CN103536342A - Prepuce cutting anastomat - Google Patents
Prepuce cutting anastomat Download PDFInfo
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- CN103536342A CN103536342A CN201310512070.0A CN201310512070A CN103536342A CN 103536342 A CN103536342 A CN 103536342A CN 201310512070 A CN201310512070 A CN 201310512070A CN 103536342 A CN103536342 A CN 103536342A
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- push broach
- handgrip
- pair
- balance mover
- flakes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/326—Circumcision apparatus
Abstract
The invention belongs to the technical field of medical surgical instruments and discloses a prepuce cutting anastomat which comprises a balance mover driving mechanism, a cutter pushing disc, a cover-type prepuce cutter and a balanus cap. A balance mover is connected with the balance mover driving mechanism, a cutter pushing disc sheath is in matched connection with the balance mover driving mechanism, the cutter pushing disc is arranged in the cutter pushing disc sheath and matched with the balance mover, the cover-type prepuce cutter is arranged on the cutter pushing disc, the balanus cap forms a balanus cavity, a moving rod seat is formed in the middle of the top wall of the balanus cap and on one side away from the balanus cavity, one end of a moving rod is fixed on the moving rod seat while the other end of the same is provided with an adjusting knob in a matched manner, the adjusting knob is matched with the balance mover driving mechanism, and an annular concave way is formed on the outer wall of a base portion of the balanus cap in an unfolded manner. The prepuce cutting anastomat is characterized by further comprising a blood-coagulation blood-stopping self-absorbing rubber ring which is embedded in the annular concave way and corresponds to a cutting edge. The prepuce cutting anastomat is simplified in structure and beneficial to manufacturing and assembling, time of a person receiving surgery can be saved, no scar can be left at a wound of the person receiving surgery, cost is lowered, and expense expenditure of the person receiving surgery is reduced.
Description
Technical field
The invention belongs to medical surgical instrument technical field, be specifically related to a kind of foreskin Endo-GIA.
Background technology
" prepuce cutting stitching instrument " that Chinese invention patent Granted publication CN101884559B recommends made up utility model Granted publication CN2555783Y(circumcision apparatus), CN201365945Y(anastomat for circumcision) and application for a patent for invention publication number CN101301219A(titanium nickel memory alloy device for cutting foreskin) etc. shortcoming.And then " prepuce cutting stitching instrument " that invention patent mandate notification number CN102217969B provides evaluated the deficiency of CN101884559B objectively, and eliminated its deficiency.
Although comprise the known prepuce cutting stitching instrument of aforementioned CN101884559B and CN102217969B have by cutting with sew up function and hold concurrently and in one, use the strong point of enhancements speed, but there is following logical fraud: one, owing to need to be equipped with screw position, for making the parts of the suturing nail clubfoot dish of nail foot bending of suturing nail and cutter felt and so on, thereby structure is comparatively complicated, gives and manufactures and assemble and use and cause trouble; Its two, therefore owing to by suturing nail, the wound site of foreskin being sewed up, exist and tear nail process open after surgery, not only stop over operation receiveing person's time, and increase the workload of the follow-up diagnosis and treatment of medical department; Its three, owing to having adopted suturing nail, thereby can leave obvious cicatrix in wound site after foreskin wound recovery from illness, to operation receiveing person, produce the psychological impact of being ashamed to mention; Its four, because complex structure makes cost, improve, thereby the surgery cost that operation receiveing person bears is large.
Logical fraud in view of above-mentioned prior art exists, is necessary to be improved, and the applicant has done positive and useful design for this reason, has finally formed technical scheme described below.
Summary of the invention
Task of the present invention is to provide a kind of and contributes to abandon suturing nail and use remarkable simplified structure, be conducive to wound oneself healing and without going to after surgery medical department to accept postoperative service, use time and the workload that alleviates medical worker of saving operation receiveing person, be of value to and avoid using and eliminating operation receiveing person's psychological burden and have the foreskin Endo-GIA of being convenient to reduce operation cost and using the expense expenditure that alleviates operation receiveing person at wound site scar or vestige.
Task of the present invention completes like this, and a kind of foreskin Endo-GIA comprises a balance mover driving mechanism, one balance mover and a push broach dish sheath, balance mover is connected with balance mover driving mechanism, and the direction towards described push broach dish sheath under the driving of balance mover driving mechanism is moved, and push broach dish sheath connects in the position corresponding to balance mover and balance mover driving mechanism, and match with balance mover, one push broach dish, this push broach dish is arranged on movably in described push broach dish sheath and matches with described balance mover, one bell-type foreskin cutter, these bell-type foreskin cutter are arranged on described push broach dish, and the blade of these bell-type foreskin cutter leans out push broach dish, one glans penis cap, this glans penis cap forms a glans penis chamber, in the roof central authorities of this glans penis cap and back to the side in glans penis chamber, form and move pole socket, at this, move the one end that is fixed with a carriage release lever on pole socket, and the other end of this carriage release lever is passing described bell-type foreskin cutter successively, push broach dish, push broach dish sheath, after balance mover and balance mover driving mechanism, be equipped with an adjusting knob, this adjusting knob and balance mover driving mechanism are rotatably assorted, on the outer wall of the base portion of glans penis cap, turn to form and have an annular concave path, this annular concave path is corresponding with described blade, be characterised in that: also include a blood coagulation hemostasis self-absorption cushion rubber, this blood coagulation hemostasis self-absorption cushion rubber is embedded in described annular concave path and is corresponding with described blade.
In a specific embodiment of the present invention, described balance mover driving mechanism comprises a pair of handgrip valve and an a pair of or hands handle, a pair of handgrip valve faces each other and coordinates and be combined as a whole, each formation of the side facing each other at this pair of handgrip valve has a balance mover sliding cavity, one knob base and an a pair of or handles hinged seat, wherein, knob base is positioned at handgrip valve towards one end of described adjusting knob, and knob base forms the adjusting knob groove that is rotatably assorted, one end of described adjusting knob leans out a pair of handgrip valve, and other end formation has a valve to coordinate boss, this valve coordinates boss and the adjusting knob groove that is rotatably assorted to be rotatably assorted, described handgrip hinged seat is positioned at handgrip valve towards one end of described push broach sheath, handgrip and handgrip hinged seat are hinged, one end that described balance mover deviates from described push broach dish sheath is connected with described handgrip, and balance mover offers one group of balance mover gathering sill towards one end of push broach dish sheath and around the circumferencial direction of balance mover with interval state, and one end that the axial central authorities of balance mover offer a self-balancing shifter connects the balance mover centre bore to the other end, described push broach dish sheath has a push broach dish chamber, this push broach dish chamber is towards the narrow shifter mating cavity that shortened in one end of described balance mover, and the middle position formation at shifter mating cavity has a carriage release lever cover, between the outer wall of carriage release lever cover and the inwall of shifter mating cavity, with interval state formation, there are one group of quantity and balance mover gathering sill equates and position is corresponding guide vane, a pair of handgrip valve probes in shifter mating cavity towards one end of push broach dish sheath, and described balance mover gathering sill matches with guide vane, described push broach dish is contained in described push broach dish intracavity, this push broach dish has a bell-type cutter chamber, and the outside middle position at the push broach dish roof of this push broach dish is extended with a push broach axle, push broach axle has an axially extending bore communicating with bell-type cutter chamber, on push broach axle and along the length direction of push broach axle, with interval state, offer the quantity guide vane gathering sill that equate and that position is corresponding of one group of quantity and described guide vane, guide vane gathering sill matches with guide vane and communicates with axially extending bore, described balance mover is corresponding towards one end of balance mover end face with push broach axle towards one end end face of push broach dish sheath, described bell-type foreskin cutter are placed in described bell-type cutter intracavity towards one end of described push broach dish, and bell-type foreskin cutter lean out bell-type cutter chamber towards one end of described glans penis cap, at the bell-type cutter intracavity of described push broach dish and towards one end of described axially extending bore, form and have a mobile pole socket chamber communicating with axially extending bore, at the Bi Shangyi interval, chamber in mobile pole socket chamber state, form and have one group of guiding rib guide groove, on the outer wall of described mobile pole socket, form and have one group of guiding rib that quantity equates with guiding rib guide groove and position is corresponding, guiding rib is slidably matched with guiding rib guide groove, the other end of described carriage release lever is passing the bell-type foreskin cutter chamber of bell-type foreskin cutter successively, mobile pole socket chamber, axially extending bore, after carriage release lever cover and balance mover centre bore, with thread fiting mode, set described adjusting knob.
In another specific embodiment of the present invention, appointing in described a pair of handgrip valve, selects and on a handgrip valve, to offer an insurance pin-and-hole, in described balance mover, offer the position shifter lock hole corresponding with insurance pin-and-hole, in insurance pin-and-hole and shifter lock hole, be jointly inserted with a safety plug.
In another specific embodiment of the present invention, at described push broach dish sheath, on the wall body of one end of described a pair of handgrip valve and in the position facing each other, offer a pair of card base hole, this a pair of card base hole communicates with described shifter mating cavity, a pair of handgrip valve inserts described shifter mating cavity towards one end of push broach dish sheath, and on outer wall, each forms a card base, card base and card base hole phase scarf.
In another specific embodiment of the present invention, the mode that described a pair of handgrip valve coordinates with Tenon is each other configured to one, wherein: while having extended tenon on one of them the handgrip valve in a pair of handgrip valve, on another handgrip valve in a pair of handgrip valve and offer mortise in the position corresponding to tenon; And while offering mortise on one of them the handgrip valve in a pair of handgrip valve, on another handgrip valve in a pair of handgrip valve and extended tenon in the position corresponding to mortise.
Of the present invention, also have in a specific embodiment, in described balance mover and towards one end of described adjusting knob, form and have Connection Block in flakes, on Connection Block, offering Connection Block axis hole in flakes in flakes, on Connection Block axis hole, be hingedly connected with one end in flakes in flakes, and that the other end is in flakes stretched over the outer and described handgrip of described balance mover sliding cavity is pivotally connected, wherein: when described handgrip is while being a pair of, described handgrip hinged seat has correspond to each other and distribute a pair of, and the described axis hole of Connection Block in flakes has corresponding distribute a pair of, described also should having mutually is in flakes a pair of, and when described handgrip is one, described handgrip hinged seat has one, and the described axis hole of Connection Block is in flakes also one, describedly be in flakes one piece.
More of the present invention and in a specific embodiment, the both sides of long side direction or the accent position of side formation at described balance mover sliding cavity have chute in flakes, described match with chute in flakes in flakes, wherein, when described handgrip is while being a pair of, at the accent position of the both sides of the long side direction of described balance mover sliding cavity, each forms a chute in flakes, and when described handgrip is one, the accent position of any side in the both sides of the long side direction of described balance mover sliding cavity forms a chute in flakes.
In of the present invention and then a specific embodiment, on described bell-type foreskin cutter, be arranged with a blade protective cover, by this blade protective cover, described blade is covered and protected.
Of the present invention again more and in a specific embodiment, described blade is one side blade or two-sided blade.
In again of the present invention and then a specific embodiment, described blood coagulation hemostasis self-absorption cushion rubber is for filling with the Fibrin Glue circle that has thrombin.
One of technical scheme provided by the invention technique effect compared with the prior art, due to without using suturing nail, thereby can save the parts such as screw position, suturing nail clubfoot dish and cutter felt, and structure is significantly simplified, and is extremely conducive to manufacture and assembling; Two, owing to having adopted blood coagulation hemostasis self-absorption cushion rubber, thus be conducive to wound oneself healing and without after surgery on a special trip medical department remove suturing nail, the time that both can save operation receiveing person, can alleviate again medical worker's workload; Three, owing to having abandoned suturing nail, thereby can not give operation receiveing person's wound scar, stop likely operation receiveing person to be produced the factor of psychological impact; Four, because overall structure has obtained remarkable simplification, thereby cost is minimized, and effectively reduces operation receiveing person's expense expenditure.
Accompanying drawing explanation
Fig. 1 is first embodiment of the present invention structure chart.
Fig. 2 is second embodiment of the present invention structure chart.
Fig. 3 is application examples schematic diagram of the present invention.
The specific embodiment
For the auditor that the makes Patent Office especially public can be expressly understood technical spirit of the present invention and beneficial effect more, applicant elaborates the mode with embodiment below, but to the description of embodiment, be not all the restriction to the present invention program, any according to the present invention design, done only for pro forma but not substantial equivalent transformation all should be considered as technical scheme category of the present invention.
Embodiment 1:
All directionality concepts that relates to front, back, left, right, up, down and so on are all the residing location status of accompanying drawing when describing in the following description, its objective is and be convenient to public understanding, thereby can not think whereby the specific limited to the present invention program.
Refer to Fig. 1, provided a balance mover driving mechanism 1, this balance mover driving mechanism 1 comprises a pair of handgrip valve 11 and a pair of handgrip 12, the shape of a pair of handgrip valve is identical and match and be configured to one in the mode facing each other with size, as shown in Figure 1, in a pair of handgrip valve 11 above (take location status shown in Fig. 1 as example, as follows) two ends of a side of the rearward-facing handgrip valve of handgrip valve are extended with the tenon 116(that quantity do not illustrated restricted number and also can claim that tenon or title connect pin), therewith adaptably, on a handgrip valve below and at the position corresponding to tenon 116, offer the mortise 117 that quantity equates with tenon 116, to enter in mortise 117 for aforesaid tenon 116 tenons, therefore, the mode that a pair of handgrip valve 11 is combined with Tenon is each other configured to one.According to professional general knowledge, aforesaid tenon 116 and mortise 117 position on a pair of handgrip valve 11 can be exchanged completely.Each formation of an aspectant side at a pair of handgrip valve 11 has balance mover sliding cavity 111, knob base 112 and handgrip hinged seat 113, wherein: one end that knob base 112 is positioned at a pair of handgrip valve 11 is the left end of location status shown in Fig. 1, and handgrip hinged seat 113 is positioned at the right-hand member that the other end of a pair of handgrip valve 11 is shown position state, on knob base 112, be concaved with the adjusting knob groove 1121 that is rotatably assorted, at the accent position of the both sides of the length direction (being long side direction) of aforesaid balance mover sliding cavity 111, each forms a chute 1111 in flakes.In addition, the position placed in the middle of the length direction of the handgrip valve above in a pair of handgrip valve 11 also offers an insurance pin-and-hole 114.Certainly, if insurance pin-and-hole 114 is opened in to another, be on the handgrip valve below shown in Fig. 1, be fine so completely, in insurance pin-and-hole 114, be furnished with a safety plug 1141.The handgrip 12 that a pair of structure is identical is hinged on a pair of handgrip valve 11, more precisely, be hinged on aforesaid handgrip hinged seat 113, specifically: on handgrip hinged seat 113, offer hinged pin-and-hole 1131, on a pair of handgrip 12, respectively offer handgrip hinge hole 121, with handgrip hinging pin shaft 11311, insert hinged pin-and-hole 1131 and handgrip hinge hole 121 handgrip 12 and handgrip hinged seat 113 is hinged,, a pair of handgrip 12 is hinged with a pair of handgrip valve 11, and a pair of handgrip valve 11 is preferably used plastics manufacture.
As preferred scheme, the one end that also can deviate from balance mover sliding cavity 111 at a pair of handgrip valve 11 is that each formation of left end of location status shown in Fig. 1 has a lock ring step 118, at a pair of handgrip valve 11, close up and be configured to after one, one lock ring 1181 is nested with on lock ring step 118, the collaborative lower fiting effect that ensures a pair of handgrip valve 11 by this lock ring step 118 at lock ring 1181, stops a pair of handgrip valve 11 phase mutual exclusions to be opened.
One balance mover 2 is provided in aforesaid balance mover sliding cavity 111 slidably, one end of the push broach dish sheath 3 that also will describe below this balance mover 2 deviates from is that the left end of shown position state is connected with aforesaid a pair of handgrip 12, specifically: at the aforementioned left end of balance mover 2, form and have a Connection Block 24 in flakes, at this, on Connection Block 24, offer a pair of axis hole of Connection Block in flakes 241 in flakes, this a pair of axis hole of Connection Block in flakes 241 is around apart 180 ° of the circumferencial direction of Connection Block 24 in flakes, on a pair of axis hole of Connection Block in flakes 241, be respectively hinged with an one end of 2411 in flakes, there is shown a bearing pin 24111 that is positioned at the one end that is formed in flakes 2411, by this bearing pin 24111, insert hinged seat axis hole 241 in flakes and make in flakes one end of 2411 and hinged seat 24 in flakes be articulated and connected, 2411 the other end is in transit is in flakes stretched over outside balance mover sliding cavity 111 and by axle 24112 is pivotally connected with handgrip 12 in flakes after aforesaid chute in flakes 1111, there is shown the hinged seat in flakes 122 being formed on a pair of handgrip 12, hinged seat 122 is hinged in flakes with this for aforementioned axle in flakes 24112.One end that the central authorities of the length direction of balance mover 2 offer a self-balancing shifter 2 connects the balance mover centre bore 22 to the other end, and the right-hand member that is location status shown in Fig. 1 towards one end of the push broach dish sheath 3 that also will describe below in balance mover 2 offers one group of balance mover gathering sill 21 with interval state, this group of balance mover gathering sill 21 is obviously to distribute around the circumferencial direction interval (equidistant intervals) of balance mover 2.
In order to prevent that the movement of appearance from appearring not wishing in balance mover 2, also prevent the movement of balance mover 2 under non-working condition, therefore in this balance mover 2 and in the position corresponding to aforesaid insurance pin-and-hole 114, offer a shifter lock hole 23, aforesaid safety plug 1141 is insinuated in this shifter lock hole 23.So, as long as safety plug 1141 is not recessed in shifter lock hole 23, even if hold so, pinch a pair of handgrip 12, this a pair of handgrip 12 there will not be move toward one another, because balance mover 2 is insured, pin 1141 is locked in balance mover sliding cavity 111, cannot to the direction of push broach dish sheath 3, slide to the right.
In the present embodiment, because handgrip 12 has a pair of, therefore aforesaid handgrip hinged seat 113 has corresponding distribute a pair of, and Connection Block axis hole 241 has corresponding distribute a pair of in flakes, 2411 also should have a pair ofly mutually in flakes, and aforesaid chute in flakes 1111 respectively has one at the accent position of the both sides of the long side direction of balance mover sliding cavity 111.
Provided a push broach dish sheath 3 of repeatedly mentioning above, these push broach dish sheath 3 positions at the right-hand member corresponding to aforementioned balance mover 2 and aforesaid balance mover driving mechanism 1 connect, and match with balance mover 2, more precisely this push broach dish sheath 3 connects with the right-hand member of a pair of handgrip valve 11.
Aforementioned push broach dish sheath 3 forms a push broach dish chamber 31, this push broach dish chamber 31 forms and has a shifter mating cavity 311 towards one end of balance mover 2 (left end shown in Fig. 1) narrow contracting, and the middle position formation at this shifter mating cavity 311 has a carriage release lever cover 312, between the outer wall of carriage release lever cover 312 and the inwall of shifter mating cavity 311, with interval state (more precisely with radiation regimes), form and have one group of guide vane 3121, the quantity of this group of guide vane 3121 is equal with aforesaid balance mover gathering sill 21 and position is corresponding.After balance mover 2 is removing safety plug 1141 and under the action of a pair of handgrip 12 of balance mover driving mechanism 1 by flakes 2411 and self-balancing shifter sliding cavity 111 when the direction of push broach dish sheath 3 moves right, balance mover gathering sill 21 just enters guide vane 3121, also can understand like this: guide vane 3121 enters in balance mover gathering sill 21.
On the wall body of aforesaid push broach dish sheath 3 one end towards a pair of handgrip valve 11 (diagram left end) and the position facing each other in the position of apart 180 ° of the circumferencial direction around push broach dish sheath 3 offer a pair of card base hole 32, this a pair of card base hole 32 communicates with aforementioned shifter mating cavity 311, a pair of handgrip valve 11 is that the right-hand member of shown position inserts shifter mating cavity 311 and respectively forms and have a card base 115 on outer wall towards one end of push broach dish sheath 3, card base 115 following that card base gathering sill 3111 on the chamber wall that is formed in shifter mating cavity 311 enters in card base hole 32 and with card base hole 32 scarves, that is to say that card base 115 embeds card base hole 32, thereby push broach sheath 3 is matched with a pair of handgrip valve 11 of balance mover driving mechanism 1.
Provided a push broach dish 4, this push broach dish 4 is arranged in the push broach dish chamber 31 of aforementioned push broach dish sheath 3 movably, and matches with aforesaid balance mover 2.As shown in Figure 1, push broach dish 4 forms a bell-type cutter chamber 41, and the middle position in the outside of the push broach dish roof 42 of this push broach dish 4 is extended with a push broach axle 421, the central authorities of push broach axle 421 form a bell-type cutter chamber 41, and the middle position in the outside of the push broach dish roof 42 of this push broach dish 4 is extended with a push broach axle 421, the central authorities of push broach axle 421 form an axially extending bore 4211 communicating with bell-type cutter chamber 41, on push broach axle 42 and along the length direction of push broach axle 42, with interval state, offer the guide vane gathering sill 4212 that quantity equates and position is corresponding of one group of quantity and aforesaid guide vane 3121, guide vane gathering sill 4212 matches with guide vane 3121 and goes out through hole 4211 with axle and communicates.When balance mover 2 moves right, end-acted in the end face of push broach axle 421 by the right-hand member of balance mover 2, thus make push broach dish 4 towards the direction motion of the glans penis cap 6 that also will describe below.
Please continue to refer to Fig. 1, bell-type foreskin cutter 5 have been provided, these bell-type foreskin cutter 5 are arranged on aforementioned push broach dish 4 in any one mode in following two kinds of modes, be arranged in the bell-type cutter chamber 411 of push broach dish 4, and the blade 51 of these bell-type foreskin cutter 5 leans out bell-type cutter chamber 41, it is during with 4 injection mo(u)lding of push broach dish and the bell-type cutter chamber 41 fixing (injection moulding is fixed) of push broach dish 4 by bell-type foreskin cutter 5 that bell-type foreskin cutter 5 are arranged at the first set-up mode on push broach dish 4, the second set-up mode is with parts independently and embed in bell-type cutter chamber 41 by bell-type foreskin cutter 5, and preferably in bell-type cutter chamber 41 interior formations, there is a cooperation step 412, medium pore on the roof of bell-type foreskin cutter 5 is coordinated to step 412 scarves with this.Shown in figure, coordinate step 412 to be positioned at aforementioned push broach dish roof 42 towards the middle position of a side in bell-type cutter chamber 41.The present embodiment selects the second way in aforementioned two kinds of modes that bell-type foreskin cutter 5 are arranged in bell-type cutter chamber 41.
In the bell-type cutter chamber 41 of aforementioned push broach dish 4 and towards one end of axially extending bore 4211, form and have one to go out with axle the Mobile base chamber 411 that through hole 4211 communicates, at Bi Shangyi interval, the chamber in this Mobile base chamber 411 state, form and have one group of guiding rib guide groove 4111.
Preferably, on aforesaid bell-type foreskin cutter 5, be arranged with a blade protective cover 53, by 53 pairs of blades 51 of this blade protective cover, cover and protect.Under non-working condition, for example in the link of storage and transportation and so on can by this blade protective cover 53 guarantee blade 51 with below the blood coagulation hemostasis self-absorption cushion rubber 7 that also will mention separate, before foreskin is implemented to cutting, this blade protective cover 53 is removed.In the present embodiment, although illustrated blade 51 for one side blade, can use with face blade completely.
Provided a glans penis cap 6 of having mentioned above, this glans penis cap 6 form to have one show with glans penis 8(Fig. 3 of male genital organ) what match is suitable glans penis chamber 61, in the roof central authorities of this glans penis cap 6 and back to the side in glans penis chamber 61, form and move pole socket 62, at this, move on the outer wall of pole socket 62 and with interval state, form along the length direction of mobile pole socket 62 a line guiding rib 622 that has quantity to equate with the quantity of aforesaid guiding rib guide groove 4111, this group guiding rib 622 and the rib guide groove 4111 that leads are slidably matched.As shown in Figure 1, on mobile pole socket 62, be fixed with one end (diagram right-hand member) of a carriage release lever 621, and the other end of this carriage release lever 621 (diagram left end) is passing the cutter chamber 52 of bell-type foreskin cutter 5 successively, the axially extending bore 4211 of push broach axle 421, the carriage release lever cover centre bore 3122 of the carriage release lever cover 312 of push broach dish 3, after the balance mover centre bore 22 of balance mover 2, with thread fiting mode, be equipped with an adjusting knob 6211, one end of adjusting knob 6211 is that the left end shown in Fig. 1 leans out a pair of handgrip valve 11, and the other end to be right-hand member shown in Fig. 1 form has a valve to coordinate boss 62111, this valve coordinates boss 62111 to match with aforesaid adjusting knob fit 1121.Shown in figure, on the outer wall of the base portion of glans penis cap 6, turning to form has an annular concave path 63, and this annular concave path 63 is corresponding with aforesaid blade 51.
Provided as a blood coagulation hemostasis self-absorption cushion rubber 7 that forms the technical essential of technical scheme provided by the invention, this blood coagulation hemostasis self-absorption cushion rubber 7 is embedded in aforesaid annular concave path 63, and blood coagulation hemostasis self-absorption cushion rubber 7 is for filling with the Fibrin Glue circle that has thrombin in cavity volume.In the present embodiment, fill with in described cavity volume have the Fibrin Glue circle of thrombin preferably use by the Shanghai City, China New Times biological equipment Co., Ltd produce and at the trade mark of market public offering, be MEFS-III type medical operation sebific duct.Hence one can see that, because the application is applied to circumcision apparatus in a creative way by this medical operation sebific duct, thereby makes circumcision apparatus embody all sidedly the technique effect referring in superincumbent technique effect hurdle.In addition,, because this Fibrin Glue circle has certain elasticity, therefore aforesaid blood coagulation hemostasis self-absorption cushion rubber 7 is preferably annular, but also can be rectangle.
Embodiment 2:
Refer to Fig. 2, in the present embodiment, for embodiment 1, the quantity of handgrip 12 changes one into, because handgrip 12 is only one, therefore aforesaid handgrip hinged seat 113 is one, Connection Block axis hole 241 is one in flakes, 2411 is one piece in flakes, only need form chute 1111 in flakes in the accent position of a side corresponding with handgrip 12 in a side of the long side direction of balance mover sliding cavity 111.All the other are all with the description to embodiment 1.
Application examples:
Ask for an interview Fig. 3 and in conjunction with Fig. 1; in the time will implementing foreskin cutting operation to redundant prepuce patient or phimosis patient; first by operative doctor, remove aforesaid blade protective cover 53; and glans penis cap 6 is matched by above stated specification and adjusting knob 6211; again the glans penis chamber of glans penis cap 6 61 covers are put on phallic glans penis 8; namely make glans penis 8 in glans penis chamber 61, and by operative doctor, the foreskin of operation receiveing person's redundancy 81 is routed up and covered glans penis cap 6 on the wall body of a side in glans penis chamber 61.Then pull out safety plug 1141, by operative doctor, hold and pinch a pair of handgrip 12(to take a pair of handgrip 12 of embodiment 1 be example), balance mover 2 is moved in the interior direction to push broach dish sheath 3 of balance mover sliding cavity 111, because the end face of the spindle nose of push broach axle 421 is corresponding with balance mover 2 and match (said here match refer to contact), therefore when by balance mover 2 along balance mover sliding cavity 111 when the direction of glans penis cap 6 moves when the right-hand member of location status shown in Fig. 1 and Fig. 3 moves, just drive (promotion) push broach dish 4(by push broach axle 421), by push broach dish 4, drive bell-type foreskin cutter 5 simultaneously, until the blade 51 of bell-type foreskin cutter 5 cuts off foreskin 81, in the moment that cuts off foreskin 81, the blood coagulation hemostasis self-absorption cushion rubber 7 being embedded in the annular concave path 63 of glans penis cap 6 is cut brokenly (incision) by blade 51 simultaneously, by the thrombin in the cavity volume of blood coagulation hemostasis self-absorption cushion rubber 7, wound blood coagulation hemostasis is embodied the identical effect of wound.
In sum, technical scheme provided by the invention has overcome the shortcoming in prior art, has completed invention task, has cashed the technique effect in technique effect hurdle, thus can yet be regarded as be one ultimate attainment and be able to the technical scheme in clinical use.
Claims (10)
1.
an Endo-GIA, comprises a balance mover driving mechanism (1), one balance mover (2) and a push broach dish sheath (3), balance mover (2) is connected with balance mover driving mechanism (1), and the direction towards described push broach dish sheath (3) under the driving of balance mover driving mechanism (1) is moved, and push broach dish sheath (3) connects in the position corresponding to balance mover (2) and balance mover driving mechanism (1), and match with balance mover (2), one push broach dish (4), this push broach dish (4) is arranged on movably in described push broach dish sheath (3) and matches with described balance mover (2), one bell-type foreskin cutter (5), it is upper that these bell-type foreskin cutter (5) are arranged on described push broach dish (4), and the blade (51) of these bell-type foreskin cutter (5) leans out push broach dish (4), one glans penis cap (6), this glans penis cap (6) forms a glans penis chamber (61), in the roof central authorities of this glans penis cap (6) and back to the side of glans penis chamber (61), form and move pole socket (62), at this, move the one end that is fixed with a carriage release lever (621) on pole socket (62), and the other end of this carriage release lever (621) is passing described bell-type foreskin cutter (5) successively, push broach dish (4), push broach dish sheath (3), after balance mover (2) and balance mover driving mechanism (1), be equipped with an adjusting knob (6211), this adjusting knob (6211) is rotatably assorted with balance mover driving mechanism (1), on the outer wall of the base portion of glans penis cap (6), turn to form and have an annular concave path (63), this annular concave path (63) is corresponding with described blade (51), it is characterized in that: also include a blood coagulation hemostasis self-absorption cushion rubber (7), this blood coagulation hemostasis self-absorption cushion rubber (7) is embedded in described annular concave path (63) and is corresponding with described blade (51).
2.
foreskin Endo-GIA according to claim 1, it is characterized in that described balance mover driving mechanism (1) comprises a pair of handgrip valve (11) and an a pair of or handgrip (12), a pair of handgrip valve (11) faces each other and coordinates and be combined as a whole, each formation of the side facing each other at this pair of handgrip valve (11) has a balance mover sliding cavity (111), one knob base (112) and an a pair of or handles hinged seat (113), wherein, knob base (112) is positioned at handgrip valve (11) towards one end of described adjusting knob (6211), and knob base (112) forms the adjusting knob groove (1121) that is rotatably assorted, one end of described adjusting knob (6211) leans out a pair of handgrip valve (11), and other end formation has a valve to coordinate boss (62111), this valve coordinates boss (62111) and the adjusting knob groove (1121) that is rotatably assorted to be rotatably assorted, described handgrip hinged seat (113) is positioned at handgrip valve (11) towards one end of described push broach sheath (3), handgrip (12) is hinged with handgrip hinged seat (113), one end that described balance mover (2) deviates from described push broach dish sheath (3) is connected with described handgrip (12), and balance mover (2) offers one group of balance mover gathering sill (21) towards one end of push broach dish sheath (3) and around the circumferencial direction of balance mover (2) with interval state, and one end that the axial central authorities of balance mover (2) offer a self-balancing shifter (2) connects the balance mover centre bore (22) to the other end, described push broach dish sheath (3) has a push broach dish chamber (31), this push broach dish chamber (31) is towards the narrow shifter mating cavity (311) that shortened in one end of described balance mover (2), and the middle position formation at shifter mating cavity (311) has a carriage release lever cover (312), between the outer wall of carriage release lever cover (312) and the inwall of shifter mating cavity (311), with interval state, form and to have one group of quantity and balance mover gathering sill (21) equates and position is corresponding guide vane (3121), a pair of handgrip valve (11) is in one end of push broach dish sheath (3) probes into shifter mating cavity (311), described balance mover gathering sill (21) matches with guide vane (3121), described push broach dish (4) is contained in described push broach dish chamber (31), this push broach dish (4) has a bell-type cutter chamber (41), and the outside middle position at the push broach dish roof (42) of this push broach dish (4) is extended with a push broach axle (421), push broach axle (421) has an axially extending bore (4211) communicating with bell-type cutter chamber (41), upper and along the length direction of push broach axle (42), with interval state, offer the quantity guide vane gathering sill (4212) equal and that position is corresponding of one group of quantity and described guide vane (3121) at push broach axle (42), guide vane gathering sill (4212) matches with guide vane (3121) and communicates with axially extending bore (4211), described balance mover (2) is corresponding towards one end end face of balance mover (2) with push broach axle (421) towards one end end face of push broach dish sheath (3), described bell-type foreskin cutter (5) are in one end of described push broach dish (4) is placed in described bell-type cutter chambeies (41), and bell-type foreskin cutter (5) lean out bell-type cutter chamber (41) towards one end of described glans penis cap (6), in the bell-type cutter chamber (41) of described push broach dish (4) and towards one end of described axially extending bore (4211), form and have a mobile pole socket chamber (411) communicating with axially extending bore (4211), at the Bi Shangyi interval, chamber in mobile pole socket chamber (411) state, form and have one group of guiding rib guide groove (4111), on the outer wall of described mobile pole socket (62), form and have one group of guiding rib (622) that quantity is equal with guiding rib guide groove (4111) and position is corresponding, guiding rib (622) is slidably matched with guiding rib guide groove (4111), the other end of described carriage release lever (621) is passing the bell-type foreskin cutter chamber (52) of bell-type foreskin cutter (5) successively, mobile pole socket chamber (411), axially extending bore (4211), after carriage release lever cover (312) and balance mover centre bore (22), with thread fiting mode, set described adjusting knob (6211).
3.
foreskin Endo-GIA according to claim 1 and 2, it is characterized in that appointing in described a pair of handgrip valve (11) selects offers an insurance pin-and-hole (114) on a handgrip valve, in described balance mover (2), offer the position shifter lock hole (23) corresponding with insurance pin-and-hole (114), in insurance pin-and-hole (114) and shifter lock hole (23), be jointly inserted with a safety plug (1141).
4.
foreskin Endo-GIA according to claim 2, it is characterized in that offering on the wall body of one end of described a pair of handgrip valve (11) and in the position facing each other at described push broach dish sheath (3) a pair of card base hole (32), this a pair of card base hole (32) communicates with described shifter mating cavity (311), a pair of handgrip valve (11) inserts described shifter mating cavity (311) towards one end of push broach dish sheath (3), and on outer wall, each forms a card base (115), card base (115) and card base hole (32) phase scarf.
5.
according to the foreskin Endo-GIA described in claim 1 or 2 or 4, it is characterized in that the mode that described a pair of handgrip valve (11) coordinates with Tenon is each other configured to one, wherein: while having extended tenon on one of them the handgrip valve in a pair of handgrip valve (11), on another handgrip valve in a pair of handgrip valve (11) and offer mortise in the position corresponding to tenon; And while offering mortise on one of them the handgrip valve in a pair of handgrip valve (11), on another handgrip valve in a pair of handgrip valve (11) and extended tenon in the position corresponding to mortise.
6.
foreskin Endo-GIA according to claim 2, it is characterized in that upper in described balance mover (2) and form and have Connection Block (24) in flakes towards one end of described adjusting knob (6211), on Connection Block (24), offering Connection Block axis hole (241) in flakes in flakes, on Connection Block axis hole (241) in flakes, be hingedly connected with in flakes the one end of (2411), and the other end of (2411) is stretched over outside described balance mover sliding cavity (111) pivotally connected with described handgrip (12) in flakes, wherein: when described handgrip (12) is while being a pair of, described handgrip hinged seat (113) has correspond to each other and distribute a pair of, and the described axis hole of Connection Block in flakes (241) has corresponding distribute a pair of, described (2411) in flakes also should have a pair of mutually, and when described handgrip (12) is one, described handgrip hinged seat (113) has one, and the described axis hole of Connection Block in flakes (241) is also one, described (2411) are in flakes one piece.
7.
foreskin Endo-GIA according to claim 6, it is characterized in that there is chute (1111) in flakes in the both sides of long side direction or the accent position of the side formation of described balance mover sliding cavity (111), match with chute (1111) in flakes in described (2411) in flakes, wherein, when described handgrip (12) is while being a pair of, at the accent position of the both sides of the long side direction of described balance mover sliding cavity (111), each forms a chute (1111) in flakes, and when described handgrip (12) is one, the accent position of any side in the both sides of the long side direction of described balance mover sliding cavity (111) forms a chute (1111) in flakes.
8.
foreskin Endo-GIA according to claim 1, is characterized in that on described bell-type foreskin cutter (5), being arranged with a blade protective cover (53), by this blade protective cover (53), described blade 51 is covered and is protected.
9.
foreskin Endo-GIA according to claim 1, is characterized in that described blade (51) is one side blade or two-sided blade.
10.
foreskin Endo-GIA according to claim 1, is characterized in that described blood coagulation hemostasis self-absorption cushion rubber (7) is for filling with the Fibrin Glue circle that has thrombin.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201310512070.0A CN103536342B (en) | 2013-10-25 | 2013-10-25 | Prepuce cutting anastomat |
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| CN201310512070.0A CN103536342B (en) | 2013-10-25 | 2013-10-25 | Prepuce cutting anastomat |
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Cited By (6)
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| CN104799938A (en) * | 2014-03-12 | 2015-07-29 | 潘莉娟 | Electrocoagulation component and application |
| CN104958091A (en) * | 2015-07-24 | 2015-10-07 | 宜春善德科技有限公司 | Foreskin cutting suture instrument |
| CN106456210A (en) * | 2014-04-09 | 2017-02-22 | 瑟可姆克工业生产射频企业有限公司 | Circumcision aid |
| CN107397564A (en) * | 2017-07-14 | 2017-11-28 | 欣瑞德（江苏）医疗科技有限公司 | Foreskin cuts paster |
| CN107529431A (en) * | 2017-09-12 | 2018-01-02 | 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 | A kind of prepuce cutting stitching instrument |
| CN107789039A (en) * | 2017-11-15 | 2018-03-13 | 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 | A kind of adjustable prepuce cutting stitching instrument of suturing nail |
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Cited By (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104799938A (en) * | 2014-03-12 | 2015-07-29 | 潘莉娟 | Electrocoagulation component and application |
| CN106456210A (en) * | 2014-04-09 | 2017-02-22 | 瑟可姆克工业生产射频企业有限公司 | Circumcision aid |
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| CN104958091B (en) * | 2015-07-24 | 2018-12-14 | 宜春善德科技有限公司 | A kind of prepuce cutting stitching instrument |
| CN107397564A (en) * | 2017-07-14 | 2017-11-28 | 欣瑞德（江苏）医疗科技有限公司 | Foreskin cuts paster |
| CN107529431A (en) * | 2017-09-12 | 2018-01-02 | 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 | A kind of prepuce cutting stitching instrument |
| CN107789039A (en) * | 2017-11-15 | 2018-03-13 | 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 | A kind of adjustable prepuce cutting stitching instrument of suturing nail |
| CN107789039B (en) * | 2017-11-15 | 2020-04-21 | 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 | Suturing nail adjustable prepuce cutting suturing device |
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