CN106214224B - It peritomizes, stitching unstrument - Google Patents

It peritomizes, stitching unstrument Download PDF

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Publication number
CN106214224B
CN106214224B CN201610537384.XA CN201610537384A CN106214224B CN 106214224 B CN106214224 B CN 106214224B CN 201610537384 A CN201610537384 A CN 201610537384A CN 106214224 B CN106214224 B CN 106214224B
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seat
nail bin
slot
nail
blade
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CN106214224A (en
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周勇飞
周群力
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/326Circumcision apparatus

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

Abstract

One kind peritomizes, stitching unstrument, it includes the cylindric seat of honour, the drive end bearing bracket of the seat of honour is equipped with a cricoid drive end bearing bracket, radial convex is equipped with interior side loop on the internal ring wall of the drive end bearing bracket, annular array offers several nail bin slots axially penetrated through in the interior side loop, the nail bin slot is long lumbar hole shape structure, the projection of the interior side loop radially is corresponded to per two adjacent nail bin slots partially to intersect, several nail bin slots are in the arrangement of circumferential successively stacked tile type, matched can place one piece of suturing nail in Contraband shape in the nail bin slot;Cylindric acrosome and blade are also coaxially arranged in the seat of honour, the blade is same to be located in the acrosome, one end that the drive end bearing bracket is corresponded on the acrosome is axially convexly equipped with the top pillar that and cross section identical with several nail bin slot quantity matches, and several top pillars are inserted in several nail bin slots correspondingly and can axially slide relative in the nail bin slot.

Description

It peritomizes, stitching unstrument
Technical field
The present invention relates to the field of medical device for circumcision, in particular to one kind peritomize, stitching unstrument.
Background technique
Redundant prepuce and phimosis is male's common phenomenon, and redundant prepuce can cause premature ejaculation, and redundant prepuce is not treated in time past Toward the happiness that will affect sexual life between man and wife, because too long foreskin covers male's glans penis, so that cannot in coitus Stronger stimulation is obtained, therefore causes the uncoordinated of sexual life.It is also the most common original for influencing male and female genital tract health Cause, redundant prepuce are easy hiding dirt, lead to the generation of inflammation, even result in the generation of glans penis cancer and cervical carcinoma, influence normal husband Wife's life, causes sperm quality to decline, to influence prenatal and postnatal care.To solve the problems, such as that part male is perplexed by redundant prepuce, People start out circumcision.
Wrapping annulus cuts operation mainly uses following three kinds of modes at present:
One, traditional open surgery cuts off too long foreskin, art mouth with scissors and blade and other conventional surgical instruments It being sutured with suture, operating time is long, doctor's heavy workload, the positioning of art mouth is nonstandard, operating time is long, amount of bleeding is big, The art mouth scar of healing is big, postoperative pain, postoperative often hemotoncus, art mouth occur least smooth, it is difficult to which standardization carries out, at present base This is eliminated;
Two, card for a long time is carried out to too long foreskin using various clamp-press type anastomat for circumcision to press, cause card splenium Position ischemic necrosis and fall off, operating time is shorter than traditional operation, convenient and efficient, bleeding is few, but postoperative edema is serious, pain degree High, art mouth healing is most slowly, institute must all be returned by suffering from takes ring, takes ring painful, child even wants to remove ring under secondary anesthesia, take Art schistostoma opens probability height after ring, since oedema is serious, also leaves larger scar after the healing of art mouth, and occurs glans penis necrosis disease Example, also just exits clinic gradually;
Three, it is performed the operation using Circumcision suturing device, such as number of patent application: 201210475409.X and patent application Number: Circumcision suturing device disclosed in 201310266729.9, this operation make the best use of the advantages keeping away to first two operation substantially It is short, but doctor's skilled operation degree is larger to operation influential effect, and bandage after operation is tighter, and urine often has obstructed sense, and wrapping is not When appropriate, occur postoperative hematoma may, patient or some discomforts, suturing nail time that falls off are longer.
The third above-mentioned mode is the modus operandi that current patient is relatively ready receiving, but by several after this operation The suture that the suturing nail of " Contraband " shape is constituted is on the inside of art mouth edge, and two nail pins of each suturing nail are as staple-shaped is pierced Wear to bend inwards after foreskin and clamp the art mouth edge of foreskin and form local suture, thus per two adjacent suturing nails between will There are gaps, often have ends of vessels crack (being located between two suturing nails with the ends of vessels of foreskin girdling truncation) to cause art Hemotoncus or bleeding afterwards increase the pain of patient.
Summary of the invention
The purpose of the present invention is to provide one kind to peritomize, stitching unstrument, and technical problem to be solved is: existing Can have gap when being performed the operation using Circumcision suturing device, between adjacent suturing nail, cause art mouth blood often occur The pipe broken ends of fractured bone is between the gap of two suturing nails, is in turn resulted in postoperative hematoma or bleeding, is increased the distress level of patient Increase the later stage work amount of doctor.
In order to solve the above technical problems, the present invention provide one kind peritomize, stitching unstrument comprising glans penis seat and cylinder The seat of honour of shape, the drive end bearing bracket of the seat of honour are equipped with a cricoid drive end bearing bracket, and radial convex is equipped with interior on the internal ring wall of the drive end bearing bracket Side loop offers several nail bin slots axially penetrated through, institute around central axis circular array in the interior side loop Stating nail bin slot is long lumbar hole shape structure, corresponds to the projection of the interior side loop radially per two adjacent nail bin slots Part is intersected, and several nail bin slots are in the arrangement of circumferential successively stacked tile type, matched can be placed in the nail bin slot One piece of suturing nail in Contraband shape;Cylindric acrosome and blade are also coaxially arranged in the seat of honour, the blade is same to be located in In the acrosome, corresponded on the acrosome drive end bearing bracket one end be axially convexly equipped with it is identical as several nail bin slot quantity And top pillar that cross section matches, several top pillars be inserted in several nail bin slots correspondingly and can be in institute It states and is axially slid relative in nail bin slot.
Be preferable over: the length of the top pillar is more than the depth of the nail bin slot, and the top pillar can be in the nail bin slot In axially slide relative and eject suturing nail, several nail bin slots correspond to be opened on the side hole wall at the interior side loop center Equipped with the notch axially penetrated through, the incision site is corresponded on several top pillars and is fixedly installed reinforcement block, the reinforcement block Sliding can be matched in the notch.
Be preferable over: the glans penis seat includes glans penis cap and pull rod, and the front end of the pull rod is fixedly connected on the glans penis The outer edge at the top of cap, the glans penis cap is equipped with toroidal race, and the pull rod is co-axially fixed to be installed in the seat of honour, institute State the corresponding front for being located at the drive end bearing bracket of glans penis cap, the blade can the relatively described seat of honour be axially slided to and cut described On toroidal race, the side that the drive end bearing bracket is corresponded on the toroidal race is offered to be corresponded with several nail bin slots The matched suturing nail slot of falling foot, in use, two nail pins of the suturing nail are respectively along the inside groove wall guided of the suturing nail slot of falling foot Bending.
It is preferable over: being fixed with a coaxial sheath on the rear end bottom wall of the seat of honour, the diameter of the sheath is less than master Seat diameter correspond to radial convex on one end inner tubal wall of the seat of honour in the sheath and is equipped with ring shaped retainers, fixation in the sheath Be provided with fixed, be fixedly installed a coaxial slip pipe on the rear end bottom wall of the acrosome, the outer diameter of the slip pipe with it is described The internal diameter of ring shaped retainers matches, and the slip pipe is coaxially inserted in the sheath, and a return spring is arranged on the slip pipe, The tail end of the slip pipe is fixed to be covered with a diameter and the matched acrosomal cap of sheath bore, and the acrosomal cap can opposite sliding And it is circumferentially positioned be inserted in the sheath, the both ends of the return spring push up hold in the ring shaped retainers and acrosomal cap respectively On, with the fixation being also hinged with one dynamic on opposite other side tube wall on the tail end of the sheath, described dynamic can phase The acrosomal cap pressed to sheath rotation, described dynamic can with it is described it is fixed will be described in the acrosomal cap be pressed into mutual clamping In sheath;The tail end of the sheath is also connected with a coaxial tail pipe, and perforative grooving, institute are offered on the tube wall of the tail pipe Stating handle can the opposite sliding in the perforative grooving;The pull rod can axially slide relative and it is circumferentially positioned pass through it is described Slip pipe, on the tail pipe other end opposite with the sheath be provided with one can relative rotation tightening knob, the pull rod Tail end passes through the acrosomal cap and tail pipe is connected by screw thread with the tightening knob.
Be preferable over: the pull rod is equipped with positioning edge or locating slot, and the inner tubal wall of the slip pipe is equipped with corresponding positioning Sliding slot or guide-localization rib, accurate positioning when guaranteeing work between the nail bin slot and the suturing nail slot of falling foot, no It is rotary shifted;It is located at the inside that several suturing nail slots of falling foot are set on the toroidal race equipped with knife anvil annular groove, the knife Knife anvil ring is equipped in anvil annular groove;The outer surface of the glans penis cap is equipped with the ribs for being connected to pull rod, and the ribs is arranged The intensity that hat hat shape glans penis cap can be improved, prolongs the service life.
It is preferable over: when the rear end bottom wall of the acrosome is resisted against on the rear end inside bottom wall face of the seat of honour, the top pillar Front end portion be inserted in the nail bin slot, and the depth of the nail bin slot is inserted in institute not less than the top pillar front end State the sum of the nail pin length of the partial-length and the suturing nail in nail bin slot;The blade is coaxially fixed on the acrosome In, the axially extended front end face in the top pillar of the preceding terminal knife edge of the blade.
Be preferable over: the acrosome includes placket section and back seat, and the placket section is fixedly installed on the back seat, described Fixing clamp holds a cricoid stator winding between placket section and the back seat, and the internal diameter of the stator winding is greater than the placket The internal diameter of section, the placket section correspond to indent on the inner wall of described back seat one end equipped with one section of annular groove, the stator winding pair It should be located in the annular groove, when the rear end bottom wall of the back seat is resisted against on the rear end inside bottom wall face of the seat of honour, before described The front end portion of top pillar is inserted in the nail bin slot in cylinder section, and the depth of the nail bin slot is not less than before the top pillar Hold the sum of the nail pin length of the partial-length and the suturing nail that are inserted in the nail bin slot;The outer diameter of the blade and institute The internal diameter for stating placket section matches, the axially extended front end face in the top pillar of the preceding terminal knife edge of the blade;The blade Rear end it is coaxial be fixedly connected with a permanent magnetism ring body, the outer diameter of the permanent magnetism ring body is greater than the internal diameter of the placket section, it is described forever In the corresponding interior annular distance for being located at the stator winding of magnetic ring body, the stator winding and the permanent magnetism ring body form a motor knot Structure, the axial width of the annular groove are greater than the axial width of the permanent magnetism ring body, the permanent magnetism ring body can in the annular groove phase To axial movement, a compressed spring is provided between the permanent magnetism ring body and the back seat.
Be preferable over: the acrosome includes placket section and back seat, and the placket section is fixedly installed on the back seat, described Fixing clamp holds a cricoid guide ring between placket section and the back seat, and the internal diameter of the guide ring is greater than the placket section Internal diameter, the placket section correspond to the one section of annular groove that is equipped with of indent on the inner wall of described back seat one end, and the guide ring correspondence is located at In the annular groove, when the rear end bottom wall of the back seat is resisted against on the rear end inside bottom wall face of the seat of honour, in the placket section The front end portion of top pillar is inserted in the nail bin slot, and the depth of the nail bin slot is inserted into not less than the top pillar front end The sum of the nail pin length of partial-length and the suturing nail in the nail bin slot;The outer diameter of the blade and the placket The internal diameter of section matches, the axially extended front end face in the top pillar of the preceding terminal knife edge of the blade;The rear end of the blade is same Axis is fixedly connected with one section of rotation guidance ring body, and the outer diameter of the rotation guidance ring body is greater than the internal diameter of the placket section, institute It states in the corresponding interior annular distance for being located at the guide ring of rotation guidance ring body, the axial width of the annular groove is guided greater than the rotation The axial width of ring body, rotation guidance ring body can in the annular groove relative axial movement, the rotation guidance ring body and It is provided with a compressed spring between the back seat, surrounds central axis circular array on the external annulus of the rotation guidance ring body Offer at least twice helical cutting, and the lead angle of the helical cutting is between 60-80 degree, the guide ring it is interior Radial convex is equipped with guidance convex key identical at least twice helical cutting quantity, at least two guidance convex key on ring wall One-to-one convex key enters in at least twice helical cutting respectively.
Be preferable over: the acrosome includes placket section and back seat, and the placket section is fixedly installed on the back seat, described Placket section corresponds to the one section of annular groove that is equipped with of indent on the inner wall of described back seat one end, and the rear end of the blade is coaxial to be fixedly connected There is one section of rotation ring seat, the outer diameter of the rotation ring seat is greater than the internal diameter of the placket section, and the rotation ring seat is corresponding to be located at institute It states in annular groove, the axial width of the annular groove is greater than the axial width of the rotation ring seat, and the rotation ring seat can be in the ring Relative axial movement in slot is provided with a compressed spring, diameter in the rotation ring seat between the rotation ring seat and the back seat To an installation jack is offered, one driving lever of grafting can be fixed in the installation jack, is reserved between the placket section and back seat One movable fenestra, maximum axial motion of the axial width of the activity fenestra not less than the rotation ring seat in the annular groove Stroke;It is offered on the outer tube wall of the seat of honour and stirs window, the axial width for stirring window is not less than the blade Preceding terminal knife edge is punched to the movement travel on the toroidal race;The activity and is stirred corresponding to the circumferential width of window fenestra Central angle it is identical, and the movable fenestra is identical as radial direction corresponding to window is stirred;The driving lever passes through described dial Dynamic window and movable fenestra are fixedly plugged in the installation jack, when the rear end bottom wall of the back seat is resisted against the seat of honour Rear end inside bottom wall face on when, the radial side of the driving lever, which is resisted against, described stirs the internal orifice that axial rearward end is corresponded in window On wall, the radial other side of the driving lever is resisted against on the inner hole wall for corresponding to axial forward end in the movable fenestra, the driving lever It can circumferentially be slided in described stir in window and movable fenestra, the front end portion of top pillar is inserted in the nail in the placket section In the slot of storehouse, and the depth of the nail bin slot is inserted in the partial-length in the nail bin slot not less than the top pillar front end The sum of with the nail pin length of the suturing nail;The outer diameter of the blade and the internal diameter of the placket section match, the blade The axially extended front end face in the top pillar of preceding terminal knife edge.
Be preferable over: the installation jack is threaded hole, and the one end being plugged in the installation jack on the driving lever is spiral shell Line connection-peg, the external screw thread on the screw thread connection-peg matches with the internal screw thread in the threaded hole to be engaged.
Compared with prior art, the beneficial effects of the present invention are:
One, the nail bin slot arranged by stacked tile type, so that on the suture of annular between every two adjacent suturing nails The misconstruction of stacked tile type is formed, and then does not stay suture gap between every two adjacent suturing nails, is prevented to the maximum extent Postoperative hematoma or bleeding;
Two, a DC motor structure can be made up of stator winding and the permanent magnetism ring body, and then logical in stator winding The permanent magnetism ring body can be driven to rotate after electricity, link the blade rotation, and direct current generator rotary-cut technology is applied to packet for the first time Skin procedure improves in ring cutting operation, and blade prevents from being only merely to be punched foreskin by axial blade to the cutting power of foreskin Be easy because foreskin or knife anvil ring elasticity and the incomplete situation of ring cutting so that Wrapping annulus cuts operation it is convenient, fast, it is safe, Laborsaving, art mouth is neat, the generation for having further prevented art schistostoma to open;
Three, direct current generator can be embedded into Circumcision suturing device by simple structure, neither influences suture, punching Mechanically actuated during cutting, and can ensure the normal operation of motor, low manufacture cost, practical performance are superior;
Four, it can also realize that automatic circumgyration incision foreskin, structure are simpler in blade blanking process using the guidance of helicla flute It is single, blade circumgyration incision is utilized and enhances the smoothness of ring cutting foreskin, has ensured the integrality peritomized, so that preputial ring Facilitating operation, quick, safe, laborsaving is cut, art mouth is neat;
Five, the blade, can be by pass through the driving lever week for stirring window and movable fenestra after axially punching The relatively described placket section rotation is realized to stirring, and then achievees the purpose that circumgyration incision, keeps ring cutting foreskin more smooth, is ensured The integrality peritomized.
Detailed description of the invention
Fig. 1 is the dimensional decomposition structure diagram of the embodiment of the present invention one.
Fig. 2 is the assembled state schematic cross-sectional view of the embodiment of the present invention one.
Fig. 3 is the dimensional decomposition structure diagram of the embodiment of the present invention two.
Fig. 4 is the top pillar and nail bin slotted hole structure schematic diagram of the embodiment of the present invention two.
Fig. 5 is the assembled state schematic cross-sectional view of the embodiment of the present invention two.
Fig. 6 is the assembled state broken section structural schematic diagram of the embodiment of the present invention three.
Fig. 7 is the assembled state schematic cross-sectional view of the embodiment of the present invention four.
Fig. 8 is the partial enlargement structural representation of A in Fig. 7.
Fig. 9 is the schematic perspective view of glans penis seat of the invention.
Specific embodiment
It peritomizes below with reference to attached drawing 1 to 9 and preferred embodiment to one kind proposed by the present invention, stitching unstrument is made more To be described in detail.
As shown in Fig. 1,3,4, the present invention provide one kind peritomize, stitching unstrument comprising glans penis seat 1 and cylindrical shape The seat of honour 2, the drive end bearing bracket of the seat of honour 2 are equipped with a cricoid drive end bearing bracket 3, and radial convex is equipped with interior on the internal ring wall of the drive end bearing bracket 3 Side loop 31 offers several nail bin slots axially penetrated through around central axis circular array in the interior side loop 31 32, the nail bin slot 32 is long lumbar hole shape structure, corresponding in the interior side loop per two adjacent nail bin slots 32 31 projection radially is partially intersected, arrangement of several nail bin slots 32 in circumferential successively stacked tile type, the nail bin slot One piece of suturing nail a in Contraband shape matched can be placed in hole 32;Also be coaxially arranged in the seat of honour 2 cylindric acrosome 4 and Blade 5, with being located in the acrosome 4, one end that the drive end bearing bracket 3 is corresponded on the acrosome 4 is axially convexly equipped with the blade 5 The top pillar 41 that identical and cross section matches with several 32 quantity of nail bin slot, several top pillars 41 are one-to-one It is inserted in several nail bin slots 32 and can be axially slid relative in the nail bin slot 32.
The present invention in the specific implementation, using the nail bin slot 32 in circumferential successively stacked tile type arrangement, so that the seam of annular The local suture formed in zygonema per two adjacent suturing nails can be effectively prevented at the interlaced of stacked tile type Occur suture part " fracture " (there are gaps that is, between two adjacent local sutures) on the suture of annular, avoids Ends of vessels crack (being located between two suturing nails with the ends of vessels of foreskin girdling truncation) causes postoperative hematoma or goes out The case where blood, occurs.
Embodiment one: as shown in Figure 1, 2, one kind peritomizes, stitching unstrument, on the basis of the above, the rear end of the acrosome 4 When bottom wall is resisted against on the rear end inside bottom wall face of the seat of honour 2, the front end portion of the top pillar 41 is inserted in the nail bin slot In hole 32, and the depth of the nail bin slot 32 is inserted in the part in the nail bin slot 32 not less than 41 front end of top pillar The sum of the nail pin length of length and the suturing nail a, can guarantee to place suturing nail a in the preoperative;The blade 5 is coaxially fixed on In the acrosome 4, the axially extended front end face in the top pillar 41 of the preceding terminal knife edge of the blade 5 can guarantee to work as the top By after suturing nail a ejection and stapling to suture position, the blade 5 can will be under foreskin ring punchout shear for top pillar 41 on body 4 Come.
Embodiment two: as shown in Fig. 3,4,5, the present invention provides a kind of peritomizing, suturing with electronic rotary cutting function Device, wherein the acrosome 4 includes placket section 42 and back seat 43, and the placket section 42 is fixedly installed on the back seat 43, institute It states fixing clamp between placket section 42 and the back seat 43 and holds a cricoid stator winding 6, the internal diameter of the stator winding 6 is greater than The internal diameter of the placket section 42, indent is equipped with one section of annular groove on the inner wall of corresponding described 43 one end of back seat of the placket section 42 44, the stator winding 6 is corresponding to be located in the annular groove 44, after the rear end bottom wall of the back seat 43 is resisted against the seat of honour 2 When holding on inside bottom wall face, the front end portion of top pillar 41 is inserted in the nail bin slot 32 in the placket section 42, and described The depth of nail bin slot 32 is inserted in partial-length and the seam in the nail bin slot 32 not less than 41 front end of top pillar The sum of nail pin length of dowel a;The outer diameter of the blade 5 and the internal diameter of the placket section 42 match, the front end of the blade 5 The axially extended front end face in the top pillar 41 of blade;The rear end of the blade 5 it is coaxial be fixedly connected with a permanent magnetism ring body 51, The outer diameter of the permanent magnetism ring body 51 is greater than the internal diameter of the placket section 42, and the permanent magnetism ring body 51 is corresponding to be located at the stator winding In 6 interior annular distance, the stator winding 6 forms a DC motor structure, the axial direction of the annular groove 44 with the permanent magnetism ring body 51 Width be greater than the permanent magnetism ring body 51 axial width, the permanent magnetism ring body 51 can in the annular groove 44 relative axial movement, A compressed spring 45 is provided between the permanent magnetism ring body 51 and the back seat 43.
In the specific implementation, when the acrosome 4 axially forwardly slides, back seat 43 pushes the compression bullet to the present embodiment two Spring 45 and the permanent magnetism ring body 51 and blade forward axial motion realize punching foreskin, while the top in the placket section 42 Column 41 ejects the suturing nail a from the nail bin slot 32 and sutures to foreskin, and in the process, the blade 5 is forward When being punched foreskin, it can be overcome the compressed spring 45 is axial to retreat by punching resistance, avoid rigid impact, make rushing for blade 5 It cuts to obtain buffer protection, can be improved the service life of blade 5, pass through the stator winding 6 and the permanent magnetism ring body 51 at this time The DC motor structure of composition, enable the permanent magnetism ring body 51 the stator winding 6 energization after cutting magnetic field effect Lower rotation, and the blade circumgyration incision foreskin is driven, the compressed spring 45 can ensure that rotary-cut is effective, to promote ring cutting Ability keeps procedure mouth more smooth.
Embodiment three: as shown in fig. 6, the present invention provides a kind of preputial ring of the blade with mechanical automatic rotary cutting function It cuts, stitching unstrument, the acrosome 4 includes placket section 42 and back seat 43, and the placket section 42 is fixedly installed on the back seat 43, Fixing clamp holds a cricoid guide ring 7 between the placket section 42 and the back seat 43, and the internal diameter of the guide ring 7 is greater than institute State the internal diameter of placket section 42, indent is equipped with one section of annular groove 44 on the inner wall of corresponding described 43 one end of back seat of the placket section 42, The guide ring 7 is corresponding to be located in the annular groove 44, and the rear end bottom wall of the back seat 43 is resisted against the rear end bottom wall of the seat of honour 2 When on medial surface, the front end portion of top pillar 41 is inserted in the nail bin slot 32 in the placket section 42, and the nail bin slot The depth in hole 32 is inserted in the partial-length in the nail bin slot 32 with the suturing nail a's not less than 41 front end of top pillar The sum of nail pin length;The outer diameter of the blade 5 and the internal diameter of the placket section 42 match, the preceding terminal knife edge axis of the blade 5 To the front end face for stretching out in the top pillar 41;The coaxial one section of rotation that is fixedly connected in the rear end of the blade 5 guides ring body 52, The outer diameter for rotating guidance ring body 52 is greater than the internal diameter of the placket section 42, and the rotation guidance ring body 52 is corresponding positioned at described In the interior annular distance of guide ring 7, the axial width of the annular groove 44 is greater than the axial width of the rotation guidance ring body 52, the rotation Quote lead ring body 52 can in the annular groove 44 relative axial movement, is set between rotation guidance ring body 52 and the back seat 43 Be equipped with a compressed spring 45, on the external annulus of the rotation guidance ring body 52 around central axis circular array offer to Few twice helical cutting 53, and the lead angle of the helical cutting 53 is between 60-80 degree, the internal ring wall of the guide ring 7 Upper radial convex is equipped with guidance convex key 71 identical with 53 quantity of at least twice helical cutting, at least two guidance convex key 71 respectively one-to-one convex key enter in at least twice helical cutting 53.
In the specific implementation, when the acrosome 4 axially forwardly slides, back seat 43 pushes the compression bullet to the present embodiment three Spring 45 and rotation guidance ring body 52 and blade forward axial motion, realize punching foreskin, while in the placket section 42 Top pillar 41 eject the suturing nail a from the nail bin slot 32 foreskin sutured, in the process, the blade 5 When being punched foreskin forward, it can be overcome the compressed spring 45 is axial to retreat by punching resistance, avoid rigid impact, make blade 5 Punching obtain buffer protection, can be improved the service life of blade 5, the blade 5 drives rotation guidance ring body at this time 52 are axially moved, and the helical cutting 53 on rotation guidance 52 outer wall of ring body is under the guidance of the guidance convex key 71 along spiral Line movement, and then helical rotation is converted by the axial movement of the rotation guidance ring body 52, and the blade 5 is driven to revolve together Turn to realize cutting foreskin, the compressed spring 45 can ensure that rotary-cut is effective, to promote the ability of ring cutting, make procedure mouth more It is smooth.
Example IV: as Figure 7-8, the present invention provides a kind of preputial ring of the blade with mechanical automatic rotary cutting function It cuts, stitching unstrument, the acrosome 4 includes placket section 42 and back seat 43, and the placket section 42 is fixedly installed on the back seat 43, Indent is equipped with one section of annular groove 44 on the inner wall of corresponding described 43 one end of back seat of the placket section 42;The rear end of the blade is coaxial Be fixedly connected with one section of rotation ring seat 54, the outer diameter of the rotation ring seat 54 is greater than the internal diameter of the placket section 42, the rotation Change seat 54 is corresponding to be located in the annular groove 44, and the axial width of the annular groove 44 is greater than the axial wide of the rotation ring seat 54 Degree, the rotation ring seat 54 can in the annular groove 44 relative axial movement, between the rotation ring seat 54 and the back seat 43 It is provided with a compressed spring 45, an installation jack is radially offered in the rotation ring seat 54, can be fixed in the installation jack One driving lever 55 of grafting is reserved with a movable fenestra 48, the axial direction of the activity fenestra 48 between the placket section 42 and back seat 43 Maximum axial motion stroke of the width not less than the rotation ring seat 54 in the annular groove 44;On the outer tube wall of the seat of honour 2 It offers and stirs window 28, the axial width for stirring window 28 is not less than the largest motion row of terminal knife edge before the blade 5 Journey;The activity fenestra 48 is identical with central angle corresponding to the circumferential width for stirring window 28, and the movable fenestra 48 and It is identical to stir radial direction corresponding to window 28;The driving lever 55 stirs window 28 described in and movable fenestra 48 is fixed It is plugged in the installation jack, when on the rear end inside bottom wall face that the rear end bottom wall of the back seat 43 is resisted against the seat of honour 2 When, the radial side of the driving lever 55 be resisted against it is described stir on the internal orifice wall for corresponding to 2 axial rearward end of the seat of honour in window 28, The radial other side of the driving lever 55 is resisted against the inner hole wall that 42 axial forward end of placket section is corresponded in the movable fenestra 48 On, the driving lever 55 can circumferentially be slided in described stir in window 28 and movable fenestra 48, top pillar 41 in the placket section 42 Front end portion be inserted in the nail bin slot 32, and the depth of the nail bin slot 32 not less than 41 front end of top pillar insert Enter the sum of the nail pin length of the partial-length and the suturing nail a in the nail bin slot 32;The outer diameter of the blade 5 and institute The internal diameter for stating placket section 42 matches, the axially extended front end face in the top pillar 41 of the preceding terminal knife edge of the blade 5;The peace Plugging hole is threaded hole, and the one end being plugged in the installation jack on the driving lever 55 is screw thread connection-peg, and the screw thread is inserted External screw thread on connector matches with the internal screw thread in the threaded hole to be engaged.
The present embodiment four in the specific implementation, can be by the relatively described seat of honour 2 of driving lever 55 described in manual toggle and preceding Cylinder section 42 surrounds the central axis circumferential movement of the seat of honour 2 in described stir in window 28 and movable fenestra 48, and then band 5 relative rotation of blade is moved, realizes the blade 5 in circumgyration incision while punching moved axially forward.
Further, in aforementioned four embodiment, the length of the top pillar 41 is more than the depth of the nail bin slot 32, institute It states top pillar 41 and can be axially slid relative in the nail bin slot 32 and eject suturing nail a, several nail bin slots 32 are corresponding The notch 33 axially penetrated through is offered on the side hole wall at 31 center of interior side loop, on several top pillars 41 described in correspondence 33 position of notch is fixedly installed reinforcement block 46, and the reinforcement block 46 can match sliding in the notch 33, utilize reinforcement block 46 enhance the intensity of top pillar 41.
The glans penis seat 1 includes glans penis cap 11 and pull rod 12, and the front end of the pull rod 12 is fixedly connected on the glans penis The top of cap 11, the outer edge of the glans penis cap 11 are equipped with toroidal race 13, the pull rod 12 is co-axially fixed be installed in it is described In the seat of honour 2, the correspondence of glans penis cap 11 is located at the front of the drive end bearing bracket 3, and the blade 5 can relatively described 2 axial direction of the seat of honour It slides into and cuts on the toroidal race 13, the side that the drive end bearing bracket 3 is corresponded on the toroidal race 13 offers and institute It states several nail bin slots 32 and corresponds the matched suturing nail slot of falling foot 14, in use, two nail pins of the suturing nail a are distinguished Inside groove wall guided along the suturing nail slot of falling foot 14 is bent.
A coaxial sheath 21 is fixed on the rear end bottom wall of the seat of honour 2, the diameter of the sheath 21 is less than the seat of honour 2 Diameter corresponds to radial convex on one end inner tubal wall of the seat of honour 2 in the sheath 21 and is equipped with ring shaped retainers 22, in the sheath 21 It is fixedly installed fixed 23, is fixedly installed a coaxial slip pipe 47 on the rear end bottom wall of the acrosome 4, the slip pipe 47 The internal diameter of outer diameter and the ring shaped retainers 22 matches, and the slip pipe 47 is coaxially inserted in the sheath 21, the slip pipe 47 On be arranged with a return spring 24, the tail end fixation of the slip pipe 47 is covered with a diameter and the matched top of 21 internal diameter of sheath Body cap 8, the acrosomal cap 8 can opposite sliding and it is circumferentially positioned be inserted in the sheath 21, the two of the return spring 24 Top is held on the ring shaped retainers 22 and acrosomal cap 8 respectively at end, opposite 23 with the fixation on the tail end of the sheath 21 It is also hinged with one on the tube wall of the other side to move 25, dynamic can rotate relative to the sheath 21 25 presses the acrosomal cap 8, institute State with described can determine 23 mutual clampings that the acrosomal cap 8 is pressed into the sheath 21 25;The tail end of the sheath 21 Be also connected with a coaxial tail pipe 26, offer perforative grooving 27 on the tube wall of the tail pipe 26, it is described it is dynamic can be in institute 25 State opposite sliding in perforative grooving 27;The pull rod 12 can axially slide relative and it is circumferentially positioned pass through the slip pipe 47, On the tail pipe 26 other end opposite with the sheath 21 be provided with one can relative rotation tightening knob 9, the pull rod 12 Tail end pass through the acrosomal cap 8 and tail pipe 26 and be connected by screw thread with the tightening knob 9.The present invention is in specific works When, need to only receive hold it is described it is fixed 23 with move 25, make that the acrosomal cap 8 is pressed into the sheath 21 25, the acrosome Cap 8 can push the slip pipe 47 to make 4 forward axial motion of acrosome, and then realize that the blade 5 that links is punched foreskin, pushes away It moves the top pillar 41 and ejects suturing nail a and realize suture foreskin, in above-described embodiment two, the stator winding 6 can be supplied by battery Electricity, and battery can be placed in it is described fixed in 23, and power switch may be alternatively provided at it is described fixed on 23.
The pull rod 12 is equipped with positioning edge or locating slot (this is to be conventional for preventing the circumferential positioning structure of rotation), The inner tubal wall of the slip pipe 47 is equipped with corresponding positioning runner or guide-localization rib, the nail bin slot 32 when guaranteeing work It is accurate positioning between the suturing nail slot of falling foot 14, not rotary shifted;If it is described to be located at setting on the toroidal race 13 The inside of the dry joint dowel slot of falling foot 14 is equipped with knife anvil annular groove (not shown), is equipped with knife anvil ring 15 in the knife anvil annular groove (the knife anvil ring 15 can directly pad corresponding with the blade of blade 5 on the toroidal race 13);The appearance of the glans penis cap 11 Face is equipped with the ribs 16 for being connected to pull rod 12, and the ribs 16, which is arranged, can improve the intensity of hat hat shape glans penis cap, and extension makes Use the service life.
In summary, technical solution of the present invention can sufficiently effective completion foregoing invention purpose, and it is of the invention Structural principle and the principle of work and power have all adequately been verified in embodiment, and can reach expected effect and purpose, and The embodiment of the present invention can also be converted according to these principles, and therefore, the present invention includes all in claim All replacement contents being previously mentioned in range.Any equivalence changes made in scope of the present invention patent, all category this case Within the scope of the patents of application.

Claims (9)

1. one kind is peritomized, stitching unstrument comprising the seat of honour of glans penis seat and cylindrical shape, it is characterised in that: the seat of honour Drive end bearing bracket is equipped with a cricoid drive end bearing bracket, and radial convex is equipped with interior side loop, the interior side loop on the internal ring wall of the drive end bearing bracket Upper several nail bin slots axially penetrated through that offer around central axis circular array, the nail bin slot are long lumbar hole shape Structure partially intersects per two adjacent nail bin slot correspondences in the projection of the interior side loop radially, the nail Storehouse slot is in the arrangement of circumferential successively stacked tile type, matched can place one piece of suturing nail in Contraband shape in the nail bin slot; Cylindric acrosome and blade are also coaxially arranged in the seat of honour, the blade is same to be located in the acrosome, the acrosome One end of the upper correspondence drive end bearing bracket is axially convexly equipped with the top pillar that and cross section identical with the nail bin slot quantity matches, The top pillar is inserted in the nail bin slot correspondingly and can axially slide relative in the nail bin slot;It is described Acrosome includes placket section and back seat, and the placket section is fixedly installed on the back seat, the placket section and the back seat it Between fixing clamp hold a cricoid stator winding, the internal diameter of the stator winding is greater than the internal diameter of the placket section, the placket Indent is equipped with one section of annular groove on the inner wall of the corresponding described back seat one end of section, and the stator winding is corresponding is located in the annular groove, When the rear end bottom wall of the back seat is resisted against on the rear end inside bottom wall face of the seat of honour, the front end of top pillar in the placket section Divide and be inserted in the nail bin slot, and the depth of the nail bin slot is inserted in the nail bin slot not less than the top pillar front end The sum of the nail pin length of partial-length and the suturing nail in hole;The internal diameter phase of the outer diameter of the blade and the placket section Match, the axially extended front end face in the top pillar of the preceding terminal knife edge of the blade;The rear end of the blade is coaxial to be fixedly connected There is a permanent magnetism ring body, the outer diameter of the permanent magnetism ring body is greater than the internal diameter of the placket section, and the permanent magnetism ring body is corresponding positioned at described In the interior annular distance of stator winding, the stator winding and the permanent magnetism ring body form an electric machine structure, the axial width of the annular groove Degree be greater than the permanent magnetism ring body axial width, the permanent-magnetic clamp body can in the annular groove relative axial movement, it is described forever A compressed spring is provided between magnetic ring body and the back seat.
2. peritomizing as described in claim 1, stitching unstrument, it is characterised in that: the length of the top pillar is more than the nail bin The depth of slot, the top pillar can axially slide relative in the nail bin slot and eject suturing nail, the nail bin slot The notch axially penetrated through is offered on the side hole wall at the corresponding interior side loop center, the notch position is corresponded on the top pillar It sets and is fixedly installed reinforcement block, the reinforcement block can match sliding in the notch.
3. peritomizing as described in claim 2, stitching unstrument, it is characterised in that: the glans penis seat includes glans penis cap and drawing Bar, the front end of the pull rod are fixedly connected on the top of the glans penis cap, and the outer edge of the glans penis cap is equipped with toroidal race, institute State that pull rod is co-axially fixed to be installed in the seat of honour, the corresponding front for being located at the drive end bearing bracket of the glans penis cap, the knife Piece can the relatively described seat of honour be axially slided to and cut on the toroidal race, the drive end bearing bracket is corresponded on the toroidal race Side offer and the nail bin slot corresponds the matched suturing nail slot of falling foot.
4. peritomizing as claimed in claim 3, stitching unstrument, it is characterised in that: fixation is set on the rear end bottom wall of the seat of honour There is a coaxial sheath, the diameter of the sheath is less than seat of honour diameter, one end inner tubal wall of the seat of honour is corresponded in the sheath Upper radial convex is equipped with ring shaped retainers, is fixedly installed fixed in the sheath, is fixedly installed on the rear end bottom wall of the acrosome There is a coaxial slip pipe, the outer diameter of the slip pipe and the internal diameter of the ring shaped retainers match, and the slip pipe is coaxially inserted in institute It states in sheath, a return spring is arranged on the slip pipe, the tail end fixation of the slip pipe is covered with a diameter and the sheath The matched acrosomal cap of internal diameter, the acrosomal cap can opposite sliding and it is circumferentially positioned be inserted in the sheath, the return The both ends of spring are pushed up respectively holds on the ring shaped retainers and acrosomal cap, with the fixation opposite on the tail end of the sheath One dynamic is also hinged on the tube wall of the other side, described dynamic can rotate the pressure holding acrosomal cap relative to the sheath, described dynamic Can with it is described it is fixed will be in the acrosomal cap indentation sheath mutual clamping;The tail end of the sheath is also connected with together The tail pipe of axis offers perforative grooving on the tube wall of the tail pipe, and described dynamic can be opposite in the perforative grooving Sliding;The pull rod can axially slide relative and it is circumferentially positioned pass through the slip pipe, on the tail pipe with the sheath phase Pair the other end be provided with a tightening knob for capableing of relative rotation, the tail end of the pull rod passes through the acrosomal cap and tail pipe It is connected by screw thread with the tightening knob.
5. peritomizing as described in claim 4, stitching unstrument, it is characterised in that: the pull rod is equipped with positioning edge or positioning The inner tubal wall of slot, the slip pipe is equipped with corresponding positioning runner or guide-localization rib;It is located at setting institute on the toroidal race The inside for stating the suturing nail slot of falling foot is equipped with knife anvil annular groove, is equipped with knife anvil ring in the knife anvil annular groove;The appearance of the glans penis cap Face is equipped with the ribs for being connected to pull rod.
6. peritomizing as described in any one of claim 1 to 5, stitching unstrument, it is characterised in that: after the acrosome When end bottom wall is resisted against on the rear end inside bottom wall face of the seat of honour, the front end portion of the top pillar is inserted in the nail bin slot In, and the depth of the nail bin slot not less than the top pillar front end be inserted in partial-length in the nail bin slot with it is described The sum of nail pin length of suturing nail;The blade is coaxially fixed in the acrosome, and the preceding terminal knife edge of the blade is axially extended In the front end face of the top pillar.
7. peritomizing as described in any one of claim 1 to 5, stitching unstrument, it is characterised in that: the acrosome includes Placket section and back seat, the placket section are fixedly installed on the back seat, fixing clamp between the placket section and the back seat Hold a cricoid guide ring, the internal diameter of the guide ring is greater than the internal diameter of the placket section, the placket section correspond to it is described after Indent is equipped with one section of annular groove on the inner wall of seat one end, and the guide ring is corresponding to be located in the annular groove, the rear end of the back seat When bottom wall is resisted against on the rear end inside bottom wall face of the seat of honour, the front end portion of top pillar is inserted in the nail in the placket section In the slot of storehouse, and the depth of the nail bin slot is inserted in the partial-length in the nail bin slot not less than the top pillar front end The sum of with the nail pin length of the suturing nail;The outer diameter of the blade and the internal diameter of the placket section match, the blade The axially extended front end face in the top pillar of preceding terminal knife edge;The coaxial one section of rotation that is fixedly connected in the rear end of the blade guides Ring body, the outer diameter for rotating guidance ring body are greater than the internal diameter of the placket section, and the rotation guidance ring body is corresponding positioned at described In the interior annular distance of guide ring, the axial width of the annular groove is greater than the axial width of the rotation guidance ring body, and the rotation is drawn Lead ring body relative axial movement, the rotation can guide in the annular groove and be provided with a compression between ring body and the back seat Spring, the rotation guide at least twice spiral that offers on the external annulus of ring body around central axis circular array to cut Slot, and the lead angle of the helical cutting, between 60-80 degree, radial convex is equipped with and institute on the internal ring wall of the guide ring The identical guidance convex key of at least twice helical cutting quantity is stated, one-to-one convex key enters at least two guidance convex key respectively In at least twice helical cutting.
8. peritomizing as described in any one of claim 1 to 5, stitching unstrument, it is characterised in that: the acrosome includes Placket section and back seat, the placket section are fixedly installed on the back seat, and the placket section corresponds to the interior of described back seat one end Indent is equipped with one section of annular groove on wall, the rear end of the blade it is coaxial be fixedly connected with one section of rotation ring seat, the rotating ring The outer diameter of seat is greater than the internal diameter of the placket section, and the rotation ring seat is corresponding to be located in the annular groove, the axial width of the annular groove Degree is greater than the axial width of the rotation ring seat, and the rotation ring seat being capable of relative axial movement, the rotation in the annular groove It is provided with a compressed spring between change seat and the back seat, an installation jack is radially offered in the rotation ring seat, it is described It is capable of fixing one driving lever of grafting in installation jack, a movable fenestra, the active window are reserved between the placket section and back seat Maximum axial motion stroke of the axial width in hole not less than the rotation ring seat in the annular groove;The outer tube wall of the seat of honour On offer and stir window, the axial width for stirring window is punched to the annular not less than the preceding terminal knife edge of the blade Movement travel on seat ring;The activity fenestra is identical as central angle corresponding to the circumferential width for stirring window, and the work Dynamic fenestra is identical as radial direction corresponding to window is stirred;The driving lever stirs window described in and movable fenestra is fixed It is plugged in the installation jack, when the rear end bottom wall of the back seat is resisted against on the rear end inside bottom wall face of the seat of honour, The radial side of the driving lever is stirred on the internal orifice wall for corresponding to axial rearward end in window described in being resisted against, and the radial direction of the driving lever is another Side is resisted against on the inner hole wall for corresponding to axial forward end in the movable fenestra, the driving lever can it is described stir window and It is circumferentially slided in movable fenestra, the front end portion of top pillar is inserted in the nail bin slot in the placket section, and the nail bin The depth of slot is inserted in the nail pin of partial-length and the suturing nail in the nail bin slot not less than the top pillar front end The sum of length;The outer diameter of the blade and the internal diameter of the placket section match, the preceding terminal knife edge of the blade it is axially extended in The front end face of the top pillar.
9. peritomizing as described in claim 8, stitching unstrument, it is characterised in that: the installation jack is threaded hole, described The one end being plugged in the installation jack on driving lever is screw thread connection-peg, external screw thread and the spiral shell on the screw thread connection-peg Internal screw thread in pit matches engagement.
CN201610537384.XA 2016-07-08 2016-07-08 It peritomizes, stitching unstrument Active CN106214224B (en)

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CN106725746B (en) * 2017-01-20 2023-08-29 重庆西山科技股份有限公司 medical cutting device
SG11201907143YA (en) * 2017-02-04 2019-09-27 Wuhu Shangring Technology Co Ltd Circumcision equipment
CN106963455B (en) * 2017-02-04 2024-01-12 芜湖圣大医疗器械技术股份有限公司 Everting type electric circumcision device
CN107041775B (en) * 2017-02-04 2023-12-26 芜湖商环科技有限公司 Built-in electric circumcision device
CN106691547A (en) * 2017-02-17 2017-05-24 江西罡龙医疗器械有限公司 Improved prepuce circumcision stapler
CN108542472B (en) * 2018-03-21 2023-10-10 江西狼和医疗器械有限公司 Circular cutting anastomat

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WO2006012274A2 (en) * 2004-06-25 2006-02-02 Tomlinson David R Atraumatic circumcision device and method to use same
CN101884559B (en) * 2010-07-07 2011-12-14 常熟市亨利医疗器械有限公司 Prepuce cutting stitching instrument
CN202104995U (en) * 2011-05-19 2012-01-11 常熟市亨利医疗器械有限公司 Foreskin cutting and stitching instrument
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
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CN206151540U (en) * 2016-07-08 2017-05-10 周勇飞 Circumcision , sew up ware

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