CN105662543A

CN105662543A - Circumcising anastomat

Info

Publication number: CN105662543A
Application number: CN201610142788.9A
Authority: CN
Inventors: 孙朴
Original assignee: 孙朴
Current assignee: SUZHOU WEIERMENG MEDICAL INSTRUMENT CO.,LTD.
Priority date: 2016-03-14
Filing date: 2016-03-14
Publication date: 2016-06-15
Anticipated expiration: 2036-03-14
Also published as: CN105662543B

Abstract

The invention discloses a circumcising anastomat and belongs to the field of medical surgical instruments.The circumcising anastomat comprises a knife handle, a pushing knife sleeve, a knife shell, a pushing knife disk, a cover type cutting knife, a glans penis cap, a nail containing bin and an adjusting knob, wherein the center of the knife handle is provided with a pushing knife sleeve moving cavity, and the right end of the knife handle is provided with a pair of handle hinge seats; the pushing knife sleeve is arranged in the pushing knife sleeve moving cavity; the knife shell is connected with the right end of the knife handle in a matched mode; the pushing knife disk is contained in a pushing knife disk seat cavity; the cover type cutting knife is contained in a pushing knife disk cavity; the center of the top wall of the glans penis cap is provided with an adjusting screw seat; the nail containing bin is arranged on a nail bending foot ring; the adjusting knob is matched with the knife handle.The circumcising anastomat is characterized by further comprising a knife handle connector, wherein the knife handle connector stretches into the pushing knife sleeve moving cavity from the position corresponding to the left end of the knife handle and is locked to the knife handle, the center of the side, facing the knife handle, of the adjusting knob is provided with a knife handle rear connecting sleeve cavity, and an adjusting screw is connected with the adjusting knob after penetrating through the knife handle connector.The concentricity between the glans penis cap, the pushing knife disk and the knife shell is ensured; the adjusting knob is prevented from separating from and falling off a knife handle rear connecting sleeve; secondary pain of an acceptor is eliminated; a suturing nail is prevented from changing positions; due to front assembling, operation is rapid.

Description

Anastomat for circumcision

Technical field

The invention belongs to medical surgical instrument technical field, be specifically related to a kind of anastomat for circumcision.

Background technology

Chinese invention patent Granted publication CN101884559B recommend " prepuce cutting stitching instrument " made up utility model Granted publication CN2555783Y(circumcision apparatus), CN201365945Y(anastomat for circumcision) and application for a patent for invention publication number CN101301219A(titanium nickel memory alloy device for cutting foreskin) etc. shortcoming, specifically can be referring to the 0002nd to 0003 section, the description of CN101884559B. And then " prepuce cutting stitching instrument " that invention patent mandate notification number CN102217969B provides evaluated the deficiency of CN101884559B objectively, and eliminate its deficiency, specifically can be referring to the 0003rd section, the description of CN102217969B.

The technical essential of above-mentioned CN102217969B walks to the 26th row for the 0009th section the 18th by description and records, the positive effect of this technical essential is: owing to forming and having guide vane in the shell chamber of cutter shell, on the push broach axle of the push broach dish roof of push broach dish, form and have the guide vane gathering sill matching with guide vane, in the cutter chamber of push broach dish, form and have mobile pole socket chamber, and on the chamber wall in mobile pole socket chamber, form and have guiding rib groove, have and form the guiding rib matching with guiding rib groove on the mobile pole socket of glans penis cap, thereby can make glans penis cap, concentricity between push broach dish and cutter shell three is ensured, to embody the sewing effect (the 0019th section, description) to surgical wound.

But, still there is following shortcoming in aforementioned CN102217969B: one, directly to be rotatably assorted by the knob positioning chamber on narrow contracting boss and a pair of handgrip valve of its one end owing to adjusting rotation, again because a pair of handgrip valve coordinates toward each other, thereby the mismatch error of foozle and a pair of handgrip valve (comprising the face-to-face fiting effect of a pair of handgrip valve) all can exert an influence to adjusting the spacing of knob, be embodied in: adjust knob and occur axial float and rock, adjust the axial float of knob and result from the end face fit clearance between itself and aforementioned knob positioning chamber, and adjust knob rock the fit clearance resulting between a pair of handgrip valve. so adjust the axial float of knob and rock all and can exert an influence to the concentricity between tortoise bucket cap, push broach dish and cutter shell three, finally making the effect of foreskin cutting operation be difficult to reach expection. because before to foreskin cutting, first glans penis cap is placed on operation receiveing person's glans penis by operative doctor, again the redundancy foreskin on operation receiveing person's genitals is turned over to covering the side of glans penis cap back to glans penis cap chamber, then by operative doctor to adjust knob-operated, drive by adjusting knob the adjustment screw rod being fixedly connected with glans penis cap, drive glans penis cap by adjusting screw rod, force the foreskin constraint being covered on glans penis cap to be limited in shortly between the cutting edge and cutter anvil of bell-type cutter, once therefore adjust knob play, shake and put, can make undoubtedly preputial ring produce eccentric situation, they are two years old, owing to having adopted a pair of handgrip valve, directly be rotatably assorted by narrow contracting boss and the knob positioning chamber of its one end owing to adjusting knob again, also because the volume of adjusting knob is restricted, thereby the operation of operative doctor is required great effort relatively on the one hand, especially to occurring even micro-vast situation of scolding out in adjusting the process of knob-operated or because of a pair of handgrip valve, adjust the aforementioned narrow contracting boss of knob and can from knob positioning chamber, shake off and even drop to terrace, so can only use after again sterilizing when adjusting after knob drops to terrace, thereby increase trouble and extended operating time to operative doctor, they are three years old, due to completed to foreskin exist after cutting and by suturing nail, foreskin cutting part being sewed up simultaneously hemostasis not in time not thoroughly, the situation that ftractureed because of telotism initiation otch in tissue and in the recovery stage by envelope of suturing nail, thereby bring the trouble of follow-up disposal to doctor on the one hand, cause secondary misery to operation receiveing person on the other hand, they are four years old, due to the safeguard measure lacking screw position, thereby can deviate from and/or cause around the spaced one group of suturing nail of circumferencial direction of screw position cun poor uneven situation from screw position because vibration makes suturing nail in Product transport process, so certainly can exert an influence to the sewing effect of operation receiveing person's otch uneven in the situation that in certain or certain several suturing nails disappearances or very little difference, they are five years old, because the shape of cross section of the adjustment screw bolt seat of glans penis cap is rectangular and respectively have an adjustment screw bolt seat flange (rib) in four bights substantially, again due to the rectangular chamber of shape in the adjustment screw bolt seat chamber of narrow contracting in the push broach dish chamber of push broach dish and in four bights of chamber wall each form have one with adjustment screw bolt seat flange (rib) gathering sill of adjusting screw bolt seat flange and matching, thereby only adjusting under the screw bolt seat flange state corresponding with adjusting screw bolt seat flange gathering sill and could match with adjustment screw bolt seat chamber adjusting screw bolt seat, but owing to lacking so that the reference data of both rapid alignments, thereby affect operating efficiency.

In view of above-mentioned many shortcoming, be necessary to continue to improve, the applicant has done repeatedly and useful design for this reason, has formed technical scheme described below and has taked to have carried out simulation to the test that coincide of peritomizing under secrecy provision, and it is practicable that result proves.

Summary of the invention

Top priority of the present invention is to provide a kind of and contributes to prevent to adjust knob and occur play and rock and the concentricity of using abundant guarantee glans penis cap, push broach dish and cutter shell three is promoted suiting effect, be conducive to adjusting effectively tube bank and use the anastomat for circumcision of avoiding shaking off and dropping to from hilt terrace in operating process of knob foreskin simultaneously.

Another task of the present invention is to provide a kind of being of value to when playing the positive role of hemostasis by compression and avoiding suturing nail by callus envelope and avoid because of telotism, to cause wound cracking and use and alleviate the trouble of the follow-up disposal of operative doctor and eliminate the anastomat for circumcision that causes secondary misery to operation receiveing person.

Another task of the present invention is to provide a kind of to be had the temporary protection before being convenient to the screw position to implement to enable and uses and avoid changing and even deviating from screw position to guarantee the anastomat for circumcision of the match result to otch in the time enabling because vibration causes the position of suturing nail on screw position in transportation.

Another task of the present invention is to provide a kind of screw rod adjusting seat that contributes to make glans penis cap match and use the anastomat for circumcision that shortens the preoperative pre action time and improve surgical effect with the screw rod adjusting seat chamber of narrow contracting in the push broach dish chamber of push broach dish quickly.

For having embodied top priority of the present invention, technical scheme provided by the invention is: a kind of anastomat for circumcision, comprise a hilt, form in the middle position of the length direction of this hilt and have a push broach cover mobile cavity, this push broach cover mobile cavity connects to right-hand member from the left end of hilt, and form and have a pair of handgrip hinged seat at the right-hand member of this hilt, respectively be hinged with the right-hand member of a handgrip on to handgrip hinged seat at this, and the left end of handgrip is configured to and holds the free end of pinching for operative doctor, on hilt and in the position at the middle part corresponding to handgrip, offer a pair of groove in flakes communicating with push broach cover mobile cavity, one push broach cover, this push broach is set in described push broach cover mobile cavity, and the left end at this push broach cover is hinged with a pair of one end in flakes, and this to the other end in flakes outside described groove is in flakes stretched over push broach cover mobile cavity and hinged with the middle part of described handgrip, form in the middle position of push broach cover and have a push broach cover screw hole, this push broach cover screw hole connects to right-hand member from the left end of push broach cover, one has the cutter shell that pushes away cutter chuck holder adapted chamber, and the left end of this cutter shell and the right-hand member of described hilt connect, one has the push broach dish in push broach dish chamber, described in being contained in, this push broach dish pushes away in cutter chuck holder adapted chamber, be extended with a push broach central shaft in the middle position, outside of the push broach dish roof of push broach dish, this push broach central shaft has a central shaft trepanning communicating with described push broach dish chamber, on the right-hand member end face of push broach dish and the circumferencial direction that is positioned at the accent position in push broach dish chamber form and have one group of ejector pin pin with interval state, described push broach central shaft pushes away in cutter chuck holder adapted chamber described in inserting and matches with described cutter shell, and matches mutually with described push broach cover, one bell-type cutter, these bell-type cutter are contained in described push broach dish chamber, the left end of these bell-type cutter has a cutter chassis, match with described push broach dish roof in this cutter chassis, and offer a resigning hole in the middle position on cutter chassis, the end of the right-hand member of bell-type cutter along on form and have cutting edge, one has the glans penis cap in glans penis chamber, there is an adjustment screw bolt seat in the roof central authorities of this glans penis cap and back to a side formation in glans penis chamber, on this adjustment screw bolt seat, be fixed with an adjustment screw rod, and on the outer wall of the base portion of glans penis cap, turn to form and have a glans penis cap shade, space between the inwall of this glans penis cap shade and the outer wall of glans penis cap is configured to anvil block chamber, this anvil block chamber is corresponding with described cutting edge, and in anvil block chamber, be equipped with a cutter anvil circle, and on the left surface of described glans penis cap shade, be equipped with a curved nail pin circle, one screw position, this screw position be shelved on described curved nail pin circle and described push away in cutter chuck holder adapted chamber corresponding with described ejector pin pin, one adjusts knob, this adjustment knob matches with hilt in the position of the left end corresponding to described hilt, described adjustment screw rod is successively through described resigning hole, central shaft trepanning, after pushing away the push broach cover screw hole of cutter chuck holder adapted chamber and push broach cover, be connected with described adjustment knob, be characterised in that and also include a hilt connector, this hilt connector in the position of the left end corresponding to described hilt probes into push broach cover mobile cavity and at the locking position corresponding to described groove in flakes on hilt, described adjustment knob is female connector chamber after the middle position of a side of hilt formation has a hilt, after this hilt, match with left end and the described hilt connector of hilt simultaneously in female connector chamber, described adjustment screw rod is being connected with described adjustment knob through after hilt connector.

For having embodied another task of the present invention, technical scheme provided by the invention is: on the inwall of the right side of described screw position and around the circumferencial direction of screw position, form and have a packing ring compensation step chamber, be embedded with a foreskin affinity packing ring corresponding to the position in this packing ring compensation step chamber, and the circumferencial direction around foreskin affinity packing ring on the left surface of this foreskin affinity packing ring forms the gasket flange that has the left surface that is raised in foreskin affinity packing ring with interval state, this gasket flange is corresponding with year nail hole that the confession on screw position arranges suturing nail, on described cutter shell and in the position corresponding to the described right accent that pushes away cutter chuck holder adapted chamber, form and have a screw position to coordinate step chamber, screw position is embedded in this screw position and coordinates on step chamber, on the outer wall of screw position, form and have screw position locating flange with interval state, and on cutter shell and coordinating the position in step chamber to offer quantity and position equal with screw position locating flange and the corresponding screw position locating flange mating holes of screw position locating flange corresponding to screw position, screw position locating flange and this screw position locating flange mating holes scarf.

For having embodied another task of the present invention, technical scheme provided by the invention is: on described cutter shell and coordinating the position of the accent in step chamber to be equipped with one corresponding to described screw position, protect and use and avoid being arranged on the described suturing nail carrying in nail hole and scurry out and carry the screw position over cap in nail hole for described screw position right flank is covered.

For having embodied another task of the present invention, technical scheme provided by the invention is: in the push broach dish chamber of described push broach dish and towards one end of described central shaft trepanning, form and have an adjustment screw bolt seat chamber communicating with central shaft trepanning, on the chamber wall in this adjustment screw bolt seat chamber, form and have a plurality of guiding rib grooves with equidistant intervals state, on the outer wall of described adjustment screw bolt seat, form and have quantity and described guiding rib groove a plurality of guiding ribs that equate and that position is corresponding, guiding rib matches with guiding rib groove, the surface of one of them the guiding rib in described a plurality of guiding ribs is provided with guiding rib mark, and on the upper wall of described cutter shell and the right-hand member that is positioned at cutter shell be provided with a cutter shell mark, in the time that the lead position of rib mark and the position of cutter shell mark are corresponding, described adjustment screw bolt seat enters in described adjustment screw bolt seat chamber and a plurality of guiding rib matches with a plurality of guiding rib grooves, and in the time staggering in the lead position of rib mark and the position of cutter shell mark, the refusal in described adjustment screw bolt seat chamber is also suffered in the position of a plurality of guiding ribs and a plurality of guiding rib grooves in stagger state and described adjustment screw bolt seat.

In a specific embodiment of the present invention, adapter sleeve after the left end of described hilt is extended with the hilt of diameter that a diameter is less than hilt, after this hilt on adapter sleeve and after the position of a pair of groove in flakes corresponding to described offers a pair of hilt adapter sleeve breach, after hilt, on the outer wall of adapter sleeve, form and have adapter sleeve knob card base stopper slot after hilt, described hilt connector probes into after described hilt in adapter sleeve, offer a hilt connector screw hole in the axial central authorities of described hilt connector, described adjustment screw rod is being threaded with described adjustment knob through after this hilt connector screw hole, on the outer wall of hilt connector and after a pair of hilt corresponding to described, the position of adapter sleeve breach forms a pair of hilt connector knob card base stopper slot, this is corresponding with adapter sleeve knob card base stopper slot after described hilt to hilt connector knob card base stopper slot, and on the right-hand member end face of hilt connector, be extended with a pair of hilt connector locking grab corresponding with the position of described a pair of groove in flakes, this probes in a pair of groove in flakes and locks with described hilt hilt connector locking grab, after the hilt of described adjustment knob, connect on the chamber wall of mantle cavity and offer and adjust knob card base hole with interval state around the circumferencial direction that connects mantle cavity chamber wall after hilt, form in position corresponding to each adjustment knob card base hole to be useful on to stop and adjust the adjustment knob card base that knob is shaken off hilt connector, the spacing card base of this adjustment knob is kept out after described hilt in adapter sleeve knob card base stopper slot and hilt connector knob card base stopper slot.

In another specific embodiment of the present invention, described cutter shell push away cutter chuck holder adapted chamber adapter sleeve mating cavity before the narrow contracting in one end of described hilt has a hilt, and formation has a push broach cover center guide pin bushing, this push broach cover center guide pin bushing corresponding to hilt before adapter sleeve mating cavity center and the outer wall of this push broach cover center guide pin bushing with push away interval formation between the inwall in cutter chuck holder adapted chamber and have a plurality of guide vanes, on cutter shell and before corresponding to hilt, the position of adapter sleeve mating cavity offers adapter sleeve card base lock hole before a pair of hilt, this to hilt before adapter sleeve card base lock hole around the circumferencial direction of adapter sleeve mating cavity before hilt apart 180 ° and communicate with adapter sleeve mating cavity before hilt, and before hilt on the inwall of adapter sleeve mating cavity and before corresponding to a pair of hilt the position of adapter sleeve card base lock hole offer adapter sleeve card base gathering sill before a pair of hilt, this to hilt before adapter sleeve card base gathering sill extend to adapter sleeve card base lock hole before a pair of hilt, adapter sleeve the right-hand member of described hilt is extended with the hilt of diameter that a diameter is less than hilt with narrow contracting state before, before this hilt, adapter sleeve is plugged in the front adapter sleeve mating cavity of described hilt, adapter sleeve card base before the position formation of adapter sleeve card base lock hole has a pair of hilt on adapter sleeve and before a pair of hilt corresponding to described before hilt, this probes under guiding of adapter sleeve card base adapter sleeve card base gathering sill before described a pair of hilt before to hilt before described a pair of hilt in adapter sleeve card base lock hole, the left end of described push broach cover central axle sleeve is insinuated in the front adapter sleeve of hilt and described push broach cover is nested with the left end at push broach cover central axle sleeve, described adjustment screw rod is through the push broach cover central guiding trepanning of push broach cover center guide pin bushing, be provided with a plurality of guide vane gathering sills corresponding with described guide vane and that quantity equates the circumferencial direction of the push broach central shaft of the push broach dish roof of described push broach dish is spaced apart, each guide vane gathering sill communicates with described central shaft trepanning, described guide vane matches with guide vane gathering sill, and the right-hand member end face of described push broach cover is corresponding with the left end end face of push broach central shaft.

In another specific embodiment of the present invention, on described a pair of handgrip hinged seat, respectively offer hinged seat pin shaft hole, offer the right hinge hole of handgrip at the right-hand member of described handgrip, and offer at the middle part of handgrip a handgrip in flakes groove and one with the handgrip handgrip pin shaft hole that groove communicates in flakes, the right hinge hole of handgrip corresponding with hinged seat pin shaft hole and by the right hinge hole bearing pin of handgrip successively through hinged seat pin shaft hole and the right hinge hole of handgrip and by hinged to the right-hand member of handgrip and handgrip hinged seat, on the outer wall of the left end overlapping in described push broach, form and have a pair of hinged ear in flakes, this is to hinged ear in flakes around the circumferencial direction of push broach cover apart 180 ° and corresponding with described a pair of groove in flakes, described a pair of one end in flakes respectively by first in flakes bearing pin and a pair of hinged ear in flakes hinged, and a pair of other end in flakes be stretched over corresponding to the position of a pair of groove in flakes described push broach cover mobile cavity outer and and then be insinuated into handgrip and pass through second in groove in flakes bearing pin is hinged in the position corresponding to handgrip pin shaft hole and handgrip in flakes, on the inwall of described push broach cover mobile cavity and offer a hinged ear gathering sill in flakes in the position of a pair of hinged ear in flakes corresponding to described, offer a push broach cover insurance pin-and-hole at the middle part of the length direction of described push broach cover, and offer a hilt insurance pin-and-hole at the right-hand member of described hilt, on this hilt insurance pin-and-hole, be equipped with a safety plug, this safety plug probes in push broach cover insurance pin-and-hole.

In another specific embodiment of the present invention, on the inwall that pushes away cutter chuck holder adapted chamber of described cutter shell and around the spaced apart push broach dish sliver gathering sill that is provided with of the circumferencial direction that pushes away cutter chuck holder adapted chamber, and on the outer wall of described push broach dish and around spaced apart quantity and push broach dish sliver gathering sill equates and position the is corresponding push broach dish sliver of being provided with of the circumferencial direction of push broach dish, this push broach dish sliver and push broach dish sliver gathering sill are slidably matched.

Also have in a specific embodiment of the present invention, after the hilt of described adjustment knob, connecting mantle cavity forms and has a hilt connector to expand step limit mating groove towards the accent position of a side of described hilt connector, be provided with a hilt connector expansion step limit and expand on the left end end face of hilt connector, match with hilt connector expansion step limit mating groove in this hilt connector expansion step limit, and after the right flank on this hilt connector expansion step limit and described hilt, the left surface of adapter sleeve is affixed tactile.

More of the present invention and in a specific embodiment, at described glans penis cap shade towards the surface of a side of described curved nail pin circle and be arranged at intervals with curved nail pin circle defining flange around the circumferencial direction of glans penis cap shade, there are curved nail pin circle locating slot, curved nail pin circle defining flange to probe in curved nail pin circle locating slot and form towards a side of glans penis cap shade at curved nail pin circle; Form and have cutter locating flange towards a side in described push broach dish chamber and around the circumferencial direction interval of push broach dish roof at described push broach dish roof, and on the cutter chassis of described bell-type cutter and at the cutter convex marginal pore that offers quantity corresponding to the position of cutter locating flange and equate with cutter locating flange, cutter locating flange matches with cutter convex marginal pore.

One of technique effect of technical scheme provided by the invention, owing to having set up hilt connector, by this hilt connector in the position of the left end corresponding to hilt probes into push broach cover mobile cavity and at the locking position corresponding to groove in flakes on hilt, match with left end and the hilt connector of hilt owing to connecting mantle cavity after connecting mantle cavity and make this hilt after the middle position of a side of hilt formation has a hilt at adjustment knob again simultaneously, thereby there will not be play and rock situation when to adjustment knob-operated, fully ensure glans penis cap, push broach dish and cutter shell three's concentricity, promote the cutting and stitching effect to foreskin simultaneously, two, in to the process of adjusting knob-operated, due to by adjusting the spacing card base of knob simultaneously and the cooperation that is connected knob card base stopper slot and hilt connector knob card base stopper slot after hilt, thereby can avoid adjusting that knob adapter sleeve from the hilt of hilt is shaken off and the situation that drops to terrace occurs, three, owing to having set up foreskin affinity packing ring, thereby can play hemostasis by compression, the nail pin of avoiding suturing nail by the skin histology envelope in agglutination, avoid telotism to cause the effect of wound cracking, both the trouble of the follow-up disposal of operative doctor can be avoided, and operation receiveing person's secondary misery can be eliminated again, four, owing to having set up screw position over cap, thereby can avoid in transportation carrying the situation that the suturing nail in nail hole changes position and even deviate to carry nail hole and occurring because vibration causes being positioned on screw position, five, because one of them guiding in a plurality of guiding ribs is provided with guiding rib mark on rib and is provided with cutter shell mark on cutter shell simultaneously, thereby contribute to operative doctor to carry out quickly preoperative preposition assembly manipulation.

Brief description of the drawings

Fig. 1 is embodiments of the invention structure chart.

Fig. 2 is cutaway view and the application examples schematic diagram of Fig. 1.

Detailed description of the invention

In order to make the public can more be expressly understood technical spirit of the present invention and beneficial effect, applicant elaborates the mode with embodiment below, but be not all the restriction to the present invention program to the description of embodiment, any done according to the present invention design only for pro forma but not substantial equivalent transformation all should be considered as technical scheme category of the present invention.

Every directionality that relates to upper and lower, left and right, front and rear or claim the concept of directionality all for the residing location status of figure in the following description, thereby can not be understood as being particularly limited technical scheme provided by the invention.

Embodiment:

Refer to Fig. 1, show a hilt 1, form in the middle position of the length direction of this hilt 1 and have a push broach cover mobile cavity 11, this push broach cover mobile cavity 11 connects to right-hand member from the left end of hilt 1, and form and have a pair of handgrip hinged seat 12 at the right-hand member of this hilt 1, respectively be hinged with the right-hand member of a handgrip 121 on to handgrip hinged seat 12 at this, and the left end of handgrip 121 is configured to and holds the free end of pinching for operative doctor, on hilt 1 and in the position at the middle part corresponding to handgrip 121, offer and a pair ofly overlap with push broach the groove in flakes 13 that mobile cavity 11 communicates. From above stated specification: hilt 1 is hollow, and aforesaid a pair of handgrip hinged seat 12 respectively has two corresponding hinged seat ears of position that shape is identical with size to form, that is to say by two hinged seat ears and form a handgrip hinged seat, the right-hand member of aforementioned handgrip 121 is corresponding between two hinged seat ears.

Provide a push broach cover 2, this push broach cover 2 is arranged in aforesaid push broach cover mobile cavity 11, and the left end at this push broach cover 2 is hinged with a pair of one end of 21 in flakes, and this to 21 the other end in flakes outside aforementioned groove in flakes 13 is stretched over push broach cover mobile cavity 11 and hinged with the middle part of aforementioned handgrip 121, form in the middle position of push broach cover 2 and have a push broach cover screw hole 22, this push broach cover screw hole 22 connects to right-hand member from the left end of push broach cover 2. provided one and had the cutter shell 3 that pushes away cutter chuck holder adapted chamber 31, the right-hand member of the left end of this cutter shell 3 and aforementioned hilt 1 connects, provide a push broach dish 4 with push broach dish chamber 41, this push broach dish 4 is contained in aforementioned pushing away in cutter chuck holder adapted chamber 31 movably, be extended with a push broach central shaft 421 in the middle position, outside of the push broach dish roof 42 of push broach dish 4, this push broach central shaft 421 has a central shaft trepanning 4211 communicating with aforementioned push broach dish chamber 41, on the right-hand member end face of push broach dish 4 and the circumferencial direction that is positioned at the accent position in push broach dish chamber 41 form and have one group of ejector pin pin 43 with interval state, aforesaid push broach central shaft 421 is inserted aforementioned pushing away in cutter chuck holder adapted chamber 31 and is matched with aforementioned cutter shell 3, and match with aforesaid push broach cover 2.

Bell-type cutter 5 are provided, these bell-type cutter 5 are contained in aforementioned push broach dish chamber 41, the left end of these bell-type cutter 5 has a cutter chassis 51, this cutter chassis 51 match with aforementioned push broach dish roof 42 (also will illustrate below), and offer a resigning hole 511 in the middle position on cutter chassis 51, the end of the right-hand member of bell-type cutter 5 along on form and have cutting edge 52, provide a glans penis cap 6 with glans penis chamber 61, there is an adjustment screw bolt seat 62 in the roof central authorities of this glans penis cap 6 and back to a side formation in glans penis chamber 61, on this adjustment screw bolt seat 62, be fixed with an adjustment screw rod 621, and on the outer wall of the base portion of glans penis cap 6, turn to form and have a glans penis cap shade 63, space between the inwall of this glans penis cap shade 63 and the outer wall of glans penis cap 6 is configured to anvil block chamber 64, this anvil block chamber 64 is corresponding with aforesaid cutting edge 52, and in anvil block chamber 64, be equipped with material and be preferably a cutter anvil circle 641 of plastics, and on the left surface of aforesaid glans penis cap shade 63, be equipped with a curved nail pin circle 631, provided a screw position 7, this screw position 7 be shelved on aforesaid curved nail pin circle 631 and aforesaid push away in cutter chuck holder adapted chamber 31 corresponding with aforesaid ejector pin pin 43, provide one and adjusted knob 8, this adjustment knob 8 matches with hilt 1 in the position of the left end corresponding to aforementioned hilt 1, and aforesaid adjustment screw rod 621 is successively through resigning hole 511, central shaft trepanning 4211, be connected with aforementioned adjustment knob 8 after pushing away the push broach cover screw hole 22 of cutter chuck holder adapted chamber 31 and push broach cover 2.

In the present embodiment, although aforesaid cutting edge 52 is illustrated as one side blade, also can use cross section is the two-sided blade that section configuration is in the shape of the letter V. As shown in Figure 1, form and have cutter locating flange 422 towards a side in push broach dish chamber 41 and around the circumferencial direction interval of push broach dish roof 42 at aforementioned push broach dish roof 42, and on the cutter chassis 51 of aforementioned bell-type cutter 5 and the cutter convex marginal pore 512 that is offering quantity corresponding to the position of cutter locating flange 422 and equate with cutter locating flange 422, cutter locating flange 422 matches with cutter convex marginal pore 512, matches with push broach dish roof 42 thereby confirmed the cutter chassis 51 that applicant said in the above.

Technical essential as technical scheme provided by the invention: also include a hilt connector 9 in the structural system of aforesaid disposable prepuce cutting stitching instrument, this hilt connector 9 in the position of the left end corresponding to aforementioned hilt 1 probes into push broach cover mobile cavity 11 and at the locking position corresponding to aforementioned groove in flakes 13 on hilt 1, aforesaid adjustment knob 8 is female connector chamber 81 after the middle position of a side (right side shown in Fig. 1) of hilt 1 formation has a hilt, after this hilt, match with left end and the aforementioned hilt connector 9 of hilt 1 simultaneously in female connector chamber 81, aforesaid adjustment screw rod 621 is connected with aforementioned adjustment knob 8 after through hilt connector 9. this structural design can cash one of technique effect of saying in the superincumbent technique effect of applicant hurdle and two, overcome the corresponding shortcoming of saying in background technology hurdle simultaneously.

Please continue to refer to Fig. 1, on the inwall of the right side of aforementioned screw position 7 and around the circumferencial direction of screw position 7, form and have a packing ring compensation step chamber 71, be embedded with a foreskin affinity packing ring 711 corresponding to the position in this packing ring compensation step chamber 71, and the circumferencial direction around foreskin affinity packing ring 711 on the left surface of this foreskin affinity packing ring 711 forms the gasket flange 7111 that has the left surface that is raised in foreskin affinity packing ring 711 with interval state, this gasket flange 7111 is corresponding with year nail hole 72 that the confession on screw position 7 arranges suturing nail 721, on aforementioned cutter shell 3 and in the position corresponding to the aforementioned right accent that pushes away cutter chuck holder adapted chamber 31, form and have a screw position to coordinate step chamber 311, screw position 7 is embedded in this screw position and coordinates on step chamber 311, on the outer wall of screw position 7, form and have screw position locating flange 73 with interval state, and on cutter shell 3 and coordinating the position in step chamber 311 to offer quantity and position equal with screw position locating flange 73 and the corresponding screw position locating flange mating holes 32 of screw position locating flange 73 corresponding to screw position, screw position locating flange 73 and these screw position locating flange mating holes 32 scarves.

According to professional general knowledge, on aforesaid curved nail pin circle 631 and on the left of being positioned at, form and have curved nail pin groove 6312(also can claim curved nail pin cavity), play the effect of the nail pin folding exhibition that makes suturing nail 721, and curved nail pin groove 6312 is corresponding with aforementioned year nail hole 72, and year nail hole 72 is corresponding with aforesaid ejector pin pin 43.

In the present embodiment, aforesaid foreskin affinity packing ring 711 is medical grade silicon rubber circle, sets up this foreskin affinity packing ring 711 and can cash three of the technique effect of saying on the superincumbent technique effect of applicant hurdle, eliminates the corresponding shortcoming of mentioning in background technology hurdle simultaneously.

Please continue to refer to Fig. 1, on aforementioned cutter shell 3 and coordinating the position of the accent in step chamber 311 to be equipped with one corresponding to aforementioned screw position, protect and use and avoid being arranged on the aforementioned year suturing nail 721 in nail hole 72 and scurry out and carry the screw position over cap 10 in nail hole 72 for aforementioned screw position 7 right flanks are covered. Figure 1 illustrates the nail bin trim ring 101 of screw position over cap 10, this nail bin trim ring 101 pastes and touches with the right flank of screw position 7, carries the effect that the suturing nail 721 in nail hole 72 stops to play to being positioned at. This structural design can be cashed four of the technique effect of recording in the superincumbent technique effect of applicant hurdle, has abandoned the corresponding deficiency of mentioning in background technology hurdle simultaneously. In addition,, according to professional general knowledge, in the time that use is of the present invention, need remove this screw position over cap 10.

Please continue to refer to Fig. 1, in the push broach dish chamber 41 of aforementioned push broach dish 4 and towards one end (also can claim a side) of aforementioned central shaft trepanning 4211, form and have an adjustment screw bolt seat chamber 411 communicating with central shaft trepanning 4211, on the chamber wall in this adjustment screw bolt seat chamber 411, form and have a plurality of (the present embodiment is as four) guiding rib groove 4111 taking equidistant intervals state, on the outer wall of aforementioned adjustment screw bolt seat 62, form and have quantity and aforementioned guiding rib groove 4111 a plurality of (the present embodiment is four) that equate and that position is corresponding guiding rib 622, guiding rib 622 matches with guiding rib groove 4111, the surface of one of them the guiding rib 622 in aforementioned a plurality of guiding ribs 622 is provided with guiding rib mark 6221, and on the upper wall of aforementioned cutter shell 3 and the right-hand member that is positioned at cutter shell 33 be provided with a cutter shell mark 33, in the time that the lead position of rib mark 6221 and the position of cutter shell mark 33 are corresponding, aforementioned adjustment screw bolt seat 62 enters in aforementioned adjustment screw bolt seat chamber 411 and a plurality of guiding ribs 622 match with a plurality of guiding rib grooves 4111, and in the time staggering in the lead position of rib mark 6221 and the position of cutter shell mark 33, the refusal in aforementioned adjustment screw bolt seat chamber 4111 is also suffered in the position of a plurality of guiding ribs 622 and a plurality of guiding rib grooves 4111 in stagger state and aforesaid adjustment screw bolt seat 62. this structural design can cash the technique effect recorded in the superincumbent technique effect of applicant hurdle five and made up the corresponding deficiency that applicant mentions in background technology hurdle simultaneously.

In the present embodiment, aforesaid guiding rib mark 6221 is for being coated on the surperficial coloured coating of guiding rib 622, and aforesaid cutter shell mark 33 is integrated the projection on the outer wall that is configured to cutter shell 3 and is arrow shaped projection.

As shown in Figure 1, adapter sleeve 14 after the left end of aforementioned hilt 1 is extended with the hilt of diameter (external diameter) that a diameter (external diameter) is less than hilt 1, after this hilt on adapter sleeve 14 and after offering a pair of hilt corresponding to the position of aforesaid a pair of groove in flakes 13 adapter sleeve breach 141, after hilt, on the outer wall of adapter sleeve 14, form and have adapter sleeve knob card base stopper slot 142 after hilt, aforesaid hilt connector 9 probes into after hilt in adapter sleeve 14, offer a hilt connector screw hole 91 in the axial central authorities of aforesaid hilt connector 9, aforesaid adjustment screw rod 621 is threaded with aforesaid adjustment knob 8 after through this hilt connector screw hole 91, on the outer wall of hilt connector 9 and after corresponding to a pair of hilt, the position of adapter sleeve breach 141 forms a pair of hilt connector knob card base stopper slot 92, this is corresponding with adapter sleeve knob card base stopper slot 142 after aforesaid hilt to hilt connector knob card base stopper slot 92, and on the right-hand member end face of hilt connector 9, be extended with a pair of hilt connector locking grab 93 corresponding with the position of aforesaid a pair of groove in flakes 13, this probes in a pair of groove in flakes 13 and locks with aforesaid hilt 1 hilt connector locking grab 93, after the hilt of aforementioned adjustment knob 8, connect on the chamber wall of mantle cavity 81 and offer and adjust knob card base hole 811(the present embodiment as four taking interval state around the circumferencial direction that connects mantle cavity 81 chamber walls after hilt), form in position corresponding to each adjustment knob card base hole 811 to be useful on to stop and adjust the adjustment knob card base 8111 that knob 8 is shaken off hilt connector 9, the spacing card base 8111 of this adjustment knob is kept out and is limited in shortly after aforesaid hilt in adapter sleeve knob card base stopper slot 142 and hilt connector knob card base stopper slot 92.

As shown in Figure 1, form and have a knob nut 813 adjusting on knob 8 and be positioned at middle position, form and have screw flight 6211 at the left end of aforementioned adjustment screw rod 621, screw flight 6211 is threaded with knob nut 813.

Aforementioned cutter shell 3 push away cutter chuck holder adapted chamber 31 adapter sleeve mating cavity 312 before the narrow contracting in one end of aforementioned hilt 1 (left end shown in Fig. 1) has a hilt, and formation has a push broach cover center guide pin bushing 313, this push broach cover center guide pin bushing 313 corresponding to the center of adapter sleeve mating cavity 312 before hilt and the outer wall of this push broach cover center guide pin bushing 313 with push away interval formation between the inwall in cutter chuck holder adapted chamber 31 and have a plurality of guide vanes 3131, on cutter shell 3 and before corresponding to hilt, the position of adapter sleeve mating cavity 312 offers adapter sleeve card base lock hole 34 before a pair of hilt, this to hilt before adapter sleeve card base lock hole 34 around the circumferencial direction of adapter sleeve mating cavity 312 before hilt apart 180 ° and communicate with adapter sleeve mating cavity 312 before hilt, and before hilt on the inwall of adapter sleeve mating cavity 312 and before corresponding to a pair of hilt the position of adapter sleeve card base lock hole 34 offer adapter sleeve card base gathering sill 3121 before a pair of hilt, this to hilt before adapter sleeve card base gathering sill 3121 extend to adapter sleeve card base lock hole 34 before a pair of hilt. adapter sleeve 15 the right-hand member of aforementioned hilt 1 is extended with the hilt of diameter (external diameter) that a diameter (external diameter) is less than hilt 1 with narrow contracting state before, before this hilt, adapter sleeve 15 is plugged in the front adapter sleeve mating cavity 312 of aforesaid hilt, adapter sleeve card base 151 before the position formation of adapter sleeve card base lock hole 34 has a pair of hilt on adapter sleeve 15 and before corresponding to aforesaid a pair of hilt before hilt, this probes under guiding of adapter sleeve card base 151 adapter sleeve card base gathering sill 3121 before aforesaid a pair of hilt before to hilt before aforesaid a pair of hilt in adapter sleeve card base lock hole 34, the left end of aforementioned push broach cover central axle sleeve 313 is insinuated in the front adapter sleeve 15 of hilt and aforesaid push broach cover 2 is nested with the left ends at push broach cover central axle sleeve 313, aforesaid adjustment screw rod 621 is through the push broach cover central guiding trepanning 3132 of push broach cover center guide pin bushing 313. be provided with a plurality of guide vane gathering sills 4212 corresponding with aforementioned guide vane 3131 and that quantity equates the circumferencial direction of the push broach central shaft 421 of the push broach dish roof 42 of aforementioned push broach dish 4 is spaced apart, each guide vane gathering sill 4212 communicates with aforesaid central shaft trepanning 4211, aforesaid guide vane 3131 matches with guide vane gathering sill 4212, and the right-hand member end face of aforesaid push broach cover 2 is corresponding with the left end end face of push broach central shaft 421.

Still see Fig. 1, on aforesaid a pair of handgrip hinged seat 12, respectively offer hinged seat pin shaft hole 122, offer the right hinge hole 1211 of handgrip at the right-hand member of aforementioned handgrip 121, and offer at the middle part of handgrip 121 handgrip in flakes groove 1212 and one with the handgrip handgrip pin shaft hole 1213 that groove 1212 communicates in flakes, the right hinge hole 1211 of handgrip corresponding with hinged seat pin shaft hole 122 and by the right hinge hole bearing pin 12111 of handgrip successively through hinged seat pin shaft hole 122 and the right hinge hole 1211 of handgrip and by hinged to the right-hand member of handgrip 121 and handgrip hinged seat 12. on the outer wall of the left end of aforementioned push broach cover 2, formation has a pair of hinged ear 23 in flakes, this is to hinged ear 23 in flakes around the circumferencial direction of push broach cover 2 apart 180 ° and corresponding with aforesaid a pair of groove in flakes 13. respectively by first, bearing pin 211 is hinged with a pair of hinged ear 23 in flakes in flakes in aforesaid a pair of one end of 21 in flakes, and a pair of 21 the other end is in flakes be stretched over aforementioned push broach cover mobile cavity 11 corresponding to the position of a pair of groove in flakes 13 outer and and then be insinuated into handgrip and pass through second in groove 1212 in flakes bearing pin 212 is hinged in the position corresponding to handgrip pin shaft hole 1213 and handgrip 121 in flakes. also show in the drawings confession second hole in flakes 213 that bearing pin 212 penetrates in flakes that is opened in a pair of 21 the aforementioned other end in flakes, on the inwall of aforementioned push broach cover mobile cavity 11 and offering a hinged ear gathering sill 111 in flakes corresponding to the aforesaid a pair of position of hinged ear 23 in flakes, offer a push broach cover insurance pin-and-hole 24 at the middle part of the length direction of aforementioned push broach cover 2, and offer a hilt insurance pin-and-hole 16 at the right-hand member of aforementioned hilt 1, on this hilt insurance pin-and-hole 16, be equipped with a safety plug 161, this safety plug 161 probes in push broach cover insurance pin-and-hole 24. because the function of safety plug 161 belongs to prior art, for example can be referring to the description of CN102217969B, thereby applicant repeats no more.

On the inwall that pushes away cutter chuck holder adapted chamber 31 of aforementioned cutter shell 3 and around the spaced apart push broach dish sliver gathering sill 314 that is provided with of the circumferencial direction that pushes away cutter chuck holder adapted chamber 31, and on the outer wall of aforementioned push broach dish 4 and around spaced apart quantity and the push broach dish sliver 44 that push broach dish sliver gathering sill 314 equates and position is corresponding of being provided with of the circumferencial direction of push broach dish 4, this push broach dish sliver 44 is slidably matched with push broach dish sliver gathering sill 314.

Please still see Fig. 1, after the hilt of aforementioned adjustment knob 8, connecting mantle cavity 81 forms and has a hilt connector to expand step limit mating groove 812 towards the accent position of a side (right side) of aforementioned hilt connector 9, be provided with a hilt connector expansion step limit 94 and expand on the left end end face of hilt connector 9, match with hilt connector expansion step limit mating groove 812 in this hilt connector expansion step limit 94, and after the right flank on this hilt connector expansion step limit 94 and aforementioned hilt, the left surface of adapter sleeve 14 is affixed tactile.

At aforementioned glans penis cap shade 63 towards the surface of the side (towards left side) of aforementioned curved nail pin circle 631 and be arranged at intervals with curved nail pin circle defining flange 632 around the circumferencial direction of glans penis cap shade 63, have curved nail pin circle locating slot 6311 and form towards a side (right side) of glans penis cap shade 63 at curved nail pin circle 631, curved nail pin circle defining flange 632 probes in curved nail pin circle locating slot 6311.

Application examples:

Refer to Fig. 2 and in conjunction with Fig. 1, before enabling before carrying out Wrapping annulus cuts operation, remove screw position over cap 10 by operative doctor, specifically: first releasing adjustment screw rod 621 is connected with knob nut 813, and glans penis cap 6 is temporarily withdrawn, then turned back to by adjusting screw rod 621 state being connected with knob nut 813. in the time will implementing foreskin cutting operation to redundant prepuce or phimosis patient, to under the state turning on the foreskin of penis 20 202, the glans penis chamber 61 of glans penis cap 6 aimed to the glans penis 201 of penis 20, that is to say, make glans penis 20 enter glans penis chamber 61, then foreskin 202 is renovated to (covering) to packet header cap 6. then pull out safety plug 161, by operative doctor hold handle knob 121(is a pair of), because push broach cover 2 is by a pair of 21 hinged with handgrip 121 in flakes, thereby just make push broach cover 2 move right in push broach cover mobile cavity 11 when displacement in opposite directions at the aforementioned free end that makes a pair of handgrip 121. due to the right-hand member end face of push broach cover 2 and push broach, to overlap the left end end face of central shaft 421 corresponding and contact, therefore when push broach cover 2 just drives (forcing) push broach dish 4(by push broach central shaft 421 in push broach cover mobile cavity 11 in the time that the direction of glans penis cap 6 moves towards the right side), drive bell-type cutter 5 by push broach dish 4 simultaneously, until the cutting edge 52 of bell-type cutter 5 is cut off foreskin 202, in the moment of cutting off foreskin 202, ejector pin pin 43 on push broach dish 4 is acting on suturing nail 721 corresponding to the position of carrying nail hole 72, make suturing nail 721 clubfoot and be simultaneously incorporated into foreskin affinity packing ring 711 and operation receiveing person's wound site under the effect of curved nail pin circle 631, then withdraw the disposable prepuce cutting stitching instrument of the present invention. in aforementioned surgical procedure, cutting edge 52 contacts with cutter anvil circle 641, and whole surgical procedure is taken time only needs 2-3min.

In the early-stage preparations of above-mentioned operation, operative doctor is in the time regulating adjusting screw rod 621 by adjustment knob 8, due to the existence of hilt connector 9, be constrained on after hilt in adapter sleeve knob card base stopper slot 142 and hilt connector knob card base stopper slot 92 owing to adjusting knob spacing card base 8111 again, again owing to matching with hilt connector expansion step limit mating groove 812 in hilt connector expansion step limit 94, also because the left surface of adapter sleeve 14 after the right-hand member end face (being right flank) of hilt connector 9 and hilt is affixed tactile, thereby adjustment knob 8 there will not be play, the situation of rocking and coming off, thereby ensure glans penis cap 6, concentricity between cutter shell 3 and push broach dish 4 threes.

In sum, technical scheme provided by the invention has overcome the deficiency in prior art, has successfully completed invention task, has cashed all sidedly the technique effect of recording in the superincumbent technique effect of applicant hurdle.

Claims

1. an anastomat for circumcision, comprise a hilt (1), form and have a push broach cover mobile cavity (11) in the middle position of the length direction of this hilt (1), this push broach cover mobile cavity (11) connects to right-hand member from the left end of hilt (1), and form and have a pair of handgrip hinged seat (12) at the right-hand member of this hilt (1), respectively be hinged with the right-hand member of a handgrip (121) on to handgrip hinged seat (12) at this, and the left end of handgrip (121) is configured to and holds the free end of pinching for operative doctor, go up and offer in the position at the middle part corresponding to handgrip (121) a pair of groove in flakes (13) communicating with push broach cover mobile cavity (11) at hilt (1), one push broach cover (2), this push broach cover (2) is arranged in described push broach cover mobile cavity (11), and be hinged with a pair of one end of (21) in flakes at the left end of this push broach cover (2), and this to the other end of (21) in flakes outside described groove in flakes (13) is stretched over push broach cover mobile cavity (11) and hinged with the middle part of described handgrip (121), form and have a push broach cover screw hole (22) in the middle position of push broach cover (2), this push broach cover screw hole (22) connects to right-hand member from the left end of push broach cover (2), one has the cutter shell (3) that pushes away cutter chuck holder adapted chamber (31), and the right-hand member of the left end of this cutter shell (3) and described hilt (1) connects, one has the push broach dish (4) in push broach dish chamber (41), described in being contained in, this push broach dish (4) pushes away in cutter chuck holder adapted chamber (31), be extended with a push broach central shaft (421) in the middle position, outside of the push broach dish roof (42) of push broach dish (4), this push broach central shaft (421) has a central shaft trepanning (4211) communicating with described push broach dish chamber (41), on the right-hand member end face of push broach dish (4) and the circumferencial direction that is positioned at the accent position in push broach dish chamber (41) form and have one group of ejector pin pin (43) with interval state, described push broach central shaft (421) pushes away described in inserting in cutter chuck holder adapted chamber (31) and matches with described cutter shell (3), and match mutually with described push broach cover (2), one bell-type cutter (5), these bell-type cutter (5) are contained in described push broach dish chamber (41), the left end of these bell-type cutter (5) has a cutter chassis (51), match with described push broach dish roof (42) in this cutter chassis (51), and offer a resigning hole (511) in the middle position of cutter chassis (51), have cutting edge (52) at the end of the right-hand member of bell-type cutter (5) along upper formation, one has the glans penis cap (6) in glans penis chamber (61), there is an adjustment screw bolt seat (62) in the roof central authorities of this glans penis cap (6) and back to a side formation of glans penis chamber (61), on this adjustment screw bolt seat (62), be fixed with an adjustment screw rod (621), and on the outer wall of the base portion of glans penis cap (6), turn to form and have a glans penis cap shade (63), space between the outer wall of the inwall of this glans penis cap shade (63) and glans penis cap (6) is configured to anvil block chamber (64), this anvil block chamber (64) is corresponding with described cutting edge (52), and in anvil block chamber (64), be equipped with a cutter anvil circle (641), and on the left surface of described glans penis cap shade (63), be equipped with a curved nail pin circle (631), one screw position (7), this screw position (7) be shelved on described curved nail pin circle (631) upper and described push away in cutter chuck holder adapted chamber (31) corresponding with described ejector pin pin (43), one adjusts knob (8), this adjustment knob (8) matches with hilt (1) in the position of the left end corresponding to described hilt (1), described adjustment screw rod (621) is successively through described resigning hole (511), central shaft trepanning (4211), the push broach cover screw hole (22) that pushes away cutter chuck holder adapted chamber (31) and push broach cover (2) is connected with described adjustment knob (8) afterwards, characterized by further comprising a hilt connector (9), this hilt connector (9) in the position of the left end corresponding to described hilt (1) probes into push broach cover mobile cavity (11) and at the locking position corresponding to described groove in flakes (13) on hilt (1), described adjustment knob (8) is female connector chamber (81) after the middle position of a side of hilt (1) formation has a hilt, after this hilt, match with left end and the described hilt connector (9) of hilt (1) simultaneously female connector chamber (81), described adjustment screw rod (621) is being connected with described adjustment knob (8) through after hilt connector (9).

2. anastomat for circumcision according to claim 1, it is characterized in that forming and having a packing ring compensation step chamber (71) on the right side inwall of described screw position (7) and around the circumferencial direction of screw position (7), be embedded with a foreskin affinity packing ring (711) corresponding to the position in this packing ring compensation step chamber (71), and the circumferencial direction around foreskin affinity packing ring (711) on the left surface of this foreskin affinity packing ring (711) forms the gasket flange (7111) that has the left surface that is raised in foreskin affinity packing ring (711) with interval state, this gasket flange (7111) is corresponding with year nail hole (72) that the confession on screw position (7) arranges suturing nail (721), above and in the position corresponding to the described right accent that pushes away cutter chuck holder adapted chamber (31) form and have a screw position to coordinate step chamber (311) at described cutter shell (3), screw position (7) is embedded in this screw position and coordinates on step chamber (311), on the outer wall of screw position (7), form and have screw position locating flange (73) with interval state, and it is upper and coordinating the position in step chamber (311) to offer quantity and position equal with screw position locating flange (73) and the corresponding screw position locating flange mating holes (32) of screw position locating flange (73) corresponding to screw position at cutter shell (3), screw position locating flange (73) and this screw position locating flange mating holes (32) scarf.

3. anastomat for circumcision according to claim 2, is characterized in that upper at described cutter shell (3) and protects and use and avoid being arranged on the described suturing nail (721) carrying in nail hole (72) and scurry out and carry a screw position over cap (10) of following closely hole (72) for described screw position (7) right flank is covered coordinating the position of the accent in step chamber (311) to be equipped with one corresponding to described screw position.

4. anastomat for circumcision according to claim 1, it is characterized in that forming and having an adjustment screw bolt seat chamber (411) communicating with central shaft trepanning (4211) in the push broach dish chamber (41) of described push broach dish (4) and towards one end of described central shaft trepanning (4211), on the chamber wall in this adjustment screw bolt seat chamber (411), form and have a plurality of guiding rib grooves (4111) with equidistant intervals state, on the outer wall of described adjustment screw bolt seat (62), form and have quantity and described guiding rib groove (4111) a plurality of guiding ribs (622) that equate and that position is corresponding, guiding rib (622) matches with guiding rib groove (4111), the surface of one of them the guiding rib (622) in described a plurality of guiding ribs (622) is provided with guiding rib mark (6221), and on the upper wall of described cutter shell (3) and the right-hand member that is positioned at cutter shell (33) be provided with a cutter shell mark (33), in the time that the lead position of rib mark (6221) and the position of cutter shell mark (33) are corresponding, described adjustment screw bolt seat (62) enters in described adjustment screw bolt seat chamber (411) and a plurality of guiding ribs (622) match with a plurality of guiding rib grooves (4111), and in the time staggering in the lead position of rib mark (6221) and the position of cutter shell mark (33), the refusal in described adjustment screw bolt seat chamber (4111) is also suffered in the position of a plurality of guiding ribs (622) and a plurality of guiding rib grooves (4111) in stagger state and described adjustment screw bolt seat (62).

5. anastomat for circumcision according to claim 1, it is characterized in that adapter sleeve (14) after the left end of described hilt (1) is extended with the hilt of diameter that a diameter is less than hilt (1), adapter sleeve after this hilt (14) is gone up and adapter sleeve breach (141) after the position of a pair of groove in flakes (13) corresponding to described offers a pair of hilt, on the outer wall of adapter sleeve after hilt (14), form and have adapter sleeve knob card base stopper slot (142) after hilt, described hilt connector (9) probes into after described hilt in adapter sleeve (14), offer a hilt connector screw hole (91) in the axial central authorities of described hilt connector (9), described adjustment screw rod (621) is being threaded with described adjustment knob (8) through after this hilt connector screw hole (91), on the outer wall of hilt connector (9) and after a pair of hilt corresponding to described, the position of adapter sleeve breach (141) forms a pair of hilt connector knob card base stopper slot (92), this is corresponding with adapter sleeve knob card base stopper slot (142) after described hilt to hilt connector knob card base stopper slot (92), and on the right-hand member end face of hilt connector (9), be extended with a pair of hilt connector locking grab (93) corresponding with the position of described a pair of groove in flakes (13), this probes in a pair of groove in flakes (13) and locks with described hilt (1) hilt connector locking grab (93), after the hilt of described adjustment knob (8), connect on the chamber wall of mantle cavity (81) and offer and adjust knob card base hole (811) with interval state around the circumferencial direction that connects mantle cavity (81) chamber wall after hilt, form in position corresponding to each adjustment knob card base hole (811) to be useful on to stop and adjust the adjustment knob card base (8111) that knob (8) is shaken off hilt connector (9), the spacing card base of this adjustment knob (8111) is kept out after described hilt in adapter sleeve knob card base stopper slot (142) and hilt connector knob card base stopper slot (92).

6. anastomat for circumcision according to claim 1, what it is characterized in that described cutter shell (3) pushes away cutter chuck holder adapted chamber (31) adapter sleeve mating cavity (312) before the narrow contracting in one end of described hilt (1) has a hilt, and formation has a push broach cover center guide pin bushing (313), this push broach cover center guide pin bushing (313) corresponding to the center of adapter sleeve mating cavity (312) before hilt and the outer wall of this push broach cover center guide pin bushing (313) with push away interval formation between the inwall of cutter chuck holder adapted chamber (31) and have a plurality of guide vanes (3131), adapter sleeve card base lock hole (34) before cutter shell (3) is upper and the position of adapter sleeve mating cavity (312) offers a pair of hilt before corresponding to hilt, this to hilt before adapter sleeve card base lock hole (34) around the circumferencial direction of adapter sleeve mating cavity (312) before hilt apart 180 ° and communicate with adapter sleeve mating cavity (312) before hilt, and before hilt on the inwall of adapter sleeve mating cavity (312) and before corresponding to a pair of hilt the position of adapter sleeve card base lock hole (34) offer adapter sleeve card base gathering sill (3121) before a pair of hilt, this to hilt before adapter sleeve card base gathering sill (3121) extend to adapter sleeve card base lock hole (34) before a pair of hilt, adapter sleeve (15) the right-hand member of described hilt (1) is extended with the hilt of diameter that a diameter is less than hilt (1) with narrow contracting state before, before this hilt, adapter sleeve (15) is plugged in the front adapter sleeve mating cavity (312) of described hilt, adapter sleeve before hilt (15) position upper and adapter sleeve card base lock hole (34) before a pair of hilt corresponding to described forms the front adapter sleeve card base (151) of a pair of hilt, this probes under guiding of adapter sleeve card base (151) adapter sleeve card base gathering sill (3121) before described a pair of hilt before to hilt before described a pair of hilt in adapter sleeve card base lock hole (34), the left end of described push broach cover central axle sleeve (313) is insinuated in the front adapter sleeve (15) of hilt and described push broach cover (2) is nested with the left end at push broach cover central axle sleeve (313), described adjustment screw rod (621) is through the push broach cover central guiding trepanning (3132) of push broach cover center guide pin bushing (313), be provided with a plurality of guide vane gathering sills (4212) corresponding with described guide vane (3131) and that quantity equates the circumferencial direction of the push broach central shaft (421) of the push broach dish roof (42) of described push broach dish (4) is spaced apart, each guide vane gathering sill (4212) communicates with described central shaft trepanning (4211), described guide vane (3131) matches with guide vane gathering sill (4212), and the right-hand member end face of described push broach cover (2) is corresponding with the left end end face of push broach central shaft (421).

7. anastomat for circumcision according to claim 1, it is characterized in that respectively offering hinged seat pin shaft hole (122) on described a pair of handgrip hinged seat (12), offer the right hinge hole of handgrip (1211) at the right-hand member of described handgrip (121), and offer at the middle part of handgrip (121) handgrip in flakes groove (1212) and one with the handgrip handgrip pin shaft hole (1213) that groove (1212) communicates in flakes, the right hinge hole of handgrip (1211) corresponding with hinged seat pin shaft hole (122) and by the right hinge hole bearing pin of handgrip (12111) successively through hinged seat pin shaft hole (122) and the right hinge hole of handgrip (1211) and by hinged to the right-hand member of handgrip (121) and handgrip hinged seat (12), on the outer wall of the left end of described push broach cover (2), form and have a pair of hinged ear in flakes (23), this is to hinged ear (23) in flakes around the circumferencial direction of push broach cover (2) apart 180 ° and corresponding with described a pair of groove in flakes (13), respectively by first, bearing pin (211) is hinged with a pair of hinged ear in flakes (23) in flakes in the one end of described a pair of (21) in flakes, and the other end of a pair of (21) in flakes be stretched over corresponding to the position of a pair of groove in flakes (13) described push broach cover mobile cavity (11) outer and and then be insinuated into handgrip and pass through second in groove (1212) in flakes bearing pin (212) is hinged in the position corresponding to handgrip pin shaft hole (1213) and handgrip (121) in flakes, on the inwall of described push broach cover mobile cavity (11) and offer a hinged ear gathering sill (111) in flakes in the position of a pair of hinged ear in flakes (23) corresponding to described, offer a push broach cover insurance pin-and-hole (24) at the middle part of the length direction of described push broach cover (2), and offer a hilt insurance pin-and-hole (16) at the right-hand member of described hilt (1), on this hilt insurance pin-and-hole (16), be equipped with a safety plug (161), this safety plug (161) probes in push broach cover insurance pin-and-hole (24).

8. according to the anastomat for circumcision described in claim 1 or 6, it is characterized in that on the inwall that pushes away cutter chuck holder adapted chamber (31) of described cutter shell (3) and around the spaced apart push broach dish sliver gathering sill (314) that is provided with of the circumferencial direction that pushes away cutter chuck holder adapted chamber (31), and on the outer wall of described push broach dish (4) and around spaced apart quantity and push broach dish sliver gathering sill (314) equates and position the is corresponding push broach dish sliver (44) of being provided with of the circumferencial direction of push broach dish (4), this push broach dish sliver (44) is slidably matched with push broach dish sliver gathering sill (314).

9. anastomat for circumcision according to claim 5, it is characterized in that connecting mantle cavity (81) after the hilt of described adjustment knob (8) forms and has a hilt connector expansion step limit mating groove (812) towards the accent position of a side of described hilt connector (9), be provided with a hilt connector expansion step limit (94) and expand on the left end end face of hilt connector (9), match with hilt connector expansion step limit mating groove (812) in this hilt connector expansion step limit (94), and after the right flank on this hilt connector expansion step limit (94) and described hilt, the left surface of adapter sleeve (14) is affixed tactile.

10. anastomat for circumcision according to claim 1, it is characterized in that at described glans penis cap shade (63) towards the surface of a side of described curved nail pin circle (631) and be arranged at intervals with curved nail pin circle defining flange (632) around the circumferencial direction of glans penis cap shade (63), there are curved nail pin circle locating slot (6311), curved nail pin circle defining flange (632) to probe in curved nail pin circle locating slot (6311) and form towards a side of glans penis cap shade (63) at curved nail pin circle (631); Form and have cutter locating flange (422) towards a side in described push broach dish chamber (41) and around the circumferencial direction interval of push broach dish roof (42) at described push broach dish roof (42), and go up and offering the cutter convex marginal pore (512) that quantity equates with cutter locating flange (422) corresponding to the position of cutter locating flange (422) on the cutter chassis (51) of described bell-type cutter (5), cutter locating flange (422) matches with cutter convex marginal pore (512).