CN106859738A - Foreskin Endo-GIA - Google Patents
Foreskin Endo-GIA Download PDFInfo
- Publication number
- CN106859738A CN106859738A CN201710076481.8A CN201710076481A CN106859738A CN 106859738 A CN106859738 A CN 106859738A CN 201710076481 A CN201710076481 A CN 201710076481A CN 106859738 A CN106859738 A CN 106859738A
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- China
- Prior art keywords
- instruction unit
- afterbody
- housing
- foreskin
- adjusting knob
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/326—Circumcision apparatus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of foreskin Endo-GIA, including housing, foreskin fixation kit, cutting assembly and transmission component；The head of housing is provided with nail bin, and the afterbody of housing is provided with the adjusting knob that can be rotated in a circumferential direction；Foreskin fixation kit includes glans penis cover, and the afterbody of glans penis cover is provided with connecting rod, and the afterbody of connecting rod is coordinated by screw thread with adjusting knob；The side wall of the housing of foreskin Endo-GIA is provided with the first visible section, and connecting rod is provided with the first instruction unit；Or adjusting knob is provided with the second visible section, connecting rod is provided with the 4th instruction unit；So by compare the first instruction unit relative to the first visible section position or the 4th instruction unit relative to the second visible section position, just can determine that the relative position relation between glans penis cover and nail bin, the position of glans penis cover can be visualized, so as to ensure the accuracy and validity of cutting operation, so as to carry out early warning to the operation risk being likely to occur, the reliability of operation is greatly improved.
Description
Technical field
The present invention relates to medical instruments field, more particularly to a kind of foreskin Endo-GIA.
Background technology
Male's redundant prepuce or phimosis are common diseases in male reproductive system.Foreskin is covered in whole glans penises and urethra
Collar extension, and form semi-open chamber with coronary sulcus.The bacterium of scurf, foreskin secretion and growth is formed in this chamber
Smegma long.Due to redundant prepuce or phimosis so that smegma is gathered for a long time, form foreskin and explain, concurrent posthitis will draw
The various disease conditions such as hair paraphimosis tion of paraphimosis, urinary tract infection.Current redundant prepuce or phimosis are mainly treated by circumcision.
Long foreskin is cut off using foreskin Endo-GIA and simultaneously with the identical wound of anastomosis staple, greatly reduce operating time, mitigate disease
People's pain.Otch is neat simultaneously, and healed surface is smooth after recovery.Peritomize except above-mentioned illness can be eliminated, moreover it is possible to effectively pre-
The generation of anti-carcinoma of penis and AIDS.
In the prior art（WO2015/010477A1）A kind of disposable foreskin Endo-GIA is disclosed, including tortoise
Head-shield, needle chamber, endless knife, screw rod and flexible handle, wherein glans penis cover rear portion are provided with short tube, and short tube is nibbled with screw rod by screw thread
Close.In use, glans penis cover is removed from stapler main body first, foreskin is then encased into glans penis cover and is consolidated with binding
It is fixed, foreskin is fixed on glans penis cover outer surface.Next, the short tube after glans penis cover is engaged with screw rod, and adjusted by screw rod
Cutting position.Finally, flexible handle is excited, unnecessary prepuce tissues is cut off using endless knife, while anastomosis staple is by foreskin otch
Place coincide.Another prior art（CN103815949A）A kind of disposable prepuce anastomat is disclosed, including glans penis
Seat, nail bin ring, blade, adjusting knob and handle, wherein glans penis seat are provided with pull bar.In use, first by glans penis seat
Removed from stapler main body, foreskin is then encased into glans penis seat and is fixed.The position of glans penis seat is determined by adjusting knob.
Finally, flexible handle is excited, unnecessary prepuce tissues is cut off using blade, while coincide for foreskin incision by anastomosis staple.
It is above-mentioned in the prior art, during glans penis cover is reinstalled into stapler main body, because sight line is blocked
And cannot accurately judge position of the glans penis cover relative to nail bin.Whether it is only capable of further turn to be determined by screw rod or knob
Whether in place glans penis cover.Caused by there are the specific factors such as Rig up error screw rod or knob cannot further turn situation
When, although glans penis cover does not reach precalculated position, but operating personnel can take for glans penis cover and have arrived at position.If at this moment
Stapler is excited, will lead to not cutting foreskin and anastomosis staple completely cannot follow closely problem with wound, so as to cause operative failure.
Additionally, separate glans penis cover with during stapler main body, it is necessary to the screw thread rotation of engagement is separated.To ensure to kiss
The precise match of dowel and nail anvil, the extension rod at existing glans penis cover rear portion in stapler main body by it is fixed more closely,
Even if in the case where engagement screw thread is kept completely separate, glans penis cover cannot also be deviate from automatically from stapler main body automatically.Due to spiral shell
Line engaging portion cannot directly be observed, thus the mutual alignment for determining screw thread can not be really observed during rotating separation, therefore not
Can know when remove foreskin fixation kit, it is necessary to repeatedly inspect whether foreskin fixation kit separates with main body manually.And,
Also whether engagement screw thread ingear original position cannot be known when glans penis cover is installed in stapler main body, it is necessary to repeatedly
Sound out manually.On the one hand such repeatedly exploratory operation makes surgical operation step cumbersome, on the other hand further increases and is performed the operation
The psychological burden of person.It could even be possible to the glans penis to fixing produces transition stimulation, result in the need for retightening foreskin.
Further, when the glans penis cover that will fix foreskin is installed on stapler main body, the portion to be cut of foreskin
It is sandwiched between the glans penis cover outer rim upper side of foreskin fixator and nail bin.Due to foreskin cannot be observed directly in operating process
Stationary state, thus cannot determine whether to reach the position that can complete to cut and coincide.Particularly due to physiology or pathology
In the case that foreskin is blocked up caused by reason.Timely knob or screw rod cannot can not determine anastomosis staple by further turn
Can coincide the foreskin of the thickness, it is possible to causing operative failure.
Yet further, for foreskin, no matter hold tension or excessively loose, can all cause nail and after anastomosis staple position
Distortion is put, the flatness in the wound portion after cutting is influenceed, this is both unfavorable for Wound healing, also results in healed surface out-of-flatness.
Therefore be required to be visualized the position of glans penis cover and can be to being likely to occur error situation provide pre-
Alert method.
The content of the invention
The technical problem to be solved in the present invention is to provide a kind of foreskin Endo-GIA, and the foreskin Endo-GIA is in bag
The position of foreskin fixation kit can be explicitly indicated that in skin cutting process, thus ensure cutting operation accuracy and effectively
Property such that it is able to the operation risk to being likely to occur carries out early warning, greatly improves the reliability of operation.
Technical solution of the invention is to provide a kind of foreskin Endo-GIA with following structure, including housing,
Foreskin fixation kit, cutting assembly and transmission component；The head of described housing is provided with nail bin, and the afterbody of described housing is provided with
The adjusting knob that can be rotated in a circumferential direction；Described foreskin fixation kit includes glans penis cover, and the afterbody of described glans penis cover is provided with connection
Portion, the afterbody that described connecting portion outer surface has screw thread, described connecting portion is coordinated by screw thread with described adjusting knob；
The side wall of described housing is provided with the elongated hole coordinated for the flank with the driving member of described transmission component；Described housing
Side wall be provided with the first visible section, the ultimate range between described elongated hole and described housing head end face is not more than described
The first instruction unit and described housing head end face between minimum range, described connecting portion is provided with the first instruction unit,
By compare the first instruction unit just be can determine that relative to the position of the first visible section it is relative between described glans penis cover and nail bin
Position relationship；Or described adjusting knob is provided with the second visible section, described connecting portion is provided with the 4th instruction unit, passes through
Compare the relative position that the 4th instruction unit just can determine that between described glans penis cover and nail bin relative to the position of the second visible section
Relation.
After using above structure, foreskin Endo-GIA of the invention, compared with prior art, with advantages below：
Because the side wall of the housing of foreskin Endo-GIA of the invention is provided with the first visible section, connecting portion is provided with the first finger
Show portion, it is so visual relative to second relative to the position of the first visible section or the 4th instruction unit by comparing the first instruction unit
The position in portion, so that it may determine the relative position relation between glans penis cover and nail bin；Described elongated hole and described housing head end
Ultimate range between face is not more than the minimum range between described the first instruction unit and described housing head end face, described
The scope of activities of driving member avoid the position of the first described visible section so that driving member will not block the first visible section, whole
Body structure is simpler, using more convenient.Or adjusting knob is provided with the second visible section, connecting portion is provided with the 4th instruction
Portion, so by comparing position of the 4th instruction unit relative to the second visible section, so that it may determine the phase between glans penis cover and nail bin
To position relationship.In this way, just the position of glans penis cover can be visualized, so as to ensure the accuracy and effectively of cutting operation
Property such that it is able to the operation risk to being likely to occur carries out early warning, greatly improves the reliability of operation.
Used as improvement, the first described visible section is through hole；Described connecting portion includes the extension located at glans penis cover afterbody
Portion and the screw rod located at described extension afterbody；Described screw rod tail coordinates with described adjusting knob screw thread；Described
First instruction unit is mark on described extension outer surface or is mark on screw rod outer surface or is
The end face of the afterbody of described extension.After adopting the structure, implementation method is simple.
Used as improvement, the outer surface of the housing on the outside of described through hole is provided with the second instruction unit；Or described through hole
Transparent Parts are inside provided with, described Transparent Parts are provided with the second instruction unit；The second described instruction unit is that glans penis cover is reached with nail bin
Excite the reference portion of position.After adopting the structure, rotation of adjustment knob, table when making the first instruction unit be overlapped with the second instruction unit
Show that glans penis cover has arrived at nail bin and excite position so that the best results of operation.
Used as improvement, the second described instruction unit is close on the outside of one end of described housing afterbody located at described through hole
On the outer surface of housing, the outer surface that described through hole is close to the housing on the outside of one end of described housing head is provided with the 3rd
Instruction unit；Or one end of housing afterbody of the second described instruction unit located at described Transparent Parts described in, described is saturating
Bright part is provided with the 3rd instruction unit near one end of described housing head；The 3rd described instruction unit be used for indicate screw rod with it is described
Adjusting knob depart from position.After adopting the structure, rotation of adjustment knob makes the first instruction unit be overlapped with the 3rd instruction unit
When represent that the screw rod of glans penis cover and adjusting knob are completely disengaged from, just glans penis cover and stapler main body can now be separated, using non-
It is often convenient.
Used as improvement, the second described visible section is between the power-assisted portion of described adjusting knob；Described connection
The afterbody in portion is provided with extension, and the 4th described instruction unit is on described extension.After adopting the structure, implementation method
Simply.
Used as improvement, the 4th described instruction unit is mark on described extension outer surface or for described
The end face of the afterbody of extension.After adopting the structure, simple structure.
Used as improvement, the surface in the power-assisted portion on the outside of the second described visible section is provided with the 5th instruction unit；Or it is described
The second visible section in be provided with Transparent Parts, described Transparent Parts are provided with the 5th instruction unit；The 5th described instruction unit is glans penis
Cover reaches the reference portion for exciting position with nail bin.After adopting the structure, rotation of adjustment knob makes the 4th instruction unit and the five fingers
Represent that glans penis cover has arrived at nail bin when showing that portion overlaps and excite position so that the best results of operation.
Used as improvement, the 5th described instruction unit is located at the one end of described power-assisted portion away from described adjusting knob afterbody
Surface on, described power-assisted portion is provided with the 6th instruction unit near the surface of one end of described adjusting knob afterbody；Or
The 5th described instruction unit is located at the one end of described Transparent Parts away from described adjusting knob afterbody, and described Transparent Parts are close to
One end of described adjusting knob afterbody is provided with the 6th instruction unit, and the 6th described instruction unit is used to indicate screw rod with described tune
The position that section knob departs from.After adopting the structure, rotation of adjustment knob, table when making the 4th instruction unit be overlapped with the 6th instruction unit
The screw rod and adjusting knob for showing glans penis cover are completely disengaged from, and just can now be separated glans penis cover and stapler main body, using very square
Just.
Used as improvement, described power-assisted portion is laminated structure.After adopting the structure, rotation of adjustment knob more facilitates.
Used as improvement, described transmission component includes handle, and described adjusting knob or the tail end in power-assisted portion are described in
Housing head end where plane minimum range of the minimum range not less than described handle tail end to the plane.Adopt
After this kind of structure so that enough distances are kept between the hand and handle of operator, in the operating process of rotation of adjustment knob
In, hand can be avoided to be collided with handle and produce unnecessary stimulation to glans penis.
Brief description of the drawings
Fig. 1 is the structural representation of the foreskin Endo-GIA of one embodiment of the invention.
Fig. 2 is the cross section structure diagram of the foreskin Endo-GIA of one embodiment of the invention.
Fig. 3 is the mplifying structure schematic diagram of part A in Fig. 2.
The configuration schematic diagram of the foreskin Endo-GIA of Fig. 4 one embodiment of the invention.
Fig. 5 shows for the structure of the foreskin fixation kit of another structure of the foreskin Endo-GIA of one embodiment of the invention
It is intended to.
Fig. 6 is the structural representation of the second housing of another structure of the foreskin Endo-GIA of one embodiment of the invention
Figure.
Fig. 7 shows for the side-looking structure of the second housing of another structure of the foreskin Endo-GIA of one embodiment of the invention
It is intended to.
The side structure schematic view of the adjusting knob of the foreskin Endo-GIA of Fig. 8 one embodiment of the invention.
The end face structure schematic diagram of the adjusting knob of the foreskin Endo-GIA of Fig. 9 one embodiment of the invention.
Figure 10 is the structural representation of the foreskin Endo-GIA of another embodiment of the present invention.
Figure 11 is the cross section structure diagram of the foreskin Endo-GIA of another embodiment of the present invention.
Figure 12 is the structural representation of the foreskin fixation kit of the foreskin Endo-GIA of another embodiment of the present invention.
The side structure schematic view of the adjusting knob of the foreskin Endo-GIA of Figure 13 another embodiment of the present invention.
The end face structure schematic diagram of the adjusting knob of the foreskin Endo-GIA of Figure 14 another embodiment of the present invention.
Shown in figure：1st, housing, the 11, first housing, the 12, second housing, 121, elongated hole, the 122, first visible section, 123,
Second instruction unit, the 124, the 3rd instruction unit, 13, Transparent Parts, 2, foreskin fixation kit, 21, glans penis cover, 22, nail anvil, 23, cutting
Anvil, 24, extension, 25, screw rod, the 26, first instruction unit, the 27, the 4th instruction unit, 28, extension, 3, cutting assembly, 31, cutting
Main body, 32, endless knife, 33, ejector pin portion, 34, convex neck, 4, transmission component, 41, driving member, 411, flank, 42, handle, 43, even
Fitting, 5, nail bin, 6, adjusting knob, the 61, second visible section, the 62, the 5th instruction unit, the 63, the 6th instruction unit, 64, power-assisted portion, 7,
Pad, 8, return spring, 9, protection ring.
Specific embodiment
With reference to specific embodiments and the drawings, the invention will be further described.
Refer to shown in Fig. 1 to 4, foreskin Endo-GIA of the invention includes housing 1, foreskin fixation kit 2, cutting group
Part 3 and transmission component 4.Described housing 1 includes the first housing 11 and the second housing 12, the afterbody of described the first housing 11 with
The head of the second described housing 12 is stitched together.The head of the first described housing 11 is provided with nail bin 5, described second shell
The afterbody of body 12 is provided with the adjusting knob 6 that can be rotated in a circumferential direction.For accommodating anastomosis staple in described nail bin 5.
The side surface that goes out to follow closely of nail bin 5 is combined with pad 7, can prevent foreign matter from entering nail bin 5, while preventing anastomosis staple from nail bin
5 inside depart from.In foreskin cutting operation process, pad 7 is stapled nail and is fixed near the surface of a wound.One side pad 7 can make
The stitching strength that anastomosis staple is provided is evenly applied to the whole surface of a wound, so that the whole surface of a wound is fastened and avoids bleeding；Meanwhile,
Pad 7 can also be compensated to wound tissue thickness, make the perfect shaping of anastomosis staple.Pad 7 can be elastic washer, preferably silicon
Rubber gasket.Protection ring 9 can also be set between the pad 7 and nail anvil 22 of stapler, for providing further protection, prevented
Pad and anastomosis staple depart from nail bin；The protection ring 9 is preferably plastics protection ring.
Described foreskin fixation kit 2 includes glans penis cover 21, nail anvil 22 and the cutting anvil 23 for accommodating glans penis.Described
The afterbody of glans penis cover 21 is provided with connecting portion.Described connecting portion is included located at the extension 24 of glans penis cover afterbody and located at described
The screw rod 25 of the afterbody of extension 24；The described afterbody of screw rod 25 coordinates with the described screw thread of adjusting knob 6.Described glans penis cover 21
Can be formed in one with described extension 24, can be made of plastics.Described screw rod 25 is solid with described extension 24
Fixed connection, described screw rod can be made up of metal material, preferably by modes such as interference fit, engagement, pin or rivets and
Described extension 24 is fixed.
Described cutting assembly 3 includes cuts main body 31, endless knife 32 and ejector pin portion 33.Cuts main body 31 is cylindrical shape,
The afterbody of cuts main body 31 is provided with hollow convex neck 34, described convex neck 34 and the described coaxial line of cuts main body 31 and mutually interconnects
Logical, described cuts main body 31 is preferably formed in one with described convex neck 34.Described cuts main body 31 is located at described the
In one housing 11, described convex neck 34 is located in the second described housing 12 through the first housing 11.21, described glans penis cover
Divide and be contained in described cuts main body 31, be partly exposed at outside the nail bin 5 of the head of the first housing 11.Described extension 24
Part is contained in described cuts main body 31, is partially passed through cuts main body 31 and is contained in convex neck 34, partially passes through convex neck 34
It is contained in the second housing 12.Circumference is spacing between described extension 24 and convex neck 34 and axially moveably cooperates
Together, can be carried out by planar structure or concaveconvex structure between extension 24 and convex neck 34 circumferential spacing.So that working as extension
When in the 24 convex necks 34 of insertion, it is only capable of moving axially and can not circumferentially rotating, so as to ensure the position of nail anvil 22 and nail bin 5
Put mutual cooperation, it is ensured that anastomosis staple being capable of correct forming.The afterbody of described extension 24 is provided with screw rod 25, described screw rod 25
Coordinated with described adjusting knob 6 by screw thread.Rotation of adjustment knob 6, can make screw rod 25 axially with respect to described housing 1
Move, such that it is able to adjust the nail anvil 22 on the position between glans penis cover 21 and nail bin 5, i.e. glans penis cover 21 and nail bin 5 it
Between distance.Described endless knife 32 is fixed in the chamber of described cuts main body 31.Described ejector pin portion 33 is located at described
Cuts main body 31 head, including multiple elongate in shape pushing slice of nail, each pushing slice of nail can from go out to follow closely side insertion nail bin, will kiss
Dowel is released from the opposite side of nail bin, and being engaged with nail anvil makes anastomosis staple be bent to suitable angle, so as to fasten the surface of a wound.Enter one
Step ground, anastomosis staple coordinates the power that anastomosis staple is applied to be more uniformly distributed to the whole surface of a wound with pad.
Described transmission component 4 includes driving member 41, handle 42 and connector 43.Described driving member 41 is cut with described
The convex neck 34 for cutting component 3 is fixedly connected and the driving member 41 is slidably fitted in the head of the second described housing 12（Described
The head of two housings is located at the center of described housing）On, described driving member 41 is used to promote described cutting assembly 3.
The side wall of the head of the second described housing 12 is provided with elongated hole 121, and the side wall of described driving member 41 is provided with flank 411,
Described flank 411 is exposed at outside the second described housing 12 through described elongated hole 121, described flank 411 with it is described
Elongated hole 121 is slidably matched, and described flank 411 is connected with described driving member 41.The head of described handle 42 with it is described
First housing 11（First housing 11 is the head of described housing 1）It is hinged.The afterbody of described extension 24 passes through convex neck 34
With the afterbody that described driving member 41 is contained in the second described housing 12（The afterbody of the second described housing 12 is described shell
The afterbody of body 1）It is interior.One end of described connector 43 is hinged on the middle part of described handle 42, described connector 43
The other end is hinged on the flank 411 of described driving member 41.Described adjusting knob 6 or the tail end in power-assisted portion 64 are to described
Minimum ranges of the minimum range H2 of the plane where the head end of housing 1 not less than the described tail end of handle 42 to the plane
H1.Described handle 42 can be one or more, the quantity of described connector 43, flank 411 and elongated hole 121 with it is described
Handle 42 quantity it is corresponding.
When by fixed handle 42, driving member 41 is driven by handle 42 by connector 43.Due to driving member 41 and cutting
Component 3 is fixedly connected, therefore driving member 41 and cutting assembly 3 are transported along the axis of the second housing 12 to the direction of glans penis cover 21 together
It is dynamic.The endless knife 32 being fixed in cuts main body 31 is together moved with cutting assembly 3, and is stretched out from the front end of the first housing 11,
Coordinate cutting foreskin with cutting anvil 23.The pushing slice of nail insertion nail bin in ejector pin portion 33, and anastomosis staple is released from the side that goes out to follow closely of nail bin.
Return spring 8 is sheathed with outside the convex neck 34 of described cutting assembly 3.The tail end of described return spring 8 is against institute
On the head of the driving member 41 stated, the head of described return spring 8 is against on the afterbody of the first described housing 11.When pressing
During handle 42, driving member 41 is driven by the axial direction along the second housing 12 from initial position to the direction of glans penis cover 21, now return bullet
The crimp of 8 transmission part of spring 41 produces restoring force.When release handle 42, the restoring force of return spring 8 make driving member 41 and
The structure being connected with driving member 41 resets.
Also referring to the foreskin Endo-GIA shown in Fig. 5 to Fig. 9, described according to one embodiment of the present invention
Visualization structure.The side wall of described housing 1 is provided with the first visible section 122, described elongated hole 121 and described housing 1
Ultimate range between end surface is not more than the most narrow spacing between described the first instruction unit 26 and the described head end of housing 1
From described connecting portion is provided with the first instruction unit 26, by comparing position of first instruction unit 26 relative to the first visible section 122
Put the relative position relation that just can determine that between described glans penis cover 21 and nail bin 5.The first described visible section 122 is located at described
The afterbody of the second housing 12 side wall on, afterbody or screw rod 25 of described first instruction unit 26 located at described extension 24
On.The described part of screw rod 25 is contained in the afterbody of the second described housing 12.The first described visible section 122 is second shell
Through hole on body wall, first instruction unit 26 can be provided in the mark on screw rod 25（Such as wire or arrow shaped mark
Note）, the mark on extension 24 can be provided in（Such as wire, arrow shaped mark, groove or fin）, or extend
The end face of the afterbody of portion 24.The outer surface of the second housing 12 on the outside of described through hole is provided with the second instruction unit 123, and second indicates
Portion can be the mark of the one or both sides for being arranged on through hole（Such as wire, arrow shaped mark, groove or fin）.Or it is described
Through hole in be provided with Transparent Parts 13, described Transparent Parts 13 are provided with the second instruction unit 123；The second described instruction unit 123 is
Glans penis cover reaches the reference portion for exciting position with nail bin.
Nail according to anastomosis staple of peritomizing is high（Can be 2-5mm, preferably 2.5-3.5mm）, spacer thickness（Can be
0.3-0.7mm, preferably 0.4-0.5mm）, anastomosis sites（Can be 0.3-1.0mm, preferably 0.4-0.6mm）The parameters such as thickness, if
The position of fixed second instruction unit and the first instruction unit so that the anastomosis staple of prepuce anastomat can be crowded with nail anvil in pushing slice of nail
Pressure valid shaping, is preferably formed as " B " or " D " font.The foreskin Endo-GIA is provided with different model according to glans penis size,
Nail height also has different model can be chosen.After foreskin fixation kit is fixed, under normal circumstances, the first instruction unit and second
When instruction unit is alignd or cross the second instruction unit and reach when between the second instruction unit and knob, glans penis cover is closed with the spacing of nail bin
It is suitable, can complete to excite, realize foreskin cutting and the shaping completely of anastomosis staple.If however, the first instruction unit is located at glans penis cover
When between the second instruction unit, show that foreskin fixation kit position is too low, nail anvil is excessive with nail bin spacing, and this is not suitable for anastomosis staple
Valid shaping, still needing to further rotate adjusting knob makes prepuce tissues further be clamped.If because physiology or case reason are led
Cause the foreskin of human body blocked up or be assembled without in place, then the first instruction unit deviates relative to the second instruction unit to glans penis cover direction
（That is the first instruction unit is located between glans penis cover and the second instruction unit）, now point out operator to excite stapler, it is necessary to examine
Look into assembling situation or change and follow closely style high with bigger anastomosis staple, such visualization sign can improve early warning, make hand
Art operation is safer.
Housing 1 of the second described instruction unit 123 located at described through hole on the outside of one end of described housing afterbody
Outer surface on, the outer surface of the housing 1 of described through hole on the outside of one end of the described head of housing 1 is provided with the 3rd finger
Show portion 124；Or one end of housing 1 afterbody of the second described instruction unit 123 located at described Transparent Parts 13 described in, institute
The Transparent Parts 13 stated are provided with the 3rd instruction unit 124 near one end of the described head of housing 1；The 3rd described instruction unit 124 is used
In the position for indicating screw rod 25 to depart from described adjusting knob 6.I.e. when the first instruction unit 26 is aligned with the 3rd instruction unit 124
When, and directly or slightly foreskin fixation kit 2, or rotation of adjustment knob 6 can be removed so that foreskin is solid by rotation of adjustment knob 6
Determine component 2 to coordinate with the screw thread of adjusting knob 6.Foreskin Endo-GIA in the present invention can only include the second instruction unit 123,
Or include the second instruction unit 123 and the 3rd instruction unit 124 simultaneously.
In foreskin cutting operation process, glans penis is placed in the cavity of glans penis cover first, by foreskin medical line or bundle
Band is fixed on extension.To fix in the cutting assembly of foreskin fixation kit insertion stapler of foreskin, extension is inserted
Enter convex neck.After after foreskin fixation kit is directly seated again or it was observed that the first instruction unit is aligned with the 3rd instruction unit, turn
Adjusting knob makes foreskin fixation kit be moved relative to stapler main body and be fastened.When the first instruction unit reaches or cross second
During instruction unit, and required rotation dynamics is when increasing suddenly, that is, reach fixed bit.Then fixed handle is pressed, is promoted through connecting portion and is driven
Part.Driving member and the cutting assembly for being secured to connect are moved to glans penis cover direction vertically together, and endless knife is with cutting assembly
Move together, and cut away unnecessary prepuce tissues with cutting anvil cooperation；Meanwhile, pushing slice of nail stretches into nail bin, and anastomosis staple is released；Push away
Nail piece and nail anvil coordinate anastomosis staple extrusion molding, so as to the foreskin after pad and cutting be fixed.
Refer to shown in Figure 10 to Figure 14, describe foreskin Endo-GIA according to another implementation method of the invention
Visualization structure.Described adjusting knob 6 is provided with the second visible section 61, and described screw rod 25 is provided with the 4th instruction unit 27,
Just be can determine that between described glans penis cover 21 and nail bin 5 relative to the position of the second visible section 61 by comparing the 4th instruction unit 27
Relative position relation.
The outer surface of the described both sides of adjusting knob 6 is radially projecting to form power-assisted portion 64, is acted on by described power-assisted portion 64,
Rotation of adjustment knob 6 more facilitates.The outer end in described power-assisted portion 64 stretches out, the breech face evagination in described power-assisted portion 64
In the breech face of described adjusting knob 6.The second described visible section 61 be located at the power-assisted portion 64 of described adjusting knob 6 it
Between, i.e., between the afterbody in described power-assisted portion 64；The afterbody of described connecting portion is provided with extension 28, the 4th described instruction unit
27 on described extension 28.The 4th described instruction unit 27 is the mark on the described outer surface of extension 28
（Such as wire or arrow shaped are marked）Or the end face of the afterbody for described extension 28.
The surface in the power-assisted portion 64 in the described outside of the second visible section 61 is provided with the 5th instruction unit 62；Or described
Transparent Parts 13 are provided with two visible sections 61, described Transparent Parts 13 are provided with the 5th instruction unit 62；The 5th described instruction unit 62
It is that glans penis cover 21 and nail bin 5 reach the reference portion for exciting position.
Nail according to anastomosis staple of peritomizing is high（Can be 2-5mm, preferably 2.5-3.5mm）, spacer thickness（Can be
0.3-0.7mm, preferably 0.4-0.5mm）, anastomosis sites（Can be 0.3-1.0mm, preferably 0.4-0.6mm）The parameters such as thickness, if
The position of fixed 5th instruction unit and the 4th instruction unit so that the anastomosis staple of prepuce anastomat can be crowded with nail anvil in pushing slice of nail
Pressure valid shaping, is preferably formed as " B " or " D " font.The foreskin Endo-GIA is provided with different model according to glans penis size,
Nail height also has different model can be chosen.After foreskin fixation kit is fixed, under normal circumstances, the 4th instruction unit and the 5th
When instruction unit is alignd or cross the 5th instruction unit and reach when between the 5th instruction unit and power-assisted portion tail end, glans penis cover and nail bin
Spacing is suitable, can complete to excite, and realizes foreskin cutting and the shaping completely of anastomosis staple.If however, the 4th instruction unit is located at
When between glans penis cover and the 5th instruction unit, show that foreskin fixation kit position is too low, nail anvil is excessive with nail bin spacing, and this is not suitable for
Anastomosis staple valid shaping, still needing to further rotate adjusting knob makes prepuce tissues further be clamped.If because of physiology or case
Reason causes the foreskin of human body blocked up or is assembled without in place, then the 4th instruction unit relative to the 5th instruction unit to glans penis direction
Deviate（That is the 4th instruction unit is located between glans penis cover and the 5th instruction unit）, now point out operator to excite stapler, need
Check assembling situation or change and follow closely style high with bigger anastomosis staple, such visualization sign can improve early warning,
Make operation technique safer.
The table of the one end of the 5th described instruction unit 62 located at described power-assisted portion 64 away from the described afterbody of adjusting knob 6
On face, the 5th instruction unit 62 can be arranged on the side of the second visible section 61 or the mark of both sides（Such as wire, arrow shaped mark
Note, groove or fin）.Described power-assisted portion 64 is provided with the 6th finger near the surface of one end of the described afterbody of adjusting knob 6
Show portion 63, the 6th described instruction unit 63 can be the mark of the one or both sides for being arranged on the second visible section（Such as wire, arrow
Head mark, groove or fin）；Or the 5th described instruction unit 62 is revolved located at described Transparent Parts 13 away from described regulation
One end of the afterbody of button 6, described Transparent Parts 13 are provided with the 6th instruction unit 63, institute near one end of the described afterbody of adjusting knob 6
The 6th instruction unit 63 stated is used for the position for indicating screw rod 25 to depart from described adjusting knob 6.I.e. when the 4th instruction unit 27 with
When 6th instruction unit 63 is aligned, can directly or further slightly rotation of adjustment knob 6 removing foreskin fixation kit 2, or
Rotation of adjustment knob 6 is so that foreskin fixation kit 2 coordinates with the screw thread of adjusting knob 6.Foreskin Endo-GIA in the present invention
The 5th instruction unit 62 can be only included, or includes the 5th instruction unit 62 and the 6th instruction unit 63 simultaneously.
In foreskin cutting operation process, glans penis is placed in the cavity of glans penis cover first, by foreskin medical line or bundle
Band is fixed on extension.To fix in the cutting assembly of foreskin fixation kit insertion stapler of foreskin, extension is inserted
Enter convex neck.After after foreskin fixation kit is directly seated again or it was observed that the 4th instruction unit is aligned with the 6th instruction unit, turn
Adjusting knob makes foreskin fixation kit be moved relative to stapler main body and be fastened.When the 4th instruction unit reaches or cross the 5th
During instruction unit, and required rotation dynamics is when increasing suddenly, that is, reach fixed bit.Then fixed handle is pressed, is promoted through connecting portion and is driven
Part.Driving member and the cutting assembly for being secured to connect are moved to glans penis cover direction vertically together, and endless knife is with cutting assembly
Move together, and cut away unnecessary prepuce tissues with cutting anvil cooperation；Meanwhile, pushing slice of nail stretches into nail bin, and anastomosis staple is released；Push away
Nail piece and nail anvil coordinate anastomosis staple extrusion molding, so as to the foreskin after pad and cutting be fixed.
Claims (10)
1. a kind of foreskin Endo-GIA, it is characterised in that：Including housing, foreskin fixation kit, cutting assembly and transmission component；
The head of described housing is provided with nail bin, and the afterbody of described housing is provided with the adjusting knob that can be rotated in a circumferential direction；Described foreskin
Fixation kit includes glans penis cover, and the afterbody of described glans penis cover is provided with connecting portion, and described connecting portion outer surface has screw thread, institute
The afterbody of the connecting portion stated is coordinated by screw thread with described adjusting knob；The side wall of described housing be provided with for it is described
Transmission component driving member flank coordinate elongated hole；
The side wall of described housing is provided with the first visible section, the maximum between described elongated hole and described housing head end face
Distance is not more than the minimum range between described the first instruction unit and described housing head end face, is set on described connecting portion
There is the first instruction unit, just can determine that described glans penis cover with nail relative to the position of the first visible section by comparing the first instruction unit
Relative position relation between storehouse；Or described adjusting knob is provided with the second visible section, described connecting portion is provided with
Four instruction units, by compare the 4th instruction unit relative to the position of the second visible section just can determine that described glans penis cover and nail bin it
Between relative position relation.
2. foreskin Endo-GIA according to claim 1, it is characterised in that：The first described visible section is through hole；Institute
The connecting portion stated includes the extension and the screw rod located at described extension afterbody located at glans penis cover afterbody；Described screw rod tail
Portion coordinates with described adjusting knob screw thread；The first described instruction unit be mark on described extension outer surface or
Person is the end face of the mark on screw rod outer surface or the afterbody for described extension.
3. foreskin Endo-GIA according to claim 2, it is characterised in that：The appearance of the housing on the outside of described through hole
Face is provided with the second instruction unit；Or Transparent Parts are provided with described through hole, described Transparent Parts are provided with the second instruction unit；Institute
The second instruction unit stated is that glans penis cover reaches the reference portion for exciting position with nail bin.
4. foreskin Endo-GIA according to claim 3, it is characterised in that：The second described instruction unit is located at described
On the outer surface of housing of the through hole on the outside of one end of described housing afterbody, described through hole is near described housing head
One end on the outside of the outer surface of housing be provided with the 3rd instruction unit；Or the second described instruction unit is located at described Transparent Parts
Near one end of described housing afterbody, described Transparent Parts are provided with the 3rd instruction unit near one end of described housing head；
The 3rd described instruction unit is used for the position for indicating screw rod to depart from described adjusting knob.
5. foreskin Endo-GIA according to claim 1, it is characterised in that：The second described visible section is located at described
Adjusting knob power-assisted portion between；The afterbody of described connecting portion is provided with extension, and the 4th described instruction unit is located at described
Extension on.
6. foreskin Endo-GIA according to claim 5, it is characterised in that：The 4th described instruction unit is located at described
Extension outer surface on mark or the afterbody for described extension end face.
7. foreskin Endo-GIA according to claim 6, it is characterised in that：Power-assisted on the outside of the second described visible section
The surface in portion is provided with the 5th instruction unit；Or Transparent Parts are provided with the second described visible section, described Transparent Parts are provided with
5th instruction unit；The 5th described instruction unit is that glans penis cover reaches the reference portion for exciting position with nail bin.
8. foreskin Endo-GIA according to claim 7, it is characterised in that：The 5th described instruction unit is located at described
Away from the surface of one end of described adjusting knob afterbody, described power-assisted portion is near described adjusting knob afterbody in power-assisted portion
The surface of one end be provided with the 6th instruction unit；Or Transparent Parts of the 5th described instruction unit described in are away from described tune
One end of knob afterbody is saved, described Transparent Parts are provided with the 6th instruction unit near one end of described adjusting knob afterbody, described
The 6th instruction unit be used to indicate the position that screw rod and described adjusting knob depart from.
9. the foreskin Endo-GIA according to any one of claim 5-8, it is characterised in that：Described power-assisted portion is
Laminated structure.
10. the foreskin Endo-GIA according to any one of claim 1 to 9, it is characterised in that：Described transmission group
Part includes handle, and the plane where described adjusting knob or the tail end in power-assisted portion to the head end of described housing is most
Minimum range of the small distance not less than described handle tail end to the plane.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710076481.8A CN106859738B (en) | 2017-02-13 | 2017-02-13 | Foreskin cutting anastomat |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710076481.8A CN106859738B (en) | 2017-02-13 | 2017-02-13 | Foreskin cutting anastomat |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN106859738A true CN106859738A (en) | 2017-06-20 |
| CN106859738B CN106859738B (en) | 2019-12-10 |
Family
ID=59166067
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710076481.8A Active CN106859738B (en) | 2017-02-13 | 2017-02-13 | Foreskin cutting anastomat |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106859738B (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110652362A (en) * | 2019-11-11 | 2020-01-07 | 常州安康医疗器械有限公司 | Glans penis cover device for prepuce cutting anastomat |
| CN110742677A (en) * | 2019-11-20 | 2020-02-04 | 北京博辉瑞进生物科技有限公司 | Foreskin cutting anastomat |
| CN111904547A (en) * | 2020-09-07 | 2020-11-10 | 常州安康医疗器械有限公司 | Foreskin cutting anastomat ejector pin piece limit structure that resets |
| CN116616865A (en) * | 2023-06-05 | 2023-08-22 | 莫志强 | Foreskin anastomat |
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| CN106264681A (en) * | 2016-08-31 | 2017-01-04 | 无锡市瑞源普斯医疗器械有限公司 | The operation percussion viewing device of disposable foreskin Endo-GIA |
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| CN102429697A (en) * | 2011-12-29 | 2012-05-02 | 北京中法派尔特医疗设备有限公司 | Anastomat as well as nail-supporting seat overturning indicating component and use method thereof |
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| CN104224286A (en) * | 2014-09-26 | 2014-12-24 | 常州杰瑞尔医疗器械有限公司 | Disposable foreskin cutting stapler |
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Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110652362A (en) * | 2019-11-11 | 2020-01-07 | 常州安康医疗器械有限公司 | Glans penis cover device for prepuce cutting anastomat |
| CN110652362B (en) * | 2019-11-11 | 2020-12-15 | 常州安康医疗器械有限公司 | Glans penis cover device for prepuce cutting anastomat |
| CN110742677A (en) * | 2019-11-20 | 2020-02-04 | 北京博辉瑞进生物科技有限公司 | Foreskin cutting anastomat |
| WO2021097969A1 (en) * | 2019-11-20 | 2021-05-27 | 北京博辉瑞进生物科技有限公司 | Prepuce cutting anastomat |
| CN111904547A (en) * | 2020-09-07 | 2020-11-10 | 常州安康医疗器械有限公司 | Foreskin cutting anastomat ejector pin piece limit structure that resets |
| CN116616865A (en) * | 2023-06-05 | 2023-08-22 | 莫志强 | Foreskin anastomat |
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| Publication number | Publication date |
|---|---|
| CN106859738B (en) | 2019-12-10 |
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