Disposable circumcision anastomat
Technical field
The present invention relates to a kind of prepuce ring-cutter, refer in particular to the lock solid structure that can realize that the outer shroud elasticity is regulated.
Background technology
Adult's Wrapping annulus cuts operation is extensively approved in the effect that reduces the HIV propagation, the disposable circumcision anastomat of Mr. Shang Jianzhong design, employing arranges the closed lock solid structure of type self-destroyed clamping block at the outer shroud opening part, the apparatus that efficiently solves the screw connection of traditional prepuce ring-cutter tool use screw rod and cause is reused problem, has greatly improved safety and the standardization of Wrapping annulus cuts operation.
But widely used type self-destroyed clamping block formula is identical with the screw rod screw closed manners of transmission at present, all belongs to one-time positioning formula closing device, and apparatus is subdivided into different models according to the size of ring.In the operation implementation process, according to measurement result, selects different apparatuses, after local anesthesia is carried out at the corrective surgery position, overlap upper inner ring, foreskin is turned up, adjust the position of inner and outer ring after, closed outer shroud is finished the action of the pressed on ring of prepuce ring-cutter.Owing to there are differences between each individuality, even identical measurement result, the skin histology thin and thick of every patient's foreskin is different, every patient is also different to the tolerance degree of pain, like this, use the girdling device of same model, but can't take into account everyone individual variation.
In addition, after finishing the step of above-mentioned pressed on ring, will be first that the patient is unnecessary foreskin falls major part by excision, the patient is by wearing prepuce ring-cutter in many days, pressuring action by prepuce ring-cutter, so that the remaining unnecessary foreskin self falling of fraction, and the position that prepuce ring-cutter compresses rebulids new circulative metabolism and obtain recovery.It is few that this kind therapeutic modality, the recovery process of foreskin need not anaesthetic, antibiolics, pain, the postoperative effect smooth and beautiful appearance.But, still need operation to finish local excision.
In above-mentioned whole therapeutic process, the tightness of outer shroud is only once determined by installation process, can't take into account the individual diversity abnormity, and in the middle of operation, can not regulate the degree of tightness of outer shroud again, the pain that produces if generation extruding property edema or patient can't tolerate the compressing of girdling device still needs extraneous auxiliary treatment even descends ring midway.
So, how to improve the different crowd suitability of prepuce ring-cutter and wear level of comfort, and the real operation Wicresoft that realizes, to be worth inquiring into, for the demand that exists in the prior art, Mr. Shang Jianzhong research has also designed the aperture closure of taking into account locked mechanism and adjustment structure, introduces in detail below in conjunction with accompanying drawing and explanation.
Summary of the invention
The present invention is directed to the requirement of existing Wrapping annulus cuts operation, a kind of novel disposable circumcision anastomat is provided, fundamentally change the modus operandi that Wrapping annulus cuts operation is operated on.
The technical solution used in the present invention is: disposable circumcision anastomat, and outer shroud has opening, and outer ring opening is by the closed structure closure of adjusting, and this closure is adjusted structure and is comprised:
Adjutage is arranged on a side of opening;
Hydraulic regulating device is arranged on the opposite side of opening, includes hydraulic pressure section and moving part, and hydraulic pressure section is arranged on neighbouring open end, and moving part is arranged on away from opening;
The holding section is arranged on the moving part of hydraulic regulating device;
Adjutage and holding section are fixed, and realize the closure of opening, and the hydraulic pressure section of hydraulic regulating device drives the moving part with its flexible connection, drives interconnective holding section and adjutage to moving away from opening.
Further:
This hydraulic pressure section comprises hydraulic pressure chamber, and the hydraulic pressure chamber outside has an infusion hole, and inside has a hydraulic pressure bead, and the first dividing plate is set between hydraulic pressure chamber and the moving part;
This moving part has a travelling arm, and this travelling arm and described the first dividing plate lean;
By infusion hole injection force feed in the hydraulic pressure chamber, under the effect of oil pressure, the first dividing plate drives travelling arm to moving away from opening.
Wherein, this hydraulic pressure section further comprises air chamber, separates by the first dividing plate between this air chamber and the hydraulic pressure chamber; The other end of this air chamber arranges second partition, and this second partition and described travelling arm lean;
By infusion hole injection force feed in the hydraulic pressure chamber, under the effect of oil pressure, the first dividing plate moves to the air chamber end, and the air of compression produces pressure, drives second partition and moves to the moving part direction, drives travelling arm to moving away from opening.
Wherein, realize being fixed by broached-tooth design, double buckle structure, coupler construction or clamping block structure between this adjutage and the holding section.
Wherein, this adjutage is with the outer shroud shape to the arc that cooperates, and is provided with for the accommodating chute of adjutage at the outer shroud opposite side, and this chute has the curved surfaces that matches with adjutage.
Wherein, adjutage one side is provided with the notch of accommodating hydraulic means.
Wherein, this first half edge of a knife junction and Lower Half edge of a knife junction are the connected structures that mutually mates, and staggered floor is in conjunction with forming complete knife edge structure up and down for it, and this connected structure jointing edge is fillet, corner or oblique angle.
The invention has the beneficial effects as follows: adopt the above-mentioned closed structure of adjusting, can be according to the practical situation of different operators, for example, every patient's skin of foreskin organizes different and every the patient of thin and thick to the difference of the tolerance degree of pain, suitably the tightness during the moderate control pressed on ring.Then, can tolerate gradually the compression degree of ring according to human skin tissue, the different times in operation, the size of progressively dwindling ring.Like this, in the process that compresses gradually of outer shroud, the outer unnecessary foreskin of ring is naturally downright bad gradually.Because in the operation process, it is incremental tolerance that human body compresses the pain that produces to outer shroud, can be according to everyone tolerance degree, select a good opportunity and adjust or the size of adjustment ring not, so that more hommization of Wrapping annulus cuts operation, effectively reduce patient's uncomfortable degree, improve the acceptance of this operation.
Description of drawings
Fig. 1 to Fig. 4 is that anastomat for circumcision of the present invention adopts the closed perspective view of hydraulic way.
Fig. 5 is the front view that anastomat for circumcision of the present invention adopts the hydraulic way closure.
Fig. 6 is the top view that anastomat for circumcision of the present invention adopts the hydraulic way closure.
Fig. 7 is the rearview that anastomat for circumcision of the present invention adopts the hydraulic way closure.
Fig. 8 is the side view that anastomat for circumcision of the present invention adopts the hydraulic way closure.
Fig. 9 is along the cutaway view of A-A direction among Fig. 8.
The specific embodiment
Disposable circumcision anastomat of the present invention, outer shroud can adopt whole C type structure also can adopt Split type structure, no matter overall structure or Split type structure, the cutting ring mouth has first half edge of a knife junction in a side of opening outside, and the opposite side of outer shroud edge of a knife opening has Lower Half edge of a knife junction.The present embodiment is described its concrete structure in detail take split as example, and wherein, outer shroud adopts Split type structure, comprises left semi-ring 1 and right semi-ring 2, sees also Fig. 1 to shown in Figure 9, and wherein, outer shroud adopts Split type structure, comprises left semi-ring 1 and right semi-ring 2.The outer wall inboard of outer shroud is provided with knife edge structure, because outer shroud split, outer shroud forms opening and link, the outer shroud link is realized connecting by the pin-jointed structure (circular hole is connected with drive-connecting shaft) that is arranged on the outer shroud outer wall, and the knife edge structure on the outer shroud forms respectively first half edge of a knife junction and the Lower Half edge of a knife junction of mutual coupling in opening and link.Take opening as example: the opening of left semi-ring 1 edge of a knife has first half edge of a knife junction 11, and the opening of right semi-ring 2 edges of a knife has Lower Half edge of a knife junction 21.When opening is closed, first half edge of a knife junction 11 and Lower Half edge of a knife junction 21 are the connected structures that mutually mate, staggered floor is in conjunction with forming complete knife edge structure about it, this connected structure jointing edge can be fillet, corner or oblique angle, avoid pressing from both sides meat in the process of pressed on ring, and complete knife edge structure is so that postoperative effect is very attractive in appearance.
Disposable circumcision anastomat of the present invention, the opening of outer shroud is regulated by closed closure and the outer shroud elasticity of adjusting structure realization opening.Specifically: left semi-ring 1 opening is provided with the adjutage 3 that extends outer ring opening, this adjutage 3 is the arc adjutages that are complementary with the outer shroud shape, the right semi-ring 2 of outer shroud is provided with for the accommodating chute 7 of adjutage 3, and this chute and arc adjutage shape are complementary.The end of this chute 7 has the holding section 4 that cooperates with this adjutage 3, and this holding section 4 is not set directly on the outer shroud outer wall, and is arranged on the moving part 52 of the hydraulic regulating device 5 that is connected with the outer shroud outer wall.If hydraulic regulating device 5 volumes are long, the outer shroud ring arm in a side of adjutage 3 is reserved with groove 6 so, when opening is closed, and accommodating this hydraulic regulating device 5.
Please carefully consult shown in Figure 2ly, about this hydraulic regulating device 5, it comprises two parts, hydraulic pressure section 51 and moving part 52.This hydraulic pressure section 51 is arranged on the adjacent openings side, and moving part 52 is flexibly connected with hydraulic pressure section 52, is arranged on away from open side, and moving part 52 links to each other with hydraulic pressure section 51 by travelling arm 521.Travelling arm 521 drives moving part 52 and supports or opposes and move from opening under hydraulic pressure section 51 hydraulic-driven.Please be simultaneously in conjunction with shown in Figure 9, comprise hydraulic pressure chamber 53 and air chamber 54 in the hydraulic pressure section 51 of this hydraulic regulating device 5, separate by the first dividing plate 511 between hydraulic pressure chamber 53 and the air chamber 54, the other end of air chamber 54 arranges second partition 512 to be separated, and second partition 512 offsets with the travelling arm 521 of moving part 52.This first dividing plate 511 and second partition 512 are in the situation lower slider of hydraulic pressure section 51 each cavity seal of inside ensuring.Wherein, hydraulic pressure chamber 53 outer ends have an infusion hole 531, and inside has a hydraulic pressure bead 532.When, by infusion hole 531 after hydraulic pressure chamber 53 interior continuous injection force feeds, under the effect of oil pressure, 54 motions of the first dividing plate 511 phase air chambers, the air of compression produces pressure, so that air chamber 54 internal pressures strengthen, force second partition 512 to move to moving part 52 directions, after pressure arrived certain value, second partition 512 drove travelling arm 521, drove moving part 52 to moving away from opening.The present invention also can only arrange hydraulic pressure chamber, and the purpose that air chamber is set is to play certain buffer action, prevents the generation of leakage of oil situation.
In the embodiments of the invention, the moving part 52 of hydraulic regulating device 5 is connected with holding section 4, and holding section 4 can be mobile in real time with the moving part of hydraulic means.When opening is closed, hydraulic means and, the cooperation between adjutage 3 and the holding section 4 can be adopted sawtooth occlusion structure disclosed by the invention, also can adopt other closing structures, for example: hook structure, letter buckle structure, connected structure etc.
Specifically, above-mentioned adjutage 3 includes the first adjutage 31 and the second adjutage 32, the outer end of each adjutage is provided with broached-tooth design, and holding section 4 comprises the first holding section 41 and the second holding section 42, is provided with the broached-tooth design that is complementary with adjutage on each holding section 4.Among the present invention, adjutage and holding section are two broached-tooth designs, be that adjacent both sides all arrange sawtooth, the opposite side of this first adjutage 31 and the second adjutage 32 and the outer surface that is adjacent are provided with broached-tooth design, this first holding section 41 and the second holding section 42 are for the inboard has broached-tooth design, and this broached-tooth design matches with the broached-tooth design of the first adjutage 31 and the second adjutage 32.Can lock at both direction.Accordingly, chute 7 comprises the first chute 71 and the second chute 72, and both are separately positioned on the both sides of hydraulic regulating device 5, and have the curved surfaces that matches with adjutage.
The present invention especially is fit to whole outer ring structure, adopts the closed structure of adjusting of above-mentioned hydraulic pressure, and the size of outer shroud can suitably be amplified, also can in advance adjutage and holding section tentatively be engaged, then be set in operative site, after pressed on ring, realize again the adjusting of locking engaging and outer shroud degree of tightness.
In addition, by above-mentioned hydraulic structure, according to the practical situation of different operators, in wearing the process of ring, situation according to different patients, select a good opportunity and adjust the tightness of outer shroud, like this, because human body skin can tolerate the fastening degree of ring gradually, stepping up gradually in the process of ring, skin is naturally downright bad gradually, need not only to realize not operating on the ring cutting operation by prepuce ring-cutter at the pressed on ring initial stage operating scissors skin of substitute.By this apparatus, thoroughly changed the mode of existing use scalpel cutting foreskin.By gradually the scope of required cutting foreskin being exerted pressure gradually, the Enforcement surgery dynamics is final so that naturally necrosis of foreskin comes off naturally gradually, avoids thoroughly using any anesthesia and cutting process.