CN1436517A

CN1436517A - Surgical implement

Info

Publication number: CN1436517A
Application number: CN02150399A
Authority: CN
Inventors: 山田武敏
Original assignee: Individual
Current assignee: Individual
Priority date: 2002-02-04
Filing date: 2002-11-11
Publication date: 2003-08-20
Anticipated expiration: 2022-11-11
Also published as: CN1267061C; JP2003225244A; JP4328488B2

Abstract

The invention provides a surgical instrument for operating a foreskin with which an operation for an extra foreskin on a base part of a penis can be performed exactly, securely and swiftly, in a process that the foreskin is pressed flatly and excised without bleeding and suturing. The operation instrument is provided with a pipe body to be fitted around the penis, a base plate having at an end an opening for unescapably fitting the pipe body, a ring which is mounted on the top of the pipe body and is formed with engagement notches on the base plate side face, a lever which has a pair of hooking pieces on the distal end side for hooking to the engagement notches and can swing on the base plate, and a pushing member which pushes the proximal end of the lever to the base plate side and touchingly pushes the distal end side to the lever.

Description

Surgical instrument

Technical field

The present invention relates to the surgical instrument that uses in a kind of phimosis operation the male genitals, particularly relate to a kind of phimosis surgical instrument that depletion of blood, wound do not have stitching that is suitable for.

Background technology

Generally, the phimosis operation is with the unnecessary foreskin around the scalpel excision penis, but because the foreskin around the glans penis is very responsive, so preferably avoid this part as unnecessary skin excision.Therefore, in the prior art, the phimosis surgical instrument that can excise the foreskin of the radix penis part in the penis unnecessary foreskin on every side is suggested.

As above-mentioned phimosis surgical instrument, there are for example special public clear 52-32196 number, spy to open the phimosis surgical instrument that is proposed in clear 51-99896 number.This phimosis surgical instrument is provided with the lever (lever) that freely shakes for the center with the intermediate support on base station, the one end connects with bolt and is extruded, crotch that its end opposite forms from below insert the bottom that break-through is arranged on the circular hole on the base station and outwards form taper, and contact with the lower surface of annulus, described annulus is threaded with the cylinder upper end with the skirt bigger than Circularhole diameter (skirt) portion, and the blunt edge in week in the top of the ring plate that embeds this circular hole from the below is pressed on the skirt section.

Adopt this phimosis surgical instrument, at first penis is embedded in the cylinder during use, move it the root of penis, below the skirt section, the unnecessary skin of penis is pulled out, this skin is kept inverted status on the skirt section.Cylinder and penis being inserted in the circular hole of ring plate from the below simultaneously, then annulus is screwed into the cylinder upper end, at its lower surface contact crotch, be connected with bolt thread by making nut, is the center with the fulcrum, lever is left at crotch on the direction of base station shake.

Consequently, pushed by powerful between the blunt edge of skirt section and ring plate at the unnecessary foreskin that reverses on the cylindrical skirt, and become the colloid solidification tissue that the skin internal blood vessel is damaged by pressure, thus can be not hemorrhage with this parts of excision such as scalpels, and do not need to sew up this part.Then, surgical instrument is taken off according to the order opposite with when operation, thereby finish operation.

Summary of the invention

But, in existing phimosis surgical instrument, each front end that forms the crotch of two strands of shapes only contacts with the lower surface of annulus, when so the direction of leaving base station when crotch tightens and abuts against on the annulus, between crotch and annulus surface, can produce slide etc., thereby be difficult to make annulus with respect to base station keeping parallelism state and be close to.In when, in this phimosis surgical instrument above-mentioned situation taking place when, because annulus is threaded with drum surface, so the extruding of cylinder self is inhomogeneous, and the full week in the skirt section of cylinder is not crimped on the circular hole of ring plate equably, thereby residual gapped between the circular hole of the skirt section of cylinder and ring plate, the foreskin extruding of this part is insufficient.Therefore, the foreskin of this part is not damaged by pressure fully, when carrying out circumcision, can be attended by hemorrhagely, need sew up this part.

On the other hand,, must repeatedly revise, but need very skilled like this crotch of lever and the assembling between the crimping between the annulus, cylinder and the ring plate for fear of such problem.

The present invention is in order to solve above-mentioned prior art problems, and its purpose is to provide a kind of phimosis surgical instrument, can correctly, really, promptly damage also depletion of blood, the operation of the unnecessary foreskin of excision radix penis part by pressure with not having stitching.

For reaching this purpose, being characterised in that of phimosis surgical instrument of the present invention comprises: cylinder, be sleeved on penis around; Base station has the hole of the above-mentioned cylinder of suit at its front end, makes above-mentioned cylinder not extract; And annulus, be installed in the front end of above-mentioned cylinder, on the surface of above-mentioned base station one side, be provided with mating groove, and also comprise with the engagement tabs that aforementioned mating groove matches in front: lever, can shake on base station; And extruder member, the cardinal extremity of above-mentioned lever is squeezed on the above-mentioned base station, its front end is squeezed on the lever.

Adopt the present invention, because the engagement tabs of above-mentioned lever front end cooperates with the groove of annulus, so shake from lever and to begin to end, remain this mated condition, lever can push annulus equably, thereby the state that can simply, rapidly, positively keep cylinder not extract with respect to base station carries out crimping equably simultaneously.Therefore, between cylinder and base station, prepuce of penis can be by evenly, positively damage by pressure.

Description of drawings

Fig. 1 represents the assembling view of phimosis surgical instrument.

Fig. 2 represents the vertical view of phimosis surgical instrument.

Fig. 3 represents the right side view of phimosis surgical instrument.

Fig. 4 represents the front view of phimosis surgical instrument.

Fig. 5 represents to be used to illustrate the perspective view of the mated condition between lever front end and the annulus.

Fig. 6 is the VI-VI cutaway view of Fig. 2, the user mode of expression phimosis surgical instrument.

The specific embodiment

Below, embodiments of the present invention are described.Fig. 1 represents the assembling view of operation on penis utensil, and the integral body that Fig. 2 to Fig. 4 is illustrated in the phimosis surgical instrument under the assembling completion status constitutes, and Fig. 2 is a vertical view, and Fig. 3 is a right side view, and Fig. 4 is a front view.This phimosis surgical instrument is by constituting with the lower part: base station 14, and it has circular hole 10 at front end, uprightly is provided with fastening bolt 12 at cardinal extremity; Lever 18 is a fulcrum with the groove 16 that is arranged on above-mentioned base station 14 surfaces, can back and forth shake on the direction of arrow of Fig. 3; Nut 20 is threaded with the fastening bolt 12 of above-mentioned base station 14; Cylinder 22 embeds from front end one side in the circular hole 10 of above-mentioned base station, and its cardinal extremity forms coniform (skirt shape); And annulus 24, be threaded with the front end of above-mentioned cylinder 22.

Constituting of above-mentioned base station 4, from the centre, the closer to cardinal extremity one side, its width is narrow gradually, and this part can be dominated by hand.In addition, its front end one side can be accommodated it and is sleeved on penis cylinder 22 on every side to form the sub-circular along circular hole 10 than major diameter.

As shown in Figure 3, the circular hole 10 of base station 14 forms and has coniform from surperficial 26 enlarged diameter.At the roughly cardinal extremity of this base station 14, upright the above-mentioned fastening bolt 12 rectangular with base station surface 26 be set.

Be arranged on the above-mentioned groove 16 on base station 14 surfaces,, at right angles form with the length direction of base station in the roughly centre position of base station length direction.Be provided with from the inner surface of lever 18 and begin towards the outstanding rectangular leg 27 (back detailed description) of base station 14, above-mentioned groove 16 has the curved surface corresponding with the curve form of this leg front end.Therefore, under this leg 27 was housed in state in the groove 16, lever 18 can be that the center is shaken with this groove.

Below lever 18 is elaborated.Above-mentioned lever has the slotted hole 28 that above-mentioned fastening bolt 12 can connect at cardinal extremity, and its front end has two strands of forked crotch 30 of formation.

30 expansions of this crotch form the circle corresponding with above-mentioned circular hole 10, and its front end just finishes on the roughly semicircle position of above-mentioned circular hole 10.At two strands of crotch forked front ends, only be provided with to the outstanding engagement tabs 32 of the right angle orientation of above-mentioned base station 14 opposite sides.

As shown in Figure 5, the terminal of this engagement tabs 33 forms the short lines shapes, cooperates with the groove 34 that lower surface at annulus 24 forms.Form subtriangular, the center when lever shakes, cross section in beginning in the middle of lever 18 near the position of front end, and with respect to base station 14, towards above-mentioned groove 16, the outstanding leg 27 that is formed for supporting lever.

Above-mentioned annulus 24 has the roughly suitable diameter of diameter with the circular portion of above-mentioned base station front end one side, as Fig. 1 and shown in Figure 5, annulus on the surface of base station 14 1 sides, be provided with a plurality of grooves 34 radially.

This groove 34 is with respect to the center of annulus, form at least a pair of, with as point symmetry.Above-mentioned crotch engagement tabs 32 can cooperate with the groove that is positioned at the circle ring center position.

Front end one side at above-mentioned cylinder 22 is provided with external screw thread, by be arranged on annulus in the female thread of annulus 24 in week be connected, both can be coupled together.Nut 20 is threaded with the front end of the above-mentioned fastening bolt that connects the slotted hole 28 that is arranged on lever cardinal extremity one side.

By with big strength this nut 20 being screwed into fastening bolt, thereby therefore the surface of the inner surface extrusion lever 18 of nut 20, can be the center with above-mentioned leg 36 and groove 16, on the arrow A direction of Fig. 3 lever is shaken.

The front end of above-mentioned cylinder 22 connects insertion from the base station back side of the front end circular hole 10 of base station 14, and the tapered segment 23 of the cardinal extremity of cylinder 22 contacts with circular hole, is maintained on the base station, makes it not extract from circular hole.Promptly, circular hole 10 forms enlarge from the base station surface coniform, the angle of inclination of the angle of inclination of the tapered segment 11 of this circular hole and the tapered segment of cylinder forms about equally, and the diameter of the tapered segment 27 cardinal extremities of cylinder is littler than the diameter of the tapered segment 11 of above-mentioned circular hole.

Below utilize Fig. 6, the using method of this phimosis surgical instrument is described.Fig. 6 is the figure that finishes after this surgical instrument is sleeved on the penis 50.This completion status below is described in order.At first, penis 50 is embedded cylinder 22 from the front end to the root, the unnecessary foreskin of root is pulled out, spread out on every side it being rolled upwards of tapered segment of cylinder cardinal extremity one side then with tweezers.At this moment, can adjust the amount of rolling of foreskin with reference to the operation subscription line of retouching in advance on the foreskin part.

Next, this cylinder is inserted in the circular hole 10 of base station 14 from the back side of base station 14, contact with the tapered segment 11 of circular hole up to its tapered segment 27 from front end one side of cylinder 22.Then, annulus 24 is screwed in securely the front end of cylinder 22, make fastening bolt 12 connect the slotted hole 28 of lever cardinal extremity then, leg 27 is housed in the groove 16 of base station 14 simultaneously, and the engagement tabs 32 of crotch 30 front ends is cooperated with the groove 34 of annulus 24 inner surfacies.

Next, above-mentioned lever 18 is screwed into from the front end of above-mentioned fastening bolt 12, and adjusts the length of the tapered segment 11 intermediary unnecessary foreskins 52 of the tapered segment 23 of cylinder 22 and circular hole 10, make the full Zhou Junyi of penis with tweezers etc.From above-mentioned state, nut 20 is threaded with fastening bolt 12 securely, by nut 20, the cardinal extremity of lever 18 is inserted into securely, lever is the center with its leg 27, its front end shakes on the arrow A direction as shown in Figure 3.At this moment,, begin to end, remain this mated condition so shake from lever because the front end engagement tabs 32 of the crotch 30 of above-mentioned lever 18 cooperates with the groove 34 towards the inner surface of base station 14 1 sides that is formed at annulus 34.Therefore, be maintained at by means of the leg 27 that shakes the center as lever in the groove 16 of base station 14, can prevent the slip between crotch 30 and the lever 18, two strands of shape crotch 30 are extrusion lever 18 equably, thereby cylinder 22 simply, rapidly, positively push connection to circular hole 10 equably.Therefore, can not produce any gaps between cylinder and circular hole, prepuce of penis can be squeezed between the two equably, promptly uses the unnecessary foreskins of excision such as scalpel, also can be not hemorrhage.

Then, the excision position of foreskin is carried out disinfection, above-mentioned surgical instrument is taken off according to the reverse order of installing, thereby finish desirable phimosis operation within a short period of time.In the present invention, above-mentioned surgical instrument is because with the crimping each other of stronger active force, so preferably by the material manufacture of good toughness, the spring steel of Japanese Industrial Standards for example, but the present invention is not limited thereto.

As mentioned above, adopt phimosis surgical instrument of the present invention, can correctly, really and promptly realize the unnecessary foreskin of extruding radix penis part, and excision is handled with carrying out depletion of blood, nothing stitching.

Claims

1. phimosis surgical instrument comprises:

Cylinder, be sleeved on penis around;

Base station has the hole of the above-mentioned cylinder of suit at its front end, makes above-mentioned cylinder not extract;

Annulus is installed in the front end of above-mentioned cylinder, is provided with mating groove on the surface of above-mentioned base station one side; And

The engagement tabs that matches with aforementioned mating groove in front,

Also comprise:

Lever can shake on base station; And

Extruder member is squeezed in the cardinal extremity of above-mentioned lever on the above-mentioned base station, and its front end is squeezed on the lever.