CN105615952B - Pistol type anastomat for circumcision with modified cylinder-shaped cutter - Google Patents

Pistol type anastomat for circumcision with modified cylinder-shaped cutter Download PDF

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Publication number
CN105615952B
CN105615952B CN201510597000.9A CN201510597000A CN105615952B CN 105615952 B CN105615952 B CN 105615952B CN 201510597000 A CN201510597000 A CN 201510597000A CN 105615952 B CN105615952 B CN 105615952B
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CN
China
Prior art keywords
nail
cylinder
plate
angle
shaped cutter
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CN201510597000.9A
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Chinese (zh)
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CN105615952A (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.
Original Assignee
Zhongshan Yuesheng Medical Instrument Co Ltd
Jiangxi Langhe Medical Instrument Co Ltd
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Priority to CN201510597000.9A priority Critical patent/CN105615952B/en
Publication of CN105615952A publication Critical patent/CN105615952A/en
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Classifications

    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3209Incision instruments
    • A61B17/32093Incision instruments for skin incisions

Abstract

The invention discloses a kind of pistol type anastomat for circumcision with modified cylinder-shaped cutter, including gun body and trigger transmission mechanism, gun body is made up of tubular body portion, main housing portion and handle portion, suturing nail includes shaft-like nail angle and nail beam, the rivet nut that nail beam is provided with helps de- plate, and rivet nut helps the side of de- plate to be docked with the upper side of nail beam or downside.Because the other end of cylinder is provided with end cap, 4 fixing holes are evenly equipped with the end cap and positioned at the periphery of central through hole, 4 fixing holes are used to be fixed in 4 fixed columns that the suturing nail is ejected in the necking end of cylinder, and said structure form makes the location and installation of cylinder-shaped cutter more accurate.Because the inner side cutting edge angle of circular blade is 25 °, the outside cutting edge angle of the circular blade is 15 °, therefore with splendid ring cutting effect.

Description

Pistol type anastomat for circumcision with modified cylinder-shaped cutter
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, patent name be for The patent of the feature suturing nail peritomized, it includes nail pin and tie-beam, and it is structurally characterized in that nail pin is slim-lined construction, some Individual nail pin 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 mouthful after peritomizing disposably is sutured, Be pushed to during moving ahead can stabilising direction, uniform force, suture is accurate, postoperative to prevent tissue encapsulation, while face undertissue Long-time to beam face delays the self falling that the effect of pushing away can promote whole suturing nail.Also be beneficial to art mouthful hemostasis, pairing it is neat and Accelerate healing.
Above-mentioned patent is our company's 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 had certain effect in terms of tissue encapsulation is prevented, but have impact on suture effect Really;In addition, the nail pin of above-mentioned patent is vertical with tie-beam, rather than an enlarging, therefore penetrating skin, and it is not in contact with During to nail anvil, bending is just there occurs, so as to have impact on the success rate of suture.This patent is the improvement to above-mentioned patent.
State Intellectual Property Office disclosed Publication No. 201537118U on the 4th in August in 2010, and patent name is preputial ring The patent of cutter, it is characterized in that body is cut on the coaxially connected top of housing, 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 is provided with cutter gasket ring and the suturing nail ring of falling pin along side, and the other end of pull bar is connected by adjusting knob nut Adjusting knob is connect, the top that body is cut on top is connected with suturing nail fore-set and annular cutter, and the end that body is cut on top is connected by the push rod that links Take over a job fixed handle, the top of body is cut on top and bell glans penis seat is connected, and housing tip is connected with annular nail bin, and annular nail bin is built-in There is suturing nail.There is operation arduously in above-mentioned patent, not safe and reliable enough defect.
State Intellectual Property Office disclosed the patent of Publication No. 102920494A for 2 months on the 13rd in 2013, and its structure is special It is to fix the left end of the small of the stock for cylindrical cavity to levy, fixed small of the stock right side connection pistol trigger, and insurance is connected with pistol trigger, Ecto-entad is sequentially provided with push rod, blade and stock target stand in the cylindrical cavity of the fixed small of the stock, against push rod left end The cartridge clip of annular arrangement is provided with the fixed small of the stock, bullet is equipped with cartridge clip, the right-hand member of push rod is connected with pistol trigger, blade It is 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, position and the bullet of target stand baffle ring Position is corresponding;Convenient, fast, safe, laborsaving the invention enables Wrapping annulus cuts operation, art mouthful is neat, and bleeding is few, and pain is few, Postoperative care is convenient, and release is taken out stitches, tears ring pain open, and the workload of doctor is also reduced to greatest extent.
Above-mentioned patent is our company's research and development, and this patent is carried out to the trigger transmission mechanism and lance body structure of above-mentioned patent Improve, make operation more laborsaving, the displacement of suturing nail ejection cylinder movement is more accurate, and the apparatus after improvement is more safe and reliable, behaviour Make more to facilitate.
In addition, this patent is to suturing nail, suturing nail ejection cylinder, adjusting knob, safety fastener, the annular anvil of glans penis seat and tune Pole is improved.
Above-mentioned discussion content purpose be to reader introduce may be described below and/or advocates it is of the invention respectively The various aspects of the related technology of individual aspect, it is believed that the discussion content helps to be reader with background's information, to be conducive to more Various aspects of the invention are understood well, therefore, these discussions should be read with the angle for understanding, without being to recognize that existing skill Art.
The content 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 cylinder-shaped cutter Anastomat for circumcision.
To achieve the above object, the technical solution adopted in the present invention is:
Pistol type anastomat for circumcision with modified cylinder-shaped cutter, including glans penis seat, adjusting rod, regulation rotation Button, cylinder-shaped cutter, suturing nail ejection cylinder, hollow push rod, nail bin ring and the suturing nail being located in nail bin ring, cylinder-shaped cutter It is sleeved in suturing nail ejection cylinder in coaxial mounted mode, it is characterised in that:Also include gun body and trigger transmission mechanism, it is described Gun body is made up of tubular body portion, main housing portion and handle portion, and the top in the main housing portion is provided with level limit Position plate, one end of the tubular body portion is necking 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 the nail bin ring is installed on annular projection, blend compounds water bonding;The suturing nail ejection cylinder and pipe Shape body portion is adapted and is located in tubular body portion, and one end of hollow push rod connects with the necking end of suturing nail ejection cylinder, stitches The other end of dowel ejection cylinder ejects end for suturing nail, and the other end of hollow push rod is extend into main housing portion and square connection Head connection, the end of square connector is provided with a pair of elastic fastening hooks, the glans penis seat be located at gun body it is outer and with one end of adjusting rod Connection, the other end of adjusting rod sequentially passes through cylinder-shaped cutter, hollow push rod, passes rear from the areole of main housing portion and adjusts Section knob connection;The trigger transmission mechanism includes that trigger, driving member, transmission arm, swing arm, sliding block and back-moving spring are constituted, Square opening in the sliding block is fixed on described square connector through described elastic fastening hook, and elastic fastening hook consolidates sliding block Fixed, the back-moving spring is sleeved in hollow push rod, and on sliding block, other end top pressure is in tubular body for one end top pressure of back-moving spring On ring baffle in part, one end and the sliding block of transmission arm are hinged, and the other end is cut with scissors by main jointed shaft with one end of swing arm Connect, the other end of swing arm is hinged on the top in main housing portion by hinge and positioned at the lower section of Horizontal limiting plate, trigger The bottom of main housing portion is hinged on 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, driving member to promote transmission arm, transmission arm to promote main jointed shaft, main jointed shaft to drive Transmission arm and swing arm, transmission arm promote sliding block to be moved along Horizontal limiting plate, and sliding block promotes suture screw top by hollow push rod Go out cylinder movement, suturing nail ejects cylinder and pushes the suturing nail in nail bin ring to glans penis seat, the foreskin on glans penis seat is sutured, with This simultaneously, cylinder-shaped cutter in company with suturing nail ejection cylinder movement, to glans penis seat on foreskin carry out ring cutting;
The glans penis seat is provided with annular anvil, and the annular anvil is provided with annular groove and annular boss, the annular boss On the anvil pocket of multiple arcs is circumferentially distributed with, annular edge bearing is provided with the annular groove;The surface edge of the adjusting rod The circumferentially-spaced diameter parallel that a plurality of strip positioning convex, a plurality of strip positioning convex and adjusting rod is distributed with, it is described The through-hole surfaces of hollow push rod are distributed with multiple strip locating slots being adapted with strip positioning convex;Annular edge bearing be by PC materials are made;
The adjusting knob uses the end face of conical structure, adjusting knob to be provided with screw, and screw used is used to and adjusts The threaded one end connection of pole, rotation of adjustment knob can adjust the spacing between glans penis seat and nail bin ring;The adjusting knob Multiple long striped grooves and two tabular handles are distributed with periphery, described two tabular handle correspondences are distributed in adjusting knob Both sides;The adjusting knob is made of plastics, and its length is 45mm;
To extend out formula suturing nail, extend out formula suturing nail includes shaft-like nail angle and nail beam, shaft-like nail angle and nail to the suturing nail The section of beam is all rectangle structure, and two shaft-like nail angles and a nail beam constitute " П " structure, the shaft-like nail angle and nail beam The turning of junction is arc chord angle;The rivet nut that the nail beam is provided with helps de- plate, and the rivet nut helps the side of de- plate upper with nail beam Side or downside are docked, and rivet nut helps front and back sides of the front and rear plate face of de- plate respectively with nail beam concordant;Described two bars Shape nail angle, a nail beam and rivet nut help de- plate to be integrally formed;The circle in the outside at the turning of the 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;Described two shaft-like nail angles and a folder for nail beam Angle is 91 °~100 °, and two shaft-like angular outer inclines of nail are removed in the angle on the outside of outer expanding shape, and two ends at shaft-like nail angle The top of the horn is formed, and the end outside at shaft-like nail angle is formed an inclined-plane, the angle of the top of the horn is 42 °;
The nail bin ring includes ring body, and the inner surface of the ring body is circumferentially intervally distributed with multiple and is used to accommodate suture Rivet nut helps the U-shaped groove of de- plate in nail, and the corresponding position on the two side of each groove has to accommodate suture The groove at shaft-like nail angle in nail;
The suturing nail ejection end of the suturing nail ejection cylinder is the T font push rods being spaced apart by multiple, the T fonts top Bar is made up of level board and square column, and square column can be extend into the U-shaped groove of nail bin ring, and level board can extend into groove In, it is used to eject suturing nail;
The cylinder-shaped cutter includes cylinder, and one end of the 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, the central through hole is used to extend there through adjusting rod, the inner surface edge of the central through hole Circumferentially it is evenly equipped with 4 grooves;4 fixing holes, 4 fixing holes are evenly equipped with the end cap and positioned at the periphery of central through hole It is used to be fixed in 4 fixed columns that the suturing nail is ejected in the necking end of cylinder;The inner side cutting edge angle of the circular blade It it is 25 °, the outside cutting edge angle of the circular blade is 15 °;The cylinder-shaped cutter is made up of stainless steel materials.
Further, the trigger is provided with safety fastener, and the safety fastener includes hinge, support bar, button, sliding block, multiple Position spring and gathering sill, the gathering sill are located in handle portion, and sliding block is located in gathering sill, one end connection button of sliding block, Back-moving spring top is pressed in the other end of sliding block, and one end of support bar is hinged by hinge with trigger, and the other end of support bar is used to It is overlapped on button.
Further, the driving member, transmission arm and swing arm are made up of metal material, and the gun body is plastics system Into.
Further, the hollow push rod, square connector and elastic fastening hook are integrally formed, and are all by plastics system Into.
Further, the end face of the nail bin ring is provided with bin cover.
Further, the driving member is the U-shaped body structure being made up of a surface plate and two sidewall panelings, two side walls Two hinge holes are correspondingly provided with plate respectively, the one end of the surface plate is provided with deep-slotted chip breaker.
Further, the transmission arm is made up of left arm plate, right arm plate and connecting plate, the left arm plate and right arm plate it Between by connecting plate connect, the left arm plate and right arm plate are designed with two hinge holes.
Further, the length of the driving member is 20mm, is highly 17 mm, and width is 13 mm;The length of transmission arm It is 35mm;The length of swing arm is 47mm.
Further, two turnings that the rivet nut is helped on de- plate are arc chord angle, and the radius of the arc chord angle is 0.2 mm; It is 2 ± 0.02 mm that the rivet nut helps the length of de- plate, and width is 0.83 ± 0.02 mm, and thickness is 0.15 mm;The nail beam Length is 3.46 mm, and width is 0.4 ± 0.03 mm, and thickness is 0.15 mm;Described two shaft-like nail angles, nail beam and a nail Body helps de- plate to be all made up of 316L stainless steel materials.
Beneficial effects of the present invention:
Due to the structure type using gun body, only need to be anchored to trigger during operation just, it is easy to operate;Due to rifle The tubular body portion of body plays spacing effect in the form of necking to suturing nail ejection cylinder, can not only simplify in gun body Structure, and also assures that the stability of work;Due to being specifically designed and Horizontal limiting plate in gun body for trigger transmission mechanism Coordinate, make operation more laborsaving, suturing nail ejection cylinder movement displacement it is more accurate, so as to improve peritomize and suture into Power;Because sliding block and hollow push rod use removable clamp form, the installation of part is facilitated.
Due to being additionally arranged safety fastener, and safety fastener is designed, so that operation is safer and convenient, fully demonstrated The design concept of hommization.
Due to the cooperation 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 interior curved gathering, so as to improve the success rate of suture;In addition, annular edge bearing is made up of PC materials, cylindrical shape is cut After knife carries out ring cutting to the foreskin on glans penis seat, the blade of cylinder-shaped cutter is contacted with annular edge bearing, without damaging blade.
Due to designing being improved property of adjusting knob, when hand touches adjusting knob, not only good hand touch, but also facilitate Regulation.
De- plate is helped due to being additionally arranged rivet nut, so as to increased the contact area of nail beam and human body skin, so as to effectively prevent The skin of human body will follow closely the situation of beam parcel, contribute to coming off for rivet nut.
Due to being in outer expanding shape by two angular outer inclines of shaft-like nail, can anti-non-magnetic shim angle penetrate during skin to infolding It is curved, and angle on the outside of two ends at shaft-like nail angle is removed and forms the top of the horn, the end outside at shaft-like nail angle is formed one Inclined-plane, when shaft-like nail angle touches the deep-slotted chip breaker on nail anvil, just has an inside thrust, so that two bars for extending out Bending in shape nail is angular, this design substantially increases the success rate of suture operation.
Due to all turnings to be designed as the form of arc chord angle, in order to avoid hindering skin, make suturing nail more safe and reliable.
In addition, being by optimum number obtained from many experiments it is emphasized that nail beam and rivet nut help the size of de- plate According to, if rivet nut helps de- board size too small, can not rise and use, if excessive, sewing effect can be influenceed.
Because the other end of cylinder is provided with end cap, 4 fixations are evenly equipped with the end cap and positioned at the periphery of central through hole Hole, 4 fixing holes are used to be fixed in 4 fixed columns that the suturing nail is ejected in the necking end of cylinder, said structure shape Formula makes the location and installation of cylinder-shaped cutter more accurate.
Because the inner side cutting edge angle of circular blade is 25 °, the outside cutting edge angle of the circular blade is 15 °, therefore tool There is splendid ring cutting effect.
Brief description of the drawings
Using accompanying drawing, the invention will be further described, but embodiment in accompanying drawing is not constituted to any limit of the invention System, for one of ordinary skill in the art, on the premise of not paying creative work, can also obtain according to the following drawings Other accompanying drawings.
Fig. 1 is schematic appearance of the invention;
Fig. 2 is the explosive view shown in Fig. 1;
Fig. 3 is the exploded view of hollow push rod shown in Fig. 2 and sliding 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 stereogram 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 stereogram 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 fonts 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.
In figure:1st, glans penis seat;2nd, adjusting rod;3rd, adjusting knob;4th, cylinder-shaped cutter;5th, suturing nail ejection cylinder;6th, it is hollow Push rod;7th, nail bin ring;8th, tubular body portion;9th, main housing portion;10th, handle portion;11st, Horizontal limiting plate;12nd, ring-type is convex Rise;13rd, trigger;14th, driving member;15th, transmission arm;16th, swing arm;17th, sliding block;18th, back-moving spring;19th, ring baffle;20、 Main jointed shaft;21st, hinge;22nd, areole;23rd, hinge;24th, bin cover;25th, square connector;26th, elastic fastening hook;27th, side Shape hole;28th, surface plate;29th, sidewall paneling;30th, deep-slotted chip breaker;31st, hinge hole;32nd, left arm plate;33rd, right arm plate;34th, connecting plate; 35th, hinge hole;36th, safety fastener;37th, hinge;38th, support bar;39th, button;40th, sliding block;41st, back-moving spring;42nd, gathering sill; 43rd, annular anvil;44th, annular boss;45th, annular groove;46th, anvil pocket;47th, annular edge bearing;48th, strip positioning convex;49th, it is long Strip groove;50th, tabular handle;51st, screw;52nd, shaft-like nail angle;53rd, beam is followed closely;54th, shaft-like nail angle;55th, the circular arc in outside Angle;56th, the arc chord angle of inner side;57th, rivet nut helps de- plate;58th, end outside;59th, turning;Α, angle;60th, ring body;61st, U-shaped Groove;62nd, groove;63rd, necking end;64th, T fonts push rod;65th, level board;66th, square column;67th, circular blade;68th, cylinder; 69th, end cap;70th, central through hole;71st, groove;72nd, fixing hole.
Specific embodiment
In order that those skilled in the art more fully understands technical scheme, it is below in conjunction with the accompanying drawings and specific real Apply example the present invention is described in further detail, it is necessary to explanation, in the case where not conflicting, embodiments herein and Feature in embodiment can be mutually combined.
As shown in Figure 1, 2, the pistol type anastomat for circumcision with modified cylinder-shaped cutter, including glans penis seat 1, tune 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 in suturing nail ejection cylinder 5 in coaxial mounted mode, also passed including gun body and trigger Motivation structure, the gun body is made up of tubular body portion 8, main housing portion 9 and handle portion 10, and specific scheme is that gun body is Be made up of two symmetrical half parts, per half part all by halfpipe body portion, half main housing portion and semi-handle part one into Type.
Top in the main housing portion 9 is provided with Horizontal limiting plate 11, and one end of the tubular body portion 8 is necking 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, the nail bin ring 7 It is installed on annular projection 12, blend compounds water bonding;The suturing nail ejection cylinder 5 is adapted with tubular body portion 8 and is located at pipe In shape body portion 8.
The glans penis seat 1 is located 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, are connected after being passed from the areole 22 of main housing portion 9 with adjusting knob 3;The trigger transmission Mechanism is constituted including trigger 13, driving member 14, transmission arm 15, swing arm 16, sliding block 17 and back-moving spring 18, the back-moving spring 18 are sleeved in hollow push rod 6, and on sliding block 17, other end top pressure is in tubular body portion 8 for one end top pressure of back-moving spring 18 Ring baffle 19 on, one end and the sliding block 17 of transmission arm 15 are hinged, the other end pass through main jointed shaft 20 and swing arm 16 one End is hinged, and the other end of swing arm 16 is hinged on top in main housing portion 9 and positioned at Horizontal limiting plate 11 by hinge 21 Lower section, trigger 13 is hinged on the bottom of main housing portion 9 by hinge 23, and one end of driving member 14 is cut with scissors with one end of trigger 13 Connect, the other end of driving member 14 is hinged with main jointed shaft 20, 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, transmission arm 15 to promote the edge of sliding block 17 Horizontal limiting plate 11 to move, sliding block 17 promotes suturing nail to eject cylinder 5 and moves by hollow push rod 6, suturing nail ejection cylinder 5 will be followed closely Suturing nail in storehouse ring 7 pushes glans penis seat 1 to, and the foreskin on glans penis seat 1 is sutured, at the same time, the companion of cylinder-shaped cutter 4 Suturing nail ejection cylinder 5 is moved, and ring cutting is carried out to the foreskin on glans penis seat 1.
Further, the trigger 13 is provided with safety fastener 36, and the safety fastener 36 includes hinge 37, support bar 38, presses Key 39, sliding block 40, back-moving spring 41 and gathering sill 42, the gathering sill 42 are located in handle portion 10, and sliding block 40 is located at guiding In groove 42, one end of sliding block 40 is fixedly connected button 39, the top pressure of back-moving spring 41 sliding block 40 the other end, the one of support bar 38 End is hinged by hinge 37 with trigger 13, and the other end of support bar 38 is used to be overlapped on button 39.When opening safety fastener, only Pressing keys are wanted, support bar 38 just can open safety fastener to lower swing.
Further, the end face of the nail bin ring 7 is provided with bin cover 24.
As shown in figure 4, the driving member 14 is the U-shaped body structure being made up of a surface plate 28 and two sidewall panelings 29, Two hinge holes 31 are correspondingly provided with two sidewall panelings respectively, the one end of the surface plate is provided with deep-slotted chip breaker 30.The deep-slotted chip breaker 30 have reserved space for the movement of swing arm, are the maximums for promoting forward when transmission arm 15 and the angle of swing arm 16 are 180 ° Stroke.The length of the driving member is 20mm, is highly 17 mm, and width is 13 mm.
As shown in Figure 5,6, the transmission arm 15 is made up of left arm plate 32, right arm plate 33 and connecting plate 34, the left arm Connected by connecting plate 34 between plate 32 and right arm plate 33, the left arm plate 32 and right arm plate 33 are designed with two hinge holes 35. The driving member, transmission arm and swing arm are made up of metal material.The length of transmission arm is 35mm;The length of swing arm is 47mm。
In addition, the gun body is made of plastics.The hollow push rod, square connector and elastic fastening hook are integrally formed, and And be all made of plastics.
As shown in Figure 2 and Figure 7, the glans penis seat 1 is provided with annular anvil 43, and the annular anvil 43 is provided with the He of annular groove 45 Annular boss 44, is circumferentially distributed with the anvil pocket 46 of multiple arcs, the annular groove 45 on the annular boss 44 and sets There is annular edge bearing 47;The surface of the adjusting rod 2 is circumferentially intervally distributed with a plurality of strip positioning convex 48, a plurality of strip The diameter parallel of shape positioning convex 48 and adjusting rod 2, the through-hole surfaces of the hollow push rod 6 are distributed with multiple and strip positioning The strip locating slot that projection is adapted, after adjusting rod 2 passes through hollow push rod 6, because strip locating slot and strip are positioned Raised cooperation, it is ensured that the anvil pocket 46 in annular anvil 43 is corresponding with suturing nail;Because anvil pocket 46 is using to recessed arc The structure in shape face, the nail tip of suturing nail touch after the arcwall face of anvil pocket 46 can progressively interior curved gathering, so as to improve suture Success rate;In addition, annular edge bearing 47 is made up of PC materials, cylinder-shaped cutter 4 carries out ring cutting to the foreskin on glans penis seat 1 Afterwards, the blade of cylinder-shaped cutter 4 is contacted with annular edge bearing 47, without damaging blade.
As shown in figure 8, the adjusting knob 3 uses the end face of conical structure, adjusting knob 3 to be provided with screw 51, institute Connected to the threaded one end with adjusting rod 2 with screw 51, rotation of adjustment knob 3, can adjust between glans penis seat 1 and nail bin ring 7 Spacing;Multiple long striped grooves 49 and two tabular handles 50 are distributed with the periphery of the adjusting knob 3, it is described two The correspondence of tabular handle 50 is distributed in the both sides of adjusting knob 3;The adjusting knob 3 is made of plastics, and its length is 45mm.
As shown in Fig. 9,10,11, the suturing nail to extend out formula suturing nail, extend out formula suturing nail including shaft-like nail angle 52, The section of nail beam 53 and shaft-like nail angle 54, 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, the shaft-like nail angle 52 and shaft-like nail angle 54 respectively with the outside at the 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;The nail beam 53 is provided with rivet nut and helps De- plate 57, the rivet nut helps the side of de- plate 57 to be docked with the upper side of nail beam 53 or downside, and rivet nut helps de- plate 57 Front and back sides of the front and rear plate face respectively with nail beam 53 are concordant, that is to 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 materials, plus Man-hour, shaft-like nail angle 52, nail beam 53, shaft-like nail angle 54 and rivet nut help de- plate 57 to be integrally formed.
The angle of shaft-like nail angle 52 and shaft-like nail angle 54 respectively with nail beam 53 is 91 °~100 °, makes shaft-like nail angle 52 and bar The outward-dipping angle on the outside of outer expanding shape, and the end at shaft-like nail angle 52 and shaft-like nail angle 54 58 in shape nail angle 54 is removed and is formed The top of the horn, the included angle A of the top of the horn is 42 °, and the end outside at shaft-like nail angle is formed an inclined-plane, when shaft-like nail angle touches nail anvil On deep-slotted chip breaker when, an inside thrust is just had, so that bendings in the shaft-like nail of extend out two is angular.Rivet nut helps de- plate Length be 2 ± 0.02 mm, width be 0.83 ± 0.02 mm, thickness be 0.15 mm, two turnings 59 that rivet nut is helped on de- plate It is arc chord angle, the radius of arc chord angle is 0.2 mm;The length of the nail beam is 3.46 mm, and width is 0.4 ± 0.03 mm, thickness It is 0.15 mm.
As shown in figure 12, the nail bin ring includes ring body 60, and the inner surface of the ring body 60 is circumferentially intervally distributed with Multiple is used to accommodate the U-shaped groove 61 that rivet nut in suturing nail helps de- plate, the corresponding position point on the two side of each groove It is not provided with to accommodate the groove 62 at shaft-like nail angle in suturing nail;
As shown in figure 3, the necking end 63 of one end of hollow push rod 6 and suturing nail ejection cylinder 5 is connected, hollow push rod 6 it is another One end is connected in extending into main housing portion 9 with square connector 25, and the end of square connector 25 is provided with a pair of elastic fastening hooks 26.Square opening 27 in the sliding block 17 is fixed on described square connector 25 through described elastic fastening hook 26, elasticity Grab 26 fixes sliding block 17.The other end of suturing nail ejection cylinder 5 ejects end for suturing nail, and the suturing nail ejects the seam of cylinder 5 Dowel ejection end is the T fonts push rod 64 being spaced apart by multiple,
As shown in figure 13, the T fonts push rod 64 is made up of level board 65 and square column 66, and square column 66 can extend into In the U-shaped groove 61 of nail bin ring, level board 65 is used to extend into groove 62, so as to suturing nail be ejected.
As shown in Figure 14,15, the cylinder-shaped cutter includes cylinder 68, and one end of the cylinder 68 is provided with circular blade 67, the other end is provided with end cap 69, and the end cap 69 is provided with central through hole 70, the central through hole 70, be used to make adjusting rod 2 from In pass through, the inner surface of the central through hole 70 has been evenly distributed 4 grooves 71;On the end cap 69 and positioned at central through hole 70 periphery is evenly equipped with 4 fixing holes 72, and 4 fixing holes 72 are used to be fixed on the necking end that the suturing nail ejects cylinder 5 In 4 interior fixed columns.
The cylinder-shaped cutter is that, through 4 punching stretch, each punching press hardness increases, and hardness increases cutting edge of a knife or a sword by stainless steel materials Sharp degree is increased by, and blade is sharper, through shaping, lathe height surely, after car cutting edge angle, the inner side cutting edge angle E of circular blade It it is 25 °, the outside cutting edge angle F of circular blade is 15 °, and sharpening mouth polishes flash, and cylinder-shaped cutter is just made.
Many details are elaborated in above description in order to fully understand the present invention, but, the present invention can be with Other modes described here are different from using other to implement, it is thus impossible to be interpreted as limiting the scope of the invention.

Claims (9)

1. a kind of pistol type anastomat for circumcision with modified cylinder-shaped cutter, including glans penis seat, adjusting rod, regulation rotation Button, cylinder-shaped cutter, suturing nail ejection cylinder, hollow push rod, nail bin ring and the suturing nail being located in nail bin ring, cylinder-shaped cutter It is sleeved in suturing nail ejection cylinder in coaxial mounted mode, also including gun body and trigger transmission mechanism, the gun body is by managing Shape body portion, main housing portion and handle portion composition, one end of the tubular body portion is necking positive stop end, with main housing part Point connection, suturing nail ejection cylinder is adapted and is located in tubular body portion with tubular body portion, one end of hollow push rod and The necking end connection of suturing nail ejection cylinder, it is characterised in that:Top in the main housing portion is provided with Horizontal limiting plate, tubulose The end face of the other end of body portion is provided with annular projection, and the nail bin ring is installed on annular projection, blend compounds water bonding;Seam The other end of dowel ejection cylinder ejects end for suturing nail, and the other end of hollow push rod is extend into main housing portion and square connection Head connection, the end of square connector is provided with a pair of elastic fastening hooks, the glans penis seat be located at gun body it is outer and with one end of adjusting rod Connection, the other end of adjusting rod sequentially passes through cylinder-shaped cutter, hollow push rod, passes rear from the areole of main housing portion and adjusts Section knob connection;The trigger transmission mechanism includes that trigger, driving member, transmission arm, swing arm, sliding block and back-moving spring are constituted, Square opening in the sliding block is fixed on described square connector through described elastic fastening hook, and elastic fastening hook consolidates sliding block Fixed, the back-moving spring is sleeved in hollow push rod, and on sliding block, other end top pressure is in tubular body for one end top pressure of back-moving spring On ring baffle in part, one end and the sliding block of transmission arm are hinged, and the other end is cut with scissors by main jointed shaft with one end of swing arm Connect, the other end of swing arm is hinged on the top in main housing portion by hinge and positioned at the lower section of Horizontal limiting plate, trigger The bottom of main housing portion is hinged on 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, driving member to promote transmission arm, transmission arm to promote main jointed shaft, main jointed shaft to drive Transmission arm and swing arm, transmission arm promote sliding block to be moved along Horizontal limiting plate, and sliding block promotes suture screw top by hollow push rod Go out cylinder movement, suturing nail ejects cylinder and pushes the suturing nail in nail bin ring to glans penis seat, the foreskin on glans penis seat is sutured, with This simultaneously, cylinder-shaped cutter in company with suturing nail ejection cylinder movement, to glans penis seat on foreskin carry out ring cutting;
The glans penis seat is provided with annular anvil, and the annular anvil is provided with annular groove and annular boss, edge on the annular boss The circumferentially distributed anvil pocket for there are a multiple arcs, annular edge bearing is provided with the annular groove;The surface of the adjusting rod is along week It is described hollow to the diameter parallel for being intervally distributed with a plurality of strip positioning convex, a plurality of strip positioning convex and adjusting rod The through-hole surfaces of push rod are distributed with multiple strip locating slots being adapted with strip positioning convex;Annular edge bearing is by PC materials Material is made;
The adjusting knob uses the end face of conical structure, adjusting knob to be provided with screw, and screw used is used to and adjusting rod Threaded one end connection, rotation of adjustment knob, can adjust glans penis seat and nail bin ring between spacing;The circumference of the adjusting knob Multiple long striped grooves and two tabular handles are distributed with face, described two tabular handle correspondences are distributed in the two of adjusting knob Side;The adjusting knob is made of plastics, and its length is 45mm;
To extend out formula suturing nail, extend out formula suturing nail includes shaft-like nail angle and nail beam, shaft-like nail angle and nail beam to the suturing nail Section is all rectangle structure, and two shaft-like nail angles and a nail beam constitute " П " structure, the shaft-like nail angle and nail beam connection The turning at place is arc chord angle;The rivet nut that the nail beam is provided with helps de- plate, and the rivet nut helps the side of de- plate and the upper side of nail beam Or downside docking, and rivet nut helps front and back sides of the front and rear plate face of de- plate respectively with nail beam concordant;Described two shaft-like nails Angle, a nail beam and rivet nut help de- plate to be integrally formed;The arc chord angle in the outside at the turning of the 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;Described two shaft-like nail angles and an angle for following closely beam are 91 °~100 °, two shaft-like angular outer inclines of nail are removed in the angle on the outside of outer expanding shape, and two ends at shaft-like nail angle and are formed The top of the horn, and the end outside at shaft-like nail angle is formed an inclined-plane, the angle of the top of the horn is 42 °;
The nail bin ring includes ring body, and the inner surface of the ring body is circumferentially intervally distributed with during multiple is used to accommodate suturing 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 in suturing nail The groove at shaft-like nail angle;
The suturing nail ejection end of the suturing nail ejection cylinder is the T font push rods being spaced apart by multiple, and the T fonts push rod is It is made up of level board and square column, square column can be extend into the U-shaped groove of nail bin ring, level board can be extend into groove, is used Ejected with by suturing nail;
The cylinder-shaped cutter includes cylinder, and one end of the cylinder is provided with circular blade, and the other end is provided with end cap, the end Cover and be provided with central through hole, the central through hole is used to extend there through adjusting rod, and the inner surface of the central through hole is circumferentially It is evenly equipped with 4 grooves;4 fixing holes are evenly equipped with the end cap and positioned at the periphery of central through hole, 4 fixing holes are used to It is fixed in 4 fixed columns in the necking end of the suturing nail ejection cylinder;The inner side cutting edge angle of the circular blade is 25 °, the outside cutting edge angle of the circular blade is 15 °;The cylinder-shaped cutter is made up of stainless steel materials;The trigger It is provided with safety fastener.
2. the pistol type anastomat for circumcision with modified cylinder-shaped cutter according to claim 1, its feature exists In:The gun body is made up of two symmetrical half parts, per half part all by halfpipe body portion, half main housing portion and half hand Handle portion is integrally formed.
3. the pistol type anastomat for circumcision with modified cylinder-shaped cutter according to claim 1, its feature exists In:The driving member, transmission arm and swing arm are made up of metal material, and the gun body is made of plastics.
4. the pistol type anastomat for circumcision with modified cylinder-shaped cutter according to claim 1, its feature exists In:The hollow push rod, square connector and elastic fastening hook are integrally formed, and are all made of plastics.
5. the pistol type anastomat for circumcision with modified cylinder-shaped cutter according to claim 1, its feature exists In:The end face of the nail bin ring is provided with bin cover.
6. the pistol type anastomat for circumcision with modified cylinder-shaped cutter according to claim 1, its feature exists In:The driving member is the U-shaped body structure being made up of a surface plate and two sidewall panelings, is corresponded to respectively on two sidewall panelings and set There are two hinge holes, the one end of the surface plate is provided with deep-slotted chip breaker.
7. the pistol type anastomat for circumcision with modified cylinder-shaped cutter according to claim 1, its feature exists In:The transmission arm is made up of left arm plate, right arm plate and connecting plate, and right arm plate is connected by connecting plate between the left arm plate Connect, the left arm plate and right arm plate are designed with two hinge holes.
8. the pistol type anastomat for circumcision with modified cylinder-shaped cutter according to claim 1, its feature exists In:The length of the driving member is 20mm, is highly 17 mm, and width is 13 mm;The length of transmission arm is 35mm;Swing arm Length is 47mm.
9. the pistol type anastomat for circumcision with modified cylinder-shaped cutter according to claim 1, its feature exists In:Two turnings that the rivet nut is helped on de- plate are arc chord angle, and the radius of the arc chord angle is 0.2 mm;The rivet nut helps de- plate Length be 2 ± 0.02 mm, width be 0.83 ± 0.02 mm, thickness be 0.15 mm;The length of the nail beam is 3.46 mm, Width is 0.4 ± 0.03 mm, and thickness is 0.15 mm;Described two shaft-like nail angles, one nail beam and rivet nut help de- plate be all by 316L stainless steel materials are made.
CN201510597000.9A 2015-09-18 2015-09-18 Pistol type anastomat for circumcision with modified cylinder-shaped cutter Active CN105615952B (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105232100B (en) * 2015-10-13 2018-07-31 施爱德(厦门)医疗器材有限公司 Fast-falling formula suturing nail
CN106308890B (en) * 2016-08-26 2020-09-18 常州生物医学工程有限公司 Disposable prepuce cutting anastomat

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CN201001746Y (en) * 2006-12-29 2008-01-09 何育驹 Circumcision stapler
CN102319100A (en) * 2011-07-27 2012-01-18 陈创奇 Circumcision anastomat
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CN104013454A (en) * 2013-12-06 2014-09-03 深圳市盛世大银科技有限公司 Disposable incision suturing instrument for circumcision
CN204951087U (en) * 2015-09-18 2016-01-13 江西狼和医疗器械股份有限公司 Hand gun type circumcision anastomat with cylindric cutter of improved generation

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US6660012B2 (en) * 2002-03-15 2003-12-09 Hossein Lahiji Apparatus for performing circumcision

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Publication number Priority date Publication date Assignee Title
US4491136A (en) * 1973-03-05 1985-01-01 Leveen Harry H Disposable circumcision device
CN201001746Y (en) * 2006-12-29 2008-01-09 何育驹 Circumcision stapler
US8777962B1 (en) * 2009-04-08 2014-07-15 MedSurg Technology LLC Circumcision apparatuses and methods
CN102319100A (en) * 2011-07-27 2012-01-18 陈创奇 Circumcision anastomat
CN102920494A (en) * 2012-11-22 2013-02-13 江西源生狼和医疗器械有限公司 Circumcision stitching instrument
CN104013454A (en) * 2013-12-06 2014-09-03 深圳市盛世大银科技有限公司 Disposable incision suturing instrument for circumcision
CN103815949A (en) * 2014-03-04 2014-05-28 江西源生狼和医疗器械有限公司 Circumcision stitching instrument
CN204951087U (en) * 2015-09-18 2016-01-13 江西狼和医疗器械股份有限公司 Hand gun type circumcision anastomat with cylindric cutter of improved generation

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