CN105078547B - Pistol type anastomat for circumcision with modified model nail bin protection cap - Google Patents

Pistol type anastomat for circumcision with modified model nail bin protection cap Download PDF

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Publication number
CN105078547B
CN105078547B CN201510596708.2A CN201510596708A CN105078547B CN 105078547 B CN105078547 B CN 105078547B CN 201510596708 A CN201510596708 A CN 201510596708A CN 105078547 B CN105078547 B CN 105078547B
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China
Prior art keywords
nail
cylinder
ring
plate
angle
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CN105078547A (en
Inventor
周明海
刘晓鹏
张小波
黄燕
李卫东
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JIANGXI LANGHE MEDICAL INSTRUMENT Co.,Ltd.
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Zhongshan Yuesheng Medical Instrument Co Ltd
Jiangxi Langhe Medical Instrument Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/326Circumcision apparatus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • A61B17/1155Circular staplers comprising a plurality of staples

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

Abstract

The invention discloses a kind of pistol type anastomat for circumcision with modified model nail bin protection cap, including gun body and trigger drive mechanism, gun body is by tubular body portion, main housing portion and handle portion composition, owing to the inner surface of the fixing cylinder of nail bin protection cap is provided with a plurality of reinforcement, described a plurality of reinforcement is along the circumferentially-spaced distribution of fixing cylinder and parallel with the axis of fixing cylinder, one end of reinforcement is connected with annular protrusion, the other end is connected with ring baffle, when fixing barrel casing is contained in the ring body end of nail bin ring peripheral, it is the most firm that annular protrusion makes that it is set with, a plurality of reinforcement makes fixing cylinder more sturdy and durable;Owing to ring baffle uses nonocclusive version, make ring baffle have certain toughness, when preventing fixing cylinder deformation, injure ring baffle.

Description

Pistol type anastomat for circumcision with modified model nail bin protection cap
Technical field
The present invention relates to a kind of anastomat for circumcision, specifically a kind of disposable circumcision anastomat.
Background technology
State Intellectual Property Office discloses Publication No. 103405264A on November 27th, 2013, and patent name is for being used for The patent of the feature suturing nail peritomized, it includes following closely foot and tie-beam, and it is structurally characterized in that nail foot is slim-lined construction, some Individual nail foot is connected on the tie-beam of character shape, described tie-beam character shape include ellipse, half elliptic, rectangle, Half rectangle or further feature shape and structure;Main Function of the present invention is that the art mouth after peritomizing disposably is sewed up, During being pushed to move ahead can stabilising direction, uniform force, sew up precisely, postoperative prevent tissue encapsulation, face undertissue simultaneously Beam face long-time slow is pushed away effect and can promote the self falling of whole suturing nail.Also in order to the hemostasis of Rhizoma Atractylodis Macrocephalae mouth, involutory neat and Accelerate healing.
Above-mentioned patent be our company research and development, the character shape of the tie-beam of above-mentioned patent include ellipse, half elliptic, Rectangle, half rectangle or further feature shape and structure, therefore have certain effect in terms of preventing tissue encapsulation, but have impact on stitching effect Really;It addition, the nail foot of above-mentioned patent is vertical with tie-beam rather than an enlarging, therefore penetrating skin, and be not in contact with During to nail anvil, just there occurs bending, thus have impact on the success rate of stitching.This patent is the improvement to above-mentioned patent.
State Intellectual Property Office discloses Publication No. 201537118U on August 4th, 2010, and patent name is preputial ring The patent of cutter, is characterized in that body is cut on the coaxially connected top of housing, and internal coaxially connected pull bar is cut on top, and one end of pull bar is connected with bell Glans penis seat, glans penis seat edgewise is provided with cutter gasket ring and the suturing nail ring of falling foot, and the other end of pull bar is by adjusting knob nut even Connecing adjusting knob, top is cut the top of body and is connected with suturing nail fore-set and annular cutter, and the end of body is cut by linkage push rod even in top Taking over a job fixed handle, top is cut the top of body and is connected with bell glans penis seat, and housing tip is connected with annular nail bin, and annular nail bin is built-in There is suturing nail.It is laborious to there is operation in above-mentioned patent, the most safe and reliable defect.
The patent that State Intellectual Property Office discloses Publication No. 102920494A on February 13rd, 2013, its structure is special Levy be the left end of the fixing small of the stock be cylindrical cavity, connect pistol trigger on the right side of the fixing small of the stock, pistol trigger connects insurance, The cylindrical empty intracavity ecto-entad being positioned at the fixing small of the stock is sequentially provided with push rod, blade and stock target stand, against push rod left end Being provided with the cartridge clip of annular arrangement in the fixing small of the stock, be equipped with bullet in cartridge clip, the right-hand member of push rod is connected with pistol trigger, blade For coaxial with stock target stand columnar structured, the left end of stock target stand is semicircular cavity, the edge of stock target stand left end Place is provided with the target stand baffle ring of turnup structure, and the right-hand member of stock target stand is connected with lock nut, the position of target stand baffle ring and bullet Position is corresponding;The invention enables Wrapping annulus cuts operation convenient, fast, safe, laborsaving, art mouth is neat, goes out insufficiency of blood, painful few, Postoperative care is convenient, and release is taken out stitches, torn ring misery open, decreases the workload of doctor the most to greatest extent.
Above-mentioned patent is our company's research and development, and trigger drive mechanism and the lance body structure of above-mentioned patent are carried out by this patent Improving, make operation more laborsaving, it is more accurate that suturing nail ejects the displacement that cylinder moves, and the apparatus after improvement is more safe and reliable, behaviour Make convenient.
It addition, this patent ejects cylinder, adjusting knob, safety fastener, glans penis seat to nail bin protection cap, suturing nail, suturing nail Annular anvil and adjusting rod have been made to improve.
Above-mentioned discussion content purpose is to introduce to reader may each with the present invention being described below and/or advocate The various aspects of the technology that individual aspect is relevant, it is believed that this discussion content contributes to as reader with background's information, to be conducive to the most more Understand various aspects of the invention well, therefore, should be read these with the angle understood and discuss rather than recognize existing skill Art.
Summary of the invention
It is an object of the invention to provide a kind of safe and reliable, easy to operate pistol type with modified model nail bin protection cap Anastomat for circumcision.
For achieving the above object, the technical solution adopted in the present invention is:
With the pistol type anastomat for circumcision of modified model nail bin protection cap, including glans penis seat, adjusting rod, regulation rotation Button, cylinder-shaped cutter, suturing nail eject cylinder, hollow push rod, nail bin ring and are located at the suturing nail in nail bin ring, cylinder-shaped cutter It is sleeved on suturing nail in coaxial mounted mode and ejects in cylinder, it is characterised in that: also include gun body and trigger drive mechanism, described Gun body is made up of tubular body portion, main housing portion and handle portion, and the top in described main housing portion is provided with level limit Position plate, one end of described tubular body portion is reducing positive stop end, is connected with main housing portion, the end of the other end of tubular body portion Face is provided with annular projection, and described nail bin ring is installed on annular projection, and blend compounds water is bonding;Described suturing nail ejects cylinder and pipe Shape body portion is suitable and is located in tubular body portion, and one end of hollow push rod ejects the necking end of cylinder and connects with suturing nail, seam It is that suturing nail ejects end that dowel ejects the other end of cylinder, and the other end of hollow push rod extend in main housing portion and is connected with square Head connects, and the end of square connector is provided with a pair elastic fastening hook, and described glans penis seat is positioned at that gun body is outer and one end with adjusting rod Connecting, the other end of adjusting rod sequentially passes through cylinder-shaped cutter, hollow push rod, with tune after the areole of main housing portion passes Joint knob connects;Described trigger drive mechanism includes that trigger, driving member, transmission arm, swing arm, slide block and back-moving spring are constituted, Square opening in described slide block is fixed on described square connector through described elastic fastening hook, and elastic fastening hook is solid by slide block Fixed, described back-moving spring is sleeved on hollow push rod, and the top, one end of back-moving spring is pressed on slide block, and other end top is pressed in tubular body On ring baffle in part, one end of transmission arm is hinged with slide block, and the other end is cut with scissors by one end of main jointed shaft with swing arm Connect, top that the other end of swing arm is hinged in main housing portion by hinge and be positioned at the lower section of Horizontal limiting plate, trigger Be hinged on the bottom of main housing portion by hinge, one end of driving member is hinged with one end of trigger, the other end of driving member with Main jointed shaft is hinged, and trigger drives driving member, and driving member promotes transmission arm, and transmission arm promotes main jointed shaft, and main jointed shaft drives Transmission arm and swing arm, transmission arm promotes slide block to move along Horizontal limiting plate, and slide block is promoted by hollow push rod and sews up screw top Going out cylinder to move, suturing nail ejects cylinder and pushes the suturing nail in nail bin ring to glans penis seat, sews up the foreskin on glans penis seat, with This simultaneously, cylinder-shaped cutter ejects cylinder in company with suturing nail and moves, and the foreskin on glans penis seat is carried out ring cutting;
Described glans penis seat is provided with annular anvil, and described annular anvil is provided with cannelure and annular boss, described annular boss On the anvil pocket of multiple arc is circumferentially distributed, be provided with annular edge bearing in described cannelure;The edge, surface of described adjusting rod And circumferentially-spaced a plurality of strip positioning convex is distributed, a plurality of strip positioning convex is parallel with the axis of adjusting rod, described The through-hole surfaces of hollow push rod is distributed multiple strip locating slot suitable with strip positioning convex;Annular edge bearing be by PC material is made;
Described adjusting knob use conical structure, the end face of adjusting knob is provided with screw, screw used in order to and adjust The threaded one end of pole connects, rotation of adjustment knob, the spacing between scalable glans penis seat and nail bin ring;Described adjusting knob Multiple strip groove and two tabular handles are distributed on periphery, and said two tabular handle correspondence is distributed in adjusting knob Both sides;Described adjusting knob is that plastics are made, its a length of 45mm;
Described suturing nail is for extending out formula suturing nail, and the formula suturing nail of extending out includes shaft-like nail angle and nail beam, shaft-like nail angle and nail The cross section of beam is all rectangle structure, and two shaft-like nail angles and a nail beam constitute " П " structure, described shaft-like nail angle and nail beam The turning of junction is arc chord angle;The rivet nut that is provided with described nail beam helps de-plate, and described rivet nut helps the side of de-plate and the upper of nail beam Side or downside docking, and rivet nut helps plate face before and after de-plate concordant with side before and after nail beam respectively;Said two bar Shape nail angle, a nail beam and rivet nut help de-plate one-body molded;The circle in the outside at the turning of described shaft-like nail angle and nail beam junction The radius of arc angle is 0.45mm, and the radius of the arc chord angle of inner side is 0.3 mm;Said two shaft-like nail angle and the folder of a nail beam Angle is 91 °~100 °, and two angular outer inclines of shaft-like nail are outer expanding shape, and the angle outside the end at two shaft-like nail angles is cut Forming the top of the horn, and make to be formed outside the end at shaft-like nail angle an inclined-plane, the angle of the top of the horn is 42 °;
It is multiple in order to accommodate stitching that described nail bin ring includes that ring body, the inner surface of described ring body are circumferentially intervally distributed with In nail, rivet nut helps the U-shaped groove of de-plate, and the corresponding position on the two side of each groove has to accommodate stitching The groove at shaft-like nail angle in nail;
Described suturing nail ejects the suturing nail of cylinder and ejects end is by multiple T font push rods spaced apart, described T font top Bar is to be made up of horizontal plate and square column, and square column can extend in the U-shaped groove of nail bin ring, and horizontal plate can extend into groove In, in order to suturing nail is ejected;
Described cylinder-shaped cutter includes cylinder, and one end of described cylinder is provided with circular blade, and the other end is provided with end cap, institute State end cap and be provided with central through hole, described central through hole, in order to make adjusting rod extend there through, the inner surface edge of described central through hole Circumference is evenly equipped with 4 grooves;On described end cap and be positioned at the periphery of central through hole and be evenly equipped with 4 fixing holes, described 4 fixing holes Eject in order to be fixed on described suturing nail on 4 fixing posts in the necking end of cylinder;
The end face of described nail bin ring is provided with nail bin protection cap, described nail bin protection cap include ring baffle, fixing cylinder and Handle, the internal diameter of described ring baffle is not more than the ring body internal diameter of nail bin ring, and described fixing cylinder is in order to be sleeved on the ring of nail bin ring The periphery of body end, described handle is fixed on the barrel of fixing cylinder, and ring baffle is located at one end of fixing cylinder, near fixing cylinder The inner surface of the other end circumferentially arranged with annular protrusion, the inner surface of fixing cylinder is provided with a plurality of reinforcement, described a plurality of Reinforcement is along the circumferentially-spaced distribution of fixing cylinder and parallel with the axis of fixing cylinder, and one end of reinforcement is with annular protrusion even Connecing, the other end is connected with ring baffle;There is disconnection seam on described ring baffle, form nonocclusive version.
Further, described trigger is provided with safety fastener, and described safety fastener includes hinge, support bar, button, slide block, answers Position spring and gathering sill, described gathering sill is located in handle portion, and slide block is located in gathering sill, and one end of slide block connects button, Back-moving spring top is pressed in the other end of slide block, and one end of support bar is hinged with trigger by hinge, the other end of support bar, in order to It is overlapped on button.
Further, described driving member, transmission arm and swing arm are made up of metal material, and described gun body is plastics system Become.
Further, described hollow push rod, square connector and elastic fastening hook are one-body molded, and are all by plastics system Become.
Further, the inner side cutting edge angle of described circular blade is 25 °, and the outside cutting edge angle of described circular blade is 15°;Described cylinder-shaped cutter is made up of stainless steel materials.
Further, described driving member is the U-shaped body structure being made up of a surface plate and two sidewall panelings, two sidewalls Being correspondingly provided with two hinge holes on plate respectively, the one end of described surface plate is provided with arcuate groove.
Further, described transmission arm is to be made up of left arm plate, right arm plate and connecting plate, described left arm plate and right arm plate it Between connected by connecting plate, described left arm plate and right arm plate are designed with two hinge holes.
Further, a length of 20mm of described driving member, height is 17 mm, and width is 13 mm;The length of transmission arm For 35mm;The a length of 47mm of swing arm.
Further, described rivet nut helps two turnings on de-plate to be arc chord angle, and the radius of described arc chord angle is 0.2 mm; Described rivet nut helps a length of 2 ± 0.02 mm of de-plate, and width is 0.83 ± 0.02 mm, and thickness is 0.15 mm;Described nail beam A length of 3.46 mm, width is 0.4 ± 0.03 mm, and thickness is 0.15 mm;Said two shaft-like nail angle, a nail beam and nail Body helps de-plate to be all made up of 316L stainless steel material.
Beneficial effects of the present invention:
Owing to using the version of gun body, have only to during operation be anchored to trigger just, easy to operate;Due to rifle The tubular body portion of body uses the form of reducing, suturing nail ejects cylinder and plays spacing effect, not only can simplify in gun body Structure, but also ensure that the stability of work;Due to being specifically designed and Horizontal limiting plate in gun body of trigger drive mechanism Coordinating, make operation more laborsaving, it is more accurate that suturing nail ejects the displacement that cylinder moves, thus improve and peritomize and becoming of sewing up Power;Owing to slide block and hollow push rod use removable card dress form, facilitate the installation of parts.
Owing to being additionally arranged safety fastener, and safety fastener being designed, so that operating safer and convenient, being fully demonstrated The design concept of hommization.
Due to coordinating of strip locating slot and strip positioning convex, it is ensured that the anvil pocket in annular anvil is relative with suturing nail Should.
Due to anvil pocket, using the structure to recessed arcwall face, the nail tip of suturing nail touches the arcwall face of anvil pocket After can progressively draw in by inflection, thus improve the success rate of stitching;It addition, annular edge bearing is made up of PC material, cylindrical shape is cut After cutter carries out ring cutting to the foreskin on glans penis seat, the blade of cylinder-shaped cutter contacts with annular edge bearing, without damage blade.
Owing to improving property of adjusting knob is designed, when hands touches adjusting knob, not only good hand touch, but also facilitate Regulation.
Help de-plate owing to being additionally arranged rivet nut, thus add the contact area of nail beam and human body skin, thus effectively prevent The skin of human body, by the situation of nail beam parcel, contributes to coming off of rivet nut.
Owing to being outer expanding shape by two angular outer inclines of shaft-like nail, can penetrate during skin to infolding at anti-non-magnetic shim angle Curved, and the cut formation in the angle the top of the horn outside the end at two shaft-like nail angles, make to form one outside the end at shaft-like nail angle Inclined-plane, when shaft-like nail angle touches the arcuate groove on nail anvil, just has an inside thrust, so that extend out two bars Bending in shape nail is angular, this design substantially increases the success rate of suture operation.
Owing to all turnings being designed as the form of arc chord angle, in order to avoid hindering skin, make suturing nail more safe and reliable.
It addition, it is emphasized that nail beam and rivet nut help the size of de-plate, be the optimum number obtained through many experiments According to, if rivet nut helps de-board size too small, then use can not be played, if excessive, then sewing effect can be affected.
Owing to the other end of cylinder is provided with end cap, on described end cap and be positioned at the periphery of central through hole and be evenly equipped with 4 and fix Hole, described 4 fixing holes eject on 4 fixing posts in the necking end of cylinder in order to be fixed on described suturing nail, said structure shape Formula makes the location and installation of cylinder-shaped cutter more accurate.
Owing to the inner side cutting edge angle of circular blade is 25 °, the outside cutting edge angle of described circular blade is 15 °, therefore tool There is splendid ring cutting effect.
Owing to the inner surface of the fixing cylinder of nail bin protection cap is provided with a plurality of reinforcement, described a plurality of reinforcement is along fixing The circumferentially-spaced distribution and parallel with the axis of fixing cylinder of cylinder, one end of reinforcement is connected with annular protrusion, the other end and annular Baffle plate connects, and when fixing barrel casing is contained in the ring body end of nail bin ring peripheral, it is very firm that annular protrusion makes that it is set with, many Bar reinforcement makes fixing cylinder more sturdy and durable;Owing to ring baffle uses nonocclusive version, ring baffle is made to have one Fixed toughness, when preventing fixing cylinder deformation, injures ring baffle.
Accompanying drawing explanation
The invention will be further described to utilize accompanying drawing, but the embodiment in accompanying drawing does not constitute any limit to the present invention System, for those of ordinary skill in the art, on the premise of not paying creative work, it is also possible to obtain according to the following drawings Other accompanying drawing.
Fig. 1 is the schematic appearance of the present invention;
Fig. 2 is the explosive view shown in Fig. 1;
Fig. 3 is hollow push rod shown in Fig. 2 and the exploded view of slide block;
Fig. 4 is the structural representation of driving member shown in Fig. 2;
Fig. 5 is the structural representation of transmission arm shown in Fig. 2;
Fig. 6 is the structural representation of swing arm shown in Fig. 2;
Fig. 7 is the exploded view of annular anvil shown in Fig. 2;
Fig. 8 is the axonometric chart of the adjusting knob shown in Fig. 2;
Fig. 9 is the structural representation of suturing nail;
Figure 10 is the top view shown in Fig. 9;
Figure 11 is the axonometric chart shown in Fig. 9;
Figure 12 is the structural representation of nail bin ring shown in Fig. 2;
Figure 13 is the enlarged drawing of T font push rod end shown in Fig. 3;
Figure 14 is the sectional side elevation of the cylinder-shaped cutter shown in Fig. 2;
Figure 15 is the end view drawing of the cylinder-shaped cutter shown in Fig. 2;
Figure 16 is the enlarged drawing at C shown in Figure 14;
Figure 17 is the structural representation shown in Fig. 2;
Figure 18 is the axonometric chart shown in Figure 17.
In figure: 1, glans penis seat;2, adjusting rod;3, adjusting knob;4, cylinder-shaped cutter;5, suturing nail ejects cylinder;6, hollow Push rod;7, nail bin ring;8, tubular body portion;9, main housing portion;10, handle portion;11, Horizontal limiting plate;12, ring-type convex Rise;13, trigger;14, driving member;15, transmission arm;16, swing arm;17, slide block;18, back-moving spring;19, ring baffle;20、 Main jointed shaft;21, hinge;22, areole;23, hinge;24, nail bin protection cap;25, square connector;26, elastic fastening hook; 27, square opening;28, surface plate;29, sidewall paneling;30, arcuate groove;31, hinge hole;32, left arm plate;33, right arm plate;34, connect Plate;35, hinge hole;36, safety fastener;37, hinge;38, support bar;39, button;40, slide block;41, back-moving spring;42, guide Groove;43, annular anvil;44, annular boss;45, cannelure;46, anvil pocket;47, annular edge bearing;48, strip positioning convex; 49, strip groove;50, tabular handle;51, screw;52, shaft-like nail angle;53, nail beam;54, shaft-like nail angle;55, outside Arc chord angle;56, the arc chord angle of inner side;57, rivet nut helps de-plate;58, outside end;59, turning;Α, angle;60, ring body;61、 U-shaped groove;62, groove;63, necking end;64, T font push rod;65, horizontal plate;66, square column;67, circular blade;68, cylinder Body;69, end cap;70, central through hole;71, groove;72, fixing hole;73, ring baffle;74, fixing cylinder;75, handle;76, ring Shape is protruding;77, reinforcement;78, seam is disconnected.
Detailed description of the invention
In order to make those skilled in the art be more fully understood that technical scheme, real with concrete below in conjunction with the accompanying drawings The present invention is described in further detail to execute example, it should be noted that in the case of not conflicting, embodiments herein and Feature in embodiment can be mutually combined.
As shown in Figure 1, 2, with the pistol type anastomat for circumcision of modified model nail bin protection cap, including glans penis seat 1, adjust Pole 2, adjusting knob 3, cylinder-shaped cutter 4, suturing nail eject cylinder 5, hollow push rod 6, nail bin ring 7 and are located in nail bin ring 7 Suturing nail, cylinder-shaped cutter 4 is sleeved on suturing nail in coaxial mounted mode and ejects in cylinder 5, also includes that gun body and trigger pass Motivation structure, described gun body is made up of tubular body portion 8, main housing portion 9 and handle portion 10, and concrete scheme is that gun body is Being made up of symmetrical two halves part, every half part is all become with semi-handle part one by halfpipe body portion, half main housing portion Type.
Top in described main housing portion 9 is provided with Horizontal limiting plate 11, and one end of described tubular body portion 8 is reducing limit Position end, is connected with main housing portion 9, and the end face of the other end of tubular body portion 8 is provided with annular projection 12, described nail bin ring 7 Being installed on annular projection 12, blend compounds water is bonding;It is suitable with tubular body portion 8 and be located at pipe that described suturing nail ejects cylinder 5 In shape body portion 8.
Described glans penis seat 1 is positioned at outside gun body and is connected with one end of adjusting rod 2, and the other end of adjusting rod 2 sequentially passes through circle Tubular cutting knife 4, hollow push rod 6, be connected with adjusting knob 3 after the areole 22 of main housing portion 9 passes;Described trigger transmission Mechanism includes that trigger 13, driving member 14, transmission arm 15, swing arm 16, slide block 17 and back-moving spring 18 are constituted, described back-moving spring 18 are sleeved on hollow push rod 6, and the top, one end of back-moving spring 18 is pressed on slide block 17, and other end top is pressed in tubular body portion 8 Ring baffle 19 on, one end of transmission arm 15 is hinged with slide block 17, and the other end is by main jointed shaft 20 and the one of swing arm 16 Holding hinged, the other end of swing arm 16 is hinged on the top in main housing portion 9 by hinge 21 and is positioned at Horizontal limiting plate 11 Lower section, trigger 13 is hinged on the bottom of main housing portion 9 by hinge 23, one end hinge of one end of driving member 14 and trigger 13 Connecing, the other end of driving member 14 is hinged with main jointed shaft 20, and trigger 13 drives driving member 14, driving member 14 to promote transmission arm 15, Transmission arm 15 promotes main jointed shaft 20, main jointed shaft 20 to drive transmission arm 15 and swing arm 16, and transmission arm 15 promotes slide block 17 edge Horizontal limiting plate 11 to move, slide block 17 promotes suturing nail to eject cylinder 5 by hollow push rod 6 and moves, and suturing nail ejects cylinder 5 will nail Suturing nail in storehouse ring 7 pushes glans penis seat 1 to, sews up the foreskin on glans penis seat 1, meanwhile, and cylinder-shaped cutter 4 companion Suturing nail ejects cylinder 5 and moves, and the foreskin on glans penis seat 1 is carried out ring cutting.
Further, described trigger 13 is provided with safety fastener 36, described safety fastener 36 include hinge 37, support bar 38, by Key 39, slide block 40, back-moving spring 41 and gathering sill 42, described gathering sill 42 is located in handle portion 10, and slide block 40 is located at guiding In groove 42, the fixing button 39 that connects in one end of slide block 40, back-moving spring 41 top is pressed in the other end of slide block 40, the one of support bar 38 Holding hinged with trigger 13 by hinge 37, the other end of support bar 38, in order to be overlapped on button 39.When opening safety fastener, only Want pressing keys, support bar 38 swung downward, just safety fastener can be opened.
As shown in Figure 4, described driving member 14 is the U-shaped body structure being made up of a surface plate 28 and two sidewall panelings 29, Being correspondingly provided with two hinge holes 31 on two sidewall panelings respectively, the one end of described surface plate is provided with arcuate groove 30.This arcuate groove Space has been reserved in the movement that 30 is swing arm, when transmission arm 15 and swing arm 16 angle are 180 °, is the maximum promoted forward Stroke.The a length of 20mm of described driving member, height is 17 mm, and width is 13 mm.
As shown in Figure 5,6, described transmission arm 15 is to be made up of left arm plate 32, right arm plate 33 and connecting plate 34, described left arm Being connected by connecting plate 34 between plate 32 and right arm plate 33, described left arm plate 32 and right arm plate 33 are designed with two hinge holes 35. Described driving member, transmission arm and swing arm are made up of metal material.The a length of 35mm of transmission arm;Swing arm a length of 47mm。
Make it addition, described gun body is plastics.Described hollow push rod, square connector and elastic fastening hook are one-body molded, and And be all made of plastics.
As shown in Figure 2 and Figure 7, described glans penis seat 1 is provided with annular anvil 43, and described annular anvil 43 is provided with cannelure 45 He Annular boss 44, is circumferentially distributed the anvil pocket 46 of multiple arc, sets in described cannelure 45 on described annular boss 44 There is annular edge bearing 47;The surface of described adjusting rod 2 is circumferentially intervally distributed with a plurality of strip positioning convex 48, a plurality of strip Shape positioning convex 48 is parallel with the axis of adjusting rod 2, and the through-hole surfaces of described hollow push rod 6 is distributed multiple and strip location Protruding suitable strip locating slot, after adjusting rod 2 passes hollow push rod 6, owing to strip locating slot positions with strip Protruding cooperation, it is ensured that the anvil pocket 46 in annular anvil 43 is corresponding with suturing nail;Owing to anvil pocket 46 uses to recessed arc The structure in shape face, the nail tip of suturing nail progressively can be drawn in by inflection after touching the arcwall face of anvil pocket 46, thus be improve stitching Success rate;It addition, annular edge bearing 47 is made up of PC material, cylinder-shaped cutter 4 carries out ring cutting to the foreskin on glans penis seat 1 After, the blade of cylinder-shaped cutter 4 contacts with annular edge bearing 47, without damage blade.
As shown in Figure 8, described adjusting knob 3 uses conical structure, the end face of adjusting knob 3 to be provided with screw 51, institute Connecting in order to the threaded one end with adjusting rod 2 with screw 51, rotation of adjustment knob 3, between scalable glans penis seat 1 and nail bin ring 7 Spacing;Multiple strip groove 49 and two tabular handles 50, said two are distributed on the periphery of described adjusting knob 3 Tabular handle 50 correspondence is distributed in the both sides of adjusting knob 3;Described adjusting knob 3 is that plastics are made, its a length of 45mm.
As shown in Fig. 9,10,11, described suturing nail for extending out formula suturing nail, the formula suturing nail of extending out include shaft-like nail angle 52, Nail beam 53 and shaft-like nail angle 54, the cross section of shaft-like nail angle 52 and nail beam 53 is all rectangle structure, two shaft-like nail angles 52 and Individual nail beam 53 constitutes " П " structure, described shaft-like nail angle 52 and shaft-like nail angle 54 respectively with the outside at turning of nail beam 53 junction The radius of arc chord angle 55 be 0.45mm, the radius of the arc chord angle 56 of inner side is 0.3 mm;Described nail beam 53 is provided with rivet nut and helps De-plate 57, described rivet nut helps the side of de-plate 57 to dock with upper side or the downside of nail beam 53, and rivet nut helps de-plate 57 Front and rear panel face is concordant with side before and after nail beam 53 respectively, say, that rivet nut helps de-plate 57 identical with the thickness of nail beam 53.
Shaft-like nail angle 52, nail beam 53, shaft-like nail angle 54 and rivet nut help de-plate 57 to be all made up of 316L stainless steel material, add In man-hour, shaft-like nail angle 52, nail beam 53, shaft-like nail angle 54 and rivet nut help de-plate 57 one-body molded.
Shaft-like nail angle 52 and shaft-like nail angle 54 respectively with nail beam 53 angle be 91 °~100 °, make shaft-like nail angle 52 and bar Shape nail angle 54 is outward-dipping in outer expanding shape, and the cut formation in angle of 58 outside the end at shaft-like nail angle 52 and shaft-like nail angle 54 The top of the horn, the included angle A of the top of the horn is 42 °, and makes to be formed outside the end at shaft-like nail angle an inclined-plane, when shaft-like nail angle touches nail anvil On arcuate groove time, just have an inside thrust so that extend out two shaft-like nails angularly in bendings.Rivet nut helps de-plate A length of 2 ± 0.02 mm, width is 0.83 ± 0.02 mm, and thickness is 0.15 mm, and rivet nut helps two turnings 59 on de-plate For arc chord angle, the radius of arc chord angle is 0.2 mm;A length of 3.46 mm of described nail beam, width is 0.4 ± 0.03 mm, thickness It is 0.15 mm.
As shown in figure 12, described nail bin ring includes that ring body 60, the inner surface of described ring body 60 are circumferentially intervally distributed with Multiple U-shaped grooves 61 helping de-plate in order to accommodate rivet nut in suturing nail, the corresponding position on the two side of each groove is divided Do not have to accommodate the groove 62 at shaft-like nail angle in suturing nail;
As it is shown on figure 3, the necking end 63 that one end of hollow push rod 6 ejects cylinder 5 with suturing nail connects, hollow push rod 6 another One end extend in main housing portion 9 and is connected with square connector 25, and the end of square connector 25 is provided with a pair elastic fastening hook 26.Square opening 27 in described slide block 17 is fixed on described square connector 25 through described elastic fastening hook 26, elastic Slide block 17 is fixed by grab 26.It is that suturing nail ejects end that suturing nail ejects the other end of cylinder 5, and described suturing nail ejects the seam of cylinder 5 It is by multiple T font push rods 64 spaced apart that dowel ejects end,
As shown in figure 13, described T font push rod 64 is to be made up of horizontal plate 65 and square column 66, and square column 66 can extend into In the U-shaped groove 61 of nail bin ring, horizontal plate 65 is in order to extend in groove 62, thus is ejected by suturing nail.
Such as Figure 14, shown in 15, described cylinder-shaped cutter includes cylinder 68, and one end of described cylinder 68 is provided with circular blade 67, the other end is provided with end cap 69, and described end cap 69 is provided with central through hole 70, described central through hole 70, in order to make adjusting rod 2 from In pass, the inner surface of described central through hole 70 has been evenly distributed 4 grooves 71;On described end cap 69 and be positioned at central through hole The periphery of 70 is evenly equipped with 4 fixing holes 72, and described 4 fixing holes 72 eject the necking end of cylinder 5 in order to be fixed on described suturing nail On 4 interior fixing posts.
As shown in figure 16, described cylinder-shaped cutter is to be increased through 4 punching stretch, each punching press hardness by stainless steel materials Adding, hardness increases sharpness and is increased by, and blade is sharper, through molding, lathe height surely, after car cutting edge angle, circular blade Inner side cutting edge angle E is 25 °, and the outside cutting edge angle F of circular blade is 15 °, and sharpening mouth polishes burr, cylinder-shaped cutter just system Cheng Liao.
Such as Figure 17, shown in 18, the end face of described nail bin ring 7 is provided with nail bin protection cap 24, and described nail bin protection cap 24 is wrapped Including ring baffle 73, fixing cylinder 74 and handle 75, the internal diameter of described ring baffle 73 is not more than the ring body internal diameter of nail bin ring 7, institute Stating fixing cylinder 74 in order to be sleeved on the periphery of the ring body end of nail bin ring 7, described handle 75 is fixed on the barrel of fixing cylinder 74, Ring baffle 73 is located at one end of fixing cylinder 74, and the inner surface of the other end of close fixing cylinder 74 is circumferentially arranged with annular protrusion 76, the inner surface of fixing cylinder 74 is provided with a plurality of reinforcement 77, described a plurality of reinforcement 77 is along between the circumference of fixing cylinder 74 Every being distributed and parallel with the axis of fixing cylinder 74, one end of reinforcement 77 is connected with annular protrusion 76, the other end and ring baffle 73 connect;There is disconnection seam 78 on described ring baffle 73, form nonocclusive version.
Above description elaborates a lot of detail so that fully understanding the present invention, but, the present invention is all right Use other to be different from other modes described here to implement, it is thus impossible to be interpreted as limiting the scope of the invention.

Claims (10)

1. with a pistol type anastomat for circumcision for modified model nail bin protection cap, including glans penis seat, adjusting rod, regulation rotation Button, cylinder-shaped cutter, suturing nail eject cylinder, hollow push rod, nail bin ring and are located at the suturing nail in nail bin ring, cylinder-shaped cutter Being sleeved on suturing nail in coaxial mounted mode and eject in cylinder, also include gun body and trigger drive mechanism, described gun body is by managing Shape body portion, main housing portion and handle portion composition, the top in described main housing portion is provided with Horizontal limiting plate, described pipe One end of shape body portion is reducing positive stop end, is connected with main housing portion, and the end face of the other end of tubular body portion is provided with ring Shape is protruding, and described nail bin ring is installed on annular projection, and blend compounds water is bonding;Described suturing nail ejects cylinder and tubular body split-phase Adaptive and be located in tubular body portion, one end of hollow push rod ejects the necking end of cylinder and connects with suturing nail, and suturing nail ejects cylinder The other end be that suturing nail ejects end, the other end of hollow push rod extend in main housing portion and is connected with square connector, side The end of shape union joint is provided with a pair elastic fastening hook, and described glans penis seat is positioned at outside gun body and is connected with one end of adjusting rod, regulation The other end of bar sequentially passes through cylinder-shaped cutter, hollow push rod, connects with adjusting knob after the areole of main housing portion passes Connect;
It is characterized in that: described trigger drive mechanism includes trigger, driving member, transmission arm, swing arm, slide block and back-moving spring structure Becoming, the square opening in described slide block is fixed on described square connector through described elastic fastening hook, and elastic fastening hook will be sliding Block is fixed, and described back-moving spring is sleeved on hollow push rod, and the top, one end of back-moving spring is pressed on slide block, and other end top is pressed in pipe On ring baffle in shape body portion, one end of transmission arm is hinged with slide block, and the other end is by main jointed shaft and the one of swing arm Hold hinged, top that the other end of swing arm is hinged in main housing portion by hinge and be positioned at the lower section of Horizontal limiting plate, Trigger is hinged on the bottom of main housing portion by hinge, and one end of driving member is hinged with one end of trigger, another of driving member Holding hinged with main jointed shaft, trigger drives driving member, and driving member promotes transmission arm, and transmission arm promotes main jointed shaft, main jointed shaft Driving transmission arm and swing arm, transmission arm promotes slide block to move along Horizontal limiting plate, and slide block is promoted by hollow push rod and sews up Screw top goes out cylinder and moves, and suturing nail ejects cylinder and pushes the suturing nail in nail bin ring to glans penis seat, stitches the foreskin on glans penis seat Closing, meanwhile, cylinder-shaped cutter ejects cylinder in company with suturing nail and moves, and the foreskin on glans penis seat is carried out ring cutting;
Described glans penis seat is provided with annular anvil, and described annular anvil is provided with cannelure and annular boss, edge on described annular boss The circumferentially distributed anvil pocket having multiple arc, in described cannelure, be provided with annular edge bearing;The surface of described adjusting rod is along week To being intervally distributed with a plurality of strip positioning convex, a plurality of strip positioning convex is parallel with the axis of adjusting rod, described hollow The through-hole surfaces of push rod is distributed multiple strip locating slot suitable with strip positioning convex;Annular edge bearing is by PC material Material is made;
Described adjusting knob use conical structure, the end face of adjusting knob is provided with screw, screw used in order to and adjusting rod Threaded one end connect, rotation of adjustment knob, the spacing between scalable glans penis seat and nail bin ring;The circumference of described adjusting knob Multiple strip groove and two tabular handles are distributed on face, and said two tabular handle correspondence is distributed in the two of adjusting knob Side;Described adjusting knob is that plastics are made, its a length of 45mm;
Described suturing nail is for extending out formula suturing nail, and the formula suturing nail of extending out includes shaft-like nail angle and nail beam, shaft-like nail angle and nail beam Cross section is all rectangle structure, and two shaft-like nail angles and a nail beam constitute " П " structure, described shaft-like nail angle and nail beam and connect The turning at place is arc chord angle;The rivet nut that is provided with described nail beam helps de-plate, and described rivet nut helps the side of de-plate and the upper side of nail beam Or downside docking, and rivet nut helps plate face before and after de-plate concordant with side before and after nail beam respectively;The shaft-like nail of said two Angle, a nail beam and rivet nut help de-plate one-body molded;The arc chord angle in the outside at the turning of described shaft-like nail angle and nail beam junction Radius be 0.45mm, the radius of the arc chord angle of inner side is 0.3 mm;The angle of said two shaft-like nail angle and a nail beam is 91 °~100 °, two angular outer inclines of shaft-like nail are outer expanding shape, and the cut formation in angle outside the end at two shaft-like nail angles The top of the horn, and make to be formed outside the end at shaft-like nail angle an inclined-plane, the angle of the top of the horn is 42 °;
It is multiple in order to accommodate in suturing nail that described nail bin ring includes that ring body, the inner surface of described ring body are circumferentially intervally distributed with Rivet nut helps the U-shaped groove of de-plate, the corresponding position on the two side of each U-shaped groove to have to accommodate suturing nail In the groove A at shaft-like nail angle;
Described suturing nail ejects the suturing nail of cylinder and ejects end is by multiple T font push rods spaced apart, and described T font push rod is Being made up of horizontal plate and square column, square column can extend in the U-shaped groove of nail bin ring, and horizontal plate can extend in groove A, uses So that suturing nail is ejected;
Described cylinder-shaped cutter includes cylinder, and one end of described cylinder is provided with circular blade, and the other end is provided with end cap, described end Covering and be provided with central through hole, described central through hole is in order to make adjusting rod extend there through, and the inner surface of described central through hole is circumferentially It is evenly equipped with 4 grooves;On described end cap and be positioned at the periphery of central through hole and be evenly equipped with 4 fixing holes, described 4 fixing holes in order to It is fixed on 4 fixing posts that described suturing nail ejects in the necking end of cylinder;
The end face of described nail bin ring is provided with nail bin protection cap, and described nail bin protection cap includes ring baffle, fixing cylinder and handle, The internal diameter of described ring baffle is not more than the ring body internal diameter of nail bin ring, and described fixing cylinder is in order to be sleeved on the ring body end of nail bin ring Periphery, described handle is fixed on the barrel of fixing cylinder, and ring baffle is located at one end of fixing cylinder, near another of fixing cylinder The inner surface of end, circumferentially arranged with annular protrusion, is provided with a plurality of reinforcement, described a plurality of reinforcement on the inner surface of fixing cylinder Along the circumferentially-spaced distribution of fixing cylinder and parallel with the axis of fixing cylinder, one end of reinforcement is connected with annular protrusion, another End is connected with ring baffle;There is disconnection seam on described ring baffle, form nonocclusive version.
Pistol type anastomat for circumcision with modified model nail bin protection cap the most according to claim 1, its feature exists In: described trigger is provided with safety fastener, and described safety fastener includes hinge, support bar, button, slide block, back-moving spring and gathering sill, Described gathering sill is located in handle portion, and slide block is located in gathering sill, and one end of slide block connects button, and back-moving spring top is pressed in cunning The other end of block, one end of support bar is hinged with trigger by hinge, and the other end of support bar is in order to be overlapped on button.
Pistol type anastomat for circumcision with modified model nail bin protection cap the most according to claim 1, its feature exists In: described gun body is to be made up of symmetrical two halves part, and every half part is all by halfpipe body portion, half main housing portion and half hands Handle portion is one-body molded.
Pistol type anastomat for circumcision with modified model nail bin protection cap the most according to claim 1, its feature exists In: described driving member, transmission arm and swing arm are made up of metal material, and described gun body is that plastics are made.
Pistol type anastomat for circumcision with modified model nail bin protection cap the most according to claim 1, its feature exists In: described hollow push rod, square connector and elastic fastening hook are one-body molded, and are all made of plastics.
Pistol type anastomat for circumcision with modified model nail bin protection cap the most according to claim 1, its feature exists In: the inner side cutting edge angle of described circular blade is 25 °, and the outside cutting edge angle of described circular blade is 15 °;Described cylindrical shape Cutting knife is made up of stainless steel materials.
Pistol type anastomat for circumcision with modified model nail bin protection cap the most according to claim 1, its feature exists In: described driving member is the U-shaped body structure being made up of a surface plate and two sidewall panelings, and on two sidewall panelings, correspondence sets respectively Having two hinge holes, the one end of described surface plate is provided with arcuate groove.
Pistol type anastomat for circumcision with modified model nail bin protection cap the most according to claim 1, its feature exists In: described transmission arm is to be made up of left arm plate, right arm plate and connecting plate, and between described left arm plate, right arm plate is by connecting plate even Connecing, described left arm plate and right arm plate are designed with two hinge holes.
Pistol type anastomat for circumcision with modified model nail bin protection cap the most according to claim 1, its feature exists In: a length of 20mm of described driving member, height is 17 mm, and width is 13 mm;The a length of 35mm of transmission arm;Swing arm A length of 47mm.
Pistol type anastomat for circumcision with modified model nail bin protection cap the most according to claim 1, its feature exists In: described rivet nut helps two turnings on de-plate to be arc chord angle, and the radius of described arc chord angle is 0.2 mm;Described rivet nut helps de-plate A length of 2 ± 0.02 mm, width is 0.83 ± 0.02 mm, and thickness is 0.15 mm;A length of 3.46 mm of described nail beam, Width is 0.4 ± 0.03 mm, and thickness is 0.15 mm;Said two shaft-like nail angle, one nail beam and rivet nut help de-plate be all by 316L stainless steel material is made.
CN201510596708.2A 2015-09-18 2015-09-18 Pistol type anastomat for circumcision with modified model nail bin protection cap Active CN105078547B (en)

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CN106175889A (en) * 2016-06-30 2016-12-07 广州德脉医疗器械有限公司 A kind of Multi-functional protective cover of foreskin Endo-GIA
CN106137330B (en) * 2016-07-31 2018-08-14 温州冠美医疗科技有限公司 A kind of combined type staple cartridge that foreskin shaping stapler uses
CN107773281A (en) * 2016-08-24 2018-03-09 翁晓峰 Suture nail bin
CN107224316B (en) * 2017-07-26 2023-08-08 温州冠美医疗科技有限公司 Glans cover with gasket for foreskin cutting stitching instrument
CN108433788B (en) * 2018-03-21 2023-10-31 江西狼和医疗器械有限公司 Circular cutting anastomat

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Address after: 331500 South Industrial Park, Yongfeng County, Ji'an City, Jiangxi Province

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