CN104224283B - Foreskin loop cutter - Google Patents

Foreskin loop cutter Download PDF

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Publication number
CN104224283B
CN104224283B CN201410272814.0A CN201410272814A CN104224283B CN 104224283 B CN104224283 B CN 104224283B CN 201410272814 A CN201410272814 A CN 201410272814A CN 104224283 B CN104224283 B CN 104224283B
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CN
China
Prior art keywords
foreskin
gear frame
foreskin loop
drive
frame
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Active
Application number
CN201410272814.0A
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Chinese (zh)
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CN104224283A (en
Inventor
商晶晶
商建忠
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Wuhu Snnda Medical Treatment Appliance Tech Co Ltd
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商晶晶
商建忠
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Priority to CN201410272814.0A priority Critical patent/CN104224283B/en
Priority to CN201610685010.2A priority patent/CN106236204B/en
Publication of CN104224283A publication Critical patent/CN104224283A/en
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Publication of CN104224283B publication Critical patent/CN104224283B/en
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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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115—Staplers for performing anastomosis in a single operation
    • A61B17/1155—Circular staplers comprising a plurality of staples
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

A kind of Foreskin loop cutter, including：Positioner, actuation means and drive device.The blood vessel that positioner is configured on the glans penis and foreskin to human body is positioned.Actuation means include：Main body frame, the positioner is arranged on the main body frame；Apparatus for ligating, on the main body frame, and is configured to drive multiple to tighten multiple blood vessels that part is tightened on oriented foreskin respectively；And device for excising, on the main body frame, and including annular cutting knife.Drive device is arranged on the main body frame, and is configured to drive the apparatus for ligating and device for excising so that part is tightened described in the apparatus for ligating driving and is tightened the blood vessel and is then caused that the annular cutting knife of the device for excising cuts off long foreskin.Hemostasis by ligation can be carried out to blood vessel on foreskin, it is ensured that the security of operation before long foreskin is cut off.

Description

Foreskin loop cutter
Technical field
The present invention relates to a kind of surgical medical equipment, more particularly to a kind of bag long for cutting off male penis The Foreskin loop cutter of skin.
Background technology
Redundant prepuce or phimosis are one of roots of male urinary system infection and sexually transmitted disease.Redundant prepuce or bag Stem can cause urinary tract infection so as to cause chronic prostatitis, it may appear that have a pain in the back, a series of symptoms such as impotence and premature ejaculation, because This, it is to prevent one of good measure of these illnesss to remove long foreskin.
Traditionally, using phimosis or long foreskin is surgically removed, technical essential is the unnecessary foreskin of excision, stops Blood and incisxal edge skin apposition suture.Postoperative patient need to lie up, and often change medicine all hurt like hell, also be stood when taking out stitches huge Big pain, such as hemostasis by ligation can thoroughly not cause foreskin hemotoncus, then need surgical procedure again.Further, since cutting off foreskin and stopping Blood process is performed separately, and extends operating time, exacerbates the Psychological phobia of patient.
Have developed at present and laser and electric knife technology have been applied to the treatment method peritomized, though the treatment method So instead of scissors cut and blutpunkte can be solidified.But this treatment method meeting burn patient tissue, and easy infection.
The content of the invention
It is to solve of the prior art above-mentioned or other technical problems, the present invention provides a kind of Foreskin loop cutter, can be with Before long foreskin is cut off, hemostasis by ligation is carried out to blood vessel on foreskin, it is ensured that the security of operation.
An a kind of inventive embodiment of the invention, there is provided Foreskin loop cutter, including：Positioner, actuating dress Put and drive device.Positioner is configured to position the glans penis and foreskin of human body.Actuation means include：Body frame Frame, the positioner is arranged on the main body frame；Apparatus for ligating, on the main body frame, and is configured to Multiple is driven to tighten multiple blood vessels that part is tightened on oriented foreskin respectively；And device for excising, installed in the body frame On frame, and including annular cutting knife.Drive device is arranged on the main body frame, and be configured to drive the apparatus for ligating and Device for excising so that part is tightened described in the apparatus for ligating driving and is tightened the blood vessel and is then caused the ring of the device for excising Shape cutting knife cuts off long foreskin.
In above-mentioned Foreskin loop cutter, the positioner includes：Positioning cylinder, is configured to that the glans penis can be enclosed within On；And support surface, the near-end of the positioning cylinder is arranged on, for foreskin to be supported on into the positioning cylinder.
In above-mentioned Foreskin loop cutter, the angle between the axis of the support surface and the positioning cylinder is acute angle, The scope of the angle is 30-60 degree.
In above-mentioned Foreskin loop cutter, multiple forming tanks, the multiple forming tank cyclization are formed on the support surface Arrange to shape and be configured to tighten on corresponding blood vessel the part that tightens with apparatus for ligating cooperation.
In above-mentioned Foreskin loop cutter, ring liner is provided with the support surface, the ring liner is arranged on institute State the side of forming tank.
In above-mentioned Foreskin loop cutter, the first diaphragm of annular is coated with the forming tank.
In above-mentioned Foreskin loop cutter, multiple mark depressions or raised, each described mark are formed on the positioning cylinder Know depression or projection is alignd in radial directions with corresponding forming tank.
In above-mentioned Foreskin loop cutter, the positioner also includes clamping band, and the clamping band is arranged on the positioning The periphery of cylinder, the outside of the positioning cylinder is clamped to the foreskin that will extend over the support surface.
In above-mentioned Foreskin loop cutter, the clamping band is provided with the multiple ratchets for allowing the clamping band unidirectionally to clamp.
In above-mentioned Foreskin loop cutter, the main body frame includes：Body barrel；And inner barrel, it is arranged on the master The inner side of body cylinder, forms actuating space between the body barrel and inner barrel, and the near-end of the inner barrel and described Body barrel is connected by connecting portion.
In above-mentioned Foreskin loop cutter, the apparatus for ligating includes：Storage device, the storage device is arranged in described The outside of the distal end of cylinder, part is tightened for storing multiple；And first actuating mechanism, it is configured to drive the part that tightens to prick Blood vessel on the tight foreskin being positioned.
In above-mentioned Foreskin loop cutter, the storage device includes：Storage ring, installed in the outer of the distal end of the inner barrel Side；And multiple storage holes, it is formed in the storage ring, the storage hole is in radial directions positioned at the inner barrel The outside of outer wall, the part that tightens is respectively stored in the storage hole.
In above-mentioned Foreskin loop cutter, the storage ring is provided with the second diaphragm for covering the storage hole.
In above-mentioned Foreskin loop cutter, first actuating mechanism includes：First annular support frame, is arranged on the actuating In space；Multiple actuating arms, installed in the distal end of the first annular support frame, and are configured to drive the storage hole Tighten part；And multiple first drivings post (152), installed in the near-end of the first annular support frame, and it is passed through institute The corresponding first through hole stated on connecting portion is stretched out from the proximal end face of the connecting portion.
In above-mentioned Foreskin loop cutter, the storage device also includes；Skirt section, deposits in the outside of the inner barrel from described Storage ring near-end extends；And multiple maintaining parts, proximally extend from the storage ring, and the upper inner barrel that reclines outer wall On, each described actuating arm is from being inserted into corresponding storage hole between the skirt section and maintaining part.
In above-mentioned Foreskin loop cutter, the device for excising includes：Second ring holder, second ring holder The outside of the first annular support frame is arranged on, the annular cutting knife is arranged on the distal end of second ring holder；With And multiple second driving posts, installed in the near-end of second ring holder, and it is passed through the phase on the connecting portion The second through hole is answered to be stretched out from the proximal end face of the connecting portion.
In above-mentioned Foreskin loop cutter, the device for excising also includes：First gear frame, forms on first gear frame Second through hole；And second gear frame, the second driving post is resisted against on the surface of the distal end of second gear frame, described Multiple third through-holes are formed on second gear frame, each described first driving post passes through the corresponding third through-hole to be resisted against institute On the surface of the distal end for stating the first gear frame.
In above-mentioned Foreskin loop cutter, the near-end of the first annular support frame is provided with least one first mounting posts, institute State the first mounting post to be removably mounted on first gear frame, the near-end of second ring holder is provided with least one Individual second mounting post, second mounting post is removably mounted on second gear frame.
In above-mentioned Foreskin loop cutter, the positioner also includes multiple installing arms, and the installing arm is pivotly pacified Mounted in the distal end of the positioning cylinder, the free end of the installing arm is formed with screw thread.
In above-mentioned Foreskin loop cutter, multiple locating slots are formed in the body barrel, the installing arm described in each from It is arranged in corresponding locating slot by end；One mounting ring be rotatably installed in the body barrel and with the installing arm Free end is screwed.
In above-mentioned Foreskin loop cutter, the body barrel includes Part I and Part II, wherein Part I External diameter is more than the external diameter of Part II, and the locating slot is formed on the Part I；The near-end of the mounting ring be provided with to The flange of interior radially protruding, the flange is set on the second portion.
In above-mentioned Foreskin loop cutter, the drive device includes：Connection housing, is connected to the second of the body barrel Part；Drive division, is rotatably mounted to the connection housing, and the drive division is in the axial direction relative to the connection shell Body is not moved；And follower, the follower be configured to be cooperated with the drive division with drive first gear frame and Second gear frame is moved in axial direction.
In above-mentioned Foreskin loop cutter, the follower includes：First follower, is configured to be cooperated with the drive division To drive first gear frame to be moved in axial direction；And second follower, it is configured to cooperate with driving with the drive division Second gear frame is moved to be moved in axial direction.
In above-mentioned Foreskin loop cutter, time of first follower movement less than second follower movement when Between.
In above-mentioned Foreskin loop cutter, the drive division includes that coaxially arranged the first driving threaded portion and second drives spiral shell Line portion.First follower includes：First driven shaft, the first driven shaft is provided with nibbles with the described first driving threaded portion The the first slave thread portion closed；And the first axial move portion, be configured under the driving of the first driven shaft relative to The connection housing axial movement, so as to drive first gear frame to move axially.Second follower includes：Second from Moving axis, the second driven shaft is passed through from the first driven shaft, and the second driven shaft is provided with and described second Drive the second slave thread portion of threaded portion engagement；And the second axial movement portion, it is configured in the second driven shaft Relative to the connection housing axial movement under driving, so as to drive second gear frame to move axially.
In above-mentioned Foreskin loop cutter, elasticity is provided between the Part II of the body barrel and second gear frame Resetting means.
In above-mentioned Foreskin loop cutter, the device for excising also includes：First gear frame, forms on first gear frame Second through hole；And second gear frame, the first driving post is resisted against on the surface of the distal end of second gear frame, described Multiple third through-holes are formed on second gear frame, the second driving post is resisted against described first and passes through the third through-hole On the surface of the distal end of moving frame.
In above-mentioned Foreskin loop cutter, the positioner also includes multiple attachment means, and the attachment means are arranged on The near-end of the positioning cylinder.
In above-mentioned Foreskin loop cutter, the distal end of the body barrel is pivotably connected with the attachment means；At least One locating rod is fixed on in the near-end of the distal end of the body barrel and the positioning cylinder, and be configured to can It is inserted into the corresponding aperture on another being formed in the near-end of the distal end of the body barrel and the positioning cylinder.
In above-mentioned Foreskin loop cutter, the drive device includes：First drive elastic component, be arranged on the connecting portion with Between second gear frame；And second drive elastic component, be arranged on first gear frame and second gear frame it Between, wherein described first drives the coefficient of elasticity of the coefficient of elasticity less than the described second driving elastic component of elastic component.
In above-mentioned Foreskin loop cutter, the drive device also includes：Drive division, is configured to relative to the main body cylinder Body moves axially to drive first gear frame.
In above-mentioned Foreskin loop cutter, the drive division includes：Rotating part；And axial movement portion, it is configured to and institute State rotating part to be rotatably engaged, moved axially relative to the body barrel with when the rotating part rotates.
In above-mentioned Foreskin loop cutter, the axial movement portion includes：Support frame；Joint portion, is arranged on support frame as described above Near-end surface on, and be configured to be screwed with the rotating part；And guiding bar, it is arranged on the remote of support frame as described above On the surface at end, and be installed in the groove being formed on the inwall of the body barrel, with prevent support frame as described above relative to The body barrel is rotated.
In above-mentioned Foreskin loop cutter, at least one locating rod is fixed on the distal end of the body barrel and the positioning tube On in the near-end of body, and the distal end that is configured to can be plugged into be formed in the body barrel and the positioning cylinder In corresponding aperture on another in near-end.
In above-mentioned Foreskin loop cutter, the drive device includes：First drive elastic component, be arranged on the connecting portion with Between second gear frame；And second drive elastic component, be arranged on first gear frame and second gear frame it Between, wherein described first drives the coefficient of elasticity of the coefficient of elasticity less than the described second driving elastic component of elastic component.
In above-mentioned Foreskin loop cutter, the drive device also includes：Drive division, is configured to relative to the main body cylinder Body moves axially to drive first gear frame.
In above-mentioned Foreskin loop cutter, the outer wall of the positioning cylinder is provided with threaded portion, and drive division includes rotating cylinder Body, the body barrel is arranged on inside the rotary barrel, and the distal end of the rotary barrel is with the threaded portion rotatably With reference to the near-end of the rotary barrel is provided with end cap, and the end cap is configured to when the rotary barrel rotates by driving First gear frame and compress it is described first drive elastic component and second drive elastic component.
In above-mentioned Foreskin loop cutter, the drive device also includes：Drive link, is arranged on the end cap and described first Between gear frame；And clutch shaft bearing, be arranged between the drive link and the end cap, with allow the drive rod relative to The end cap is rotated.
In above-mentioned Foreskin loop cutter, also the second axle including being arranged between the body barrel and the rotary barrel Hold.
In above-mentioned Foreskin loop cutter, the device for excising also includes：First gear frame, forms on first gear frame Second through hole；And second gear frame, the second driving post is resisted against on the surface of the distal end of second gear frame, described Multiple third through-holes are formed on second gear frame, the first driving post is resisted against first transmission through the third through-hole On the surface of the distal end of frame.
In above-mentioned Foreskin loop cutter, the drive device includes：First drive elastic component, be arranged on the connecting portion with Between second gear frame；And second drive elastic component, be arranged on first gear frame and second gear frame it Between, wherein described first drives the coefficient of elasticity of the coefficient of elasticity more than the described second driving elastic component of elastic component.
According to further embodiment of the present invention, a kind of Foreskin loop cutter is also provided, including：Positioner, actuation means And drive device.Positioner is configured to position the glans penis and foreskin of human body.Actuation means, including：Main body frame, The positioner is arranged in the main body frame；Apparatus for ligating, on the main body frame, and is configured to drive Multiple tightens multiple blood vessels that part is tightened on oriented foreskin respectively；And device for excising, on the main body frame, And including annular cutting knife.Drive device is arranged on the main body frame, and is configured to drive the apparatus for ligating and excision Device so that the annular cutting knife excision that part tightens the blood vessel and the device for excising is tightened described in the apparatus for ligating driving The foreskin of the blood vessel including being tightened.
In above-mentioned Foreskin loop cutter, the positioner includes：Positioning cylinder, is constructed such that the glans penis part Be inserted into it is described positioning cylinder in；Flange, forms in the distal radial outwardly convex of the positioning cylinder；And support table Face, is formed on the face towards near-end of the flange, and removed foreskin is described fixed across being supported on after the flange On the cylinder of position.
In above-mentioned Foreskin loop cutter, multiple forming tanks, the multiple forming tank cyclization are formed on the support surface Arrange to shape and be configured to tighten on corresponding blood vessel the part that tightens with apparatus for ligating cooperation, in the support Surface is provided with ring liner, and the forming tank is arranged on the periphery of the ring liner.
In above-mentioned Foreskin loop cutter, the angle between the axis of the support surface and the positioning cylinder is acute angle, The scope of the angle is 30-60 degree..
In above-mentioned Foreskin loop cutter, the main body frame includes body barrel；The apparatus for ligating includes：Storage dress Put, the storage device is arranged on the inner side of the distal end of the body barrel, part is tightened for storing multiple；And first actuating Mechanism, is configured to tighten the blood vessel that part is tightened on the foreskin being positioned described in driving.
In above-mentioned Foreskin loop cutter, the storage device includes：Storage ring, installed in the distal end of the body barrel Inner side；And multiple storage parts, it is formed in the storage ring, the part that tightens is respectively stored in the storage part.
In above-mentioned Foreskin loop cutter, first actuating mechanism includes：Inner barrel, is configured in the body barrel Inside moved in the axial direction relative to the body barrel；Multiple actuating arms, are formed in the distal end of the inner barrel, and It is configured to drive in the storage part and tightens part；And annular cutting knife, it is fixed on the inside of the actuating arm in described Cylinder, the distal end of the annular cutting knife is substantially concordant with the distal end of the actuating arm.
In above-mentioned Foreskin loop cutter, the near-end of the inner barrel is provided with actuation part, and the actuation part can be in the master Moved in body cylinder, and be provided with and reach follower outside the body barrel.
Above-mentioned Foreskin loop cutter also includes fixing device, and the fixing device is configured to prevent the positioning tube body phase pair In body barrel axial movement.
In above-mentioned Foreskin loop cutter, the fixing device includes：Locating rod, is fixed on the positioning cylinder, described Actuation part can be moved axially in the outside of the locating rod relative to the locating rod；And installation portion, the installation portion phase Fixed for the body barrel.
In above-mentioned Foreskin loop cutter, the near-end of the body barrel is provided with cooperation cylinder, and the actuation part is slideably It is arranged in the cooperation cylinder, and the follower stretches out the cooperation by the slit being formed on the cooperation cylinder Cylinder, the installation portion is fixed on the near-end of the cooperation cylinder.
In above-mentioned Foreskin loop cutter, the near-end of the actuation part is provided with the sliding cylinder that can be slided in the cooperation cylinder Body, the follower is arranged on the sliding barrel.
In above-mentioned Foreskin loop cutter, it is provided between the sliding barrel and the flange being formed in inside the body barrel Back-moving spring.
In above-mentioned Foreskin loop cutter, the drive device includes：Handle, the distal end of the handle is outer with body barrel Portion is pivotally connected；And connecting rod, be connected to the provided at one of the connecting rod the handle proximally and distally between, it is described The other end of connecting rod is pivotally connected to the follower.
The Foreskin loop cutter of above-mentioned various embodiments of the invention, the bundle of staple is will be similar to that using apparatus for ligating Tight part is tightened on the blood vessel in foreskin, and using device for excising annular cutting knife by long circumcision, it is possible to reduce hand Loss of blood during art, reduces the possibility that genitals infect, and alleviates the pain of male patient.
Brief description of the drawings
The present invention with reference to the accompanying drawings to further describe, wherein：
Fig. 1 is the schematic perspective view of the Foreskin loop cutter of the first embodiment of the invention；
Fig. 2A is the schematic perspective view when axial direction of the Foreskin loop cutter shown in Fig. 1 is cut open；
Fig. 2 B are the enlarged diagrams of the part A shown in Fig. 2A；
Fig. 3 is the sectional view in axial direction of the Foreskin loop cutter shown in Fig. 1；
Fig. 4 is the partial exploded view of the Foreskin loop cutter shown in Fig. 1；
Fig. 5 is the decomposing schematic representation of the Foreskin loop cutter shown in Fig. 1；
Fig. 6 A are the schematic perspective views of the broken section of the positioner of the Foreskin loop cutter shown in Fig. 4；
Fig. 6 B are the decomposing schematic representations of the positioner shown in Fig. 6 A；
Fig. 7 A are the three-dimensional signals of the broken section in the released state of the actuation means of the Foreskin loop cutter shown in Fig. 4 Figure；
Fig. 7 B be the actuation means of the Foreskin loop cutter shown in Fig. 4 in working order under broken section three-dimensional signal Figure；
Fig. 8 A are a kind of schematic perspective views of broken section of the main body frame of the actuation means shown in Fig. 7 A, are omitted in figure Mounting ring；
Fig. 8 B are the schematic perspective views of another broken section of the main body frame of the actuation means shown in Fig. 8 A, and Tu Zhong is saved Mounting ring is omited；
Fig. 9 A are a kind of schematic perspective views of the storage ring of the actuation means shown in Fig. 5；
Fig. 9 B are another schematic perspective views of the storage ring of the actuation means shown in Fig. 5；
Fig. 9 C are the enlarged diagrams of the part B shown in Fig. 9 B；
Figure 10 is the enlarged diagram of the first actuating mechanism shown in Fig. 5；
Figure 11 is the enlarged diagram of the second actuating mechanism shown in Fig. 5；
Figure 12 is the enlarged diagram of the first gear frame shown in Fig. 5 and the second gear frame；
Figure 13 is the decomposing schematic representation of the broken section of the drive device of the Foreskin loop cutter shown in Fig. 5；
Figure 14 is the three-dimensional signal when axial direction of the Foreskin loop cutter of second embodiment of the invention is cut open Figure；
Figure 15 is the decomposing schematic representation of the Foreskin loop cutter of second embodiment of the invention；
Figure 16 be the Foreskin loop cutter shown in 15 positioner separated with main body frame in the case of in axial direction cut open Schematic perspective view when opening；
Figure 17 is the decomposing schematic representation of the Foreskin loop cutter shown in 16, and wherein actuation means are under release conditions；
Figure 18 is the enlarged diagram of the C portion shown in Figure 17；
Figure 19 is the decomposing schematic representation of the Foreskin loop cutter shown in 16, wherein actuation means it is in running order under；
Figure 20 is the enlarged diagram of the D parts shown in Figure 19；
Figure 21 is that the one kind when axial direction of the Foreskin loop cutter of the third embodiment of the invention is cut open is three-dimensional Schematic diagram；
Figure 22 is that the another kind when axial direction of the Foreskin loop cutter of the third embodiment of the invention is cut open stands Body schematic diagram；
Figure 23 is the partial exploded view of the Foreskin loop cutter shown in 21；
Figure 24 is the partial exploded view of the Foreskin loop cutter shown in 22；
Figure 25 is the detailed decomposing schematic representation of the Foreskin loop cutter of the third embodiment of the invention；
Figure 26 is the schematic perspective view of the positioner of the Foreskin loop cutter shown in Figure 24；
Figure 27 is the schematic perspective view of the actuation means of the Foreskin loop cutter shown in Figure 24, and wherein actuation means are in release Under state；
Figure 28 is the schematic perspective view of the actuation means of the Foreskin loop cutter shown in Figure 24, and wherein actuation means are in work Under state and remove back-moving spring；
Figure 29 is the decomposing schematic representation of the drive device of the Foreskin loop cutter shown in Figure 24；
Figure 30 is the schematic perspective view of the broken section of the Foreskin loop cutter of the 4th kind of embodiment of the invention；
Figure 31 is the schematic perspective view when axial direction of the Foreskin loop cutter shown in Figure 30 is cut open；
Figure 32 is the decomposing schematic representation of the Foreskin loop cutter shown in Figure 31；
Figure 33 is the enlarged diagram of the G parts shown in Figure 32；
Figure 34 is the drive device of the Foreskin loop cutter shown in Figure 32 and the schematic perspective view of partial actuation device；
Figure 35 is the decomposing schematic representation of Figure 34；
Figure 36 is the enlarged diagram of the H parts shown in Figure 35；
Figure 37 is the schematic perspective view of the partial actuation device of the Foreskin loop cutter shown in Figure 34；
Figure 38 is the enlarged diagram of the L portion shown in Figure 37, for ease of understanding in figure, has cut off part-toroidal cutting knife； And
Figure 39 is the overall schematic perspective view of the installation sleeve of the Foreskin loop cutter shown in Figure 35.
Specific embodiment
Although accompanying drawing of the reference containing presently preferred embodiments of the present invention is fully described into the present invention, should before being described herein Understanding one of ordinary skill in the art can change invention described herein, while obtaining technique effect of the invention.Cause This, it should be understood that the description of the above is an extensive announcement for one of ordinary skill in the art, and its content does not lie in limit System exemplary embodiment described in the invention.
For ease of understanding, herein, such as by taking the Foreskin loop cutter 100 shown in Fig. 1 as an example, by the hand of excision foreskin One end (left end of such as Fig. 1) near human body of Foreskin loop cutter and its all parts is referred to as distal end during art, will wrap One end or the one end (right-hand member of such as Fig. 1) near surgical staff operation away from human body of skin girdling device and its all parts Referred to as near-end.
In addition, in the following detailed description, for ease of explaining, elaborating many concrete details to provide to present disclosure The comprehensive understanding of embodiment.It should be apparent, however, that one or more embodiments can also in the case of without these details It is carried out.In other cases, known construction and device diagrammatically embodies to simplify accompanying drawing.
Fig. 1-13 shows the Foreskin loop cutter 100 of the first embodiment of the invention.It is of the invention referring to Fig. 3 Foreskin loop cutter 100 is used to remove the long foreskin or phimosis of male patient, including positioner 11, the and of actuation means 12 Drive device 13.Positioner 11 is configured to position the glans penis and foreskin of human body.Actuation means 12 include body frame Frame, apparatus for ligating and device for excising.Positioner 11 is arranged on the main body frame.Apparatus for ligating is arranged on main body frame On, and be configured to drive multiple to tighten multiple blood vessels that part (not shown) is tightened on oriented foreskin respectively.Device for excising On the main body frame, and including annular cutting knife 16.Drive device 13 is arranged on main body frame, and is configured to drive The dynamic apparatus for ligating and device for excising so that part is tightened described in the apparatus for ligating driving and is tightened the blood vessel and is then caused The annular cutting knife excision of the device for excising includes the foreskin (not shown) of the blood vessel for being tightened.
Foreskin loop cutter of the invention 100, the part that tightens that will be similar to that staple first with apparatus for ligating is tightened On blood vessel in foreskin, the annular cutting knife 16 of device for excising is recycled afterwards by long circumcision, so, it is possible to reduce Loss of blood, reduces the possibility that genitals infect, and alleviates the pain of male patient.It is fixed on tightening on blood vessel Part can be with the recovery from illness Automatic-falling of wound, it is not necessary to extra operation technique.
Referring to Fig. 1,4,5,6A and 6B, positioner 11 includes being configured to that determining on human body glans penis (not shown) can be enclosed within Position cylinder 111 and support surface 112.Support surface 112 is arranged on the near-end of positioning cylinder 111 and projects radially outward, glans penis It is inserted partially into positioning cylinder 112, will be supported on support surface 112 and continues to distal end after removed foreskin upset Extend.In a kind of exemplary embodiment, the angle between the axis of support surface 112 and positioning cylinder 111 is acute angle, so Meet the shape of glans penis, be easy to cut foreskin.In a kind of exemplary embodiment, the scope of the angle is 30-60 degree.
Further, multiple forming tanks 1121 are formed on support surface 112, the multiple forming tank 1121 circularizes ground cloth Put on support surface 112 and be configured to apparatus for ligating (being described more fully below) cooperation will tighten part tighten it is corresponding On blood vessel.Support surface 112 is provided with ring liner 1122, and the ring liner 1122 is arranged on the periphery of forming tank 1121. Ring liner 1122 may be provided to be formed with the annular groove on support surface 112, cut foreskin for coordinating with annular cutting knife It is disconnected.Ring liner 1122 is made up of such as elastomeric material, to mitigate the pain of patient.The soft of annular is coated with forming tank 1121 First diaphragm 113 of property.First diaphragm 113 can form cushioning effect tightening between part and foreskin, and can promote to heal The Automatic-falling of part is tightened after conjunction, so as to mitigate the pain that patient not exclusively brings because tightening part to come off.
Multiple mark parts 1123, each mark part 1123 and corresponding forming tank are formed in the outer rim of support surface 112 1121 align in radial directions.Mark part 1123 can include mark depression and/or projection.Using this structure, inciting somebody to action Foreskin is turned to when on support surface 112, will cover forming tank 1121.Surgical staff is observed that blood vessel and experiences mark Portion, aligns and blood vessel can align with forming tank 1121, so as to will tighten part exactly by by blood vessel with mark recess 1123 It is fixed on blood vessel.
Further, positioner 11 also includes clamping band 114, and the clamping band 114 is arranged on the outer of positioning cylinder 111 Enclose, the outside of positioning tube body 111 is clamped to the foreskin that will extend over support surface 112.More specifically, as shown in Figure 6A, fixed Annular groove 1111 is formed on the cylinder 111 of position, can be clamped to foreskin in annular groove 1111 by clamping band 114, in order to avoid the axle of clamping band 114 Line is moved.Clamping band 114 is provided with the multiple ratchets for allowing clamping band 114 unidirectionally to clamp.So, can gradually press from both sides as needed Taut band 114 is gripped, and clamping band 114 is fixed on clamped position.After the completion of operation, can be removed by way of cutting Clamping band 114.
Referring to accompanying drawing 2A, 2B, 7A, 7B, 8A and 8B, main body frame includes：Body barrel 121 and inner barrel 123.Inner cylinder Body 123 is arranged on the inner side of body barrel 121, and actuating space 124 is formed between the body barrel 121 and inner barrel 123, and And the near-end and body barrel 121 of inner barrel 123 are connected by connecting portion 125 (Fig. 8 B).
Apparatus for ligating includes the actuating mechanism of storage device 14 and first.Storage device 14 is arranged on the distal end of the inner barrel Outside, tighten part for storing multiple.First actuating mechanism tightens part and tightens the foreskin being positioned described in being configured to drive On blood vessel.More specifically, referring to Fig. 8 A, 9A-9C, storage device 14 is included installed in the outside of the distal end of inner barrel 123 Storage ring 141 and multiple storage holes 143.Storage hole 143 is formed in storage ring 141, in radial directions positioned at inner barrel 123 Outer wall outside (i.e. in radial directions away from the distance that the outer wall of inner barrel 123 is predetermined), the part that tightens stores respectively In storage hole 143.Storage ring 141 is provided with the second flexible diaphragm 145 (Fig. 7 B) for covering storage hole.Due to tool It is flexible, except can have cushioning effect to the part that tightens for stretching out storage hole 143 so that tighten part and puncturing the second diaphragm Speed increases after 145, so as to more successfully be pierced into the foreskin of human body.Can also be retained in and tighten between part and skin, promote Coming off for part is tightened after entering wound healing.
Referring to Fig. 2 B, 8B and 10, the first actuating mechanism includes：First annular support frame 15, is movably disposed at actuating In space 124；Multiple actuating arms 151, installed in the distal end of first annular support frame 15, and are configured to drive storage in storage Part is tightened in hole 143；And multiple first driving posts 152, installed in the near-end of the first annular support frame 15, and wear The corresponding first through hole 1251 being formed on connecting portion 125 is crossed to be stretched out from the proximal end face of connecting portion 125.Referring to Fig. 8 A, 9A- 9C, storage device 14 also includes skirt section 142 and multiple maintaining parts 144.Skirt section 142 is in the outside of inner barrel 123 from storage ring 141 Proximally extend.Multiple maintaining parts 144 proximally extend from storage ring 141, and on the outer wall of the upper inner barrel 132 that reclines, install Each actuating arm 151 on first annular support frame 15 is inserted into corresponding storage hole between skirt section 142 and maintaining part 144 143, so as to the part that tightens that will be stored in storage hole 143 is driven into forming tank 1121.Similar to the operation principle of stapler, Tighten part to be driven the extruding of arm 151 and forming tank 1121 and deform, so as to tighten the blood vessel on foreskin.
Referring to Fig. 2 B, 5,7A and 11, device for excising includes：Second ring holder 161, second ring holder 161 outsides that first annular support frame 15 is arranged in actuating space 124, annular cutting knife 16 is arranged on the second ring holder 161 distal end；And multiple second driving posts 162, installed in the near-end of second ring holder 161, and it is formed through Corresponding second through hole 1252 on connecting portion 125 (Fig. 8 B) stretches out from the proximal end face of connecting portion 125.With further reference to figure 12, device for excising also includes：First gear frame 154, forms the second through hole 155 on first gear frame 154；And second pass Moving frame 164, the second driving post 162 is resisted against on the surface of the distal end of the second gear frame 164, second gear frame 164 Upper to form multiple third through-holes 165, each first driving post 152 is resisted against the first gear frame through corresponding third through-hole 154 On the surface of 154 distal end.As shown in Fig. 2 B and 3, the second gear frame 164 and the first gear frame 154 are in the outer of connecting portion 125 Portion is from far and being closely sequentially arranged.
Referring to Fig. 2 B, 5,7A and 10-11, the near-end of first annular support frame 15 is provided with least one first mounting posts 153, The through hole 166 that first mounting post is passed through on the second gear frame 164 and the through hole being formed on the first gear frame 154 156 and it is fixed on the first gear frame 154 using bolt 1531, such first mounting post 153 is removably mounted on the first biography 154 in moving frame.The near-end of the second ring holder 161 is provided with least one second mounting posts 163, first mounting post 163 The second through hole 165 for being passed through on the second gear frame 164 is simultaneously fixed on the second gear frame 164 using bolt 1631, this The second mounting post of sample 163 is removably mounted on second gear frame 164.
Referring to Fig. 2A, 2B, 6A, 6B and 7A, positioner 11 also includes multiple installing arms 115, and the installing arm 115 passes through Pivot 1151 is pivotably mounted on the distal end of positioning cylinder 111, and the free end of installing arm 115 is formed with screw thread 1152.Accordingly Ground, forms multiple locating slots 1211 in body barrel 121, the free end of the installing arm 115 described in each is arranged on corresponding fixed In the groove 1211 of position；One mounting ring 122 be rotatably installed in body barrel 121 and with the free end screw thread knot of installing arm 115 Close.
Further, body barrel 121 includes Part I 1212 and Part II 1213, wherein Part I 1212 External diameter is more than the external diameter of Part II 1213, and locating slot 1211 is formed on Part I 1212.The near-end of mounting ring 122 is provided with The flange 1221 for radially protruding, the flange 1221 is arranged on Part II 1213.So, mounting ring 122 can be Rotated in body barrel 121 and be screwed with installing arm 115, so as to positioner 11 is installed in body barrel 121.When When mounting ring 122 rotates to predetermined extent, flange 1221 will be resisted against on the larger Part I 1212 of external diameter, so as to prevent peace Dress ring 122 is further mobile.
Referring to Fig. 2A, 3,4,5 and 13, drive device 13 includes：Connection housing 131, such as mode engaged through the thread It is connected to the Part II 1213 of body barrel 121；Drive division 132, is rotatably mounted to connect housing 131, the driving Do not moved relative to the connection housing 131 in the axial direction in portion 132；And follower, the follower be configured to Drive division 132 cooperates with driving the first gear frame 154 and the second gear frame 164 to be moved in axial direction.
Follower includes：First follower 134, is configured to be cooperated with drive division 132 drive the first gear frame 154 to exist Axial direction is moved；And second follower, it is configured to be cooperated with drive division 132 drive the second gear frame 154 in axial side Xiang Yi.The time of the time less than the movement of the second follower of the first follower movement 134 so that apparatus for ligating is tightened by blood vessel Long foreskin is cut off by device for excising again afterwards.
In a further embodiment, drive division 132 includes that the first coaxially arranged driving threaded portion 1331 and second is driven Dynamic threaded portion.First follower includes：First driven shaft 1341, the first driven shaft 1341 is provided with and drives screw thread with first First slave thread portion 1342 of the engagement of portion 1331；And the first axial move portion 1343, it is configured in first driven shaft Move axially but can not be rotated relative to connection housing 131 relative to connection housing 131 under 1341 driving, so as to drive first Gear frame 154 is moved axially.Second follower includes：Second driven shaft 136, the second driven shaft 136 from described first from Passed through in moving axis 1341, and second driven shaft 1341 is provided with the second slave thread portion engaged with the second driving threaded portion 1361；And the second axial movement portion 1362, it is configured under the driving of second driven shaft 136 relative to connection housing 131 Axial movement, so as to drive second gear frame 164 to move axially.
Specifically, referring to Figure 13, drive device 13 also includes being arranged on the auxiliary drive section inside connection housing 131 133, the first driving threaded portion 1331 is formed on auxiliary drive section 133.Auxiliary drive section 133 passes through bolt 135 and sets Put the drive division 132 outside connection housing 131 to connect so that drive division 132 and auxiliary drive section 133 can be relative to connections Housing 131 rotates.Drive division and auxiliary drive section can be connected can also be integrally formed.Set in the first axial move portion 1343 There is guide groove 1344, the guide groove 1344 is combined with the guiding rib 1311 being formed in inside connection housing 131.First slave thread portion 1342 are provided in a part for second driven shaft 1341.Second is provided with the distal end of the first axial move portion 1343 axially Move portion 1362, the locating rod 1363 being arranged in the second axial movement portion 1362 is inserted into and is formed in the first axial move portion In through hole 1345 on 1343 so that the second axial movement portion 1362 can not rotate relative to the first axial move portion 1343.The Two driven shafts 136 are combined through first driven shaft 1341 with the second axial movement portion 1362, but second driven shaft 136 can not be relative Rotated in the second axial movement portion 1362.The drive rod 1364 for being arranged on the distal end of the second axial movement portion 1362 is passed through The second through hole 155 on one gear frame 154 and with the proximal contact of the second gear frame 164.It is appreciated that, it is convenient to omit the second axle To move portion 1362, and make the second axial movement portion 1362 directly through the second through hole 155 and with the near-end of the second gear frame 164 Contact.
As shown in Figure 2 B, elastic reset dress is provided between the gear frame 164 of Part II 1213 and second of body barrel 121 17 are put, when drive division 132 is reversely rotated, under the driving of elasticity reset device 17, actuating arm 151 and annular cutting knife 16 can be with Leave support surface 112.
The operating process of the Foreskin loop cutter 100 of first embodiment of the invention is described below.
First, positioner 11 is disassembled from Foreskin loop cutter 100；By the installing arm 115 dozens of positioner 11 It is split into state as shown in Figure 6B；The positioning cylinder 111 of positioner 11 is enclosed within glans penis；Turn over foreskin, make foreskin On blood vessel alignd with the mark part 1123 of such as depression or projection etc, and foreskin is fixed on using clamping band 114 it is fixed Position cylinder 111 is outside；Drive installing arm 115 is retracted to the state of Fig. 6 A, the positioning to glans penis is completed.
Afterwards, mounting ring 122 is moved proximally to, exposes locating slot 1211；It is corresponding fixed that each installing arm 115 is installed to Position groove 1211；Rotation mounting ring 122, makes mounting ring 122 be screwed with installing arm 155.
Afterwards, hand-held connection housing 131 and rotary driving part 132；First axial move portion 1343 and second is moved axially Portion 1362 drives the first gear frame 154 and the second gear frame 164 to move axially respectively so that first annular support frame 15 and second Ring holder 161 is moved axially in actuating space 124, and the actuating arm 151 on first annular support frame 15 is distinguished It is inserted into the storage hole 143 for being stored with and tighten part and part will be tightened and be driven into forming tank 1121, makes to tighten part and deform and prick Blood vessel on hard-pressed bale skin.It is appreciated that actuating arm 151 move during, annular cutting knife 16 also in movement, but not with bag Bark graft is touched.
After the first axial move portion 1343 moves predetermined distance, tighten part and tighten blood vessel, first drives threaded portion 1331 and the first slave thread portion 1342 depart from and combine, even if still rotary driving part 132, the first axial move portion 1343 is not yet Move again, but, the second axial movement portion 1362 still moves, and drives annular cutting knife 16 to stretch out (referring to Fig. 7 B), to cut off Foreskin.
Finally, drive division 132 is reversely rotated, under the driving of elasticity reset device 17, actuating arm 151 and annular cutting knife 16 May exit off support surface 112；Whole Foreskin loop cutter is removed from glans penis.
Figure 14-20 shows the Foreskin loop cutter 200 of second embodiment of the invention.Of the invention second implements The Foreskin loop cutter 200 of example includes：Positioner 21, actuation means 22 and drive device 23.It is right that positioner 21 is configured to The glans penis and foreskin of human body are positioned.Actuation means 22 include main body frame, apparatus for ligating and device for excising.Positioner 21 On the main body frame.Apparatus for ligating is arranged on main body frame, and is configured to drive multiple to tighten part and (do not show Go out) multiple blood vessels for tightening respectively on oriented foreskin.Device for excising is arranged on the main body frame, and is cut including annular Knife 26.Drive device 23 is arranged on main body frame, and is configured to drive the apparatus for ligating and device for excising so that described Part is tightened described in apparatus for ligating driving to tighten the blood vessel and then cause that the annular cutting knife excision of the device for excising includes quilt The foreskin (not shown) of the blood vessel for tightening.
Referring to Figure 16 and 17, positioner 21 includes the positioning cylinder for being configured to be enclosed within human body glans penis (not shown) 211 and support surface 212.Support surface 212 is arranged on the near-end of positioning cylinder 211 and projects radially outward, and glans penis part is inserted Enter in positioning cylinder 212, will be supported on positioning cylinder 211 after removed foreskin upset and continue to extend to distal end.
Further, multiple forming tanks 2121 are formed on support surface 212, the multiple forming tank 2121 circularizes ground cloth Put on support surface 212 and be configured to tighten part and tighten on corresponding blood vessel with apparatus for ligating cooperation.Support surface 212 are provided with ring liner 2122, and the ring liner 2122 is arranged on the periphery of forming tank 2121.In support surface 212 Multiple mark parts 2123 are formed in outer rim, each mark part 2123 aligns in radial directions with corresponding forming tank 2121, with Part will be tightened exactly to be fixed on blood vessel.Further, positioner 21 also includes clamping band 214, and the clamping band 214 sets Put in the periphery of positioning cylinder 211, the outside of positioning tube body 211 is clamped to the foreskin that will extend over support surface 212.
Referring to Figure 14 and 18, main body frame includes body barrel 221 and inner barrel 223.Inner barrel 223 is arranged on main body The inner side of cylinder 221, forms actuating space between the body barrel 221 and inner barrel 223, and inner barrel 223 near-end Connected (Figure 18) by connecting portion 225 with body barrel 221.
Apparatus for ligating includes the actuating mechanism of storage device 24 and first.The storage of the Foreskin loop cutter 200 of second embodiment The storage of the Foreskin loop cutter 100 of device 24, the concrete structure of first annular support frame 25 and actuating arm 251 and first embodiment Device 14, first annular support frame 15 are identical with the concrete structure of actuating arm 151, omit its detailed description.Similarly, second is real Apply the foreskin of second ring holder 261, annular cutting knife 26 and first embodiment of the device for excising of the Foreskin loop cutter 200 of example Second ring holder 161 of the device for excising of girdling device 100, annular cutting knife 16 are identical, omit its detailed description.
Referring to Figure 14-16 and 18, in the Foreskin loop cutter 200 of second embodiment, second is formed on the first gear frame 254 Through hole 255.The first driving post 252 on first annular support frame 25 is resisted against the table of the distal end of the second gear frame 264 Multiple third through-holes 265 are formed on face, on the second gear frame 264, the second driving post on the second ring holder 261 162 are resisted against on the surface of the distal end of first gear frame through third through-hole 265.Second gear frame 264 and the first transmission Frame 254 is in the outside of connecting portion 225 from far and being closely sequentially arranged.
The near-end of first annular support frame 25 is provided with least one first mounting posts 253, and first mounting post 253 is passed through The through hole 266 that is formed on the second gear frame 264 is simultaneously fixed on the second gear frame 264 using bolt 2531, such first peace Dress post 153 is removably mounted on 264 on the second gear frame.The near-end of the second ring holder 261 is provided with least one second Mounting post 263, the second through hole 265 and be formed in first that first mounting post 263 is passed through on the second gear frame 264 Through hole 256 on gear frame 254 is simultaneously fixed on the second gear frame 264 using bolt 1631, and such second mounting post 263 is removable It is arranged on first gear frame 254 with unloading.
In the Foreskin loop cutter 200 of second embodiment, positioner 21 also includes multiple attachment means 215, the company Connection device 215 is arranged on the near-end of the positioning cylinder 211.The distal end of body barrel 211 pivotly connects with attachment means 215 Connect.At least one locating rod 222 is fixed on in the near-end of the distal end of body barrel 221 and positioning cylinder 211, and quilt Accordingly opening on another in being configured to can be plugged into being formed in the distal end of body barrel 221 and positioning the near-end of cylinder 211 In hole 2111.So, when positioner 21 is attached in body barrel 211, locating rod 222 is inserted into perforate 2111, is increased The stability for having added positioner 21 to be combined with body barrel 211.
Drive device includes：First drives elastic component 231, is arranged between the gear frame 264 of connecting portion 225 and second；With And second drive elastic component 232, be arranged between the first gear frame 254 and the second gear frame 264, wherein first drive elastic component 231 coefficient of elasticity drives the coefficient of elasticity of elastic component 232 less than second.So, when the first gear frame 254 is pressed, effect Pressure on the first gear frame 254 will be delivered to the second gear frame 264 by the second driving elastic component 232.First drives bullet Property part 231 coefficient of elasticity less than second drive elastic component 232 coefficient of elasticity, first driving elastic component 231 will shrink first, In the storage hole 243 for tighten part and part will be tightened it will be driven into forming tank so as to promotes actuating arm 251 to be inserted respectively into be stored with In 2121, make to tighten part and deform and tighten the blood vessel on foreskin.After the first driving elastic component 231 is retracted to predetermined length, Second driving elastic component 232 is shunk, and annular cutting knife 26 of the drive installation on the second ring holder 261 is stretched out (referring to figure 20), cutting off foreskin.
Referring to Figure 17, drive device 23 also includes：Drive division, be configured to relative to body barrel 221 move axially with Drive the first gear frame 254.Drive division includes：Rotating part 233 and axial movement portion 234, axial movement portion 234 be configured to Rotating part 233 is rotatably engaged, and is moved axially relative to body barrel 221 with when rotating part 233 rotates.Further, Axial movement portion 234 includes：The support frame 2341 of such as disc-shape；Joint portion 2342, is arranged on the table of the near-end of support frame On face, and it is configured to be screwed with rotating part 233；And guiding bar 2343, it is arranged on the table of the distal end of support frame 2341 On face, and it is installed in the groove 2211 being formed on the inwall of body barrel 221, to prevent support frame 2341 relative to main body Cylinder 221 is rotated.In this manner it is possible to by the axial movement for being converted into axial movement portion 234 of rotating part 233.With reference to bar 2344 pass through support frame 2341, the first gear frame 254 and the second gear frame 264, with the stability for keeping the position between three.
Figure 21-29 shows the Foreskin loop cutter 300 of the third embodiment of the invention.Of the invention 3rd implements The Foreskin loop cutter 300 of example includes：Positioner 31, actuation means 32 and drive device 33.It is right that positioner 31 is configured to The glans penis and foreskin of human body are positioned.Actuation means 32 include main body frame, apparatus for ligating and device for excising.Positioner 31 On the main body frame.Apparatus for ligating is arranged on main body frame, and is configured to drive multiple to tighten part and (do not show Go out) multiple blood vessels for tightening respectively on oriented foreskin.Device for excising is arranged on the main body frame, and is cut including annular Knife 36.Drive device 33 is arranged on main body frame, and is configured to drive the apparatus for ligating and device for excising so that described Part is tightened described in apparatus for ligating driving to tighten the blood vessel and then cause that the annular cutting knife excision of the device for excising includes quilt The foreskin (not shown) of the blood vessel for tightening.
Referring to Figure 26, positioner 31 includes the positioning cylinder 311 for being configured to be enclosed within human body glans penis (not shown) With support surface 312.The support surface 312 of the Foreskin loop cutter 300 of 3rd embodiment and the concrete structure of clamping band 314 and The support surface 112 of the Foreskin loop cutter 100 of one embodiment is identical with the concrete structure of clamping band 114, omits its detailed description.
Main body frame includes body barrel 321 and inner barrel 323.Inner barrel 323 is arranged on the interior of body barrel 321 Side, forms actuating space between the body barrel 321 and inner barrel 323, and inner barrel 323 near-end and body barrel 321 are connected (Figure 18) by connecting portion 325.
Apparatus for ligating includes the actuating mechanism of storage device 34 and first.The storage of the Foreskin loop cutter 300 of 3rd embodiment Device 34, device for excising, first drive elastic component 331, second to drive the first ring of the actuating mechanism of elastic component 332 and first Shape support frame 35, actuating arm 351 and first drive the concrete structure of post 352 and the Foreskin loop cutter 200 of second embodiment to deposit Storage device 24, device for excising, first drive elastic component 231, second to drive the first of the actuating mechanism of elastic component 232 and first Ring holder 25, actuating arm 251 drive the concrete structure of post 252 identical with first, omit its detailed description.
In the Foreskin loop cutter 300 of 3rd embodiment, at least one locating rod 322 is fixed on the body barrel 321 Distal end and positioning cylinder 311 near-end in one on, and be configured to the distal end that can be plugged into being formed in body barrel 321 With positioning cylinder 311 near-end in another on corresponding aperture 3111 in.Can so prevent body barrel 321 relative to Positioning cylinder 311 is rotated.
Drive device 33 includes drive division, and the drive division is configured to move axially to drive relative to body barrel 321 Dynamic first gear frame 354.The outer wall for positioning cylinder 311 is provided with threaded portion 315.Drive division includes rotary barrel 333, main body cylinder Body 311 is arranged on inside rotary barrel 333, and distal end and the threaded portion 315 of rotary barrel 333 are rotatably engaged, rotary barrel 311 near-end is provided with end cap 3332, and the end cap 3332 is configured to be passed by driving first when rotary barrel 3332 rotates Moving frame 354 and compress first drive elastic component 331 and second drive elastic component 332.
Drive device 33 also includes：Drive link 334, is arranged between the gear frame 354 of end cap 3332 and first；And first Bearing 335, is arranged between drive link 334 and end cap 3332, to allow drive rod 3334 to be rotated relative to end cap 3332, that is, exists When end cap 3332 is rotated, drive link 334 is not rotated.Axle sleeve 3341, axle sleeve are provided between the gear frame 354 of end cap 3332 and first 3341 are enclosed within drive link 334, by the pressure transmission of end cap 3332 to the first gear frame 354.
To keep rotary barrel 333 relative to the stability of body barrel 321, in body barrel 321 and rotary barrel 333 Between set second bearing 17.In one embodiment, second bearing 17 is protected by annulus 171 and multiple fixing bolts 172 Hold in body barrel 321.In the alternative embodiment, fixation can be set between body barrel 321 and rotary barrel 333 Annular projection.
After the Foreskin loop cutter 300 of 3rd embodiment is arranged on glans penis and position foreskin, medical personnel use one Hand holds the distal end of positioning cylinder 311, and another hand is held rotary barrel 333 and rotated.End cap 3332 will be by drive link 3341 and axle sleeve 3341 to the first gear frame 354 transmit pressure.So, the pressure acted on the first gear frame 354 will pass through Second driving elastic component 332 is delivered to the second gear frame 364.Because the coefficient of elasticity of the first driving elastic component 331 is less than second The coefficient of elasticity of elastic component 332 is driven, the first driving elastic component 331 will shrink first, so as to promote actuating arm 351 to insert respectively In the storage hole for tighten part to being stored with and part will be tightened it will be driven into and be arranged in the forming tank of support surface 312, and will make to tighten part and become Shape simultaneously tightens the blood vessel on foreskin.After the first driving elastic component 331 is retracted to predetermined length, second drives elastic component 332 Shrink, and drive annular cutting knife 36 to stretch out (referring to Figure 28), to cut off foreskin.
In the alternative embodiment of the Foreskin loop cutter 200 of second embodiment, the first gear frame 254 forms the second through hole 255, the second driving post is resisted against on the surface of the distal end of the second gear frame 264, and multiple the are formed on second gear frame 264 Three through holes 265, the first driving post is resisted against on the surface of the distal end of the first gear frame 264 through third through-hole 265.Further Ground, the first driving elastic component is arranged between connecting portion 225 and second gear frame 264, and the second driving elastic component is arranged on Between first gear frame 254 and the second gear frame 264, wherein first drives the coefficient of elasticity of elastic component to be driven more than described second The coefficient of elasticity of elastic component.So, can equally realize cutting off foreskin again after blood vessel is tightened.
Figure 30-39 shows the Foreskin loop cutter 400 of the 4th kind of embodiment of the invention.The Foreskin loop cutter 400, including positioner 41, actuation means and drive device 43.Positioner 41 is configured to glans penis and foreskin to human body Positioned.Actuation means, including：Main body frame, positioner 41 is arranged in main body frame；Apparatus for ligating, installed in institute State on main body frame, and be configured to drive multiple to tighten multiple blood that part (not shown) is tightened on oriented foreskin respectively Pipe；And device for excising, on the main body frame, and including annular cutting knife 46.Drive device 43 is arranged on the master On body framework, and it is configured to drive the apparatus for ligating and device for excising so that tighten part described in the apparatus for ligating driving The annular cutting knife excision for tightening the blood vessel and the device for excising includes the foreskin (not shown) of the blood vessel for being tightened.
In Foreskin loop cutter 400, positioner 41 includes：Positioning cylinder 411, is constructed such that glans penis is partly inserted Enter in positioning cylinder 411；Flange 412, forms in the distal radial outwardly convex of positioning cylinder 411；Support surface 413, shape Into on the face towards near-end of flange 412, by removed foreskin across being supported on support surface 413 after flange 412 And continuation proximally extends.
Referring to Figure 33, multiple forming tanks 4131 are formed on support surface 413, the multiple forming tank 4131 circularizes ground Arrange and be configured to tighten on corresponding blood vessel the part that tightens with apparatus for ligating cooperation, set on support surface 413 There is ring liner 4132, the forming tank 4131 is arranged on the periphery of ring liner 4132.Ring liner 4132 may be provided at shape Into with support surface 412 on annular groove in, for annular cutting knife coordinate foreskin is cut off.Ring liner 4132 is by such as rubber Glue material is made, to mitigate the pain of patient.The first flexible diaphragm of annular is coated with forming tank 4131, it is also possible to subtract The pain of light patient.Angle between the axis of support surface and flange 412 and positioning cylinder 411 is acute angle, is so met The shape of glans penis, is easy to cut foreskin.The scope of the angle is 30-60 degree.
Foreskin loop cutter 400 according to fourth embodiment, referring to Figure 32 and 34-36, main body frame includes body barrel 421.Apparatus for ligating includes：Storage device 44, the storage device 44 is arranged on the inner side of the distal end of body barrel 421, is used for Storage multiple tightens part；And first actuating mechanism, be configured to drive described in tighten the blood that part is tightened on the foreskin being positioned Pipe.More specifically, storage device 44 includes storage ring 441, installed in the inner side of the distal end of body barrel 421；Multiple storage parts 442, it is formed in storage ring 441, the part that tightens is respectively stored in storage part 442.
Referring to Figure 32,37 and 38, the first actuating mechanism includes：Inner barrel 422, is configured in body barrel 421 Moved in the axial direction relative to body barrel 421 in portion；Multiple actuating arms 4221, are formed in the distal end of inner barrel 422, and Be configured to drive storage part 442 in tighten part；And annular cutting knife 46, it is fixed to inner barrel in the inner side of actuating arm 4221 422, the distal end of annular cutting knife 46 is substantially concordant with the distal end of actuating arm 4221.Therefore, in the Foreskin loop cutter of fourth embodiment In 400, the operation of blood vessel and cut-out foreskin is tightened substantially while carrying out.
Further, as shown in Figure 36 and 38, in being internally formed with multiple projections of constant spacing arrangement for storage ring 441 Portion 443, storage part 442 is the slit that formation is the both sides of jut 443, and the slit of adjacent jut 443 can be placed and tightened Part.Guide protrusion 4222 is formed on the both sides of actuating arm 4221, when each actuating arm 4221 inserts corresponding two juts 443 Between when, guide protrusion 4222 is inserted into slit, and part is tightened so as to drive and be placed in slit.
Referring to Figure 31,32 and 37, the near-end of inner barrel 422 is provided with the actuation part 423 with drum, the actuation part 423 can move in body barrel 421, and are provided with and reach follower 4231 outside body barrel 421.
The Foreskin loop cutter 400 of fourth embodiment also includes fixing device, and the fixing device is configured to prevent positioning Cylinder 411 is moved axially relative to body barrel 421.More specifically, referring to Figure 31,32 and 37, fixing device includes：Locating rod 47, it is fixed on positioning cylinder 411, actuation part 423 can be moved axially in the outside of locating rod 47 relative to locating rod 47；With And installation portion 48, the installation portion 48 fixes relative to body barrel 411.Multiple guiding ribs 471, phase are provided with locating rod 47 Ying Di, forms multiple guiding grooves 4231 in actuation part 423, and guiding rib 471 can be coupled in corresponding guiding groove 4231, so that Body barrel 411 is prevented to be rotated relative to inner barrel 422.
Referring to Figure 31,34,35 and 39, the near-end of body barrel 421 is provided with cooperation cylinder 49, and the actuation part 423 can be slided It is arranged on dynamicly in cooperation cylinder, and the slit 491 (Figure 39) that follower 4231 passes through to be formed on cooperation cylinder 49 stretches out Cylinder 49, the installation portion 48 is coordinated to be fixed on the near-end of the cooperation cylinder 49.The near-end of actuation part 423 is provided with can coordinated The sliding barrel 4232 slided in cylinder 49, the follower 4231 is arranged on sliding barrel 4232.The He of sliding barrel 4232 It is formed between the flange 4211 inside body barrel 421 and is provided with back-moving spring 4233.
Drive device includes：Handle 431, the distal end of the handle 431 is connected with the outer pivot of body barrel 421； Connecting rod 432, be connected to the provided at one of the connecting rod 432 handle 431 proximally and distally between, the other end of connecting rod 432 It is pivotally connected to follower 4231.In the alternative embodiment, it is convenient to omit sliding barrel, and follower is directly connected to To actuation part.In another alternate embodiment, coordinate cylinder 49 integrally formed with body barrel 421.Can also It is attached in body barrel 421 by two semicircular bodies, forms the cooperation cylinder with slit.
The operating process of Foreskin loop cutter 400 according to the fourth embodiment of the invention is described below.
First, by glans penis a part insertion Foreskin loop cutter 400 positioning cylinder 421 in, while foreskin is got over into excess convexity Edge 412 is simultaneously attached on support surface 413, completes the positioning to glans penis.Afterwards, the near-end of handle 431 is pressed, handle 431 passes through Connecting rod 432 promotes follower 4231 towards distal end, sliding barrel 4232 is promoted actuation part 423 and inner barrel 422 towards distal end.
Because locating rod 47 is fixed on fixed part 48, positioning cylinder 411 is not moved relative to body barrel 421；Inner cylinder Each actuating arm 4221 on body 422 is inserted between corresponding two juts 443, and guide protrusion 4222 is inserted into slit, Part is tightened so as to drive to be placed in slit；Meanwhile, annular cutting knife 46 is moved with inner barrel 422, and and support surface Ring liner 4132 on 413 coordinates and cuts off foreskin.
Finally, release handle 431, under the driving of elasticity reset device 4233, actuating arm and annular cutting knife 46 can be from Open support surface 413；Whole Foreskin loop cutter 400 is removed from glans penis.
It will be understood to those skilled in the art that embodiment described above is all exemplary, and this area Technical staff can make improvements, the rushing in terms of not recurring structure or principle of the structure described in various embodiments Independent assortment can be carried out in the case of prominent, so as on the basis of technical problem of the invention is solved, realize more kinds of foreskins Girdling device.
After presently preferred embodiments of the present invention is described in detail, those of ordinary skill in the art can be apparent from, Can carry out various change and change under the protection domain and spirit that do not depart from appended claims, and the present invention is also not only restricted to The implementation method of examples cited embodiment in bright book.It should be noted that word " including " it is not excluded for other elements or step, word "a" or "an" is not excluded for multiple.In addition, the scope that any element label of claim should not be construed as limiting the invention.

Claims (40)

1. a kind of Foreskin loop cutter, including：
Positioner, is configured to position the glans penis and foreskin of human body；
Actuation means, including：
Main body frame, the positioner is arranged on the main body frame；
Apparatus for ligating, on the main body frame, and is configured to drive multiple to tighten part and tighten oriented bag respectively Multiple blood vessels on skin；And
Device for excising, on the main body frame, and including annular cutting knife；And
Drive device, on the main body frame, and is configured to drive the apparatus for ligating and device for excising so that institute Stating apparatus for ligating drives the part that tightens to tighten the blood vessel and then so that the annular cutting knife of the device for excising cuts off long Foreskin.
2. Foreskin loop cutter as claimed in claim 1, wherein, positioner includes：
Positioning cylinder, is configured to be enclosed within the glans penis；And
Support surface, is arranged on the near-end of the positioning cylinder, for foreskin to be supported on into the positioning cylinder.
3. Foreskin loop cutter as claimed in claim 2, wherein, multiple forming tanks are formed on the support surface, it is described many Individual forming tank is arranged and is configured to that the part that tightens is tightened into corresponding blood vessel with apparatus for ligating cooperation with circularizing On.
4. Foreskin loop cutter as claimed in claim 3, wherein, ring liner, the annular are provided with the support surface Pad is arranged on the side of the forming tank.
5. Foreskin loop cutter as claimed in claim 3, wherein, the first diaphragm of annular is coated with the forming tank.
6. Foreskin loop cutter as claimed in claim 5, wherein, multiple mark depressions or convex are formed on the positioning cylinder Rise, each described mark depression or projection are alignd in radial directions with corresponding forming tank.
7. Foreskin loop cutter as claimed in claim 5, wherein, the positioner also includes clamping band, and the clamping band sets Put in the periphery of the positioning cylinder, the outside of the positioning cylinder is clamped to the foreskin that will extend over the support surface.
8. Foreskin loop cutter as claimed in claim 7, wherein, the clamping band is provided with the permission clamping band and unidirectionally clamps Multiple ratchets.
9. the Foreskin loop cutter as described in any one of claim 2-8, wherein, the main body frame includes：
Body barrel；And
Inner barrel, is arranged on the inner side of the body barrel, and actuating space is formed between the body barrel and inner barrel, and The near-end of the inner barrel and the body barrel are connected by connecting portion.
10. Foreskin loop cutter as claimed in claim 9, wherein, the apparatus for ligating includes：
Storage device, the storage device is arranged on the outside of the distal end of the inner barrel, and part is tightened for storing multiple；And
First actuating mechanism, is configured to tighten the blood vessel that part is tightened on the foreskin being positioned described in driving.
11. Foreskin loop cutters as claimed in claim 10, wherein, the storage device includes：
Storage ring, installed in the outside of the distal end of the inner barrel；And
Multiple storage holes, are formed in the storage ring, and the storage hole is in radial directions positioned at the outer wall of the inner barrel Outside, the part that tightens is respectively stored in the storage hole.
12. Foreskin loop cutters as claimed in claim 11, wherein, the storage ring is provided with for covering the storage hole Second diaphragm.
13. Foreskin loop cutters as claimed in claim 11, wherein, first actuating mechanism includes：
First annular support frame, is arranged in the actuating space；
Multiple actuating arms, installed in the distal end of the first annular support frame, and are configured to drive the bundle in the storage hole Tight part；And
Multiple first drives post, installed in the near-end of the first annular support frame, and is passed through on the connecting portion Corresponding first through hole is stretched out from the proximal end face of the connecting portion.
14. Foreskin loop cutters as claimed in claim 13, wherein, the storage device also includes；
Skirt section, proximally extends in the outside of the inner barrel from the storage ring；And
Multiple maintaining parts, proximally extend from the storage ring, and on the outer wall of the upper inner barrel that reclines, each described driving Arm is from being inserted into corresponding storage hole between the skirt section and maintaining part.
15. Foreskin loop cutters as claimed in claim 13, wherein, the device for excising includes：
Second ring holder, second ring holder is arranged on the outside of the first annular support frame, the annular Cutting knife is arranged on the distal end of second ring holder；And
Multiple second drives post, installed in the near-end of second ring holder, and is passed through on the connecting portion Corresponding second through hole stretches out from the proximal end face of the connecting portion.
16. Foreskin loop cutters as claimed in claim 15, wherein, the device for excising also includes：
First gear frame, the second through hole is formed on first gear frame；And
Second gear frame, the second driving post is resisted against on the surface of the distal end of second gear frame, second transmission Multiple third through-holes are formed on frame, each described first driving post passes through the corresponding third through-hole to be resisted against described first and passes On the surface of the distal end of moving frame.
17. Foreskin loop cutters as claimed in claim 16, wherein,
The near-end of the first annular support frame is provided with least one first mounting posts, and first mounting post is removably installed On first gear frame,
The near-end of second ring holder is provided with least one second mounting posts, and second mounting post is removably installed On second gear frame.
18. Foreskin loop cutters as claimed in claim 17, wherein, the positioner also includes multiple installing arms, the peace Dress arm is pivotably mounted on the distal end of the positioning cylinder, and the free end of the installing arm is formed with screw thread.
19. Foreskin loop cutters as claimed in claim 18, wherein, multiple locating slots, each institute are formed in the body barrel The free end of the installing arm stated is arranged in corresponding locating slot；One mounting ring is rotatably installed in the body barrel simultaneously Free end with the installing arm is screwed.
20. Foreskin loop cutters as claimed in claim 19, wherein, the body barrel includes Part I and Part II, Wherein the external diameter of Part I is more than the external diameter of Part II, and the locating slot is formed on the Part I；
The near-end of the mounting ring is provided with the flange for radially protruding, and the flange is set on the second portion.
21. Foreskin loop cutters as claimed in claim 20, wherein, the drive device includes：
Connection housing, is connected to the Part II of the body barrel；
Drive division, is rotatably mounted to the connection housing, and the drive division is in the axial direction relative to the connection shell Body is not moved；And
Follower, the follower is configured to be cooperated with the drive division drive first gear frame and the second gear frame In axial direction movement.
22. Foreskin loop cutters as claimed in claim 21, wherein, the follower includes：
First follower, is configured to be cooperated with the drive division drive first gear frame to be moved in axial direction；And
Second follower, is configured to be cooperated with the drive division drive second gear frame to be moved in axial direction.
23. Foreskin loop cutters as claimed in claim 22, wherein, the time of the first follower movement is less than described second The time of follower movement.
24. Foreskin loop cutters as claimed in claim 23, wherein,
The drive division includes that coaxially arranged the first driving threaded portion and second drives threaded portion,
First follower includes：
First driven shaft, the first driven shaft is provided with the first slave thread portion engaged with the described first driving threaded portion； And
First axial move portion, is configured under the driving of the first driven shaft axially be moved relative to the connection housing It is dynamic, so as to drive first gear frame to move axially；
Second follower includes：
Second driven shaft, the second driven shaft is passed through from the first driven shaft, and the second driven shaft is provided with The the second slave thread portion engaged with the described second driving threaded portion；And
Second axial movement portion, is configured under the driving of the second driven shaft axially be moved relative to the connection housing It is dynamic, so as to drive second gear frame to move axially.
25. Foreskin loop cutters as claimed in claim 20, wherein, the Part II of the body barrel and described second is driven Elasticity reset device is provided between frame.
26. Foreskin loop cutters as claimed in claim 15, wherein, the device for excising also includes：
First gear frame, the second through hole is formed on first gear frame；And
Second gear frame, the first driving post is resisted against on the surface of the distal end of second gear frame, second transmission Multiple third through-holes are formed on frame, the second driving post is resisted against the distal end of first gear frame through the third through-hole Surface on.
27. Foreskin loop cutters as claimed in claim 26, wherein, the positioner also includes multiple attachment means, described Attachment means are arranged on the near-end of the positioning cylinder.
28. Foreskin loop cutters as claimed in claim 27, wherein, the distal end of the body barrel can pivot with the attachment means Turn ground connection；
At least one locating rod is fixed on in the near-end of the distal end of the body barrel and the positioning cylinder, and quilt It is configured to can be plugged into be formed in corresponding on another in the near-end of the distal end of the body barrel and the positioning cylinder In perforate.
29. Foreskin loop cutters as claimed in claim 28, wherein, the drive device includes：
First drives elastic component, is arranged between the connecting portion and second gear frame；And
Second drives elastic component, is arranged between first gear frame and second gear frame, wherein described first drives The coefficient of elasticity of elastic component drives the coefficient of elasticity of elastic component less than described second.
30. Foreskin loop cutters as claimed in claim 29, wherein, the drive device also includes：
Drive division, is configured to relative to body barrel axial movement to drive first gear frame.
31. Foreskin loop cutters as claimed in claim 30, wherein, the drive division includes：
Rotating part；And
Axial movement portion, is configured to be rotatably engaged with the rotating part, with when the rotating part rotates relative to institute State body barrel axial movement.
32. Foreskin loop cutters as claimed in claim 31, wherein, the axial movement portion includes：
Support frame；
Joint portion, is arranged on the surface of the near-end of support frame as described above, and is configured to be screwed with the rotating part；And
Guiding bar, is arranged on the surface of the distal end of support frame as described above, and be installed to and be formed on the inwall of the body barrel Groove in, to prevent support frame as described above from being rotated relative to the body barrel.
33. Foreskin loop cutters as claimed in claim 26, wherein, at least one locating rod is fixed on the remote of the body barrel On in the near-end of end and the positioning cylinder, and the distal end that is configured to can be plugged into be formed in the body barrel and In corresponding aperture on another in the near-end of the positioning cylinder.
34. Foreskin loop cutters as claimed in claim 33, wherein, the drive device includes：
First drives elastic component, is arranged between the connecting portion and second gear frame；And
Second drives elastic component, is arranged between first gear frame and second gear frame, wherein described first drives The coefficient of elasticity of elastic component drives the coefficient of elasticity of elastic component less than described second.
35. Foreskin loop cutters as claimed in claim 34, wherein, the drive device also includes：
Drive division, is configured to relative to body barrel axial movement to drive first gear frame.
36. Foreskin loop cutters as claimed in claim 35, wherein, the outer wall of the positioning cylinder is provided with threaded portion,
Drive division includes rotary barrel, and the body barrel is arranged on inside the rotary barrel, the distal end of the rotary barrel It is rotatably engaged with the threaded portion, the near-end of the rotary barrel is provided with end cap, and the end cap is configured in the rotation Compress described first and drive elastic component and second to drive elastic component by driving first gear frame when drum body rotates.
37. Foreskin loop cutters as claimed in claim 36, wherein, the drive device also includes：
Drive link, is arranged between the end cap and first gear frame；And
Clutch shaft bearing, is arranged between the drive link and the end cap, to allow the drive rod to turn relative to the end cap It is dynamic.
38. Foreskin loop cutters as claimed in claim 37, wherein, also including being arranged on the body barrel and the rotating cylinder Second bearing between body.
39. Foreskin loop cutters as claimed in claim 15, wherein, the device for excising also includes：
First gear frame, the second through hole is formed on first gear frame；And
Second gear frame, the second driving post is resisted against on the surface of the distal end of second gear frame, second transmission Multiple third through-holes are formed on frame, the first driving post is resisted against the distal end of first gear frame through the third through-hole Surface on.
40. Foreskin loop cutters as claimed in claim 39, wherein, the drive device includes：
First drives elastic component, is arranged between the connecting portion and second gear frame；And
Second drives elastic component, is arranged between first gear frame and second gear frame, wherein described first drives The coefficient of elasticity of elastic component drives the coefficient of elasticity of elastic component more than described second.
CN201410272814.0A 2013-06-20 2014-06-18 Foreskin loop cutter Active CN104224283B (en)

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Application Number Priority Date Filing Date Title
CN201410272814.0A CN104224283B (en) 2013-06-20 2014-06-18 Foreskin loop cutter
CN201610685010.2A CN106236204B (en) 2013-06-20 2014-06-18 circumcision device

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CN201310244651 2013-06-20
CN201310244651.0 2013-06-20
CN2013102446510 2013-06-20
CN201410272814.0A CN104224283B (en) 2013-06-20 2014-06-18 Foreskin loop cutter

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CN201610685010.2A Division CN106236204B (en) 2013-06-20 2014-06-18 circumcision device

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CN104224283B true CN104224283B (en) 2017-06-13

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CN201410253988.2A Active CN104224282B (en) 2013-06-20 2014-06-09 Positioner and Foreskin loop cutter
CN201420305204.1U Active CN204049778U (en) 2013-06-20 2014-06-09 Positioner and prepuce ring-cutter
CN201410273976.6A Active CN104224285B (en) 2013-06-20 2014-06-18 Positioner, Foreskin loop cutter and storage device
CN201610685010.2A Active CN106236204B (en) 2013-06-20 2014-06-18 circumcision device
CN201420326934.XU Active CN204133558U (en) 2013-06-20 2014-06-18 Positioner, actuating device and prepuce ring-cutter
CN201420325949.4U Active CN204033439U (en) 2013-06-20 2014-06-18 Positioner, prepuce ring-cutter and storage device
CN201610685800.0A Active CN106420011B (en) 2013-06-20 2014-06-18 Storage device and circumcision device
CN201420325965.3U Withdrawn - After Issue CN204133557U (en) 2013-06-20 2014-06-18 Prepuce ring-cutter
CN201410272814.0A Active CN104224283B (en) 2013-06-20 2014-06-18 Foreskin loop cutter
CN201410273672.XA Active CN104224284B (en) 2013-06-20 2014-06-18 Positioning device, actuating device and circumcision device

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CN201410253988.2A Active CN104224282B (en) 2013-06-20 2014-06-09 Positioner and Foreskin loop cutter
CN201420305204.1U Active CN204049778U (en) 2013-06-20 2014-06-09 Positioner and prepuce ring-cutter
CN201410273976.6A Active CN104224285B (en) 2013-06-20 2014-06-18 Positioner, Foreskin loop cutter and storage device
CN201610685010.2A Active CN106236204B (en) 2013-06-20 2014-06-18 circumcision device
CN201420326934.XU Active CN204133558U (en) 2013-06-20 2014-06-18 Positioner, actuating device and prepuce ring-cutter
CN201420325949.4U Active CN204033439U (en) 2013-06-20 2014-06-18 Positioner, prepuce ring-cutter and storage device
CN201610685800.0A Active CN106420011B (en) 2013-06-20 2014-06-18 Storage device and circumcision device
CN201420325965.3U Withdrawn - After Issue CN204133557U (en) 2013-06-20 2014-06-18 Prepuce ring-cutter

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Publication number Publication date
CN104224285A (en) 2014-12-24
CN204133557U (en) 2015-02-04
CN204033439U (en) 2014-12-24
CN104224282A (en) 2014-12-24
CN106420011A (en) 2017-02-22
CN106420011B (en) 2020-02-07
CN204133558U (en) 2015-02-04
CN104224285B (en) 2017-06-13
CN106236204B (en) 2019-12-13
CN106236204A (en) 2016-12-21
CN104224282B (en) 2017-10-27
CN104224284B (en) 2017-02-15
CN104224284A (en) 2014-12-24
CN204049778U (en) 2014-12-31
CN104224283A (en) 2014-12-24

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