CN104224285B - Positioner, Foreskin loop cutter and storage device - Google Patents
Positioner, Foreskin loop cutter and storage device Download PDFInfo
- Publication number
- CN104224285B CN104224285B CN201410273976.6A CN201410273976A CN104224285B CN 104224285 B CN104224285 B CN 104224285B CN 201410273976 A CN201410273976 A CN 201410273976A CN 104224285 B CN104224285 B CN 104224285B
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- foreskin
- loop cutter
- positioner
- foreskin loop
- barrel
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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
Abstract
The invention discloses a kind of positioner and Foreskin loop cutter.Positioner includes：Positioning cylinder, is configured to be enclosed within the glans penis；Support surface, is arranged on the near-end of the positioning cylinder, for foreskin to be supported on into affiliated positioner, multiple forming tanks is formed on the support surface, and the multiple forming tank is arranged with circularizing；And the first diaphragm of annular, it is covered in the forming tank.The setting of diaphragm, while can also accelerate to tighten coming off for part, further mitigates the pain of patient to having cushioning effect by the foreskin that annular cutting knife and apparatus for ligating are extruded.
Description
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 and the positioner and storage device for Foreskin loop cutter.
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 can not walk about, and also bear when often changing medicine all hurt like hell to last taking out stitches
By great pain, hemostasis by ligation in addition can thoroughly not cause foreskin hemotoncus, then need surgical procedure again.Further, since excision bag
Skin and hemostasis are performed separately, and extend operating time, exacerbate 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
To solve of the prior art above-mentioned or other technical problems, the present invention provides a kind of positioner, storage dress
Put and Foreskin loop cutter, the blood vessel on foreskin can be ligatured and be cut off long foreskin, diaphragm can be to being extruded
Foreskin there is cushioning effect, such that it is able to mitigate the pain of patient, and promote to tighten part and smoothly come off.
An a kind of inventive embodiment of the invention, there is provided positioner for Foreskin loop cutter, including：
Positioning cylinder, is configured to be enclosed within the glans penis；
Support surface, is arranged on the near-end of the positioning cylinder, and removed foreskin is supported on into the support surface
On, multiple forming tanks are formed on the support surface, the multiple forming tank is arranged with circularizing；And
First diaphragm of annular, is covered in the forming tank.
In above-mentioned positioner, ring liner is provided with the support surface, the ring liner is arranged on described
The side of forming tank.
In above-mentioned positioner, multiple mark parts are formed in its surface.
In above-mentioned positioner, the positioner also includes clamping band, and the positioner also includes clamping band, institute
The periphery that clamping band is arranged on the positioning cylinder is stated, the positioning cylinder is clamped to the foreskin that will extend over the support surface
Outside.
In above-mentioned positioner, the clamping band is provided with the multiple ratchets for allowing the clamping band unidirectionally to clamp.
In above-mentioned positioner, annular groove is formed on positioning cylinder, foreskin is clamped to annular groove by the clamping band
In.
Above-mentioned positioner also includes multiple installing arms, and the installing arm is pivotably mounted on the remote of the positioning cylinder
End, the free end of the installing arm is formed with screw thread.
Above-mentioned positioner also includes multiple articulated mountings, and the articulated mounting is arranged on the near-end of the positioning cylinder,
Pivotly combined with by the positioner.
In above-mentioned positioner, the outer wall of the positioning cylinder is provided with threaded portion.
According to the embodiment of further aspect of the present invention, there is provided a kind of Foreskin loop cutter, including any of the above-described embodiment institute
The positioner stated.
Above-mentioned Foreskin loop cutter, also including actuation means and drive device.Actuation means, including：Main body frame；Ligation dress
Put, on the main body frame, and including for storing multiple storage devices for tightening part and driving multiple to tighten part point
The first actuating mechanism of the multiple blood vessels on oriented foreskin is not tightened, and the storage device is provided with for being tightened to described
Part enters the second diaphragm of row buffering；And device for excising, on the main body frame, and including annular cutting knife.Drive
Device is rotatably installed on the main body frame, and is configured to drive the apparatus for ligating and device for excising in the master
Moved in body framework so that part is tightened described in the apparatus for ligating driving and is tightened the blood vessel and is then caused the device for excising
The excision of annular cutting knife include the foreskin of blood vessel for being tightened.
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 storage device is arranged on the outside of the distal end of the inner barrel；The ligation
Device also includes：First actuating mechanism, is configured for tightening 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 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 outer of the inner barrel
The outside of wall, the part that tightens is respectively stored in the storage hole.
In above-mentioned Foreskin loop cutter, second diaphragm is arranged on the storage ring and covers the storage hole.
A kind of another embodiment of the invention, there is provided storage device for Foreskin loop cutter, including：
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 inner barrel
The outside of outer wall, the part that tightens is respectively stored in the storage hole.And be arranged on the storage ring and cover described in deposit
Second diaphragm of hole storage.
According to the embodiment of further aspect of the present invention, there is provided a kind of Foreskin loop cutter, including described in above-described embodiment
Storage device.
Above-mentioned Foreskin loop cutter also includes positioner, including：
Positioning cylinder, is configured to be enclosed within the glans penis；
Support surface, is arranged on the near-end of the positioning cylinder, and removed foreskin is supported on the support surface,
Multiple forming tanks are formed on the support surface, the multiple forming tank is arranged with circularizing；And
First diaphragm of annular, is covered in the forming tank.
Above-mentioned Foreskin loop cutter also includes：
Actuation means, including：
Main body frame；
Apparatus for ligating, on the main body frame, and including for storing multiple storage device and drives for tightening part
Dynamic multiple tightens the first actuating mechanism that part tightens the multiple blood vessels on oriented foreskin respectively, and
Device for excising, on the main body frame, and including annular cutting knife；And
Drive device, is rotatably installed on the main body frame, and is configured to drive the apparatus for ligating and cuts
Except device is moved in the main body frame so that tighten part described in the apparatus for ligating driving and tighten the blood vessel and then make
Obtaining the annular cutting knife excision of the device for excising includes the foreskin of the blood vessel for being tightened.
In above-mentioned Foreskin loop cutter, the storage device is arranged on the outside of the distal end of the inner barrel；
The apparatus for ligating also includes：First actuating mechanism, be configured for driving described in tighten part and tighten and be positioned
Foreskin on blood vessel.
The positioner for Foreskin loop cutter of above-mentioned various embodiments of the invention, can be to the blood on foreskin
Pipe is ligatured and is cut off long foreskin, and diaphragm can have cushioning effect to the foreskin being extruded, except can mitigate trouble
Beyond the pain of person, can also promote to tighten part and smoothly come off.
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
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 is configured to glans penis and bag to human body
The positioner 11 that skin is positioned.
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
The first flexible diaphragm 113 of position cylinder 111, support surface 112 and annular.Support surface 112 is formed in the positioning tube
On the end face of the near-end of body 111 and project radially outward, glans penis is inserted partially into positioning cylinder 112, foreskin that will be removed
It is supported on support surface 112 and continues to extend to distal end after upset.Multiple forming tanks 1121 are formed on support surface 112,
The multiple forming tank 1121 is arranged on support surface 112 with circularizing.First diaphragm 113 of annular is covered in forming tank
On 1121.
In a further embodiment, Foreskin loop cutter 100 also includes actuation means 12 and drive device 13.Actuation means
12 include main body frame, apparatus for ligating and device for excising.Positioner 11 is arranged on the main body frame.Forming tank 1121 with
Apparatus for ligating cooperation will tighten part and tighten on corresponding blood vessel.Apparatus for ligating is arranged on main body frame, and including for depositing
Storage multiple tightens the storage device 14 of part (not shown) and drives multiple to tighten the multiple that part is tightened on oriented foreskin respectively
First actuating mechanism of blood vessel, the storage device 14 is provided with for tightening the second diaphragm that part enters row buffering to described
145.Device for excising is arranged on the main body frame, and including annular cutting knife 16.Drive device 13 is arranged on main body frame,
And be configured to drive the apparatus for ligating and device for excising to be moved in the main body frame so that the apparatus for ligating drives
The part that tightens tightens the blood vessel and then so that the excision of annular cutting knife 16 of the device for excising includes the blood vessel for being tightened
Foreskin (not shown).
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, and including being tightened
The foreskin of blood vessel still remain on human body.So, it is possible to reduce loss of blood, the possibility that genitals infect is reduced
Property, alleviate the pain of male patient.The part that tightens being fixed on blood vessel can be with the recovery from illness Automatic-falling of wound, it is not necessary to
Extra operation technique.Because the first diaphragm 113 of annular is covered in forming tank 1121, the first diaphragm 113 can be
Tighten and cushioning effect is formed between part and foreskin, and can promote to tighten the Automatic-falling of part after healing, so as to mitigate patient Yin Zha
Tight part comes off the pain not exclusively brought.
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.
Support surface 112 is provided with ring liner 1122, and the ring liner 1122 is arranged on the side of forming tank 1121.
Ring liner 1122 may be provided in the annular groove being formed 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.
Multiple mark parts 1123 are formed on support surface 112, each mark part 1123 exists with corresponding forming tank 1121
Align in the radial direction.In a kind of exemplary embodiment, the mark part 1123 includes being formed in from the periphery of support surface
Multiple depressions or raised in the vertically extending outer rim of edge.Each depression or projection are with corresponding forming tank 1121 radially
Alignd on direction.Using this structure, when foreskin is turned on support surface 112, forming tank 1121 will be covered.Can allow
Surgical staff before by long circumcision, it was observed that blood vessel and experience mark part 1123, by by blood vessel with mark
Depression alignment by blood vessel and forming tank 1121 and can tighten part and align, and foreskin and its blood vessel are positioned, so that accurately
Ground will tighten part and be 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, and exempt from 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, there can be cushioning effect to the part that tightens for stretching out storage hole 143 so that tighten part and puncturing the second diaphragm 145
Speed increases afterwards, so as to more successfully be pierced into the foreskin of human body, it is possible to mitigate the pain of patient.
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 pass through
The corresponding first through hole 1251 being formed on connecting portion 125 is 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 the outside of inner barrel 123 from storage ring 141 to
Near-end extends.Multiple maintaining parts 144 proximally extend from storage ring 141, and on the outer wall of the upper inner barrel 132 that reclines, are arranged on
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. 3 B and 3, the second gear frame 164 and the first gear frame 154 are in the outside of connecting portion 125
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. 1,3,4,5 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)
211st, the first flexible diaphragm 213 of support surface 212 and annular.Support surface 212 is formed in the near-end of positioning cylinder 211
End face on and project radially outward, glans penis is inserted partially into positioning cylinder 212, is supported after foreskin upset that will be removed
On support surface 212 and continue to distal end extend.Multiple forming tanks 2121, the multiple shaping are formed on support surface 212
Groove 2121 is arranged on support surface 212 with circularizing.First diaphragm 213 of annular is covered in forming tank 2121.
Further, multiple forming tanks 2121 are configured to tighten part and tighten corresponding blood vessel with apparatus for ligating cooperation
On.Support surface 212 is provided with ring liner 2122, and the ring liner 2122 is arranged on the periphery of forming tank 2121.In branch
Support and formed in the outer rim on surface 212 multiple mark depressions 2123, each mark depression 2123 is with corresponding forming tank 2121 in footpath
Alignd on direction, be fixed on blood vessel so that part will be tightened exactly.Further, positioner 21 also includes clamping band 214,
The clamping band 214 is arranged on the periphery of positioning cylinder 211, and positioning tube body is clamped to the foreskin that will extend over support surface 212
211 outside.
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, positioning cylinder 311 that positioner 31 includes being configured to can be enclosed within human body glans penis (not shown),
The first flexible diaphragm of the annular of support surface 312.The support surface 312 and folder of the Foreskin loop cutter 300 of 3rd embodiment
The support surface 112 and the specific knot of clamping band 114 of the concrete structure of taut band 314 and the Foreskin loop cutter 100 of first embodiment
Structure is identical, 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, there are personnel and 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 carry out the glans penis and foreskin of human body
Positioning.Actuation means, including：Main body frame, positioner 41 is arranged in main body frame；Apparatus for ligating, installed in the master
On body framework, and it is configured to drive multiple to tighten multiple blood vessels that part (not shown) is tightened on oriented foreskin respectively；With
And device for excising, on the main body frame, and including annular cutting knife 46.Drive device 43 is arranged on the main body frame
On, and be configured to drive the apparatus for ligating and device for excising so that tighten part described in the apparatus for ligating driving and tighten institute
The annular cutting knife excision for stating 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 quilt
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.
Further, the distal surface of storage ring 442 is provided with the second flexible diaphragm for covering jut.By
There is flexibility in the second diaphragm, there can be cushioning effect to the part that tightens for stretching out the slit of storage part so that tighten part and exist
Speed increases after puncturing the second diaphragm, so as to more successfully be pierced into the foreskin of human body, can mitigate the pain of patient.Also
Can accelerate to tighten coming off for part.
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 connected directly to
Actuation part.In another alternate embodiment, coordinate cylinder 49 integrally formed with body barrel 421.Can also be by
Two semicircular bodies are attached in body barrel 421, form 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 positioning
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.
Claims (12)
1. a kind of Foreskin loop cutter, including：
Positioner, including：
Positioning cylinder, is configured to be enclosed within glans penis；
Support surface, is arranged on the near-end of the positioning cylinder and projects radially outward, and removed foreskin is supported on into institute
State on support surface, multiple forming tanks are formed on the support surface, the multiple forming tank is arranged with circularizing；And
First diaphragm of annular, is covered in the forming tank；And
Actuation means, including：
Main body frame；
Apparatus for ligating, on the main body frame, and including for storing multiple storage devices for tightening part and driving many
It is individual to tighten the first actuating mechanism that part tightens the multiple blood vessels on oriented foreskin respectively, the storage device be provided with for
The second diaphragm that part enters row buffering is tightened to described；And
Device for excising, on the main body frame, and including annular cutting knife；And
Drive device, is rotatably installed on the main body frame, and is configured to drive the apparatus for ligating and excision to fill
Put and moved in the main body frame so that part is tightened described in the apparatus for ligating driving and is tightened the blood vessel and is then caused institute
Stating the annular cutting knife excision of device for excising includes the foreskin of the blood vessel for being tightened.
2. Foreskin loop cutter as claimed in claim 1, wherein, ring liner, the annular are provided with the support surface
Pad is arranged on the side of the forming tank.
3. Foreskin loop cutter as claimed in claim 2, wherein, multiple mark parts, the mark part bag are formed in its surface
Include the multiple depressions or raised being formed in from the vertically extending outer rim in outer peripheral edge of support surface, each depression or raised
Alignd in radial directions with corresponding forming tank.
4. Foreskin loop cutter as claimed in claim 1, wherein, the positioner also includes clamping band, and the clamping band sets
Put in the periphery of the positioning cylinder, the foreskin for being used to will extend over the support surface is clamped to the outside for positioning cylinder.
5. Foreskin loop cutter as claimed in claim 4, wherein, annular groove is formed on positioning cylinder, the clamping band will be wrapped
Leather wallet is tightened in annular groove.
6. the Foreskin loop cutter as described in any one of claim 1-5, wherein, the positioner also includes multiple installation
Arm, the installing 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.
7. the Foreskin loop cutter as described in any one of claim 1-5, wherein, the positioner is also hinged including multiple
Device, the articulated mounting is arranged on the near-end of the positioning cylinder, and the positioner is pivotly combined.
8. the Foreskin loop cutter as described in any one of claim 1-5, wherein, the outer wall of the positioning cylinder is provided with spiral shell
Line portion.
9. the Foreskin loop cutter as described in any one of claim 1-5, 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 storage device is arranged on the distal end of the inner barrel
Outside.
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, second diaphragm is arranged on the storage ring and covers
The storage hole.
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610685800.0A CN106420011B (en) | 2013-06-20 | 2014-06-18 | Storage device and circumcision device |
| CN201410273976.6A CN104224285B (en) | 2013-06-20 | 2014-06-18 | Positioner, Foreskin loop cutter and storage device |
Applications Claiming Priority (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310244651.0 | 2013-06-20 | ||
| CN2013102446510 | 2013-06-20 | ||
| CN201310244651 | 2013-06-20 | ||
| CN201410273976.6A CN104224285B (en) | 2013-06-20 | 2014-06-18 | Positioner, Foreskin loop cutter and storage device |
Related Child Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610685800.0A Division CN106420011B (en) | 2013-06-20 | 2014-06-18 | Storage device and circumcision device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104224285A CN104224285A (en) | 2014-12-24 |
| CN104224285B true CN104224285B (en) | 2017-06-13 |
Family
ID=52191387
Family Applications (10)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201420305204.1U Active CN204049778U (en) | 2013-06-20 | 2014-06-09 | Positioner and prepuce ring-cutter |
| CN201410253988.2A Active CN104224282B (en) | 2013-06-20 | 2014-06-09 | Positioner and Foreskin loop cutter |
| 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 |
| CN201610685010.2A Active CN106236204B (en) | 2013-06-20 | 2014-06-18 | circumcision device |
| CN201610685800.0A Active CN106420011B (en) | 2013-06-20 | 2014-06-18 | Storage device and circumcision device |
| 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 |
| CN201410273976.6A Active CN104224285B (en) | 2013-06-20 | 2014-06-18 | Positioner, Foreskin loop cutter and storage device |
| CN201420325965.3U Withdrawn - After Issue CN204133557U (en) | 2013-06-20 | 2014-06-18 | Prepuce ring-cutter |
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| CN201420305204.1U Active CN204049778U (en) | 2013-06-20 | 2014-06-09 | Positioner and prepuce ring-cutter |
| CN201410253988.2A Active CN104224282B (en) | 2013-06-20 | 2014-06-09 | Positioner and Foreskin loop cutter |
| 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 |
| CN201610685010.2A Active CN106236204B (en) | 2013-06-20 | 2014-06-18 | circumcision device |
| CN201610685800.0A Active CN106420011B (en) | 2013-06-20 | 2014-06-18 | Storage device and circumcision device |
| 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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| CN201420325965.3U Withdrawn - After Issue CN204133557U (en) | 2013-06-20 | 2014-06-18 | Prepuce ring-cutter |
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Families Citing this family (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN204049778U (en) * | 2013-06-20 | 2014-12-31 | 商晶晶 | Positioner and prepuce ring-cutter |
| CN105662544B (en) * | 2016-03-16 | 2018-01-30 | 程广东 | A kind of accurate seamless foreskin cutting assembly and accurate seamless foreskin cutting method |
| CN108451591A (en) * | 2017-01-16 | 2018-08-28 | 芜湖商环科技有限公司 | A kind of ultrasound is peritomized component |
| CN107157552B (en) * | 2017-01-16 | 2020-07-07 | 芜湖商环科技有限公司 | Ultrasonic foreskin extruding, cutting, hemostasis and healing assembly |
| CN108309433B (en) * | 2017-01-16 | 2023-11-03 | 芜湖圣大医疗器械技术股份有限公司 | Circumcision device |
| CN108309400B (en) * | 2017-01-16 | 2023-11-24 | 芜湖圣大医疗器械技术股份有限公司 | Ultrasonic surgical device |
| CN107041774B (en) * | 2017-02-04 | 2024-01-30 | 芜湖圣大医疗器械技术股份有限公司 | Blood vessel butt joint device of everting type circumcision device |
| SG11201907143YA (en) * | 2017-02-04 | 2019-09-27 | Wuhu Shangring Technology Co Ltd | Circumcision equipment |
| CN107582145B (en) * | 2017-02-04 | 2023-12-15 | 芜湖圣大医疗器械技术股份有限公司 | Built-in circumcision ware positioner |
| CN107468313B (en) * | 2017-08-28 | 2020-12-11 | 广州德脉医疗器械有限公司 | Foreskin suture cutter with suture and cutting separated structure |
| CN111568542B (en) * | 2020-06-03 | 2021-04-09 | 中南大学湘雅医院 | Gastroenterology peritoneoscope minimal access surgery apparatus |
| CN113576578B (en) * | 2021-07-29 | 2022-09-13 | 宿州微腾企业管理咨询服务有限公司 | Intracardiac branch of academic or vocational study hemostasis constriction device |
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| CN102217969A (en) * | 2011-05-19 | 2011-10-19 | 常熟市亨利医疗器械有限公司 | Foreskin cutting and sewing device |
| CN204033439U (en) * | 2013-06-20 | 2014-12-24 | 商晶晶 | Positioner, prepuce ring-cutter and storage device |
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| US6660012B2 (en) * | 2002-03-15 | 2003-12-09 | Hossein Lahiji | Apparatus for performing circumcision |
| US8114096B2 (en) * | 2004-06-25 | 2012-02-14 | Tomlinson David R | Atraumatic circumcision apparatus and method of using same |
| AU2005267242C1 (en) * | 2004-06-25 | 2009-02-19 | David R. Tomlinson | Atraumatic circumcision device and method to use same |
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- 2014-06-09 CN CN201420305204.1U patent/CN204049778U/en active Active
- 2014-06-09 CN CN201410253988.2A patent/CN104224282B/en active Active
- 2014-06-18 CN CN201420326934.XU patent/CN204133558U/en active Active
- 2014-06-18 CN CN201420325949.4U patent/CN204033439U/en active Active
- 2014-06-18 CN CN201610685010.2A patent/CN106236204B/en active Active
- 2014-06-18 CN CN201610685800.0A patent/CN106420011B/en active Active
- 2014-06-18 CN CN201410272814.0A patent/CN104224283B/en active Active
- 2014-06-18 CN CN201410273672.XA patent/CN104224284B/en active Active
- 2014-06-18 CN CN201410273976.6A patent/CN104224285B/en active Active
- 2014-06-18 CN CN201420325965.3U patent/CN204133557U/en not_active Withdrawn - After Issue
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| CN102217969A (en) * | 2011-05-19 | 2011-10-19 | 常熟市亨利医疗器械有限公司 | Foreskin cutting and sewing device |
| CN204033439U (en) * | 2013-06-20 | 2014-12-24 | 商晶晶 | Positioner, prepuce ring-cutter and storage device |
Also Published As
| Publication number | Publication date |
|---|---|
| CN104224282B (en) | 2017-10-27 |
| CN104224282A (en) | 2014-12-24 |
| CN204133557U (en) | 2015-02-04 |
| CN204049778U (en) | 2014-12-31 |
| CN104224283A (en) | 2014-12-24 |
| CN104224285A (en) | 2014-12-24 |
| CN106236204A (en) | 2016-12-21 |
| CN204133558U (en) | 2015-02-04 |
| CN104224284B (en) | 2017-02-15 |
| CN106236204B (en) | 2019-12-13 |
| CN106420011B (en) | 2020-02-07 |
| CN204033439U (en) | 2014-12-24 |
| CN104224284A (en) | 2014-12-24 |
| CN104224283B (en) | 2017-06-13 |
| CN106420011A (en) | 2017-02-22 |
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