A kind of ring cutting suture operative anastomat
Technical field
The present invention relates to the field of medical instrument technology, specially a kind of ring cutting sutures operative anastomat.
Background technique
Redundant prepuce or phimosis, which are not treated in time, be easy to cause patient's urinary tract infection so as to cause chronic prostatitis, can go out
It now has a pain in the back, the symptoms such as impotence and premature ejaculation, therefore, it is to prevent arranging for these illnesss that operation, which cuts off too long foreskin or phimosis, early
One of apply, for existing foreskin cutting operation there are mainly three types of method, first method is that scalpel or laser cutting suture suture,
The operating time that the method needs is long, the great work intensity of Urology Surgery doctor, and notch out-of-flatness, easily formation scar, healing
Slowly;Second method is loop procedure, is fallen off by inner and outer ring card briquetting skin ischemic necrosis, although operating time is short,
It is postoperative to need to return institute and tear ring open, and wound easily splits after tearing ring open;The third method is ring cutting suture operation, and ring cutting suture operation is existing
Mainstream modus operandi, not only operating time is short, and postoperative without returning institute, voluntarily falls off, and notch is round and smooth neat, and healing is fast.
Suture operation of peritomizing needs to select the stapler of suitable size, and takes out the adjusting knob of stapler and bell
Glans penis seat, by bell glans penis seating in foreskin and covering on glans penis, and clock edge is parallel with coronary sulcus, and foreskin is fixed with suture
In on pull rod, then that pull rod insertion stapler center is empty, precession adjusting knob keeps pull rod equal with behind adjusting knob, takes
Safety fastener out excites handle, hammers into seaming loop nail, last rotation of adjustment knob, removal equipment and excision foreskin, but existing
Suture operation of peritomizing with coincideing to have a high regard for so has the following deficiencies: that 1. postoperative seaming loops nails easily with glans penis mantle friction, cause
Seaming loop nail loosens in advance, leads to sewing hole bleeding, or even infection;2. foreskin has elasticity, and foreskin inner face easily slides, fixed
When stretching transition cause it is fixed after foreskin shunk to suture bearing, cause circumcision excessive, influence postoperative normal erection or
Foreskin causes circumcision very few, needs second operation to cunning behind glans penis seat outside.
Summary of the invention
In view of the deficiencies of the prior art, the present invention provides a kind of ring cuttings to suture operative anastomat, solves above-mentioned back
The problem of being proposed in scape technology.
In order to achieve the above object, the present invention is achieved by the following technical programs: a kind of ring cutting suture surgical stapling
Device, including outer housing, the bell seat being movably installed in inside outer housing, fixing sleeve are loaded on the fixed ring of bell seat outer surface and consolidate
Surely it is set in the fixed cylinder of bell seat outer surface, the outer housing includes suture cover, with the fixed cylinder being connected to of suture cover, activity
It is connected to the triggering ring of cylinder lumen, and is fixedly installed in the relieving ring of barrel outer surface, the outer surface of the cylinder, which rotates, to be connected
It is connected to handle, the outside of the triggering ring run through and extend to cylinder, the triggering ring is located at the outer surface on the outside of cylinder and turns
Dynamic to be connected with crank, the crank one end and handle far from triggering ring are rotatablely connected, the internal activity connection of the outer housing
There is pull rod, the outside of cylinder is run through and extended in one end of the pull rod, and the pull rod is located at the company of the threaded one end on the outside of cylinder
It is connected to adjusting knob, the bottom end of the adjusting knob is rotatably connected to interconnecting piece, and the interconnecting piece runs through and extends to cylinder
Inside, the interconnecting piece are connect with barrel body rotation, and the other end of the pull rod runs through and extends to the outside of suture cover, the drawing
One end that bar is located at suture cover outside is fixedly connected with bell seat, and the bell seat includes connecting column, upper cover seat and lower cover seat, institute
The outer surface for stating connecting column is fixedly connected with outer fixed tooth, and the outer surface of the upper cover seat is fixedly connected with connector, under described
The outer surface of cover seat has been fixedly attached suture bolsters, and the outer surface of the lower cover seat is fixedly connected with outer rib, the lower cover seat
Outer surface offers perforation, and the inner wall of the fixed ring is fixedly connected with inner rip, and the inner rip is mutually clamped with outer rib, institute
Stating fixed cylinder includes cylinder and the rear cover for being fixedly connected on cylinder side, and the inner wall of the cylinder is fixedly connected with interior fixed tooth,
The interior fixed tooth is meshed with outer fixed tooth, and the inside of the rear cover offers intercommunicating pore, and the lateral surface of the rear cover opens up
There is seal groove, the intercommunicating pore is connected with seal groove.
Optionally, the outer of the lower cover seat is fixedly connected with restraining position ring block, and the interior edge of the lower cover seat is fixedly connected with card
Ring, the stop collar and snap ring are respectively positioned on the bottom of bell seat.
Optionally, the connector is through the outer surface for perforating and extending to lower cover seat, and the top of connector is spherical in shape
Shape, the aperture value of the perforation are less than the diameter value of connector spherical top.
Optionally, the outer surface fixation of the cylinder is communicated with ventilation nozzle, is hinged with end cap at the top of the ventilation nozzle.
Optionally, the outer surface movable sleeve of the pull rod is connected to sealing ring, and the sealing ring is in truncated conical shape, the sealing
Ring mutually agrees with seal groove.
Optionally, the inner sidewall of the lower cover seat is fixedly connected with multiple protrusions, and the protrusion is distributed in a ring.
Optionally, there are gap between the interior fixed tooth and outer fixed tooth, the interior fixed tooth and outer fixed tooth are
Medical grade silicon rubber material.
Optionally, the fixed ring includes attachment base, rotates in the first semi-ring of attachment base side and is rotationally connected with the
Second semi-ring of the one semi-ring other side, first semi-ring is fixedly connected with the first closure blocks far from one end of attachment base, described
Second semi-ring is fixedly connected with second far from one end of attachment base and closes block.
Optionally, first closure blocks close block opposite face with second and offer the first tooth socket and the second tooth socket respectively, the
One tooth socket and the second tooth socket are intermeshed.
The present invention provides a kind of ring cutting suture operative anastomat, have it is following the utility model has the advantages that
1, the suture operation stapler of peritomizing is cooperated by setting upper cover seat and lower cover seat, can be separated after surgery
Cover seat and lower cover seat, lower cover seat are retained on patient's glans penis, and circle nail to be stapled extracts lower cover seat after falling off again, thus effective protection
Glans penis surface avoids postoperative seaming loop nail and glans penis mantle friction, causes seaming loop nail to loosen in advance, lead to sewing hole bleeding,
The problem of even infecting, improves the postoperative effect of the stapler, reduces postoperative sequelae occurrence probability, setting perforation and connector
Cooperation, facilitates postoperative separation upper cover seat and lower cover seat.
2, the suture operation stapler of peritomizing passes through setting connecting column, outer fixed tooth, fixed cylinder and interior fixed tooth
Cooperation substitutes suture, can fix foreskin upper end, and stretching transition causes foreskin after fixing to shrink to suture bearing when fixed,
Outer rib, fixed ring and inner rip cooperation, Ke Yigu is arranged in the problem of causing circumcision excessive, influencing postoperative normal erection
Determine foreskin bottom end, avoids foreskin to cunning behind bell seat outside, the problem of causing circumcision very few, need second operation.
Detailed description of the invention
Fig. 1 is configuration schematic diagram of the present invention;
Fig. 2 is schematic structural view of the invention;
Fig. 3 is the bell holder structure schematic diagram of the present invention;
Fig. 4 is lower cover seat present invention looks up structural representation of the present invention;
Fig. 5 is upper cover seat of the present invention and lower cover seat junction enlarged structure schematic diagram;
Fig. 6 is fixed ring deployed configuration schematic diagram of the present invention;
Fig. 7 is fixed cylinder schematic cross-sectional view of the present invention;
Fig. 8 is fixed cylinder of the present invention and connecting column junction cross section structure schematic diagram;
In figure: 1, outer housing;11, suture cover;12, cylinder;13, ring is triggered;14, relieving ring;2, crank;3, sealing ring;4, hand
Handle;5, adjusting knob;51, interconnecting piece;6, pull rod;7, fixed cylinder;71, cylinder;710, interior fixed tooth;711, ventilation nozzle;712,
End cap;72, rear cover;720, intercommunicating pore;721, seal groove;8, bell seat;81, connecting column;810, outer fixed tooth;82, upper cover seat;
820, connector;83, lower cover seat;830, outer rib;831, suture bolsters;832, stop collar;833, raised;834, snap ring;835,
Perforation;9, fixed ring;91, attachment base;92, the first semi-ring;920, the first closure blocks;93, the second semi-ring;930, second block is closed;
10, inner rip.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete
Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.
Fig. 1 to Fig. 8 is please referred to, the present invention provides a kind of technical solution: a kind of ring cutting suture operative anastomat, including it is outer
Shell 1, the bell seat 8 being movably installed in inside outer housing 1, fixing sleeve are loaded on the fixed ring 9 and fixing sleeve of bell 8 outer surface of seat
Fixed cylinder 7 loaded on bell 8 outer surface of seat, outer housing 1 include suture cover 11, living with the fixed cylinder 12 being connected to of suture cover 11
The dynamic triggering ring 13 for being connected to 12 inner cavity of cylinder, and it is fixedly installed in the relieving ring 14 of 12 outer surface of cylinder, the appearance of cylinder 12
Face is rotatably connected to handle 4, triggers the outside of ring 13 run through and extend to cylinder 12, and triggering ring 13 is located at 12 outside of cylinder
Outer surface is rotatably connected to crank 2, and crank 2 one end and handle 4 far from triggering ring 13 are rotatablely connected, and the inside of outer housing 1 is living
Dynamic to be connected with pull rod 6, the outside of cylinder 12 is run through and extended in one end of pull rod 6, and pull rod 6 is located at one end spiral shell in 12 outside of cylinder
Line is connected with adjusting knob 5, and the bottom end of adjusting knob 5 is rotatably connected to interconnecting piece 51, and interconnecting piece 51 runs through and extends to cylinder
12 inside, interconnecting piece 51 and cylinder 12 are rotatablely connected, and the other end of pull rod 6 runs through and extend to the outside of suture cover 11, are drawn
One end that bar 6 is located at 11 outside of suture cover is fixedly connected with bell seat 8, and bell seat 8 includes connecting column 81, upper cover seat 82 and lower cover
Seat 83 is cooperated by setting upper cover seat 82 and lower cover seat 83, can separate upper cover seat 82 and lower cover seat 83, lower cover seat 83 after surgery
It is retained on patient's glans penis, circle nail to be stapled extracts lower cover seat 83 after falling off again, so that effective protection glans penis surface, avoids postoperative
Seaming loop nail and glans penis mantle friction, cause seaming loop nail to loosen in advance, lead to sewing hole bleeding, or even the problem of infection, mention
The postoperative effect of the high stapler, reduces postoperative sequelae occurrence probability, the outer surface of connecting column 81 is fixedly connected with outer fixation
Tooth 810, the outer surface of upper cover seat 82 are fixedly connected with connector 820, and connector 820 is through perforation 835 and extends to lower cover seat
83 outer surface, and the top of connector 820 is in spherical shape, 835 aperture value of perforating are less than 820 spherical top of connector
820 spherical top structure of connector is arranged in diameter value, facilitates the gap between operating scissors insertion connector 820 and upper cover seat 82,
Connector 820 is cut along spherical lower camber side, to reduce operating time, the outer surface of lower cover seat 83 has been fixedly attached suture bolsters
831, the outer of lower cover seat 83 is fixedly connected with restraining position ring block 832, and the interior edge of lower cover seat 83 is fixedly connected with snap ring 834, stop collar
832 and snap ring 834 be respectively positioned on the bottom of bell seat 8, stop collar 832 is set, glans penis can be prevented to probe into suture cover 11 too deep, into
The problem that one step avoids circumcision excessive, is arranged snap ring 834, and snap ring 834 blocks coronary sulcus bottom, can prevent lower cover seat 83
Postoperative to fall off, the problem of causing lower cover seat 83 that can not protect glans penis, the outer surface of lower cover seat 83 is fixedly connected with outer rib 830,
The inner sidewall of lower cover seat 83 is fixedly connected with multiple raised 833, and protrusion 833 is distributed in a ring, setting protrusion 833, when glans penis is vigorous
It can contradict to be pressurized with protrusion 833 when rising and shrink, to reduce the postoperative erection phenomenon of patient, notch be avoided to pull, lower cover seat 83
Outer surface offers perforation 835, and connector 820 runs through perforation 835 and extends to the outer surface of lower cover seat 83, and connector 820
Top it is in spherical shape, perforate 835 aperture value be less than 820 spherical top of connector diameter value, setting perforation 835 and even
Junctor 820 cooperates, and postoperative separation upper cover seat 82 and lower cover seat 83, the inner wall of fixed ring 9 is facilitated to be fixedly connected with inner rip 10, Gu
Determining ring 9 includes attachment base 91, rotates in the first semi-ring 92 of 91 side of attachment base and is rotationally connected with 92 other side of the first semi-ring
The second semi-ring 93, the first semi-ring 92 is fixedly connected with the first closure blocks 920 far from one end of attachment base 91, and the second semi-ring 93 is remote
One end from attachment base 91 is fixedly connected with second and closes block 930, and the first closure blocks 920 are closed 930 opposite face of block with second and opened respectively
Equipped with the first tooth socket and the second tooth socket, the first tooth socket and the second tooth socket are intermeshed, and the first tooth socket and the second tooth socket is arranged, convenient
Expansion and the first semi-ring 92 of locking and the second semi-ring 93, make fixed packet subcutaneously hold process more quick, inner rip 10 and outer rib
The clamping of 830 phases, fixed cylinder 7 include cylinder 71 and the rear cover 72 for being fixedly connected on 71 side of cylinder, and the outer surface of cylinder 71 is fixed
It is communicated with ventilation nozzle 711, the top of ventilation nozzle 711 is hinged with end cap 712, and the syringe in suitable aperture is selected to evacuate along ventilation nozzle
711 evacuate the air between interior fixed tooth 710 and outer 810 gap of fixed tooth, and fixed cylinder 7 and the external world generate pressure difference, make foreskin
Interior and exterior is bonded closer with interior fixed tooth 710 and outer fixed tooth 810, avoids foreskin from sliding, the inner wall of cylinder 71 is fixedly connected
Have interior fixed tooth 710, interior fixed tooth 710 is meshed with outer fixed tooth 810, between interior fixed tooth 710 and outer fixed tooth 810 there are
Gap, interior fixed tooth 710 and outer fixed tooth 810 are medical grade silicon rubber material, and the inside of rear cover 72 offers intercommunicating pore 720,
The lateral surface of rear cover 72 offers seal groove 721, and the outer surface movable sleeve of pull rod 6 is connected to sealing ring 3, and sealing ring 3 is in truncated cone-shaped
Shape, sealing ring 3 agree with 721 phase of seal groove, and the leakproofness of fixed cylinder 7 is effectively ensured, and intercommunicating pore 720 is connected with seal groove 721
It is logical, cooperated by setting connecting column 81, outer fixed tooth 810, fixed cylinder 7 and interior fixed tooth 710, substitutes suture, it can be with fixed packet
Skin upper end, stretching transition causes foreskin after fixing to shrink to suture bearing when fixed, causes circumcision excessive, influences postoperative
The problem of normal erection, is arranged outer rib 830, fixed ring 9 and inner rip 10 and cooperates, can fix foreskin bottom end, avoid foreskin
It is sliding after to bell 8 outside of seat, the problem of causing circumcision very few, need second operation.
The suture operation stapler in conclusion this is peritomized, in use, bell seat 8 to be placed in foreskin and cover in
On glans penis, and snap ring 834 is parallel with coronary sulcus flat bottoms, and glans penis is blocked, and interior fixed tooth 710 and outer solid is fixed in foreskin upper end
Between 810 gap of fixed tooth, and selects the syringe in suitable aperture to evacuate and evacuate interior fixed tooth 710 and outer fixation along ventilation nozzle 711
Air between 810 gap of tooth, twists into end cap 712, fills in sealing ring 3 along seal groove 721, and fixed ring 9 is then unfolded by foreskin
Lower end is fixed between outer rib 830 and inner rip 10, and pull rod 6 is then inserted into stapler center sky, precession adjusting knob
5, keep pull rod 6 equal with behind adjusting knob 5, stop collar 832 is equal with bell 8 outer of seat, takes out relieving ring 14, excites handle
4, it hammers into seaming loop and follows closely, after circumcision, rotation of adjustment knob 5 takes out bell seat 8, cuts connector 820 with operating scissors, makes
Upper cover seat 82 and lower cover seat 83 separate, and lower cover seat 83 is retained on patient's glans penis, and circle nail to be stapled extracts lower cover seat after falling off again
83。
The foregoing is only a preferred embodiment of the present invention, but scope of protection of the present invention is not limited thereto,
Anyone skilled in the art in the technical scope disclosed by the present invention, according to the technique and scheme of the present invention and its
Inventive concept is subject to equivalent substitution or change, should be covered by the protection scope of the present invention.