CN103767771A

CN103767771A - Disposable circumcising anastomat

Info

Publication number: CN103767771A
Application number: CN201410033173.3A
Authority: CN
Inventors: 商建忠; 商晶晶
Original assignee: Individual
Current assignee: Individual
Priority date: 2014-01-11
Filing date: 2014-01-23
Publication date: 2014-05-07

Abstract

The invention discloses a disposable circumcising anastomat. The disposable circumcising anastomat comprises an outer ring and an inner ring, wherein the outer ring is provided with an opening and the opening is closed by a fixing device; at least one circle of knife edge is arranged on the inner side of the outer ring and the knife edge is divided into a knife face and a cutting edge; the knife edges at the two ends of the opening are provided with an upper half part knife edge combining part and a lower half part knife edge combining part which are matched with each other; the inner ring is provided with at least one ring of groove. The important improvement of the disposable circumcising anastomat is that the fixing device comprises a first fixed seat and a second fixed seat which are arranged at the two ends of the opening, and a screw rod, wherein the second fixed seat is provided with a perforated hole and an inclined concave part is arranged on the inner wall of the perforated hole; the screw rod is provided with an elastic part which is inclined and extended outwards; the inclined direction of the elastic part is the same as that of the concave part; the rotary closing direction of the screw rod is opposite to the inclined direction of the elastic part; the connection part of the first fixed seat and the outer ring and the connection part of the second fixed seat and the outer ring are bent parts. The invention provides the circumcising anastomat which reduces the operation, can avoid repeated utilization and has a self-destroying function.

Description

Disposable circumcision anastomat

Technical field

The present invention relates to a kind of medical apparatus and instruments, a kind of disposable circumcision anastomat is particularly provided.

Background technology

Adult's Wrapping annulus cuts operation is extensively approved reducing the effect that HIV propagates, and the disposable circumcision anastomat of Mr. Shang Jianzhong design has improved safety and the standardization of Wrapping annulus cuts operation greatly.The mode that it adopts internal ring and outer shroud to coordinate, can, first at the sheathed internal ring of penis, utilize outer shroud and internal ring to step up foreskin, and occlude blood circulation, then cuts unnecessary foreskin.Wear afterwards the certain natural law of this disposable circumcision stapler, until wound healing.It arranges type self-destroyed clamping block closed lock solid structure at outer shroud opening part, efficiently solves traditional prepuce ring-cutter tool and uses screw rod screw to connect and the apparatus that causes is reused problem, has greatly improved safety and the standardization of Wrapping annulus cuts operation.

But due to the problem of operating habit, a lot of people are still accustomed to using the mode of screw rod closure, for the user demand of consumer, applicant has designed reservation screw rod closed manners, increases to prevent that apparatus from reusing and with the innovation structure of self-destroying function simultaneously.

In addition, existing disposable circumcision anastomat, arranges clad on the outer shroud edge of a knife, inlays elastic tape on internal ring, and in the process of extruding foreskin, the two sides of contact foreskin is soft materials, can reduce patient's pain and sense of discomfort.

But, in clinical practice process, different patients' foreskin situation difference, although design different all footpaths size for the patient of all ages and classes section,, that still cannot consider is exhaustive, especially some patient's foreskin is thin, some patient's foreskin is thick, although can be suitable for identical all footpaths size, patient's impression is still different.The problems such as especially, wearing in process, foreskin easily slides, and the patient that particularly foreskin is thin slides more obvious, has caused healing environmental damage, and surgical effect is not good, healing time prolongation.The present invention is directed to this problem, also carried out improvement design.

Summary of the invention

The object of the invention is to solve existing prepuce ring-cutter uses screw rod closed manners cannot realize disposable technical problem.

The technical solution used in the present invention is: a kind of disposable circumcision anastomat, and this anastomat for circumcision includes outer shroud and internal ring, and outer shroud has opening, and opening is by fixture closure; At least one circle edge of a knife inside this outer shroud, this edge of a knife is divided into knife face and blade; The edge of a knife at opening two ends has first half edge of a knife junction and the Lower Half edge of a knife junction of mutual coupling; At least one circle groove of described internal ring, emphasis of the present invention improves and is: described fixture comprises the first holder and the second holder that are arranged on opening two ends, and screw rod; Described the second holder is provided with perforation, and described perforation inwall has the recess of inclination, has the elastic of outward-dipping extension on described screw rod, and elastic is identical with recess incline direction, and the opposite direction of the rotating closed direction of screw rod and elastic inclination; Described the first holder and the second holder and outer shroud junction are broken part.

Wherein, described recess and elastic are month cusp shape or reaping hook point youngster shape, and wherein elastic is that plastics or rubber are made.Or described elastic is lamellar, column or the tabular protuberance being obliquely installed.

The present invention adopts such scheme, can retain the fit system of screw rod and nut, has increased the new construction of counnter attack spinfunction and type self-destroyed function simultaneously.

On this scheme basis, after outer shroud and internal ring extruding closure, outside edge of a knife blade and outer shroud, groove circumference pressure is 0.1-3.5N/mm inside this outer shroud.

On this basis, in order further to reduce the expense of making mould, designer proposes a kind of design of independent nut button.It is specially: also include nut button, the accommodation space matching with this nut button is set in described the first holder, in this nut button and accommodation space, be provided with anti-rotation structure.

Be buckled in screw rod rotary course and rotate for fear of nut, described accommodation space is polygon, and described nut button is polygon with matching.Or on described nut button outer wall, be designed with tenon, in described accommodation space, be provided with tenon mouth.

In the actual production manufacturing process of product, need first mold just can produce, screw rod and nut are conventional accessory, can purchase separately.Like this, just without offering screw thread on the holder for prepuce ring-cutter, only need the installing space of a reserved nut button, can greatly save die sinking expense.

Accompanying drawing explanation

Fig. 1 is the overall structure schematic diagram under opening open mode of the present invention.

Fig. 2 is the axonometric chart of screw rod in the present invention.

Fig. 3 is the upward view of screw rod.

Fig. 4 is the overall structure schematic diagram under opening closure state of the present invention.

Fig. 5 is the front view under opening closure state of the present invention.

Fig. 6 is the cross section view along B-B direction.

Fig. 7 is the structural representation of the second embodiment in the present invention.

Fig. 8 is the structural representation that in the present invention, screw rod is connected separately with nut button.

Fig. 9 is provided with cushion on the blade of the outer shroud edge of a knife, and blade upper process is coated on cushion inner structure schematic diagram.

Figure 10 is the cutaway view of Fig. 9 along A-A direction.

Figure 11 is provided with cushion on the blade of the outer shroud edge of a knife and the knife back, and blade upper process is coated on cushion inner structure schematic diagram.

Figure 12 is the cutaway view of Figure 10 along A-A direction.

Figure 13 is provided with cushion on whole outer shroud, and blade upper process is coated on cushion inner structure schematic diagram.

Figure 14 is the cutaway view of Figure 13 along A-A direction.

Figure 15 is provided with cushion on the blade of the outer shroud edge of a knife, and blade upper process runs through the structural representation that cushion exposes.

Figure 16 is the cutaway view of Figure 15 along A-A direction.

Figure 17 is provided with cushion on the blade of the outer shroud edge of a knife and the knife back, and blade upper process runs through the structural representation that cushion exposes.

Figure 18 is the cutaway view of Figure 17 along A-A direction.

Figure 19 is provided with cushion on whole outer shroud, and blade upper process runs through the structural representation that cushion exposes.

Figure 20 is the cutaway view of Figure 19 along A-A direction.

Figure 21 is the cushion structural representation that goes out be provided with buffering salient point corresponding with projection.

Figure 22 is the structural representation that outer shroud is provided with one of them half-turn part of double knife edges.

Figure 23 is that outer shroud adopts the structural representation in described opening combination when double knife edges.

The schematic diagram that when Figure 24 is the outer shroud employing monolayer edge of a knife, first half edge of a knife first half edge of a knife junction and Lower Half edge of a knife junction combine.

Figure 25 is the outer shroud schematic diagram that first half edge of a knife first half edge of a knife junction and Lower Half edge of a knife junction combine while adopting the double-deck edge of a knife.

Figure 26 is the schematic diagram that outer shroud adopts triad structure.

Figure 27 is the schematic diagram that outer shroud adopts one C type structure.

Figure 28 is the schematic diagram that outer shroud adopts oval incline structure.

Figure 29 is the schematic diagram that internal ring adopts oval incline structure.

The specific embodiment

Disposable prepuce ring-cutter of the present invention, this anastomat for circumcision includes outer shroud 10 and internal ring 20, and outer shroud has opening 40, and opening 40 is by fixture 50 closures; At least one circle edge of a knife 30 inside this outer shroud, this edge of a knife divides 30 for knife face 31 and blade 32; This edge of a knife 30 has first half edge of a knife junction 33 and the Lower Half edge of a knife junction 34 of mutual coupling at the two ends of opening 40; At least one circle groove of described internal ring 20, can be inlaid with elastic tape 70 in this groove.

As shown in Figures 1 to 6, emphasis of the present invention improves and is: outer ring opening two ends are respectively arranged with the first holder 1 and the second holder 2, also include screw rod 3, and screw rod 3 has nut and screw thread.Described the second holder 2 is provided with perforation 4, the screwed hole bolt that screw rod 3 is wholely set through perforation 4 and the first holder 1.In order to realize locked anti-open function, the recess 5 of some inclinations is set on the inwall of the perforation 4 of the second holder 2, in the present embodiment, the plurality of recess 5 concentrated settings are on the inwall of the first half of perforation 4, the number of groove, to reach locked object, can certainly be provided with a circle recess in perforation 4.Accordingly, be provided with the elastic 7 of multiple inclinations between described screw rod 3 nuts and screw thread, described elastic 7 is identical with recess 5 incline directions in perforation, and the rotating closed opposite direction of the incline direction of elastic 7 (yawing moment) and screw rod 3.To such an extent as to when screw rod and screw are when rotating closed, the elastic of inclination can be squeezed, and to be unlikely to affect screw rod rotating closed in deformation.If screw rod is oppositely opened, the elastic of inclination will holding in groove, stop screw rod to be opened.Described elastic 7 can be spring steel plate, can be also the elasticity outthrust that rubber or plastics are made.Its shape can be column, tabular, can be also the pointed or pointed shape of reaping hook of the crescent moon shown in Fig. 1 or Fig. 2 or Fig. 3.

The edge of a knife in the present invention is dull edge, in operation process, can not cause patient skin cut off or bleed and be advisable.

Through overtesting, after outer shroud and internal ring extruding closure, edge of a knife blade 32 is 0.1-3.5N/mm with internal ring 20 outside groove circumference pressure inside this outer shroud.As shown in Figure 1, this pressure refer to the every mm length of blade 32 in figure to act on the pressure on groove outside pressed internal ring be 0.1-3.5N.This pressure limit is the thick foreskin of reply and one group of designed scope of data of thin foreskin.These data are the better selection of one.

As shown in Figure 1, the rotating closed direction of described screw rod is clockwise, and in contrast, according to this design principle, the incline direction of projection and groove is definite for the incline direction of described elastic or groove, and shape is any.

Refer to shown in Fig. 7 and Fig. 8, its second embodiment for adopting in the present invention, in described the first holder 1, split is provided with in nut button 9, the first holders 1 and offers in advance the accommodation space 6 matching with it.In order to prevent that nut button from accommodation space, relative rotation occurring, this nut button 9 can be the polygonized structures such as triangle, tetragon, also can on circular basis, be provided with anti-rotation structure, be provided with tenon (conventional design as buckled at nut, not drawing), the corresponding tenon mouth (conventional design, not drawing) coordinating with it that is provided with on the accommodation space of the first holder.So arrange, screw rod and nut all can be purchased separately, in manufacturing process, without for the independent die sinking of holder one screw thread, save die sinking cost.

In addition, the present invention is directed to foreskin thickness difference and proposed a kind of new scheme, that is: this anastomat for circumcision includes outer shroud 10 and internal ring 20, outer shroud 10 has opening 40, opening 40 is by fixture 50 closures, and this outer shroud 10 has the edge of a knife 30, and this edge of a knife 30 is divided into knife face 31 and blade 32, these edge of a knife 3 blade 32 sides are connected with cushion 60, and another improvement of the present invention is to arrange on blade 32 some projections 321.Refer to shown in Fig. 9 to Figure 20, it discloses six kinds of different technical schemes.

Refer to shown in Fig. 9 and Figure 10, on the blade 32 of the outer shroud edge of a knife, one deck cushion 60 is set, and blade 32 upper processs 321 are coated on the structural representation of cushion 60 inside.

Refer to shown in Figure 11 and Figure 12, on the blade 32 of the outer shroud edge of a knife and the knife back 31, be all coated with cushion 60, the projection 321 arranging on blade 32 is coated on the structural representation of cushion 60 inside.

Refer to shown in Figure 13 and Figure 14, for being all coated with cushion 60 on whole outer shroud 10, the projection 321 arranging on blade 32 is coated on the structural representation of cushion 60 inside.

Above-mentioned three kinds of embodiments, are applicable to the patient that foreskin is thicker, on the basis of cushion pad, increase projection, can further fix foreskin, prevent from sliding in the process of wearing, and cause healing effect not good, and healing time is long.

Refer to shown in Figure 15 and Figure 16, on the blade 32 of the outer shroud edge of a knife, one deck cushion 60 is set, and blade 32 upper processs 321 run through cushion 60 and expose.

Refer to shown in Figure 17 and Figure 18, on the blade 32 of the outer shroud edge of a knife and the knife back 31, be all coated with cushion 60, and blade 32 upper processs 321 run through cushion 60 and expose.

Refer to shown in Figure 19 and Figure 20, for being all coated with cushion 60 on whole outer shroud 10, and blade 32 upper processs 321 run through cushion 60 and expose.

Above-mentioned three kinds of embodiments, are applicable to the patient that foreskin is thinner, and on the basis of cushion pad, projection is stretched out cushion, can stretch into foreskin, and guarantee clamping foreskin, prevent from sliding in the process of wearing.

Described cushion is generally silica gel or soft rubber material, and, at described cushion 60 and projection 321 opposite positions, equally also be provided with salient point 601, as shown in figure 21, further strengthen skidproof effect, make cushion better with mating of the edge of a knife, strengthened the convenience of operation.

Refer to shown in Figure 22, on outer shroud 110, at least there are two edges of a

knife

111 and 112, each edge of a knife forms respectively first half edge of a knife junction 113 and Lower Half edge of a knife junction 114 in the both sides of opening, this first half edge of a knife junction 113 and Lower Half edge of a knife junction 114 form and the seamless structure in smoothing junction of adjacent part by upper and lower overlapped setting.As shown in figure 23, it is to include the structural representation at opening part after the outer shroud closure of two edges of a knife, between described two edges of a knife, is formed with cavity 115, can place absorbent cotton or ointment, on the outer shroud ring wall between described double knife edges, is provided with injection orifice 116.

Refer to Figure 24, it is as shown in Figure 1, while adopting the monolayer edge of a knife, and the schematic diagram of first half edge of a knife first half edge of a

knife junction

33 and 34 combinations of Lower Half edge of a knife junction.

Refer to shown in Figure 25, it is as shown in Figure 22 and Figure 23, while adopting the double-deck edge of a knife, and the schematic diagram of first half edge of a knife first half edge of a

knife junction

113 and 114 combinations of Lower Half edge of a knife junction.

In above-described embodiment, outer shroud all adopts split type syndeton, as shown in Figure 1, described outer shroud comprises left and right half coil structures, left and right half-turn connects by link 80, the described edge of a knife is provided with first half edge of a knife junction and Lower Half edge of a knife junction equally at link 80 places, to avoid in outer shroud closing course, and clamping foreskin.

Shown in Figure 26, it,, for the schematic diagram of outer shroud employing triad structure, except having opening 40, also has two links 801 and 802.No matter adopt that Split type structure, described opening must be arranged on the top corresponding with scrotum position, and link is arranged on the position of staggering with scrotum position.

In addition, as shown in figure 27, outer shroud 100 can also adopt the one C type structure of soft plastic material, the knife-edge part at outer shroud 100 opening two ends has first half edge of a knife junction 330 and Lower Half edge of a knife junction 340, and described first half edge of a knife junction 330 and 340 outer ends, Lower Half edge of a knife junction have fillet 35.

As shown in Figure 28 and Figure 29, this internal ring 201 and outer shroud 101 sides are incline structure, and this internal ring and outer shroud are the oval circulus of mutually mating.It is the technical scheme that outer shroud adopts ellipse to tilt, and oval tilt schemes is more suitable for organization of human body, can strengthen the comfort level of apparatus.

Claims

1. a disposable circumcision anastomat, this anastomat for circumcision includes outer shroud and internal ring, and outer shroud has opening, and opening is by fixture closure; At least one circle edge of a knife inside this outer shroud, this edge of a knife is divided into knife face and blade; The edge of a knife at opening two ends has first half edge of a knife junction and the Lower Half edge of a knife junction of mutual coupling; At least one circle groove of described internal ring, is characterized in that:

Described fixture comprises the first holder (1) and the second holder (2) that are arranged on opening two ends, and screw rod (3);

Described the second holder (2) is provided with perforation (4), described perforation (4) inwall has the recess (5) of inclination, on described screw rod (3), there is the elastic (7) of outward-dipping extension, elastic (7) is identical with recess (5) incline direction, and the opposite direction of the rotating closed direction of screw rod (3) and elastic (7) inclination;

Described the first holder (1) and the second holder (2) are broken part (8) with outer shroud junction.

2. disposable circumcision anastomat as claimed in claim 1, is characterized in that: after outer shroud and internal ring extruding closure, outside edge of a knife blade and internal ring, groove circumference pressure is 0.1-3.5N/mm inside this outer shroud.

3. disposable circumcision anastomat as claimed in claim 1, it is characterized in that: also include nut button (9), the accommodation space (6) matching with this nut button (9) is set in described the first holder (1), between described nut button (9) and accommodation space (6), is provided with anti-rotation structure.

4. disposable circumcision anastomat as claimed in claim 3, is characterized in that: described accommodation space is polygon, and described nut button is polygon with matching; Or on described nut button outer wall, be designed with tenon, in described accommodation space, be provided with tenon mouth.

5. disposable circumcision anastomat as claimed in claim 4, is characterized in that: described groove and elastic are month cusp shape or reaping hook point youngster shape, and wherein elastic is that plastics or rubber are made.

6. disposable circumcision anastomat as claimed in claim 4, is characterized in that: described elastic is lamellar, column or the tabular protuberance being obliquely installed.

7. disposable circumcision anastomat as claimed in claim 1, is characterized in that:

The blade side of the described edge of a knife is connected with cushion, is provided with some projections on described blade.

8. disposable circumcision anastomat as claimed in claim 7, is characterized in that: described cushion extends the knife face of the coated edge of a knife.

9. disposable circumcision anastomat as claimed in claim 7, is characterized in that: described cushion extends coated whole outer shroud.

10. disposable circumcision anastomat as claimed in claim 7, is characterized in that: it is characterized in that, described projection runs through that cushion exposes or be built-in.

11. disposable circumcision anastomats as claimed in claim 10, is characterized in that, this cushion extends the knife face of the coated edge of a knife.

12. disposable circumcision anastomats as claimed in claim 10, is characterized in that, this cushion extends coated whole outer shroud.

13. disposable circumcision anastomats as described in as arbitrary in claim 7-12, is characterized in that, this cushion outside is provided with projection equally.

14. disposable circumcision anastomats as claimed in claim 13, it is characterized in that, outer shroud adopts split type syndeton, and it has link and opening, opening is arranged on the top corresponding with scrotum position, and link is arranged on the position of staggering with scrotum position.

15. disposable circumcision anastomats as described in as arbitrary in claim 13, is characterized in that, outer shroud adopts triad formula structure, is provided with an opening and two links.

16. disposable circumcision anastomats as claimed in claim 13, is characterized in that, this outer shroud adopts split type syndeton, and it is left and right half coil structures, and left and right half-turn is connected by link.

17. as the disposable circumcision anastomat as described in arbitrary in claim 1 to 12 or 13 to 16, it is characterized in that, this outer shroud is integrated C type structure.

18. as the disposable circumcision anastomat as described in arbitrary in claim 1 to 12 or 13 to 16, it is characterized in that, on described outer shroud, at least there are two edges of a knife, each edge of a knife forms respectively first half edge of a knife junction and Lower Half edge of a knife junction in the both sides of opening, this first half edge of a knife junction and Lower Half edge of a knife junction form and the seamless structure in smoothing junction of adjacent part by upper and lower overlapped setting.

19. disposable circumcision anastomats as claimed in claim 18, is characterized in that, on the outer shroud ring wall between described double knife edges, are provided with injection orifice.

20. as the disposable circumcision anastomat as described in arbitrary in claim 1 to 12 or 13 to 16, it is characterized in that, described first half edge of a knife junction and Lower Half edge of a knife junction are provided with fillet.

21. as the disposable circumcision anastomat as described in arbitrary in claim 1 to 12 or 13 to 16, it is characterized in that the sheathed elastic tape of described groove.

22. as the disposable circumcision anastomat as described in arbitrary in claim 1 to 12 or 13 to 16, it is characterized in that, this cushion is silica gel or soft rubber material.

23. as the disposable circumcision anastomat as described in arbitrary in claim 1 to 12 or 13 to 16, it is characterized in that, this internal ring and outer shroud side are incline structure, and this internal ring and outer shroud are the oval circulus of coupling mutually.

24. disposable circumcision anastomats as claimed in claim 1, is characterized in that: the described edge of a knife is dull edge.