CN107961062A - A kind of pistol type foreskin Endo-GIA - Google Patents
A kind of pistol type foreskin Endo-GIA Download PDFInfo
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- CN107961062A CN107961062A CN201810013927.7A CN201810013927A CN107961062A CN 107961062 A CN107961062 A CN 107961062A CN 201810013927 A CN201810013927 A CN 201810013927A CN 107961062 A CN107961062 A CN 107961062A
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- flexible handle
- glans penis
- pistol type
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/326—Circumcision apparatus
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1132—End-to-end connections
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- Orthopedics, Nursing, And Contraception (AREA)
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Abstract
The present invention relates to a kind of pistol type foreskin Endo-GIA, including pistol type shell, cutting suturing mechanism, pistol type shell includes fixed handle part and flexible handle part, flexible handle part includes flexible handle, tension spring, one end of flexible handle is connected by shaft with fixed handle part, and fixed handle part is equipped with the hand grip portion to match with flexible handle；Cutting suturing mechanism is arranged on fixed handle part；Flexible handle close to hand grip portion direction to when rotating, the pushing slice of nail that flexible handle can promote to cut in suturing mechanism releases the suturing nail straight line in nail bin, and the pushing slice of nail for promoting to cut in suturing mechanism at the same time drives cylindricality band sword cutter to complete Linear Synchronous cutting.The beneficial effects of the invention are as follows：Using monolever carry out straight line percussion, on the one hand can realize one-handed performance so that operation it is more convenient, on the other hand by straight line have an effect principle cut, coincide more precisely, allow operation standardization, it is safe, quick, convenient.
Description
Technical field
The present invention relates to medical instruments field, more particularly to a kind of pistol type foreskin Endo-GIA.
Background technology
As medical science and technology has development and clinical verification, the cutting for suture of peritomizing sutures principle gradually by clinical medicine
Art circle is received, its main cause be traditional type circumcision there are many defects, such as：1st, operating time is longer, and about 30
Minute or so；2nd, intraoperative hemorrhage is more, and the surface of a wound is big, postoperative easily oedema occurs；3rd, need to suture in art；4th, cut off in art in foreskin
The more difficult accurately control of outside plate length；5th, incisxal edge is irregular and frenulum at oedema it is common.And using prepuce cutting stitching instrument come into
Row operation, it has the advantages that cutting, one step of suture are completed, and this method has operation fast, and bleeding is few, and pain is small a little.
At present, traditional prepuce cutting stitching instrument is fired using double handle, and usual doctor is with the hands or one hand is hit
Handle is sent out, but handle posture in any case, the handle for being all difficult to make to be distributed in device body both sides are synchronized propulsion, i.e., always have one
Side handle promotes in advance, and the offset of push rod gravity, ultimately results in the offset of ring cutting blade axle centre, cause to fail to cut through line, it is necessary to doctor
Scalpel is reused to carry out mending knife cutting completion.
The content of the invention
In view of the above-mentioned problems, the present invention provides a kind of energy one-handed performance, straight line percussion, stress is steady, and cutting, coincide more
Accurately pistol type foreskin Endo-GIA.
The technical solution that the present invention solves above-mentioned technical problem is as follows：A kind of pistol type foreskin Endo-GIA, including hand
Gun-type shell, cutting suturing mechanism, pistol type shell include fixed handle part and flexible handle part, flexible handle part bag
Flexible handle, tension spring are included, one end of flexible handle is connected by shaft with fixed handle part, one end of tension spring and movable hand
Handle is connected, and the other end of tension spring is connected with fixed handle part, and fixed handle part is equipped with to match with flexible handle
Hand grip portion；Cutting suturing mechanism is arranged on fixed handle part；Flexible handle is lived to when being rotated close to hand grip portion direction
The pushing slice of nail that fixed handle can promote to cut in suturing mechanism releases the suturing nail straight line in nail bin, and promotes cutting to stitch at the same time
Closing the pushing slice of nail in mechanism drives cylindricality band sword cutter to complete Linear Synchronous cutting.
The beneficial effects of the invention are as follows：Foreskin Endo-GIA is in integrally pistol-type structure, and is carried out directly using monolever
Line fires, and on the one hand can realize one-handed performance so that operation is more convenient, is on the other hand cut by straight line principle of having an effect
Cut, coincide more precisely, stress is also more steady, allows operation to standardize, safe, quick, convenient, good appearance, patient satisfaction
It is high.
Based on the above technical solutions, the present invention can also be improved as follows.
Further, suturing mechanism is cut to cut including nail storehouse sleeve, pushing slice of nail, glans penis cover, adjusting knob, nail bin, cylindricality band sword
Cutter, resist-nailed seat, knife washer, sprue and resetting spring；
The left end of nail storehouse sleeve is openend, and the right end of nail storehouse sleeve is narrow to shorten a tubular junction, connecting portion and fixed handle into
Part is connected, and in the openend of nail storehouse sleeve, the right end of pushing slice of nail is narrow to shorten a tubulose plug division into for pushing slice of nail socket, inserts
The right end of socket part runs through connecting portion；
Sprue is connected with the right end of plug division, and the left end of sprue is extend into connecting portion, and resetting spring is sleeved on grafting
In portion, and resetting spring is between plug division and connecting portion, and the left end of resetting spring is contradicted on the narrow place of pushing slice of nail, multiple
The right end of position spring is contradicted on the left side of sprue,
The left end of pushing slice of nail is openend, and the openend of pushing slice of nail is equipped with some tooth pushings, and nail bin is installed on opening for nail storehouse sleeve
On the inner wall of mouthful end, and with tooth pushing corresponding matching；
Adjusting knob is installed on the one end of fixed handle partially away from nail storehouse sleeve, and adjusting knob can carry out axial rotation；
Glans penis cover back is provided with connecting rod, and connecting rod is stretched into pushing slice of nail, and is stretched to after passing through plug division in adjusting knob, connects
Bar end is threadedly coupled with adjusting knob；
Resist-nailed seat is used cooperatively installed in glans penis cover on the end face of nail storehouse sleeve, and with nail bin and tooth pushing；
Cylindricality band sword cutter are set in pushing slice of nail, and cutter head of the cylindricality with sword cutter is close to the opening of pushing slice of nail
End, knife washer are used cooperatively installed in glans penis cover on the end face of nail storehouse sleeve, and with cutter head of the cylindricality with sword cutter, pad knife
Circle is fixed together with resist-nailed seat；One end that flexible handle is located in fixed handle part is in contact with the right end of sprue.
Further had the beneficial effect that using above-mentioned：Cylindricality band sword cutter and suturing nail can be made almost to simultaneously advance, from
And cut off long foreskin and will realize myometrial suture in suturing nail stitching to foreskin, the impetus of the structure is uniformly dispersed, column
Axle center of the shape with sword cutter will not shift, and can allow operation one-pass molding, it is automatic it is identical, painless, wound is small, suture ring cutting
Perfection, infection risk reduce, and the time is short；Fire laborsaving, spacing cutting is accurate, is greatly reduced in art, the spy such as postoperative hemorrhage probability
Point, in addition, pushing slice of nail can automatically reset upon completing the procedure so that operation is safer.
Further, the left side of nail bin is equipped with annular groove, and the falope ring to match with suturing nail is provided with annular groove.
Further had the beneficial effect that using above-mentioned：In cutting, sewing process, falope ring will be sewn to one with foreskin
Rise, can not only so strengthen the tensile energy of local organization, and can also prevent the situations such as tissue oozing of blood, oedema from occurring, without simultaneously
Send out disease, automatic de- nail, without suture so that post-operative recovery is fast.
Further, the notch to match with suturing nail is equipped with the left side of each tooth pushing.
Further had the beneficial effect that using above-mentioned：It can ensure stability of the suturing nail in push.
Further, guide frame is equipped between glans penis cover and plug division, guide frame includes guiding rib and and guiding rib
The guide groove to match, guiding rib are arranged on glans penis cover, and guiding rib is arranged along glans penis cover axis direction, and guide groove is arranged on
On plug division, and guide groove is arranged along plug division axis direction.
Further, the quantity of set guiding rib is 8-11 bars on glans penis cover, all guiding ribs it is rounded be distributed in glans penis
On cover, and the angle between two neighboring guiding rib is equal, the distributing position of each guiding rib and each nail on resist-nailed seat right side
Groove corresponding matching, the quantity of guide groove are identical with the quantity of guiding rib.
Further, there is length of the length more than other guiding ribs of a guiding rib in all guiding ribs, and length is most long
Distance of the right end of guiding rib away from glans penis cover right side be less than distance of the right end of other guiding ribs away from glans penis cover right side.
Further had the beneficial effect that using above-mentioned：On the one hand it can ensure that adjusting knob tightens glans penis cover, the opposing party
Face can realize low-angle contraposition assembling quickly before glans penis cover and adjusting knob are attached, and shorten contraposition assembling institute
Take time.
Further, the part that flexible handle is in contact with the right side of sprue is in arc-shaped；Flexible handle is to close to hand
When holding portion direction and rotating, be in contact all the time with the right side of sprue in the part of arc-shaped on flexible handle, and flexible handle with
The distance for pivot of the point away from flexible handle that sprue is in contact gradually increases.
Further had the beneficial effect that using above-mentioned：It can effectively ensure that cylindricality band sword cutter smooth motion, ensure
The accurate and cut quality of cutting is stablized.
Further, flexible handle is equipped with the part of arc-shaped and crosses groove through flexible handle for connecting rod.
Further had the beneficial effect that using above-mentioned：The use of glans penis cover can not be influenced, and make it that cutting, suture are more smart
It is accurate.
Further, the left side of knife washer is equipped with the hollow groove of annular, which is blind slot.
Further had the beneficial effect that using above-mentioned：In use, cutter head of the cylindricality with sword cutter can cut through pad knife rapidly
Circle, so as to produce " " the sound and obvious hand weightless sense, tell that tissue has been cut through doctor, can so control operation to cut
The depth cut, avoid the occurrence of cutting it is too deep, make cylindricality band sword cutter be deeply absorbed in and can not extract, cause operation to fall flat
Risk.
Brief description of the drawings
Fig. 1 is the structure diagram of pistol type foreskin Endo-GIA of the present invention；
Fig. 2 is that pistol type foreskin Endo-GIA of the present invention removes the stereogram after part-structure；
Fig. 3 is the sectional view of Fig. 1；
Fig. 4 is the partial enlarged view of Fig. 3；
Fig. 5 is enlarged drawing at the A of Fig. 4；
Fig. 6 is enlarged drawing at the B of Fig. 4；
Fig. 7 is cutting suturing mechanism structure diagram；
Fig. 8 is that Fig. 7 removes the structure diagram after part-structure
Fig. 9 is the sectional view of Fig. 7；
Figure 10 is the structure diagram of imitative bullet shell；
Figure 11 is the structure diagram of flexible handle；
Figure 12 is the structure diagram of glans penis cover；
Figure 13 is the structure diagram of safety block.
In attached drawing, parts list represented by the reference numerals is as follows：
1st, pistol type shell, 110, fixed handle part, 111, hand grip portion, 112, installing port, 113, snap-gauge, 114, imitative rifle
Sub- shell, 1141, pedestal, 1142, mounting hole, 120, flexible handle part, 121, flexible handle, 1211, cross groove, 122, tension spring,
123rd, safety block, 124, shaft, 2, cutting suturing mechanism, 210, nail storehouse sleeve, 211, card slot, 212, connecting portion, 220, pushing slice of nail,
221st, plug division, 2211, guide groove, 222, tooth pushing, 230, glans penis cover, 231, connecting rod, 232, guiding rib, 240, adjust rotation
Button, 250, nail bin, 251, annular groove, 260, cylindricality band sword cutter, 270, resist-nailed seat, 280, knife washer, 290, sprue, 300,
Resetting spring, 310, falope ring, 320, protection cap.
Embodiment
The principle and features of the present invention will be described below with reference to the accompanying drawings, and the given examples are served only to explain the present invention, and
It is non-to be used to limit the scope of the present invention.
As shown in Figure 1, Figure 2, Figure 3 shows, a kind of pistol type foreskin Endo-GIA, including pistol type shell 1, cutting sewing machine
Structure 2, pistol type shell 1 include fixed handle part 110 and flexible handle part 120, wherein, flexible handle part 120 includes
Flexible handle 121, tension spring 122, flexible handle 121 are equipped with the second anti-skid chequer, and the upper end of flexible handle 121 by shaft and is consolidated
Determine handle portion 110 to be connected, such flexible handle 121 can be carried out using shaft as pivot around fixed handle part 110
Rotate.One end of tension spring 122 hooks the upper end of flexible handle 121, and the other end of tension spring 122 hooks fixed handle part 110, Gu
Determine handle portion 110 and be equipped with the hand grip portion 111 with the first anti-skid chequer.Cutting suturing mechanism 2 is arranged on fixed handle part
On 110.When firmly by flexible handle 121 to when being rotated close to 111 direction of hand grip portion, flexible handle 121 can promote cutting to suture
Pushing slice of nail 220 in mechanism 2 releases the suturing nail straight line in nail bin 250, completes suture, and flexible handle 121 is to close
When 111 direction of hand grip portion rotates, moreover it is possible to promote to cut the pushing slice of nail 220 in suturing mechanism 2 and drive cylindricality band sword cutter 260 complete
Be in line synchronous cutting.
As shown in Fig. 3, Fig. 4, Fig. 5, Fig. 6, Fig. 7, Fig. 8, Fig. 9, Figure 10, Figure 11, cutting suturing mechanism 2 includes nail storehouse sleeve
210th, pushing slice of nail 220, glans penis cover 230, adjusting knob 240, nail bin 250, cylindricality band sword cutter 260, resist-nailed seat 270, pad knife
Circle 280, sprue 290, resetting spring 300, protection cap 320 and falope ring 310.
Wherein, 210 cylindrical structure of nail storehouse sleeve, the left end of nail storehouse sleeve 210 is openend, i.e., is equipped with nail storehouse sleeve 210
One cavity, and the cavity runs through the left side of nail storehouse sleeve 210, the right end of nail storehouse sleeve 210 is narrow to shorten a tubular junction 212 into,
Connecting portion 212 is connected with fixed handle part 110, and the socket of pushing slice of nail 220 is in the openend of nail storehouse sleeve 210, ejector pin
The right end of piece 220 is narrow to shorten a tubulose plug division 221 into, and the right end of plug division 221 runs through connecting portion 212, and the part company of reaching
Outside socket part 212, connecting portion 212 is equipped with the via passed through for plug division 221, the left end of the via and the sky of nail storehouse sleeve 210
Chamber is connected, and the right end of the via runs through the right side of connecting portion 212, in addition, the axial line of the axial line of the via and cavity
Collinearly.Sprue 290 is in cylindrical shape, and the left end of sprue 290 is connected with the right end of plug division 221, sprue 290 and plug division
It is connected between 221 by two pins, after the left end of sprue 290 is connected with the right end of plug division 221, sprue 290
Left end has part to extend into via.
Resetting spring 300 is sleeved on the excircle of plug division 221, and resetting spring 300 is in plug division 221 and connecting portion
Between 212, i.e., resetting spring 300 is between the outer circumference surface of plug division 221 and the inner wall of the via on connecting portion 212, multiple
The left end of position spring 300 is contradicted on the narrow place of pushing slice of nail 220, and the right end of resetting spring 300 contradicts the left end in sprue 290
On face, at this time, under the action of resetting spring 300, the narrow place of pushing slice of nail 220 is pressed against the narrow place of nail storehouse sleeve 210, resets bullet
Spring 300 is in compressive state.
The left end of pushing slice of nail 220 is openend, and the openend of pushing slice of nail 220 is equipped with some tooth pushings 222, pushing slice of nail 220
222 rounded distribution of all tooth pushings set by left end, nail bin 250 is installed on the openend inner wall of nail storehouse sleeve 210, and and tooth pushing
222 corresponding matchings, it is specifically referred to：When pushing slice of nail 220 is moved to the left, the tooth pushing 222 on pushing slice of nail 220 can be by nail bin 250
Suturing nail release to the left.Adjusting knob 240 is installed on the one end of fixed handle part 110 away from nail storehouse sleeve 210, and adjusts rotation
Button 240 can carry out axial rotation.The back (right end) of glans penis cover 230 is provided with connecting rod 231, and the right end of connecting rod 231 stretches into
Into pushing slice of nail 220, and stretched to after passing through plug division 221 in adjusting knob 240,231 end of connecting rod and adjusting knob 240
It is threadedly coupled.
Resist-nailed seat 270 is matched somebody with somebody installed in glans penis cover 230 on the end face of nail storehouse sleeve 210, and with nail bin 250 and tooth pushing 222
Close use, in particular to：After the suturing nail in nail bin 250 is failed to agree release by tooth pushing 222, suturing nail can be in resist-nailed seat 270
Effect is lower to be stitched together with foreskin.
Cylindricality band sword cutter 260 are set in pushing slice of nail 220, and cutter head of the cylindricality with sword cutter 260 is close to ejector pin
The openend of piece 220, cylindricality are connected with sword cutter 260 with the inner wall of pushing slice of nail 220, and cylindricality band sword cutter 260 are installed
After in pushing slice of nail 220, cylindricality is more than each tooth pushing 222 with distance value of 260 left side of sword cutter away from 220 left side of pushing slice of nail
Distance value of the left side away from 220 left side of pushing slice of nail.
Knife washer 280 is sleeved on glans penis cover 230 on the end face of nail storehouse sleeve 210, and with cylindricality with sword cutter 260
Cutter head is used cooperatively, and knife washer 280 is fixed together with resist-nailed seat 270.Flexible handle 121 is located in fixed handle part 110
One end be in contact with the right end of sprue 290.
The left side of nail bin 250 is equipped with annular groove 251, is provided with what is matched with suturing nail in the annular groove 251
Falope ring 310, the internal diameter of falope ring 310 is more than or equal to outside diameter of the cylindricality with sword cutter 260, when tooth pushing 222 is by nail bin 250
Suturing nail fail to agree release after, suturing nail punctures falope ring 310 first, and falope ring 310 is stitched together with foreskin, silica gel
The main function of ring 310 is the tensile energy for strengthening local organization, prevents the situations such as tissue oozing of blood from occurring.Protection cap 320 is covered with
The openend of nail storehouse sleeve 210, in foreskin Endo-GIA in use, protection cap 320 needs to remove.
As shown in figure 5, the left side of knife washer 10 is equipped with the hollow groove of annular, which is blind slot, in use, column
Cutter head of the shape with sword cutter 260 can cut through knife washer 18 rapidly, so as to produce " " the sound and obvious hand weightless sense, tell
Doctor's tissue has been cut through.
As shown in figure 5, being equipped with the notch to match with suturing nail on the left side of each tooth pushing 222, can so protect
Demonstrate,prove stability of the suturing nail in push.
As shown in Fig. 6, Figure 12, guide frame is equipped between glans penis cover 230 and plug division 221, guide frame includes being oriented to
Muscle 232 and the guide groove 2211 to match with guiding rib 232, guiding rib 232 are arranged on glans penis cover 230, and guiding rib 232
Arrange that guide groove 2211 is arranged on plug division 221 along 230 axis direction of glans penis cover, and guide groove 2211 is along 221 axis of plug division
Line direction arranges that the quantity of set guiding rib 232 is 8 to 11 on glans penis cover 230, the rounded distribution of all guiding ribs 232
On glans penis cover 230, and the angle between two neighboring guiding rib 232 is equal, the distributing position and resist-nailed seat of each guiding rib 232
Each nail groove corresponding matching on 270 right sides, the quantity of guide groove 2211 are identical with the quantity of guiding rib 232.
In the present embodiment, the quantity of set guiding rib 232 is preferably 9 on glans penis cover 230,9 232 isogonisms of guiding rib
Degree difference, in addition, when the quantity of set guiding rib 232 on glans penis cover 230 is preferably 9, the quantity of tooth pushing 222 is corresponding to be
18, the mounting hole for being used on nail bin 250 install suturing nail is also 18, and the quantity of the nail groove on resist-nailed seat 270 is 18, institute
Having has length of the length of a guiding rib 232 more than other guiding ribs 232 in guiding rib 232, and the longest guiding rib of length
Distance of 232 right end away from 230 right side of glans penis cover be less than other guiding ribs 232 right end away from 230 right side of glans penis cover away from
From when in use, it is necessary to first be held together glans penis cover 230 with foreskin, then again by glans penis cover 230 and the tune of Endo-GIA
Section knob 240 is attached, and is tightened glans penis cover 230 by adjusting knob 240, and guiding rib 232 is carried out using the above situation
Set, so before glans penis cover 230 and adjusting knob 240 are attached, can realize low-angle contraposition assembling quickly, shorten
Contraposition assembling is taken time, while doctor need not just find its suitable position to perform the operation after multiple exchanging position, more added with
It is precisely accomplished beneficial to operation, in addition, also ensuring the stability of straight line percussion, and ensures the stationarity of stress.
As shown in Fig. 3, Figure 11, the part that flexible handle 121 is in contact with the right side of sprue 290 is in arc-shaped, activity
Handle 121 to when being rotated close to 111 direction of hand grip portion, on flexible handle 121 in arc-shaped part all the time with sprue 290
Right side is in contact, and the distance of pivot of the point away from flexible handle 121 that is in contact with sprue 290 of flexible handle 121 by
It is cumulative big, in this way, can effectively ensure that 260 smooth motion of cylindricality band sword cutter, ensure the accurate of cutting and cutting
Stable quality.
As shown in Fig. 3, Figure 11, flexible handle 121 is equipped with the part of arc-shaped and passes through flexible handle for connecting rod 231
121 cross groove 1211, can not so influence the use of glans penis cover 230, and cutting suturing mechanism 2 is axially symmetric structure, movable hand
The plane of symmetry of handle 121 and the plane of symmetry for crossing groove 1211 are coplanar, in addition, pair of the plane of symmetry of cutting suturing mechanism 2 with crossing groove 1211
Title face is coplanar, and so when using flexible handle 121 to fire, it is symmetrical for can guarantee that the power being applied on sprue 290, so that
So that cut, is identical more accurate.
As shown in Fig. 2, the side wall of fixed handle part 110 is equipped with the installing port 112 to match with flexible handle 121,
The lower end of flexible handle 121 is just stretched out from the installing port 112, and installing port 112 is one is flexible handle in order to facilitate the installation of
121, the angle of the rotation of flexible handle 121 on the other hand can also be limited, i.e. flexible handle 121 can be pacified after turning to certain angle
The side wall of dress mouth 112 is stopped.
As shown in Fig. 1, Figure 13, flexible handle part 120 is further included for preventing flexible handle 121 from being moved towards hand grip portion 111
Dynamic safety block 123, safety block 123 is primarily to prevent Endo-GIA when in non-service stage, because maloperation
And fired, wherein, safety block 123 is removably stuck in the installing port between flexible handle 121 and hand grip portion 111
In 112.
As shown in Fig. 3, Fig. 4, Fig. 6, Fig. 9, Figure 10, connecting portion 212 using engaging by the way of with 110 phase of fixed handle part
Connection, in the present embodiment, the outer circumference surface of connecting portion 212 is equipped with multiple card slots 211, the inner cavity of fixed handle part 110
In be equipped with card slot 211 coordinate snap-gauge 113.In the present embodiment, card slot 211 set on connecting portion 212 is annular groove,
And snap-gauge 113 set on fixed handle part 110 is annular slab, connecting portion 212 and fixed handle part 110 in order to prevent
Between relatively rotate, the slot bottom of card slot 211 is equipped with the first rotation stop plane, and snap-gauge 113 is equipped with and the first rotation stop plane
The the second rotation stop plane to match, after connecting portion 212 is assembled with 110 phase of fixed handle part, first on card slot 211
Rotation stop plane just matches with the second rotation stop plane on snap-gauge 113, so that will not between card slot 211 and snap-gauge 113
Relatively rotate.
As shown in Figure 10, fixed handle part 110 includes the identical imitative bullet shell 114 of two structures, two imitative bullet shells
114 snap together so as to be combined into a complete fixed handle part 110 relatively, and flexible handle 121 is arranged on two and imitates
Between bullet shell 114, and flexible handle 121 is rotatablely connected with two imitative bullet shells 114 respectively by shaft, each imitative bullet shell
Pedestal 1141 is equipped with 114, pedestal 1141 is equipped with the mounting hole 1142 to match with shaft 124.
When in use：Glans penis cover 230 is put into foreskin, and makes glans penis that accurately in glans penis cover 230, foreskin be covered
230 surface of glans penis cover is placed on, plane where keeping 230 opening of glans penis cover and plane parallel where coronary sulcus, bridle of prepuce
Place is much more appropriate to be stayed, in order to avoid damage frenulum, slightly pulls foreskin to the connecting rod 231 at 230 back of glans penis cover afterwards, with band or
Foreskin is fixed in connecting rod 231 by silk thread, glans penis cover 230 and the other parts of stapler is assembled so that connecting rod
231 end is threadedly coupled with adjusting knob 240, then rotates clockwise adjusting knob 240, in the effect of adjusting knob 240
It is lower to tighten glans penis cover 230, when the showing rod in adjusting knob 240 end under the action of connecting rod 231 with adjusting knob
When 240 breech face is equal, glans penis cover 230 is represented in place, wherein, showing rod, such side are set in adjusting knob 240
Whether face can quickly understand whether whole stapler is adjusted in place in order to doctor, adjusted by micro-judgment without doctor
In place, so as to reduce operation difficulty, successful surgery completion on the other hand can be also effectively ensured, remove safety block 123, pass through work
Fixed handle 121 fires foreskin Endo-GIA, and flexible handle 121 is unclamped after holding flexible handle 121 with a firm grip on earth and being kept for 5-10 seconds,
In the process, flexible handle 121 is rotated to 111 direction of hand grip portion, and flexible handle 121 promotes sprue 290 to be moved to the left, sprue
What drive pushing slice of nail 220 followed in 290 moving process is moved to the left, and tooth pushing 222 is pushed away the suturing nail in nail bin 250 rapidly
Go out, suturing nail passes through falope ring 310, and falope ring 310 is connected suturing nail and is sewn to together on foreskin, synchronous, and cylindricality band sword is cut
260 cutter head of cutter follows pushing slice of nail 220 to be moved to the left, and foreskin is cut off, and completes whole cutting sewing process；
After turn adjusting knob 240 about exits minimum 5~7mm counterclockwise in next step, by glans penis cover 230 and nail storehouse sleeve 210
Separate.Slowly by foreskin Endo-GIA, together with the foreskin cut, gently rotation is exited under direct-view, is sure not to act excessive too fast and excessive
Bell glans penis cover 230 is rotated, in order to avoid cause notch to tear, in case of a little foreskin is not completely cut through, can slightly be trimmed with scissors；Move
After apparatus, it is immediately available for gauze and wraps art portion, press 5-8 minutes or so the art mouth oozings of blood and postoperative hematoma that can prevent from being extruded
Formed, when cause art mouth does not suture completely accidentally, can take the circumstances into consideration to suture, incisxal edge is again with iodophor disinfection and appropriate pressure dressing, you can complete
Into whole surgical procedure.
Although the embodiment of the present invention has been shown and described above, it is to be understood that above-described embodiment is example
Property, it is impossible to limitation of the present invention is interpreted as, those of ordinary skill in the art within the scope of the invention can be to above-mentioned
Embodiment is changed, changes, replacing and modification.
Claims (10)
- A kind of 1. pistol type foreskin Endo-GIA, it is characterised in that including pistol type shell (1), suturing mechanism (2) is cut, The pistol type shell (1) includes fixed handle part (110) and flexible handle part (120), the flexible handle part (120) flexible handle (121), tension spring (122) are included, one end of the flexible handle (121) passes through shaft and fixed handle portion (110) are divided to be connected, one end of the tension spring (122) is connected with flexible handle (121), the other end of the tension spring (122) It is connected with fixed handle part (110), the fixed handle part (110) is equipped with what is matched with flexible handle (121) Hand grip portion (111)；The cutting suturing mechanism (2) is arranged on fixed handle part (110)；The flexible handle (121) exists To when being rotated close to hand grip portion (111) direction, the flexible handle (121) can promote to cut the pushing slice of nail in suturing mechanism (2) (220) the suturing nail straight line in nail bin (250) is released, completes suture, and promote to cut pushing away in suturing mechanism (2) at the same time Following closely piece (220) drives cylindricality band sword cutter (260) to complete Linear Synchronous cutting.
- A kind of 2. pistol type foreskin Endo-GIA according to claim 1, it is characterised in that the cutting suturing mechanism (2) include nail storehouse sleeve (210), pushing slice of nail (220), glans penis cover (230), adjusting knob (240), nail bin (250), cylindricality band sword to cut Cutter (260), resist-nailed seat (270), knife washer (280), sprue (290) and resetting spring (300)；The left end of the nail storehouse sleeve (210) is openend, and the right end of the nail storehouse sleeve (210) is narrow to shorten a tubular junction into (212), the connecting portion (212) is connected with the fixed handle part (110), and pushing slice of nail (220) socket is installed on In the openend of nail storehouse sleeve (210), the right end of the pushing slice of nail (220) is narrow to shorten a tubulose plug division (221), the plug division into (221) right end runs through the connecting portion (212)；The sprue (290) is connected with the right end of the plug division (221), and the left end of the sprue (290) extend into company In socket part (212), the resetting spring (300) is sleeved on plug division (221), and the resetting spring (300) is in described insert Between socket part (221) and the connecting portion (212), the left end of the resetting spring (300) contradicts the narrow contracting in pushing slice of nail (220) In place, the right end of the resetting spring (300) is contradicted on the left side of the sprue (290),The left end of the pushing slice of nail (220) is openend, and the openend of the pushing slice of nail (220) is equipped with some tooth pushings (222), institute State nail bin (250) installed in nail storehouse sleeve (210) openend inner wall on, and with the tooth pushing (222) corresponding matching；The adjusting knob (240) is installed on the one end of fixed handle part (110) away from nail storehouse sleeve (210), and the adjusting Knob (240) can carry out axial rotation；Glans penis cover (230) back is provided with connecting rod (231), the connecting rod (231) Stretch into the pushing slice of nail (220), and stretched to after passing through the plug division (221) in the adjusting knob (240), the company Extension bar (231) end is threadedly coupled with the adjusting knob (240)；The resist-nailed seat (270) be installed on glans penis cover (230) close to nail storehouse sleeve (210) end face on, and with the nail bin (250) And tooth pushing (222) is used cooperatively；The cylindricality band sword cutter (260) are set in pushing slice of nail (220), and knife of the cylindricality with sword cutter (260) The openend of the nearly pushing slice of nail of head rest (220), the knife washer (280) are installed on glans penis cover (230) close to the end of nail storehouse sleeve (210) On face, and it is used cooperatively with cutter head of the cylindricality with sword cutter (260), the knife washer (280) is solid with resist-nailed seat (270) It is scheduled on together；The flexible handle (121) is located at one end in fixed handle part (110) and the right end of the sprue (290) It is in contact.
- 3. a kind of pistol type foreskin Endo-GIA according to claim 2, it is characterised in that the nail bin (250) Left side is equipped with annular groove (251), and the falope ring (310) to match with suturing nail is provided with the annular groove (251).
- 4. a kind of pistol type foreskin Endo-GIA according to claim 2, it is characterised in that each tooth pushing (222) The notch to match with suturing nail is equipped with left side.
- A kind of 5. pistol type foreskin Endo-GIA according to claim 2, it is characterised in that the glans penis cover (230) Guide frame is equipped between the plug division (221), the guide frame includes guiding rib (232) and and guiding rib (232) guide groove (2211) to match, the guiding rib (232) is arranged on glans penis cover (230), and the guiding rib (232) arrange that the guide groove (2211) is arranged on plug division (221), and the guiding along glans penis cover (230) axis direction Groove (2211) is arranged along plug division (221) axis direction.
- A kind of 6. pistol type foreskin Endo-GIA according to claim 5, it is characterised in that the glans penis cover (230) The quantity of upper set guiding rib (232) is 8-11 bars, and all guiding ribs (232) are rounded to be distributed on glans penis cover (230), and Angle between two neighboring guiding rib (232) is equal, distributing position and resist-nailed seat (270) right side of each guiding rib (232) On each nail groove corresponding matching, the quantity of the guide groove (2211) is identical with the quantity of the guiding rib (232).
- A kind of 7. pistol type foreskin Endo-GIA according to claim 6, it is characterised in that all guiding ribs (232) In have a guiding rib (232) length be more than the length of other guiding ribs (232), and the longest guiding rib of length (232) Distance of the right end away from glans penis cover (230) right side be less than other guiding ribs (232) right end away from glans penis cover (230) right side away from From.
- A kind of 8. pistol type foreskin Endo-GIA according to claim 2, it is characterised in that the flexible handle (121) part being in contact with the right side of the sprue (290) is in arc-shaped；The flexible handle (121) is to close to hand When holding portion (111) direction and rotating, in the part right side with sprue (290) all the time of arc-shaped on the flexible handle (121) Be in contact, and the flexible handle (121) and pivot of the point that sprue (290) is in contact away from flexible handle (121) away from From gradual increase.
- A kind of 9. pistol type foreskin Endo-GIA according to claim 8, it is characterised in that the flexible handle (121) it is equipped with the part of arc-shaped and crosses groove (1211) through flexible handle (121) for connecting rod (231).
- 10. according to a kind of pistol type foreskin Endo-GIA of claim 2 to 9 any one of them, it is characterised in that the pad The left side of cutter ring (10) is equipped with the hollow groove of annular, which is blind slot.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201810013927.7A CN107961062B (en) | 2018-01-08 | 2018-01-08 | Pistol type prepuce cutting anastomat |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810013927.7A CN107961062B (en) | 2018-01-08 | 2018-01-08 | Pistol type prepuce cutting anastomat |
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| CN107961062A true CN107961062A (en) | 2018-04-27 |
| CN107961062B CN107961062B (en) | 2020-01-21 |
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Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112617936A (en) * | 2020-12-21 | 2021-04-09 | 苏州法兰克曼医疗器械有限公司 | Anastomat capable of being unlocked or locked quickly |
| CN112674843A (en) * | 2021-02-02 | 2021-04-20 | 山东省千佛山医院 | Partial arc cutting anastomat |
| CN112674827A (en) * | 2021-01-13 | 2021-04-20 | 苏州法兰克曼医疗器械有限公司 | Anastomat with double-motor driving mechanism function |
| CN112754614A (en) * | 2021-01-18 | 2021-05-07 | 常州安康医疗器械有限公司 | Anti-drop foreskin cutting anastomat |
| CN113180766A (en) * | 2021-05-28 | 2021-07-30 | 江苏博朗森思医疗器械有限公司 | Osculating component with guiding function and circumcision anastomat |
| CN113180767A (en) * | 2021-05-28 | 2021-07-30 | 江苏博朗森思医疗器械有限公司 | Circumcision anastomat with prevent card sword function |
| CN113509242A (en) * | 2021-05-27 | 2021-10-19 | 苏州法兰克曼医疗器械有限公司 | Foreskin anastomat with low friction mechanism |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105054992A (en) * | 2015-08-11 | 2015-11-18 | 珠海拓爱医疗科技有限公司 | Gun type circumcision and stitching instrument |
| CN105078546A (en) * | 2015-09-14 | 2015-11-25 | 湖北博康医药科技有限公司 | Prepuce cutting and stitching instrument |
| CN105078549A (en) * | 2015-09-18 | 2015-11-25 | 江西狼和医疗器械股份有限公司 | Pistol-type circumcise anastomat with improved adjusting knob |
| CN205307057U (en) * | 2016-02-03 | 2016-06-15 | 刘欢 | Prepuce cutting anastomat |
| CN206228401U (en) * | 2016-08-26 | 2017-06-09 | 常州生物医学工程有限公司 | Single use foreskin Endo-GIA |
| CN107485429A (en) * | 2017-09-08 | 2017-12-19 | 江苏孜航精密五金有限公司 | Disposable foreskin Endo-GIA |
-
2018
- 2018-01-08 CN CN201810013927.7A patent/CN107961062B/en active Active
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105054992A (en) * | 2015-08-11 | 2015-11-18 | 珠海拓爱医疗科技有限公司 | Gun type circumcision and stitching instrument |
| CN105078546A (en) * | 2015-09-14 | 2015-11-25 | 湖北博康医药科技有限公司 | Prepuce cutting and stitching instrument |
| CN105078549A (en) * | 2015-09-18 | 2015-11-25 | 江西狼和医疗器械股份有限公司 | Pistol-type circumcise anastomat with improved adjusting knob |
| CN205307057U (en) * | 2016-02-03 | 2016-06-15 | 刘欢 | Prepuce cutting anastomat |
| CN206228401U (en) * | 2016-08-26 | 2017-06-09 | 常州生物医学工程有限公司 | Single use foreskin Endo-GIA |
| CN107485429A (en) * | 2017-09-08 | 2017-12-19 | 江苏孜航精密五金有限公司 | Disposable foreskin Endo-GIA |
Cited By (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112617936A (en) * | 2020-12-21 | 2021-04-09 | 苏州法兰克曼医疗器械有限公司 | Anastomat capable of being unlocked or locked quickly |
| CN112617936B (en) * | 2020-12-21 | 2022-02-08 | 苏州法兰克曼医疗器械有限公司 | Anastomat capable of being unlocked or locked quickly |
| CN112674827A (en) * | 2021-01-13 | 2021-04-20 | 苏州法兰克曼医疗器械有限公司 | Anastomat with double-motor driving mechanism function |
| CN112674827B (en) * | 2021-01-13 | 2021-10-29 | 苏州法兰克曼医疗器械有限公司 | Anastomat with double-motor driving mechanism function |
| CN112754614A (en) * | 2021-01-18 | 2021-05-07 | 常州安康医疗器械有限公司 | Anti-drop foreskin cutting anastomat |
| CN112674843A (en) * | 2021-02-02 | 2021-04-20 | 山东省千佛山医院 | Partial arc cutting anastomat |
| CN112674843B (en) * | 2021-02-02 | 2021-10-26 | 山东省千佛山医院 | Partial arc cutting anastomat |
| CN113509242A (en) * | 2021-05-27 | 2021-10-19 | 苏州法兰克曼医疗器械有限公司 | Foreskin anastomat with low friction mechanism |
| CN113509242B (en) * | 2021-05-27 | 2022-09-02 | 苏州法兰克曼医疗器械有限公司 | Foreskin anastomat with low friction mechanism |
| CN113180766A (en) * | 2021-05-28 | 2021-07-30 | 江苏博朗森思医疗器械有限公司 | Osculating component with guiding function and circumcision anastomat |
| CN113180767A (en) * | 2021-05-28 | 2021-07-30 | 江苏博朗森思医疗器械有限公司 | Circumcision anastomat with prevent card sword function |
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