A kind of c-type eversion type prepuce cutting stitching instrument
Technical field
The present invention relates to the field of peritomizing, and in particular to a kind of c-type eversion type prepuce cutting stitching instrument.
Background technology
Redundant prepuce or phimosis are one of roots of male urinary system infection and sexually transmitted disease.Redundant prepuce or bag
Stem can cause urinary tract infection so as to cause chronic prostatitis, it may appear that have a pain in the back, a series of symptoms such as impotence and premature ejaculation, because
This, it is to prevent one of good measure of these illnesss to remove long foreskin.
Traditionally, using phimosis or long foreskin is surgically removed, technical essential is the unnecessary foreskin of excision, stops
Blood and incisxal edge skin apposition suture.Postoperative patient can not walk about, and also bear when often changing medicine all hurt like hell to last taking out stitches
By great pain, hemostasis by ligation in addition can thoroughly not cause foreskin hemotoncus, then need surgical procedure again.Further, since excision bag
Skin and hemostasis are performed separately, and extend operating time, exacerbate the Psychological phobia of patient.
Have developed at present and laser and electric knife technology have been applied to the treatment method peritomized, though the treatment method
So instead of scissors cut and blutpunkte can be solidified.But this treatment method meeting burn patient tissue, and easy infection.
This area have developed prepuce circumcision device again therewith, and disposably foreskin otch is sutured using suturing nail, but
Conventional internal formula prepuce cutting stitching instrument used in the prior art front end foreskin and big portion of penis in surgical procedure is sudden and violent
Expose outside, easily come to harm or cause infection, more than the foreskin retaining part of built-in prepuce cutting stitching instrument be located at bag
Outside skin stapler, and U nail suture locations are located at the top of prepuce cutting stitching instrument, instrument failure or operation are occurring
It is easily infected accident surgery occur when slipping up and causing bleeding.The circular cutter of built-in prepuce cutting stitching instrument is built-in, and it is adopted
With inside cutting periphery nailing, stacking cutting is easily caused when redundant prepuce and is caused suffering and risk.Additionally, such as
Fruit only with upper cover (upper comprehensive cover) and lower cover (lower synthesis cover/connect cover) mutual cooperation and inner ring (foreskin clips) with it is interior
Comprehensive cover (U screw tops circle and/or thimble guide block) cooperates, and ring cutting is carried out after being held in place and U nails stop blooding, often because
For the interior nail groove location for setting is invisible so as to cause the foreskin blood vessel cannot to be accurately positioned, U cannot be made to follow closely the U nails in groove during operation accurate
Foreskin blood vessel really is corresponded to, surgical hemostasis effect on driving birds is not good is caused, or even U nail ailheads occur to squeeze into blood vessel just, it is impossible in time
Hemostasis causes operation risk.And during U nails are directly hammered into foreskin by prior art, after surgery wait foreskin necrosis come off and
During de- nail, easily there are U nails and adherent prepuce evens penetrate into and nail cannot be in time taken off inside foreskin, caused greatly to patient
Pain.
The content of the invention
For above prior art problem, it is an object of the invention to provide a kind of eversion type prepuce cutting stitching instrument, its
Structure can realize that the big portion in surgical procedure penis front end is placed in prepuce cutting stitching instrument, and clamping and ring cutting position are interior
Put, it is to avoid situations such as bleeding occur and infect, circular cutter is external and blood vessel docking facilities reduce the risk of operation, and U nail pads
The setting of piece more avoids the problem that later stage U follows closely the failure that comes off, and concrete technical scheme is as follows:
A kind of c-type eversion type prepuce cutting stitching instrument, including upper comprehensive cover, lower comprehensive cover, foreskin clips and U bind
Put, wherein,
The upper comprehensive cover is releasably connected with lower comprehensive cover;
The foreskin clips are completely or partially placed in comprehensive cover;
The U spike devices are completely or partially placed in lower comprehensive cover;
The foreskin clips can be positioned in comprehensive cover and coordinate clamping foreskin with upper comprehensive cover, and/or, the bag
Skin clips lower end can coordinate clamping foreskin with U spike devices.
Further, the U spike devices include U screw tops circle and thimble guide block, and the thimble guide block is used to house suture U
Nail and/or opposite joint share U nail movements and are oriented to and/or the thimble of U screw top circles is positioned and/or is oriented to, the U screw tops
Enclose for coordinating thimble guide block to go out U screw tops therein.
Further, pad also is followed closely including U, it is the annular gasket for being arranged at thimble guide block top.
Further, the U nails pad is additionally provided with pad positioning table vertical with pad plane and/or angled, described
Pad positioning table is the inner circumferential of the pad plane for being arranged at U nail pads and/or one or more projections of periphery and/or centre
And/or complete annular projection.
Further, be formed with first through hole in the middle of the thimble guide block, the thimble guide block include annular inner wall and/or
Annular outer wall and/or positioning table storage tank, the annular inner wall are used for the inner circumferential of the pad plane for being arranged at U nail pads
Individual or multiple raised and/or complete annular projection cooperates and positions, and/or, annular outer wall is used for and is arranged at U nail pads
Pad plane periphery one or more raised and/or complete annular projections cooperate positioning, and/or, it is described fixed
Position platform storage tank is arranged at thimble guide block top and one or many for accommodating the centre of the pad plane for being arranged at U nail pads
Individual raised and/or complete annular projection.
Further, the thimble guide block is provided with multiple thimble guide grooves, and the thimble guide groove is annularly arranged at annular
On thimble guide block, the U nail shim portions or all covering thimble guide groove.
Further, the lower surface of the upper comprehensive cover is ring-type, along the annular end face be provided with projection positioning table and/or
Recessed locating slot, the upper surface of the lower comprehensive cover is ring-type, and recessed locating slot and/or projection is provided with along the annular end face
Positioning table, the locating slot and the mutual male-female engagement of positioning table carry out the positioning of comprehensive cover and lower comprehensive cover;Or,
Also include connect cover, it is arranged between comprehensive cover and lower comprehensive cover, the upper comprehensive cover can by connect cover
It is snap-fit attachment to lower comprehensive cover with releasing, it is preferable that the U spike devices are completely or partially placed in connect cover;Or,
Also include connect cover, it is arranged between comprehensive cover and lower comprehensive cover, the lower surface of the upper comprehensive cover is ring
Shape, the positioning table and/or recessed locating slot of projection are provided with along the annular end face, and the upper surface of the connect cover is ring-type, edge
The annular end face is provided with the positioning table of recessed locating slot and/or projection, and the locating slot enters with the mutual male-female engagement of positioning table
The positioning of comprehensive cover and connect cover on row.
Further, the upper surface of the connect cover is ring-type, and the positioning table of projection is provided with along the annular end face, described fixed
The locating slot that position platform is set with the lower surface of upper comprehensive cover cooperates and is positioned;The connect cover bottom is provided with one or many
Individual snap fit, the lower comprehensive cover top is provided with one or more snap fits, and the snap fit between the connect cover and lower comprehensive cover is mutual
Cooperation is positioned.
Further, also including clamp ring, the clamp ring inner peripheral surface is provided with internal thread;Outside the upper comprehensive cover lower end
Surface is provided with external screw thread and/or connect cover upper end outer surface is provided with external screw thread and/or lower comprehensive cover upper end outer surface is provided with outer spiral shell
Line, the internal thread and external screw thread can cooperate and complete positioning to upper comprehensive cover, connect cover, lower comprehensive cover and/or clamp ring.
Further, the second through hole is provided with the middle of the upper comprehensively cover, the upper comprehensive cover is used to accommodate with an inner chamber
And/or positioning foreskin clips, the foreskin clips are the middle annulus for being provided with third through-hole, the third through-hole and second
Through hole is corresponding;And/or, the upper comprehensive cover inner chamber is provided with one or more locating slots, and the foreskin clips outer surface sets
There are one or more positioning tables, the locating slot cooperates with positioning table and positioned;And/or, it is described also including circular cutter
Circular cutter is set in outside thimble guide block and/or U screw top circles;Preferably, circular cutter can be driven and be moved by U screw top circles;With/
Or, also include blade packing ring, its position for being arranged at foreskin clips lower surface and correspondence circular cutter;And/or, the U binds
Put and be partially disposed in lower comprehensive cover, partly as in connect cover;And/or, also including contiguous block, its upper end is connected to lower comprehensive cover
Lower end;And/or, also including pushing away pole, the lower end of contiguous block is inserted in its upper end;And/or, also including plug, it is arranged at and pushes away pole
Lower end;And/or, also including handle, it can be drivingly connected to contiguous block and/or push rod, and for driving push rod and/or
The internal drive part of the internal drive part and/or contiguous block of contiguous block and/or push rod is so as to drive U screw tops circle and/or circular cutter
Move up;And/or, the foreskin clips lower end outer surface is provided with a circle for the male female structure of blood vessel docking.
Compared with currently available technology, the structure of prepuce cutting stitching instrument of the present invention can house front end in surgical procedure
Foreskin and the big portion of penis, it is to avoid come to harm or cause infection, using inner ring (foreskin clips) and interior comprehensive cover, (U is followed closely
Collar and/or thimble guide block) structure make more than foreskin retaining part to be located within prepuce cutting stitching instrument, (U is followed closely interior comprehensive cover
Collar and/or thimble guide block) built-in ring on the lower side set U nail groove make U follow closely suture location be located at prepuce cutting stitching instrument inside, it is to avoid
There is instrument failure or operational error and when causing bleeding, it is easily infected accident surgery occur.Foreskin cutting of the present invention
The circular cutter of stitching unstrument is external, and it uses the internal nailing of outside cutting, and stacking will not be caused to cut when redundant prepuce
Cause suffering and risk.By the blood vessel docking facilities being arranged in inner ring (foreskin clips), at upper cover (upper comprehensive cover)
Cooperated with lower cover (lower synthesis cover/connect cover) and inner ring (foreskin clips) and interior comprehensive cover (U screw tops circle and/or top
Pin guide block) the corresponding situation that foreskin blood vessel is followed closely with U can be accurately judged when cooperating, so as to enter again after blood vessel accurate positioning
Row inner ring (foreskin clips) and interior comprehensive cover (U screw tops circle and/or thimble guide block) and upper cover (upper comprehensive cover) and lower cover (under
Comprehensive cover/connect cover) final positioning, the effect of surgical hemostasis is greatly improved.More preferably, blood vessel docking groove can flexibly be set
Matching relationship, the width at interval between groove etc. are followed closely with U nails, U in U nails groove, U nail grooves to be corresponded, and meet different rings
Cutting apparatus and different operation demands, finally follow closely U and U nail interarea closure blood vessels are completed and blood vessel between, so as to stop in operation
Blood is good, and Post operation necrosis progression is accelerated.More preferably, U nail pads are set and are provided with and foreskin between when U nails is driven into foreskin
Pad, it is to avoid U follows closely to be sticked together with foreskin causes later stage de- nail unsuccessfully to cause patient suffering.
Brief description of the drawings
Fig. 1 is the explosive view of eversion type prepuce cutting stitching instrument
Fig. 2 is the side view of eversion type prepuce cutting stitching instrument
Fig. 3 is the structure chart of eversion type prepuce cutting stitching instrument
Fig. 4 is the B portions enlarged drawing of Fig. 3
Fig. 5 is the top view of eversion type prepuce cutting stitching instrument
Fig. 6 is the upward view of eversion type prepuce cutting stitching instrument
Fig. 7 is the stereogram of eversion type prepuce cutting stitching instrument
Fig. 8 is the front view of eversion type prepuce cutting stitching instrument
Fig. 9 is the enlarged drawing that U follows closely pad
Figure 10 is the enlarged drawing for opening knob
Specific embodiment
Below according to accompanying drawing, the present invention will be described in detail, and it is a kind of preferred reality in numerous embodiments of the present invention
Apply example.
Reference picture 1-3, it is the explosive view of eversion type prepuce cutting stitching instrument, and figure includes plug 1, round platform 1-1, groove
1-2, push rod 2, boss 2-1, the first snap fit 2-2, the first pin hole 2-3, contiguous block 3, guide groove 3-1, the second pin hole 3-2, the
One hanging platform 3-3, the second hanging platform 3-4, closes indicateing arm 3-5, open instruction mark 3-6, the second snap fit 3-7, opens knob 4, pointer
4-1, middle circular hole 4-2, guide block 4-3, small rod 5, the 3rd pin hole 5-1, the 4th pin hole 5-2, handle 6, the 5th pin hole
The pin of 6-1, the 6th pin hole 6-2, first 7-1, the second pin 7-2, the 3rd pin 7-3, clamp ring 8, screw thread 8-1, collar 8-
2, lower comprehensive cover 9, snap fit 9-1, connect cover 10, snap fit 10-1, collar 10-2, positioning boss 10-3, U screw top circle 11, U nails 12,
Circular cutter 13, thimble guide block 14, thimble guide groove 14-1, U nail pad 15, pad positioning table 15-1, blade packing ring 16, foreskin is fixed
Hoop 17, wherein blood vessel docking groove 17-1, positioning table 17-2, upper comprehensive cover 18, locating slot 18-2, eversion type foreskin cutting suture
Device includes upper comprehensive cover 18, lower comprehensive cover 9, foreskin clips 17 and U spike devices, and upper comprehensive cover 18 can pine with lower comprehensive cover 9
It is connected de-ly;Foreskin clips 17 are placed in comprehensive cover 18;U spike devices are placed in lower comprehensive cover 9;Foreskin clips 17
Can be positioned in comprehensive cover 18 and coordinate clamping foreskin with upper comprehensive cover 18, the lower end of foreskin clips 17 can match somebody with somebody with U spike devices
Co-clip holds foreskin.
U spike devices include U screw tops circle 11 and thimble guide block 14, and thimble guide block 14 is used for accommodating suture with U nails 12, to suture
Follow closely 12 movements with U to be oriented to, the thimble of U screw tops circle 11 is positioned and is oriented to, U screw tops circle 11 is used to coordinate thimble guide block
14 eject U therein nails 12.Also include that U follows closely pad 15, it is the annular gasket for being arranged at the top of thimble guide block 14.U nail pads
Piece 15 is additionally provided with the pad positioning table 15-1 vertical with pad plane, and pad positioning table 15-1 is to be arranged at the pad that U follows closely pad 15
The inner circumferential of plate plane or the complete annular projection of periphery or centre.First through hole is formed with the middle of thimble guide block 14, thimble is led
Block 14 includes annular inner wall, annular outer wall and positioning table storage tank, and annular inner wall is used to be put down with the pad for being arranged at U nail pads 15
The annular projection of the inner circumferential in face cooperates and positions, and annular outer wall is used for and is arranged at the periphery of the pad plane of U nail pads 15
Annular projection cooperate positioning, positioning table storage tank be arranged at the top of thimble guide block 14 and for accommodate be arranged at U nail pad
The annular projection of the centre of the pad plane of piece 15.Thimble guide block 14 is provided with multiple thimble guide groove 14-1, thimble guide groove 14-1
Annularly it is arranged on annular thimble guide block 14, U nails pad 15 all covers thimble guide groove 14-1.
Also include connect cover 10, it is arranged between comprehensive cover 18 and lower comprehensive cover 9, upper comprehensive cover 18 passes through connect cover
10 are releasably snap-fit attachment to lower comprehensive cover 9, and the lower surface of upper comprehensive cover 18 is ring-type, is provided with recessed along the annular end face
Locating slot, the upper surface of connect cover 10 is ring-type, and the positioning boss 10-3 of projection, locating slot and positioning are provided with along the annular end face
The mutual male-female engagements of boss 10-3 carry out the positioning of comprehensive cover 18 and connect cover 10.The upper surface of connect cover 10 is ring-type, edge
The annular end face is provided with the positioning boss 10-3 of projection, the locating slot that positioning boss 10-3 is set with the lower surface of upper comprehensive cover 18
Mutual cooperation is positioned;The bottom of connect cover 10 is provided with multiple snap fit 10-1, and 9 tops of lower comprehensive cover are provided with multiple snap fit 9-1, even
The snap fit mutual cooperation connect between cover 10 and lower comprehensive cover 9 is positioned.
Also include clamp ring 8, the inner peripheral surface of clamp ring 8 is provided with internal thread 8-1 and/or collar 8-2;18 lower ends of upper comprehensive cover
Outer surface is provided with external screw thread, and the upper end outer surface of connect cover 10 is provided with external screw thread or collar 10-2, internal thread 8-1 and external screw thread and/
Or can be cooperated between collar 8-2/10-2 and complete fixed to upper comprehensive cover 18, connect cover 10, lower comprehensive cover 9 and clamp ring 8
Position.
The second through hole is provided with the middle of upper comprehensive cover 18, upper comprehensive cover 18 is used to accommodate and position foreskin to fix with an inner chamber
Hoop 17, foreskin clips 17 are provided with the annulus of third through-hole for centre, and third through-hole is corresponding with the second through hole;Upper comprehensive cover 18
Inner chamber is provided with multiple locating slots, and the outer surface of foreskin clips 17 is provided with multiple positioning table 17-2, locating slot 18-2 and positioning table 17-
2 cooperate is positioned;Also include circular cutter 13, circular cutter 13 is set in outside thimble guide block 14 and U screw tops circle 11, circular cutter
13 can be driven and be moved by U screw tops circle 11;Also include blade packing ring 16, it is arranged at the lower surface of foreskin clips 17 and right
Answer the position of circular cutter 13;U spike devices are partially disposed in lower comprehensive cover 9, partly as in connect cover 10;Also include contiguous block 3,
Its upper end is connected to the lower end of lower comprehensive cover 9;Also include pushing away pole, the lower end of contiguous block 3 is inserted in its upper end;Also include plug 1, its
It is arranged at the lower end for pushing away pole;Also include handle 6, it can be drivingly connected to contiguous block 3 and push rod 2, and for driving push rod
2nd, the driving member of contiguous block 3 is so as to drive U screw tops circle 11 and circular cutter 13 to move up.The foreskin clips lower end outer surface
A circle is provided with for the blood vessel docking groove 17-1 of blood vessel docking;Also include opening knob 4, it is set on contiguous block 3 and is used for
Lock or solve lock handle and/or by the part hand-drive.Reference picture 9 and 10, respectively U nail pads are put with unlatching knob
Big figure, the upper end for opening knob 4 is provided with pointer 4-1, and centre is provided with circular hole 4-2, and inwall is provided with guide block 4-3 and contiguous block 3 and sets
The guide groove 3-1 for putting coordinates so as to lock or solve lock handle or other drive members, and the side of U nail pads 15 sets pad positioning table
15-1 is used to be located on thimble guide block 14.
Reference picture 8, it is the front view of eversion type prepuce cutting stitching instrument, and its specific structure is expressed to become apparent from logical accompanying drawing
Into refer to Fig. 2,5-7, respectively each multi-angled view of eversion type prepuce cutting stitching instrument.Reference picture 3 and 4, it is preferred at this
Embodiment in, eversion type prepuce cutting stitching instrument includes handle 1, and plug 2, small rod 3, pin 4, push rod 5, contiguous block 6 opens
Knob 7 is opened, spring 8, lower comprehensive cover 9, U screw tops circle 10, upper comprehensive cover 11, screw fastening collar 12, circular cutter 13, U follows closely gasket ring 14,
Circular cutter packing ring 15, handle 1 is arranged by small rod 3 and the drive connection of pin 4 to push rod 5 and contiguous block 6, opening knob 7
Outside contiguous block 6, plug 2 is arranged at the lower end of push rod 5, is directly connected to or passes through between upper comprehensive cover 11 and lower comprehensive cover 9
One connect cover is attached, and spring 8 is arranged on the inner chamber of contiguous block 6, and U screw tops circle 10 is all or part of to be arranged on lower comprehensive cover
In 9, or completely or partially it is arranged in connect cover, or part is arranged on another part in lower comprehensive cover 9 and is arranged on connection
In cover, screw fastening collar 12 is locked at comprehensive cover 11 and/or lower comprehensive cover 9 and/or connect cover periphery, and circular cutter 13 is arranged at
U screw tops circle 10 and guide block periphery, the top that U nail gasket rings 14 are fixed on U nail grooves is first-selected when being got for U nails to follow closely gasket ring 14 through U
So that when U nails squeeze into prepuce tissues, one or more surfaces is not directly contacted with foreskin.Other associated drives parts, actuated components and
Ring cutting member principle is identical with previous embodiment, and this is not repeated.
The present invention is exemplarily described above in conjunction with accompanying drawing, it is clear that the present invention is implemented and do not receive aforesaid way
Limitation, as long as employing method of the present invention design and the various improvement that carry out of technical scheme, or not improved direct application
In other occasions, within protection scope of the present invention.