Disposable circumcision anastomat
Technical field
The present invention relates to a kind of prepuce ring-cutter, refer in particular to and to realize compensating roller lock solid structure.
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 is provided with 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 improved the safety and the standardization of Wrapping annulus cuts operation greatly.
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 was carried out at the corrective surgery position, the cover upper inner ring was turned up foreskin, adjust the position of inner and outer ring after, closed outer shroud is finished the action that go up to encircle of prepuce ring-cutter.Because there are differences between each individuality, even identical measurement result, the skin histology thin and thick difference of every patient's foreskin, 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, finish above-mentioned on the ring step after, wanting earlier, the foreskin that the patient is unnecessary falls major part by excision, the patient is by wearing prepuce ring-cutter in many days, pressuring action by prepuce ring-cutter, make the remaining unnecessary foreskin of fraction come off voluntarily, and the position that prepuce ring-cutter compresses rebulid new circulative metabolism and obtain to recover.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 take place extruding property edema or patient can't tolerate the compressing of girdling device still needs extraneous auxiliary treatment even following 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, be to be worth inquiring into, at 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, wherein:
One side of outer ring opening is provided with first gear and second gear, this first gear and the mutual interlock of second gear;
The opposite side of outer ring opening is provided with outward extending first tooth bar and second tooth bar;
First gear and the mutual interlock of first tooth bar, first tooth bar are moved to its opposite side under the progressive driving of first gear;
Second gear and the mutual interlock of second tooth bar, second gear drive second tooth bar to its opposite side motion under the driving of first gear.
Wherein: each sawtooth on this first tooth bar and second tooth bar is skewed setting from center, outer shroud lateral;
This first gear and second gear comprise the round tooth torus of upper end and the conical tooth torus of lower end, and it is skewed to what mate with first gear and first tooth bar that the sawtooth on the conical tooth torus is;
Pass through round tooth torus interlock separately between first gear and second gear; First gear and second gear are by conical tooth torus and first tooth bar and the mutual interlock of second tooth bar of lower end.
Wherein: described first gear and second gear are unidirectional swing pinion.
Wherein: first gear or second gear include the internal fixation axle, and round tooth torus and angular wheel ring set are located at the internal fixation axle outside, and the round tooth torus drives the rotation of conical tooth torus;
Offer socket on the outer wall of internal fixation axle, be placed with elastic block rubber and active fastening block in this socket, round tooth torus inwall is provided with some caulking grooves;
Offer socket on the internal fixation axle outer wall, be placed with elastomer and active fastening block in the socket, this active fastening block outer end shape and above-mentioned caulking groove form fit;
Active fastening block is placed in the caulking groove, or is subjected to internal fixation axle outer wall extruding force, and compresses elastomeric is placed in the socket.
Wherein: it is pointed that described caulking groove is crescent moon, and to lopsidedness, it is pointed that the outer end of described active fastening block is crescent moon equally, and to lopsidedness.
Wherein: the couple positioned opposite of first tooth bar and second tooth bar has first groove and second groove of ccontaining this first tooth bar and second tooth bar.
Wherein: described first tooth bar and second tooth bar are provided with linear protrusion, are provided with linear grooves in described first groove and second groove.
Wherein: the outer shroud edge of a knife is provided with some drainage systems that are used to alleviate edema.
The invention has the beneficial effects as follows: by the closed adjustment structure of wheel and rack cooperation, can be according to the practical situation of different operators, for example, every patient's skin of foreskin is organized the difference of different and every the patient of thin and thick to the tolerance degree of pain, the tightness when suitably ring is gone up in appropriateness control.Then, can tolerate the degree that compresses of ring, the different times in operation, the size of progressively dwindling ring gradually according to human skin tissue.Like this, in the process that compresses gradually of outer shroud, the outer unnecessary foreskin of ring is downright bad naturally gradually.Because in the operation process, human body is incremental tolerance to the pain that outer shroud compresses generation, can be according to everyone tolerance degree, select a good opportunity and adjust or the size of the uncomfortable domain, make Wrapping annulus cuts operation hommization more, effectively reduce patient's uncomfortable degree, improve the acceptance of this operation.
Description of drawings
Fig. 1 adopts the front view of bidentate wheel closed manners for anastomat for circumcision of the present invention.
Fig. 2 adopts the side view of bidentate wheel closed manners for anastomat for circumcision of the present invention.
Fig. 3 adopts the opposite side view of bidentate wheel closed manners for anastomat for circumcision of the present invention.
Fig. 4 adopts the rearview of bidentate wheel closed manners for anastomat for circumcision of the present invention.
Fig. 5 adopts the axonometric chart of bidentate wheel closed manners for anastomat for circumcision of the present invention.
Fig. 6, Fig. 7 are the structural representation of the unidirectional control of anastomat for circumcision gear of the present invention.
The specific embodiment
Disposable circumcision anastomat of the present invention, outer shroud can adopt whole C type structure also can adopt the branch body structure, no matter overall structure is still divided body structure, the cutting ring mouth has first half edge of a knife junction in a side of opening outside, and the outer shroud edge of a knife has Lower Half edge of a knife junction in the opposite side of opening.See also Fig. 1 to shown in Figure 5, wherein, outer shroud 1 adopts and divides body structure, comprises left semi-ring 1 and right semi-ring 2.Outer shroud outer wall inboard is provided with edge of a knife structure, because outer shroud split, outer shroud forms opening and link, the outer shroud link is realized being connected by the pin-jointed structure (circular hole and drive-connecting shaft combination) that is arranged on the outer shroud outer wall, and the edge of a knife structure on the outer shroud forms the first half edge of a knife junction and the Lower Half edge of a knife junction of mutual coupling respectively in opening and link.With the opening is example: the opening of left semi-ring 1 edge of a knife has first half edge of a knife junction 11, and this first half edge of a knife junction 11 comprises along the edge of a knife from caving in, be thinner than the adjacent edge of a knife outside to inside.The opening of right semi-ring 2 edges of a knife has Lower Half edge of a knife junction 21, this Lower Half edge of a knife junction 21 comprises along the edge of a knife caves in, is thinner than the adjacent edge of a knife from inside to outside, and the outer of this first half edge of a knife junction 11 and Lower Half edge of a knife junction 21 can be fillet, corner or oblique angle.When opening was closed, the depressed part of first half edge of a knife junction 11 and Lower Half edge of a knife junction 21 mated the complete edge of a knife structure of formation mutually, press from both sides meat in the process of avoiding encircling, and complete edge of a knife structure made postoperative effect very attractive in appearance.
Emphasis of the present invention improves and is that the open end of left semi-ring 1 is provided with the two-wheel structure of first gear 3 and second gear 4, first gear 3 and the 4 mutual interlocks of second gear.Right semi-ring 2 open end are outward extended with first tooth bar 5 and second tooth bar 6, first gear 3 engages mutually with first tooth bar 6, second gear engages mutually with second tooth bar 6, form passage 7 between described first tooth bar 5 and second tooth bar 6 for first gear 3 and 4 operations of second gear, a left side offers on the semi-ring 1 for ccontaining first groove 8 of first tooth bar 5 with for the second ccontaining groove 9 of second tooth bar 6, being connected and increasing firm performance between tooth bar and the groove between tooth bar and the groove for convenience, be provided with mutual coupling position limiting structure at bottom or side that tooth bar contacts with groove, this position limiting structure can be the line style projection and the linear grooves of coupling mutually or be other screens structures, specifically, first tooth bar and second tooth bar are provided with linear protrusion, are provided with linear grooves in described first groove and second groove.
See also Fig. 1 to shown in Figure 3, each sawtooth on this first tooth bar 5 and second tooth bar 6 tilts from the lateral central side respectively, be skewed, this first gear 3 and second gear 4 comprise the round tooth torus of upper end and the conical tooth torus of lower end, sawtooth on the conical tooth torus be with second tooth bar and first tooth bar be complementary skewed, the round tooth torus interlock by the upper end between first gear 3 and second gear 4; First gear 3 and second gear 4 are by conical tooth torus and first tooth bar and the mutual interlock of second tooth bar of lower end.
Wherein, above-mentioned first gear 3 and second gear 4 are unidirectional rotating mechanisms, prevent its reverse opening, cause the repeated use of apparatus, avoid cross infection.See also Fig. 6 and shown in Figure 7, it is the structural representation of the unidirectional control of gear, is example with second gear 4, and round tooth torus 41 inwalls are provided with some caulking grooves 411, and it is pointed that caulking groove 411 is crescent moon, and to lopsidedness (clockwise among the figure).This round tooth torus 41 and conical tooth torus 42 are set in an internal fixation axle 43 outsides, are driven the interlock rotation of conical tooth torus 42 by the rotation of round tooth torus 41.Internal fixation axle 43 bottoms are fixed on the outer shroud, play fixed effect.Offer socket 431 on the outer wall of this internal fixation axle 43, be placed with elastic block rubber 432 and active fastening block 433 in this socket 431, it is pointed that the outer end of this active fastening block 433 is crescent moon, and to lopsidedness, its shape and above-mentioned caulking groove 411 are complementary.Round tooth torus 41 can be rotated in a clockwise direction, round tooth torus 41 inwalls extruding active fastening block 433 compressing elastic block rubbers 432 dwindle, make active fastening block resist in socket 431, when active fastening block 433 and caulking groove 411 intersect, because its incline direction is identical.So when continuing to apply external force, caulking groove 411 is very easy to break away from the restriction of active fastening block 433, continue to slide clockwise, when reverse rotation round tooth torus 41,, finally can't realize rotation owing to be subjected to the restriction of active fastening block 433.This design has ensured the unidirectional rotation of external tooth torus, after the opening closure, prevents its reverse opening, has avoided the use repeatedly of this medical apparatus and instruments, has guaranteed the safe in utilization of user.
During last ring, first gear 3 and second gear 4 are engaged with first tooth bar 5 and second tooth bar 6 respectively, left semi-ring 1 and right semi-ring 2 are formed closure, when inner ring sleeve is located on the glans penis, after foreskin turned up, again it is set on the operative site, at this moment, according to patient's skin conditions, rotate first gear 3, first gear 3 drives second gear 4, and drive first tooth bar 5 and second tooth bar 6 to the opposite interlock advance, closed and tighten outer ring opening.
In sum, by the closed adjustment structure that wheel and rack cooperates, can be according to the practical situation of different operators, for example, every patient's skin of foreskin is organized the difference of different and every the patient of thin and thick to the tolerance degree of pain, the tightness when suitably ring is gone up in appropriateness control.Then, can tolerate the degree that compresses of ring, the different times in operation, the size of progressively dwindling ring gradually according to human skin tissue.Like this, in the process that compresses gradually of outer shroud, the outer unnecessary foreskin of ring is downright bad naturally gradually.
Because in the operation process, human body is incremental tolerance to the pain that outer shroud compresses generation, can be according to everyone tolerance degree, select a good opportunity and adjust or the size of the uncomfortable domain, make Wrapping annulus cuts operation hommization more, effectively reduce patient's uncomfortable degree, improve the acceptance of this operation.Simultaneously, on the cutting ring mouth, be provided with drainage system 10 outside, drainage system 10 can be the pointed tooth that evenly is laid on the outer shroud, in the process that outer shroud clamps, can alleviate the edema situation in the hands operation process.