CN107569276A - Auxiliary, nail bin groupware and anastomat for circumcision - Google Patents
Auxiliary, nail bin groupware and anastomat for circumcision Download PDFInfo
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- CN107569276A CN107569276A CN201610521878.9A CN201610521878A CN107569276A CN 107569276 A CN107569276 A CN 107569276A CN 201610521878 A CN201610521878 A CN 201610521878A CN 107569276 A CN107569276 A CN 107569276A
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Abstract
Present invention is disclosed a kind of auxiliary, nail bin groupware and anastomat for circumcision, described auxiliary is used cooperatively with suturing nail, described auxiliary includes some nail forming parts and some connecting portions, the nail forming part is used to puncture suturing nail, for the connecting portion between the adjacent nail forming part, some nail forming parts are enclosed with some connecting portions is set as hollow annular structure, wherein, along the direction at hollow annular structure center to edge, the elastic force of the connecting portion is more than the elastic force of the nail forming part.The beneficial effects of the present invention are：Auxiliary flexible, can naturally magnify when erecing, mitigate the pain of postoperative erection, and the elastic force of auxiliary connecting portion is more than the elastic force of nail forming part, increases the integral deformable amount of auxiliary, further mitigates the pain of postoperative erection, reduces oedema.
Description
Technical field
The present invention relates to medicine equipment, more particularly to a kind of auxiliary, nail bin groupware and anastomat for circumcision.
Background technology
Redundant prepuce, phimosis are the common reproductive problems of male.With the continuous improvement of people's living standard and health perception, higher requirement is proposed to self germ health.Redundant prepuce is easily sheltered evil people and countenance evil practices, if cleaning not in time, can be caused glans foreskin inflammation and phallitis, be influenceed normal love life, and increases the chance that sexual partner suffers from Cervicitis and cervical carcinoma, can also be caused carcinoma of penis, be triggered the various problems such as infertility, premature ejaculation.Wrapping annulus cuts operation is the effective ways for treating Redundant prepuce and phimosis.Numerous studies nearly ten years show, male's circumcision is not only of great importance to reduction male penis skin infection, urinary tract infection, and the incidence of adult male balanitis etc. can be reduced, vagina infection, the incidence of disease of cervical carcinoma of its spouse is reduced, in addition it is significant to preventing sexually transmitted disease and genital system including AIDS etc..
At present, redundant prepuce generally use craft circumcision and the method for anastomat for circumcision are treated.Manual circumcision is sutured using hand cut, although there is a variety of modes, postoperative Condition of cutting edge is completely dependent on the level and skill of patient, and often foreskin otch is irregular, unsightly, does not reach the requirement of patient, and operating time is grown.Although existing anastomat for circumcision has the characteristics of otch is smooth, operating time is short, easy to operate, but still the defects of certain be present.On the one hand, existing anastomat for circumcision uses simple metals suturing nail mostly, postoperative easily by tissue encapsulation, difficult for drop-off, and patient will bear pain again when taking off nail after surgery；On the other hand, metal suture nail directly contacts skin, influences the comfort level of patient, causes the postoperative damage to skin or scar.
In order to reduce bleeding as far as possible, existing anastomat for circumcision also has by the way of auxiliary, but due to the constraint of auxiliary, pain of erecing can occur when adult erects.
The content of the invention
It is an object of the invention to provide a kind of auxiliary, nail bin groupware and anastomat for circumcision.
One of for achieving the above object, an embodiment of the present invention provides a kind of auxiliary, for anastomat for circumcision, described auxiliary is used cooperatively with suturing nail, described auxiliary includes some nail forming parts and some connecting portions, the nail forming part is used to puncture suturing nail, the connecting portion is between the adjacent nail forming part, some nail forming parts are enclosed with some connecting portions is set as hollow annular structure, wherein, along the direction at hollow annular structure center to edge, the elastic force of the connecting portion is more than the elastic force of the nail forming part.
As the further improvement of an embodiment of the present invention, described auxiliary includes inner annular edge and outer shroud edge, the inner annular edge and/or outer shroud edge undulate.
As the further improvement of an embodiment of the present invention, formed with opening on the connecting portion.
As the further improvement of an embodiment of the present invention, punctured along suturing nail on direction, the thickness of at least partly described nail forming part is more than the thickness of the connecting portion.
As the further improvement of an embodiment of the present invention, punctured along suturing nail along direction, described auxiliary includes first surface and second surface, is protruded out at least one of the first surface and the second surface formed with some protuberances being spaced apart.
As the further improvement of an embodiment of the present invention, at least partly described protuberance is directed at the nail pin arrangement of the suturing nail.
One of for achieving the above object, an embodiment of the present invention provides a kind of auxiliary, for anastomat for circumcision, described auxiliary is used cooperatively with suturing nail, described auxiliary includes some nail forming parts and some connecting portions, the nail forming part is used to puncture suturing nail, the connecting portion is between the adjacent nail forming part, some nail forming parts are enclosed with some connecting portions is set as hollow annular structure, formed with opening on the connecting portion, when the auxiliary stress, the described auxiliary direction along hollow annular structure center to the edge deforms upon, and the deflection of the connecting portion is more than the deflection of the nail forming part.
One of for achieving the above object, an embodiment of the present invention provides a kind of nail bin groupware, for anastomat for circumcision, the nail bin groupware includes nail bin and nail anvil, nail bin end face is oppositely arranged with nail anvil end face, the nail bin groupware also includes as above auxiliary described in any technical scheme, and described auxiliary on the nail bin end face and/or the nail anvil end face.
As the further improvement of an embodiment of the present invention, it is formed through hole, being mutually matched with the through hole formed with projection, the projection on the nail bin end face and/or the nail anvil end face on the connecting portion.
One of for achieving the above object, an embodiment of the present invention provides a kind of anastomat for circumcision, including the as above nail bin groupware described in any technical scheme.
Compared with prior art, the beneficial effects of the present invention are：Auxiliary flexible, can naturally magnify when erecing, mitigate the pain of postoperative erection, and the elastic force of auxiliary connecting portion is more than the elastic force of nail forming part, increases the integral deformable amount of auxiliary, further mitigates the pain of postoperative erection, reduces oedema.
Brief description of the drawings
Fig. 1 is the anastomat for circumcision stereogram of an embodiment of the present invention；
Fig. 2 is the anastomat for circumcision explosive view of an embodiment of the present invention；
Fig. 3 is the nail bin groupware part-structure explosive view of an embodiment of the present invention；
Fig. 4 is the auxiliary chip architecture schematic diagram of first embodiment of the invention；
Fig. 5 is the auxiliary chip architecture schematic diagram of second embodiment of the invention；
Fig. 6 a are auxiliary first viewing angle constructions schematic diagrames of third embodiment of the invention；
Fig. 6 b are auxiliary second viewing angle constructions schematic diagrames of third embodiment of the invention；
Fig. 7 a are auxiliary first viewing angle constructions schematic diagrames of fourth embodiment of the invention；
Fig. 7 b are auxiliary second viewing angle constructions schematic diagrames of fourth embodiment of the invention；
Fig. 8 a are the glans penis seat and anvil assembly constitutional diagram of first embodiment of the invention；
Fig. 8 b are the glans penis seat and anvil assembly explosive view of first embodiment of the invention；
Fig. 8 c are the profiles of A1-A1 in Fig. 8 a；
Fig. 8 d are Fig. 8 c partial enlarged drawings；
Fig. 9 a are the glans penis seat and anvil assembly constitutional diagram of second embodiment of the invention；
Fig. 9 b are the glans penis seat and anvil assembly explosive view of second embodiment of the invention；
Fig. 9 c are the profiles of A2-A2 in Fig. 9 a；
Fig. 9 d are Fig. 9 c partial enlarged drawings；
Fig. 9 e are the partial enlarged drawings of B2-B2 profile in Fig. 9 a；
Figure 10 is the glans penis seat and anvil assembly explosive view of third embodiment of the invention；
Figure 11 is the glans penis holder structure schematic diagram of an embodiment of the present invention；
Figure 12 is the glans penis seat and anvil assembly constitutional diagram of an embodiment of the present invention；
Figure 13 is the profile of A3-A3 in Figure 11；
Figure 14 is Figure 13 partial enlarged drawing；
Figure 15 is the constitutional diagram of the nail bin of an embodiment of the present invention, nail barrel and glans penis seat.
Embodiment
Below with reference to embodiment shown in the drawings, the present invention will be described in detail.But these embodiments are not intended to limit the present invention, structure that one of ordinary skill in the art is made according to these embodiments, method or conversion functionally are all contained in protection scope of the present invention.
The word of described expression position and direction in the present invention, it is using exercises on apparatus author as reference, one end close to operator is near-end, and one end away from operator is distal end.
In embodiments of the present invention, specific explaination is done to the Medical stapler of the present invention using anastomat for circumcision as example, but it should explanation, involved skill spirit can be used alternatively on the stapler of other forms in embodiment disclosed below.
As shown in Figure 1 and Figure 2, in an embodiment of the present invention, anastomat for circumcision is used for the physiological tissue that multiple suturing nails are applied to human body（Herein refer to foreskin）On, while cutting is implemented to unnecessary physiological tissue accordingly.
The anastomat for circumcision includes the percussion handle 30 of casing 10, the glans penis seat 20 positioned at the distal end of casing 10 and the pivotally connected casing 10, and glans penis seat 20 can or distal movement proximally facing with respect to casing 10.
The distal end of the casing 10 is additionally provided with nail bin groupware 40.
The nail bin groupware 40 includes nail bin 41, nail barrel 42, pushing slice of nail 43, endless knife 44 and anvil assembly 45, wherein, anvil assembly 45 is located in glans penis seat 20.Here, it is necessary to which explanation, endless knife 44 is in hollow and annular, and endless knife 44 can be annular knife or approximate annular knife, for example, oval ring knife etc..
The nail barrel 42 is in hollow and annular, and the nail barrel 42 passes through retainer ring（Do not indicate）The distal end of the casing 10 is connected, the nail barrel 42 is removably connected the nail bin 41, and the nail bin 41 is annular nail bin.Likewise, nail barrel 42 can be annular nail barrel, oval ring nail barrel etc., nail bin 41 can be annular nail bin, oval ring nail bin etc..
Pushing slice of nail 43 and the nail bin 41 positioned at the distal end of pushing slice of nail 43 are provided with the nail barrel 42, endless knife 44 is additionally provided with the pushing slice of nail 43, when endless knife 44 is assembled at pushing slice of nail 43, the distal end end face of endless knife 44 protrudes out the distal end end face of pushing slice of nail 43, and the nail bin 41 is provided with some nail mouthes coordinated with pushing slice of nail 43 on its end face（Do not indicate）, some suturing nails are located at nail mouth.
The anvil assembly 45 includes the nail anvil 451 for coordinating suturing nail and the knife anvil 452 for coordinating the endless knife 44, and the nail anvil 451 is annular nail anvil, and the knife anvil 452 is endless knife anvil.Likewise, nail anvil 451 can be annular nail anvil, oval ring nail anvil etc., knife anvil 452 can be annular knife anvil, oval ring knife anvil etc..
The glans penis seat 20 also includes being used to accommodate the glans penis chamber 21 of glans penis and the anvil axle 22 positioned at the near-end of glans penis chamber 21.Wherein, the near-end of glans penis chamber 21 is formed with toroidal cavity（Do not indicate）, the knife anvil 452 and the nail anvil 451 are located in the cavity, it is of course also possible to be near-end one mounting surface of formation of glans penis seat 20（Do not indicate）, the knife anvil 452 and the nail anvil 451 are arranged on the mounting surface.Likewise, the toroidal cavity of glans penis seat 20 can be annular cavity, oval ring cavity etc..
The anastomat for circumcision also includes the adjusting knob 50 for being connected to the near-end of casing 10.
The adjusting knob 50 is flexibly connected the near-end of a screw mandrel 60 being arranged in the casing 10, and the adjusting knob 50 is reciprocating in the axial direction of anastomat for circumcision by screw mandrel 60 described in the screw drive of setting in it.
The distal end of the screw mandrel 60 is fixedly connected with the anvil axle 22, so, when the anvil axle 22 connects the screw mandrel 60, adjusting knob 50 clockwise or counterclockwise can be passed through, the glans penis seat 20 is driven to be moved closer or far from the casing 10, so that anvil assembly 45 and nail bin 41 clamp or unclamped desired physiological tissue.
The casing 10 includes right shell body 10a and the left shell 10b being correspondingly arranged with the right shell body 10a.Right shell body 10a is only highlighted below, and left shell 10b explanation refers to right shell body 10b.
The distal end of the right shell body 10a is provided with a housing coupling part 102a, to cause the casing 10 to be connected by retainer ring with the nail barrel 42.
It is pivotally connected by percussion handle mounting hole 104a and the pin-and-hole 301 in the percussion handle 30 that the right shell body 10a is provided with percussion handle mounting hole 104a, the right shell body 10a.
The impeller 302 extended to inside casing 10 is additionally provided with the percussion handle 30, the inside of casing 10 is provided with jacking block 70, and the proximal face of the jacking block 70 supports the elongated end of the impeller 302, and the distal end end face of the jacking block 70 supports pushing slice of nail 43.
The jacking block 70 has an initial position and a firing position, when percussion handle 30 rotates relative to casing 10, impeller 302 drives the jacking block 70 to be moved to firing position by initial position, and the jacking block 70 drives pushing slice of nail 43 and endless knife 44 to move and carry out cutting suture operation.
In the present embodiment, only there is provided a percussion handle 30, the impeller 302 of percussion handle 30 supports the proximal face center of the jacking block 70 so that the uniform force of jacking block 70, certainly, in other embodiments, can also be symmetrical arranged two percussion handles 30.
The jacking block 70, which coordinates, is provided with safety block 80, and casing 10 is provided with the hole 101 for accommodating the safety block 80.When safety block 80 is maintained in described hole 101, the percussion handle 30 can not drive the jacking block 70 to move, and now jacking block 70 is in initial position；When safety block 80 is in firing position, the safety block 80 departs from described hole 101, and the jacking block 70 moves in the presence of percussion handle 30 to its firing position.
Below, the workflow of the anastomat for circumcision of an embodiment of the present invention is simply introduced：
In the present embodiment, glans penis seat 20 is removably attachable to the distal end of casing 10, during original state, glans penis seat 20 be in can open mode, the desired physiological tissue operated（Foreskin）It can be placed between nail bin 41 and anvil assembly 45.
When the anastomat for circumcision/nail bin groupware 40 switches to closure state by original state, rotate the adjusting knob 50, the proximally facing motion in the presence of adjusting knob 50 of screw mandrel 60, screw mandrel 60 drives the glans penis seat 20 close to the movement of casing 10 until anvil assembly 45 and nail bin 41 close, desired physiological tissue can be clamped therebetween, and the pushing slice of nail 43 and the endless knife 44 do not move and be still located on the near-end of the nail bin groupware 40.
When the anastomat for circumcision/nail bin groupware 40 switches to cock by closure state, the anvil assembly 45 and nail bin 41 remain in that closure, safety block 80 is driven to depart from described hole 101, pressing percussion handle 30 makes it drive jacking block 70 mobile towards distal end, jacking block 70 drives pushing slice of nail 43 and endless knife 44 to be moved by the proximate of the nail bin groupware 40, endless knife 44 and pushing slice of nail 43 cut and suture the desired physiological tissue of clamping, and can be stopped movement by spacing in the distal end of the nail bin groupware 40.
When the anastomat for circumcision/nail bin groupware 40 switches to percussion completion status by cock, decontrol percussion handle 30, opposite direction rotation of adjustment knob 50, screw mandrel 60 drives glans penis seat 20 to be moved away from casing 10, pushing slice of nail 43 and endless knife 44 return back to initial position, the anvil assembly 45 and nail bin 41 are in open shape, can will now cut the desired physiological tissue after suturing and depart from glans penis seat 20.
With reference to Fig. 3, Fig. 4, in an embodiment of the present invention, at least one auxiliary 90, described auxiliary 90 and suturing nail are additionally provided between nail bin 41 and anvil assembly 45（Do not indicate）It is used cooperatively.
Described auxiliary 90 includes some nail forming parts 91 and some connecting portions 92, and the nail forming part 91 is used to puncture suturing nail, and for the connecting portion 92 between the adjacent nail forming part 91, some nail forming parts 91 are enclosed with some connecting portions 92 is set as hollow annular structure.
Wherein, along the direction X at hollow annular structure center to edge, the elastic force of the connecting portion 92 is more than the elastic force of the nail forming part 91.
Here, it is made up of the elastic material can stopping blooding for auxiliary 90, for example, quality of rubber materials, the cooperation using auxiliary 90 with suturing nail, improves Suture hemostasis effect；Due to adding auxiliary 90, cladding of the tissue to suturing nail can be prevented, reduces postoperative de- nail difficulty；Auxiliary 90 flexible, can naturally magnify when erecing, mitigate the pain of postoperative erection；The elastic force of the connecting portion 92 of auxiliary 90 is more than the elastic force of nail forming part 91, increases the integral deformable amount of auxiliary 90, further reduces the pain of postoperative erection, reduces oedema.
It should be noted that the thickness very little of auxiliary 90, substantially 0.5mm, therefore, postoperative auxiliary 90 is close to affected part, and auxiliary 90 stays in the comfort level that affected part does not interfere with patient's daily routines.
It is appreciated that, it can be hollow circular ring shape structure, hollow oval ring-type structure etc. that some nail forming parts 91 enclose the hollow annular structure being set as with some connecting portions 92, when hollow annular structure is hollow circular ring shape structure, the direction X at center to edge substantially refers to the radial direction of hollow circular ring shape structure, when hollow annular structure is hollow oval ring-type structure, the direction X at center to edge substantially refers to the origin of hollow oval ring-type structure to the direction at edge.
In the present embodiment, auxiliary 90 can by be fixed by socket or damping grease adhere to etc. mode be arranged at the distal end end face of nail bin 41 and/or the proximal face of nail anvil 451, on the one hand, can be 90 spacing at the proximal face of the distal end end face of nail bin 41 and/or nail anvil 451 by auxiliary in the original state and closure state of anastomat for circumcision, prevent auxiliary 90 displacement, on the other hand, the proximal face of the auxiliary 90 distal end end face for departing from nail bin 41 and/or nail anvil 451 can be facilitated in the cock and percussion completion status of anastomat for circumcision again.
When here, at the proximal face of a piece of auxiliary 90 distal end end face for being arranged on nail bin 41 or nail anvil 451, postoperative auxiliary 90 only in the side of foreskin, auxiliary 90 carries out auxiliary hemostasis in foreskin side；When at the distal end end face and the proximal face of nail anvil 451 that two panels is separately positioned on nail bin 41 for auxiliary 90, postoperative auxiliary 90 both sides for being distributed in foreskin of two panels, two panels two layers of foreskin of auxiliary 90 clamping, haemostatic effect is further improved.It should be noted that auxiliary 90 of more than two panels or two panels can be also included in the side of foreskin, can be depending on actual conditions.
In the present embodiment, along along the circumferencial direction of auxiliary 90, the length of the connecting portion 92 is less than the length of the nail forming part 91, so, follow closely forming part 91 still can be coordinated with larger area and suturing nail, the arrangement of suturing nail along the circumferential direction still can be closeer, so as to ensure the Suture hemostasis effect of suturing nail.
In the present embodiment, described auxiliary 90 can be more than the elastic force of the nail forming part 91 by the setting of the parameters such as material or thickness to realize the elastic force of connecting portion 92, but be not limited.
For example, formed with opening 921 on the connecting portion 92 of auxiliary 90, when auxiliary 90 stress（Erect）When, the direction X at auxiliary 90 center along the hollow annular structure to edge is deformed upon, and the deflection of the connecting portion 92 is more than the deflection of the nail forming part 91.
Or be that described auxiliary 90 includes inner annular edge 93 and outer shroud edge 94, the inner annular edge 93 and/or the undulate of outer shroud edge 94, here, inner annular edge 93 and outer shroud edge 94 are defined as the edge of the direction X along auxiliary 90 centers to edge.Here, wavy shaped configuration is located at connecting portion 92.
Above-mentioned design is advantageous in that：It is open at 921 or auxiliary 90 areas is relatively small corresponding to the recess of wavy shaped configuration, on the premise of suturing nail Suture hemostasis effect is not influenceed, the elastic force at this can be relatively large, so as to increase the integral deformable amount of auxiliary 90, the pain for mitigating postoperative erection is further reduced, reduces oedema.
Same, auxiliary 90 can be in hollow circular ring shape structure, hollow oval ring-type structure etc. in hollow annular structure, when hollow annular structure is hollow circular ring shape structure, the direction X at center to edge substantially refers to the radial direction of hollow circular ring shape structure, when hollow annular structure is hollow oval ring-type structure, the direction X at center to edge substantially refers to the origin of hollow oval ring-type structure to edge direction.
Below, several specific embodiments of auxiliary 90 are introduced.
With reference to Fig. 4, for the auxiliary chip architecture schematic diagram of first embodiment of the invention.In the present embodiment, formed with opening 921a on the connecting portion 92a of the auxiliary 90a.
Specifically, the opening 921a is substantially the breach at inner annular edge 93a and outer shroud edge 94a, and breach is not related to nail forming part 91a.
So, on the one hand, nail forming part 91a area is relatively large, and suturing nail has enough puncture areas, there is enough haemostatic effects to the foreskin after cutting；On the other hand, connecting portion 92a area is relatively small, and connecting portion 92a elastic force is more than nail forming part 91a elastic force, completely the same compared to connecting portion 92a, nail forming part 91a（Breach is not included）Scheme, the present embodiment can effectively increase auxiliary 90a erect when integral deformable amount.
As shown in figure 5, for the auxiliary chip architecture schematic diagram of second embodiment of the invention, the present embodiment is similar with first embodiment, and mutually isostructural effect is also identical, will not be repeated here.
The present embodiment and the difference of above-mentioned first embodiment are：For the opening 921b of the present embodiment in addition to including the breach 9211b at inner annular edge 93b and outer shroud edge 94b, the peripheral part for still further comprising through hole 9212b, the through hole 9212b positioned at multiple breach 9211b intermediate regions is enclosed construction.
Here, through hole 9212b effect is：（1）Coordinate breach 9211b, further reduce connecting portion 92b area, so as to further increase deformable amounts of the auxiliary 90b when erecing；（2）Fig. 3 is referred in the lump, formed with some projections 411 on the distal end end face of nail bin 41, when auxiliary 90b is arranged at the distal end end of nail bin 41, pass through some projections 411 and some through hole 9212b mutual cooperation, the positioning of the auxiliary 90b can be aided in, prevents auxiliary 90b to be shifted in sewing process is cut.
It should be noted that when auxiliary 90b is located at the proximal face of the nail anvil 451, auxiliary 90b can also be realized by the fit system of projection and through hole with the proximal face of nail anvil 451 and positioned, but be not limited.
It is the auxiliary chip architecture schematic diagram of third embodiment of the invention as shown in Fig. 6 a and Fig. 6 b, the present embodiment is similar with second embodiment, and mutually isostructural effect is also identical, will not be repeated here.
The present embodiment and the difference of above-mentioned second embodiment are：Punctured along suturing nail on direction, auxiliary 90c thickness is in variation tendency, and at least partly described nail forming part 91c thickness is more than the thickness of the connecting portion 92c.
Specifically, being punctured along suturing nail on direction, the auxiliary 90c at least one of first surface 95c and second surface 96c, the first surface 95c and the second surface 96c including protruding out formed with some protuberance 97c being spaced apart.
In the present embodiment, so that auxiliary 90c is located at the distal end end of nail bin 41 as an example, after suturing nail is molded at nail forming part 91c, the one side close to nail pin is defined as first surface 95c, and the one side away from nail pin is defined as second surface 96c.
Join Fig. 6 a and 6b, some protuberance 97c being spaced apart are formed at first surface 95c in the present embodiment, and protuberance 97c is at nail forming part 91c, and protuberance 97c is fin shape.
Being so designed that is advantageous in that：（1）In the case where not influenceing auxiliary 90c entirety elastic force, the appropriate thickness for increasing the auxiliary 90c in subregion, to strengthen auxiliary 90c intensity, so as to strengthen haemostatic effect；（2）After suturing nail shaping, due to there is protuberance 97c supporting role at the crown of suturing nail, there is certain gap between crown and first surface 95c, so, de- nail equipment can be inserted directly into the gap location during de- nail and realize the de- nail of cutting, so as to improve de- nail efficiency, while avoid the foreskin of de- nail equipment damage healing；（3）The protuberance 97c between nail pin and crown after shaping, which is under pressure, to be compressed, and it can accelerate its ischemic necrosis constantly to one pressure of prepuce tissues being clipped in the middle.
It should be noted that increase protuberance 97c can increase the thickness of auxiliary 90c subregion, it is assumed that not set auxiliary thickness of protuberance as 0.5mm, then the auxiliary 90c of the present embodiment maximum gauge（Protuberance 97c regions are set）Can be 0.5mm, or now auxiliary 90c minimum thickness（Protuberance 97c regions are not set）Can be 0.5mm, certainly, auxiliary 90c is alternatively other thickness, specifically can be depending on actual conditions.
It is the auxiliary chip architecture schematic diagram of fourth embodiment of the invention as shown in Fig. 7 a and Fig. 7 b, the present embodiment is similar with 3rd embodiment, and mutually isostructural effect is also identical, will not be repeated here.
The present embodiment and the difference of above-mentioned 3rd embodiment are：At least part protuberance 97d on auxiliary 90d is directed at the nail pin arrangement of the suturing nail, here, so that the protuberance 97d ' of convex dot shape is directed at two nail pin arrangements as an example.
In the present embodiment, still so that auxiliary 90d is located at the distal end end of nail bin 41 as an example, after suturing nail is molded at nail forming part 91d, the one side close to nail pin is defined as first surface 95d, and the one side away from nail pin is defined as second surface 96d.
Join Fig. 7 a and 7b, some protuberance 97d being spaced apart are formed at first surface 95d in the present embodiment, strip protuberance 97d is located at the middle part for determining forming part 91d, the protuberance 97d ' of convex dot shape is positioned at nail forming part 91d both ends, when suturing nail nail pin pierces through nail forming part 91d, two nail pins of each suturing nail just pierce through the protuberance 97d ' of convex dot shape.
Being so designed that is advantageous in that：（1）Because nail pin is the position of essence puncture foreskin, compared to other regions, the bleeding situation at this can be relatively serious, increases the thickness at this by the protuberance 97d ' of convex dot shape, can effectively improve the haemostatic effect at this；（2）Due to still having gap between crown and first surface 95d, if support is not present in the bending part of crown and nail pin, the suturing nail structural instability in forming process can then be caused, influence molding effect, so as to influence follow-up whole haemostatic effect, support is provided for the bending part using the protuberance 97d ' of convex dot shape in the present embodiment, can effectively be solved the above problems.
It should be noted that the thickness of the protuberance 97d ' of convex dot shape thickness and strip protuberance 97d can be set to difference, but it is not limited.
In above-mentioned 3rd embodiment and fourth embodiment, protuberance 97c, 97d shape are not limited with described above, can be according to actual conditions depending on.
It is the first embodiment structural representation of glans penis seat 20 of the present invention and anvil assembly 45 as shown in Fig. 8 a to Fig. 8 d.
The anvil assembly 45 is located at the near-end of glans penis chamber 21, and the near-end of glans penis chamber 21 has an annular groove 23, and knife anvil 452 is spacing in annular groove 23, and nail anvil 451 is located at the proximal face of annular groove 23, and nail anvil 451 is set around knife anvil 452.In addition, the periphery of nail anvil 451 can be formed with some buckles（Do not indicate）, nail anvil 451 interfixed by buckle and glans penis seat 20 and/or knife anvil 452.
In the present embodiment, as shown in figure 8d, the anvil assembly 45 includes knife anvil 452 and nail anvil 451, the knife anvil 452 includes a stress surface 4521 and the depressed part 4522 opened up away from the stress surface, the knife anvil 452 also includes the first knife anvil 4523 positioned at the depressed part 4522 close to the side of nail anvil 451, in in the axial direction of the anastomat for circumcision, there is overlapping region between the first knife anvil 4523 and the nail anvil 451.
Here, knife anvil 452 is made up of rigid material, using with depressed part 4522（That is "Ji" type knife anvil）Hard knife anvil 452 replace conventional art in rubber tapping knife anvil, being so designed that is advantageous in that：（1）It is the contact between rigid material and rigid material between endless knife 44 and knife anvil 452, cutting process endless knife 44 will not be absorbed in knife anvil 452；（2）The region of stress surface 4521 corresponding to the depressed part 4522 is cutting thin-walled 4524, and cutting thin-walled 4524 is relatively thin compared to other regions and is easily cut off, and now, corresponding foreskin necessarily can be also cut off, and ensure cutting effect；（3）Had during cut-out it is loud and clear, so as to give the preferable sound feedback of medical personnel.
In addition, can form lip after the completion of cutting suture at foreskin, lip is defined as suturing nail to the distance of cut edge, because the healing of foreskin cutting wound is naturally downright bad by the tissue at lip, lip is narrower, and healing efficiency is higher, and postoperative previous anastomotic is more attractive in appearance.Therefore, narrower lip means preferable surgical effect.
In the present embodiment, there is overlapping region between the first knife anvil 4523 and the nail anvil 451, so that nail anvil 451 is positioned as close to cutting thin-walled 4524 region, the spacing between the cut point of endless knife 44 and suturing nail stitch points can be reduced as far as possible, so as to reduce lip as far as possible.
In the present embodiment, the first knife anvil 4523 has resigning portion 4525, the nail anvil 451 has the extension 4511 being mutually matched with the resigning portion 4525, and the nail anvil 451 that is designed as of resigning portion 4525 provides space towards the cutting extension of thin-walled 4524, and does not influence the intensity of nail anvil 451.
Specifically, as shown in figure 8d, formed with the first inclined-plane 4526 in the resigning portion 4525, formed with the second inclined-plane 4512 on the extension 4511, when the knife anvil 452 does not stress, first inclined-plane 4526 contacts with each other with second inclined-plane 4512.
In the present embodiment, in the axial direction of the anastomat for circumcision, there is overlapping region between the nail anvil 451 and the depressed part 4522（It is not shown）, that is to say, that now the extension 4511 of nail anvil 451 extends to the upper area of depressed part 4522.
So, when endless knife 44 is towards cutting 4524 convergence of thin-walled, the end face 4513 of extension 4511 can make endless knife 44 be stabilized to Dutch and cut thin-walled 4524 as the spigot surface of endless knife 44, avoid endless knife 44 from being shifted during traveling and fail to cut cutting thin-walled 4524 well.Preferably, end face 4513 is set perpendicular to the stress surface 4521 of knife anvil 452.Here, in order to be further ensured that endless knife 44 can cut to cutting thin-walled 4524, the region of depressed part 4522 can suitably be expanded.
In the present embodiment, the knife anvil 452 also includes the second knife anvil 4527, the second knife anvil 4527 is located at the side that the depressed part 4522 deviates from the first knife anvil 4523, in order to obtain small lip, depressed part 4522 is set close proximity at the first knife anvil 4523, in this way, the intensity of the second knife anvil 4527 is more than the intensity of the first knife anvil 4523.
Specifically, ginseng Fig. 8 d, along the direction at 452 centrally directed edge of knife anvil, the Breadth Maximum of the second knife anvil 4527 is more than the Breadth Maximum of the first knife anvil 4523.
In the present embodiment, when cutting 4524 stress of thin-walled, cutting thin-walled 4524 drives the first knife anvil 4523 of both sides and the second knife anvil 4527 to be tilted to collapse to the direction of depressed part 4522.
The first knife anvil 4523 includes movable part 4528 and fixed part 4529, the movable part 4528 is connected with the cutting thin-walled 4524, the fixed part 4529 is connected with the movable part 4528, when the first knife anvil 4527 tilts to collapse to depressed part 4522, specifically described movable part 4528 towards the depressed part 4522 collapse when, the fixed part 4529 is used to limit the movable part 4528 and collapse towards the depressed part 4522.
Here, as shown in figure 8d, the region that first knife anvil 4527 has the top of resigning portion 4525 narrower is defined as movable part 4528, the wider region in bottom is defined as fixed part 4529, the width of fixed part 4529 is larger, stability is preferable, can effectively limit movable part 4528 and excessively be tilted to collapse to depressed part 4522.
It is appreciated that in the present embodiment, can also be collapsed by other fixed structures to limit movable part 4528 towards depressed part 4522, either, extra fixed structure is further added by the basis of fixed part 4529 and is collapsed to limit braking parts 4528 towards depressed part 4522.
It is the second embodiment structural representation of glans penis seat of the present invention and anvil assembly as shown in Fig. 9 a to Fig. 9 e.The present embodiment is similar with first embodiment, and mutually isostructural effect is also identical, will not be repeated here.
In the present embodiment, knife anvil 452a near-end is correspondingly arranged on fixing port 4514a formed with fixed feet 4530a, nail anvil 451a, by fixed feet 4530a and fixing port 4514a cooperation, realizes interfixing for knife anvil 452a and nail anvil 451a.
Knife anvil 452a the first knife anvil 4523a near-end and distal end form near-end stage portion S1 and distal end stage portion S2 respectively.
Formed with resigning portion 4525a at near-end stage portion S1, it cooperates with the extension 4511a at nail anvil 451a.
Formed with an at least fixed block 4528a at the stage portion S2 of distal end, here by taking two symmetrical fixed block 4528a as an example, formed with the fixing groove 201a to be cooperated with fixed block 4528a at the glans penis seat 20a, by fixed block 4528a and fixing groove 201a cooperation, interfixing for knife anvil 452a and glans penis seat 20a is realized.
It should be noted that fixed block 4528a can be integrally formed with the first knife anvil 4523a.
In the present embodiment, when the cutting thin-walled 4524a stress, the first knife anvil 4523a has the trend collapsed towards the depressed part 4522a, now, by fixed block 4528a and fixing groove 201a mating reaction, the first knife anvil 4523a can be limited and collapsed towards the depressed part 4522a.It is of course also possible to limit collapsing for the first knife anvil 4523a by other fixed structures.
As shown in Figure 10, it is glans penis seat of the present invention and the 3rd embodiment structural representation of anvil assembly.The present embodiment is similar with second embodiment, and mutually isostructural effect is also identical, will not be repeated here.
The difference of the present embodiment and second embodiment is：The present embodiment is also formed with the first buckle 4529a at fixed block 4528a, accordingly, the second buckle 202a is also formed with fixing groove 201a, pass through the first buckle 4529a and the second buckle 202a cooperation, the first knife anvil 4523a positioning can be further aided in, prevents the first knife anvil 4523a from being collapsed in cutting process.
Here, for the ease of knife anvil 452a and glans penis seat 20a assembling, fluting 4530a is additionally provided with the first buckle 4529a.
As shown in Figure 11 to Figure 15, for the structural representation of the glans penis seat 20 of an embodiment of the present invention, anvil assembly 45, nail bin 41 and nail barrel 42.
In the present embodiment, the glans penis seat 20 includes the ring-shaped edge 23 set around the glans penis chamber 21 opening, side of the ring-shaped edge 23 away from the glans penis chamber 21 is formed with a cell body 24 for accommodating frenulum, direction extension of the cell body 24 along the anastomat for circumcision near-end towards distal end.In surgical procedure, frenulum is located in cell body 24.
In the present embodiment, as shown in figure 11, the ring-shaped edge 23 includes the ring-shaped edge body 231 being connected with each other and the extension 232 positioned at the near-end of ring-shaped edge body 231（Dotted line is distinguished）, the cell body 24 extends to the near-end of the extension 232 by the opening of glans penis chamber 21.
Being so designed that is advantageous in that：In the anastomat for circumcision near-end towards on the direction of distal end, extension 232 is added so that the distance of the most proximal end of the extension 232 to the proximal face of nail anvil 451 is more than the near-end of ring-shaped edge body 231 to the distance of proximal face.In addition, the structure that can be formed in one between extension 232 and ring-shaped edge body 231.
In the present embodiment, the extension 232 is symmetrical along its center line, bearing of trend extension of the center line along the cell body 24, the width of bearing of trend of the extension 232 along the cell body 24 is gradual change width, and the width reaches maximum at the midline position, the cell body 24 is located at the midline.
That is, along the circumferential direction, the variation tendency of " minimum value-gradual increase-maximum-is gradually reduced-minimum value " is presented by one end to the other end for the width of extension 232, and the width of extension 232 reaches maximum in its midline, and cell body 24 is arranged at midline position, to cause the width of cell body 24 to reach maximum, in this way, the reservation length of frenulum can be increased as far as possible.
In the present embodiment, the proximal face of the extension 232 is arc, is seamlessly transitted between the proximal face of the extension 232 and the proximal face of the ring-shaped edge body 231.
In addition, the proximal face of the extension 232 is located at the near-end of the proximal face of nail anvil 451, the extension 232 is also to seamlessly transit between the medial surface 2321 of the glans penis chamber 21 and the proximal face of the nail anvil 451.
Above-mentioned curved end and seamlessly transit design and be advantageous in that：Due to there is provided extension 232, influencing whether the shape of foreskin cut place, can effectively adjust cutting profile by curved end and the design seamlessly transitted so that postoperative more attractive.
In the present embodiment, because the proximal face of the extension 232 is located at the near-end of the proximal face of nail anvil 451, a receiving space S is formed between extension 232 and nail anvil 451.
During operation, after glans penis is put into glans penis chamber 21, foreskin can envelope the ring-shaped edge 23 of glans penis seat 20, and now the distal end of foreskin is in free state.
When turn knob 50 makes glans penis seat 20 be moved close to the casing 10, between anvil assembly 45 and nail bin 41 gradually close to each other, foreskin can be progressed into due to the slip of its own and be adjacent to the receiving space S foreskin.
When reach can firing position when, adjustment frenulum enters cell body 24, frenulum is to be turned down in the midline where the cell body 24, and the length now retained at frenulum is similar to 2 times of the width of cell body 24, is far longer than the length that the foreskin at ring-shaped edge body 231 is retained.
Certainly, because extension 232 is from cell body 24（That is midline）Seamlessly transitted to both sides, therefore, along the axial direction of the anastomat for circumcision, foreskin is also 2 times of the approximation of the width of corresponding position in the length that 232 each opening position of extension retains, and is also what is seamlessly transitted；In this way, can avoid causing the foreskin on frenulum periphery to retain excessively due to frenulum to be protected, so that art mouth is more attractive, meet disease Man's Demands.
Here, it is necessary to which explanation, the receiving space S are substantially the ring-shaped edge 23, the nail anvil 451, the knife anvil 452 and the glans penis seat 20 and enclose the hemi-closure space being set as, and close to the position of ring-shaped edge 23, the receiving space S-phase is to larger.So, as long as the width of cell body 24 reasonable in design, can realize in operation to the automatic protection of frenulum, deliberately artificially go to pay close attention to the state of frenulum without doctor, avoid crossing frenulum cut and caused by operation risk.
In the present embodiment, as shown in figure 15, formed with an elongated slot 421 at the lateral surface of the nail barrel 42, bearing of trend extension of the elongated slot 421 along the cell body 24, when glans penis seat 20 is assembled at casing 10, pass through the contraposition of elongated slot 421 and cell body 24, it can be determined that whether glans penis seat 20 assembles in place.
In the present embodiment, the outer wall of the nail bin 41 includes exposing the overhang 412 of the nail barrel 42, the scheme in nail barrel 42 is contained in completely compared to nail bin 41, present embodiment can effectively increase the spacing between the distal end end face of nail barrel 42 and the proximal face of ring edge 23, particularly in the case where the ring edge 23 of present embodiment has extension 232, above-mentioned increased spacing can avoid in closing course between the distal end end face of nail barrel 42 and the proximal face of ring edge 23 collision or spacing it is too small and caused by foreskin be not easily accessible receiving space S.
In addition, side tapered structure of the overhang 412 close to the nail barrel 42, and the external diameter of the overhang 412 is by distal-to-proximal gradually increase, the design of pyramidal structure, on the one hand, the bulk strength of nail bin 41 can be increased while spacing between the distal end end face for not influenceing nail barrel 42 and the proximal face of ring edge 23, on the other hand, it can be realized and fixed by pyramidal structure and nail barrel 42, further enhance the bulk strength of nail bin 41.
It should be understood that, although the present specification is described in terms of embodiments, but not each embodiment only includes an independent technical scheme, this narrating mode of specification is only for clarity, the skilled in the art should refer to the specification as a whole, technical scheme in each embodiment may also be suitably combined to form that other embodiments which can be understood by those skilled in the art.
Those listed above is a series of to describe illustrating only for feasibility embodiment of the invention in detail; they simultaneously are not used to limit the scope of the invention, and all equivalent implementations made without departing from skill spirit of the present invention or change should be included in the scope of the protection.
Claims (10)
- It is 1. a kind of auxiliary, for anastomat for circumcision, described auxiliary is used cooperatively with suturing nail, it is characterized in that described auxiliary includes some nail forming parts and some connecting portions, the nail forming part is used to puncture suturing nail, and the connecting portion is between the adjacent nail forming part, some nail forming parts are enclosed with some connecting portions is set as hollow annular structure, wherein, along the direction at hollow annular structure center to edge, the elastic force of the connecting portion is more than the elastic force of the nail forming part.
- 2. auxiliary according to claim 1, it is characterised in that described auxiliary includes inner annular edge and outer shroud edge, the inner annular edge and/or outer shroud edge undulate.
- 3. auxiliary according to claim 1, it is characterised in that formed with opening on the connecting portion.
- 4. auxiliary according to claim 1, it is characterised in that punctured along suturing nail on direction, the thickness of at least partly described nail forming part is more than the thickness of the connecting portion.
- 5. auxiliary according to claim 4, it is characterised in that punctured along suturing nail along direction, described auxiliary includes first surface and second surface, is protruded out at least one of the first surface and the second surface formed with some protuberances being spaced apart.
- 6. auxiliary according to claim 5, it is characterised in that at least partly described protuberance is directed at the nail pin arrangement of the suturing nail.
- It is 7. a kind of auxiliary, for anastomat for circumcision, described auxiliary is used cooperatively with suturing nail, it is characterized in that described auxiliary includes some nail forming parts and some connecting portions, the nail forming part is used to puncture suturing nail, the connecting portion is between the adjacent nail forming part, some nail forming parts are enclosed with some connecting portions is set as hollow annular structure, formed with opening on the connecting portion, when the auxiliary stress, the described auxiliary direction along hollow annular structure center to the edge deforms upon, and the deflection of the connecting portion is more than the deflection of the nail forming part.
- A kind of 8. nail bin groupware, for anastomat for circumcision, the nail bin groupware includes nail bin and nail anvil, nail bin end face is oppositely arranged with nail anvil end face, it is characterized in that the nail bin groupware also includes auxiliary as described in any one in claim 1-7, described auxiliary on the nail bin end face and/or the nail anvil end face.
- 9. nail bin groupware according to claim 8, it is characterised in that be formed through hole, being mutually matched with the through hole formed with projection, the projection on the nail bin end face and/or the nail anvil end face on the connecting portion.
- 10. a kind of anastomat for circumcision, it is characterised in that including nail bin groupware as claimed in claim 8.
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| CN201610521878.9A CN107569276B (en) | 2016-07-05 | 2016-07-05 | Auxiliary sheet, nail bin assembly and circumcision anastomat |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201610521878.9A CN107569276B (en) | 2016-07-05 | 2016-07-05 | Auxiliary sheet, nail bin assembly and circumcision anastomat |
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| CN107569276A true CN107569276A (en) | 2018-01-12 |
| CN107569276B CN107569276B (en) | 2020-06-16 |
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Cited By (1)
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| CN106264680A (en) * | 2016-08-08 | 2017-01-04 | 苏州天臣国际医疗科技有限公司 | Nail bin groupware and anastomat for circumcision |
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