CN203749512U

CN203749512U - Disposable circumcising anastomat

Info

Publication number: CN203749512U
Application number: CN201420044570.6U
Authority: CN
Inventors: 商建忠; 商晶晶
Original assignee: Individual
Current assignee: Wuhu Snnda Medical Treatment Appliance Tech Co Ltd
Priority date: 2014-01-11
Filing date: 2014-01-23
Publication date: 2014-08-06
Anticipated expiration: 2024-01-23

Abstract

The utility model discloses a disposable circumcising anastomat. The circumcising anastomat comprises an outer ring and an inner ring, wherein the outer ring is provided with an opening which is closed through a fixing device; an upper half part knife edge combining part and a lower half part knife edge combining part which are matched with each other are arranged at two ends of the opening of the outer ring; at least one circle of knife edges are arranged inside the outer ring, wherein the knife edges are divided into knife surfaces and knife blades; at least one circle of concave grooves are formed in the inner ring; buffering layers are connected to the knife blade sides of the knife edges; a plurality of bulges, which can expose through the buffering layers or wrap in the buffering layers, are arranged on the knife blades. According to the disposable circumcising anastomat, the bulge structures added on the basis of the buffering layers can hold prepuce and prevent slipping during wearing an apparatus, so that the surgical healing effect is ensured, and the wound is nice in looking. With the adoption of the combination scheme, the effects of relieving pain and preventing slipping can be realized; anesthesia can be avoided during actual surgery, which effectively reduces the fear of a patient to surgical anesthesia and burning sensation caused by anesthesia medication entering the body.

Description

Disposable circumcision anastomat

Technical field

This utility model relates to a kind of medical apparatus and instruments, and a kind of disposable circumcision anastomat is particularly provided.

Background technology

Adult's Wrapping annulus cuts operation is extensively approved reducing the effect that HIV propagates, and the disposable circumcision anastomat of Mr. Shang Jianzhong design has improved safety and the standardization of Wrapping annulus cuts operation greatly.The disposable circumcision anastomat of this case utility model people Mr. Shang Jianzhong design, the mode that adopts internal ring and outer shroud to coordinate, can be first at the sheathed internal ring of penis, utilizes outer shroud and internal ring extruding foreskin, and occlude blood circulation, then cuts unnecessary foreskin.Wear subsequently this disposable circumcision stapler a couple of days, until wound healing.

Wear after prepuce ring-cutter, in the process of extruding foreskin, tend to cause patient's discomfort, in order to reduce patient's pain and sense of discomfort, designer has proposed a kind of " soft dealing with soft tactics " technical scheme, on the outer shroud edge of a knife, clad is set that is:, is inlaid with silicone gasket in outer annular recess, the two sides of prepuce ring-cutter contact foreskin is soft materials, greatly reduces patient's pain and sense of discomfort.

But, in clinical practice process, different patients' foreskin situation difference, although prepuce ring-cutter has designed different all footpaths sizes for the patient of all ages and classes section,, that still cannot consider is exhaustive, especially some patient's foreskin is thin, some patient's foreskin is thick, although can be suitable for identical all footpaths size, patient's impression is still different.Especially, the patient that foreskin is thin states after prepuce ring-cutter in the use, easily causes apparatus to slide, and destroys healing environment, causes surgical effect not good, the problems such as healing time prolongation.

Utility model content

Main purpose of the present utility model is to overcome deficiency of the prior art, provides one to prevent that foreskin from sliding, without anesthesia, safer, much cleaner, use more convenient disposable circumcision anastomat.

To achieve these goals, the technical solution adopted in the utility model is: a kind of disposable circumcision anastomat, this anastomat for circumcision includes outer shroud and internal ring, outer shroud has opening, opening is by fixture closure, and this outer shroud inner side has the edge of a knife, and this edge of a knife is divided into knife face and blade, its feature is improved: the blade side of the described edge of a knife is connected with cushion, is provided with some projections on described blade.

On this scheme basis, after outer shroud and internal ring extruding closure, outside edge of a knife blade and outer shroud, groove circumference pressure is 0.1-3.5N/mm inside this outer shroud.

On this scheme basis, described cushion extends the knife face of the coated edge of a knife.Or described cushion extends coated whole outer shroud.

On this scheme basis, described projection runs through cushion and exposes or be coated on inside cushion.In this scheme, described cushion extends the knife face of the coated edge of a knife.Or the coated whole outer shroud of extension.

Adopt technique scheme, on the basis of cushion, increased the setting of projection, effectively avoided the foreskin sliding problem in operation process.In this utility model, there is described projection and run through that cushion exposes or two kinds of built-in concrete schemes.The edge of a knife in this utility model is dull edge structure, can not cause patient skin cut off or bleed and be advisable in Wrapping annulus cuts operation.

In actual clinical practice, especially, in the thin situation of foreskin, sliding effect is more obvious, destroys healing environment.So, adopt projection to expose to cushion, make its directly contact foreskin, foreskin can directly be hung in described projection, effectively solves the sliding problem of thin foreskin.The scheme that can use projection not expose in the time that foreskin is thicker, also can effectively solve sliding problem.

In addition, in this utility model, on the basis of above-mentioned each scheme, cushion outside proposed be provided with the technical scheme of salient point.Correspondingly with blade projection on cushion go out to be provided with buffering salient point or be provided with buffering salient point on not corresponding position, can further avoid wearing the sliding problem in process.

On the basis of cushion, increase raised structures, can fixing foreskin, prevent from wearing in process and sliding at apparatus, ensure operation healing effect, wound surface is attractive in appearance.This assembled scheme, can reach and reduce pain and anti-skidding double effects.In actual operation process, without anesthesia, can effectively reduce fear and the anaesthetic of patient to surgery anesthesia and enter the burn feeling in body.

Brief description of the drawings

Fig. 1 is disposable circumcision anastomat overall structure schematic diagram.

Fig. 2 is provided with cushion on the blade of the outer shroud edge of a knife, and blade projection is coated on the structural representation of cushion inside.

Fig. 3 is the cutaway view that Fig. 2 amplifies along A-A direction.

Fig. 4 is provided with cushion on the blade of the outer shroud edge of a knife and the knife back, and blade upper process is coated on cushion inner structure schematic diagram.

Fig. 5 is the cutaway view that Fig. 4 amplifies along A-A direction.

Fig. 6 is provided with cushion on whole outer shroud, and blade upper process is coated on cushion inner structure schematic diagram.

Fig. 7 is the cutaway view that Fig. 6 amplifies along A-A direction.

Fig. 8 is provided with cushion on the blade of the outer shroud edge of a knife, and blade upper process runs through the structural representation that cushion exposes.

Fig. 9 is the cutaway view that Fig. 8 amplifies along A-A direction.

Figure 10 is provided with cushion on the blade of the outer shroud edge of a knife and the knife back, and blade upper process runs through the structural representation that cushion exposes.

Figure 11 is the cutaway view that Figure 10 amplifies along A-A direction.

Figure 12 is provided with cushion on whole outer shroud, and blade upper process runs through the structural representation that cushion exposes.

Figure 13 is the cutaway view that Figure 12 amplifies along A-A direction.

Figure 14 is the cushion structural representation that goes out be provided with buffering salient point corresponding with projection.

Figure 15 is the structural representation that outer shroud adopts a half-turn part in double knife edges structure.

Figure 16 is that outer shroud adopts double knife edges structure in the generalized section of described opening junction.

The schematic diagram that when Figure 17 is the outer shroud employing monolayer edge of a knife, first half edge of a knife first half edge of a knife junction and Lower Half edge of a knife junction combine.

Figure 18 is the outer shroud schematic diagram that first half edge of a knife first half edge of a knife junction and Lower Half edge of a knife junction combine while adopting the double-deck edge of a knife.

Figure 19 is the schematic diagram that outer shroud adopts triad structure.

Figure 20 is the schematic diagram that outer shroud adopts one C type structure.

Figure 21 is the schematic diagram that outer shroud adopts oval incline structure.

Figure 22 is the schematic diagram that internal ring adopts oval incline structure.

Figure 23 is the structural representation that outer shroud adopts the opening part under clamping block closed manners.

Figure 24 is that outer shroud adopts the structural representation with mousing-hook and anticreep groove under clamping block closed manners.

Figure 25 is the structural representation that adopts screw rod and nut combination and be equipped with anti-rotation mechanism.

Figure 26 is the structural representation after nut and screw rod closure in Figure 25.

Detailed description of the invention

Disposable prepuce ring-cutter of the present utility model, as shown in Figure 1, this anastomat for circumcision includes outer shroud 1 and internal ring 2, and outer shroud has opening 4, and opening 4 is by fixture 5 closures; The two ends of outer ring opening have first half edge of a knife junction 311A and the Lower Half edge of a knife junction 311B of mutual coupling; This outer shroud 1 at least one circle edge of a knife 3 in inner side, this edge of a knife is divided into knife face 31 and blade 32; At least one circle groove 21 of described internal ring 2, is arranged with elastic tape 7 on internal ring 2, this utility model emphasis improves and is: blade 32 sides of the described edge of a knife 3 are connected with cushion 6, are provided with some projections 321 on described blade.The edge of a knife in this utility model is dull edge, in operation process, can not cause patient skin cut off or bleed and be advisable.

Through overtesting, after outer shroud and internal ring extruding closure, outside edge of a knife blade 32 and internal ring, groove 21 circumference pressure are 0.1-3.5N/mm inside this outer shroud.As shown in figure 25, this pressure refer to the every mm length of blade 32 in figure to act on the pressure on groove outside pressed internal ring be 0.1-3.5N.This pressure limit is the thick foreskin of reply and one group of designed scope of data of thin foreskin.These data are the better selection of one.

Refer to shown in Fig. 2 and Fig. 3, on the blade 32 of the outer shroud edge of a knife, one deck cushion 6 is set, and blade 32 upper processs 321 are coated on the structural representation of cushion 6 inside.

Refer to shown in Fig. 4 and Fig. 5, on the blade 32 of the outer shroud edge of a knife and the knife back 31, be all coated with cushion 6, the projection 321 arranging on blade 32 is coated on the structural representation of cushion 6 inside.

Refer to shown in Fig. 6 and Fig. 7, for being all coated with cushion 6 on whole outer shroud 1, the projection 321 arranging on blade 32 is coated on the structural representation of cushion 6 inside.

Above-mentioned three kinds of embodiments, are applicable to the patient that foreskin is thicker, on the basis of cushion pad, projection are set on blade, can fix foreskin, prevent from wearing at girdling device the sliding phenomenon causing due to the soft structure of dealing with soft tactics in process.

Refer to shown in Fig. 8 and Fig. 9, on the blade 32 of the outer shroud edge of a knife, one deck cushion 6 is set, and blade 32 upper processs 321 run through cushion 6 and expose.

Refer to shown in Figure 10 and Figure 11, on the blade 32 of the outer shroud edge of a knife and the knife back 31, be all coated with cushion 6, and blade 32 upper processs 321 run through cushion 6 and expose.

Refer to shown in Figure 12 and Figure 13, for being all coated with cushion 6 on whole outer shroud 1, and blade 32 upper processs 321 run through cushion 6 and expose.

Above-mentioned three kinds of embodiments, are applicable to the patient that foreskin is thinner, and on the basis of cushion pad, projection is stretched out cushion, can stretch into foreskin, and clamping foreskin avoids the apparatus causing in the process of wearing to slide.

In above-described embodiment, described cushion is generally silica gel or soft rubber material, and, in described cushion 6 and projection 321 opposite positions or not corresponding position, be provided with buffering salient point 61, as shown in figure 14, further strengthen skidproof effect, make cushion better with mating of dull edge, strengthened the convenience of operation.

Refer to shown in Figure 15, on outer shroud 110, at least there are two dull edges 111 and 112, each dull edge forms respectively first half edge of a knife junction 113 and Lower Half edge of a knife junction 114 in the both sides of opening, this first half edge of a knife junction 113 and Lower Half edge of a knife junction 114 form and the seamless structure in smoothing junction of adjacent part by upper and lower overlapped setting.As shown in figure 16, it is to include the structural representation at opening part after the outer shroud closure of two dull edges, between described two dull edges, is formed with cavity 115, can place absorbent cotton or ointment, on the outer shroud ring wall between described double knife edges, is provided with injection orifice 116.

Refer to Figure 17, it is as shown in Figure 1, while adopting the monolayer edge of a knife, and the schematic diagram of first half edge of a knife first half edge of a knife junction 311A and the 311B combination of Lower Half edge of a knife junction.

Refer to shown in Figure 18, it is as shown in Figure 15 and Figure 16, while adopting the double-deck edge of a knife, and the schematic diagram of first half edge of a knife first half edge of a knife junction 113 and 114 combinations of Lower Half edge of a knife junction.

In above-described embodiment, outer shroud all adopts split type syndeton, as shown in Figure 1, described outer shroud comprises left and right half-turn 1A, 1B structure, left and right half-turn connects by link 8, the described edge of a knife is provided with first half edge of a knife junction and Lower Half edge of a knife junction equally at link 8 places, to avoid in outer shroud closing course, and clamping foreskin.

Shown in Figure 19, it,, for the schematic diagram of outer shroud employing triad structure, except having opening 4, also has two links 81 and 82.No matter adopt that Split type structure, described opening must be arranged on the top corresponding with scrotum position, and link is arranged on the position of staggering with scrotum position.

In addition, as shown in figure 20, outer shroud 100 can also adopt the one C type structure of soft plastic material, the knife-edge part at outer shroud 100 opening two ends has first half edge of a knife junction 330 and Lower Half edge of a knife junction 340, and described first half edge of a knife junction 330 and 340 outer ends, Lower Half edge of a knife junction have fillet 35.

As shown in Figure 21 and 22, this internal ring 201 and outer shroud 101 sides are incline structure, and this internal ring and outer shroud are the oval circulus of mutually mating.The technical scheme that adopts oval inclination, oval tilt schemes is more suitable for organization of human body, can strengthen the comfort level of apparatus.

In above-described embodiment, the fixture of employing includes the first stepped clamping block 51 and second-order scalariform clamping block 52, and as shown in Fig. 1 and Figure 23, both stagger up and down.First half edge of a knife junction 311A is positioned at the upper end of the first stepped clamping block 51, and Lower Half edge of a knife junction 311B is positioned at this second-order scalariform clamping block 52 belows.After opening closure, form firm closing structure.

Surprisingly open in order further to avoid locked instrument, on above-mentioned the first stepped clamping block 51 and second-order scalariform clamping block 52, be provided with the snap fit and the notch that cooperatively interact, refer to shown in Figure 24, the first stepped clamping block 51 outer ends are provided with the first snap fit 13, and the inner is provided with the second draw-in groove 14.Be provided with the second grab 14 in the second scalariform clamping block 52 outer ends, the inner is provided with the first draw-in groove 15.After closure, the first snap fit 13 and the first draw-in groove 15 phase holdings, the second snap fit 14 and the second draw-in groove 16 phase holdings.On the second scalariform clamping block 52, be provided with open keyhole 53, after operation finishes, knock open keyhole 53 open by specific purpose tool, thereby open opening lower ring.

Except adopting the above-mentioned clamping block cooperatively interacting to realize locking structure, the utility model proposes a kind of bolt and nut and coordinate, be equipped with anti-rotation and device self-destruction simultaneously.Refer to shown in Figure 25 and Figure 26, outer ring opening two ends are respectively arranged with the first holder 10 and the second holder 20, also include screw rod 30, and screw rod 30 has nut and screw thread.Described the second holder 20 is provided with perforation 40, the screwed hole bolt that screw rod 30 is wholely set through perforation 40 and the first holder 10.In order to realize locked anti-open function, the groove 50 of some inclinations is set on the inwall of the perforation 40 of the second holder 20, in the present embodiment, the plurality of groove 50 concentrated settings are on the inwall of the first half of perforation 40, the number of groove, to reach locked object, can certainly be provided with a circle groove in perforation 40.Accordingly, be provided with the elastic 70 of multiple inclinations between described screw rod 30 nuts and screw thread, described elastic 70 is identical with groove 50 incline directions in perforation, and the rotating closed opposite direction of the incline direction of elastic 70 (yawing moment) and screw rod 30.To such an extent as to when screw rod and screw are when rotating closed, the elastic of inclination can be squeezed, and to be unlikely to affect screw rod rotating closed in deformation.If screw rod is oppositely opened, the elastic of inclination will holding in groove, stop screw rod to be opened.Described elastic 70 can be spring steel plate, can be also the elasticity outthrust that rubber or plastics are made.Its shape can be column, tabular, can be also the pointed or pointed shape of reaping hook of the crescent moon shown in figure.The rotating closed direction of described screw rod is clockwise, and in contrast, according to this design principle, the incline direction of projection and groove is definite for the incline direction of described elastic or groove, and shape is any.

Claims

1. a disposable circumcision anastomat, this anastomat for circumcision includes outer shroud and internal ring, and outer shroud has opening, and opening is by fixture closure; The two ends of outer ring opening have first half edge of a knife junction and the Lower Half edge of a knife junction of mutual coupling; At least one circle edge of a knife inside this outer shroud, this edge of a knife is divided into knife face and blade; At least one circle groove of described internal ring, is characterized in that, the blade side of the described edge of a knife is connected with cushion, has some projections on described blade.

2. disposable circumcision anastomat as claimed in claim 1, is characterized in that: after outer shroud and internal ring extruding closure, outside edge of a knife blade and internal ring, groove circumference pressure is 0.1-3.5N/mm inside this outer shroud.

3. disposable circumcision anastomat as claimed in claim 1, is characterized in that: described cushion extends the knife face of the coated edge of a knife.

4. disposable circumcision anastomat as claimed in claim 1, is characterized in that: described cushion extends coated whole outer shroud.

5. disposable circumcision anastomat as claimed in claim 1, is characterized in that: it is characterized in that, described projection runs through cushion and exposes or be coated on inside cushion.

6. disposable circumcision anastomat as claimed in claim 5, is characterized in that, this cushion extends the knife face of the coated edge of a knife.

7. disposable circumcision anastomat as claimed in claim 5, is characterized in that, this cushion extends coated whole outer shroud.

8. the disposable circumcision anastomat as described in as arbitrary in claim 1-7, is characterized in that, this cushion outside is provided with salient point.

9. disposable circumcision anastomat as claimed in claim 8, it is characterized in that, outer shroud adopts split type syndeton, and it has link and opening, opening is arranged on the top corresponding with scrotum position, and link is arranged on the position of staggering with scrotum position.

10. the disposable circumcision anastomat as described in as arbitrary in claim 9, it is characterized in that, outer shroud adopts triad formula structure, is provided with an opening and two links, and each link has first half edge of a knife junction and the Lower Half edge of a knife junction of mutual coupling.

11. disposable circumcision anastomats as claimed in claim 8, it is characterized in that, this outer shroud adopts split type syndeton, comprise left and right half coil structures, this left and right half-turn is connected by link, and described link has first half edge of a knife junction and the Lower Half edge of a knife junction of mutual coupling.

12. as the disposable circumcision anastomat as described in arbitrary in claim 1 to 7, it is characterized in that, this outer shroud is integrated C type structure.

13. as the disposable circumcision anastomat as described in arbitrary in claim 1 to 7 or 9 to 11, it is characterized in that, on described outer shroud, there is double knife edges, each edge of a knife forms respectively first half edge of a knife junction and Lower Half edge of a knife junction in the both sides of opening, this first half edge of a knife junction and Lower Half edge of a knife junction form and the seamless structure in smoothing junction of adjacent part by upper and lower overlapped setting.

14. disposable circumcision anastomats as claimed in claim 13, is characterized in that, on the outer shroud ring wall between described double knife edges, are provided with injection orifice.

15. as the disposable circumcision anastomat as described in arbitrary in claim 1 to 7 or 9 to 11, it is characterized in that, described first half edge of a knife junction and Lower Half edge of a knife junction are provided with fillet.

16. as the disposable circumcision anastomat as described in arbitrary in claim 1 to 7 or 9 to 11, it is characterized in that the sheathed elastic tape of described outer annular recess.

17. as the disposable circumcision anastomat as described in arbitrary in claim 1 to 7 or 9 to 11, it is characterized in that, this cushion is silica gel or soft rubber material.

18. as the disposable circumcision anastomat as described in arbitrary in claim 1 to 7 or 9 to 11, it is characterized in that, described fixture is the first stepped clamping block and the second-order scalariform clamping block of cooperatively interacting; The opposite side of described the first stepped clamping block and second-order scalariform clamping block has elastic groove; On described the first stepped clamping block or second-order scalariform clamping block, be provided with open keyhole; On described the first stepped clamping block and second-order scalariform clamping block, be provided with cooperatively interact mousing-hook and anticreep groove.

19. as the disposable circumcision anastomat as described in arbitrary in claim 1 to 7 or 9 to 11, it is characterized in that, this internal ring and outer shroud side are incline structure, and this internal ring and outer shroud are the oval circulus of coupling mutually.

20. as the disposable circumcision anastomat as described in arbitrary in claim 1 to 7 or 9 to 11, it is characterized in that, described fixture comprises the first holder and the second holder that are arranged on opening two ends, and screw rod; Described the first holder arranges screw, the second holder is provided with perforation, and described perforation inwall has the recess of inclination, has the elastic of outward-dipping extension on described screw rod, elastic is identical with recess incline direction, and the opposite direction of the rotating closed direction of screw rod and elastic inclination; Described the first holder and the second holder and outer shroud junction are broken part.

21. as the disposable circumcision anastomat as described in arbitrary in claim 1 to 7 or 9 to 11, it is characterized in that, the described edge of a knife is dull edge.

22. as the disposable circumcision anastomat as described in arbitrary in claim 1 to 7 or 9 to 11, it is characterized in that, described projection gapless is covered with the whole edge of a knife.