CN112386312A - Prepuce anastomosis and ring cutting instrument and method of use - Google Patents
Prepuce anastomosis and ring cutting instrument and method of use Download PDFInfo
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- CN112386312A CN112386312A CN201910741282.3A CN201910741282A CN112386312A CN 112386312 A CN112386312 A CN 112386312A CN 201910741282 A CN201910741282 A CN 201910741282A CN 112386312 A CN112386312 A CN 112386312A
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- anastomosis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/326—Circumcision apparatus
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
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Abstract
The application provides a foreskin is coincide and circular cutting instrument and application method thereof, including the anastomotic device and the clamping device who have last anastomotic structure and coincide structure down, wherein, go up anastomotic structure including the last pretension piece that has first magnetism, it includes the lower pretension piece that has the second magnetism to coincide the structure down, with borrowing by last pretension piece and the magnetic attraction that produces down between the pretension piece, treat the foreskin of cutting on the penis and provide the pretension fixed, clamping device is used for providing the structure of coinciding and the clamping force that the structure of coinciding moves in opposite directions down, thereby to the synchronous execution circular cutting of foreskin on the penis and the operation of coinciding, borrow this application, can improve the security of circumcision operation, and have the advantage of convenient operation and circular cutting effect preferred.
Description
Technical Field
The embodiment of the application relates to a medical instrument, in particular to an instrument for circumcision.
Background
Circumcision is one of the most common operations in urinary surgery, and is performed in two ways in the prior art: namely, the conventional circumcision performed by using a conventional instrument and the circumcision performed by using a special instrument, wherein the main steps of the conventional circumcision performed by using the conventional surgical instrument include: the operations of sharp cutting of foreskin, hemostasis, suturing and the like exist, and the operation mode has the problems of long time consumption, time and labor waste and the like.
Circumcision performed by using special instruments generally means circumcision is completed by simultaneously cutting and anastomosing the foreskin inner and outer plates by using foreskin anastomosis and circumcision instruments, and the operation mode has the characteristics that: short operation time, less bleeding, no need of needle and thread sewing, neat and beautiful appearance and less postoperative scar. Therefore, the foreskin anastomat has great advantages in the circumcision.
However, the foreskin staplers currently in use suffer from the following problems: firstly, the existing foreskin anastomat (such as a 'business ring') is not used for one-time cutting in an operation, but needs a patient to carry the anastomat after the operation, and the foreskin incision is sleeved by 'pressurizing' for several days, so that the life of the patient after the operation is inconvenient, and the problems of foreskin edema, incision pain and the like are easily caused; secondly, when the foreskin is cut in the operation, the base part of the existing foreskin anastomat can shield part of the penis body and the glans part, so that a doctor cannot adjust the length of the foreskin or the frenulum which needs to be reserved under the direct vision condition and cannot accurately adjust the range of the foreskin excision, and therefore, the problems of insufficient safety and low accuracy of the operation are caused due to the possibility of misoperation of excessive or insufficient foreskin excision. In addition, the existing anastomat adopts a blade to press and cut, so that the cutting efficiency is poor, and the condition that the anastomat cannot be completely cut off by one blade exists.
In view of the above, how to develop a circumcision and anastomosis surgical instrument to overcome the above-mentioned deficiencies in the prior art is the technical problem to be solved by the present application.
Disclosure of Invention
In view of the above problems, the present application provides a foreskin anastomosis and circumcision instrument and a method for using the same, which can provide direct-viewing surgical operation, increase the convenience and controllability of the surgical operation, and improve the accuracy and safety of the surgical operation.
Another objective of the present application is to provide a foreskin anastomosis and circumcision instrument and a method for using the same, which can reduce the operation difficulty of the operation and achieve the purpose that the operation can be completed by a single doctor.
It is still another object of the present application to provide a circumcision and circumcision instrument and a method for using the same, which can achieve the purpose of one-time operation, and the patient does not need to wear surgical instruments after operation, thereby facilitating the postoperative care and alleviating pain and edema, and reducing the risk of complications during and/or after operation.
To achieve the above and other related objects, the present application provides a circumcision and circumcision instrument for anastomosing and circumcising a prepuce on a penis, including an anastomotic device and a holding device, the anastomotic device comprising: the upper anastomosis structure is provided with an upper structure body, an upper penetrating channel, an upper ring cutting piece, an upper anastomosis piece and an upper preload piece, wherein the upper penetrating channel axially penetrates through the upper structure body, the upper penetrating channel, the upper ring cutting piece, the upper anastomosis piece and the upper preload piece respectively circumferentially surround the upper penetrating channel, and the upper preload piece has first magnetism and can move relative to the upper structure body; the lower through channel axially penetrates through the lower structure body, the lower through channel, the lower circular cutting piece, the lower anastomosis piece and the lower pretensioning piece circumferentially surround the lower through channel respectively, and the lower pretensioning piece has second magnetism opposite to the first magnetism; the clamping device is used for respectively assembling the upper structure body and the lower structure body; the clamping device is used for providing clamping force for the upper structure body and the lower structure body to move in opposite directions so as to enable the upper anastomosis member and the lower anastomosis member to be cooperatively matched to anastomose the foreskin, and the upper circumcision member and the lower circumcision member to be cooperatively matched to circumcise the foreskin.
Optionally, in an embodiment of the present application, the clamping device is further configured to provide circumferential fixation between the upper structural body and the lower structural body.
Optionally, in an embodiment of the present application, the clamping device includes an upper clamping member and a lower clamping member, and the circumcision instrument further includes an upper combining assembly and a lower combining assembly, wherein the upper combining assembly is configured to combine the upper clamping member with the upper structural body, and the lower combining assembly is configured to combine the lower clamping member with the lower structural body.
Optionally, in an embodiment of the present application, the upper anastomosis structure further includes a movable structure circumferentially surrounding the upper passage, the movable structure is axially movable relative to the upper structure body, and the movable structure and the upper structure body are circumferentially fixed.
Optionally, in an embodiment of the present application, the upper preload member includes a plurality of first magnetic units circumferentially arranged on the movable structure, the lower preload member includes a plurality of second magnetic units circumferentially arranged on the lower structure body, and the arrangement positions of the first magnetic units and the second magnetic units are in a one-to-one correspondence.
Optionally, in an embodiment of the present application, the circumcision and circumcision instrument further includes a guide portion formed on at least one of the upper preload member or the lower preload member for guiding the precise docking between the upper preload member and the lower preload member.
Optionally, in an embodiment of the present application, the upper stapling element includes a plurality of staple cartridges circumferentially arranged on the upper structure body, a plurality of staples stored in the staple cartridges, and a plurality of staple channels circumferentially arranged on the movable structure, and the lower stapling element includes a plurality of staple seats circumferentially arranged on the lower structure body, where the staple seats, the staple channels, and the staple cartridges are arranged in a one-to-one correspondence, each staple cartridge pushes out each staple stored in the staple cartridge through each staple channel, and each staple seat is configured to provide a supporting force for each pushed-out staple and clinch a leg of each staple, so as to perform a stapling operation on the foreskin.
Optionally, in an embodiment of the present application, the upper ring cutter includes a ring cutter disposed on the upper structure body, and the lower ring cutter is a knife slot disposed on the lower structure body.
Optionally, in an embodiment of the present application, the upper anastomosis member and the lower anastomosis member have a first outer diameter, the upper ring cutting member and the lower ring cutting member have a second inner diameter, respectively, and the first outer diameter is smaller than the second inner diameter.
The application also provides a using method of the foreskin anastomosis and circumcision instrument, which is applied to the foreskin anastomosis and circumcision instrument in the embodiments, and the method comprises the following processing steps: sleeving the lower anastomosis structure on the penis by passing the penis through the lower penetration channel; performing eversion and adjustment operation on the foreskin of the penis, and positioning the foreskin to be cut by means of the lower pre-tightening piece; sleeving the upper anastomosis structure on the penis by penetrating the penis through the upper penetration passage, and extending and exposing a glans part of the penis from the upper penetration passage; the prepuce to be cut on the penis is clamped between the upper pre-tightening piece and the lower pre-tightening piece, the prepuce to be cut is fixed in a pre-tightening mode by utilizing the magnetic attraction between the upper pre-tightening piece with the first magnetism and the lower pre-tightening piece with the second magnetism, and the prepuce to be cut is further adjusted; and respectively assembling the upper anastomosis structure and the lower anastomosis structure on the clamping device, applying acting force to the upper anastomosis structure and the lower anastomosis structure by the clamping device, so that the upper anastomosis structure and the lower anastomosis structure move oppositely to anastomose the foreskin by the cooperative fit of the upper anastomosis member and the lower anastomosis member, and circumcising the foreskin by the cooperative fit of the upper circumcision member and the lower circumcision member.
According to the technical scheme, the prepuce anastomosis and ring cutting instrument provided by the embodiment of the application can form a passageway for a penis to pass through by virtue of the upper penetrating channel and the lower penetrating channel, can provide a doctor to adjust the prepuce to be cut under the direct-vision operating condition, can effectively avoid damaging the penis, and further improves the safety of the operation.
Moreover, the foreskin to be cut is pre-tightened and fixed by the magnetic attraction generated between the upper pre-tightening piece with the first magnetism and the lower pre-tightening piece with the second magnetism, so that not only can a doctor conveniently adjust the position of the foreskin at any time before the foreskin is cut, but also a good pre-tightening and fixing effect can be provided, the convenience and controllability of the operation are improved, and the accuracy of the foreskin cutting is improved.
In addition, the clamping device is utilized to enable the upper anastomosis structure and the lower anastomosis structure to be cooperated to perform the foreskin anastomosis and the circumcision in a linkage manner, so that the operation difficulty of the operation can be reduced, and the purpose that the operation can be completed by a single doctor is realized.
Drawings
In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the drawings needed to be used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments described in the embodiments of the present application, and other drawings can be obtained by those skilled in the art according to the drawings.
Fig. 1 is a schematic view showing the overall structure of the circumcision and circumcision instrument of the present application.
FIG. 2 is an exploded view of the anastomosis device of FIG. 1;
FIG. 3 is a side view showing the anastomosis device of FIG. 1;
FIGS. 4A and 4B are bottom and top views of the upper anastomosis structure, respectively;
FIGS. 5A and 5B are bottom and top views, respectively, of the lower anastomosis structure; and
fig. 6 is a schematic view of an embodiment of the clamping device.
Element number
1: foreskin anastomosis and circumcision instruments;
2: an anastomosis device;
21: an upper anastomosis structure;
210: a channel is arranged in an upper penetrating way;
211: an upper structural body;
212: an upper ring cutter (ring cutter);
213: an upper anastomosis member;
2131: a staple cartridge;
2132: anastomosis nails;
2133: nailing channels;
214: an upper preload piece;
2141: a first magnetic unit;
215: a movable structure;
22: a lower anastomosis structure;
220: a channel is arranged in a downward penetrating manner;
221: a lower structural body;
222: a lower ring cutter (knife slot);
223: a lower anastomosis member;
2231: a nail seat;
224: a lower preload piece;
2241: a second magnetic unit;
23: a guide section;
241: a first positioning unit;
242: a second positioning unit;
3: a clamping device;
31: an upper clamping member;
32: a lower clamping member;
41: an upper bonding assembly;
41a, an upper positioning hole 41 a;
41b is an upper positioning groove 41 b;
42: a lower bonding assembly;
42a, a lower positioning hole;
42 b: a lower positioning groove;
42 c: a lower positioning column;
42 d: a lower positioning strip;
Detailed Description
In order to make those skilled in the art better understand the technical solutions in the embodiments of the present application, the technical solutions in the embodiments of the present application will be described clearly and completely below with reference to the drawings in the embodiments of the present application, and it is obvious that the described embodiments are only a part of the embodiments of the present application, but not all embodiments. All other embodiments obtained by a person of ordinary skill in the art based on the embodiments in the present application shall fall within the scope of the protection of the embodiments in the present application.
Please refer to fig. 1, which is a schematic diagram illustrating an overall structure of a circumcision and circumcision apparatus 1 according to the present application. As shown in the drawings, the circumcision and circumcision apparatus 1 of the present application is used for anastomosing and circumcising a foreskin on a penis, and mainly comprises an anastomosis device 2 and a clamping device 3. Referring to fig. 2, the anastomosis device 2 further includes an upper anastomosis structure 21 and a lower anastomosis structure 22.
Referring to fig. 4A and 4B, the upper engaging structure 21 has an upper structure body 211, an upper through passage 210 penetrating through the upper structure body 211, and an upper cutting member 212, an upper engaging member 213 and an upper preload member 214 respectively circumferentially surrounding the upper through passage 210, wherein the upper preload member 214 has a first magnetic property and is movable relative to the upper structure body 211. Referring to fig. 5A and 5B, the lower anastomosis structure 22 has a lower structure body 221, a lower through passage 220 axially penetrating the lower structure body 221, a lower ring cutting member 222 circumferentially surrounding the lower through passage 220, a lower anastomosis member 223 and a lower preload member 224, wherein the lower preload member 224 has a second magnetism opposite to the first magnetism of the upper preload member 214. Referring to fig. 6, the clamping device 3 can be assembled with the upper structure body 211 and the lower structure body 221 respectively for providing a clamping force for moving the upper structure body 211 and the lower structure body 221 towards each other.
The upper and lower engaging members 21 and 22 are coaxially assembled on the penis of the patient through the upper and lower through passages 210 and 220, a magnetic attraction force is generated between the upper and lower magnetic pre-tightening members 214 and 224 to pre-tighten and fix the upper and lower pre-tightening members 214 and 224 against the prepuce to be cut on the penis, the clamping device 3 is used for providing a clamping force for the upper and lower structure bodies 211 and 221 to move in opposite directions, that is, the upper structure body 211 moves relative to the upper pre-tightening member 214 in a direction approaching the lower structure body 221 until abutting against the lower structure body 221, so that the upper and lower engaging members 213 and 223 cooperatively cooperate to perform an engaging operation against the prepuce, and the upper and lower circular cutting members 212 and 222 cooperatively cooperate to perform a circular cutting operation against the prepuce.
Referring to fig. 6, in the present embodiment, the clamping device 3 includes an upper clamping member 31 and a lower clamping member 32, and the circumcision and circumcision instrument 1 further includes an upper coupling assembly 41 and a lower coupling assembly 42, wherein the upper coupling assembly 41 is used for providing the upper structure body 211 to be coupled to the upper clamping member 31, and the lower coupling assembly 42 is used for providing the lower structure body 221 to be coupled to the lower clamping member 32. In the present embodiment, the upper combining component 41 includes an upper positioning hole 41a and an upper positioning groove 41B (as shown in fig. 2 and 4B) formed on two opposite sides of the upper structure body 211, and an upper positioning column and an upper positioning strip (not shown, refer to a lower positioning column 42c and a lower positioning strip 42d described below) formed on the upper clamping member 41, and the upper structure body 211 and the upper clamping member 31 are fixedly combined with each other by respectively engaging the upper positioning hole 41a and the upper positioning groove 41B of the upper structure body 211 with the upper positioning column and the upper positioning strip on the upper clamping member 41. Similarly, the lower coupling member 42 includes a lower positioning hole 42a and a lower positioning groove 42b (shown in fig. 2 and 5A) formed on opposite sides of the lower structure body 221, and a lower positioning post 42c and a lower positioning strip 42d (shown in fig. 6) formed on the lower clamping member 42, wherein the lower structure body 221 and the lower clamping member 31 are fixedly coupled to each other by engaging the lower positioning hole 42a and the lower positioning post 42c with each other and engaging the lower positioning groove 42b and the lower positioning strip 42d with each other. Therefore, the clamping device 3 of the present application not only can provide a clamping force for moving the upper structure body 211 and the lower structure body 221 towards each other, but also can realize circumferential fixation between the two, so as to ensure smooth execution of the foreskin anastomosis operation (please refer to details later). It should be noted that the structural design of the upper connecting element 41 and the lower connecting element 42 is not limited to the illustration in the drawings, and may be changed arbitrarily according to actual requirements.
In this embodiment, the upper anastomosis structure 21 further includes a movable structure 215 circumferentially surrounding the upper passage 210, wherein the movable structure 215 and the upper structure body 211 are circumferentially fixed, and the movable structure 215 can axially move relative to the upper structure body 211. Specifically, as shown in the figure, the upper fitting structure 21 further includes a first positioning unit 241 disposed on the upper structure body 211 and a second positioning unit 242 disposed on the movable structure 215, wherein the first positioning unit 241 and the second positioning unit 242 are structurally adapted to provide axial movement of the movable structure 215 relative to the upper structure body 211 while maintaining circumferential fixation therebetween. Referring to fig. 4B, in the present embodiment, the first positioning unit 241 is, for example, a convex strip (may also be designed as a bump) formed on an outer wall of the movable structure 215 along the axial direction of the movable structure 215, and the second positioning unit 242 is, for example, a sliding slot formed on an inner wall of the upper structure body 211 along the axial direction of the upper structure body 211, but not limited thereto, any other structural design that can realize circumferential fixing and relative axial movement between the movable structure 215 and the upper structure body 211 may be applied to the present application.
In one embodiment, the upper fastening member 214 may be disposed on the movable structure 215, and includes a plurality of first magnetic units 2141 circumferentially disposed on the movable structure 215, each of the first magnetic units 2141 having a first magnetic property. Correspondingly, the lower preload member 224 may include a plurality of second magnetic units 2241 circumferentially disposed on the lower structure body 221, each of the second magnetic units 2241 has a second magnetic property, wherein the arrangement positions of each of the first magnetic units 2141 and each of the second magnetic units 2241 are in one-to-one correspondence.
Further, the upper fitting structure 21 is switched between the pre-operation state and the operation state according to a change in the relative position between the upper structure body 211 and the movable structure 215. Specifically, when the upper anastomosis structure 21 is in the pre-operation state, the upper pre-tightening member 214 disposed on the movable structure 215 partially extends from the inner cavity of the upper structure body 211 to be exposed out of the upper structure body 211, so as to provide the upper pre-tightening member 214 capable of abutting against the lower pre-tightening member 224 to perform the pre-tightening fixing operation on the foreskin; when the upper anastomosis structure 21 is in the operation state, the movable structure 215 (including the upper pre-tightening member 214) is entirely received in the inner cavity of the upper structure body 211, so as to provide mutual abutment between the upper anastomosis member 213 and the lower anastomosis member 223 and between the upper circumcision member 212 and the lower circumcision member 222, respectively, thereby performing the anastomosis and circumcision operations on the foreskin.
In actual operation, for example, the upper anastomosis structure 21 is maintained in the pre-operation state by the friction force generated between the inner wall of the upper structure body 211 and the outer wall of the movable structure 215, and the upper structure body 211 is moved relative to the movable structure 215 by the acting force exerted by the clamping device 3, so that the upper anastomosis structure 21 is switched from the pre-operation state to the operation state. It should be noted that the manner of maintaining the upper fitting structure 21 in the pre-operation state is not limited to the above, and other manners may be adopted.
Referring to fig. 3, in another embodiment, the circumcision and circumcision instrument 1 of the present application further has a guiding portion 23, which can be disposed on the upper fastening member 214, the lower fastening member 224, or both, for guiding the precise docking between the upper fastening member 214 and the lower fastening member 224. As shown, in the present embodiment, the guiding portion 23 is, for example, a slope structure formed on the upper fastening member 214, so that the upper fastening member 214 can be exactly fastened above the lower fastening member 224.
In another embodiment, the upper stapling element 213 includes a plurality of staple cartridges 2131 circumferentially disposed on the upper structure body 211, a plurality of staples 2132 stored in the staple cartridges 2131, and a plurality of staple paths 2133 circumferentially disposed on the movable structure 215, and the lower stapling element 223 may include a plurality of staple seats 2231 circumferentially disposed on the lower structure body 221. The nail seats 2231, the nail channels 2133 and the nail bins 2131 are arranged in a one-to-one correspondence manner, the nail bins 2131 push out the staples 2132 stored in the nail seats 2131 through the nail channels 2133, and the nail seats 2231 are used for providing supporting force for the pushed-out staples 2132 and riveting and bending the legs of the staples 2132, so that the foreskin is anastomosed. Furthermore, since the upper structure body 211 and the lower structure body 221 are circumferentially fixed by the clamping device 3, and the movable structure 215 and the upper structure body 211 are also circumferentially fixed, it can be ensured that the positions of the nail seats 2231, the nail paths 2133 and the nail bins 2131 are always aligned during the use process, thereby ensuring the smooth execution of the anastomosis operation.
In another embodiment, the upper ring cutting element 212 is a ring cutting blade 212 disposed on the upper structure body 211, and the lower ring cutting element 222 is a knife slot 222 disposed on the lower structure body 221 (as shown in fig. 5B), and wherein the upper anastomosis element 213 and the lower anastomosis element 223 respectively have a first outer diameter, the upper ring cutting element 212 and the lower anastomosis element 222 respectively have a second inner diameter, and the first outer diameter is smaller than the second inner diameter, so that the upper ring cutting element 212 and the lower anastomosis element 222 perform a circumcision operation on the foreskin at the outer ring, and the upper anastomosis element 213 and the lower anastomosis element 223 perform an anastomosis operation on the foreskin at the inner ring at the same time.
The main operating steps of the circumcision and anastomosis procedure using the circumcision and circumcision instrument 1 of the present application will be described below, which specifically comprises:
the method comprises the following steps: the penis is passed through the lower through passage 220 to fit the lower anastomosis structure 22 on the penis.
Step two: the physician is provided with eversion and adjustment operations for the foreskin of the penis and positions the portion of the foreskin to be cut by means of the lower pre-tightening member 224.
Step three: the upper anastomosis structure 21 in the pre-operative state is placed over the penis by passing the penis through the upper passage 210, and the glans portion of the penis is extended from the upper passage 210 and exposed.
Step four: the foreskin to be cut is clamped between the upper pre-tightening member 214 of the upper anastomosis structure 21 and the lower pre-tightening member 224 of the lower anastomosis structure 22, and the magnetic attraction force generated between the upper pre-tightening member 214 with the first magnetism and the lower pre-tightening member 224 with the second magnetism is utilized to pre-tighten and fix the foreskin part to be cut, in the process, the doctor can further adjust the foreskin part to be cut (for example, the doctor can adjust the foreskin to a proper length through tweezers).
Step five: after the adjustment is completed, upper anastomosis structure 21 (i.e. upper structure body 211) and lower anastomosis structure 22 (i.e. lower structure body 221) are assembled to upper clamp 31 and lower clamp 32 of clamping device 3, respectively, so as to circumferentially secure upper structure body 211 and lower structure body 221 relative to each other, thereby ensuring the positions of upper anastomosis 213 and lower anastomosis 223 are aligned with each other.
Step six: the clamping device 3 applies an acting force to the upper anastomosis structure 21 (i.e. the upper structure body 211) and the lower anastomosis structure 222 (i.e. the lower structure body 221), so that the upper anastomosis structure 21 and the lower anastomosis structure 22 move towards each other, i.e. the upper structure body 211 moves towards the direction approaching to the lower structure body 221 relative to the movable structure 215, so that the upper anastomosis structure 21 is switched from the pre-operation state to the operation state, and the upper anastomosis member 213 and the upper circumcision member 212 respectively abut against the lower anastomosis member 223 and the lower circumcision member 222, so that the upper anastomosis member 213 and the lower anastomosis member 223 cooperate to perform an anastomosis operation on the foreskin, and meanwhile, the upper circumcision member 212 and the lower circumcision member 222 cooperate to perform an circumcision operation on the foreskin, thereby completing the anastomosis circumcision operation of the foreskin.
In summary, the foreskin anastomosis and ring cutting instrument provided by the present application mainly has the following advantages:
1. through coaxial assembly, the upper anastomosis structure and the lower anastomosis structure are assembled, so that the upper penetration channel and the lower penetration channel are combined with each other to form a passage for the penis to penetrate, the prepuce lacing in the operation is visual, the prepuce length for cutting or retaining is convenient to adjust, the penis body is prevented from being damaged, and the operation safety is improved. .
2. The prepuce part to be cut is pre-tightened and fixed by means of the magnetic attraction generated between the upper pre-tightening piece and the lower pre-tightening piece, so that a doctor can perform eversion and adjustment operation on the prepuce of the penis, the length and the range of prepuce retention can be adjusted individually, a good pre-tightening fixing effect can be provided, and the convenience and the controllability of operation are improved.
3. The clamping device is utilized to enable the upper anastomosis structure and the lower anastomosis structure to be cooperated with each other to perform foreskin anastomosis and circumcision in a linkage manner, so that the operation difficulty of the operation can be reduced, and the aim of completing the operation by a single doctor can be achieved.
Finally, it should be noted that: the above embodiments are only used for illustrating the technical solutions of the embodiments of the present application, and are not limited thereto; although the present application has been described in detail with reference to the foregoing embodiments, it should be understood by those of ordinary skill in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some technical features may be equivalently replaced; and such modifications or substitutions do not depart from the spirit and scope of the corresponding technical solutions in the embodiments of the present application.
Claims (10)
1. A prepuce anastomosis and circumcision instrument for anastomosing and circumcising the upper prepuce of a penis, comprising:
an anastomosis device, comprising:
the upper anastomosis structure is provided with an upper structure body, an upper penetrating channel, an upper ring cutting piece, an upper anastomosis piece and an upper preload piece, wherein the upper penetrating channel axially penetrates through the upper structure body, the upper penetrating channel, the upper ring cutting piece, the upper anastomosis piece and the upper preload piece respectively circumferentially surround the upper penetrating channel, and the upper preload piece has first magnetism and can move relative to the upper structure body; and
the lower anastomosis structure is provided with a lower structure body, a lower penetrating channel, a lower annular cutting piece, a lower anastomosis piece and a lower pre-tightening piece, wherein the lower penetrating channel axially penetrates through the lower structure body, the lower penetrating channel, the lower annular cutting piece, the lower anastomosis piece and the lower pre-tightening piece respectively circumferentially surround the lower penetrating channel, and the lower pre-tightening piece has second magnetism opposite to the first magnetism; and
a clamping device which respectively assembles the upper structure body and the lower structure body; the clamping device is used for providing clamping force for the upper structure body and the lower structure body to move in opposite directions so as to enable the upper anastomosis member and the lower anastomosis member to be cooperatively matched to anastomose the foreskin, and the upper circumcision member and the lower circumcision member to be cooperatively matched to circumcise the foreskin.
2. The circumcision and circumcision instrument as claimed in claim 1, wherein the clamping means is also used to provide circumferential fixation between the upper and lower structural bodies.
3. The circumcision and circumcision instrument as claimed in claim 2, wherein the clamping means comprises an upper clamping member and a lower clamping member, the circumcision and circumcision instrument further comprising an upper coupling assembly for coupling the upper clamping member with the upper structural body and a lower coupling assembly for coupling the lower clamping member with the lower structural body.
4. The circumcision and circumcision instrument as claimed in claim 1, wherein the upper anastomosis structure further includes a mobile structure circumferentially surrounding the upper passage, the mobile structure being axially movable relative to the upper structure body and being circumferentially fixed relative thereto.
5. The circumcision and circumcision instrument as claimed in claim 4, wherein the upper preload member comprises a plurality of first magnetic units circumferentially disposed on the movable structure, the lower preload member comprises a plurality of second magnetic units circumferentially disposed on the lower structure body, and the first magnetic units and the second magnetic units are disposed in one-to-one correspondence.
6. The circumcision and circumcision instrument as claimed in claim 4, further comprising a guide portion formed on at least one of the upper or lower preload members for guiding the precise abutment between the upper and lower preload members.
7. The circumcision and circumcision instrument as claimed in claim 4, wherein the upper stapling element includes a plurality of staple cartridges and a plurality of staples disposed therein circumferentially on the upper structural body, and a plurality of staple paths disposed circumferentially on the movable structure, and the lower stapling element includes a plurality of staple seats disposed circumferentially on the lower structural body, wherein each staple seat, each staple path, and each staple cartridge are disposed in a one-to-one correspondence, each staple cartridge pushes out each staple disposed therein through each staple path, and each staple seat is configured to provide a supporting force to each pushed-out staple and to clinch legs of each staple, thereby performing a stapling operation on the foreskin.
8. The circumcision and circumcision instrument as claimed in claim 7, wherein the upper ring cutter includes a ring cutter on the upper structural body and the lower ring cutter is a knife slot on the lower structural body.
9. The circumcision and circumcision instrument as claimed in claim 8, wherein the upper anastomosis member and the lower anastomosis member each have a first outer diameter, the upper and lower circumcision members each have a second inner diameter, and the first outer diameter is less than the second inner diameter.
10. A method for using a circumcision and circumcision instrument, applied to a circumcision and circumcision instrument according to any one of claims 1 to 9, characterized in that it comprises the following processing steps:
sleeving the lower anastomosis structure on the penis by passing the penis through the lower penetration channel;
performing eversion and adjustment operation on the foreskin of the penis, and positioning the foreskin to be cut by means of the lower pre-tightening piece;
sleeving the upper anastomosis structure on the penis by penetrating the penis through the upper penetration passage, and extending and exposing a glans part of the penis from the upper penetration passage;
the prepuce to be cut on the penis is clamped between the upper pre-tightening piece and the lower pre-tightening piece, the prepuce to be cut is fixed in a pre-tightening mode by utilizing the magnetic attraction between the upper pre-tightening piece with the first magnetism and the lower pre-tightening piece with the second magnetism, and the prepuce to be cut is further adjusted; and
the upper anastomosis structure and the lower anastomosis structure are respectively assembled on the clamping device, acting force is applied to the upper anastomosis structure and the lower anastomosis structure by the clamping device, so that the upper anastomosis structure and the lower anastomosis structure move oppositely, the foreskin is anastomosed by the cooperative fit of the upper anastomosis member and the lower anastomosis member, and the foreskin is circumcised by the cooperative fit of the upper circumcision member and the lower circumcision member.
Priority Applications (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910741282.3A CN112386312A (en) | 2019-08-12 | 2019-08-12 | Prepuce anastomosis and ring cutting instrument and method of use |
| PCT/CN2020/090443 WO2021027352A1 (en) | 2019-08-12 | 2020-05-15 | Foreskin anastomosis and circumcision instrument and method for using same |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910741282.3A CN112386312A (en) | 2019-08-12 | 2019-08-12 | Prepuce anastomosis and ring cutting instrument and method of use |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN112386312A true CN112386312A (en) | 2021-02-23 |
Family
ID=74570886
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910741282.3A Pending CN112386312A (en) | 2019-08-12 | 2019-08-12 | Prepuce anastomosis and ring cutting instrument and method of use |
Country Status (2)
| Country | Link |
|---|---|
| CN (1) | CN112386312A (en) |
| WO (1) | WO2021027352A1 (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN116672016A (en) * | 2023-08-03 | 2023-09-01 | 泓欣科创(北京)科技有限公司 | Vascular anastomosis device |
Family Cites Families (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102217969B (en) * | 2011-05-19 | 2012-07-11 | 常熟市亨利医疗器械有限公司 | Foreskin cutting and sewing device |
| CN103169526B (en) * | 2011-12-22 | 2016-01-13 | 厦门施爱德科技有限公司 | For looping and binding device and the prepuce circumcision device of foreskin cutting operation |
| CN103705290B (en) * | 2013-12-18 | 2016-03-30 | 重庆联佰博超医疗器械有限公司 | A kind of novel Circumcision suturing device |
| CN105011985B (en) * | 2015-07-21 | 2017-06-06 | 史源 | A kind of foreskin magnet ring stapler |
| CN205019108U (en) * | 2015-09-24 | 2016-02-10 | 孟一凡 | Circumcision device |
| CN106859737A (en) * | 2015-12-14 | 2017-06-20 | 重庆首键医药包装股份公司 | For the looping and binding device and prepuce circumcision device of foreskin cutting operation |
| CN105796159A (en) * | 2016-04-27 | 2016-07-27 | 江西龙之吻医疗科技有限公司 | Multipole magnetic field force pairing attraction type circumcising anastomat |
| US10076355B2 (en) * | 2016-07-15 | 2018-09-18 | Mohammed Muddassir Mohiuddin | Circumcision tool |
| CN107095705B (en) * | 2017-04-27 | 2023-03-14 | 孟一凡 | Disposable circumcision stitching instrument |
-
2019
- 2019-08-12 CN CN201910741282.3A patent/CN112386312A/en active Pending
-
2020
- 2020-05-15 WO PCT/CN2020/090443 patent/WO2021027352A1/en active Application Filing
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN116672016A (en) * | 2023-08-03 | 2023-09-01 | 泓欣科创(北京)科技有限公司 | Vascular anastomosis device |
Also Published As
| Publication number | Publication date |
|---|---|
| WO2021027352A1 (en) | 2021-02-18 |
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