CN115969477A - Prepuce anastomosis and ring cutting instrument - Google Patents

Abstract

The utility model provides a foreskin is identical and circular cutting instrument, mainly including having the structure body, go up the anastomosis piece, go up the cutting member, go up the last anastomosis structure of operation piece and have down the structure body, lower anastomosis piece, the lower anastomosis structure of lower operation piece, wherein, it can combine each other with lower anastomosis structure to go up the anastomosis structure, lower operation piece can be for lower structure body circumferential direction, move towards the direction that is close to the structure body along the axial of lower structure body with the drive lower anastomosis piece, make lower anastomosis piece and last anastomosis piece cooperate in order to coincide the foreskin, it can be for last structure body circumferential direction in order to drive cutting member cutting foreskin. Therefore, the safety of the circumcision can be ensured, and the convenience of the operation and the circumcision effect are improved.

Description

Prepuce anastomosis and ring cutting instrument

Technical Field

The embodiment of the application relates to the technical field of medical equipment, in particular to a prepuce anastomosis and ring cutting instrument.

Background

Circumcision is one of the most common operations in urinary surgery, and in the prior art, the circumcision is mainly performed by the following two ways: namely, the conventional circumcision operation performed by using a conventional instrument and the circumcision operation performed by using a special instrument, wherein the conventional circumcision operation performed by using the conventional surgical instrument mainly comprises the following steps: the operations of sharp foreskin cutting, hemostasis, suture and the like exist, and the operation mode has the problems of long time consumption, time and labor waste and the like. The circumcision performed by using special instruments generally means that circumcision is completed by simultaneously cutting and anastomosing the inner and outer plates of the foreskin by using a foreskin anastomosis and circumcision instrument, 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 use in circumcision is of great advantage.

However, the existing foreskin anastomosis instrument still has the following technical problems:

firstly, the existing foreskin anastomat (such as a merchant ring) is not used for one-time cutting in an operation, a patient needs to carry the anastomat after the operation, and the foreskin incision is sleeved by 'pressurizing' for several days, so that the mode can cause the inconvenience in life of the patient after the operation, 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 penis, so that a doctor cannot adjust the length of the foreskin or 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 due to the possibility of misoperation caused by excessive or insufficient foreskin excision exist.

Thirdly, the existing foreskin anastomat has the problems that the foreskin is adhered during cutting, can not be completely separated and broken, and needs to be cut repeatedly.

In view of the above, there is a need for an improved circumcision instrument to overcome the problems of the prior art.

Disclosure of Invention

In view of the above problems, the present application provides a foreskin anastomosis and circumcision instrument capable of being operated by a single person, which has the advantages of intuitive visualization of the foreskin excision and preservation part in the operation, accurate adjustment of the foreskin preservation length, controllable operation and rapid anastomosis.

The embodiment of the application provides a foreskin is anastomosed and ring cutting instrument, and it includes: the upper anastomosis structure comprises an upper structure body, an upper anastomosis part, an upper cutting part and an upper operation part, wherein the upper anastomosis part is fixedly arranged on the upper structure body, the upper operation part is movably arranged on the upper structure body, and the upper cutting part is fixedly arranged on the upper operation part; the lower anastomosis structure comprises a lower structure body, a lower anastomosis piece and a lower operation piece, wherein the lower anastomosis piece and the lower operation piece are respectively and movably arranged on the lower structure body; the upper anastomotic structure and the lower anastomotic structure can be combined with each other, the lower operating piece can rotate circumferentially relative to the lower structure body to drive the lower anastomotic piece to move towards the direction close to the upper structure body along the axial direction of the lower structure body, so that the lower anastomotic piece and the upper anastomotic piece are matched with each other in a cooperative manner to anastomose the foreskin, and the upper operating piece can rotate circumferentially relative to the upper structure body to drive the upper cutting piece to circumscribe the foreskin.

Optionally, the apparatus further comprises an upper through passage axially passing through the upper anastomosis structure and a lower through passage axially passing through the lower anastomosis structure; when the upper inosculation structure and the lower inosculation structure are mutually combined, the upper penetrating channel and the lower penetrating channel jointly form a penetrating passage for the penis to penetrate through.

Optionally, the apparatus includes an upper connector disposed on the upper structure body and a lower connector disposed on the lower structure body, and is configured to provide positioning and connection between the upper structure body and the lower structure body, and to sandwich the foreskin between the upper structure body and the lower structure body.

Alternatively, one of the upper and lower couplers may include a first coupling portion and a second coupling portion; the other one of the upper combining piece and the lower combining piece can be combined with the first combining part, so that a preset interval is formed between the upper structure body and the lower structure body, and the foreskin positioned between the upper structure body and the lower structure body can be adjusted; the other of the upper binder and the lower binder can be combined with the second combining part, so that the upper structure body and the lower structure body are mutually abutted, and the wrapper is positioned between the upper structure body and the lower structure body.

Optionally, the apparatus further comprises a locking band; the locking hoop can be circumferentially positioned on the lower structure body, so that a part of the wrapper is clamped between the lower structure body and the locking hoop.

Optionally, the locking band is elastically deformable to form different circumferences; the locking hoop can elastically deform under a stressed state, so that the circumference of the locking hoop is increased; and can elastically recover under the non-stressed state so as to reduce the circumference of the locking hoop.

Optionally, the outer side wall of the lower structure body is further provided with a locking groove in a circumferential direction, and the locking hoop can be embedded in the locking groove to be circumferentially positioned relative to the lower structure body.

Optionally, the upper anastomosis member comprises a plurality of nail seats circumferentially distributed on the upper structural body; the lower anastomosis part comprises a plurality of nail channels which are circumferentially distributed on the lower structure body, a plurality of nail bins which can move along the axial direction of the lower structure body and anastomotic nails stored in the nail bins; when the upper anastomosis structure and the lower anastomosis structure are combined with each other, each nail seat is located above each nail cabin, each nail cabin can be respectively pushed out upwards from each nail channel to store each nail therein, each nail seat can provide supporting force for each pushed out nail and rivet and bend the nail foot of each nail, and therefore the foreskin is subjected to anastomosis operation.

Optionally, the upper anastomosis member includes a nail seat ring, each nail seat being circumferentially distributed on the nail seat ring; the lower anastomat comprises a nail bin ring, and each nail bin is circumferentially distributed on the nail bin ring; wherein the staple cartridge ring is circumferentially positioned relative to the upper structural body and the staple cartridge ring is circumferentially positioned relative to the lower structural body; when the upper anastomosis structure and the lower anastomosis structure are combined with each other, the nail seats, the nail channels and the nail bins can be kept in position alignment.

Optionally, a first positioning portion is disposed on the upper structure body, a second positioning portion is disposed on the nail seat ring, and the first positioning portion and the second positioning portion can be combined with each other to provide circumferential positioning of the nail seat ring relative to the upper structure body; the lower structure body is provided with a third positioning part, and the nail bin ring is provided with a fourth positioning part for circumferentially positioning the nail bin ring relative to the lower structure body.

Optionally, the upper structure body has a sleeve portion surrounding the upper through channel, the upper operating member is sleeved on the sleeve portion, the first positioning portion is disposed at an end of the sleeve portion, and the nail seat ring can be positioned at the end of the sleeve portion by the second positioning portion.

Optionally, the saddle ring may be fixedly attached to the upper structural body.

Optionally, the lower handle is disposed adjacent to the staple cartridge ring; the lower operating member can axially move relative to the lower structure body through circumferential rotation relative to the lower structure body so as to push the nail bin ring to move towards the direction close to the nail seat ring along the axial direction of the lower structure body, and therefore the foreskin can be subjected to anastomosis operation.

Optionally, the lower anastomosis structure further includes a gasket disposed between the lower operating member and the cartridge ring.

Optionally, the lower anastomosis structure further includes an anastomosis fool-proofing structure, which can be clamped between the lower operation member and the lower structure body, so as to form a predetermined interval between the lower operation member and the lower structure body.

Optionally, the anastomosis fool-proofing structure includes a C-shaped ring structure sleeved on the lower structure body or the lower operation member.

Optionally, the lower structure body further comprises an annular cutter groove arranged around the outer ring of the nail channel; wherein the upper operating member is circumferentially rotatable relative to the upper structural body to drive the upper cutting member to move along the annular knife slot to perform a cutting operation on the foreskin completing an anastomosis operation.

Optionally, the upper cutting member is disposed on the upper operating member through an injection molding process or a bonding process, and may be made of a metal material or a ceramic material.

Optionally, the upper anastomosis structure further includes a cutting fool-proof structure separately disposed on the upper structure body and the upper operation member, for limiting circumferential rotation of the upper operation member relative to the upper structure body.

Optionally, the cutting fool-proofing structure includes a lock pin, a first lock hole disposed on the upper structure body, and a second lock hole disposed on the upper operation member, and the lock pin may be inserted into the first lock hole and the second lock hole at the same time to limit circumferential rotation of the upper operation member relative to the upper structure body.

Optionally, the apparatus further comprises circumferential locating formations provided on the upper and lower structural bodies for providing circumferential location of the upper structural body relative to the lower structural body.

Optionally, the circumferential positioning structure includes a positioning column disposed on one of the upper structure body and the lower structure body and a positioning hole disposed on the other of the upper structure body and the lower structure body.

Optionally, the upper anastomosis structure further includes an axial positioning portion disposed on the upper structure body and capable of abutting against the upper operating member for providing axial positioning of the operating member relative to the upper structure body.

According to the technical scheme, the foreskin anastomosis and circumcision instrument can turn the foreskin outwards and position the foreskin on the lower structure body, so that a foreskin frenum in the operation can be visually seen, the length of the foreskin can be conveniently adjusted and cut or kept, the penis body can be prevented from being damaged, and the safety of the operation is improved.

Moreover, this application can carry out pretension fixed to the foreskin of eversion to length and scope that the individualized adjustment foreskin remained makes the position of adjustable foreskin before foreskin excision at any time, can increase the convenience and the controllability of operation.

In addition, through the rotatory lower operation piece of substep and last operation piece to the identical and cutting operation of order execution foreskin can improve the reliability of identical and cutting, reduces the operation degree of difficulty of operation, and can realize the technological effect of single operation.

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 of the foreskin anastomosis and circumcision instrument of the present application in an assembled state.

Fig. 2 is an exploded view of the circumcision and circumcision instrument of the present application.

FIG. 3 is an exploded side view of the circumcision and circumcision instrument of the present application.

FIG. 4 is a side view of the circumcision and circumcision instrument of the present application in an assembled state.

FIG. 5 is a top view of the circumcision and circumcision instrument of the present application.

Fig. 6 is a schematic cross-sectional view taken along line J-J of fig. 5.

Fig. 7 is a partial structural schematic diagram of an upper operation member of the present application.

FIG. 8 is a partial structural schematic view of a staple holder ring of the present application.

Figures 9 to 11 are schematic views of different operating states of the circumcision and circumcision instrument according to the present application.

Fig. 12 to 13 are an exploded view, a schematic view and an assembled side view of a circumcision and circumcision instrument according to another embodiment of the present application.

Element number

1: foreskin anastomosis and circumcision instruments; 10: an upper anastomosis structure; 100: a channel is arranged in an upper penetrating way; 102: an upper structure body; 1022: a socket joint part; 104: an upper anastomosis member; 1040: a nail seat ring; 1042: a nail seat; 106: an upper cutting member; 108: an upper operating member; 110: an upper bonding member; 1102: a first coupling portion; 1104: a second joint part; 112: a first positioning portion; 112a: positioning pins; 114: a second positioning portion; 114a: positioning a groove; 116: an axial positioning part; 20: a lower anastomosis structure; 200: a channel is arranged in a downward penetrating manner; 202: a lower structural body; 2022: a locking groove; 204: a lower anastomosis member; 2042: nailing channels; 2043: a staple cartridge ring; 2044: a staple cartridge; 2046: anastomosis nails; 206: an annular knife slot; 208: an operation member; 2082: an external thread structure; 210: a lower binder; 212: a third positioning part; 212a: positioning convex ribs; 214: a fourth positioning portion; 214a: positioning a groove; 216: a gasket; 30: a locking hoop; 40: cutting the fool-proof structure; 42: a lock pin; 44: a first lock hole; 46: a second lock hole; 50: wrapping; 60: an anastomosis foolproof structure; 62: a C-shaped ring structure; 70: a circumferential positioning structure; 72: a positioning column; 74: and (6) positioning the holes.

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 clearly and completely described 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, and not all the 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.

The following further describes specific implementations of embodiments of the present application with reference to the drawings of the embodiments of the present application.

Fig. 1 is an appearance structural view of the circumcision and circumcision instrument in an assembled state. As shown in the drawings, the circumcision and circumcision instrument 1 of the present application mainly comprises an upper anastomosis structure 10 and a lower anastomosis structure 20.

Referring to fig. 2 to 6, the upper anastomosis structure 10 may include an upper structure body 102, an upper anastomosis member 104, an upper cutting member 106 and an upper operation member 108. Lower anastomosis structure 20 may include a lower structure body 202, a lower anastomosis member 204, and a lower operation member 208.

In this embodiment, the upper anastomosis member 104 is fixedly secured to the upper structure body 102, the upper operation member 108 is movably disposed on the upper structure body 102, and the upper cutting member 106 is fixedly secured to the upper operation member 108.

In the present embodiment, the lower anastomosis member 204 and the lower operation member 208 are movably disposed on the lower structure body 202, respectively.

In the present embodiment, the upper anastomosis structure 10 and the lower anastomosis structure 20 are mutually combined, the lower operation member 208 is circumferentially rotatable relative to the lower structure body 202 to drive the lower anastomosis member 204 to move along the axial direction of the lower structure body 202 towards the direction approaching to the upper structure body 102, so that the lower anastomosis member 204 and the upper anastomosis member 104 cooperate to perform an anastomosis operation on the foreskin, and after the foreskin anastomosis operation is completed, the upper operation member 108 is circumferentially rotatable relative to the upper structure body 102 to drive the upper cutting member 106 to perform a circumcision operation on the foreskin.

Optionally, the circumcision and circumcision instrument 1 further comprises an upper through passage 100 axially passing through the upper anastomotic structure 10 and a lower through passage 200 axially passing through the lower anastomotic structure 20 (see fig. 2).

Wherein, when the upper anastomosis structure 10 and the lower anastomosis structure 20 are combined with each other, the upper penetration passage 100 and the lower penetration passage 200 together form a penetration passage through which the penis can penetrate.

Optionally, the circumcision aid 1 may include a circumferential locating feature 70 provided on the upper structural body 102 and the lower structural body 202 to provide circumferential location of the upper structural body 102 relative to the lower structural body 202.

Optionally, the circumferential positioning structure 70 includes at least one positioning post 72 disposed on the upper structure body 102 and at least one positioning hole 74 disposed on the lower structure body 202 (refer to fig. 12 and 13).

In the present embodiment, the positioning post 72 and the positioning hole 74 may have a circular, square, triangular or polygonal cross section.

Alternatively, the circumcision aid 1 may comprise an upper connector 110 disposed on the upper structural body 102 and a lower connector 210 disposed on the lower structural body 202 for providing a positioning connection between the upper structural body 102 and the lower structural body 202, in which state the foreskin may be clamped between the upper structural body 102 and the lower structural body 202.

Alternatively, one of the upper and lower couplers 110 and 210 may include a first coupling portion 1102 and a second coupling portion 1104.

In an embodiment, the other of the upper and lower connectors 110 and 210 can be combined with the first combining portion 1102, so that the upper and lower anastomosis structures 10 and 20 are in a pre-tightened state, and a predetermined gap can be formed between the upper structure body 102 and the lower structure body 202, so as to adjust the sheath (refer to the state shown in fig. 10) between the upper structure body 102 and the lower structure body 202.

In another embodiment, the other of the upper bonding member 110 and the lower bonding member 210 can be mutually bonded to the second bonding portion 1104, such that the upper anastomosis structure 10 and the lower anastomosis structure 20 are in a locked state, and the upper structure body 102 and the lower structure body 202 are abutted against each other, so as to position the sheath between the upper structure body 102 and the lower structure body 202 (refer to the state shown in fig. 11).

In this embodiment, the upper engaging member 110 may include positioning pins disposed on two opposite sides of the upper body 102, the lower engaging member 210 may include positioning holes disposed on two opposite sides of the lower body 202, and the first engaging portion 1102 and the second engaging portion 1104 are positioning protrusions disposed on the upper engaging member 110.

Optionally, the circumcision and circumcision instrument 1 further comprises a locking band 30 (refer also to fig. 4) which can be circumferentially positioned on the lower structural body 202 such that a portion of the foreskin is sandwiched between the lower structural body 202 and the locking band 30.

Specifically, referring to fig. 9 to 11, when the penis is inserted into the lower insertion passage 200 of the lower anastomosis structure 20, the foreskin may be circumferentially wrapped around the outer side of the lower structure body 202, and the locking band 30 may be circumferentially positioned on the lower structure body 202 to perform a pre-tightening operation on the foreskin wrapped around the lower structure body 202.

Optionally, the locking band 30 is elastically deformable to form different circumferences.

Optionally, the outer sidewall of the lower structure body 202 is further circumferentially provided with a locking groove 2022, and the locking band 30 may be embedded in the locking groove 2022 to be circumferentially positioned relative to the lower structure body 202.

Specifically, the locking band 30 can be elastically deformed under a stress state, so that the circumference of the locking band 30 is increased, and a gap is formed between the locking band 30 and the lower structural body 202, so as to adjust the position of the wrapper relative to the lower structural body 202. In addition, the locking band 30 can elastically recover in an unstressed state, so that the circumference of the locking band 30 is reduced and is embedded in the locking groove 2022 of the lower structure body 202, so that the foreskin is positioned and clamped between the lower structure body 202 and the locking band 30.

Optionally, upper anastomosis member 104 can include a plurality of staple receptacles 1042 circumferentially distributed about upper structural body 102.

Optionally, upper anastomosis member 104 can include a ring of staple seats 1040, with staple seats 1042 circumferentially distributed about ring of staple seats 1040 (see FIG. 8).

Optionally, the staple holder ring 1040 can be circumferentially positioned relative to the upper structural body 102.

Optionally, the upper structure body 102 is provided with a first positioning portion 112 (as shown in fig. 2), the nail holder ring 1040 is provided with a second positioning portion 114 (as shown in fig. 8), and the first positioning portion 112 and the second positioning portion 114 can be combined with each other to circumferentially position the nail holder ring 1040 relative to the upper structure body 102.

Alternatively, the nail holder ring 1040 may be integrally formed or bonded to the upper structural body 102 such that the nail holder ring 1040 may be circumferentially positioned relative to the upper structural body 102.

Optionally, the upper structure body 102 has a sleeve part 1022 surrounding the upper through passage 100, and the upper operation member 108 can be sleeved on the sleeve part 1022 to rotate circumferentially relative to the upper structure body 102. The first positioning portion 112 may include a plurality of positioning pins 112a (refer to fig. 2) circumferentially distributed at an end of the socket portion 1022, the second positioning portion 114 may include a plurality of positioning slots 114a circumferentially distributed on the nail seat ring 1040, and each positioning pin 112a and each positioning slot 114a may be combined with each other, so that the nail seat ring 1040 is positioned at the end of the socket portion 1022, and the upper operating element 108 is positioned on the socket portion 1022 by the nail seat ring 1040.

Optionally, the lower staple 204 includes a plurality of staple channels 2042 circumferentially distributed on the lower structural body 202, a plurality of staple cartridges 2044 axially movable along the lower structural body 202, and staples 2046 stored in the staple cartridges 2044.

Optionally, lower stapling member 204 includes a cartridge ring 2043, and each staple cartridge 2044 is circumferentially distributed about cartridge ring 2043.

Optionally, a third positioning portion 212 is disposed on the lower structure body 202, and a fourth positioning portion 214 (refer to fig. 2 and 6) is disposed on the magazine ring 2043, so as to provide circumferential positioning for the magazine ring 2043 relative to the lower structure body 202.

In the present embodiment, the third positioning portion 212 includes a plurality of positioning ribs 212a circumferentially distributed on the inner sidewall of the lower structure body 202, and the fourth positioning portion 214 includes a plurality of positioning grooves 214a circumferentially distributed on the outer sidewall of the staple cartridge ring 2043.

In the present embodiment, when the upper anastomosis structure 10 and the lower anastomosis structure 20 are combined, since the staple holder ring 1040 is circumferentially positioned with respect to the upper structure body 102 and the staple cartridge ring 2043 is also circumferentially positioned with respect to the lower structure body 202, the staple holders 1042, the staple tracks 2042 and the staple cartridges 2044 can be kept aligned.

In this embodiment, when the upper anastomosis structure 10 and the lower anastomosis structure 20 are combined with each other, the prepuce is clamped between the nail holders 1042 and the nail paths 2042, and the nail holders 1042 are located above the nail bins 2044, so that the nail bins 2044 can push out the nails 2046 stored therein upwards through the nail paths 2042, respectively, so that the nail holders 1042 located above provide a supporting force for the pushed-out nails 2046 and rivet-bend the legs of the nails 2046, thereby performing an anastomosis operation on the prepuce.

Optionally, the lower operating member 208 may be disposed adjacent the cartridge ring 2043.

In the present embodiment, the lower operating member 208 can move axially relative to the lower structural body 202 by rotating circumferentially relative to the lower structural body 202 to push the cartridge ring 2043 to move in the direction approaching the cartridge ring 104 along the axial direction of the lower structural body 202, so that each of the cartridges 1042 provides a supporting force for each of the pushed-out staples 2046 and rivets the leg of each of the staples 2046, thereby performing the stapling operation on the foreskin.

In the present embodiment, the outer sidewall of the lower operating member 208 may include an external thread structure 2082, and correspondingly, the inner sidewall of the lower structural body 202 is also formed with an internal thread structure (not shown) for the lower operating member 208 to axially move relative to the lower structural body 202 by rotating circumferentially relative to the lower structural body 202.

Optionally, the lower stapling structure 20 further includes a gasket 216 disposed between the lower operating member 208 and the cartridge ring 2043.

In this embodiment, the gasket 216 may be made of a low friction material such as teflon, PE, PPSU, etc.

Optionally, the lower anastomosis structure 20 may further include an anastomosis fool-proofing structure 60 (refer to fig. 12 and 13) which is sandwiched between the lower operation member 208 and the lower structure body 202, so as to form a predetermined space between the lower operation member 208 and the lower structure body 202, so as to prevent the lower operation member 208 from moving axially relative to the lower structure body 202 in a direction approaching the upper structure body 102 under an unexpected condition (for example, in a condition that the position of the foreskin is not adjusted), so that the lower anastomosis member 204 and the upper anastomosis member 104 cooperate to perform anastomosis misoperation on the foreskin.

Optionally, the anastomosis fool-proofing structure 60 may include a C-ring structure 62 sleeved on the lower structure body 202 or the lower operating member 208.

Optionally, the lower structural body 202 may further include an annular knife slot 206 (see fig. 6) disposed around an outer circumference of the staple track 2042.

In the present embodiment, the lower operating member 208 can rotate circumferentially relative to the upper structure body 102 to drive the upper cutting member 106 to move along the annular knife slot 206, so as to perform a cutting operation on the foreskin completing the anastomosis operation.

Alternatively, the upper cutter 106 may be provided on the upper operator 108 through an injection molding process or a bonding process, and may be formed of a metallic material or a ceramic material (refer to fig. 7).

Optionally, the upper anastomosis structure 10 further includes a cutting fool-proofing structure 40, disposed respectively on the upper structure body 102 and the upper operating member 108, for limiting circumferential rotation of the upper operating member 108 relative to the upper structure body 102.

As shown in fig. 2 and 5, in the present embodiment, the cutting fool-proofing structure 40 may include a lock pin 42, a first lock hole 44 disposed on the upper structure body 102, and a second lock hole 46 disposed on the upper operation member 108, wherein the lock pin 42 may be inserted into the first lock hole 44 and the second lock hole 46 at the same time to limit the upper operation member 108 from rotating circumferentially relative to the upper structure body 102.

Optionally, as shown in fig. 12 and 13, the upper anastomosis structure 10 may further include an axial positioning portion 116 provided on the upper structure body 102, which may abut the upper operating member 108, for providing axial positioning of the operating member 108 relative to the upper structure body 102.

The operation of the circumcision and circumcision instrument 1 of the present application will now be described in an exemplary manner with reference to figures 9 to 11.

As shown in fig. 9, the penis is firstly put on the lower anastomosis structure 20, the foreskin 50 to be cut on the penis is turned outwards and covered on the lower structure body 202, and covers the locking groove 2022 on the lower structure body 202, and then the locking hoop 30 is put on the lower anastomosis structure, so that the length of the fixed foreskin 50 can be visually seen in the operation, and the operation and the adjustment in the operation can be conveniently carried out.

As shown in fig. 10, the upper anastomosis structure 10 is sleeved on the penis, and the first combining part 1102 of the upper anastomosis structure 10 is engaged with the lower combining part 210 of the lower anastomosis structure 20, in this state, since the predetermined interval is still formed between the upper structure body 102 and the lower structure body 202, the position of the foreskin 50 can be further adjusted.

As shown in fig. 11, after the position of the sheath 50 is adjusted to the proper position, the upper anastomosis structure 10 may be further pressed, such that the second coupling portion 1104 of the upper anastomosis structure 10 and the lower coupling portion 210 of the lower anastomosis structure 20 are engaged with each other, and in this state, the upper structure body 102 and the lower structure body 202 are abutted against each other, such that the sheath 50 is positioned between the upper structure body 102 and the lower structure body 202. Then, the locking pin 42 may be pulled out to release the fool-proof restriction between the upper operating member 108 and the upper structure body 102, and then, the lower operating member 208 is rotated circumferentially to push the cartridge ring 2043 to move in the direction approaching the cartridge ring 1040 along the axial direction of the lower structure body 202, so that each cartridge 2044 pushes up each staple 2046 stored therein through each staple channel 2042, and each staple holder 1042 provides a supporting force for each pushed staple 2046 and clinches the legs of each staple 2046, thereby performing an anastomosis operation on the foreskin.

After completion of the foreskin anastomosis procedure, the upper operating member 108 may be rotated at least one revolution relative to the upper structural body 102 to cause the upper cutting member 106 to perform a circumcision procedure against the foreskin.

To sum up, the foreskin anastomosis and circular cutting instrument of this application mainly includes following advantage:

firstly, this application is through turning up the foreskin that will treat the cutting and positioning on structure body down to utilize the locking hoop location, make in the operation process, the foreskin frenulum is directly perceived visible, and the adjustment of being convenient for is excised or is kept the length of foreskin, also can avoid haring the penis body, has improved the security of operation.

Moreover, the upper combining part and the lower combining part can be used for adjusting the upper inosculating structure and the lower inosculating structure between a pre-tightening state and a locking state, so that the position of the foreskin can be adjusted and confirmed again, and the safety of the circumcision is further improved.

In addition, this application goes up the operation piece through 360 degrees rotations to realize the annular cutting of foreskin, can avoid the problem of foreskin adhesion, thereby improve the circular cutting effect.

In addition, the foreskin anastomosis operation is executed by circumferentially rotating the lower operating part, so that the anastomosis nail is more stable in formation and more exact in anastomosis effect.

Finally, it should be noted that: the above embodiments are only used to illustrate 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 (23)

1. A circumcision and circumcision instrument, comprising:

the upper anastomosis structure comprises an upper structure body, an upper anastomosis part, an upper cutting part and an upper operation part, wherein the upper anastomosis part is fixedly arranged on the upper structure body, the upper operation part is movably arranged on the upper structure body, and the upper cutting part is fixedly arranged on the upper operation part; and

the lower anastomosis structure comprises a lower structure body, a lower anastomosis piece and a lower operation piece, wherein the lower anastomosis piece and the lower operation piece are respectively and movably arranged on the lower structure body;

the upper anastomosis structure and the lower anastomosis structure can be combined with each other, the lower operation member can rotate circumferentially relative to the lower structure body to drive the lower anastomosis member to move towards the direction close to the upper structure body along the axial direction of the lower structure body, so that the lower anastomosis member and the upper anastomosis member are cooperatively matched to anastomose foreskin, and the upper operation member can rotate circumferentially relative to the upper structure body to drive the upper cutting member to circumscribe the foreskin.

2. The circumcision and circumcision instrument as claimed in claim 1, further comprising an upper through passage axially passing through the upper anastomotic structure and a lower through passage axially passing through the lower anastomotic structure;

when the upper anastomosis structure and the lower anastomosis structure are combined with each other, the upper penetration channel and the lower penetration channel form a penetration passage for penis to penetrate through.

3. The circumcision and circumcision instrument as claimed in claim 2, wherein the instrument includes an upper connector disposed on the upper structural body and a lower connector disposed on the lower structural body for providing the upper structural body and the lower structural body with a positioning connection therebetween and sandwiching the foreskin between the upper structural body and the lower structural body.

4. The circumcision and circumcision instrument as claimed in claim 3, wherein one of the upper and lower binders may include a first and second coupling portion; wherein the content of the first and second substances,

the other one of the upper combining piece and the lower combining piece can be combined with the first combining part, so that a preset interval is formed between the upper structure body and the lower structure body, and the foreskin positioned between the upper structure body and the lower structure body can be adjusted;

the other of the upper bonding member and the lower bonding member can be mutually bonded with the second bonding portion, so that the upper structure body and the lower structure body are mutually abutted, and the wrapper is positioned between the upper structure body and the lower structure body.

5. The circumcision and circumcision instrument as claimed in claim 2, further comprising a locking band; wherein the content of the first and second substances,

the locking band may be circumferentially positioned on the lower structural body such that a portion of the jacket is sandwiched between the lower structural body and the locking band.

6. The circumcision and circumcision instrument as claimed in claim 5, wherein the locking band is resiliently deformable to form different circumferences; wherein, the first and the second end of the pipe are connected with each other,

the locking hoop can elastically deform under the stress state so as to increase the circumference of the locking hoop; and can elastically recover under the non-stressed state so as to reduce the circumference of the locking hoop.

7. The circumcision and circumcision instrument as claimed in claim 5, wherein the outer sidewall of the lower structural body is further circumferentially surrounded by a locking groove in which the locking band can be nested for circumferential positioning relative to the lower structural body.

8. The circumcision and circumcision instrument as claimed in claim 2,

the upper anastomosis member comprises a plurality of nail seats which are circumferentially distributed on the upper structure body;

the lower anastomosis part comprises a plurality of nail channels which are circumferentially distributed on the lower structure body, a plurality of nail bins which can move along the axial direction of the lower structure body and anastomotic nails stored in the nail bins;

when the upper anastomosis structure and the lower anastomosis structure are combined with each other, each nail seat is located above each nail cabin, each nail cabin can be respectively pushed out upwards from each nail channel to store each nail therein, each nail seat can provide supporting force for each pushed out nail and rivet and bend the nail foot of each nail, and therefore the foreskin is subjected to anastomosis operation.

9. The circumcision and circumcision instrument as claimed in claim 8,

the upper anastomosis part comprises nail seat rings, and the nail seats are circumferentially distributed on the nail seat rings;

the lower anastomosis part comprises nail bin rings, and the nail bins are circumferentially distributed on the nail bin rings;

wherein the staple cartridge ring is circumferentially positioned relative to the upper structural body and the staple cartridge ring is circumferentially positioned relative to the lower structural body;

when the upper anastomosis structure and the lower anastomosis structure are combined with each other, the nail seats, the nail channels and the nail bins can be kept in position alignment.

10. The circumcision and circumcision instrument as claimed in claim 9,

the upper structure body is provided with a first positioning part, the nail seat ring is provided with a second positioning part, and the first positioning part and the second positioning part can be combined with each other to provide circumferential positioning of the nail seat ring relative to the upper structure body;

the lower structure body is provided with a third positioning part, the nail bin ring is provided with a fourth positioning part, and the third positioning part and the fourth positioning part can be combined with each other to circumferentially position the nail bin ring relative to the lower structure body.

11. The circumcision and circumcision instrument as claimed in claim 10, wherein the upper structural body has a sleeve portion disposed around the upper passage, the upper operating member is sleeved on the sleeve portion, the first positioning portion is disposed at an end of the sleeve portion, and the saddle ring is positionable at the end of the sleeve portion by the second positioning portion.

12. The circumcision and annuloplasty device as claimed in claim 9, wherein the saddle ring is fixedly attached to the upper structural body.

13. The circumcision and circumcision instrument as claimed in claim 9, wherein the lower operating member is disposed adjacent the cartridge ring; wherein the content of the first and second substances,

the lower operating member can move axially relative to the lower structure body through rotating circumferentially relative to the lower structure body so as to push the nail bin ring to move towards the direction approaching the nail seat ring along the axial direction of the lower structure body, and thus the foreskin can be subjected to an anastomosis operation.

14. The circumcision and annuloplasty device according to claim 13, wherein the lower anastomosis structure further comprises a washer disposed between the lower operating member and the cartridge ring.

15. The circumcision and circumcision instrument as claimed in claim 13, wherein the lower anastomosis structure further comprises an anastomosis fool-proofing structure which is interposed between the lower operating member and the lower structural body so as to form a predetermined interval therebetween.

16. The circumcision and circumcision instrument as claimed in claim 15, wherein the anastomosis fool proofing structure includes a C-ring structure sleeved on the lower structure body or the lower operating member.

17. The circumcision and circumcision instrument as claimed in claim 8, wherein the lower structural body further comprises an annular knife slot disposed around the outer ring of the staple track; wherein the content of the first and second substances,

the upper operating member is circumferentially rotatable relative to the upper structural body to drive the upper cutting member to move along the annular knife slot to perform a cutting operation on the foreskin completing an anastomosis operation.

18. The circumcision and circumcision instrument as claimed in claim 17, wherein the upper cutting member is provided on the upper operating member by injection molding or bonding, and may be formed of a metallic material or a ceramic material.

19. The circumcision and circumcision instrument as claimed in claim 17, wherein the upper anastomosis structure further includes a cutting fool-proofing structure disposed on the upper structural body and the upper operating member respectively, for limiting circumferential rotation of the upper operating member relative to the upper structural body.

20. The circumcision and circumcision instrument as claimed in claim 19, wherein the cutting fool-proofing structure includes a lock pin, a first lock hole disposed on the upper structural body, and a second lock hole disposed on the upper operating member, the lock pin can be inserted into the first lock hole and the second lock hole simultaneously to limit the upper operating member from rotating circumferentially relative to the upper structural body.

21. The circumcision and circumcision instrument as claimed in claim 1, further comprising circumferential locating formations on the upper and lower structural bodies for providing circumferential location of the upper structural body relative to the lower structural body.

22. The circumcision and circumcision instrument as claimed in claim 21, wherein the circumferential locating formations comprise locating posts on one of the upper and lower structural bodies and locating holes on the other of the upper and lower structural bodies.

23. The circumcision and circumcision instrument as claimed in claim 1, wherein the upper anastomosis structure further includes an axial locating portion disposed on the upper structural body, abuttable against the upper operating member for providing axial location of the operating member relative to the upper structural body.

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