CN102743212A - Auxiliary device for sleeving annular elastic ring of circumcision stapler - Google Patents

Auxiliary device for sleeving annular elastic ring of circumcision stapler Download PDF

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Publication number
CN102743212A
CN102743212A CN2012102458119A CN201210245811A CN102743212A CN 102743212 A CN102743212 A CN 102743212A CN 2012102458119 A CN2012102458119 A CN 2012102458119A CN 201210245811 A CN201210245811 A CN 201210245811A CN 102743212 A CN102743212 A CN 102743212A
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China
Prior art keywords
annular resilient
resilient collar
auxiliary device
sleeve
sheathed
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Granted
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CN2012102458119A
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Chinese (zh)
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CN102743212B (en
Inventor
商建忠
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Wuhu Snnda Medical Treatment Appliance Tech Co Ltd
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商建忠
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/326Circumcision apparatus

Abstract

The invention discloses a disposable circumcision stapler and an auxiliary device for sleeving an annular elastic ring. The disposable circumcision stapler comprises an inner ring and the annular elastic ring, wherein the inner ring is provided with an upper end face and a lower end face, and the size of the annular elastic ring matches with that of the inner ring. The auxiliary device matching with the disposable circumcision stapler in use is a sleeve, and the size of the sleeve matches with that of the annular elastic ring. The disposable circumcision stapler is novel in structure, safe, sanitary, convenient to use and comfortable in use, and the auxiliary device is used for sleeving and fastening the annular elastic ring.

Description

The auxiliary device that is used for sheathed anastomat for circumcision annular resilient collar
The application is that application number is 201010578724.6, and the applying date is December in 2010 8 days, and name is called the dividing an application of patent of invention of the auxiliary device of disposable circumcision anastomat and sheathed annular resilient collar.
Technical field
The present invention relates to a kind of medical apparatus and instruments, the auxiliary device of a kind of disposable circumcision anastomat and sheathed annular resilient collar particularly is provided.
Background technology
Redundant prepuce or phimosis are one of roots of male urinary system infection and sexually transmitted disease (STD).Thereby redundant prepuce or phimosis can cause urinary tract infection to cause chronic prostatitis, sore waist and aching in the waist and the back can occur, a series of symptoms such as impotence and premature ejaculation, and therefore, removing long foreskin or phimosis is to prevent one of good measure of these diseases.
Remove long foreskin or phimosis, have so far several times from China's initial stage and reform, but operation will inevitably be bled; Pain; Be in hospital, particularly posthetomy is traditional treatment phimosis, redundant prepuce and prevents one of means of its complication, belongs to male's urology department and performs the operation basically.Its technical essential is the unnecessary foreskin of excision, the bent hemostasis of plane and incisxal edge skin apposition suture three big steps.Postoperative patient can not be walked about, and whenever changes a medicine and also will stand great pain when all pain is taken out stitches unbearably to the end, and hemostasis by ligation thoroughly can not cause the foreskin hematoma in addition, then needs surgical procedure once more.Though laser and high frequency electric knife technology have been used to peritomize, only replace scissors cut and solidify the petechia.This Therapeutic Method can make tissue of patient burn, easy infection.And the infection expense is very high.Relatively see from each province and city; All laser circumcisions carried out; Postoperative generally all used antibiotic therapy 5-7 days to add the oral antibiotic prevention infection 5-7 days, and the expense of laser circumcision does not generally all wait in 150-360 unit, and whole medical expense is wanted 1000-1500 unit at least.
Prior art has proposed the solution of some disposable circumcision anastomats, and these disposable circumcision anastomats are simple and easy to do, need not to operate on and sew up; Pain is light, does not influence work and life, and operating time is short; As shown in Figure 1, it comprises internal ring 1 and outer shroud 2, and inner ring sleeve is located at the penis corresponding site; The foreskin that turns up then tightens up outer shroud 2 closures again, utilizes the squeezing action between outer shroud and the internal ring; The blood circulation of blocking-up foreskin relevant position is wiped out unnecessary foreskin again, to accomplish operation.But these disposable circumcision anastomats are in operation process, and patient is still relatively more painful, need the injection anaesthetic to palliate the agonizing sufferings.The fixing operation of outer shroud 2 is relatively complicated, when particularly removing outer shroud after surgery, still can compare difficulty, brings puzzlement to patient.
Summary of the invention
Main purpose of the present invention is to overcome deficiency of the prior art, and a kind of novel structure is provided, safety and sanitation, and comfortable new disposable anastomat for circumcision easy to use, and a kind of sheathed auxiliary device that tightens up ring that is used for is provided simultaneously.
To achieve these goals, the technical scheme that the present invention adopted is: a kind of disposable circumcision anastomat, and it comprises internal ring, and this internal ring has upper surface and lower surface, also comprises annular resilient collar, and the size and the internal ring of this annular resilient collar are complementary.
Wherein, be provided with metallic framework in this annular resilient collar.
This metallic framework is tinsel or sheet metal.
This metallic framework is the C type sheet metal that has the C type tinsel of opening or have opening.
The length of its upper surface is greater than the length of lower surface.
This lower surface is connected with some mousing-hooks.
This mousing-hook connects the lower surface through the disconnection instrument.
This disconnection instrument is an indentation.
This upper surface and lower surface are provided with anti-skidding projecting slot.
This anti-skidding projecting slot is that some anti-skidding catch are formed, and has spacing between each anti-skidding catch.
The setting of staggering between this upper surface and the lower surface.
This internal ring outside is provided with elastic washer.
This annular resilient collar skin is provided with medication coat.
This annular resilient collar surface is provided with decorative pattern.
This internal ring and annular resilient collar outer race are provided with protective cover, and this protective cover is the loop configuration that is complementary with internal ring and annular resilient collar, has opening.
A kind of auxiliary device that is used for sheathed anastomat for circumcision annular resilient collar, this auxiliary device are a sleeve, and this telescopic size and annular resilient collar are complementary.
Wherein, this sleeve have one be used for ccontaining annular resilient collar storage tank.
This sleeve has the occlusion part that is used to prevent the annular resilient collar landing.
This occlusion part is the ring that blocks of some shielding plates or integral body.
This sleeve one end is provided with the plurality of elastic tooth, has the space between the Elastic Teeth.
This Elastic Teeth is a V-structure.
The top of this Elastic Teeth is provided with positioning convex point.
This sleeve is a structure wide at the top and narrow at the bottom.
This sleeve integral body is soft materials.
Beneficial effect of the present invention is following.
1, utilize annular resilient collar to substitute existing outer ring structure, it is simple in structure, compares with the existing hard edge of a knife, and less patient suffering is little, need not use anaesthetic, makes operation technique easier.
2, can be provided with metallic framework in this annular resilient collar, to increase the elastic force of annular resilient collar, it is better to have made it tighten up effect.
3, the length of internal ring upper surface is greater than the length of lower surface, makes when this inner ring sleeve is located at penis conveniently, compares its annular resilient collar difficult drop-off with the structure that upper surface and lower surface are isometric.
4, be provided with mousing-hook and/or anti-skidding projecting slot, make the annular resilient collar difficult drop-off.
5, mousing-hook connects the lower surface through the disconnection instrument, can break disconnected mousing-hook off with the fingers and thumb after feasible operation finishes, and conveniently takes off annular resilient collar.
6, this projecting slot can be made up of some anti-skidding catch, and this anti-skidding catch can be according to the demand any number, density setting arbitrarily; It can have a determining deviation between each anti-skidding catch it has a determining deviation when being provided with; The use of material can be reduced,, the lymphatic return amount can be increased to practice thrift cost of manufacture; Thereby the minimizing edema, and it also can play the effect that prevents that annular resilient collar from coming off equally.
7, the setting of staggering between this upper surface and the lower surface makes internal ring integral body be incline structure, and is more to adapt to the shape of penis, more comfortable.
8, the setting of staggering between upper surface and the lower surface, and the length of its upper surface after operation finishes, is convenient to extract annular resilient collar downwards like this greater than the length of lower surface.
9, the internal ring outside is provided with elastic washer.Utilize the elastic reaction of this elastic washer, cooperate the elastic reaction of annular resilient collar, further reduce patient's misery, to realize not using the effect of anaesthetic.
10, the annular resilient collar outside can also be provided with medication coat, and this medication coat can be selected corresponding medicine as required for use, and anti-inflammation drugs coating etc. has for example improved the safety of operation.
11, this annular resilient collar surface is provided with decorative pattern, and this decorative pattern can be various moulding, and its key is that decorative pattern forms some recessed grooves; Similar doughnut, this recessed groove can play anti-skidding effect, and; After 2-3 days after surgery; The skin that contacts with annular resilient collar can shrink, and the area that annular resilient collar and skin directly contact that is arranged so that of recessed groove reduces, and reduces the dead skin adhesion.
12, this internal ring and annular resilient collar outer race are provided with protective cover, make operative site receive protection, can not expose in air, avoid touching, and reduce infection risk, and be also more attractive in appearance.
13, supporting auxiliary device, this auxiliary device are a sleeve, and this telescopic size and annular resilient collar are complementary.In use, annular resilient collar is set in earlier on the sleeve, then sleeve is aimed at the relevant position of penis, then with the downward strip of annular resilient collar, make it arrive the relevant position, operation is easy accurately with family.
14, this auxiliary device has storage tank and/or occlusion part, so that annular resilient collar is difficult for skidding off.
15, this occlusion part can be some shielding plates or the whole ring that blocks, and can both play the effect that prevents that annular resilient collar from skidding off, and the structure of shielding plate is saved material relatively, and it is relatively easy to block the structure fabrication of ring.
16, this sleeve one end is provided with the plurality of elastic tooth, has the space between the Elastic Teeth.When using sleeve, when the sleeve bottom is depressed into the relevant position, owing to have the space between the Elastic Teeth, make each Elastic Teeth outwards expand a little, and closely press close to required position that fixed effect is good, makes it put annular resilient collar more easily accurately.
17, this Elastic Teeth is a V-structure, its accurate positioning, and result of use is good.
18, the top of this Elastic Teeth is provided with positioning convex point.Utilize this elasticity salient point, can better realize telescopic locating effect.
19, this sleeve is a structure wide at the top and narrow at the bottom, and its use is convenient.
20, this sleeve integral body can be soft materials, and for example rubber, plastics etc. use more convenient, more comfortable.
Below in conjunction with the accompanying drawing and the specific embodiment the present invention is further described.
Description of drawings
Fig. 1 is the structural representation of existing a kind of disposable circumcision anastomat.
Fig. 2 is the internal ring texture edge sketch map of the present invention the 1st embodiment.
Fig. 3 is the structural representation of the annular resilient collar of the present invention the 1st embodiment.
Fig. 4 is the side structure sketch map of the present invention's the 1st embodiment internal ring and annular resilient collar cooperation.
Fig. 5 is the internal ring texture edge sketch map of the present invention the 2nd embodiment.
Fig. 6 looks up the structure enlarged diagram for the A of Fig. 5 part.
Fig. 7 is the internal ring texture edge sketch map of the present invention the 3rd embodiment.
Fig. 8 is the internal ring texture edge sketch map of the present invention the 4th embodiment.
Fig. 9 is the internal ring texture edge sketch map of the present invention the 5th embodiment.
Figure 10 is the internal ring texture edge sketch map of the present invention the 6th embodiment.
Figure 11 is the internal ring texture edge sketch map of the present invention the 7th embodiment.
Figure 12 is the section structure for amplifying sketch map of the annular resilient collar of the 8th embodiment of the present invention, and the section structure for amplifying sketch map of A-A face among Fig. 3.
Figure 13 is an outer shroud surface pattern structure sketch map.
Figure 14 puts the cross-sectional view of protective cover when using for the present invention.
Figure 15 is the 1st an embodiment side structure sketch map of the sheathed annular resilient collar of auxiliary device of the present invention.
Figure 16 is the plan structure sketch map of Figure 15.
Figure 17 is the 2nd an embodiment side structure sketch map of auxiliary device of the present invention.
Figure 18 is the 3rd an embodiment side structure sketch map of the sheathed annular resilient collar of auxiliary device of the present invention.
Figure 19 is the plan structure sketch map that the 3rd embodiment of auxiliary device of the present invention is provided with 4 groups of shielding plates, not sheathed annular resilient collar.
Figure 20 is the 4th an embodiment side structure sketch map of the sheathed annular resilient collar of auxiliary device of the present invention.
Figure 21 is the plan structure sketch map of Figure 20.
Figure 22 is the 5th an example structure sketch map of auxiliary device of the present invention.
Figure 23 is the 6th an example structure sketch map of auxiliary device of the present invention.
Figure 24 is the 7th an example structure sketch map of auxiliary device of the present invention.
The specific embodiment
Like Fig. 2-shown in Figure 4, be the 1st embodiment of the present invention.A kind of disposable circumcision anastomat of the present invention, it comprises internal ring 1, and this internal ring 1 has upper surface 11 and lower surface 12, and it also comprises annular resilient collar 2, and this annular resilient collar 2 can be rubber band, rubber ring etc.The size and the internal ring of this annular resilient collar 2 are complementary.In use, at first internal ring 1 is set in the penis relevant position, then foreskin is turned up, sheathed again annular resilient collar 2 utilizes the elasticity of annular resilient collar 2, and foreskin is tied tight, with the occlude blood circulation, wipes out unnecessary foreskin afterwards again.The present invention uses the rubber-like annular ring that foreskin is pushed, and it is compared with the existing hard edge of a knife, and less patient suffering is little, need not use anaesthetic, makes operation technique easier.And in the present embodiment, the length of its upper surface 11 is greater than the length of lower surface 12, makes when this internal ring 1 is set in penis conveniently, compares its annular resilient collar 2 difficult drop-offs with the structure that upper surface and lower surface are isometric.
As shown in Figure 5, for the 2nd embodiment internal ring texture edge sketch map of the present invention, in order further to prevent coming off of annular resilient collar 2; This lower surface 12 is connected with some mousing-hooks 13; Utilize this mousing-hook structure, make that annular resilient collar 2 is more firm, can not come off.This mousing-hook 13 can be provided with arbitrarily according to needs, for example, can in annular, respectively establish one in the ring diameter two ends, also can be set one week with a determining deviation.As shown in Figure 6, this mousing-hook 13 is through disconnection instrument 14 connection lower surfaces, and in the present embodiment, this disconnection instrument is preferably indentation.Utilize the design of this disconnection instrument 14, in the time of need taking off annular resilient collar 2 after surgery, can utilize tweezers or break disconnected mousing-hook 13 by hand off with the fingers and thumb, easily annular resilient collar 2 is taken off.This disconnection instrument is unexpected except indentation as shown in Figure 6, also can be other structures of other mousing-hooks 13 that conveniently fracture.
As shown in Figure 7, be the 3rd embodiment internal ring texture edge sketch map of the present invention, be in order to prevent coming off of annular resilient collar 2 equally, this upper surface 11 is provided with anti-skidding projecting slot 15 with lower surface 12.Naturally form a storage tank between the anti-skidding projecting slot 15 of upper surface and lower surface, make that annular resilient collar 2 is fixed more firm, and be not easy to come off.
As shown in Figure 8, be the 4th embodiment internal ring texture edge sketch map of the present invention, this projecting slot 15 can be made up of some anti-skidding catch 151; This anti-skidding catch 151 can be according to the demand any number; Arbitrarily density setting, it can have a determining deviation 152 between each anti-skidding catch it has a determining deviation when being provided with, and can reduce the use of material; To practice thrift cost of manufacture; Can increase the lymphatic return amount, thereby reduce edema, and it also can play the effect that prevents that annular resilient collar 2 from coming off equally.
As shown in Figure 9, be the 5th embodiment internal ring texture edge sketch map of the present invention, the setting of staggering between this upper surface 11 and the lower surface 12 makes internal ring 1 integral body be incline structure, and is more to adapt to the shape of penis, more comfortable.And above-mentioned various anti-skid structures also can be applied among the present embodiment, repeat no more at this.
Shown in figure 10; Be the 6th embodiment internal ring texture edge sketch map of the present invention, the setting of staggering between this upper surface 11 and the lower surface 12, and the length of its upper surface 11 is greater than the length of lower surface 12; After operation finishes, be convenient to extract annular resilient collar 2 downwards like this.
Certainly the length of this upper surface and lower surface can equate that also this is a kind of habitual interior ring structure, repeats no more at this.
Shown in figure 11, be the 7th embodiment internal ring texture edge sketch map of the present invention, this internal ring 1 outside is provided with elastic washer 16.Utilize the elastic reaction of this elastic washer 16, cooperate the elastic reaction of annular resilient collar 2, further reduce patient's misery, to realize not using the effect of anaesthetic.
And these annular resilient collar 2 outsides can also be provided with medication coat, and this medication coat can be selected corresponding medicine as required for use, for example anti-inflammation drugs coating etc.
Shown in figure 12, the section enlarged diagram for the annular resilient collar 2 of the 8th embodiment of the present invention is provided with metallic framework 21 in this annular resilient collar 2, utilizes this metallic framework 21, can increase the elastic force of annular resilient collar 2, and it is better to have made it tighten up effect.And concrete, this metallic framework can annular tinsel or sheet metal, also can be the C type sheet metal that has the C type tinsel of opening or have opening.This metal material can be rustless steel or other metals.
Shown in figure 13, these annular resilient collar 2 surfaces are provided with decorative pattern, and this decorative pattern can be various moulding; Its key is that decorative pattern forms some recessed grooves 4, similar doughnut, and this recessed groove 4 can play anti-skidding effect; And after 2-3 days after surgery, the skin that contacts with annular resilient collar 2 can shrink; The area that annular resilient collar 2 and skin directly contact that is arranged so that of recessed groove 4 reduces, and reduces the dead skin adhesion.
Shown in figure 14, this internal ring 1 is provided with protective cover 5 with annular resilient collar 2 outer race, and this protective cover 5 is the loop configuration that is complementary with internal ring 1 and annular resilient collar 2, has opening, and this protective cover is rubber or non-toxic plastic material.
Technical characterictic between above-mentioned each embodiment combination in any each other uses, and it has provided a kind of simple in structure, need not the scutching medicine, and is simple to operate, the disposable circumcision anastomat that the patient suffering is little.
Because Wrapping annulus cuts operation relates to male's sensitive part, the operation when sheathed ring requires very high, otherwise can make the patient uncomfortable.In order to make convenient sheathed to the operation position of above-mentioned annular resilient collar 2, the present invention gives a kind of auxiliary device that is used for sheathed annular resilient collar 2.
Shown in Figure 15-16, be the 1st embodiment of the sheathed annular resilient collar 2 of auxiliary device of the present invention, this auxiliary device is a sleeve 3, the size of this sleeve 3 and annular resilient collar 2 are complementary.In use, annular resilient collar 2 is set in earlier on the sleeve 3, then sleeve 3 is aimed at the relevant position of penis,, make it arrive the relevant position then with annular resilient collar 2 downward strips.
Shown in figure 17, be the 2nd embodiment of auxiliary device of the present invention, this sleeve 3 have one be used for ccontaining annular resilient collar 2 storage tank 31.Utilize this storage tank 31, can be so that annular resilient collar 2 firm being fixed on the sleeve 3 prevent to skid off.
This sleeve has the occlusion part 32 that is used to prevent annular resilient collar 2 landings.This occlusion part 32 encircles 322 for blocking of some shielding plates 321 or integral body.Shown in figure 18; The 3rd embodiment for auxiliary device of the present invention; This occlusion part 32 is some shielding plates 321 to be formed, and its shape, quantity, distance separately can be provided with arbitrarily according to demand, and Figure 19 is the plan structure sketch map that 4 catch evenly are set.Shown in Figure 20 and 21, be the 4th embodiment of auxiliary device of the present invention, this occlusion part also can be the whole successive ring 322 that blocks.Utilize above-mentioned occlusion part structure, can prevent effectively that equally annular resilient collar 2 from skidding off, and this structure can also combine the storage tank 31 of the 2nd embodiment to use together.
Shown in figure 22, be the 5th embodiment of auxiliary device of the present invention, this sleeve one end is provided with plurality of elastic tooth 6, has space 61 between the Elastic Teeth 6.When using sleeve, when the sleeve bottom is depressed into the relevant position, owing to have the space between the Elastic Teeth, make each Elastic Teeth outwards expand a little, and closely press close to required position that fixed effect is good, makes it put annular resilient collar 2 more easily accurately.And in the present embodiment, this Elastic Teeth 6 is a V-structure, its accurate positioning, and result of use is good.Certainly, it also can adopt other shapes such as trapezoidal, rhombus.
Shown in figure 23, be the 6th embodiment of auxiliary device of the present invention, the top of this Elastic Teeth 6 is provided with positioning convex point 62.Utilize this elasticity salient point 62, can better realize telescopic locating effect.This salient point can adopt arbitrary shapes such as circle, square, rhombus, is best with the circle.
Shown in figure 24, be the 7th embodiment of auxiliary device of the present invention, this sleeve is a structure wide at the top and narrow at the bottom, its use is convenient.
This sleeve integral body can be soft materials, for example rubber, plastics etc., and in addition, this annular resilient collar can be any soft rubber-like material, for example rubber, plastics etc. equally.

Claims (9)

1. an auxiliary device that is used for sheathed anastomat for circumcision annular resilient collar is characterized in that, this auxiliary device is a sleeve, and this telescopic size and annular resilient collar are complementary.
2. the auxiliary device of sheathed annular resilient collar as claimed in claim 1 is characterized in that, this sleeve have one be used for ccontaining annular resilient collar storage tank.
3. according to claim 1 or claim 2 the auxiliary device that is used for sheathed anastomat for circumcision annular resilient collar is characterized in that this sleeve has the occlusion part that is used to prevent the annular resilient collar landing.
4. the auxiliary device that is used for sheathed anastomat for circumcision annular resilient collar as claimed in claim 3 is characterized in that, this occlusion part is the ring that blocks of some shielding plates or integral body.
5. like claim 1, the 2 or 4 described auxiliary device that are used for sheathed anastomat for circumcision annular resilient collar, it is characterized in that this sleeve one end is provided with the plurality of elastic tooth, has the space between the Elastic Teeth.
6. the auxiliary device that is used for sheathed anastomat for circumcision annular resilient collar as claimed in claim 5 is characterized in that, this Elastic Teeth is a V-structure.
7. the auxiliary device that is used for sheathed anastomat for circumcision annular resilient collar as claimed in claim 6 is characterized in that the top of this Elastic Teeth is provided with positioning convex point.
8. like claim 1,2,4, the 6 or 7 described auxiliary device that are used for sheathed anastomat for circumcision annular resilient collar, it is characterized in that this sleeve is a structure wide at the top and narrow at the bottom.
9. like claim 1,2,4, the 6 or 7 described auxiliary device that are used for sheathed anastomat for circumcision annular resilient collar, it is characterized in that this sleeve integral body is soft materials.
CN201210245811.9A 2010-12-08 2010-12-08 For the auxiliary device of sheathed anastomat for circumcision annular resilient collar Active CN102743212B (en)

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CN2010105787246A CN101983615B (en) 2010-12-08 2010-12-08 Disposable circumcision anastomat and auxiliary device for sheathing annular elastic ring

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CN105919675A (en) * 2016-05-22 2016-09-07 马永宏 Auxiliary circumcision apparatus

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CN102488544A (en) * 2011-11-14 2012-06-13 商建忠 Disposable circumcision anastomat
CN102743211B (en) * 2012-05-28 2015-08-19 商建忠 Disposable circumcision anastomat
CN103340668A (en) * 2013-06-06 2013-10-09 常熟市亨利医疗器械有限公司 Knife cushion with cutting blade groove
CN103340672A (en) * 2013-06-29 2013-10-09 周勇飞 Circumcision anastomat

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CN201888835U (en) * 2010-12-08 2011-07-06 商建忠 Disposable circumcision anastomat and auxiliary device nested with ring-shaped elastic ring

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US4491136A (en) * 1973-03-05 1985-01-01 Leveen Harry H Disposable circumcision device
CN201533860U (en) * 2008-06-27 2010-07-28 郑建都 Double-ring circumcision device
CN201492483U (en) * 2009-08-31 2010-06-02 芜湖圣大医疗器械技术有限公司 Circumcision device inner ring propeller
CN101889898A (en) * 2009-11-03 2010-11-24 芜湖圣大医疗器械技术有限公司 Circumcision locator and disposable circumcision stapler
CN201888835U (en) * 2010-12-08 2011-07-06 商建忠 Disposable circumcision anastomat and auxiliary device nested with ring-shaped elastic ring

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Publication number Priority date Publication date Assignee Title
CN105919675A (en) * 2016-05-22 2016-09-07 马永宏 Auxiliary circumcision apparatus

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