CN108143467A - Anastomat for circumcision - Google Patents
Anastomat for circumcision Download PDFInfo
- Publication number
- CN108143467A CN108143467A CN201611106165.2A CN201611106165A CN108143467A CN 108143467 A CN108143467 A CN 108143467A CN 201611106165 A CN201611106165 A CN 201611106165A CN 108143467 A CN108143467 A CN 108143467A
- Authority
- CN
- China
- Prior art keywords
- hemostasis
- segmental arc
- circumcision
- anastomat
- puncture
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 238000003780 insertion Methods 0.000 claims abstract description 14
- 230000037431 insertion Effects 0.000 claims abstract description 14
- 230000023597 hemostasis Effects 0.000 claims description 95
- 239000011159 matrix material Substances 0.000 claims description 22
- 230000002093 peripheral effect Effects 0.000 claims description 13
- 230000006835 compression Effects 0.000 claims description 11
- 238000007906 compression Methods 0.000 claims description 11
- 239000000463 material Substances 0.000 claims description 11
- 230000035876 healing Effects 0.000 abstract description 6
- 210000003953 foreskin Anatomy 0.000 description 48
- 206010052428 Wound Diseases 0.000 description 13
- 208000027418 Wounds and injury Diseases 0.000 description 13
- 230000000694 effects Effects 0.000 description 9
- 230000004308 accommodation Effects 0.000 description 6
- 230000003872 anastomosis Effects 0.000 description 5
- 230000017531 blood circulation Effects 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 208000032843 Hemorrhage Diseases 0.000 description 3
- 239000008280 blood Substances 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 230000003111 delayed effect Effects 0.000 description 2
- 229920001821 foam rubber Polymers 0.000 description 2
- 230000000025 haemostatic effect Effects 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 241000417436 Arcotheres Species 0.000 description 1
- 206010003694 Atrophy Diseases 0.000 description 1
- 241000469816 Varus Species 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 230000037444 atrophy Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 235000013399 edible fruits Nutrition 0.000 description 1
- 230000000302 ischemic effect Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000000877 morphologic effect Effects 0.000 description 1
- 210000003899 penis Anatomy 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 230000029663 wound healing Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/326—Circumcision apparatus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
A kind of anastomat for circumcision, including:Inner ring;Outer shroud, including at least two segmental arcs, the radial inner end of at least one segmental arc is equipped with puncture portion, and the puncture portion is along the radially inwardly projecting of place segmental arc;The outer shroud is suitable for:It disconnects reaching disconnection form by least two segmental arcs, in the disconnection form, the inner ring can be packed into outer shroud;And it from the off-state, is connected in turn to define circular ring shape state by all segmental arcs, so that the outer shroud ring set inner ring and the puncture portion insertion inner ring.In art, wound is formed so that the cell of preputial is in direct contact, so as to form the new surface of a wound.This mode can be accelerated to form the surface of a wound, shorten healing stage.
Description
Technical field
The present invention relates to the field of medical instrument technology, more particularly to a kind of anastomat for circumcision.
Background technology
Disposable circumcision anastomosis is the technology leading in the world peritomized at present.Anastomat for circumcision is foreskin
Necessary medical instrument in ring cutting anastomosis, a kind of clinical existing anastomat for circumcision include:Inner ring and outer shroud.Outer shroud packet
Two segmental arcs are included, two segmental arcs form rotation connection using respective one end, and the respective other end can be with folding, and is closing
Circular ring shape state is limited during conjunction.
Foreskin, which has, againsts the inner panel of phallosome and exposed outside plate.The operation principle of anastomat for circumcision is:
First, it is located on interior in Inner prepuce, inner ring encircles phallosome and props up foreskin, and wherein inner ring is close to glans penis one
The foreskin part of side is extra foreskin.
Then, the respective other end of two segmental arcs in outer shroud is set to disconnect and reach disconnection form, it is empty to limit larger receiving
Between, this can realize two segmental arcs around inner ring arrangement outer shroud, be contained between inner ring and two segmental arcs across foreskin, inner ring
In the larger accommodation space.
And then, two respective other ends of segmental arc in outer shroud are operated and are gradually closed to restriction annulus form, in this mistake
Cheng Zhong, the accommodation space that two sections limit gradually taper up to form the outer shroud being closed.Outer shroud package foreskin outside plate and latch closure inner ring,
Outer shroud clamps foreskin with inner ring.
Finally, a part of extra foreskin is sheared.Inner ring and outer rings clamp foreskin in this course, and blocking is remaining extra
Intracutaneous blood circulation is wrapped, avoids the occurrence of massive haemorrhage, and promotes remaining extra foreskin ischemic atrophy, come off naturally.
After surgery, blood flow is stopped to the clamping force of foreskin by inner ring and outer rings merely, to form the surface of a wound.But
It is difficult to prevent completely blood flow, therefore the surface of a wound formation time is longer, there are problems that delayed healing in clinic.
Invention content
The present invention solves the problems, such as it is that there are the risks of delayed healing after surgery for existing anastomat for circumcision.
To solve the above problems, the present invention, which provides one kind, is used for anastomat for circumcision.The anastomat for circumcision includes:
Inner ring;
Outer shroud, including at least two segmental arcs, the radial inner end of at least one segmental arc is equipped with puncture portion, the puncture portion
Along the radially inwardly projecting of place segmental arc;
The outer shroud is suitable for:
It disconnects reaching disconnection form by least two segmental arcs, in the disconnection form, the inner ring can be packed into
In outer shroud;And
From the off-state, it is connected in turn to define circular ring shape state by all segmental arcs, so that described
Outer shroud ring set inner ring and the puncture portion insertion inner ring.
Optionally, the radial inner end of each segmental arc is equipped with puncture portion.
Optionally, along the radial direction, the described one end of puncture portion far from the radial inner end is designed as point of a knife.
Optionally, the puncture portion is in pyramid-shaped, and the vertex of pyramid is as the point of a knife.
Optionally, outer shroud further includes:Hemostasis portion;
The corresponding each segmental arc is equipped with the hemostasis portion, the hemostasis portion along corresponding segmental arc circumferentially extending and with it is right
Segmental arc is answered to connect;
Along corresponding segmental arc radially-inwardly, the hemostasis portion is higher by the inner peripheral surface of corresponding segmental arc.
Optionally, for the segmental arc with the puncture portion, section is stopped blooding diametrically with described by the puncture portion, Huo Zhesuo
State the hemostasis section that puncture portion passes through segment thickness.
Optionally, for the segmental arc with the puncture portion, the hemostasis is equipped in at least axial side of the segmental arc
Portion, the hemostasis portion and all puncture portions are axially opposing.
Optionally, along the radial direction of place segmental arc, the puncture portion has the point far from the radial inner end;Along place
The axial direction of segmental arc, the hemostasis portion have the protruding portion for being at least protruding to the point and contacting the point.
Optionally, the inner peripheral surface of the segmental arc has the first groove;
The hemostasis portion includes:
Matrix section, the hemostasis portion are arranged in by matrix section in first groove of corresponding segmental arc;
Hemostasis section, connect with described matrix section, is suitable for hemostasis by compression outside first groove.
Optionally, for the segmental arc with the puncture portion, there are two the first groove tools, respectively positioned at all described
Axial both sides of the puncture portion along place segmental arc;
The puncture portion with it is described hemostasis section diametrically or the puncture portion pass through segment thickness the hemostasis
Section;
There are two described matrix section tools, connect and is arranged in two first grooves with the hemostasis section respectively.
Optionally, the material of described matrix section is rigid material, and the material of the hemostasis section is flexible material.
The present invention also provides a kind of anastomat for circumcision.The anastomat for circumcision includes:
Inner ring;
Any of the above-described outer shroud;
In the annulus limited in the annulus form, the inner ring sleeve in all segmental arcs, and the puncture portion is inserted into
The inner ring.
Optionally, the radial outer end of the inner ring has receiving portion, and in the annulus form, the puncture portion is adapted for insertion into
The receiving portion.
Optionally, the inner ring includes:
Two axially opposing subrings;
Several connecting portions of two subrings are connected, all connecting portions are circumferentially arranged;
Circumferentially adjacent two connecting portions limit pierced holes, using as the receiving portion.
Optionally, the inner ring has peripheral surface;
The peripheral surface has the second groove, using as the receiving portion.
Optionally, the bottom wall of second groove has hole;
From the disconnection form to the annulus form, the puncture portion is adapted for insertion into the second groove and described hole.
Optionally, along inner ring axial direction, second groove has the side wall being oppositely arranged and the bottom for connecting two side
Wall;
Each side wall has support portion;Along the depth direction of second groove, the support portion has backwards to institute
State the supporting surface of bottom wall.
Compared with prior art, technical scheme of the present invention has the following advantages:
Outer shroud includes at least two segmental arcs, and the radial inner end of at least one segmental arc is equipped with puncture portion, the puncture portion
Along the radially inwardly projecting of place segmental arc, in the annulus form, outer shroud is circumferentially distributed several puncture portions.It is peritomizing
In anastomosis, all segmental arcs connect and limit the outer shroud of annulus form, outer shroud package Inner prepuce and latch closure inner ring, puncture portion thorn
It wears preputial and is inserted into inner ring.Foreskin is pierced through in puncture portion, forms wound so that and the cell of preputial is in direct contact,
So as to form the new surface of a wound.This mode can be accelerated to form the surface of a wound, shorten healing stage.
And inner ring and outer rings link together, and pass through puncture portion outer shroud and limited by foreskin, and this can be to avoid
Anastomat for circumcision comes off.
Description of the drawings
Fig. 1 is plan view of the outer shroud in the anastomat for circumcision of the specific embodiment of the invention in disconnection form, should
Plan view is obtained to look in an axial direction;
Fig. 2 is the stereogram set on the puncture portion of segmental arc in outer shroud shown in Fig. 1;
Fig. 3 is the sectional view in the hemostasis portion of one embodiment in outer shroud shown in Fig. 1, and the section of the sectional view corresponds to segmental arc excessively
The center of circle;
Fig. 4 is the plan view of a segmental arc radial inner end in outer shroud shown in Fig. 1;
Fig. 5 is the sectional view in the hemostasis portion of another embodiment in outer shroud shown in Fig. 1, and the section of the sectional view corresponds to arc excessively
The center of circle of section;
Fig. 6 is the stereogram of the inner ring of one embodiment in the anastomat for circumcision of the specific embodiment of the invention;
Fig. 7 is the stereogram of the inner ring of a variation in the anastomat for circumcision of the specific embodiment of the invention;
Fig. 8 is the stereogram of the inner ring of another variation in the anastomat for circumcision of the specific embodiment of the invention.
Specific embodiment
It is understandable for the above objects, features and advantages of the present invention is enable to become apparent, below in conjunction with the accompanying drawings to the present invention
Specific embodiment be described in detail.
It can include for the anastomat for circumcision for anastomosis of peritomizing:Inner ring and outer rings.
With reference to Fig. 1, outer shroud 1 can be equipped with puncture portion 10, be pierced through at least two segmental arcs, the radial inner end of at least one segmental arc
Portion 10 is radially inwardly projecting along place segmental arc;
Outer shroud 1 is suitable for:
It disconnects reaching disconnection form by least two segmental arcs, disconnects form, inner ring can be packed into outer shroud 1;And
It from off-state, is connected in turn to define circular ring shape state by all segmental arcs 11,12, so that 1 ring of outer shroud
It covers inner ring and puncture portion 10 is inserted into inner ring.
Wherein, outer shroud 1 can include two segmental arcs 11,12, and two segmental arcs 11,12 respective radial inner ends are equipped with puncture
Portion 10, puncture portion 10 is radially inwardly projecting along place segmental arc, as the puncture portion 10 in segmental arc 11 along segmental arc 11 radially-inwardly
Protrusion, puncture portion 10 in segmental arc 12 is along the radially inwardly projecting of segmental arc 12.When two segmental arcs 11,12 link together and reach
Annulus form, two segmental arcs 11,12 respective circumferential directions are combined into same circumferential direction, and the radial inner end of outer shroud is circumferentially distributed several thorns
Wear portion 10.
For peritomize anastomosis when, inner ring is adapted to as follows with outer shroud 1:
First, at through ostium praeputiale plug inner ring to coronary sulcus;
Then, operation outer shroud 1, which is in, disconnects form, and all segmental arcs 11,12 limit larger accommodation space 1a, this can be very light
It changes places and arranges all segmental arcs 11,12 around inner ring, segmental arc 11,12 is radially opposite with inner ring along inner ring at this time, and inner ring is contained in this
In one larger accommodation space 1a, puncture portion 10 is directed at foreskin outside plate;
And then, operation segmental arc 11,12 links together and limits the outer shroud 1 of annulus form.In this course, segmental arc
11st, the 12 accommodation space 1a limited are gradually tapered up so that pierce through foreskin outside plate and Inner prepuce successively in puncture portion 10.It is round reaching
After annular state, outer shroud 1 oppresses foreskin outside plate, and inner ring is fixed in outer shroud 1, and inner ring clamps foreskin, while puncture portion 10 with outer shroud 1
It is radially inserted into inner ring, inner ring and outer rings 1 is made to link together.
Finally, extra foreskin is cut off using operating scissors.
Foreskin is pierced through in puncture portion 10, forms wound so that the cell of preputial is in direct contact, new so as to be formed
The surface of a wound.This mode can be accelerated to form the surface of a wound, shorten healing stage.Moreover, because inner ring is connected with outer shroud 1 by puncture portion 10
It picks up and, preputial is pierced through in puncture portion 10, and inner ring and outer rings 1 are limited by foreskin, identical it reduce peritomizing
The risk that device comes off.
In the technical program, the radial inner end of at least one segmental arc is equipped with puncture portion 10, this includes:Each segmental arc
Radial inner end be respectively provided with puncture portion 10, further the radial inner end of each segmental arc can be equipped with several thorns for circumferentially arranging
Wear portion 10;Alternatively, the radial inner end of plurality of segmental arc has several puncture portions 10, anyway, in annulus form, outer shroud 1
Radial inner end have several puncture portions 10, to ensure to form the effective surface of a wound in art.
In annulus form, several puncture portions 10 are disposed within one week around inner ring, more puncture portion 10 can be circumferentially close
Collection arrangement, postoperative, several puncture portions 10 can very effectively accelerate wound healing, reach healing stage after preferably desmopyknosis.And
And this can cause surface of a wound morphological consistency, enhance surface of a wound aesthetics.Therefore, the quantity in puncture portion, arrangement density etc. parameters can be with
It is reasonably selected, is not necessarily limited to the technical program.
Radially, the one end of puncture portion 10 far from radial inner end is designed as point of a knife 100, and point of a knife 100 is conducive to easily pierce through
Foreskin outside plate and inner panel.With reference to Fig. 2, puncture portion 10 can be in pyramid-shaped, and the vertex of pyramid is as the point of a knife 100.
In this way, puncture portion 10 is pyramid-shaped, there are multiple sides 101, two neighboring side 101 intersects at crest line.Each
Crest line can be considered as cutting edge, and cutting edge is conducive to cut foreskin open, and puncture portion 10 is promoted easily to pierce through foreskin.
With reference to Fig. 1, outer shroud 1 can include two segmental arcs 11,12, and two segmental arcs 11,12 (are distinguished along respective circumferential one end
It is the first end a1 of the segmental arc 11 and first end a2 of segmental arc 12) to be rotatablely connected, it shares one and turns 18.Two segmental arcs 11,12 edges
Respectively circumferential other end (being the second end b1 of the segmental arc 11 and second end b2 of segmental arc 12 respectively) can be disconnected and is closed.
Disconnect form, two segmental arcs 11,12 respective second ends b1, b2 disconnect, broken into two with one's hands respectively outward around shaft 18 two segmental arcs 11,
12, this can form a larger accommodation space 1a.From form is disconnected to annulus form, reversely can inwardly be fastened around shaft
Two segmental arcs 11,12 so that two second ends b1, b2 are closed, and realize the purpose for limiting annulus form.
In annulus form, segmental arc 11,12 respective second ends b1, b2 is snap connection.For example, second end b1 has first
Connecting portion 13, first connecting portion 13 have mounting hole 13a;Second end b2 has second connecting portion 14, and second connecting portion 14 has
Insertion section 14a.In annulus form, first connecting portion 13 and second connecting portion 14 are axially opposing, and insertion section 14a is inserted into mounting hole
It in 13a, and is clamped in mounting hole 13a, connects first connecting portion 13 and second connecting portion 14, realize two second ends b1, b2
It is closed.In the technical program, first connecting portion 13 is set there are two mounting hole 13a, and second connecting portion 14 is equipped with corresponding two
A insertion section 14a, insertion section 14a and mounting hole 13a are corresponded, and be may be constructed and are snapped connection.In addition to this, first connecting portion
Mounting hole and insertion section are equipped with each connecting portion in second connecting portion, the respective insertion section of two connecting portions is inserted into another
Mounting hole on a connecting portion.
The circumferential both ends of each segmental arc are respectively provided with circumferential protruding portion.First end a1, the second end b1 of segmental arc 11 are respectively provided with
First protruding portion 110, first end a2, the second end b2 of segmental arc 12 are respectively provided with the second protruding portion 120.Disconnect form, first
The first protruding portion 110 and the second protruding portion 120 of first end a2 for holding a1 detach, the first protruding portion 110 of second end b1 and the
The second protruding portion 120 of two end b2 detaches.In annulus form, the first protruding portion 110 of first end a1 and the second of first end a2
Protruding portion 120 can overlap in an axial direction, and the first protruding portion 110 of second end b1 and the second protruding portion 120 of second end b2 can be with
It overlaps in an axial direction, this can circumferentially form gap to avoid outer shroud 1, cause effectively block the extra intracutaneous blood stream of packet
It is dynamic, lead to indolence.
Outer shroud 1 can also include:Hemostasis portion 15.Hemostasis portion 15 is equipped with corresponding to each segmental arc, and hemostasis portion 15 is along correspondence
The circumferentially extending of segmental arc and with corresponding segmental arc connect;Along corresponding segmental arc radially-inwardly, hemostasis portion 15 is higher by the interior of corresponding segmental arc
Circumferential surface.For example, corresponding segmental arc 11 is equipped with one section of hemostasis portion 15, hemostasis portion 15 along segmental arc 11 circumferentially extending and connect with segmental arc 11
It connects;Along segmental arc 11 radially-inwardly, hemostasis portion 15 is higher by the inner peripheral surface of segmental arc 11.This can be pushed into class segmental arc 12 and thereon only
Blood portion 15.
This can realize following effect:In art, outer shroud 1 clamps foreskin with inner ring, and hemostasis portion 15 can oppress foreskin.
When foreskin and ring cutting extra foreskin pierce through in puncture portion 10, cause bleeding, hemostasis portion 15 provides the effect of hemostasis by compression, can and
Shi Jinhang stops blooding, and prevents massive haemorrhage.Moreover, hemostasis portion 15 is integrated with segmental arc 11,12, without in art additionally into
Row hemostasis by compression improves procedure efficiency.
Form is disconnected, is also being disconnected corresponding to two sections of hemostasis portions 15 of two segmental arcs 11,12;In annulus form, two sections only
Blood portion 15 can synthesize an annulus, can carry out hemostasis by compression along one week, haemostatic effect is more preferable.With reference to Fig. 1, in corresponding segmental arc
At least axial side be equipped with hemostasis portion 15, this includes:Hemostasis portion 15 is equipped in the axial side of corresponding segmental arc;Alternatively, right
The axial both sides of segmental arc is answered to be equipped with hemostasis portion 15.By taking segmental arc 11 as an example, hemostasis portion 15 can be set on at least axial of segmental arc 11
Side, segmental arc 12 are also such.
For having the segmental arc 11 in puncture portion 10, hemostasis portion 15 and all puncture portions 10 are axially opposing.In art, piercing through
While foreskin is pierced through in portion 10, purpose that is timely, effectively stopping blooding is realized in the compressing deformation of hemostasis portion 15.This can be pushed into segmental arc with class
12 with the relative position relation in hemostasis portion 15.
In nature, hemostasis portion 15 is higher by puncture portion 10 radially inward, and this refers to be higher by point of a knife 100.In art,
From form is disconnected to annulus form, hemostasis portion 15 can first contact foreskin and gradually oppress foreskin;It is fixed in outer shroud 1 with inner ring
Afterwards, hemostasis portion 15 can provide the effect of hemostasis by compression.
With reference to Fig. 3 and with reference to Fig. 1, along the radial direction of place segmental arc 11, puncture portion 10 has the radial inner end far from segmental arc 11
Point (100 place end of point of a knife);Along the axial direction of place segmental arc 11, hemostasis portion 15, which has at least to be protruding to point, to be connect
The protruding portion 150 of contact tip end.Protruding portion 150 is contacted with the point in puncture portion 10, prominent when piercing through foreskin in puncture portion 10
It portion 150 can be in time to wound hemostasis by compression.When being equipped with hemostasis portion 15, two hemostasis portions 15 in the axial both sides of corresponding segmental arc 11
Respective protruding portion 150 is axially opposing, and can wrap up puncture portion 10.
There is the first groove 11a with reference to the inner peripheral surface with reference to Fig. 4, segmental arc 11;
Hemostasis portion 15 can include:
Matrix section 16, hemostasis portion 15 are arranged in by matrix section 16 in the first groove 11a of segmental arc 11;
Hemostasis section 17, connect with matrix section 16, is suitable for hemostasis by compression outside the first groove 11a.
In hemostasis portion 15, matrix section 16 can be split type composition with hemostasis section 17, after the two individually manufactures, then
It links together.At this point, matrix section 16 can use rigid material, it can stablize and be arranged in the first groove 11a.Rigidity
Material can select rigid plastics.
Hemostasis section 17 can be made using flexible material, deformed suitable for compressing, caused to damage to avoid to foreskin.For example,
Section 17 of stopping blooding can be foam-rubber cushion.The connection mode of matrix section 16 and hemostasis section 17 can be bonding.
In addition to this, matrix section 16 and hemostasis section 17 can be integral pieces, are integrally formed manufacture and complete, both at this time can be with
It is foam-rubber cushion.
First groove 11a along the circumferentially extending of place segmental arc 11 and it is arc-shaped.Correspondingly, matrix section 16 can be arc,
With the shape adaptation of the first groove 11a, and entire card be set on the first groove 11a in.In addition to this, matrix section 16 can include more
A separate piece for separating setting, multiple separate pieces are arranged in simultaneously in the first groove 11a, can also play locating effect.Hemostasis
Section 17 is arc (with reference to Fig. 1), is conducive to surround foreskin progress hemostasis by compression in one week.
The inner peripheral surface of segmental arc 11 is set there are two the first groove 11a, is respectively distributed to all puncture portions 10 along place segmental arc 11
Axial both sides.In this way, two the first groove 11a can be corresponded to, two hemostasis portions are set respectively at the axial both ends of segmental arc 11
15, the respective hemostasis section 17 in two hemostasis portions 15 is two independent parts.In art, carried out from the axial both sides of segmental arc 11
Hemostasis by compression, haemostatic effect are good.It in addition to this, can be only in the axial side setting hemostasis portion of corresponding segmental arc.
In addition to this in alternative scheme, Fig. 2 is simultaneously combined with reference to Fig. 5, the present invention also provides another hemostasis portion 15 ',
Using this hemostasis portion 15 ', it could be provided as puncture portion 10 and hemostasis portion 15 ' diametrically or puncture portion 10 pass through part
The hemostasis portion 15 ' of thickness.
Specifically, in this hemostasis portion 15 ', there are two matrix section 16 ' can have, connect respectively with hemostasis section 17 ' and
It is arranged in two the first groove 11a (with reference to Fig. 4).In this scheme, section 17 ' of stopping blooding and meanwhile with two matrix sections 16 ' even
Connect, two matrix sections 16 ' and meanwhile support one hemostasis section 17 '.Particularly with the segmental arc 11 with puncture portion 10, in segmental arc 11
All puncture portions 10 can diametrically or puncture portion 10 can be to pass through the hemostasis section of segment thickness with hemostasis section 17 '
17′.In this case, in the preoperative, the point of a knife 100 that section 17 ' of stopping blooding will puncture through portion 10 is hidden.This can filled to avoid doctor
Skin is stabbed in puncture portion 10 during outer shroud 1, is conducive to protect patient.In this way, hemostasis section 17 ' can in time, effectively to puncture portion
10 surface of a wound formed carry out hemostasis by compression, significant effect.
It, can be directly at axial one end end of corresponding segmental arc other than connecting hemostasis portion 15 using the first groove 11a
Face or axial both ends end face bonding hemostasis portion.
The arrangement in segmental arc 11 and hemostasis portion 15 thereon and connection mode between the two, can be pushed into segmental arc 12 with class
Connection mode with the arrangement in hemostasis portion 15 thereon and between the two.
With reference to Fig. 6 and with reference to Fig. 1, the radial outer end of inner ring 2 can have receiving portion, and in annulus form, puncture portion 10 is suitable
In insertion receiving portion.This can bring following technique effect:
On the one hand, in art, puncture portion 10 first contacts foreskin outside plate.Since foreskin has certain elasticity, foreskin is accommodating
Under the support of the edge of opening in portion, puncture portion 10 can first compressing foreskin gradually be deformed from the opening of receiving portion into receiving portion, directly
To reaching tight state.In tight state, puncture portion 10 can easily pierce through foreskin.Therefore, receiving portion is conducive to pierce through
Foreskin is pierced through in portion 10, promotes procedure efficiency and success rate.
On the other hand, in art and postoperative, puncture portion 10 can be taken in receiving portion, reduced between outer shroud 1 and inner ring 2
Radial clearance, promote outer shroud 1 and inner ring 2 that can clamp foreskin, effectively avoid the extra intracutaneous blood flow of packet, be conducive to be cured
Close rate.
Inner ring 2 can include:Two axially opposing subrings 20;
Several connecting portions 21 of two subrings 20 are connected, all connecting portions 21 are circumferentially arranged;
Circumferentially adjacent two connecting portions 21 limit pierced holes 2a, using as the receiving portion.
Pierced holes 2a can correspond with puncture portion 10, and corresponding puncture portion 10 may be inserted into pierced holes 2a and take in
In it.This can bring following technique effect:
On the one hand, in art, the outer end of connecting portion 21 and subring 20 can support foreskin, until foreskin flexible deformation is to tight
Taut state;
On the other hand, puncture portion 10 passes through preputial, and the tip with point of a knife 100 is stuck in the puncture of inner ring 2
In the 2a of hole, puncture portion 10 forms close connection with inner ring 2.This can strengthen fixed effect of the anastomat for circumcision to foreskin,
Preferably anastomat for circumcision is avoided to come off.
As a kind of alternative scheme, with reference to Fig. 7 and with reference to Fig. 1, inner ring 2 ' has peripheral surface, and peripheral surface is recessed with second
Slot 2b, using as the receiving portion.In art, in the aperture position of the second groove 2b, the side wall of the second groove 2b can support
Foreskin so that foreskin is tauted to reaching tight state.
Second groove 2b has bottom wall 22, and bottom wall 22 can have hole 2c.From form is disconnected to annulus form, puncture portion
10 may be inserted into the second groove 2b and hole 2c, and 100 place tip of point of a knife can be caused to be stuck in hole 2c, strengthen fixed effect
Fruit.
Second groove 2b is annular, along inner ring 2 ' circumferentially around one week.As deformation scheme, the second groove can be
Multiple independent grooves, are circumferentially arranged along inner ring, and puncture portion may be inserted into corresponding groove.
As another alternative, there is axially opposing side wall 23 with reference to Fig. 8 and with reference to Fig. 1, the second groove 2d
And the bottom wall 24 of connection two side 23.Each side wall 23 has support portion 25, along the depth direction of the second groove 2d, support portion 25
With the supporting surface 250 backwards to bottom wall 24.From form is disconnected to annulus form, supporting surface 250 can support foreskin, promote foreskin
Reach tensioned state.
Along the depth direction of the second groove 2d, the second 2d points of groove is first segment d1 and second segment d2, and first segment d1 is than the
Two sections of d2 are close to bottom wall 24.Every side side wall 23 of second groove 2d includes the sidewall sections and second segment positioned at first segment d1
The sidewall sections of d2, the bottom wall 24 of the second groove 2d are the bottom wall of first segment d1.Between between the side wall of first segment d1 axial directions both sides
Away from less than the spacing between the side wall of second segment d2 axial directions both sides, such first segment d1 axial directions both sides side wall can be used as support portion
25, second segment d2 have bottom wall using as supporting surface 250.
This provides a kind of feasible program of support portion 25.In addition to this in feasible program, along own depth direction,
Two grooves can be divided into three sections, be bottom stage, interlude and top section respectively, bottom stage is than top section depth depth.Interlude
Top section and bottom stage respectively spacing between axial both sides side wall are smaller than between axial both sides side wall, interlude can conduct
Support portion.Alternatively, in addition to this, the side wall varus of aperture position of the second groove can be designed to form in-flanges, in-flanges
Support portion can be used as.
Although present disclosure is as above, present invention is not limited to this.Any those skilled in the art are not departing from this
It in the spirit and scope of invention, can make various changes or modifications, therefore protection scope of the present invention should be with claim institute
Subject to the range of restriction.
Claims (16)
1. a kind of anastomat for circumcision, which is characterized in that including:
Inner ring;
Outer shroud, including at least two segmental arcs, the radial inner end of at least one segmental arc is equipped with puncture portion, and the puncture portion is along institute
In the radially inwardly projecting of segmental arc;
The outer shroud is suitable for:
It disconnects reaching disconnection form by least two segmental arcs, in the disconnection form, the inner ring can be packed into outer shroud
It is interior;And
From the off-state, it is connected in turn to define circular ring shape state by all segmental arcs, so that the outer shroud
Ring set inner ring and the puncture portion insertion inner ring.
2. anastomat for circumcision as described in claim 1, which is characterized in that the radial inner end of each segmental arc is equipped with thorn
Wear portion.
3. anastomat for circumcision as described in claim 1, which is characterized in that along the radial direction, the puncture portion is far from institute
The one end for stating radial inner end is designed as point of a knife.
4. anastomat for circumcision as described in claim 1, which is characterized in that the puncture portion is in pyramid-shaped, the top of pyramid
Point is used as the point of a knife.
5. anastomat for circumcision as described in claim 1, which is characterized in that further include:Hemostasis portion;
The corresponding each segmental arc is equipped with the hemostasis portion, the hemostasis portion along corresponding segmental arc circumferentially extending and with corresponding arc
Section connection;
Along corresponding segmental arc radially-inwardly, the hemostasis portion is higher by the inner peripheral surface of corresponding segmental arc.
6. anastomat for circumcision as claimed in claim 5, which is characterized in that for the segmental arc with the puncture portion, institute
State puncture portion with it is described hemostasis section diametrically or the puncture portion pass through segment thickness the hemostasis section.
7. anastomat for circumcision as claimed in claim 5 is it is characterized in that, for the segmental arc with the puncture portion, in institute
At least axial side for stating segmental arc is equipped with the hemostasis portion, and the hemostasis portion and all puncture portions are axially opposing.
8. anastomat for circumcision as claimed in claim 7, which is characterized in that along the radial direction of place segmental arc, the puncture portion
With the point far from the radial inner end;Along the axial direction of place segmental arc, the hemostasis portion has at least to the point
It is protruding to the protruding portion for contacting the point.
9. anastomat for circumcision as claimed in claim 5, which is characterized in that the inner peripheral surface of the segmental arc is recessed with first
Slot;
The hemostasis portion includes:
Matrix section, the hemostasis portion are arranged in by matrix section in first groove of corresponding segmental arc;
Hemostasis section, connect with described matrix section, is suitable for hemostasis by compression outside first groove.
10. anastomat for circumcision as claimed in claim 9, which is characterized in that for the segmental arc with the puncture portion, institute
It states there are two the first groove tools, respectively positioned at axial both sides of all puncture portions along place segmental arc;
The puncture portion with it is described hemostasis section diametrically or the puncture portion pass through segment thickness the hemostasis section;
There are two described matrix section tools, connect and is arranged in two first grooves with the hemostasis section respectively.
11. anastomat for circumcision as claimed in claim 9, which is characterized in that the material of described matrix section is rigid material,
And the material of the hemostasis section is flexible material.
12. such as claim 1-11 any one of them anastomat for circumcision, which is characterized in that the radial outer end of the inner ring
With receiving portion, in the annulus form, the puncture portion is adapted for insertion into the receiving portion.
13. anastomat for circumcision as claimed in claim 12, which is characterized in that the inner ring includes:
Two axially opposing subrings;
Several connecting portions of two subrings are connected, all connecting portions are circumferentially arranged;
Circumferentially adjacent two connecting portions limit pierced holes, using as the receiving portion.
14. anastomat for circumcision as claimed in claim 12, which is characterized in that the inner ring has peripheral surface;
The peripheral surface has the second groove, using as the receiving portion.
15. anastomat for circumcision as claimed in claim 14, which is characterized in that the bottom wall of second groove has hole
Hole;
From the disconnection form to the annulus form, the puncture portion is adapted for insertion into the second groove and described hole.
16. anastomat for circumcision as claimed in claim 14, which is characterized in that along inner ring axial direction, described second is recessed
Slot has the side wall being oppositely arranged and the bottom wall for connecting two side;
Each side wall has support portion;Along the depth direction of second groove, the support portion has backwards to the bottom
The supporting surface of wall.
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CN201611106165.2A CN108143467A (en) | 2016-12-05 | 2016-12-05 | Anastomat for circumcision |
Applications Claiming Priority (1)
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CN201611106165.2A CN108143467A (en) | 2016-12-05 | 2016-12-05 | Anastomat for circumcision |
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Family
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