to advance connecting rod (3) adjacent, nail bin advances connecting rod (3) and rifle body rear end nail bin to advance dead man head (16) to link to each other, and nail bin advances connecting rod (3) device in the rifle body that spring (4) structure is arranged.

Disposable prepuce circularly cutting and suturing device of the present invention is used in clinical, can reach following beneficial effect: (1) operation becomes very easy; (2) operating time is short, about 3 minutes; (3) no hemorrhage; (4) no pain; (5) no edema; (6) avoiding taking place hematoma may; (7) incisxal edge is neat, and it is unified suitable to keep foreskin length; (8) be fit to adult and child; (9) disposable prepuce circularly cutting and suturing device of the present invention is in clinical after the extensive use, and for after broad masses understand, know, can obviously eliminate patient's fear, the psychology of fear to operation.

Fig. 1 is the structural representation of first embodiment of the present invention;

Fig. 2 is the sectional arrangement drawing of first embodiment of the present invention;

Fig. 3 is the front view and the side view of cutting bed;

Fig. 4 is front view and the side view that cutting bed is cut pad;

Fig. 5 is the front view and the side view of annular cutter;

Fig. 6 is total tripartite front view of nail bin and side view;

Fig. 7 is that rifle body, annular cutter advance buckle, nail bin to advance dead man to discharge the buckle sketch map;

Fig. 8 is cutting bed connecting rod, annular cutter connecting rod, nail bin propelling connecting rod, nail bin propelling spring sketch map;

Fig. 9 is a rifle body bonnet sketch;

Figure 10 is that cutting bed is regulated Luo bolt sketch;

Figure 11 is that nail bin advances dead man head sketch;

Figure 12 is a seam nail bin enlarged drawing;

The specific embodiment

Below in conjunction with the accompanying drawing and the specific embodiment the present invention is described in further detail:

Fig. 1 is the structural representation of first embodiment of the present invention; Fig. 2 is the sectional arrangement drawing of first embodiment of the present invention; Fig. 3 is the front view and the side view of cutting bed (12), cutting bed (12) is a stainless steel material, the about 12mm-25mm of diameter, about 22-25mm is grown up, the about 12-16mm of children's, high about 8mm, front end caves inward and can hold glans penis, there is an inside recessed trapezoid platform in cutting bed (12) front, and that can place that a pvc material constitutes cuts pad (13); Fig. 4 is front view and the side view that cutting bed is cut pad (13), one annular grooving is arranged on it and match with annular cutting knife (8), the nail groove that one radial arrangement is arranged in the annular grooving outside, the about 0.5-1mm of nail groove width, be about 3-4mm, dark about 1.5mm, annular grooving and cutting bed outer rim are at a distance of about 4-5mm; Fig. 6 is the front view and the side view of nail bin assembly (11,10,9) three parts, nail bin assembly (11,10,9) is to be made of the pvc material, by nail bin (11) be built-in with synthetic metal staples, seam nail bin rear side has a pushing ring (10), nail bin shell (9) to constitute one, nail bin assembly (11,10,9) is disposable materials used, and it can very conveniently load and unload from the rifle body;

During use, earlier the disposable prepuce circularly cutting and suturing device that disinfects is unclamped by rotation cutting bed adjusting Luo bolt (17) and be at the end, and will disinfect disposable nail bin assembly (11,10,9) be installed on the rifle body (14), to cut pad (12) is installed in the recessed dish of cutting bed (13), then the cutting bed connecting rod is connected with cutting bed connecting rod (1) in the rifle body, again with cutting bed (13,14) insert in the foreskin, glans penis is placed before the cutting bed in the concave end nest, the rotation cutting bed is regulated Luo bolt (17), make cutting bed (13,14) to nail bin assembly (11,10,9) near and clamp prepuce tissues, can reach blocking-up foreskin blood for being advisable, can make the blocking-up of foreskin blood profit like this, nerve loses the supply of blood profit and reaches the paralysis effect, pull up nail bin and advance dead man head (16), when nail bin advance dead man head (16) when pulling up the rifle body in nail bin advance connecting rod (3) can fasten nail bin propelling dead man buckle (7), pull annular cutter and advance buckle (5), annular cutter advances connecting rod (2) to push cutting bed (12 to cutter, 13) excise long foreskin, finish the operation of excision foreskin, pulling nail bin immediately advances dead man to discharge buckle (6), nail bin advances connecting rod (3) to promote nail bin inseam nail by spring force and buckles to foreskin incisxal edge seam, finish the incisxal edge sew application, wait and treat about 2 minutes, the rotation cutting bed is regulated the Luo bolt, unclamp cutting bed, foreskin withdraws from from cutting bed, take out cutting bed and disposable circumcision stiching instrument, operation is finished; Finish the supply of bleeding from anus profit and recover in order to prevent operation, the pain sensation is recovered and pain occurred, can will anaesthetize medicinal liquid (as tetracaine liquid) before art in right amount is applied in the nail bin of nail bin assembly, when doing the operation of seam nail seam button, because of absorbing at incisxal edge, the discharge of anesthesia medicinal liquid reaches anaesthetic effect, can prevent to occur pain in early days after operation, effect is very good.

Claims

1. disposable prepuce circularly cutting and suturing device, comprise the rifle body, the nail bin assembly, annular cutter, cutting bed and cut pad, it is characterized in that, described nail bin assembly is by nail bin, seam nail pushing ring and nail bin shell constitute, described cutting bed is regulated the Luo bolt by cutting bed connecting rod and cutting bed and is linked to each other, the rotation cutting bed is regulated the Luo bolt can adjust cutting bed and nail bin assembly distance, described nail bin assembly advances connecting rod adjacent with nail bin thereafter, described annular cutter is positioned at nail bin assembly inboard, with annular cutter advance connecting rod and annular cutter advance buckle link to each other thereafter, described rifle is external to have annular cutter to advance buckle, nail bin advances dead man to discharge buckle, cutting bed is regulated the Luo bolt, nail bin advances the dead man head, in the cutting bed connecting rod is arranged, annular cutter advances connecting rod, nail bin advances connecting rod, nail bin advances the dead man buckle, the nail bin propelling spring;

The cutting bed connecting rod connects cutting bed and regulates the Luo bolt with cutting bed, makes cutting bed be close to the nail bin assembly foreskin that is fixedly clamped by regulating cutting bed adjusting Luo bolt; Annular cutter advances connecting rod to connect annular cutter and annular cutter advances buckle, advances buckle to finish the excision foreskin by pulling annular cutter; Nail bin advances connecting rod sleeve that the nail bin propelling spring is arranged, and advance the dead man head to link to each other with the rear end nail bin, when pulling up nail bin propelling dead man head, nail bin advances connecting rod to be buckled in nail bin and advances on the dead man buckle, when pulling nail bin propelling dead man release buckle, nail bin advances connecting rod to be promoted to stitch nail release stitching foreskin incisxal edge and finished stitching by nail bin propelling spring elastic force.

2. disposable prepuce circularly cutting and suturing device according to claim 1, it is characterized in that, described cutting bed diameter 12mm-25mm, 22-25mm wherein is grown up, children's 12-16mm, high 8mm, cutting bed front end cave inward and can hold glans penis, there is an inside recessed trapezoid platform in the cutting bed front, can place the described pad of cutting that a pvc material constitutes.

3. disposable prepuce circularly cutting and suturing device according to claim 1 is characterized in that, described nail bin assembly diameter 12mm-25mm, the 22-25mm that wherein is grown up, children's 12-16mm, its thickness 4-5mm.

4. disposable prepuce circularly cutting and suturing device according to claim 1 is characterized in that, described annular cutter diameter 7mm-20mm, and the 18-20mm that wherein is grown up, children's 8-12mm is installed on nail bin assembly inboard, is close to nail bin assembly medial surface.

5. disposable prepuce circularly cutting and suturing device according to claim 2 is characterized in that, the described pad diameter 12mm-25mm that cuts, the 22-25mm that wherein is grown up, children's 12-16mm can be positioned in the positive recessed trapezoid platform of cutting bed, one annular grooving diameter 7mm-20mm is arranged, the 18-20mm that wherein is grown up, children's 8-12mm on it, and match with annular cutter, the nail groove of one radial arrangement is arranged in the annular grooving outside, and the nail groove is corresponding with nail bin, wide 0.5-1mm, long 3-4mm, dark 1.5mm.

6. disposable prepuce circularly cutting and suturing device according to claim 3 is characterized in that the nail bin of described nail bin assembly is radial arrangement, about 24 altogether, and the wide 0.5-1mm of each nail bin, long 3-4mm is built-in with U-shaped seam nail.

7. disposable prepuce circularly cutting and suturing device according to claim 1 is characterized in that, described rifle body is pistol type, and it is asynchronous operation that annular cutter advances buckle and nail bin to advance dead man to discharge the buckle operation.

8. disposable prepuce circularly cutting and suturing device according to claim 1, it is characterized in that, described cutting bed connecting rod, annular cutter advance connecting rod, nail bin to advance connecting rod, annular cutter, annular cutter to advance buckle, nail bin to advance dead man to discharge that buckle, rifle body, nail bin advance dead man head, cutting bed to regulate the Luo bolt, cutting bed is stainless steel material and constitutes, and describedly cut pad, the nail bin assembly is to be made of the pvc material.