CN112587208B

CN112587208B - Size-adjustable anastomat

Info

Publication number: CN112587208B
Application number: CN202011393742.7A
Authority: CN
Inventors: 毛训根; 陆春明
Original assignee: Suzhou Youmai Medical Technology Co ltd
Current assignee: Suzhou Youmai Medical Technology Co ltd
Priority date: 2020-12-03
Filing date: 2020-12-03
Publication date: 2022-01-28
Anticipated expiration: 2040-12-03
Also published as: CN112587208A

Abstract

The invention discloses a size-adjustable anastomat which comprises a fixed pipe, wherein the inner wall of the fixed pipe is connected with a movable pipe in a sliding mode, the surface of the fixed pipe is hinged with two trigger rods which are hinged with the movable pipe, and the bottom of the fixed pipe is in threaded connection with a cutting mechanism.

Description

Size-adjustable anastomat

Technical Field

The invention relates to the field of medical instruments, in particular to a size-adjustable anastomat.

Background

The redundant prepuce or phimosis of the male is a common disease in the male reproductive system, the prepuce covers all the glans and the external orifice of the urethra and forms a semi-open cavity with the coronary sulcus, and dandruff, prepuce secretion and bred bacteria form long prepuce scales in the cavity. At present, redundant prepuce or phimosis is are mainly treated by circumcision, a prepuce cutting anastomat is used for cutting redundant prepuce and anastomosing a wound by an anastomosis nail, so that the operation time is greatly shortened, the pain of a patient is relieved, the incision is neat, the healing surface is smooth after recovery, the peritomy can eliminate the disease, and the occurrence of penile cancer and AIDS can be effectively prevented.

At present, when a doctor performs a foreskin operation on a patient, the diameter of the glans penis is usually measured, then a foreskin anastomat with a corresponding specification is selected for operation, the length of the glans penis of each person is different, the cutting range of a cutting knife in the foreskin anastomat with the corresponding specification is fixed, if the foreskin frenulum of the patient is located at the front part of the foreskin, the foreskin frenulum can be easily cut off by the doctor during the operation of the foreskin anastomat, even if the patient continues to connect a section of artificial frenulum in a hospital after the operation is recovered, the patient can pull the scrotum during erection, even the wound can be torn, and the operation has great limitation.

Disclosure of Invention

1. Technical problem to be solved

Aiming at the problems in the prior art, the invention aims to provide a size-adjustable anastomat which has the advantages that a tortoise head cover with a corresponding size and a cutting knife with a corresponding cutting range can be selected according to the requirements of a patient, and the situation that a doctor cuts the foreskin of the patient too short to cause more complications is avoided.

2. Technical scheme

In order to solve the above problems, the present invention adopts the following technical solutions.

A size-adjustable anastomat comprises a fixed pipe, wherein the inner wall of the fixed pipe is connected with a movable pipe in a sliding mode, the surface of the fixed pipe is hinged with two trigger rods which are hinged with the movable pipe, the bottom of the fixed pipe is connected with a cutting mechanism in a threaded mode, the top of the cutting mechanism is provided with a second sliding groove, the inner wall of the second sliding groove is connected with a pushing pipe in a sliding mode, the bottom of the pushing pipe is fixedly connected with a pushing plate which is distributed in an annular mode, the bottom of the cutting mechanism is provided with a nail bin which is distributed in an annular mode and communicated with the second sliding groove, a titanium nail is arranged inside the nail bin, the bottom of the cutting mechanism is provided with an opening communicated with the second sliding groove, the bottom of the pushing pipe is fixedly connected with a cutting knife, the bottom of the cutting knife penetrates through the opening and extends into the opening, and the inner wall of the fixed pipe is fixedly connected with a partition plate, the top threaded connection of fixed pipe has the screw thread piece with the baffle contact, the bottom threaded connection of screw thread piece has the connecting piece, the bottom threaded connection of connecting piece has the tortoise head cover, the bottom of tortoise head cover runs through the baffle in proper order, removes pipe, propulsion pipe and cutting mechanism and extends to cutting mechanism's outside.

Further, fixed pipe's surface is seted up quantity and is two first spout, the fixed surface that removes the pipe is connected with quantity and is two connecting blocks, one side that the pipe was kept away from to the connecting block runs through adjacently first spout extends to the outside of first spout, the surface of trigger lever articulate have with adjacent connecting block articulated connecting rod.

Further, the connecting piece includes the connecting plate, the equal fixedly connected with lead screw in top and bottom of connecting plate, the top the surface baffle of lead screw and with screw thread block threaded connection, the bottom the surface and the glans penis threaded connection of lead screw.

Further, the fixed surface of tortoise head cover is connected with the locating plate, the surface of locating plate is provided with the protection pad, the protection pad is the rubber materials component, the chopping block is installed in the top embedding of protection pad, the chopping block bottom run through protection pad and locating plate in proper order and with locating plate fixed connection.

Further, the inside of cutting mechanism is seted up quantity and is two and all with the spacing groove of second spout intercommunication, the inner wall sliding connection of spacing groove has and promotes pipe fixed connection's stopper, the interior roof fixedly connected with gag lever post of spacing groove, the bottom of gag lever post is run through adjacently the stopper and with spacing groove fixed connection.

Furthermore, the bottom fixedly connected with second spring of stopper, the bottom and the adjacent of second spring spacing groove fixed connection, the second spring is stainless steel material component.

Furthermore, the bottom of the partition plate is fixedly connected with a first spring, the bottom of the first spring is fixedly connected with the movable pipe, and the first spring is a stainless steel material component.

Furthermore, the surface of the fixed pipe is inserted with a limiting pin, the right side of the limiting pin is provided with a pull ring, and the left side of the limiting pin sequentially penetrates through the fixed pipe and the movable pipe and is inserted with the movable pipe.

Furthermore, the surface of the trigger rod is provided with an anti-skidding sleeve, and the anti-skidding sleeve is a rubber material member.

Furthermore, the inner wall of the nail bin is clamped with a flexible pad which is a rubber material component.

3. Advantageous effects

Compared with the prior art, the invention has the advantages that:

(1) compared with the existing foreskin anastomat, the cutting mechanism capable of being in threaded connection is arranged, when a doctor selects the balanus cover according to the diameter of the balanus of a patient, the doctor can select the cutting mechanism with the corresponding specification according to the position of the foreskin frenulum of the patient, the situation that the position of the foreskin frenulum of the patient is close to the front is avoided, the foreskin frenulum of the patient is also cut off by the doctor during operation, the problem that postoperative complications are more is caused, the probability of medical disputes is further reduced, burdens of the doctor and the patient are relieved, and the effect of adding device practicability is achieved;

(2) through the matching use of the connecting rod and the connecting block, when medical personnel adjust the trigger rod, the trigger rod can drive the fixed pipe to move downwards through the connecting rod and the connecting block, so that the operation of the working personnel is more convenient and faster, and the effect of auxiliary pushing is achieved;

(3) through the arrangement of the connecting plate, workers can rotate the upper screw rod or the lower screw rod through the connecting plate without other tools, so that an auxiliary effect is achieved;

(4) by arranging the chopping board, the phenomenon that the glans penis can not be taken out normally due to the fact that titanium is pinned into the protection pad is avoided, and a good blocking effect is achieved;

(5) by arranging the protection pad, the corner of the positioning plate is prevented from scratching the inner wall of the foreskin of the patient, and a good protection effect is achieved;

(6) the limiting rod is matched with the limiting block, so that the push pipe can vertically move downwards, the push pipe is prevented from inclining when moving downwards, the push pipe is prevented from being clamped, and a good limiting effect is achieved.

Drawings

FIG. 1 is a perspective view of the present invention;

FIG. 2 is a front cross-sectional view of the present invention;

FIG. 3 is a schematic view of the cutting mechanism of the present invention coupled to a pusher tube;

FIG. 4 is a schematic view of the connection between the cutting board and the protection pad according to the present invention;

FIG. 5 is a schematic view of the connection between the screw and the connecting plate according to the present invention;

FIG. 6 is a schematic view of the arrangement of the staple cartridge of the present invention;

FIG. 7 is a schematic view of the arrangement of the push plate according to the present invention;

FIG. 8 is an enlarged view taken at A of FIG. 2 in accordance with the present invention;

fig. 9 is an enlarged view of the invention at B in fig. 8.

The reference numbers in the figures illustrate:

1. a fixed tube; 101. a first chute; 102. a partition plate; 2. moving the tube; 3. a trigger lever; 301. an anti-slip sleeve; 4. a connecting rod; 5. a thread block; 6. connecting blocks; 7. a first spring; 8. a connecting member; 801. a connecting plate; 802. a screw rod; 9. a spacing pin; 10. a cutting mechanism; 1001. a staple cartridge; 1002. a second chute; 1003. a limiting groove; 1004. a port; 11. titanium nails; 12. covering the tortoise head; 13. positioning a plate; 1301. a protection pad; 14. a chopping board; 15. pushing the plate; 16. pushing the pipe; 1601. a limiting block; 17. a limiting rod; 18. a second spring; 19. a flexible pad; 20. a cutting knife.

Detailed Description

The technical solution in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention; it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all embodiments, and all other embodiments obtained by those skilled in the art without any inventive work are within the scope of the present invention.

Referring to fig. 1-9, in an embodiment of the present invention, a size-adjustable stapler includes a fixed tube 1, a moving tube 2 is slidably connected to an inner wall of the fixed tube 1, two triggering rods 3 are hinged to a surface of the fixed tube 1 and are both hinged to the moving tube 2, a cutting mechanism 10 is threadedly connected to a bottom of the fixed tube 1, a second chute 1002 is formed at a top of the cutting mechanism 10, a pushing tube 16 is slidably connected to an inner wall of the second chute 1002, a pushing plate 15 is fixedly connected to a bottom of the pushing tube 16, a nail magazine 1001 is formed at a bottom of the cutting mechanism 10 and is annularly distributed and is both communicated with the second chute 1002, a titanium nail 11 is disposed inside the nail magazine 1001, a through hole 1004 is formed at a bottom of the cutting mechanism 10 and is communicated with the second chute 1002, a cutting knife 20 is fixedly connected to a bottom of the pushing tube 16, a bottom of the cutting knife 20 penetrates through the through hole 1004 and extends to an inside of the through hole 1004, the inner wall fixedly connected with baffle 102 of fixed pipe 1, the top threaded connection of fixed pipe 1 has the screw block 5 with the contact of baffle 102, the bottom threaded connection of screw block 5 has connecting piece 8, the bottom threaded connection of connecting piece 8 has glans penis cover 12, the bottom of glans penis cover 12 runs through baffle 102 in proper order, removes pipe 2, promotes pipe 16 and cutting mechanism 10 and extends to the outside of cutting mechanism 10.

Referring to fig. 1 and 2, fixed pipe 1's surface is seted up quantity and is two first spout 101, the fixed surface that removes pipe 2 is connected with quantity and is two connecting block 6, one side that removing pipe 2 was kept away from to connecting block 6 runs through adjacent first spout 101 and extends to the outside of first spout 101, the surface of trigger bar 3 articulates there is connecting rod 4 with adjacent connecting block 6 articulated, use through connecting rod 4 and connecting block 6's cooperation, when medical personnel adjusted trigger bar 3, trigger bar 3 can drive removal pipe 2 downstream through connecting rod 4 and connecting block 6, make staff's operation more convenient, play the effect of supplementary promotion.

Referring to fig. 2 and 5, the connecting member 8 includes a connecting plate 801, a screw rod 802 is fixedly connected to both the top and the bottom of the connecting plate 801, a surface spacer 102 of the top screw rod 802 is in threaded connection with the thread block 5, the surface of the bottom screw rod 802 is in threaded connection with the glans penis 12, and by arranging the connecting plate 801, a worker can rotate the upper screw rod 802 or the lower screw rod 802 through the connecting plate 801 without using other tools, so that an auxiliary effect is achieved.

Referring to fig. 4 and 8, fixed surface of tortoise shell 12 is connected with locating plate 13, the surface of locating plate 13 is provided with protection pad 1301, protection pad 1301 is the rubber materials component, chopping block 14 is installed in the top embedding of protection pad 1301, chopping block 14 bottom run through protection pad 1301 and locating plate 13 in proper order and with locating plate 13 fixed connection, through setting up chopping block 14, avoid titanium nail 11 to prick in protection pad 1301, lead to the unable normal taking out of tortoise shell 12, play good separation effect, through setting up protection pad 1301, avoid the inner wall fish tail of the corner of locating plate 13 with the patient's foreskin, play good protection effect.

Referring to fig. 8 and 9, the limiting groove 1003 that quantity is two and all communicates with second spout 1002 is seted up to cutting mechanism 10's inside, the inner wall sliding connection of limiting groove 1003 has stopper 1601 with push tube 16 fixed connection, the interior roof fixed connection of limiting groove 1003 has gag lever post 17, the bottom of gag lever post 17 run through adjacent stopper 1601 and with gag lever post 1003 fixed connection, use through the cooperation of gag lever post 17 with stopper 1601, make push tube 16 can move down vertically, avoid push tube 16 to take place the slope when moving down, lead to push tube 16 to be blocked, play good spacing effect.

Referring to fig. 9, the bottom fixedly connected with second spring 18 of stopper 1601, the bottom and the adjacent spacing groove 1003 fixed connection of second spring 18, second spring 18 are stainless steel material component, through setting up second spring 18, when medical personnel no longer adjust the trigger lever 3, second spring 18 can drive cutting knife 20 and push pedal 15 and reset fast, plays good effect that resets.

Referring to fig. 2, the bottom fixedly connected with first spring 7 of baffle 102, the bottom of first spring 7 with remove pipe 2 fixed connection, first spring 7 is the stainless steel material component, through setting up first spring 7, when medical personnel no longer adjust the trigger bar 3, when first spring 7 drives and removes pipe 2 and reset fast, it has enough rising space also to have ensured cutting knife 20 and push pedal 15, it supports to avoid removing pipe 2 and will push away pipe 16, lead to that second spring 18 can't drive cutting knife 20 and push pedal 15 and reset, play good reset effect.

Referring to fig. 1 and 2, the surface of the fixed tube 1 is inserted with the limit pin 9, the right side of the limit pin 9 is provided with a pull ring, the left side of the limit pin 9 sequentially penetrates through the fixed tube 1 and the movable tube 2 and is inserted with the movable tube 2, through the limit pin 9, when a doctor is still fixing the foreskin of a patient, the limit pin 9 firmly fixes the movable tube 2 in the fixed tube 1, the movable tube 2 is prevented from moving downwards, the titanium nail 11 in the nail bin 1001 is ejected, unnecessary waste is caused, and a good limiting effect is achieved.

Referring to fig. 1 and 2, the surface of the trigger bar 3 is provided with the anti-slip sleeve 301, the anti-slip sleeve 301 is a rubber material member, and the anti-slip sleeve 301 can effectively increase the friction force between the palm of the hand of the medical worker and the trigger bar 3, so that the condition that the trigger bar 3 slides out of the hand of the doctor when the doctor presses the trigger bar 3, which easily causes the operation failure of the patient, is avoided, and a good anti-slip effect is achieved.

Referring to fig. 8, the inner wall of the nail bin 1001 is clamped with a flexible pad 19, the flexible pad 19 is a rubber material member, and by arranging the flexible pad 19, dust is prevented from entering the nail bin 1001 when the cutting mechanism 10 is stored, so that the titanium nails 11 are prevented from being polluted, and a good sealing effect is achieved.

The working principle of the invention is as follows: the medical staff firstly measures the diameter of the glans penis of the patient and the position of the prepuce frenum, then selects the glans penis cover 12 and the cutting mechanism 10 with corresponding specifications, screws the cutting mechanism 10 on the fixed tube 1, screws the thread block 5 off the fixed tube 1, then rotates the connecting plate 801, the connecting plate 801 drives the upper screw rod 802 to rotate, screws the upper screw rod 802 out of the thread block 5, then rotates the connecting plate 801, the connecting plate 801 drives the lower screw rod 802 to rotate, screws the lower screw rod 802 into the glans penis cover 12, after the connection is completed, covers the glans penis cover 12 on the glans penis of the patient, fixes the glans penis on the glans penis cover 12 by using a bandage or other medical instruments, sequentially penetrates the cutting mechanism 10, the push tube 16, the moving tube 2 and the clapboard 102 through the glans penis cover 12 and extends to the outside of the fixed tube 1, and after the penetration is completed, takes out the flexible pad 19 from the nail bin 1001, by arranging the flexible pad 19, the situation that dust enters the nail bin 1001 when the cutting mechanism 10 is stored is avoided, the titanium nail 11 is polluted, a good sealing effect is achieved, the thread block 5 is connected with the upper lead screw 802, the upper lead screw 802 is fixed, after the fixing is completed, medical staff pulls out the limiting pin 9, then the two trigger rods 3 are extruded towards the middle simultaneously, the friction force between the palm of the medical staff and the trigger rods 3 can be effectively increased by arranging the anti-skidding sleeve 301, the situation that when doctors press the trigger rods 3, the trigger rods 3 slide out of hands of doctors and the operation of the patients is easily failed is avoided, the good anti-skidding effect is achieved, the trigger rods 3 drive the connecting rods 4 to move downwards, the connecting rods 4 drive the connecting blocks 6 to move downwards, the connecting blocks 6 drive the moving pipe 2 to move downwards, the moving pipe 2 simultaneously drives the first spring 7 and the pushing pipe 16 to move downwards, and the pushing pipe 16 simultaneously drives the pushing plate 15 to move downwards, The cutting knife 20 and the limiting block 1601 move downwards, the cutting knife 20 cuts the foreskin of the patient, meanwhile, the push plate 15 drives the titanium nail 11 to move downwards, and the titanium nail 11 is nailed on the foreskin of the patient, the limiting block 1601 presses the second spring 18 when the push plate 16 drives the push plate 15 to move downwards, when the foreskin of the patient nails the titanium nail 11, the medical personnel can release the trigger rod 3, the first spring 7 and the second spring 18 lose pressure simultaneously, the first spring 7 drives the movable tube 2 to move upwards, the movable tube 2 is reset quickly, meanwhile, the second spring 18 pushes the limiting block 1601 upwards, through the matching use of the limiting rod 17 and the limiting block 1601, the push tube 16 can move downwards vertically, the phenomenon that the push tube 16 tilts when moving downwards to cause the push tube 16 to be blocked is avoided, a good limiting effect is achieved, the limiting block 1601 drives the push tube 16 to move upwards, the push tube 16 drives the push plate 15 and the cutting knife 20 to reset quickly, after the resetting is completed, the medical staff unscrews the thread block 5, and then the device can be taken out to complete the operation.

The above are merely preferred embodiments of the present invention; the scope of the invention is not limited thereto. Any person skilled in the art should be able to cover the technical scope of the present invention by equivalent or modified solutions and modifications within the technical scope of the present invention.

Claims

1. An adjustable size type anastomat comprises a fixing tube (1) and is characterized in that: the inner wall of the fixed pipe (1) is connected with a movable pipe (2) in a sliding manner, the surface of the fixed pipe (1) is hinged with two trigger rods (3) which are hinged with the movable pipe (2), the bottom of the fixed pipe (1) is connected with a cutting mechanism (10) in a threaded manner, the top of the cutting mechanism (10) is provided with a second chute (1002), the inner wall of the second chute (1002) is connected with a push pipe (16) in a sliding manner, the bottom of the push pipe (16) is fixedly connected with a push plate (15) which is distributed in an annular manner, the bottom of the cutting mechanism (10) is provided with a nail bin (1001) which is distributed in an annular manner and is communicated with the second chute (1002), a titanium nail (11) is arranged inside the nail bin (1001), the bottom of the cutting mechanism (10) is provided with a through hole (1004) which is communicated with the second chute (1002), and the bottom of the push pipe (16) is fixedly connected with a cutting knife (20), the bottom of cutting knife (20) runs through opening (1004) and extends to the inside of opening (1004), the inner wall fixedly connected with baffle (102) of fixed pipe (1), the top threaded connection of fixed pipe (1) has screw block (5) with baffle (102) contact, the bottom threaded connection of screw block (5) has connecting piece (8), the bottom threaded connection of connecting piece (8) has tortoise hood (12), the bottom of tortoise hood (12) runs through baffle (102), removal pipe (2), push tube (16) and cutting mechanism (10) in proper order and extends to the outside of cutting mechanism (10), first spout (101) that quantity is two are seted up on the surface of fixed pipe (1), the fixed surface connection who removes pipe (2) has connecting block (6) that quantity is two, one side that removing pipe (2) was kept away from in connecting block (6) runs through adjacently first spout (101) and extends to the inside of first spout (101) The connecting rod (4) is hinged and adjacent to the surface of the trigger rod (3) and hinged to the connecting block (6), the connecting piece (8) comprises a connecting plate (801), a lead screw (802) is fixedly connected to the top and the bottom of the connecting plate (801), the top is connected to a surface partition plate (102) of the lead screw (802) and a thread block (5) in a threaded manner, the bottom is connected to the surface of the lead screw (802) and a tortoise head cover (12) in a threaded manner, a first spring (7) is fixedly connected to the bottom of the partition plate (102), the bottom of the first spring (7) is fixedly connected to the moving pipe (2), the first spring (7) is a stainless steel material component, a positioning plate (13) is fixedly connected to the surface of the tortoise head cover (12), a protection pad (1301) is arranged on the surface of the positioning plate (13), and the protection pad (1301) is a rubber material component, chopping block (14) are installed in the top embedding of protection pad (1301), chopping block (14) bottom run through protection pad (1301) and locating plate (13) in proper order and with locating plate (13) fixed connection, spacing groove (1003) that quantity is two and all communicates with second spout (1002) are seted up to the inside of cutting mechanism (10), the inner wall sliding connection of spacing groove (1003) has stopper (1601) with propelling movement pipe (16) fixed connection, interior roof fixedly connected with gag lever post (17) of spacing groove (1003), the bottom of gag lever post (17) is run through adjacently stopper (1601) and with spacing groove (1003) fixed connection.

2. The adjustable-size stapler of claim 1, wherein: the bottom of the limiting block (1601) is fixedly connected with a second spring (18), the bottom of the second spring (18) is fixedly connected with the adjacent limiting groove (1003), and the second spring (18) is a stainless steel material component.

3. A size-adjustable stapler according to claim 2, wherein: the surface of the fixed pipe (1) is spliced with a limiting pin (9), the right side of the limiting pin (9) is provided with a pull ring, and the left side of the limiting pin (9) sequentially penetrates through the fixed pipe (1) and the movable pipe (2) and is spliced with the movable pipe (2).

4. A size-adjustable stapler according to claim 3, wherein: the surface of the trigger rod (3) is provided with an anti-skidding sleeve (301), and the anti-skidding sleeve (301) is a rubber material member.

5. The adjustable-size stapler of claim 4, wherein: the inner wall of the nail bin (1001) is clamped with a flexible pad (19), and the flexible pad (19) is a rubber material component.