CN107080573A - A kind of Type B eversion type prepuce cutting stitching instrument - Google Patents

A kind of Type B eversion type prepuce cutting stitching instrument Download PDF

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Publication number
CN107080573A
CN107080573A CN201710255023.0A CN201710255023A CN107080573A CN 107080573 A CN107080573 A CN 107080573A CN 201710255023 A CN201710255023 A CN 201710255023A CN 107080573 A CN107080573 A CN 107080573A
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CN
China
Prior art keywords
cover
staple
comprehensive cover
foreskin
gas
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201710255023.0A
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Chinese (zh)
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CN107080573B (en
Inventor
商晶晶
商建忠
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Wuhu Snnda Medical Treatment Appliance Tech Co Ltd
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Wuhu Shanghuan Science & Technology Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Application filed by Wuhu Shanghuan Science & Technology Co Ltd filed Critical Wuhu Shanghuan Science & Technology Co Ltd
Publication of CN107080573A publication Critical patent/CN107080573A/en
Priority to PCT/CN2018/074988 priority Critical patent/WO2018141257A1/en
Priority to CA3052510A priority patent/CA3052510A1/en
Priority to SG11201907143YA priority patent/SG11201907143YA/en
Priority to TW107103716A priority patent/TWI779011B/en
Priority to TW111133370A priority patent/TWI855371B/en
Priority to TW108209349U priority patent/TWM587980U/en
Priority to TW107201633U priority patent/TWM587979U/en
Priority to US16/531,139 priority patent/US11980390B2/en
Application granted granted Critical
Publication of CN107080573B publication Critical patent/CN107080573B/en
Priority to US18/624,091 priority patent/US20240245426A1/en
Priority to US18/625,195 priority patent/US20240245430A1/en
Priority to US18/624,226 priority patent/US20240245428A1/en
Priority to US18/624,272 priority patent/US20240245429A1/en
Priority to US18/624,114 priority patent/US20240238005A1/en
Priority to US18/624,119 priority patent/US20240245427A1/en
Priority to US18/625,234 priority patent/US20240245431A1/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/0682Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • A61B17/1155Circular staplers comprising a plurality of staples
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1139Side-to-side connections, e.g. shunt or X-connections
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

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

Abstract

The present invention relates to a kind of Type B eversion type prepuce cutting stitching instrument, eversion type prepuce cutting stitching instrument includes upper comprehensive cover, and lower synthesis is covered, connect cover and U spike devices, and upper comprehensive cover covers releasable be connected with lower synthesis;Upper comprehensive cover bottom is provided with and the upper comprehensive integrally formed foreskin clips of cover;U spike devices are completely or partially placed in lower comprehensive cover;Upper comprehensive cover, lower comprehensive cover and U spike devices are used to coordinate to be positioned to penis, glans penis, foreskin, and foreskin is clamped, extrude, cut;Lower comprehensive cover bottom connection connect cover.The structure can house front end foreskin and the big portion of penis in surgical procedure, avoid coming to harm or cause to infect, make more than foreskin retaining part to be located within prepuce cutting stitching instrument, ring on the lower side built in U spike devices, which sets U nail grooves, makes U follow closely the inside that suture location is located at prepuce cutting stitching instrument, avoid there is instrument failure or operational error and when causing bleeding, it is easily infected accident surgery occur.

Description

B-type outward-turning prepuce cutting and suturing device
Technical Field
The invention relates to the field of circumcision, in particular to a B-type outward-turning prepuce cutting and suturing device.
Background
Prepuce overlength or phimosis is one of the sources of urinary infections and sexually transmitted diseases in men. The chronic prostatitis caused by the urethra infection due to the overlong prepuce or phimosis can cause a series of symptoms such as waist soreness, back pain, impotence and premature ejaculation, so that the clearing of the overlong prepuce is one of the good measures for preventing the diseases.
Traditionally, phimosis or overlong foreskin is removed by adopting a surgical operation mode, and the technical points are that redundant foreskin is cut off, hemostasis is performed, and incisal edge skin is aligned and sutured. The postoperative patient can not walk, the pain is hard to endure every time the medicine is changed, the patient also needs to endure huge pain when the stitches are finally removed, and in addition, the foreskin hematoma is caused by incomplete ligation and hemostasis, and the operation treatment needs to be performed again. In addition, since the prepuce excision and hemostasis procedures are performed separately, the operation time is prolonged, and the panic mind of the patient is aggravated.
A treatment method using laser and high-frequency electric knife techniques for circumcision has been developed, which can coagulate bleeding spots while replacing scissors. However, this treatment burns the patient's tissue and is susceptible to infection.
The circumcision device is developed in the field, and a suturing nail is used for suturing a circumcision at one time, but in the prior art, a foreskin at the front end and most of a penis are exposed outside in the operation process, so that the foreskin is easily damaged or infected, the position above a foreskin clamping part of the built-in foreskin incision stitching device is positioned outside the foreskin incision stitching device, the U-shaped nail stitching position is positioned at the top end of the foreskin incision stitching device, and when bleeding is caused by instrument failure or misoperation, surgical accidents are easily caused by infection. The internal circumcision knife of the built-in foreskin cutting stitching instrument is built in, and the circumcision knife adopts internal cutting periphery nailing, so that the foreskin is easy to cause the pain and the risk caused by stacking and cutting under the conditions of overlong foreskin and the like. In addition, if only the upper cover (upper comprehensive cover) and the lower cover (lower comprehensive cover/connecting cover) are matched with each other and the inner ring (foreskin fixing hoop) and the inner comprehensive cover (staple top ring and/or thimble guide block) are matched with each other, circular cutting and staple blood stopping are performed after clamping is performed in place, the foreskin blood vessel cannot be accurately positioned due to invisible positions of the built-in staple grooves, the staples in the staple grooves cannot be accurately corresponding to the foreskin blood vessel during operation, the operation hemostatic effect is poor, even the staple heads are just driven into the blood vessel, and the operation risk is caused due to the fact that hemostasis cannot be performed timely. In addition, in the prior art, the U-shaped nail is directly nailed into the foreskin, so that the U-shaped nail is easily adhered to the foreskin and even goes deep into the foreskin to be incapable of being removed in time in the process of waiting for the necrosis and the falling off of the foreskin and the nail removal after the operation, and great pain is caused to a patient.
Disclosure of Invention
Aiming at the problems in the prior art, the invention aims to provide an outward-turning foreskin cutting and suturing device, which has the structure that most of the front end of a penis can be contained in the foreskin cutting and suturing device in the operation process, clamping and circular cutting parts are all built in, the situations of bleeding infection and the like are avoided, the risk of the operation is reduced by the external circular cutting knife and the blood vessel butt joint device, and the problem of later-stage U-nail falling failure is further avoided by the arrangement of a U-nail gasket, and the specific technical scheme is as follows:
a B-type outward-turning prepuce cutting and suturing device comprises an upper comprehensive cover, a lower comprehensive cover and a staple device, wherein the upper comprehensive cover and the lower comprehensive cover are detachably connected in a matched manner; the lower part of the upper comprehensive cover is provided with a foreskin fixing hoop which is integrally formed with the upper comprehensive cover, or the upper comprehensive cover is internally provided with the foreskin fixing hoop; the U-nail device is wholly or partially arranged in the lower comprehensive cover; the upper comprehensive cover, the lower comprehensive cover and the U-nail device are used for positioning the penis and/or the glans and/or the foreskin in a matching way and clamping and/or extruding and/or cutting the foreskin; preferably, the lower part of the lower comprehensive cover is connected with a connecting cover.
Furthermore, the staple device comprises a staple top ring and a thimble guide block, the thimble guide block is used for accommodating and/or guiding the movement of the staples for stitching and/or positioning and/or guiding a thimble of the staple top ring, and the staple top ring is used for being matched with the thimble guide block to eject the staples out.
Furthermore, still include the staple gasket, it is the annular gasket that sets up in thimble guide block top.
Furthermore, the staple gasket is also provided with a gasket positioning table which is perpendicular to and/or forms an angle with the gasket plane, and the gasket positioning table is one or more bulges and/or complete annular bulges arranged on the inner periphery and/or the outer periphery and/or the middle of the gasket plane of the staple gasket.
Further, a first through hole is formed in the middle of the ejector pin guide block, the ejector pin guide block comprises an annular inner wall and/or an annular outer wall and/or a positioning table accommodating groove, the annular inner wall is used for being matched and positioned with one or more protrusions and/or complete annular protrusions arranged on the inner periphery of the plane of the gasket of the U nail gasket, and/or the annular outer wall is used for being matched and positioned with one or more protrusions and/or complete annular protrusions arranged on the outer periphery of the plane of the gasket of the U nail gasket, and/or the positioning table accommodating groove is arranged at the top end of the ejector pin guide block and is used for accommodating one or more protrusions and/or complete annular protrusions arranged in the middle of the plane of the gasket of the U nail gasket.
Furthermore, a plurality of thimble guide grooves are formed in the thimble guide block, the thimble guide grooves are annularly arranged on the annular thimble guide block, and the nail gasket partially or completely covers the thimble guide grooves.
Furthermore, one or more positioning pins are arranged at the upper end of the top ring of the U-shaped nail and are used for being matched with positioning holes formed in the upper comprehensive cover for positioning; and/or the staple top ring is provided with a plurality of thimbles which are used for corresponding to a plurality of thimble guide grooves arranged on the thimble guide block one by one and ejecting the contained staples for stitching; and/or the lower end of the staple top ring is provided with a lower boss which is used for positioning the staple top ring in the connecting cover and/or the connecting block below the connecting cover.
Furthermore, a second through hole is arranged in the middle of the upper comprehensive cover and is used for the penis and/or the foreskin and/or the glans to pass through; and/or the foreskin fixing hoop can be positioned in the upper comprehensive cover and is matched with the upper comprehensive cover to clamp the foreskin, and/or the lower end of the foreskin fixing hoop can be matched with the staple device to clamp the foreskin; and/or the outer surface of the lower end of the upper comprehensive cover and/or the outer surface of the blood vessel fixing hoop are/is provided with blood vessel butt joint grooves which are annularly arranged, or scales, or concave/convex points, or concave/convex lines; the blood vessel butt joint grooves are scaled, concave/convex points or concave/convex lines correspond to the thimble guide grooves or intervals between the thimble guide grooves or the staples in the thimble guide grooves one by one; or the blood vessel butt-joint grooves, or the scales, or the concave/convex points, or the intervals between the concave/convex lines correspond to the thimble guide grooves, or the intervals between the thimble guide grooves, or the staples in the thimble guide grooves one by one; or, the blood vessel butt-joint groove, or the scale, or the concave/convex point, or the convex and/or concave of the concave/convex line is set such that the width between the two convex and/or concave is equal to or slightly less than the width of the thimble guide groove, and/or the width of the staples in the thimble guide groove, and/or the width of the interval between the thimble guide grooves.
Further, the cutting tool also comprises a glans penis protective cover, and/or a locking ring, and/or a girdling knife; wherein, the surface of the inner ring of the locking ring is provided with an internal thread/a clamping ring/a hanging platform; the outer surface of the upper comprehensive cover is provided with an external thread/a clamping ring/a hanging platform, and/or the outer surface of the lower comprehensive cover is provided with an external thread/a clamping ring/a hanging platform, and the internal thread/the clamping ring/the hanging platform and the external thread/the clamping ring/the hanging platform can be matched with each other to position the upper comprehensive cover, the lower comprehensive cover and/or the locking ring; and/or the ring cutter ring is arranged on the periphery of the thimble guide block and is used for being matched with the lower end face of the upper comprehensive cover to cut the foreskin; and/or the glans penis protection cover is used for accommodating and protecting the glans penis, is arranged in the first through hole of the thimble guide block in a detachable mode, and corresponds to the second through hole of the upper comprehensive cover upwards.
Further, the device also comprises a connecting block, wherein the upper end of the connecting block is connected to the lower end of the comprehensive cover; and/or, also include the blade gasket, it sets up in the lower end of the upper comprehensive cover and corresponds to the ring cutting blade; and/or, also include the push rod, its upper end inserts the underpart of the joint block; and/or, also include the end cap, it sets up in the underpart of the push rod; and/or, further comprising a handle drivingly connected to the connecting block and/or the pusher rod and for driving the pusher rod and/or the connecting block and/or the internal drive of the pusher rod and/or the internal drive of the connecting block to drive the staple device and/or the ring cutter upwardly; and/or the device also comprises an opening knob which is sleeved on the connecting block and is used for locking or unlocking the handle and/or a component driven by the handle.
Furthermore, a clamping hook is arranged at the lower end of the lower comprehensive cover, a connecting clamping hook is arranged at the upper end of the connecting cover, and the clamping hook and the connecting clamping hook are matched with each other to connect the lower comprehensive cover and the connecting cover;
compared with the prior art, the foreskin cutting and suturing device can contain the foreskin at the front end and the large part of the penis in the operation process, so that the foreskin and the large part of the penis are prevented from being injured or infected, the structure of the inner ring (the foreskin fixing hoop) and the inner comprehensive cover (the U-nail top ring and/or the thimble guide block) is adopted to enable the position above the foreskin clamping part to be positioned in the foreskin cutting and suturing device, the U-nail groove is arranged in the inner comprehensive cover (the U-nail top ring and/or the thimble guide block) in a downward ring to enable the U-nail suturing position to be positioned in the foreskin cutting and suturing device, and the operation accident caused by instrument failure or misoperation is avoided. The circumcision knife of the foreskin cutting stitching instrument is arranged externally, and nailing is carried out inside the circumcision knife by adopting external cutting, so that the foreskin can not be stacked and cut to cause pain and risk under the conditions of overlong foreskin and the like. Through the blood vessel butt joint device arranged on the inner ring (foreskin fixing hoop), the corresponding situation of the foreskin blood vessel and the staple can be accurately judged when the upper cover (upper comprehensive cover) and the lower cover (lower comprehensive cover/connecting cover) are matched with each other and the inner ring (foreskin fixing hoop) and the inner comprehensive cover (staple top ring and/or thimble guide block) are matched with each other, so that the final positioning of the inner ring (foreskin fixing hoop) and the inner comprehensive cover (staple top ring and/or thimble guide block) and the upper cover (upper comprehensive cover) and the lower cover (lower comprehensive cover/connecting cover) is carried out after the blood vessel is accurately positioned, and the surgical hemostasis effect is greatly improved. Preferably, the blood vessel butt joint groove can be flexibly arranged to be in one-to-one correspondence with the staple groove, the staples in the staple groove, the matching relation of the spacing between the staple grooves, the width and the like, different circular cutting devices and different operation requirements are met, and finally the blood vessel with the closed main surface of the staple is closed between the staple and the blood vessel, so that good hemostasis is realized during the operation, and the necrosis process is accelerated after the operation. Preferably, set up the staple gasket and make the staple be provided with the gasket when being squeezed into the foreskin between with the foreskin, avoid the staple to take place the adhesion with the foreskin and lead to the later stage to take off the nail failure and cause patient's misery.
Drawings
FIG. 1 is an exploded view of an eversion circumcision stapler
FIG. 2 is an enlarged view of a staple shim
FIG. 3 is an enlarged view of the opening knob
FIG. 4 is a front view of the circumcision stapler with the circumcision function
FIG. 5 is a side view of the everting circumcision stapler
FIG. 6 is a structural view of the circumcision suturing device
FIG. 7 is an enlarged view of the portion B of FIG. 6
FIG. 8 is a top view of the everting circumcision stapler
FIG. 9 is a bottom view of the circumcision stapler with the circumcision function
FIG. 10 is a perspective view of the circumcision stapler with the circumcision function
Detailed Description
The invention is described in detail below with reference to the attached drawing, which is a preferred example of various embodiments of the invention.
Referring to fig. 1-3, which is an exploded view of an eversion foreskin cutting stapler, the figure includes a plug 1, a circular truncated cone 1-1, a groove 1-2, a push rod 2, a boss 2-1, a first hook 2-2, a first pin hole 2-3, a connecting block 3, a guide groove 3-1, a second pin hole 3-2, a first hanging table 3-3, a second hanging table 3-4, a closing indicator 3-5, an opening indicator 3-6, a second hook 3-7, an opening knob 4, a pointer 4-1, a middle circular hole 4-2, a guide block 4-3, a small connecting rod 5, a third pin hole 5-1, a fourth pin hole 5-2, a handle 6, a fifth pin hole 6-1, a sixth pin hole 6-2, a lower comprehensive cover 7, a hanging table 7-1, the circumcision type foreskin cutting stitching instrument comprises a clamping hook 7-2, a staple top ring 8, a thimble 8-1, a positioning needle 8-2, a lower boss 8-3, a girdling knife 9, a thimble guide block 10, a thimble guide groove 10-1, a staple gasket 11, a gasket positioning table 11-1, a glans protective cover 12, a blade gasket 13, an upper comprehensive cover 14, a blood vessel butt joint groove 14-1, a positioning hole 14-2, a thread 14-3, a first pin 15-1, a second pin 15-2, a third pin 15-3, a locking ring 16, a thread 16-1, a clamping ring 16-2, a connecting cover 17 and a connecting clamping hook 17-1, wherein the upper comprehensive cover 14 is detachably matched and connected with the lower comprehensive cover 7; the lower part of the upper comprehensive cover 14 is provided with a foreskin fixing hoop which is integrally formed with the upper comprehensive cover 14, or the upper comprehensive cover 14 is internally provided with a foreskin fixing hoop; the staple device is wholly or partially arranged in the lower comprehensive cover 7; the upper comprehensive cover 14, the lower comprehensive cover 7 and the staple device are used for cooperatively positioning the penis and/or the glans and/or the foreskin and clamping and/or extruding and/or cutting the foreskin; the lower part of the lower comprehensive cover 7 is connected with a connecting cover 17.
The staple device comprises a staple top ring 8 and a thimble guide block 10, wherein the thimble guide block 10 is used for accommodating staples for stitching and/or guiding the movement of the staples for stitching and/or positioning and/or guiding a thimble 8-1 of the staple top ring 8, and the staple top ring 8 is used for being matched with the thimble guide block 10 to eject the staples out.
The ejector pin structure also comprises a U-shaped nail gasket 11 which is an annular gasket arranged at the top end of the ejector pin guide block 10.
The staple shim 11 is further provided with a shim positioning table 11-1 perpendicular to and/or at an angle to the shim plane, the shim positioning table 11-1 being one or more protrusions and/or full ring-shaped protrusions provided at the inner and/or outer periphery and/or middle of the shim plane of the staple shim 11.
A first through hole is formed in the middle of the thimble guide block 10, the thimble guide block 10 includes an annular inner wall and/or an annular outer wall and/or a positioning table accommodating groove, the annular inner wall is used for being matched and positioned with one or more protrusions and/or complete annular protrusions arranged on the inner periphery of the gasket plane of the staple gasket 11, and/or the annular outer wall is used for being matched and positioned with one or more protrusions and/or complete annular protrusions arranged on the outer periphery of the gasket plane of the staple gasket 11, and/or the positioning table accommodating groove is arranged on the top end of the thimble guide block 10 and is used for accommodating one or more protrusions and/or complete annular protrusions arranged in the middle of the gasket plane of the staple gasket 11.
The thimble guide block 10 is provided with a plurality of thimble guide grooves 10-1, the thimble guide grooves 10-1 are annularly arranged on the annular thimble guide block 10, and the thimble guide grooves 10-1 are partially or completely covered by the staple gaskets 11.
One or more positioning needles 8-2 are arranged at the upper end of the staple top ring 8 and are used for being matched with positioning holes 14-2 formed in the upper comprehensive cover 14 for positioning; and/or the staple top ring 8 is provided with a plurality of thimbles 8-1 which are used for corresponding to a plurality of thimble guide grooves 10-1 arranged on the thimble guide block 10 one by one and ejecting the contained staples for stitching; and/or the lower end of the staple top ring 8 is provided with a lower boss 8-3 which is used for positioning the staple top ring 8 in the connecting cover 17 and/or the connecting block 3 below the connecting cover 17.
The middle of the upper comprehensive cover 14 is provided with a second through hole for the penis and/or the foreskin and/or the glans to pass through; and/or the foreskin fixing hoop can be positioned in the upper comprehensive cover 14 and matched with the upper comprehensive cover 14 to clamp the foreskin, and/or the lower end of the foreskin fixing hoop can be matched with the staple device to clamp the foreskin; and/or the outer surface of the lower end of the upper comprehensive cover 14 and/or the outer surface of the blood vessel fixing hoop are/is provided with blood vessel butt joint grooves 14-1 which are annularly arranged, or scales, or concave/convex points, or concave/convex lines; the blood vessel butt joint grooves 14-1 are respectively provided with a scale, a concave/convex point or a concave/convex line which is in one-to-one correspondence with the thimble guide grooves 10-1 or the interval between the thimble guide grooves 10-1 or the staples in the thimble guide grooves 10-1; or the blood vessel butt joint groove 14-1, or the scale, or the concave/convex point, or the interval between the concave/convex lines corresponds to the thimble guide groove 10-1, or the interval between the thimble guide grooves 10-1, or the staple in the thimble guide groove 10-1 one by one; alternatively, the vessel abutting groove 14-1, or the scale, or the concave/convex point, or the convex and/or concave of the concave/convex line is set such that the width between the two convex and/or concave is equal to or slightly smaller than the width of the thimble guide groove 10-1, and/or the width of the staples in the thimble guide groove 10-1, and/or the width of the space between the thimble guide grooves 10-1.
The glans penis protective cover 12 and/or the locking ring 16 and/or the girdling knife 9 are/is further included; wherein, the surface of the inner ring of the locking ring 16 is provided with internal threads 16-1/a clamping ring 16-2/a hanging platform; the outer surface of the upper comprehensive cover 14 is provided with an external thread 14-3/a clamping ring/a hanging platform, and/or the outer surface of the lower comprehensive cover 7 is provided with an external thread/a clamping ring/a hanging platform 7-1, and the internal thread/the clamping ring/the hanging platform and the external thread/the clamping ring/the hanging platform can be matched with each other to position the upper comprehensive cover 14, the lower comprehensive cover 7 and/or the locking ring 16; and/or the ring cutter 9 is annularly arranged on the periphery of the thimble guide block 10 and is used for being matched with the lower end face of the upper comprehensive cover 14 to cut the foreskin; and/or, the glans penis protecting cover 12 is used for accommodating and protecting the glans penis, and is detachably arranged in the first through hole of the thimble guide block 10, and the upper part of the first through hole corresponds to the second through hole of the upper comprehensive cover 14.
The upper end of the connecting block 3 is connected to the lower end of the comprehensive cover; and/or, also include the blade back-up ring 13, it sets up in the lower terminal surface of the upper comprehensive cover 14 and corresponds to the ring-cutting knife 9; and/or, also include the push rod 2, its upper end inserts the underpart of the joint block 3; and/or, also include the end cap 1, it sets up in the underpart of the push rod 2; and/or, further comprises a handle 6 which is drivingly connected to the attachment block 3 and/or the push rod 2 and which is used to drive the push rod 2 and/or the attachment block 3 and/or the internal drive of the push rod 2 and/or the internal drive of the attachment block 3 to thereby drive the staple device and/or the ring cutter 9 upwardly; and/or, further comprises an opening knob 4 which is sleeved on the connecting block 3 and is used for locking or unlocking the handle 6 and/or a component driven by the handle 6.
The lower end of the lower comprehensive cover 7 is provided with a clamping hook 7-2, the upper end of the connecting cover 17 is provided with a connecting clamping hook 17-1, and the clamping hook 7-2 and the connecting clamping hook 17-1 are matched with each other to connect the lower comprehensive cover 7 and the connecting cover 17;
referring to fig. 4, which is a front view of the everting circumcision stapler, for more clearly showing the specific structure of the everting circumcision stapler, refer to fig. 5, 8-10, which are views of the everting circumcision stapler from various angles. Referring to fig. 6 and 7, in the preferred embodiment, the circumcision stapler comprises a handle 1, a closure cap 2, a small link 3, a pin 4, a slide rod 5, a connecting block 6, an opening knob 7, a spring 8, a connecting cover 9, a staple top ring 10, an upper comprehensive cover 11, a lower comprehensive cover 12, a glans protective cover 13, a blade 14, a staple backing ring 15 and a circular cutter washer 16, wherein the handle 1 is drivingly connected to the slide rod 5 and the connecting block 6 through the small link 3 and the pin 4, the opening knob 7 is sleeved outside the connecting block 6, the closure cap 2 is arranged at the lower end of the push rod 5, the upper comprehensive cover 11 and the lower comprehensive cover 12 are directly connected or connected through a screw locking ring, the spring 8 is arranged in the inner cavity of the connecting block 6, the staple top ring 10 is wholly or partially arranged in the lower comprehensive cover 12, the screw locking ring is locked at the periphery of the upper comprehensive cover 11 and the lower comprehensive cover 12, the ring cutting blade 14 is arranged on the peripheries of the staple top ring 10 and the guide block, the staple backing ring 15 is fixed at the top end of the staple groove and is used for firstly penetrating the staple backing ring 15 when a staple is driven out, so that one surface or a plurality of surfaces of the staple do not directly contact with the foreskin when the staple is driven into the foreskin tissue, the glans penis protective cover 13 is arranged in the staple guide block and is used for containing and protecting the glans penis, and the ring cutting knife gasket 16 is arranged on the lower end face of the upper comprehensive cover and corresponds to the ring cutting knife. The principles of the other related driving components, actuating components and ring-cutting components are the same as those of the previous embodiment, and are not described in detail.
The invention has been described in connection with the accompanying drawings, it is to be understood that the invention is not limited to the specific embodiments disclosed, but is intended to cover various modifications, adaptations or uses of the invention, and all such modifications and variations are within the scope of the invention.

Claims (10)

1. A B-type outward-turning prepuce cutting and suturing device is characterized by comprising an upper comprehensive cover, a lower comprehensive cover and a staple device, wherein,
the upper comprehensive cover and the lower comprehensive cover are in releasable fit connection;
the lower part of the upper comprehensive cover is provided with a foreskin fixing hoop which is integrally formed with the upper comprehensive cover, or the upper comprehensive cover is internally provided with the foreskin fixing hoop;
the U-nail device is wholly or partially arranged in the lower comprehensive cover;
the upper comprehensive cover, the lower comprehensive cover and the U-nail device are used for positioning the penis and/or the glans and/or the foreskin in a matching way and clamping and/or extruding and/or cutting the foreskin;
preferably, the lower part of the lower comprehensive cover is connected with a connecting cover.
2. The type-B circumcision stapler according to claim 1, wherein the staple device comprises a staple top ring and a thimble guide block, the thimble guide block is used for accommodating and/or guiding the movement of the stapling staple and/or positioning and/or guiding a thimble of the staple top ring, and the staple top ring is used for being matched with the thimble guide block to eject the staple therein.
3. The type-B circumcision stapler according to claim 2, further comprising a staple spacer, which is an annular spacer disposed on the top end of the needle guide block.
4. The type B circumcision stapler according to claim 3, wherein the staple washer is further provided with a washer positioning table perpendicular and/or angled to the washer plane, the washer positioning table being one or more protrusions and/or full ring-shaped protrusions provided at the inner and/or outer circumference and/or middle of the washer plane of the staple washer.
5. The type-B circumcision stapler according to claim 3 or 4, wherein the thimble guide block has a first through hole formed therein, and the thimble guide block comprises an inner annular wall and/or an outer annular wall and/or a positioning platform receiving groove, the inner annular wall is adapted to be positioned in cooperation with one or more protrusions and/or a complete annular protrusion disposed on an inner circumference of the pad plane of the staple pad, and/or the outer annular wall is adapted to be positioned in cooperation with one or more protrusions and/or a complete annular protrusion disposed on an outer circumference of the pad plane of the staple pad, and/or the positioning platform receiving groove is disposed at a top end of the thimble guide block and is adapted to receive one or more protrusions and/or a complete annular protrusion disposed on a middle of the pad plane of the staple pad.
6. The type-B circumcision stapler according to claims 3-5, wherein a plurality of needle guiding grooves are provided on said needle guiding block, said needle guiding grooves are annularly provided on said annular needle guiding block, and said staple spacer partially or totally covers said needle guiding grooves.
7. The type-B circumcision stapler according to claims 2-6, wherein the upper end of the staple top ring is provided with one or more positioning needles for positioning in cooperation with positioning holes provided on the upper comprehensive cover; and/or the staple top ring is provided with a plurality of thimbles which are used for corresponding to a plurality of thimble guide grooves arranged on the thimble guide block one by one and ejecting the contained staples for stitching; and/or the lower end of the staple top ring is provided with a lower boss which is used for positioning the staple top ring in the connecting cover and/or the connecting block below the connecting cover.
8. The type B circumcision stapler according to claims 1-7,
the middle of the upper comprehensive cover is provided with a second through hole for the penis and/or the foreskin and/or the glans to pass through;
and/or the presence of a gas in the gas,
the foreskin fixing hoop can be positioned in the upper comprehensive cover and is matched with the upper comprehensive cover to clamp the foreskin, and/or the lower end of the foreskin fixing hoop can be matched with the staple device to clamp the foreskin;
and/or the presence of a gas in the gas,
the outer surface of the lower end of the upper comprehensive cover and/or the outer surface of the blood vessel fixing hoop are/is provided with blood vessel butt joint grooves which are annularly arranged, or scales, or concave/convex points, or concave/convex lines; the blood vessel butt joint grooves are scaled, concave/convex points or concave/convex lines correspond to the thimble guide grooves or intervals between the thimble guide grooves or the staples in the thimble guide grooves one by one; or the blood vessel butt-joint grooves, or the scales, or the concave/convex points, or the intervals between the concave/convex lines correspond to the thimble guide grooves, or the intervals between the thimble guide grooves, or the staples in the thimble guide grooves one by one; or, the blood vessel butt-joint groove, or the scale, or the concave/convex point, or the convex and/or concave of the concave/convex line is set such that the width between the two convex and/or concave is equal to or slightly less than the width of the thimble guide groove, and/or the width of the staples in the thimble guide groove, and/or the width of the interval between the thimble guide grooves.
9. The circumcision stapler according to claims 1-8, further comprising a glans penis protector, and/or a locking ring, and/or a ring cutter; wherein,
the surface of the inner ring of the locking ring is provided with an internal thread/a clamping ring/a hanging platform; the outer surface of the upper comprehensive cover is provided with an external thread/a clamping ring/a hanging platform, and/or the outer surface of the lower comprehensive cover is provided with an external thread/a clamping ring/a hanging platform, and the internal thread/the clamping ring/the hanging platform and the external thread/the clamping ring/the hanging platform can be matched with each other to position the upper comprehensive cover, the lower comprehensive cover and/or the locking ring;
and/or the presence of a gas in the gas,
the annular cutter ring is arranged on the periphery of the thimble guide block and is used for being matched with the lower end face of the upper comprehensive cover to cut the foreskin;
and/or the presence of a gas in the gas,
the glans penis protection cover is used for containing and protecting the glans penis, is arranged in the first through hole of the thimble guide block in a releasable mode, and corresponds to the second through hole of the upper comprehensive cover upwards.
10. The type-B circumcision stapler according to claim 9, wherein the lower end of the lower integrated cover is provided with a hook, the upper end of the connecting cover is provided with a connecting hook, and the hook and the connecting hook are mutually matched to connect the lower integrated cover and the connecting cover;
and/or the presence of a gas in the gas,
the upper end of the connecting block is connected to the lower end of the comprehensive cover;
and/or the presence of a gas in the gas,
the blade gasket is arranged on the lower end face of the upper comprehensive cover and corresponds to the circular cutting blade;
and/or the presence of a gas in the gas,
the upper end of the push rod is inserted into the lower end of the connecting block;
and/or the presence of a gas in the gas,
the plug is arranged at the lower end of the push rod;
and/or the presence of a gas in the gas,
a handle drivingly connected to the connecting block and/or the pusher bar and arranged to drive the pusher bar and/or the connecting block and/or the internal drive of the pusher bar and/or the internal drive of the connecting block to drive the staple device and/or the ring cutter upwardly;
and/or the presence of a gas in the gas,
the handle is characterized by also comprising an opening knob which is sleeved on the connecting block and is used for locking or unlocking the handle and/or a part driven by the handle.
CN201710255023.0A 2017-01-16 2017-04-19 B-type everting type foreskin cutting stitching instrument Active CN107080573B (en)

Priority Applications (15)

Application Number Priority Date Filing Date Title
PCT/CN2018/074988 WO2018141257A1 (en) 2017-02-04 2018-02-01 Circumcision equipment
CA3052510A CA3052510A1 (en) 2017-02-04 2018-02-01 Circumcision equipment
SG11201907143YA SG11201907143YA (en) 2017-02-04 2018-02-01 Circumcision equipment
TW107103716A TWI779011B (en) 2017-02-04 2018-02-02 A built-in circumcision device
TW111133370A TWI855371B (en) 2017-02-04 2018-02-02 An external eversion circumcision device
TW108209349U TWM587980U (en) 2017-02-04 2018-02-02 Exstrophy type preputial ring cutting machine
TW107201633U TWM587979U (en) 2017-02-04 2018-02-02 Built-in preputial ring cutting machine
US16/531,139 US11980390B2 (en) 2017-02-04 2019-08-05 Circumcision equipment
US18/624,091 US20240245426A1 (en) 2017-02-04 2024-04-01 Circumcision equipment
US18/624,119 US20240245427A1 (en) 2017-02-04 2024-04-02 Circumcision equipment
US18/624,114 US20240238005A1 (en) 2017-02-04 2024-04-02 Circumcision equipment
US18/625,195 US20240245430A1 (en) 2017-02-04 2024-04-02 Circumcision equipment
US18/624,226 US20240245428A1 (en) 2017-02-04 2024-04-02 Circumcision equipment
US18/624,272 US20240245429A1 (en) 2017-02-04 2024-04-02 Circumcision equipment
US18/625,234 US20240245431A1 (en) 2017-02-04 2024-04-03 Circumcision equipment

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
CN2017200483133 2017-01-16
CN201720048313 2017-01-16
CN201720109034 2017-02-04
CN2017201090343 2017-02-04

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CN201710255025.XA Active CN106901807B (en) 2017-01-16 2017-04-19 C-shaped everting type foreskin cutting stitching instrument
CN201710255023.0A Active CN107080573B (en) 2017-01-16 2017-04-19 B-type everting type foreskin cutting stitching instrument
CN201720415698.2U Withdrawn - After Issue CN211325418U (en) 2017-01-16 2017-04-19 C-shaped outward-turning type prepuce cutting and suturing device
CN201710255021.1A Active CN106923892B (en) 2017-01-16 2017-04-19 A-type everting type foreskin cutting stitching instrument
CN201720415699.7U Withdrawn - After Issue CN211674460U (en) 2017-01-16 2017-04-19 B-type outward-turning prepuce cutting and suturing device
CN201720415827.8U Withdrawn - After Issue CN211674461U (en) 2017-01-16 2017-04-19 A-shaped outward-turning type prepuce cutting and suturing device
CN201710254989.2A Active CN106983542B (en) 2017-01-16 2017-04-19 Everting type circumcision stitching instrument with indicating device
CN201720415828.2U Withdrawn - After Issue CN211723351U (en) 2017-01-16 2017-04-19 Outward turning type circumcision stitching instrument with indicating device

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Application Number Title Priority Date Filing Date
CN201710255025.XA Active CN106901807B (en) 2017-01-16 2017-04-19 C-shaped everting type foreskin cutting stitching instrument

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CN201720415698.2U Withdrawn - After Issue CN211325418U (en) 2017-01-16 2017-04-19 C-shaped outward-turning type prepuce cutting and suturing device
CN201710255021.1A Active CN106923892B (en) 2017-01-16 2017-04-19 A-type everting type foreskin cutting stitching instrument
CN201720415699.7U Withdrawn - After Issue CN211674460U (en) 2017-01-16 2017-04-19 B-type outward-turning prepuce cutting and suturing device
CN201720415827.8U Withdrawn - After Issue CN211674461U (en) 2017-01-16 2017-04-19 A-shaped outward-turning type prepuce cutting and suturing device
CN201710254989.2A Active CN106983542B (en) 2017-01-16 2017-04-19 Everting type circumcision stitching instrument with indicating device
CN201720415828.2U Withdrawn - After Issue CN211723351U (en) 2017-01-16 2017-04-19 Outward turning type circumcision stitching instrument with indicating device

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CN108210003A (en) * 2018-01-08 2018-06-29 王筱芳 A kind of double gasket ring anorectal anastomats
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CN107802326B (en) * 2017-11-30 2019-12-20 孙道冬 Outward-turning type prepuce cutting anastomat
CN108309407B (en) * 2018-03-09 2023-08-11 广州德脉医疗器械有限公司 Prepuce everting self-cutting separation type multifunctional protective cover and circular cutting stitching instrument thereof
CN113476113B (en) * 2021-07-06 2022-11-22 江西神你医疗器械有限公司 Circumcision stitching instrument and circumcision stitching device

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CN211674460U (en) 2020-10-16
CN211325418U (en) 2020-08-25
CN107080573B (en) 2023-12-15
CN106923892A (en) 2017-07-07
CN211723351U (en) 2020-10-23
CN211674461U (en) 2020-10-16
CN106983542A (en) 2017-07-28
CN106901807A (en) 2017-06-30
CN106901807B (en) 2024-02-20
CN106983542B (en) 2024-02-09
CN106923892B (en) 2024-01-16

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