CN113476113B - Circumcision stitching instrument and circumcision stitching device - Google Patents

Circumcision stitching instrument and circumcision stitching device Download PDF

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Publication number
CN113476113B
CN113476113B CN202110760275.5A CN202110760275A CN113476113B CN 113476113 B CN113476113 B CN 113476113B CN 202110760275 A CN202110760275 A CN 202110760275A CN 113476113 B CN113476113 B CN 113476113B
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pressing plate
fixedly connected
foreskin
sliding
adjusting
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CN113476113A (en
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周明海
王世游
傅永鑫
周晓平
周宏伟
吴盛勇
权军
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Jiangxi Shenyou Medical Instrument Co ltd
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Jiangxi Shenyou Medical Instrument Co ltd
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    • 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
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0491Sewing machines for surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Treatment Of Fiber Materials (AREA)

Abstract

The invention discloses a circumcision stitching instrument and a circumcision stitching device, which comprise a pushing mechanism and a sleeve, wherein the top end of the sleeve is fixedly connected with a bearing platform, a sliding column is connected on the bearing platform in a sliding way, the sliding column is movably matched and connected with the pushing mechanism, a radial adjusting mechanism which drives the foreskin of a patient to be fixedly stretched through the radial movement of the sliding column is connected on the side surface of the top end of the bearing platform in a sliding way, the upper side of the bearing platform is movably connected with a cutting mechanism which drives the pushing mechanism to rotate downwards relative to the bearing platform so as to cut the foreskin, the pushing mechanism is arranged, the pushing mechanism pushes the radial adjusting mechanism to fix and stretch the overlong foreskin of the patient through the rotation of an arc-shaped groove, the radial adjusting mechanism fixes and stretches the overlong foreskin of the patient through radial movement, and simultaneously drives the cutting mechanism to push the cutting mechanism downwards to push the output end of the pushing mechanism so as to complete the fixing, stretching and cutting of the overlong foreskin, and the prepuce is convenient to use, time-saving and labor-saving.

Description

Circumcision stitching instrument and circumcision stitching device
Technical Field
The invention relates to the technical field of medical instruments, in particular to a circumcision stitching instrument and a circumcision stitching device.
Background
With the continuous improvement of living standard and cultural standard of people, people have higher requirements on self health and living quality, the redundant prepuce is a common reproduction problem of men, the redundant prepuce easily hides dirt and dirt to cause inflammation, which not only harms the self health of patients, but also brings adverse effects to partners through the life of couples. At present, a laser or mechanical cutting method is generally adopted for cutting foreskin, the cut of the foreskin cut by the method is not smooth and complete, the bleeding amount is large, the operation time is long, and the recovery after the operation is difficult, so a circumcision stitching instrument appears on the market, and mainly comprises a shell, a glans base, a top body and an annular blade, wherein the glans base is fixed in the shell, the annular blade is coaxially and fixedly connected with the top body, and the top body is sleeved in the shell and is coaxial with the shell; the foreskin incision stitching instrument comprises a casing, a push body, an annular blade, a handle, a connecting arm and a push body, wherein the push body and the annular blade are hinged to the casing, the connecting arm is arranged on the handle, when the handle is held tightly, the push body and the annular blade stretch out of the casing, the annular blade cuts off a foreskin tied tightly on a balanus seat, meanwhile, the push body pushes out a stitching nail at the end part of the push body, and the cut foreskin incision is stitched together. In the prior art, extra tools or hands are needed to manually clamp and stretch and unfold overlong foreskin, clamping is not uniform, and the cutting effect is not good enough.
Chinese patent publication No. CN208892725U discloses a circumcision suturing device and a circumcision suturing device, relating to the technical field of medical instruments. The circumcision stitching instrument comprises a top body, a balanus seat and a shell, wherein a sliding block is arranged in the shell along the axial clearance fit of the shell, the top body comprises an ejection part and a connecting part, the top body is positioned in the shell, the connecting part is coaxially connected with the sliding block, a binding ring is arranged on the shell, a binding groove is arranged on the binding ring, the necking end of the balanus seat is connected to the shell through a connecting piece, a knife abutting ring is sleeved on the flaring end, an annular blade is arranged in the top body, a first guide bulge is arranged on the outer wall of the sliding block, and a first guide groove matched with the first guide bulge is arranged on the inner wall of the shell; the circumcision suturing device comprises suturing nails and the circumcision suturing device, wherein the suturing nails are matched with a suturing groove, and a nail bin cover is arranged on a suturing ring. The circumcision stitching instrument has the advantages of higher concentricity between the shell and the top body and good operation effect.
The following problems may be encountered in the working process of the existing wrapper cutting device:
in the prior art, the overlong foreskin needs to be clamped and stretched manually by an extra tool or a person, the clamping is uneven, and the cutting effect is not good enough.
Disclosure of Invention
The invention aims to provide a circumcision stitching instrument and a circumcision stitching device, which are used for solving the problems that extra tools or hands are needed to clamp and stretch and unfold overlong foreskin manually, the clamping is not uniform, and the cutting effect is not good enough in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme: the utility model provides a circumcision stitching instrument and circumcision suturing device, includes pushing mechanism and sleeve, telescopic top fixedly connected with plummer has the slip post on the plummer, and the movable fit is connected with pushing mechanism on the slip post, and sliding connection has the radial adjustment mechanism who drives the fixed drawing of patient's foreskin through the radial movement of slip post on the top side of plummer, and the upside swing joint of plummer has the pushing mechanism drive and relative plummer rotatory downstream so as to carry out the cutting mechanism who cuts the foreskin.
When the prepuce cutting machine works specifically, the input end of the pushing mechanism is pushed, the pushing mechanism pushes the radial adjusting mechanism to fix and stretch the prepuce with the overlong length through the rotation of the arc-shaped groove, the radial adjusting mechanism fixes and stretches the prepuce with the overlong length of a patient through radial movement, meanwhile, the pushing mechanism drives the cutting mechanism to push the cutting prepuce downwards, the output end of the pushing mechanism is pushed, and the fixing, stretching and cutting of the prepuce with the overlong length are completed, so that the prepuce cutting machine is convenient to use and time-saving and labor-saving.
As a further aspect of the present invention, the pushing mechanism includes a sliding column, a pushing rod, and an adjusting plate; fixedly connected with connecting rod on the plummer, fixedly connected with regulating plate on the connecting rod, no. two adjustment tanks have evenly been seted up on the regulating plate, no. two adjustment tanks are provided with four, sliding connection has the slip post in No. two adjustment tanks, sliding connection has the driving-disc on the slip post, driving-disc and regulating plate rotate to be connected, the arc hole has evenly been seted up on the driving-disc, the arc hole is the arc and is provided with four, the slip post passes arc hole and No. two adjustment tanks, fixedly connected with catch bar on the circumference side of driving-disc, no. three adjustment tanks have been seted up on the regulating plate, the catch bar stretches out from No. three adjustment tanks.
During specific work, the pushing rod is pushed, the pushing rod drives the driving disc to rotate around the central axis of the driving disc, the arc-shaped holes are extruded to push the sliding columns to move radially outwards in the second adjusting groove, and the sliding columns drive the radial adjusting mechanisms to move radially and stretch overlong foreskins, so that the overlong foreskins are fully unfolded, and the next step of cutting is conveniently carried out.
As a further scheme of the invention, the radial adjusting mechanism comprises a first pressure plate, a second pressure plate and a second spring; radial adjustment mechanism has four groups and is circumference mode evenly distributed on the plummer, one of slip post serves fixedly connected with sliding block, clamp plate No. one of fixedly connected with on the sliding block, no. two springs of fixedly connected with on the clamp plate, no. two clamp plates of one end fixedly connected with of spring, the cooperation is connected with the kicking block on No. two clamp plates, the top side fixed connection of kicking block and plummer, one of serving fixedly connected with spring of sliding block, the sliding tray has evenly been seted up on the top side of plummer, a spring is fixed to be set up in the sliding tray, the kicking block is provided with two and the both sides that the kicking block distributes at No. two clamp plates, no. two clamp plates and kicking block sliding fit.
When the device works, the overlong foreskin is placed in a gap between the first pressing plate and the second pressing plate, the push rod is pushed, the sliding column drives the sliding block to move, the sliding block drives the first pressing plate and the second pressing plate to move outwards in the radial direction, the inclined plane on the second pressing plate moves to the inclined plane on the top block, the top block jacks up the second pressing plate upwards, the second pressing plate moves upwards relative to the first pressing plate, the foreskin is clamped by the second pressing plate and the first pressing plate, the first spring is compressed, the sliding block slides outwards in the sliding groove, the second pressing plate and the first pressing plate clamp the foreskin and stretch outwards in the radial direction, the overlong foreskin is unfolded, the push rod is stopped pushing after the overlong foreskin is fully unfolded, the foreskin is conveniently cut, the second pressing plate slides out of the inclined plane of the top block after the cutting is finished, and the second spring pushes the second pressing plate to reset.
As a further scheme of the invention, the cutting mechanism comprises a circular ring cutter, a rotating sleeve and a fourth adjusting groove; the intermediate position fixedly connected with connector of driving-disc, the fixed round bar that is provided with of relative connector axle center symmetry on the side of connector, sliding connection has the rotation cover on the connector, the adjustment tank No. four has been seted up on the rotation cover, the adjustment tank No. four is the arc, no. four adjustment tanks are provided with two and evenly distributed on the side of rotation cover, the round bar slides in No. four adjustment tanks, the one end fixedly connected with ring sword of rotation cover, the ring sword is cylindrical, fixedly connected with No. three springs in the ring sword, the one end fixedly connected with clamping ring of No. three springs, the clamping ring slides in the ring sword, ring sword and clamping ring setting are in the top of plummer.
When the prepuce cutting device works, when the push rod drives the driving disc to rotate, the connector fixedly connected to the driving disc rotates, the connector drives the round rod to rotate, the round rod slides in the fourth adjusting groove, the round rod drives the circular knife and the press ring to move downwards, the press ring firstly abuts against a prepuce, the third spring compresses, the press ring tightly abuts against and temporarily fixes the prepuce, the circular knife continues to move downwards, the circular knife performs annular cutting on the prepuce placed between the circular knife and the top side face of the bearing table, the circular knife performs circular force application on the prepuce, the cutting is rapid and uniform, the push rod is reversely pushed after the cutting is completed, the push rod drives the circular knife to move upwards, the third spring lengthens, the prepuce is still tightly abutted against the prepuce to be temporarily fixed after the prepuce is cut, when the circular knife moves upwards to a set distance to expose the prepuce cutting position, the push rod stops rotating, an operator stitches the prepuce cutting position, after the stitching is completed, the reverse rotating rod resets, the press ring drives the press ring to move upwards after the prepuce is moved to a natural length, the push rod rotates to an initial position, and stitches after the prepuce is completely stitching is completed, and a stitching work cycle is completed.
As a further scheme of the invention, the third adjusting groove is fixedly connected with semicircular lugs distributed in an annular array, the semicircular lugs are hemispherical, the first adjusting groove is formed in the push rod, and the semicircular lugs are movably matched with the first adjusting groove.
When the pushing rod is pushed, the pushing rod slides in the third adjusting groove, the semicircular lug blocks which are uniformly arranged continuously slide in and slide out in the first adjusting groove, when the radial adjusting mechanism completely expands the foreskin, the cutting mechanism cuts the foreskin and stops pushing the pushing rod, the semicircular lug blocks limit the pushing rod, and the phenomenon that the edge of the circular knife is damaged by overexertion when the pushing rod is pushed is avoided.
As a further scheme of the invention, the second pressing plate is fixedly provided with pressing sheets made of soft rubber, and the pressing sheets are arranged between the second pressing plate and the first pressing plate and at two ends of the second pressing plate.
When the foreskin is clamped by the first pressing plate and the second pressing plate during specific work, the pressing plate made of the soft rubber material can effectively increase the clamping force on the foreskin, so that the clamping is firmer, and the foreskin is prevented from falling off to cause cutting failure.
As a further scheme of the invention, an oil storage tank is arranged on the sliding column, and lubricating oil is arranged in the oil storage tank.
When the sliding column slides in the arc-shaped hole and the second adjusting groove during specific work, the lubricating oil effectively reduces the sliding friction force, so that the pushing rod is more labor-saving to push, and the use is convenient.
As a further scheme of the invention, one side surface of the first pressure plate close to the circular cutting ring is in a circular arc shape and is made of transparent plastic materials.
When the prepuce clamping device works specifically, the clamping area of the prepuce can be increased by the aid of the pressing plate which is arc-shaped on the side face, and meanwhile, an operator can clearly observe whether the clamping area of the prepuce is enough or not by the aid of the pressing plate made of transparent materials, so that the prepuce clamping device is convenient to use.
The working principle is as follows: placing overlong wrappers in a gap between a first pressing plate and a second pressing plate, pushing a pushing rod, driving a driving disc to rotate around the central axis of the driving disc by the pushing rod, extruding and pushing a sliding column in a second adjusting groove to move radially outwards by an arc-shaped hole, driving a sliding block to move by the sliding column, driving the first pressing plate and the second pressing plate to move radially outwards by the sliding block, moving an inclined plane on the second pressing plate to an inclined plane on a top block, jacking the second pressing plate upwards by the top block, moving the second pressing plate upwards relative to the first pressing plate, clamping the wrappers by the second pressing plate and the first pressing plate, compressing a spring, sliding the sliding block outwards in the sliding groove, clamping and radially outwards stretching the wrappers by the second pressing plate and the first pressing plate, unfolding the overlong wrappers, stopping pushing the pushing rod after the overlong wrappers are fully unfolded, conveniently cutting the wrappers, and driving the driving disc to rotate by the pushing rod, the connecting head fixedly connected to the driving disc rotates, the connecting head drives the round rod to rotate, the round rod slides in the No. four adjusting groove, the round rod drives the circular knife and the pressing ring to move downwards, the pressing ring firstly abuts against the foreskin, the No. three spring compresses, the pressing ring tightly abuts against and temporarily fixes the foreskin, the circular knife continues to move downwards, the circular knife performs annular cutting on the foreskin arranged between the circular knife and the top end side surface of the bearing table, the circular knife applies circular force to the foreskin, the cutting is rapid and uniform, the pushing rod is reversely pushed after the cutting is completed, the pushing rod drives the circular knife to move upwards, the No. three spring lengthens, the pressing ring still tightly abuts against the foreskin, so that the foreskin is temporarily fixed after the foreskin is cut, when the circular knife moves upwards to a set distance, the foreskin cutting position is exposed, the pushing rod stops rotating, an operator stitches the foreskin cutting position, and after the stitching is completed, and continuously and reversely rotating the push rod to reset, driving the compression ring to move upwards after the third spring extends to the natural length, completely releasing the sutured foreskin by the compression ring after the push rod rotates to the initial position, finishing the cutting and suturing of the foreskin, and finishing a working cycle.
According to the circumcision stitching instrument and the circumcision stitching device, the pushing mechanism is arranged, the pushing mechanism pushes the radial adjusting mechanism to fix and stretch overlong foreskin through rotation of the arc-shaped groove, the radial adjusting mechanism fixes and stretches overlong foreskin of a patient through radial movement, meanwhile, the pushing mechanism drives the cutting mechanism to push downwards to cut foreskin, meanwhile, the output end of the pushing mechanism is pushed, and fixing, stretching and cutting of overlong foreskin are completed.
Drawings
The invention is further illustrated with reference to the following figures and examples.
FIG. 1 is a schematic diagram of a three-dimensional overall structure of the present invention;
FIG. 2 is a schematic view of the overall cross-sectional structure of the present invention;
FIG. 3 is an enlarged schematic view of the structure at A in FIG. 2;
FIG. 4 is an enlarged schematic view of the structure at B in FIG. 2;
FIG. 5 is a schematic view of the pushing mechanism of the present invention;
FIG. 6 is a schematic view of a drive disc configuration of the present invention;
FIG. 7 is a schematic view of the regulating plate of the present invention;
FIG. 8 is a schematic view of the ring cutter of the present invention;
FIG. 9 is a schematic view of the radial adjustment mechanism of the present invention;
fig. 10 is a schematic structural diagram of the carrier table of the present invention.
In the figure: 1. a pushing mechanism; 102. a push rod; 103. a drive plate; 104. a first adjusting groove; 105. an arc-shaped hole; 106. an adjusting plate; 107. a second adjusting groove; 108. a connecting rod; 109. a sliding post; 110. a third adjusting groove; 111. a connector; 113. a semicircular bump; 2. a radial adjustment mechanism; 201. a top block; 202. a first pressing plate; 203. a first spring; 204. a slider; 205. pressing plates II; 206. a second spring; 3. a cutting mechanism; 301. a circular ring cutter; 302. a fourth adjusting groove; 303. rotating the sleeve; 304. a round bar; 305. pressing a ring; 306. a third spring; 4. a sleeve; 5. a bearing platform; 501. a sliding groove; 6. and (5) tabletting.
Detailed Description
As shown in fig. 1 and 2, a circumcision stitching instrument and a circumcision stitching device comprises a pushing mechanism 1 and a sleeve 4, and is characterized in that: the top fixedly connected with plummer 5 of sleeve 4, sliding connection has slip post 109 on plummer 5, and the clearance fit is connected with pushing mechanism 1 on the slip post 109, and sliding connection has radial adjustment mechanism 2 that drives the fixed tensile radial of patient's foreskin through slip post 109 radial movement on the top side of plummer 5, and the upside swing joint of plummer 5 has pushing mechanism 1 drive and relative plummer 5 to rotate cutting mechanism 3 of downstream in order to cut the foreskin.
When the device works specifically, the input end of the pushing mechanism 1 is pushed, the pushing mechanism 1 pushes the radial adjusting mechanism 2 to fix and stretch the overlong foreskin through the rotation of the arc-shaped groove, the radial adjusting mechanism 2 fixes and stretches the overlong foreskin of a patient through radial movement, meanwhile, the pushing mechanism 1 drives the cutting mechanism 3 to push the cutting foreskin downwards, the output end of the pushing mechanism 1 is pushed simultaneously, and the fixing, stretching and cutting of the overlong foreskin are completed.
As shown in fig. 1, 2, 3 and 5, the pushing mechanism 1 includes a slide column 109, a push lever 102 and an adjustment plate 106; fixedly connected with connecting rod 108 on plummer 5, fixedly connected with regulating plate 106 on connecting rod 108, no. two adjustment tank 107 have evenly been seted up on regulating plate 106, no. two adjustment tank 107 are provided with four, sliding connection has slip post 109 in No. two adjustment tank 107, sliding connection has drive-disc 103 on the slip post 109, drive-disc 103 and regulating plate 106 rotate to be connected, arc hole 105 has evenly been seted up on the drive-disc 103, arc hole 105 is the arc and is provided with four, slip post 109 passes arc hole 105 and No. two adjustment tank 107, fixedly connected with catch bar 102 on the circumference side of drive-disc 103, no. three adjustment tank 110 have been seted up on regulating plate 106, catch bar 102 stretches out from No. three adjustment tank 110.
During specific work, the push rod 102 is pushed, the drive disc 103 is driven by the push rod 102 to rotate around the central axis of the drive disc, the arc-shaped hole 105 extrudes and pushes the sliding column 109 to move radially outwards in the second adjusting groove 107, and the sliding column 109 drives the radial adjusting mechanism 2 to move radially and stretch overlong foreskin, so that the overlong foreskin is fully unfolded, and the next step of cutting is facilitated.
As shown in fig. 1, 3, 9 and 10, the radial adjustment mechanism 2 includes a first pressing plate 202, a second pressing plate 205 and a second spring 206; radial adjustment mechanism 2 has four groups and is circumference mode evenly distributed on plummer 5, one of slip post 109 serves fixedly connected with sliding block 204, fixedly connected with clamp plate 202 on the sliding block 204, fixedly connected with spring 206 No. two on clamp plate 202, clamp plate 205 No. two of one end fixedly connected with of spring 206, the cooperation is connected with kicking block 201 on clamp plate 205 No. two, the top side fixed connection of kicking block 201 and plummer 5, slide block 204 serves one and fixedly connected with spring 203 No. one, sliding tray 501 has evenly been seted up on the top side of plummer 5, spring 203 is fixed to be set up in sliding tray 501, kicking block 201 is provided with two and kicking block 201 and distributes in the both sides of clamp plate 205 No. two, be provided with the inclined plane on clamp plate 205 No. two and the kicking block 201 respectively, clamp plate 205 and kicking block 201 sliding fit No. two.
During specific work, an overlong foreskin is placed in a gap between a first pressing plate 202 and a second pressing plate 205, the pushing rod 102 is pushed, the sliding column 109 drives the sliding block 204 to move, the sliding block 204 drives the first pressing plate 202 and the second pressing plate 205 to move outwards in the radial direction, the inclined plane on the second pressing plate 205 moves to the inclined plane on the top block 201, the top block 201 jacks the second pressing plate 205 upwards, the second pressing plate 205 moves upwards relative to the first pressing plate 202, the second pressing plate 205 and the first pressing plate 202 clamp the foreskin tightly, meanwhile, the first spring 203 is compressed, the sliding block 204 slides outwards in the sliding groove 501, the second pressing plate 205 and the first pressing plate 202 clamp the foreskin tightly and stretch outwards in the radial direction, the overlong foreskin is unfolded, the pushing rod 102 stops being pushed after the overlong foreskin is fully unfolded, the foreskin is conveniently cut, the second pressing plate 205 slides out of the inclined plane of the top block 201 after cutting is completed, and the second spring 206 pushes the second pressing plate 205 to reset.
As shown in fig. 1, 2, 4 and 8, the cutting mechanism 3 comprises a circular ring cutter 301, a rotating sleeve 303 and a four-number adjusting groove 302; the middle position of the driving disc 103 is fixedly connected with a connector 111, round rods 304 are symmetrically and fixedly arranged on the side face of the connector 111 relative to the axis of the connector 111, a rotating sleeve 303 is connected on the connector 111 in a sliding manner, a fourth adjusting groove 302 is formed in the rotating sleeve 303 and is arc-shaped, the fourth adjusting grooves 302 are provided with two round rods and are evenly distributed on the side face of the rotating sleeve 303, the round rods 304 slide in the fourth adjusting groove 302, one end of the rotating sleeve 303 is fixedly connected with a circular ring knife 301, the circular ring knife 301 is cylindrical, a third spring 306 is fixedly connected in the circular ring knife 301, one end of the third spring 306 is fixedly connected with a pressing ring 305, the pressing ring 305 slides in the circular ring knife 301, and the circular ring knife 301 and the pressing ring 305 are arranged above the bearing table 5.
When the prepuce stitching device works specifically, when the push rod 102 drives the driving disc 103 to rotate, the connector 111 fixedly connected to the driving disc 103 rotates, the connector 111 drives the circular rod 304 to rotate, the circular rod 304 slides in the fourth adjusting groove 302, the circular rod 304 drives the circular knife 301 and the pressing ring 305 to move downwards, the pressing ring 305 firstly abuts against a prepuce, the third spring 306 compresses, the pressing ring 305 abuts against and temporarily fixes the prepuce, the circular knife 301 continues to move downwards, the circular knife 301 performs annular cutting on the prepuce placed between the circular knife 301 and the top end side of the bearing platform 5, the circular knife 301 performs annular force application on the prepuce, the cutting is rapid and uniform, after the cutting is completed, the push rod 102 is reversely pushed, the push rod 102 drives the circular knife 301 to move upwards, the third spring 306 is elongated, the pressing ring 305 still abuts against the prepuce and is temporarily fixed after the prepuce is cut, when the circular knife 301 moves upwards to a set distance, the prepuce cutting position is exposed, the push rod 102 stops rotating, the surgical personnel sews the pressing ring on the prepuce cutting position, after the prepuce is sewn, after the prepuce is completely stretched, and the prepuce 305 is completely stretched, and the prepuce cutting position is completely released, and the prepuce cutting position is completely, and the prepuce cutting position is naturally, and the prepuce 305 is completely rotated.
As shown in fig. 1, 6 and 7, the third adjusting groove 110 is fixedly connected with semicircular protrusions 113 distributed in an annular array, the semicircular protrusions 113 are hemispherical, the push rod 102 is provided with a first adjusting groove 104, and the semicircular protrusions 113 are movably matched with the first adjusting groove 104.
During specific work, when the push rod 102 is pushed, the push rod 102 slides in the third adjusting groove 110, the uniformly arranged semicircular lugs 113 continuously slide in and out of the first adjusting groove 104, when the radial adjusting mechanism 2 completely expands the foreskin, the cutting mechanism 3 cuts the foreskin, the push rod 102 stops being pushed, the semicircular lugs 113 limit the push rod 102, and the phenomenon that the knife edge of the circular knife 301 is damaged by overexertion when the push rod 102 is pushed is prevented.
As shown in fig. 9, the second pressing plate 205 is fixedly provided with a pressing sheet 6, the pressing sheet 6 is made of soft rubber, and the pressing sheet 6 is arranged between the second pressing plate 205 and the first pressing plate 202 and at two ends of the second pressing plate 205.
During specific work, when the foreskin is clamped by the first pressing plate 202 and the second pressing plate 205, the pressing plate 6 made of soft rubber can effectively increase the clamping force on the foreskin, so that the clamping is firmer, and the foreskin is prevented from falling off to cause cutting failure.
As shown in fig. 5, the sliding column 109 is provided with an oil reservoir, and lubricating oil is provided in the oil reservoir.
During specific work, when the sliding column 109 slides in the arc-shaped hole 105 and the second adjusting groove 107, the lubricating oil effectively reduces sliding friction force, so that the pushing rod 102 is more labor-saving to push, and the use is convenient.
As shown in fig. 9, a side of the first pressing plate 202 close to the circular cutting ring 301 is circular arc-shaped and made of transparent plastic material.
When the foreskin clamping device works specifically, the pressing plate 202 with the arc-shaped side face can increase the clamping area of the foreskin, and meanwhile, the pressing plate 202 made of the transparent material can enable an operator to clearly observe whether the clamping area of the foreskin is enough or not, so that the foreskin clamping device is convenient to use.
The working principle is as follows: placing the overlong foreskin in the gap between the first pressing plate 202 and the second pressing plate 205, pushing the pushing rod 102, the pushing rod 102 driving the driving disc 103 to rotate around the central axis thereof, the arc-shaped hole 105 extruding and pushing the sliding column 109 to move radially outwards in the second adjusting groove 107, the sliding column 109 driving the sliding block 204 to move, the sliding block 204 driving the first pressing plate 202 and the second pressing plate 205 to move radially outwards, the inclined plane on the second pressing plate 205 moving to the inclined plane on the top block 201, the top block 201 lifting up the second pressing plate 205, the second pressing plate 205 moving upwards relative to the first pressing plate 202, the second pressing plate 205 and the first pressing plate 202 clamping the foreskin, simultaneously compressing the first spring 203, the sliding block 204 sliding outwards in the sliding groove 501, the second pressing plate 205 and the first pressing plate 202 clamping the foreskin overlong and stretching radially outwards, the foreskin being unfolded, and when the overlong foreskin is fully unfolded, stopping pushing the pushing rod 102 to facilitate cutting the foreskin, when the pushing rod 102 drives the driving disc 103 to rotate, the connector 111 fixedly connected to the driving disc 103 rotates, the connector 111 drives the round rod 304 to rotate, the round rod 304 slides in the fourth adjusting groove 302, the round rod 304 drives the circular knife 301 and the press ring 305 to move downwards, the press ring 305 firstly contacts the foreskin, the third spring 306 compresses, the press ring 305 tightly abuts against and temporarily fixes the foreskin, the circular knife 301 continues to move downwards, the circular knife 301 performs annular cutting on the foreskin placed between the circular knife 301 and the top end side surface of the bearing table 5, the circular knife 301 performs annular force application on the foreskin, the cutting is rapid and uniform, the pushing rod 102 is reversely pushed after the cutting is completed, the pushing rod 102 drives the circular knife 301 to move upwards, the third spring 306 elongates, the press ring 305 still tightly abuts against and enables the foreskin to be temporarily fixed after the foreskin is cut, when the circular cutting knife 301 moves upwards to a set distance to expose the foreskin cutting position, the push rod 102 stops rotating, the operator sews the foreskin cutting position, after the sewing is completed, the push rod 102 continues to rotate reversely to reset, the third spring 306 extends to a natural length to drive the press ring 305 to move upwards, after the push rod 102 rotates to an initial position, the press ring 305 completely releases the sewed foreskin, the foreskin cutting and sewing are completed, and a working cycle is completed.

Claims (5)

1. The utility model provides a circumcision stitching instrument and circumcision suturing device, includes pushing mechanism and sleeve, its characterized in that: the top end of the sleeve is fixedly connected with a bearing table, a sliding column is connected onto the bearing table in a sliding manner, a pushing mechanism is movably connected onto the sliding column in a matching manner, a radial adjusting mechanism which drives the foreskin of the patient to be fixedly stretched through the radial movement of the sliding column is connected onto the side face of the top end of the bearing table in a sliding manner, and a cutting mechanism which is driven by the pushing mechanism and rotates and moves downwards relative to the bearing table to cut the foreskin is movably connected above the bearing table;
the pushing mechanism comprises a pushing rod and an adjusting plate; the bearing table is fixedly connected with a connecting rod, the connecting rod is fixedly connected with an adjusting plate, the adjusting plate is uniformly provided with four second adjusting grooves, a sliding column is slidably connected into the two second adjusting grooves, the sliding column is slidably connected with a driving disc, the driving disc is rotatably connected with the adjusting plate, arc-shaped holes are uniformly formed in the driving disc, the arc-shaped holes are arc-shaped and provided with four arc-shaped holes, the sliding column penetrates through the arc-shaped holes and the two second adjusting grooves, the circumferential side of the driving disc is fixedly connected with a pushing rod, the adjusting plate is provided with three adjusting grooves, and the pushing rod extends out of the three adjusting grooves;
the radial adjusting mechanism comprises a first pressure plate, a second pressure plate and a second spring; the radial adjusting mechanism is provided with four groups and is uniformly distributed on the bearing platform along the circumferential direction of the adjusting plate, one end of the sliding column is fixedly connected with a sliding block, the sliding block is fixedly connected with a first pressing plate, the first pressing plate is fixedly connected with a second spring, one end of the second spring is fixedly connected with a second pressing plate, the second pressing plate is matched and connected with a top block, the top block is fixedly connected with the side surface of the top end of the bearing platform, one end of the sliding block is fixedly connected with a first spring, the side surface of the top end of the bearing platform is uniformly provided with a sliding groove, the first spring is fixedly arranged in the sliding groove, the top block is provided with two top blocks, the top blocks are distributed on two sides of the second pressing plate, and the second pressing plate is in sliding fit with the top blocks;
the cutting mechanism comprises a circular cutter, a rotating sleeve and a fourth adjusting groove; the intermediate position fixedly connected with connector of driving-disc, the fixed round bar that is provided with of relative connector axle center symmetry on the side of connector, sliding connection has the rotation cover on the connector, the adjustment tank No. four has been seted up on the rotation cover, the adjustment tank No. four is the arc, no. four adjustment tanks are provided with two and evenly distributed on the side of rotation cover, the round bar slides in No. four adjustment tanks, the one end fixedly connected with ring sword of rotation cover, the ring sword is cylindrical, fixedly connected with No. three springs in the ring sword, the one end fixedly connected with clamping ring of No. three springs, the clamping ring slides in the ring sword, ring sword and clamping ring setting are in the top of plummer.
2. The circumcision stapler and the circumcision suturing device as claimed in claim 1, wherein: fixedly connected with is the semicircle lug that the annular array distributes on No. three adjustment tank, and the semicircle lug is the hemisphere, has seted up an adjustment tank on the catch bar, semicircle lug and an adjustment tank clearance fit.
3. The circumcision stapler and circumcision suturing device as claimed in claim 1, wherein: the pressing plate is fixedly arranged on the second pressing plate, the pressing plate is made of soft rubber, and the pressing plate is arranged between the second pressing plate and the first pressing plate and arranged at two ends of the second pressing plate.
4. The circumcision stapler and circumcision suturing device as claimed in claim 1, wherein: an oil storage tank is arranged on the sliding column, and lubricating oil is arranged in the oil storage tank.
5. The circumcision stapler and the circumcision suturing device as claimed in claim 1, wherein: one side surface of the first pressing plate close to the circular cutting ring is arc-shaped and is made of transparent plastic materials.
CN202110760275.5A 2021-07-06 2021-07-06 Circumcision stitching instrument and circumcision stitching device Active CN113476113B (en)

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