CN108309433A - A kind of prepuce circumcision device - Google Patents

A kind of prepuce circumcision device Download PDF

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Publication number
CN108309433A
CN108309433A CN201710029700.7A CN201710029700A CN108309433A CN 108309433 A CN108309433 A CN 108309433A CN 201710029700 A CN201710029700 A CN 201710029700A CN 108309433 A CN108309433 A CN 108309433A
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CN
China
Prior art keywords
foreskin
water
loop cutter
foreskin loop
transmitting device
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Granted
Application number
CN201710029700.7A
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Chinese (zh)
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CN108309433B (en
Inventor
商晶晶
商建忠
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Wuhu Snnda Medical Treatment Appliance Tech Co Ltd
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Wuhu Shanghuan Science & Technology Co Ltd
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Priority to CN201710029700.7A priority Critical patent/CN108309433B/en
Publication of CN108309433A publication Critical patent/CN108309433A/en
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Publication of CN108309433B publication Critical patent/CN108309433B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/326Circumcision apparatus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011Cooling or heating of the probe or tissue immediately surrounding the probe with fluids

Abstract

The present invention relates to a kind of prepuce circumcision devices, including Foreskin loop cutter and water fog generator, wherein, the water fog generator is used for before Foreskin loop cutter start, applies water or mist when Foreskin loop cutter start and/or to Foreskin loop cutter and/or Foreskin loop cutter institute site of action after Foreskin loop cutter start.Wrapping annulus cuts operation only needs can be completed for several seconds, and it heals on the spot, it avoids operation and neutralizes postoperative bleeding, avoid the generation of communicable disease, solve bleeding or de- nail decylization risk caused by patient's physiological is erected after Wrapping annulus cuts operation, and at the same time solving the smog brought when ultrasonic cutting and blood coagulation, smell and the possibility of adhesion.

Description

A kind of prepuce circumcision device
Technical field
The present invention relates to circumcision instruments, and in particular to a kind of prepuce circumcision device.
Background technology
Redundant prepuce or phimosis are one of the roots of male urinary system infection and sexually transmitted disease.Redundant prepuce or packet Stem can cause urinary tract infection so as to cause chronic prostatitis, it may appear that it has a pain in the back, a series of symptoms such as impotence and premature ejaculation, because This, it is to prevent one of good measure of these illnesss to remove long foreskin.And the method for removing long foreskin experienced length The continuous evolution of time develops, including:
(a) it is to cut using phimosis or long foreskin, technical essential is surgically removed before the nineties in last century Except extra foreskin, hemostasis and incisxal edge skin apposition suture.Postoperative patient cannot walk about, often change a medicine all it is in great pain to the end Great pain is also endured when taking out stitches, hemostasis by ligation, which is not thorough, in addition can cause foreskin hemotoncus, then needs surgical procedure again.This Outside, since excision foreskin and hemostasis are performed separately, operating time is extended, the Psychological phobia of patient is exacerbated.
(b) after entering the nineties in last century, although successively producing back side cuts off circumcision, oversleeve type is peritomized Art etc. surgically, however in place of remaining inconvenience, be easy to cause and retains foreskin asymmetry, ligation the end of a thread goes out Existing knot is reacted and postoperative needs are taken out stitches etc., be easy to cause bleeding and infection.
(c) then, the country based on South Korea is wrapped in a manner of having developed using elastic force silk thread cooperation Circumcision ring Skin procedure, however, pain, bleeding and infection risk can not be avoided in the surgical procedure, and the oral analgesia of postoperative needs And anti-infectives, it also needs to clean a wound daily, operation could carry out circumcision after 2-4 days, be spaced a timing later Between carry out decyclization again and take out stitches etc. sequence of operations, operating time extremely length is extremely cumbersome, results in more risks and not true It is qualitative.
(d) before being directed to there are the problem of, have developed in the prior art and laser and electric knife technology be applied to foreskin The therapy of ring cutting, although the therapy is instead of scissors cut and can solidify blutpunkte, this therapy meeting Burn patient tissue, and easy infection.
(e) then this field has developed prepuce circumcision device again, is disposably sutured to foreskin notch using suturing nail, Such as application No. is the application for a patent for invention of CN201210497584.9 " Foreskin loop cutter ", means shown in the invention need to exist Multiple U are hammered into tissue when operation, be easy to cause bleeding and infection during surgery, and huge psychology is brought to patient With physiology pain, after surgery patient need band nail for a long time, it is handicapped and be easy to cause de- nail equivalent risk.
(f) the newest technology in this field is the device peritomized using inner and outer ring cooperation, but real in certain deformations It applies in mode, such as application No. is the application for a patent for invention of CN201310024391.6 " anastomat for circumcision ", are arranged " frenulum protection portion " can not form tight cooperation when inner and outer ring being caused to be clamped, namely can not obstruct the correspondence blood of foreskin completely Pipe makes extra foreskin can not be successfully necrosis to fall off.
Along the technology path of above-described this field for decades, it can be found that the existing skill in field of peritomizing There are still following urgent problems to be solved so far for art:
(1) at that time by after cutting prepuce tissues, notch cannot heal in time for operation;
(2) limitation of Foreskin loop cutter structure causes ring cutting face not beautiful enough, may cause to repent forever;
(3) operation of certain probability, which will appear section, can not form complete loop;
(4) blade cutting or scissor cut tissue are needed when performing the operation, patients ' psychological is frightened, physiology is painful;
(5) band nail or band are needed after performing the operation, and psychology and the dual pain of physiology are brought to patient;
(6) it when using suturing nail mode, is easy because suturing nail position is uncertain to cause to punch blood vessel, blood vessel is difficult to heal Lead to postoperative hemorrhage;
(7) process of band nail needs to take several days or even more than ten days after performing the operation, and minimal invasive treatment is greatly inconvenient, and once goes out Existing activity is acutely or external force influence is easy to cause de- nail, causes danger;
(8) band nail after performing the operation causes to lead to bleeding or de- nail when there is the erection of later stage physiological always;
(9) incrustation of traditional operation mode cut surface or slow situations such as healing, cause foreskin to lose original elasticity;
(10) traditional operation mode needs to continue a few minutes or even half a day, and operating time length results in various risks;
(11) traditional operation mode is easy bleeding, leads to communicable disease risk;
(12) laser cutting foreskin generates eschar and penetrating odor.
Ultrasonic technique is introduced this field of Wrapping annulus cuts operation by the present inventor's same applying date for the first time, but is researched and developed It being found that while peritomize using ultrasound and can terminate to perform the operation to a few minutes for several seconds in journey, foreskin blood vessel is completed to heal, Be not in bleeding risk after performing the operation when operation, but there is also leading to the problem of smog and smell, and group may occur Knit the adhesion with cutter head.
Invention content
For the above prior art problem, the purpose of the present invention is to provide a kind of prepuce circumcision device, hand of peritomizing Art only needs can be completed for several seconds, and heals on the spot, avoids operation and neutralizes postoperative bleeding, avoids communicable disease Generation, solve bleeding or de- nail decylization risk caused by patient's physiological is erected after Wrapping annulus cuts operation, and at the same time It is as follows to solve the smog brought when ultrasonic cutting and blood coagulation, smell and the possibility of adhesion, specific technical solution:
A kind of prepuce circumcision device, including Foreskin loop cutter and water fog generator, wherein the water fog generator For before Foreskin loop cutter start, when Foreskin loop cutter start and/or after Foreskin loop cutter start to Foreskin loop cutter and/ Or Foreskin loop cutter institute site of action applies water or mist.
Further, further include transmitting device, the transmitting device is connected to Foreskin loop cutter.
Further, further include ultrasonic generator, the ultrasonic generator is connected to biography for generating ultrasonic wave Ultrasonic wave simultaneously can be sent to transmitting device by defeated device, and the transmitting device is connected to Foreskin loop cutter and can transmit ultrasonic wave To Foreskin loop cutter.
Further, the water fog generator is relative to ultrasonic generator, transmitting device and Foreskin loop cutter list Solely setting;Alternatively, the water fog generator is partly or entirely integrally disposed in ultrasonic generator, transmitting device or preputial ring In cutter.
Further, the water fog generator includes water reservoir and water outlet, and the water reservoir is set to biography On defeated device and for storing water or liquid medicine, the water outlet can be opened and closed, and be set to water reservoir close to Foreskin loop cutter One end simultaneously is used to the water stored in water reservoir or liquid medicine being applied to Foreskin loop cutter and/or Foreskin loop cutter institute service portion Position.
Further, the water reservoir is annular water reservoir, is set to transmitting device periphery;The water outlet is Multiple, the annular end face along annular water reservoir close to one end of Foreskin loop cutter is arranged.
Further, the water fog generator includes water reservoir and nozzle, and the water reservoir is set to transmission On device and for storing water or liquid medicine, the nozzle is set to water reservoir close to one end of Foreskin loop cutter and for that will deposit The interior water stored of water installations or liquid medicine are acted on eruption to Foreskin loop cutter and/or Foreskin loop cutter after water or liquid medicine atomization Position.
Further, the water reservoir includes water structure and atomization structure, the water structure for store water or Liquid medicine, the atomization structure are placed in water structure and for water or liquid medicine to be atomized.
Further, the water fog generator further includes water filling port, is opened in water reservoir and is used for water Filling water or liquid medicine in device.
Further, the water fog generator is ultrasonic water mist generation device.
Further, the ultrasonic generator is connected to water reservoir and the water for being sent to ultrasonic wave by storage Or liquid medicine is atomized.
Further, further include the second ultrasonic generator, second ultrasonic generator is connected to water reservoir simultaneously The water of storage or liquid medicine are atomized for being sent to ultrasonic wave.
Further, the Foreskin loop cutter includes first end and second end, and the first end is foreskin fixing end, described Second end is that extruding or cutting or hemostasis or healing end, the foreskin fixing end and extruding or cutting or hemostasis or healing end are mutual Cooperation is squeezed and/or is cut to foreskin, and/or, stopped blooding to the surface of a wound and/or is healed.
Further, the foreskin fixing end is inner ring, and the extruding or cutting or hemostasis or end of healing are outer shroud, described Inner ring is for being built in inside foreskin, and the outer shroud is for being placed outside outside foreskin, inner ring and outer rings mutual cooperation clamping foreskin.
Further, the foreskin fixing end is the positioning cylinder for being configured to that glans penis may make to be partially inserted into, The distal radial outwardly convex of the positioning cylinder forms flange, is formed on the face towards proximal end of the flange first annular Contact surface, foreskin is across being supported on the first annular contact surface after the flange;It is described extruding cutting or hemostasis or Healing end is to be installed on jointly on same frame with positioning cylinder, and mobile excision can be drivingly carried out to foreskin fixing end Device, the device for excising have the second annular contact surface.
Further, the foreskin fixing end is the positioning cylinder for being configured to be sleeved on the glans penis, described fixed The proximal end of position cylinder forms first annular contact surface, and foreskin is supported on the first surface;The extruding or cutting stop Blood or healing end are to be installed on jointly on same frame with positioning cylinder, and drivingly can be carried out movement to foreskin fixing end Device for excising, the device for excising have the second annular contact surface.
Compared with currently available technology, the present invention generates ultrasound simultaneously in Wrapping annulus cuts operation, using ultrasonic generator Foreskin cut end is sent to by transmitting device, and the frictional heat energy caused by mechanical oscillation is while cutting foreskin to foreskin blood Pipe carries out coagulation, and hemostasis and close healing can be completed in a few minutes;Ultrasound is generated using ultrasonic generator and passes through biography Defeated device sends foreskin cut end to, keeps prepuce tissues cut ring section beautiful;Ultrasonic wave makes the packet contacted with Foreskin loop cutter Skin tissue forms complete loop in moment moisture vaporization;Operation is sheared without blade or scissors, greatly alleviates patient The feared state of mind and physiology pain;Patient is not necessarily to band nail or band on penis after Wrapping annulus cuts operation;A few minutes surgeon's knot Shu Hou, foreskin blood vessel have healed, and after operation are not in bleeding risk when operation;The prior art is changed to peritomize hand The postoperative present situation for needing to follow closely 7 days or even more than ten days with annulus, solves the problems, such as minimal invasive treatment's inconvenience, while solving violent work Caused de- nail decylization risk when dynamic or outer force effect;It solves patient's physiological after Wrapping annulus cuts operation caused by erecing to go out Blood or de- nail decylization risk;Ultrasound Wrapping annulus cuts operation using the present invention, it is smooth naturally, maintaining that foreskin cuts healed surface Original elasticity;Ultrasound Wrapping annulus cuts operation using the present invention, time only need can be completed for several seconds;It is using the present invention Ultrasonic Wrapping annulus cuts operation, heals on the spot, avoids operation and neutralizes postoperative bleeding, avoids the generation of communicable disease; The integrated of water mist device avoids the coking scab occurred and the situation smoldered in operation simultaneously, and the smooth healing in ring cutting face will not There is the adhesion of smog, smell and the tissue and cutter head that may occur.
Description of the drawings
Fig. 1 is prepuce circumcision device schematic diagram
Fig. 2 is the first form schematic diagram of outer shroud
Fig. 3 is the first form schematic diagram of inner ring
Fig. 4 is the top view illustration of inner ring
Fig. 5 is the second form schematic diagram of outer shroud
Fig. 6 is the second form schematic diagram of inner ring
Fig. 7 is the housing elastic tape schematic diagram of inner ring
Fig. 8 is a kind of varus formula ultrasound foreskin extruding of the present invention, cutting, stops blooding, the Foreskin loop cutter in healing component Front view
Fig. 9 is the sectional view of Fig. 8
Figure 10 is the partial enlarged view of Fig. 9
Figure 11 is the front view of the positioning cylinder in the Foreskin loop cutter of Fig. 8
Another varus formula ultrasound foreskin extruding of Figure 12 present invention cutting, is stopped blooding, the Foreskin loop cutter in healing component Front view
Figure 13 is the front view of the positioning cylinder in the Foreskin loop cutter of Figure 12
Figure 14 is a kind of eversion type ultrasound foreskin extruding of the present invention, cutting, stops blooding, the Foreskin loop cutter in healing component Front view
Figure 15 is the sectional view of Figure 14
Figure 16 is the partial enlarged view of Figure 15
Figure 17 is the front view of the positioning cylinder in the Foreskin loop cutter of Fig. 8
Figure 18 is ultrasound generation and transmitting device schematic diagram
In figure:A. ultrasonic generator, 1. supersonic generators, 2. energy converters, 3. transmitting devices (main body), 4. transmission dresses It sets (front), 5. firm joint devices (external screw thread), 6. annular storage devices, 7. can close opening, 8. attachment devices/connecting cable, 9. firm joint device, 10. internal threads, 11. outer shrouds, 12. locking devices/clamping screw, 13. locking devices/locking screw holes, in 14. Ring, 15. outer shroud locking devices/locking buckle, 16. anti-stick coatings, 17. elastic tapes/anti-stick coating, 18. protection structures, 19. is fixed Position cylinder, 20. flanges, 21. first annular contact surfaces, 22. gas-permeable channels, 23. main body frames, 24. device for excising, 25. second Annular contact surface, 26. driving devices, 27. upper covers, 28. lower covers, 29. retaining rings
Specific implementation mode
Below according to attached drawing, the present invention will be described in detail, is a kind of preferred reality in numerous embodiments of the present invention Apply example.
Referring to Fig. 1, in the preferred embodiment, transmitting device include transmitting device main body 3 and transmitting device before Portion 4, the end of the front 4 of transmitting device are equipped with the external screw thread 5 of firm joint device, side/both sides of the front 4 of transmitting device or It is equipped with annular storage device 6 ring week, annular storage device 6 is equipped with close to one end of Foreskin loop cutter can close opening 7.Preputial ring There is the outer shroud 11 of cutter opening, opening can be equipped with firm joint device 9, affixed dress by 15 fitting closure of locking buckle, outer shroud 11 It sets 9 and is equipped with internal thread 10, internal thread 10 and external screw thread 5 can be with screw-thread fits and affixed.It can be deposited in the annular storage device 6 Water storage, alcohol, the liquid such as disinfectant push by squeezing or the mode of ultrasonic vibration are sprayed from water outlet, peritomizing Before, when peritomizing and/or after peritomizing, peritomize position and/or Foreskin loop cutter be formed about it is mist-like Environment.
The water fog generator of Foreskin loop cutter of the present invention may include one and be arranged on main body frame, and is located at and cuts Foreskin loop cutter is faced except device or transmitting device outer periphery or the annular water reservoir 6 of inner periphery, and in the water reservoir The water outlet or vent of eruption being equipped with can store water, alcohol in the water reservoir, and the liquid such as disinfectant pass through and squeeze, and push Or the mode of ultrasonic vibration is sprayed from water outlet, before peritomizing, when peritomizing and/or after peritomizing, in foreskin Girdling device is formed about mist-like environment.When by the way of ultrasonic vibration, using the second ultrasonic generator, described Two ultrasonic generators be connected to water reservoir and for be sent to ultrasonic wave by the water of storage or liquid medicine carry out atomization to It is sprayed from water outlet, supersonic frequency 1.7-1.9mhz.
When using Foreskin loop cutter, vibration frequency 55.5kHz-166.5kHz, preferably 135kHz.Ultrasonic generator Including supersonic generator and ultrasonic transducer, the supersonic generator is drivingly connected to ultrasonic transducer, described super Acoustic wave transducer is connected to transmitting device, and transmitting device is ultrasonic conducting bar, and ultrasonic generator is connected with control unit, described Ultrasonic generator includes longitudinal ultrasonic driver and lateral ultrasonic drivers.
Referring to Fig. 2, in the preferred embodiment, there is the outer shroud 11 of Foreskin loop cutter opening, opening can pass through locking screw 13 fitting closure of bolt 12 and locking screw holes, outer shroud 11 are equipped with firm joint device 9, and firm joint device 9 is equipped with internal thread 10, internal thread 10 can be equipped with anti-stick coating 16 with external screw thread 5 with screw-thread fit and affixed, the inside of outer shroud 11.
Foreskin loop cutter includes first end and second end, and first end is foreskin fixing end, second end be squeeze or cutting or Hemostasis or healing end, foreskin fixing end and squeeze or cutting hemostasis or healing end cooperate to foreskin carry out squeeze and/or Cutting, and/or, stopped blooding to the surface of a wound and/or is healed.Foreskin fixing end and extruding or cutting or hemostasis or the cooperation at healing end Mode is that foreskin fixing end is used to be placed in the inner panel or outside plate of foreskin, squeezes or cuts or stop blooding or end of healing is used for The outside plate of foreskin or the position corresponding with foreskin fixing end of inner panel are placed.Foreskin fixing end and extruding or cutting stop Blood or healing end carry out cooperation clamping foreskin respectively at the inner panel and outside plate of foreskin, and for foreskin to be squeezed and/or cut It cuts, and/or, stopped blooding to the surface of a wound and/or is healed.Foreskin fixing end has the first toroidal contact surface, squeezes or cuts or stops There is the second toroidal contact surface, the first toroidal contact surface so that foreskin is placed on the cooperation of the second toroidal contact surface for blood or healing end Between two contact surfaces.First toroidal contact surface and the second toroidal contact surface are closed circle contact surface.
Foreskin fixing end is the first ring, squeezes or cuts or stop blooding or healing end is the second ring.First ring and the second ring phase Foreskin is arranged inside and outside or the second ring and the first ring are arranged inside and outside relative to foreskin.First ring is inner ring 14, is used for interior It is placed in inside foreskin, the second ring is outer shroud 11, is used to be placed outside outside foreskin, 11 mutual cooperation clamping packet of inner ring 14 and outer shroud Skin.Inner ring 14 is close ring, and there is outer shroud 11 opening, opening can be closed by locking device 12,13.
It is a kind of form of inner ring 14 in the preferred embodiment, width is more than outer shroud 11 and is arranged referring to Fig. 3 Two parallel circle grooves can coordinate clamping with outer shroud, be a kind of shape of inner ring 14 in the preferred embodiment referring to Fig. 6 State, width is almost the same with outer shroud 11 and can coordinate clamping with outer shroud.Referring to Fig. 4, the outer ring of inner ring 14 is equipped with elastic tape/anti- Adhesive coating layer 17, inner ring are equipped with protection structure 18.
Referring to Fig. 7, the elastic tape or anti-stick coating 17 that are arranged for inner ring outer ring.
Referring to Fig. 5, in the preferred embodiment, there is the outer shroud 11 of Foreskin loop cutter opening, opening can pass through locking clamp 15 fitting closures are detained, outer shroud 11 is equipped with firm joint device 9, and firm joint device 9 is equipped with internal thread 10, and internal thread 10 can with external screw thread 5 With screw-thread fit and affixed, the inside of outer shroud 11 is equipped with anti-stick coating 16.
In ring cutting operation, following steps may be used:
1, in the state that penis does not erect, the perimeter of penis at 1cm below glans penis is measured with tape, determination is peritomized Device specifications and models;The inside and outside skin zone of penis is fully wiped one time with sterilized cotton ball, surgical operation towel is completed, selects corresponding foreskin Girdling device model;
2, adult uses 2% lidocaine anesthesia agent of 3-5ml every time;Children use 2% lidocaine anesthesias of 2-3ml every time Agent goes in ring injection glans penis at the 1/3 of root;
3, after anaesthetizing, radix penis part, Basilar artery blood circulation are ligatured with rubber band;
4, inner ring is placed at penis foreskin, adjusts the position of inner ring;
5, foreskin edge is clamped with vessel forceps, foreskin is turned up and entangles inner ring, retain 1 centimeter of frenulum;
6, check whether inner and outer plates are smooth;
7, the male threaded stub of ultrasound transmission apparatus and the internal thread on outer shroud firm joint device are screwed, starts ultrasound Device simultaneously carries out each gear detection of perioperative ultrasound generating means in sink, and ultrasonic generator is closed after detection;
8, outer shroud is pressed into inner ring at extra foreskin, checks that inner and outer ring side keeps horizontality, is closed outer shroud:Pass through Outer shroud junction, which is oriented to, is closed outer shroud, and locking device is used in combination tentatively to fasten;Foreskin is adjusted to satisfaction, it is complete with locking device It fastens;
9, start ultrasonic generator and foreskin is cut using high frequency cutting gear, and start water mist simultaneously Device erupts water mist to position of peritomizing;
10, after continuing corresponding clipping time (general 3-9s) according to practical foreskin situation, cutting at this time finishes, and contacts the surface of a wound It is the side (dull face) of Foreskin loop cutter, blood coagulation is carried out using low frequency blood coagulation gear, until hemostasis is completed and tentatively healed;
11, outer shroud is removed;
12, inner ring is slowly retreated to radix penis part;
13, it is cut with sharp mouth and inner ring is cut into two sections, and take out inner ring, complete operation.
Or preferably by following optional step:
1, inner ring is built between glans penis and Inner prepuce and is probably positioned according to length of peritomizing;
2, the male threaded stub of ultrasound transmission apparatus and the internal thread on outer shroud firm joint device are screwed, starts ultrasound Device simultaneously carries out each gear detection of perioperative ultrasound generating means in sink, and ultrasonic generator is closed after detection;
3, by outer shroud from foreskin outside plate it is corresponding with inner ring after be closed outer shroud:It is oriented to by outer shroud junction and is closed outer shroud, and It is tentatively fastened with locking device;Foreskin is adjusted to satisfaction, is fastened completely with locking device;
9, start ultrasonic generator and foreskin is cut using high frequency cutting gear;
10, after continuing corresponding clipping time according to practical foreskin situation, cutting at this time finishes, and it is preputial ring to contact the surface of a wound The side (dull face) of cutter carries out blood coagulation using low frequency blood coagulation gear, until hemostasis is completed and tentatively healed;
11, outer shroud is removed;
12, inner ring is removed, operation is completed.
According to one embodiment of present invention, provide a kind of ultrasonic foreskin squeeze, cutting, hemostasis, healing component, including it is super Generating device, transmitting device and Foreskin loop cutter, wherein the ultrasonic generator is connected for generating ultrasonic wave To transmitting device and ultrasonic wave can be sent to transmitting device;The transmitting device is connected to Foreskin loop cutter and can be by ultrasonic wave It is sent to Foreskin loop cutter;The Foreskin loop cutter for foreskin to be squeezed and/or is cut, and/or, to the surface of a wound into whereabouts Blood and/or healing.
Foreskin loop cutter in the present embodiment includes:Cylinder is positioned, it is described to be constructed such that glans penis is partially inserted into It positions in cylinder, at least one gas-permeable channels can be equipped on the positioning cylinder;It is outside in the distal radial of the positioning cylinder Convex to form flange;First annular contact surface is formed on the face towards proximal end of the flange, by long foreskin across institute It is supported on the first annular contact surface after stating flange.In above-mentioned positioning cylinder, the first annular contact surface and institute The angle stated between the axis of positioning cylinder can be right angle or be acute angle.The angular range of the acute angle can be 30-60 Degree.In above-mentioned positioning cylinder, the gas-permeable channels are included in the groove that the outside of the positioning cylinder in axial direction extends.It should Inner space is connected to by groove with outside holding.So that the pressure in inner space keeps substantial equilibrium with external pressure, In interchangeable embodiment, gas-permeable channels can also be the more of the wall thickness through positioning cylinder being formed on positioning cylinder A through-hole, for example, circle, ellipse, triangle, quadrangle and other geometries.
Foreskin loop cutter in the present embodiment further includes:Main body frame, the positioning cylinder are mounted on the main body frame In;And device for excising, it is mounted on the main body frame, and include the second annular contact surface.The device for excising can be constructed At drivingly being moved to positioning cylinder, until the second annular contact surface and first annular contact surface are to packet between Skin is squeezed, is cut, is stopped blooding, is healed.
The embodiment of another invention according to the present invention, provide a kind of ultrasonic foreskin squeeze, cutting, hemostasis, healing group Part, including ultrasonic generator, transmitting device and Foreskin loop cutter, wherein the ultrasonic generator is for generating ultrasound Wave is connected to transmitting device and can ultrasonic wave be sent to transmitting device;The transmitting device is connected to Foreskin loop cutter simultaneously Ultrasonic wave can be sent to Foreskin loop cutter;The Foreskin loop cutter is used to that foreskin to be squeezed and/or be cut, and/or, it is right The surface of a wound is stopped blooding and/or is healed.
Foreskin loop cutter in the present embodiment includes:Cylinder is positioned, is configured to be sleeved on the glans penis and first Annular contact surface is arranged in the proximal end of the positioning cylinder, for long foreskin to be supported on the positioning cylinder.Upper It states in positioning cylinder, the angle between the first annular contact surface and the axis of the positioning cylinder can be right angle or be Acute angle.The angular range of the acute angle can be 30-60 degree.Further include clamping band in above-mentioned positioning cylinder, the clamping band is set It sets in the periphery of the positioning cylinder, the foreskin will extend over the first annular contact surface is clamped to the outer of the positioning cylinder Portion.The clamping band is equipped with the multiple ratchets for allowing the clamping band unidirectionally to clamp.
Foreskin loop cutter in the present embodiment further includes:Main body frame, the positioning cylinder are mounted on the main body frame In;And device for excising, it is mounted on the main body frame, and include the second annular contact surface.The device for excising can be constructed At drivingly being moved to positioning cylinder, until the second annular contact surface and first annular contact surface are to packet between Skin is squeezed, is cut, is stopped blooding, is healed.
It is highly preferred that according to one embodiment of present invention, provide a kind of varus formula ultrasound foreskin squeeze, cutting, hemostasis, Heal component, including ultrasonic generator, transmitting device and Foreskin loop cutter, wherein the ultrasonic generator is for producing Raw ultrasonic wave, is connected to transmitting device and can ultrasonic wave be sent to transmitting device;The transmitting device is connected to preputial ring Ultrasonic wave can be simultaneously sent to Foreskin loop cutter by cutter;The Foreskin loop cutter is used to that foreskin to be squeezed and/or be cut, And/or is stopped blooding to the surface of a wound and/or healed.
For ease of understanding, in the present embodiment, by the Foreskin loop cutter and its each during cutting off the operation of foreskin One end (such as right end of Fig. 8) of the close human body of component is known as distal end, by the separate people of Foreskin loop cutter and its all parts One end of body is known as proximal end close to one end (such as left end of Fig. 8) of surgical staff operation.
Refer to the attached drawing 8-13, the Foreskin loop cutter in the present embodiment include:Cylinder 19 is positioned, is constructed such that glans part It is inserted into the positioning cylinder with dividing;Flange 20 is formed in the distal radial outwardly convex of the positioning cylinder;Described convex First annular contact surface 21 is formed on the face towards proximal end of edge, by long foreskin across being supported on institute after the flange 20 It states on first annular contact surface 21, forms structure of the distal end of positioning cylinder between Inner prepuce and penis, referred to as varus Formula structure.In above-mentioned positioning cylinder, the angle between the first annular contact surface 21 and the axis of the positioning cylinder 19 It can be right angle or be acute angle.The angular range of refer to the attached drawing 12-13, the acute angle can be 30-60 degree, thus and glans penis The shape of coronary sulcus match, convenient for more accurate positioning.It can be equipped in above-mentioned positioning cylinder at least one ventilative logical Road 22, the gas-permeable channels 22 are included in the groove that the outside of the positioning cylinder in axial direction extends.The groove will be internal Space is connected to outside holding.So that the pressure in inner space keeps substantial equilibrium with external pressure, interchangeable In embodiment, gas-permeable channels can also be the multiple through-holes for the wall thickness through positioning cylinder being formed on positioning cylinder, ginseng Attached drawing 11 is examined, for example, circle, ellipse, triangle, quadrangle and other geometries.
Foreskin loop cutter in the present embodiment further includes:Main body frame 23, the positioning cylinder 19 are mounted on the main body In frame 23;And device for excising 24, it is mounted on the main body frame 23, and include the second annular contact surface 25.The excision Device 24 can be configured to driven device 26 and drivingly be moved to positioning cylinder 19, until the second annular contact surface 25 with First annular contact surface 21 squeezes foreskin between, is cut, is stopped blooding, is healed.Driving device can be that setting exists Depressible handle on main body frame is pushed to push device for excising to be moved in main body frame by external force, and is being performed the operation The bounce of spring is relied on to reset after the completion.
With reference to figure 9,11, the positioning cylinder 19 in the present embodiment can be extended a positioning link bar by proximal end, fixed by this Position connecting rod is located by connecting with main body frame.
Ultrasonic generator in the present embodiment includes supersonic generator 1 and energy converter 2, and the ultrasonic wave of generation passes through biography Defeated apparatus main body 3 and transmitting device front 4 are conveyed to Foreskin loop cutter, and transmitting device front can pass through firm joint device 5 and foreskin The positioning cylinder 19 and/or device for excising 24 of girdling device connect, to by ultrasonic wave be transmitted to first annular contact surface 21 and/or Second annular contact surface 25.Firm joint device 5 can be to be attached by internal and external threads, may be designed in by bayonet unit It is attached.
It sticks together between foreskin and girdling device when performing the operation in order to prevent, wound is caused to tear again, position cylinder and cut It is preferably in the cylinder of positioning cylinder and convex except the part contacted with foreskin on device is provided with 16 (not shown) of anti-stick coating Anti-stick coating 16 is set on edge and on the second annular contact surface of device for excising.
Smog and smell are generated when in order to avoid being peritomized using ultrasound, influencing the visual field and surgical environments, The Foreskin loop cutter of the present invention is additionally provided with water fog generator, refer to the attached drawing 10, which may include one It is arranged on main body frame, and positioned at device for excising outer periphery or the annular water reservoir 6 of inner periphery, and in the water reservoir 7 (not shown) of water outlet being equipped in face of the side of first annular contact surface 21 can store water, wine in the water reservoir Essence, the liquid such as disinfectant push by squeezing or the mode of ultrasonic vibration are sprayed from water outlet, before peritomizing, wrap When skin ring cutting and/or after peritomizing, mist-like environment is formed about in first annular contact surface 21.
The embodiment of another invention according to the present invention, provide a kind of eversion type ultrasound foreskin squeeze, cutting, hemostasis, Heal component, including ultrasonic generator, transmitting device and Foreskin loop cutter, wherein the ultrasonic generator is for producing Raw ultrasonic wave, is connected to transmitting device and can ultrasonic wave be sent to transmitting device;The transmitting device is connected to preputial ring Ultrasonic wave can be simultaneously sent to Foreskin loop cutter by cutter;The Foreskin loop cutter is used to that foreskin to be squeezed and/or be cut, And/or is stopped blooding to the surface of a wound and/or healed.
For ease of understanding, in the present embodiment, by the Foreskin loop cutter and its each during cutting off the operation of foreskin One end (such as right end of Figure 14) of the close human body of component is known as distal end, by the separate people of Foreskin loop cutter and its all parts One end of body is known as proximal end close to one end (such as left end of Figure 14) of surgical staff operation.
Foreskin loop cutter in the present embodiment includes:Cylinder 19 is positioned, is configured to be sleeved on the glans penis, Yi Ji One annular contact surface 21, be arranged it is described positioning cylinder proximal end, for by glans penis from distal end proximally through positioning cylinder after, Long foreskin is dug and is supported on the positioning cylinder proximal end.It forms positioning cylinder and is integrally located at the knot except foreskin outside plate Structure, referred to as eversion type structure.
In above-mentioned positioning cylinder, the angle between the first annular contact surface and the axis of the positioning cylinder can be with For right angle or it is acute angle.The angular range of the acute angle can be 30-60 degree.To the shape phase with the coronary sulcus of glans penis Match, convenient for more accurate positioning.
In above-mentioned positioning cylinder, it may also include clamping band (not shown), the clamping band is arranged in the positioning tube The periphery of body, the foreskin will extend over the first annular contact surface are clamped to the outside of the positioning cylinder.The clamping band It is equipped with the multiple ratchet (not shown)s for allowing the clamping band unidirectionally to clamp.
Foreskin loop cutter in the present embodiment further includes:Main body frame 23, the positioning cylinder are mounted on the body frame In frame;And device for excising 24, it is mounted on the main body frame, and include the second annular contact surface 25.The device for excising 24 It can be configured to driven device 26 drivingly to be moved to positioning cylinder, until the second annular contact surface connects with first annular Contacting surface squeezes foreskin between, is cut, is stopped blooding, is healed.Driving device can be to be arranged on main body frame Depressible handle pushes to push device for excising to be moved in main body frame by external force, and relies on bullet after the completion of operation The bounce of spring resets.
Upper cover 27, the cooperation knot of lower cover 28 and retaining ring 29 can be passed through by positioning cylinder with reference to figure 15,16, in the present embodiment Structure is fixed together with main body frame.The closing in of upper cover distal end forms support, the proximal lateral of upper cover to the distal end for positioning cylinder Equipped with external screw thread, lower cover distal exterior also is provided with external screw thread, is equipped with internal thread on the inside of retaining ring, three is connected through a screw thread realization It is fixed.
Ultrasonic generator in the present embodiment includes supersonic generator 1 and energy converter 2, and the ultrasonic wave of generation passes through biography Defeated apparatus main body 3 and transmitting device front 4 are conveyed to Foreskin loop cutter, and transmitting device front can pass through firm joint device 5 and foreskin The positioning cylinder 19 and/or device for excising 24 of girdling device, to which ultrasonic wave is transmitted to first annular contact surface 21 and/or second Annular contact surface 25.Firm joint device 5 can be to be attached by internal and external threads, may be designed in and carried out by bayonet unit Connection.
It sticks together between foreskin and girdling device when performing the operation in order to prevent, wound is caused to tear again, position cylinder and cut Except the part contacted with foreskin on device is provided with 16 (not shown) of anti-stick coating, preferably in the first annular of positioning cylinder Anti-stick coating 16 is set on contact surface and on the second annular contact surface of device for excising.
Smog and smell are generated when in order to avoid being peritomized using ultrasound, influencing the visual field and surgical environments, The Foreskin loop cutter of the present invention is additionally provided with water fog generator, refer to the attached drawing 13, which may include one It is arranged on main body frame, and positioned at device for excising outer periphery or the annular water reservoir 6 of inner periphery, and in the water reservoir 7 (not shown) of water outlet being equipped in face of the side of first annular contact surface 21 can store water, wine in the water reservoir Essence, the liquid such as disinfectant push by squeezing or the mode of ultrasonic vibration are sprayed from water outlet, before peritomizing, wrap When skin ring cutting and/or after peritomizing, mist-like environment is formed about in first annular contact surface 21.
Referring to Figure 18, in the preferred embodiment, ultrasonic generator A includes supersonic generator 1 and energy converter 2, is surpassed Sonic generator 1 is connected to energy converter 2 by attachment device or connecting cable 8, and ultrasonic generator A is connected by transmitting device It is connected to Foreskin loop cutter, transmitting device includes the main body 3 of transmitting device and the front 4 of transmitting device, the front 4 of transmitting device End be equipped with the external screw thread 5 of firm joint device, be equipped with annular storage in side/both sides of the front 4 of transmitting device or ring week and fill 6 are set, annular storage device 6 is equipped with close to one end of Foreskin loop cutter can close opening 7.
The ultrasound foreskin squeezes, cutting, hemostasis, heal component, and applications of ultrasound is combined in the inside and outside portion's tissue of human body tip The foreskin at place squeezes, cutting, hemostasis, heals, including ultrasonic generator A, transmitting device 3,4 and Foreskin loop cutter, ultrasound Generating means A is connected to transmitting device 3,4 and ultrasonic wave can be sent to transmitting device 3,4 for generating ultrasonic wave;Transmission Device 3,4 is connected to Foreskin loop cutter and can ultrasonic wave be sent to Foreskin loop cutter;Foreskin loop cutter is used to carry out foreskin It squeezes and/or cuts, and/or, stopped blooding to the surface of a wound and/or is healed.
Foreskin fixing end is connected to transmitting device 3, and 4, and/or, it squeezes or cutting or hemostasis or healing end is connected to transmission Device 3,4, and receive transmitting device 3,4 transmission ultrasonic wave and foreskin is squeezed and/or is cut, and/or, to the surface of a wound into Whereabouts blood and/or healing.Pass through between transmitting device 3,4 and foreskin fixing end and/or extruding or cutting or hemostasis or healing end Internal and external threads 5,10 or buckle carry out affixed.
Foreskin fixing end and extruding or cutting or hemostasis or healing end carry out matching co-clip respectively at the inner panel and outside plate of foreskin Foreskin is held, the 9%-87% of thickness when clamping degree is foreskin nature.
Foreskin fixing end and extruding or cutting or hemostasis or healing end carry out matching co-clip respectively at the inner panel and outside plate of foreskin Hold foreskin, clamping force 0.02-3.5N/mm.
Further include water fog generator 6,7, is used for before peritomizing, when peritomizing and/or after peritomizing Water and/or water mist are applied to Foreskin loop cutter and/or position of peritomizing.Water fog generator 6,7 is filled relative to ultrasound A, transmitting device 3,4 and Foreskin loop cutter is set to be separately provided;And/or water fog generator 6,7 is partly or entirely integrally disposed On ultrasonic generator A, transmitting device 3,4 or Foreskin loop cutter.
Further include protective device, be used for before peritomizing, when peritomizing and/or after peritomizing to penis, The foreskin that glans penis and/or needs retain is protected.Protective device be set on Foreskin loop cutter contact penis, glans penis and/ Or need the protection structure 18 of the position of the foreskin retained.
Ultrasonic generator includes supersonic generator 1 and ultrasonic transducer 2, and supersonic generator 1 is drivingly connected extremely Ultrasonic transducer 2, ultrasonic transducer 2 are connected to transmitting device 3,4.
The present invention is exemplarily described above in conjunction with attached drawing, it is clear that the present invention implements not by aforesaid way Limitation, as long as using the various improvement of inventive concept and technical scheme of the present invention progress, or not improved direct application In other occasions, within protection scope of the present invention.

Claims (16)

1. a kind of prepuce circumcision device, which is characterized in that including Foreskin loop cutter and water fog generator, wherein the water Mist generation device is used for before Foreskin loop cutter start, to packet when Foreskin loop cutter start and/or after Foreskin loop cutter start Skin girdling device and/or Foreskin loop cutter institute site of action apply water or mist.
2. prepuce circumcision device as described in claim 1, which is characterized in that further include transmitting device, the transmitting device connects It is connected to Foreskin loop cutter.
3. prepuce circumcision device as claimed in claim 2, which is characterized in that further include ultrasonic generator, the ultrasound hair Generating apparatus is connected to transmitting device and ultrasonic wave can be sent to transmitting device, the transmitting device for generating ultrasonic wave It is connected to Foreskin loop cutter and ultrasonic wave can be sent to Foreskin loop cutter.
4. the prepuce circumcision device as described in claim 1-3, which is characterized in that the water fog generator is sent out relative to ultrasound Generating apparatus, transmitting device and Foreskin loop cutter are separately provided;Alternatively, the water fog generator is partly or entirely integrally disposed On ultrasonic generator, transmitting device or Foreskin loop cutter.
5. prepuce circumcision device as claimed in claim 4, which is characterized in that the water fog generator include water reservoir with And water outlet, the water reservoir is set on transmitting device and for storing water or liquid medicine, the water outlet can be opened and closed, set Water reservoir is placed in close to one end of Foreskin loop cutter and for the water stored in water reservoir or liquid medicine to be applied to preputial ring Cutter and/or Foreskin loop cutter institute site of action.
6. prepuce circumcision device as claimed in claim 5, which is characterized in that the water reservoir is annular water reservoir, It is set to transmitting device periphery;The water outlet is multiple, along annular water reservoir close to the ring of one end of Foreskin loop cutter Shape end face is arranged.
7. prepuce circumcision device as claimed in claim 4, which is characterized in that the water fog generator include water reservoir with And nozzle, the water reservoir is set on transmitting device and for storing water or liquid medicine, the nozzle is set to water reservoir Close to Foreskin loop cutter one end and for by the water stored in water reservoir or liquid medicine will water or liquid medicine atomization after erupt to Foreskin loop cutter and/or Foreskin loop cutter institute site of action.
8. prepuce circumcision device as claimed in claim 7, which is characterized in that the water reservoir includes water structure and atomization Structure, the water structure are placed in water structure and are used for water or liquid medicine for storing water or liquid medicine, the atomization structure Atomization.
9. the prepuce circumcision device as described in claim 5-8, which is characterized in that the water fog generator further includes water filling Mouthful, it is opened in water reservoir and for filling water or liquid medicine into water reservoir.
10. the prepuce circumcision device as described in claim 1-9, which is characterized in that the water fog generator is ultrasonic water Mist generation device.
11. prepuce circumcision device as claimed in claim 10, which is characterized in that the ultrasonic generator is connected to water dress It sets and is used to be sent to ultrasonic wave and be atomized the water of storage or liquid medicine.
12. prepuce circumcision device as claimed in claim 10, which is characterized in that further include the second ultrasonic generator, it is described Second ultrasonic generator is connected to water reservoir and is atomized the water of storage or liquid medicine for being sent to ultrasonic wave.
13. the prepuce circumcision device as described in claim 1-12, which is characterized in that the Foreskin loop cutter include first end and Second end, the first end are foreskin fixing end, and the second end is that extruding or cutting or hemostasis or healing end, the foreskin are solid Fixed end and squeeze or cutting hemostasis or healing end cooperate foreskin is squeezed and/or is cut, and/or, to the surface of a wound into Whereabouts blood and/or healing.
14. prepuce circumcision device as claimed in claim 13, which is characterized in that the foreskin fixing end is inner ring, described to squeeze Pressure or cutting or hemostasis or healing end are outer shroud, and the inner ring is for being built in inside foreskin, and the outer shroud is for being placed outside packet Outside skin, inner ring and outer rings mutual cooperation clamping foreskin.
15. prepuce circumcision device as claimed in claim 13, which is characterized in that the foreskin fixing end is to be configured to make The positioning cylinder that glans penis is partially inserted into is obtained, flange is formed in the distal radial outwardly convex of the positioning cylinder, described Form first annular contact surface on the face towards proximal end of flange, foreskin is described first annular across being supported on after the flange On contact surface;The extruding or cutting or hemostasis or healing end are to be installed on jointly on same frame with positioning cylinder, and can quilt Mobile device for excising is drivingly carried out to foreskin fixing end, the device for excising has the second annular contact surface.
16. prepuce circumcision device as claimed in claim 13, which is characterized in that the foreskin fixing end is to be configured to cover Positioning cylinder on the glans penis forms first annular contact surface in the proximal end of the positioning cylinder, and foreskin is supported on institute It states on first surface;It is described extruding cutting or hemostasis or healing end be with positioning cylinder be installed on jointly on same frame, and Mobile device for excising can be drivingly carried out to foreskin fixing end, the device for excising has the second annular contact surface.
CN201710029700.7A 2017-01-16 2017-01-16 Circumcision device Active CN108309433B (en)

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