CN204033439U - Positioner, prepuce ring-cutter and storage device - Google Patents

Abstract

The utility model discloses a kind of positioner, prepuce ring-cutter and storage device.Positioner comprises: location cylindrical shell, is configured to be enclosed within described glans penis; Stayed surface, is arranged on the near-end of described location cylindrical shell, for foreskin is supported on affiliated positioner, described stayed surface forms multiple forming tank, and described multiple forming tank is arranged with circularizing; And the first protecting film of annular, cover in described forming tank.Arranging of protecting film has cushioning effect to by the foreskin of annular cutting knife and apparatus for ligating extruding, also can accelerate to tighten coming off of part simultaneously, alleviate the pain of patient further.

Description

Positioner, prepuce ring-cutter and storage device

Technical field

This utility model relates to a kind of surgical medical equipment, particularly relates to a kind of prepuce ring-cutter for excising the long foreskin of male penis and for the positioner of prepuce ring-cutter and storage device.

Background technology

Redundant prepuce or phimosis are one of roots of male urinary system infection and sexually transmitted disease (STD).Redundant prepuce or phimosis can cause urinary tract infection thus cause chronic prostatitis, there will be sore waist and aching in the waist and the back, the series of symptoms such as impotence and premature ejaculation, and therefore, removing long foreskin is prevent one of good measure of these diseases.

Traditionally, adopt and surgically remove phimosis or long foreskin, technical essential is the unnecessary foreskin of excision, hemostasis and incisxal edge skin apposition suture.Postoperative patient can not be walked about, often change medicine all hurt like hell also to stand great pain to when finally taking out stitches, hemostasis by ligation thoroughly can not cause foreskin hematoma in addition, then need surgical procedure again.In addition, because excision foreskin and hemostasis separately perform, extend operating time, exacerbate the Psychological phobia of patient.

This Therapeutic Method have developed at present and laser and high frequency electric knife technology has been applied to the Therapeutic Method of peritomizing, although instead of scissors cut and can solidify petechia.But this Therapeutic Method meeting burn patient tissue, and easy infection.

Utility model content

For solving above-mentioned or other technical problem of the prior art; this utility model provides a kind of positioner, storage device and prepuce ring-cutter; can ligation be carried out to the blood vessel on foreskin and excise long foreskin; protecting film can have cushioning effect to the foreskin be extruded; thus the pain of patient can be alleviated, and impel and tighten part and come off smoothly.

According to the embodiment of a utility model of the present utility model, a kind of positioner for prepuce ring-cutter is provided, comprises:

Location cylindrical shell, is configured to be enclosed within described glans penis;

Stayed surface, is arranged on the near-end of described location cylindrical shell, is supported on by cut foreskin on described stayed surface, described stayed surface forms multiple forming tank, and described multiple forming tank is arranged with circularizing; And

First protecting film of annular, covers in described forming tank.

In above-mentioned positioner, described stayed surface is provided with ring liner, described ring liner is arranged on the side of described forming tank.

In above-mentioned positioner, form multiple mark part in its surface.

In above-mentioned positioner, described positioner also comprises clamping band, and described positioner also comprises clamping band, and described clamping band is arranged on the periphery of described location cylindrical shell, crossing described surface-supported covered clamp and be tightened to the outside of described location cylindrical shell.

In above-mentioned positioner, described clamping band is provided with the multiple ratchets allowing the unidirectional clamping of described clamping band.

In above-mentioned positioner, location cylindrical shell forms cannelure, and covered clamp is tightened in cannelure by described clamping band.

Above-mentioned positioner also comprises multiple hold-down arm, and described hold-down arm is pivotably mounted on the far-end of described location cylindrical shell, and the free end of described hold-down arm is formed with screw thread.

Above-mentioned positioner also comprises multiple articulated mounting, and described articulated mounting is arranged on the near-end of described location cylindrical shell, to be combined pivotly by described positioner.

In above-mentioned positioner, the outer wall of described location cylindrical shell is provided with threaded portion.

According to the embodiment of the further aspect of this utility model, provide a kind of prepuce ring-cutter, comprise the positioner described in above-mentioned any embodiment.

Above-mentioned prepuce ring-cutter, also comprises actuating device and driving device.Actuating device, comprising: main body frame; Apparatus for ligating, be arranged on described main body frame, and comprise for store multiple tighten part storage device and drive and multiplely tighten the first actuating mechanism that part tightens the multiple blood vessels on oriented foreskin respectively, described storage device is provided with for described the second protecting film tightened part and cushion; And device for excising, be arranged on described main body frame, and comprise annular cutting knife.Driving device is rotatably installed on described main body frame, and be configured to drive described apparatus for ligating and device for excising to move in described main body frame, make described in the driving of described apparatus for ligating, to tighten part and tighten described blood vessel and make the annular cutting knife excision of described device for excising comprise by the foreskin of the blood vessel tightened subsequently.

In above-mentioned prepuce ring-cutter, described main body frame comprises: body barrel; And inner barrel, be arranged on the inner side of described body barrel, between described body barrel and inner barrel, form actuating space, and the near-end of described inner barrel is connected by connecting portion with described body barrel.

In above-mentioned prepuce ring-cutter, described storage device is arranged on the outside of the far-end of described inner barrel; Described apparatus for ligating also comprises: the first actuating mechanism, is configured for tighten part described in driving and tighten by the blood vessel on the foreskin of locating.

In above-mentioned prepuce ring-cutter, described storage device comprises: storage ring, is arranged on the outside of the far-end of described inner barrel; And multiple storage hole, be formed in described storage ring, described storage hole is positioned at the outside of the outer wall of described inner barrel in radial directions, described in tighten part and be stored in respectively in described storage hole.

In above-mentioned prepuce ring-cutter, described second protecting film is arranged on described storage ring and covers described storage hole.

According to another kind of embodiment of the present utility model, a kind of storage device for prepuce ring-cutter is provided, comprises:

Storage ring, is arranged on the outside of the far-end of described inner barrel; And

Multiple storage hole, be formed in described storage ring, described storage hole is positioned at the outside of the outer wall of described inner barrel in radial directions, described in tighten part and be stored in respectively in described storage hole.And be arranged on described storage ring and cover the second protecting film of described storage hole.

According to the embodiment of the further aspect of this utility model, provide a kind of prepuce ring-cutter, comprise the storage device described in above-described embodiment.

Above-mentioned prepuce ring-cutter also comprises positioner, comprising:

Location cylindrical shell, is configured to be enclosed within described glans penis;

Stayed surface, is arranged on the near-end of described location cylindrical shell, is supported on by cut foreskin on described stayed surface, described stayed surface forms multiple forming tank, and described multiple forming tank is arranged with circularizing; And

First protecting film of annular, covers in described forming tank.

Above-mentioned prepuce ring-cutter also comprises:

Actuating device, comprising:

Main body frame;

Apparatus for ligating, is arranged on described main body frame, and comprise for store multiple tighten part storage device and drive and multiplely tighten the first actuating mechanism that part tightens the multiple blood vessels on oriented foreskin respectively, and

Device for excising, is arranged on described main body frame, and comprises annular cutting knife; And

Driving device, be rotatably installed on described main body frame, and be configured to drive described apparatus for ligating and device for excising to move in described main body frame, make described in the driving of described apparatus for ligating, to tighten part and tighten described blood vessel and make the annular cutting knife excision of described device for excising comprise by the foreskin of the blood vessel tightened subsequently.

In above-mentioned prepuce ring-cutter, described storage device is arranged on the outside of the far-end of described inner barrel;

Described apparatus for ligating also comprises: the first actuating mechanism, is configured for tighten part described in driving and tighten by the blood vessel on the foreskin of locating.

According to the positioner for prepuce ring-cutter of above-mentioned various embodiment of the present utility model; can ligation be carried out to the blood vessel on foreskin and excise long foreskin; protecting film can have cushioning effect to the foreskin be extruded; except can alleviating the pain of patient, also can impel and tighten part and come off smoothly.

Accompanying drawing explanation

This utility model further describes with reference to the accompanying drawings, wherein:

Fig. 1 is the schematic perspective view of the prepuce ring-cutter according to the first embodiment of the present utility model;

Fig. 2 A is the schematic perspective view of the axial direction of the prepuce ring-cutter shown in Fig. 1 when cutting open;

Fig. 2 B is the enlarged diagram of the part A shown in Fig. 2 A;

Fig. 3 is the sectional view in axial direction of the prepuce ring-cutter shown in Fig. 1;

Fig. 4 is the partial exploded view of the prepuce ring-cutter shown in Fig. 1;

Fig. 5 is the decomposing schematic representation of the prepuce ring-cutter shown in Fig. 1;

Fig. 6 A is the schematic perspective view of the broken section of the positioner of the prepuce ring-cutter shown in Fig. 4;

Fig. 6 B is the decomposing schematic representation of the positioner shown in Fig. 6 A;

Fig. 7 A is the schematic perspective view of the broken section in the released state of the actuating device of the prepuce ring-cutter shown in Fig. 4;

Fig. 7 B be the actuating device of the prepuce ring-cutter shown in Fig. 4 in working order under the schematic perspective view of broken section;

Fig. 8 A is the schematic perspective view of a kind of broken section of the main body frame of the actuating device shown in Fig. 7 A, eliminates installing ring in figure;

Fig. 8 B is the schematic perspective view of the another kind of broken section of the main body frame of the actuating device shown in Fig. 8 A, eliminates installing ring in figure;

Fig. 9 A is a kind of schematic perspective view of the storage ring of the actuating device shown in Fig. 5;

Fig. 9 B is the another kind of schematic perspective view of the storage ring of the actuating device shown in Fig. 5;

Fig. 9 C is the enlarged diagram of the part B shown in Fig. 9 B;

Figure 10 is the enlarged diagram of the first actuating mechanism shown in Fig. 5;

Figure 11 is the enlarged diagram of the second actuating mechanism shown in Fig. 5;

Figure 12 is the enlarged diagram of the first gear frame shown in Fig. 5 and the second gear frame;

Figure 13 is the decomposing schematic representation of the broken section of the driving device of the prepuce ring-cutter shown in Fig. 5;

Figure 14 is schematic perspective view when cutting open according to the axial direction of the prepuce ring-cutter of the second embodiment of the present utility model;

Figure 15 is the decomposing schematic representation of the prepuce ring-cutter according to the second embodiment of the present utility model;

Figure 16 is the schematic perspective view of the positioner of the prepuce ring-cutter shown in 15 when in axial direction cutting open when separating with main body frame;

Figure 17 is the decomposing schematic representation of the prepuce ring-cutter shown in 16, under wherein actuating device is in release conditions;

Figure 18 is the enlarged diagram of the C part shown in Figure 17;

Figure 19 is the decomposing schematic representation of the prepuce ring-cutter shown in 16, wherein actuating device in running order under;

Figure 20 is the enlarged diagram of the D part shown in Figure 19;

Figure 21 is a kind of schematic perspective view when cutting open according to the axial direction of the prepuce ring-cutter of the third embodiment of the present utility model;

Figure 22 is another kind of schematic perspective view when cutting open according to the axial direction of the prepuce ring-cutter of the third embodiment of the present utility model;

Figure 23 is the partial exploded view of the prepuce ring-cutter shown in 21;

Figure 24 is the partial exploded view of the prepuce ring-cutter shown in 22;

Figure 25 is the detailed decomposing schematic representation of the prepuce ring-cutter according to the third embodiment of the present utility model;

Figure 26 is the schematic perspective view of the positioner of the prepuce ring-cutter shown in Figure 24;

Figure 27 is the schematic perspective view of the actuating device of the prepuce ring-cutter shown in Figure 24, under wherein actuating device is in release conditions;

Figure 28 is the schematic perspective view of the actuating device of the prepuce ring-cutter shown in Figure 24, and wherein actuating device is in running order lower and remove back-moving spring;

Figure 29 is the decomposing schematic representation of the driving device of the prepuce ring-cutter shown in Figure 24;

Figure 30 is the schematic perspective view of the broken section of prepuce ring-cutter according to the 4th kind of embodiment of the present utility model;

Figure 31 is the schematic perspective view of the axial direction of the prepuce ring-cutter shown in Figure 30 when cutting open;

Figure 32 is the decomposing schematic representation of the prepuce ring-cutter shown in Figure 31;

Figure 33 is the enlarged diagram of the G part shown in Figure 32;

Figure 34 is the driving device of the prepuce ring-cutter shown in Figure 32 and the schematic perspective view of partial actuation device;

Figure 35 is the decomposing schematic representation of Figure 34;

Figure 36 is the enlarged diagram of the H part shown in Figure 35;

Figure 37 is the schematic perspective view of the partial actuation device of the prepuce ring-cutter shown in Figure 34;

Figure 38 is the enlarged diagram of the L part shown in Figure 37, for ease of understanding in figure, has excised the annular cutting knife of part; And

Figure 39 is the overall schematic perspective view of the installing sleeve of the prepuce ring-cutter shown in Figure 35.

Detailed description of the invention

For ease of understanding, in this article, such as the prepuce ring-cutter 100 shown in Fig. 1, one end (left end of such as Fig. 1) of close the human body of prepuce ring-cutter and all parts thereof in the process of the operation of excision foreskin is called far-end, by one end away from human body of prepuce ring-cutter and all parts thereof or be called near-end near one end (right-hand member of such as Fig. 1) that surgical staff operates.

In addition, in the following detailed description, for ease of explaining, many concrete details have been set forth to provide the complete understanding to this disclosure embodiment.But significantly, one or more embodiment also can be implemented when not having these details.In other cases, known construction and device diagrammatically embodies to simplify accompanying drawing.

Fig. 1-13 shows the prepuce ring-cutter 100 according to the first embodiment of the present utility model.See Fig. 3, prepuce ring-cutter 100 of the present utility model, for removing long foreskin or the phimosis of male patient, comprises the positioner 11 being configured to position glans penis and the foreskin of human body.

See Fig. 1,4,5,6A and 6B, positioner 11 comprises the first protecting film 113 of the flexibility being configured to location cylindrical shell 111, stayed surface 112 and the annular that can be enclosed within human body glans penis (not shown).The end face that stayed surface 112 is formed in the near-end of described location cylindrical shell 111 radially outward protrudes, and glans penis is inserted partially in the cylindrical shell 112 of location, to be supported on stayed surface 112 and to continue distally to extend after being overturn by cut foreskin.Stayed surface 112 is formed multiple forming tank 1121, described multiple forming tank 1121 is arranged on stayed surface 112 with circularizing.First protecting film 113 of annular covers in forming tank 1121.

In a further embodiment, prepuce ring-cutter 100 also comprises actuating device 12 and driving device 13.Actuating device 12 comprises main body frame, apparatus for ligating and device for excising.Positioner 11 is arranged on described main body frame.Forming tank 1121 and apparatus for ligating cooperate and to tighten tightening part on corresponding blood vessel.Apparatus for ligating is arranged on main body frame; and comprise for store multiple tighten part (not shown) storage device 14 and drive and multiplely tighten the first actuating mechanism that part tightens the multiple blood vessels on oriented foreskin respectively, described storage device 14 is provided with for described the second protecting film 145 tightened part and cushion.Device for excising is arranged on described main body frame, and comprises annular cutting knife 16.Driving device 13 is arranged on main body frame, and be configured to drive described apparatus for ligating and device for excising to move in described main body frame, make described in the driving of described apparatus for ligating, to tighten part and tighten described blood vessel and make the excision of the annular cutting knife 16 of described device for excising comprise by the foreskin (not shown) of the blood vessel tightened subsequently.

According to prepuce ring-cutter 100 of the present utility model, first apparatus for ligating is utilized to tighten on blood vessel that part tightens in foreskin by what be similar to staple, recycle the annular cutting knife 16 of device for excising afterwards by long circumcision, and comprise and still being stayed on human body by the foreskin of the blood vessel tightened.Like this, can loss of blood be reduced, reduce the probability that genitals occurs to infect, alleviate the misery of male patient.The part of tightening be fixed on blood vessel along with the recovery from illness Automatic-falling of wound, can not need extra operation technique.Because the first protecting film 113 of annular covers in forming tank 1121; first protecting film 113 can form cushioning effect tightening between part and foreskin; and the Automatic-falling of part can be tightened after Promotive union, thus alleviate patient and to come off the pain not exclusively brought because tightening part.

In a kind of exemplary embodiment, the angle between the axis of stayed surface 112 and location cylindrical shell 111 is acute angle, meets the shape of glans penis like this, is convenient to cut foreskin.In a kind of exemplary embodiment, the scope of described angle is 30-60 degree.

Stayed surface 112 is provided with ring liner 1122, and described ring liner 1122 is arranged on the side of forming tank 1121.Ring liner 1122 can be arranged in the cannelure be formed on stayed surface 112, is cut off by foreskin for coordinating with annular cutting knife.Ring liner 1122 is made up of such as elastomeric material, to alleviate the pain of patient.

Stayed surface 112 is formed multiple mark part 1123, and each mark part 1123 aligns in radial directions with corresponding forming tank 1121.In a kind of exemplary embodiment, described mark part 1123 comprises and being formed in from the multiple depression the vertically extending outer rim in surface-supported outer peripheral edge or projection.Each depression or projection are alignd in radial directions with corresponding forming tank 1121.Adopting this structure, when being turned on stayed surface 112 by foreskin, forming tank 1121 will be covered.Can allow surgical staff before by long circumcision, the blood vessel observed also experiences mark part 1123, by blood vessel is alignd with mark depression can by blood vessel and forming tank 1121 with tighten part and align, and foreskin and blood vessel thereof will be positioned, thus part will be tightened exactly be fixed on blood vessel.

Further, positioner 11 also comprises clamping band 114, and described clamping band 114 is arranged on the periphery of location cylindrical shell 111, the covered clamp crossing stayed surface 112 to be tightened to the outside of location cylindrical shell 111.More specifically, as shown in Figure 6A, location cylindrical shell 111 forms cannelure 1111, and covered clamp can be tightened in cannelure 1111 by clamping band 114, and exempts from clamping band 114 axis and moves.Clamping band 114 is provided with the multiple ratchets allowing the unidirectional clamping of clamping band 114.Like this, clamping band 114 can be clamped gradually as required, and clamping band 114 is fixed on clamped position.After operation completes, can by the mode of cutting off, removal clips taut band 114.

See accompanying drawing 2A, 2B, 7A, 7B, 8A and 8B, main body frame comprises: body barrel 121 and inner barrel 123.Inner barrel 123 is arranged on the inner side of body barrel 121, forms actuating space 124 between described body barrel 121 and inner barrel 123, and the near-end of inner barrel 123 is connected by connecting portion 125 (Fig. 8 B) with body barrel 121.

Apparatus for ligating comprises storage device 14 and the first actuating mechanism.Storage device 14 is arranged on the outside of the far-end of described inner barrel, multiplely tightens part for storing.Tighten part described in first actuating mechanism is configured to drive to tighten by the blood vessel on the foreskin of locating.More specifically, see Fig. 8 A, 9A-9C, storage device 14 comprises storage ring 141 and multiple storage hole 143 in the outside of the far-end being arranged on inner barrel 123.Storage hole 143 is formed in storage ring 141, is positioned at the outside (namely in radial directions away from the distance that the outer wall of inner barrel 123 is predetermined) of the outer wall of inner barrel 123 in radial directions, described in tighten part and be stored in respectively in storage hole 143.Storage ring 141 is provided with the second protecting film 145 (Fig. 7 B) of the flexibility for covering storage hole.Owing to having flexibility, can have cushioning effect to the part of tightening stretching out storage hole 143, making to tighten part speed after puncturing the second protecting film 145 increases, thus more successfully thrusts in the foreskin of human body, and can alleviate the pain of patient.

See Fig. 2 B, 8B and 10, the first actuating mechanism comprises: the first ring holder 15, is arranged in actuating space 124 movably; Multiple actuating arm 151, is arranged on the far-end of the first ring holder 15, and is configured to drive be stored in and tightens part in storage hole 143; And multiple first drive post 152, be arranged on the near-end of described first ring holder 15, and stretch out from the proximal end face of connecting portion 125 through corresponding first through hole 1251 be formed on connecting portion 125.See Fig. 8 A, 9A-9C, storage device 14 also comprises skirt section 142 and multiple maintaining part 144.Skirt section 142 proximally extends from storage ring 141 in the outside of inner barrel 123.Multiple maintaining part 144 proximally extends from storage ring 141, and recline on the outer wall of upper inner barrel 132, be arranged on each actuating arm 151 on the first ring holder 15 from being inserted into corresponding storage hole 143 between skirt section 142 and maintaining part 144, thus the part of tightening be stored in storage hole 143 is driven in forming tank 1121.Be similar to the operation principle of stapler, tighten part and be subject to the extruding of actuating arm 151 and forming tank 1121 and deform, thus tighten the blood vessel on foreskin.

See Fig. 2 B, 5,7A and 11, device for excising comprises: the second ring holder 161, and described second ring holder 161 is arranged on the outside of the first ring holder 15 in actuating space 124, and annular cutting knife 16 is arranged on the far-end of the second ring holder 161; And multiple second drive post 162, be arranged on the near-end of described second ring holder 161, and stretch out from the proximal end face of connecting portion 125 through corresponding second through hole 1252 be formed on connecting portion 125 (Fig. 8 B).With further reference to Figure 12, device for excising also comprises: the first gear frame 154, and described first gear frame 154 forms the second through hole 155; And second gear frame 164, described second drive post 162 is resisted against on the surface of the far-end of the second gear frame 164, described second gear frame 164 forms multiple third through-hole 165, and each first drive post 152 is resisted against on the surface of the far-end of the first gear frame 154 through corresponding third through-hole 154.As shown in Fig. 3 B and 3, the second gear frame 164 and the first gear frame 154 in the outside of connecting portion 125 from far away and closely arrange successively.

See Fig. 2 B, 5,7A and 10-11, the near-end of the first ring holder 15 is provided with at least one first erection column 153, described first erection column is through the through hole 166 be formed on the second gear frame 164 and be formed in the through hole 156 on the first gear frame 154 and utilize bolt 1531 to be fixed on the first gear frame 154, and such first erection column 153 to be removably mounted on the first gear frame 154.The near-end of the second ring holder 161 is provided with at least one second erection column 163, described first erection column 163 is through the second through hole 165 be formed on the second gear frame 164 and utilize bolt 1631 to be fixed on the second gear frame 164, and such second erection column 163 is removably mounted on described second gear frame 164.

See Fig. 2 A, 2B, 6A, 6B and 7A, positioner 11 also comprises multiple hold-down arm 115, and described hold-down arm 115 is pivotably mounted on the far-end of location cylindrical shell 111 by pivot 1151, and the free end of hold-down arm 115 is formed with screw thread 1152.Correspondingly, body barrel 121 is formed multiple locating slot 1211, the free end of each described hold-down arm 115 is arranged in corresponding locating slot 1211; One installing ring 122 to be rotatably installed in body barrel 121 and to be screwed with the free end of hold-down arm 115.

Further, body barrel 121 comprises Part I 1212 and Part II 1213, and wherein the external diameter of Part I 1212 is greater than the external diameter of Part II 1213, and locating slot 1211 is formed on Part I 1212.The near-end of installing ring 122 is provided with the flange 1221 radially protruded, and described flange 1221 is arranged on Part II 1213.Like this, installing ring 122 can rotate and be screwed with hold-down arm 115 in body barrel 121, thus is installed in body barrel 121 by positioner 11.When installing ring 122 rotates to predetermined extent, flange 1221 will be resisted against on the larger Part I of external diameter 1212, thus stops installing ring 122 movement further.

See Fig. 1,3,4,5 and 13, driving device 13 comprises: connect housing 131, mode such as engaged through the thread is connected to the Part II 1213 of body barrel 121; Drive division 132, be rotatably installed to and connect housing 131, described drive division 132 does not move relative to described connection housing 131 in the axial direction; And follower, described follower is configured to cooperate with drive division 132 to drive the first gear frame 154 and the second gear frame 164 to move at axial direction.

Follower comprises: the first follower 134, is configured to cooperate with drive division 132 to drive the first gear frame 154 to move at axial direction; And second follower, be configured to cooperate with drive division 132 to drive the second gear frame 154 to move at axial direction.The time that first follower moves 134 is less than time of the second follower movement, makes apparatus for ligating excise long foreskin by device for excising again after being tightened by blood vessel.

In a further embodiment, drive division 132 comprises the first coaxially arranged driving threaded portion 1331 and the second driving threaded portion.First follower comprises: the first driven shaft 1341, and described first driven shaft 1341 is provided with the first slave thread portion 1342 driving threaded portion 1331 to engage with first; And first moves axially portion 1343, move axially relative to connecting housing 131 but can not rotate relative to connection housing 131 under being formed at the driving of the first driven shaft 1341, thus driving the first gear frame 154 to move axially.Second follower comprises: the second driven shaft 136, and described second driven shaft 136 passes from described first driven shaft 1341, and the second driven shaft 1341 is provided with the second slave thread portion 1361 driving threaded portion to engage with second; And second moves axially portion 1362, move axially relative to connection housing 131 under being formed at the driving of the second driven shaft 136, thus drive described second gear frame 164 to move axially.

Specifically, see Figure 13, driving device 13 also comprises the auxiliary drive section 133, first being arranged on connection housing 131 inside and drives threaded portion 1331 to be formed on auxiliary drive section 133.Auxiliary drive section 133 by bolt 135 be arranged on the drive division 132 being connected housing 131 outside and connect, drive division 132 can be rotated relative to being connected housing 131 with auxiliary drive section 133.Drive division can be connected and auxiliary drive section also can be integrally formed.Move axially in portion 1343 first and be provided with guide groove 1344, described guide groove 1344 be formed in the guiding rib 1311 connecting housing 131 inside and be combined.First slave thread portion 1342 is just arranged in a part for the second driven shaft 1341.Be provided with second at the first far-end moving axially portion 1343 and move axially portion 1362, be arranged on the second locating rod 1363 moved axially in portion 1362 to be inserted into and to be formed in the first through hole 1345 moved axially in portion 1343, make second to move axially portion 1362 and can not move axially portion 1343 relative to first and rotate.Second driven shaft 136 moves axially portion 1362 through the first driven shaft 1341 and second and is combined, but the second driven shaft 136 can not move axially portion 1362 relative to second rotates.Be arranged on the second drive rod 1364 moving axially portion 1362 far-end through the second through hole 155 be formed on the first gear frame 154 and with the proximal contact of the second gear frame 164.Be appreciated that can omit second moves axially portion 1362, and make second move axially portion 1362 directly through the second through hole 155 and with the proximal contact of the second gear frame 164.

As shown in Figure 2 B, elasticity reset device 17 is provided with between the Part II 1213 of body barrel 121 and the second gear frame 164, when reversely rotating drive division 132, under the driving of elasticity reset device 17, actuating arm 151 and annular cutting knife 16 can leave stayed surface 112.

The operating process of the prepuce ring-cutter 100 according to the first embodiment of the present utility model is described below.

First, positioner 11 is disassembled from prepuce ring-cutter 100; The hold-down arm 115 of positioner 11 is opened into state as shown in Figure 6B; The location cylindrical shell 111 of positioner 11 is enclosed within glans penis; To turn over foreskin, make the blood vessel on foreskin and such as to cave in or the mark part 1123 of projection and so on aligns, and to utilize clamping band 114 foreskin to be fixed on location cylindrical shell 111 be outside; To hold-down arm 115 be driven be retracted to the state of Fig. 6 A, complete the location to glans penis.

Afterwards, proximally move installing ring 122, expose locating slot 1211; Each hold-down arm 115 is installed to corresponding locating slot 1211; Rotate installing ring 122, installing ring 122 and hold-down arm 155 are screwed.

Afterwards, hand-held connection housing 131 also rotary driving part 132; First moves axially portion 1343 and second moves axially portion 1362 and drives the first gear frame 154 and the second gear frame 164 to move axially respectively, first ring holder 15 and the second ring holder 161 are moved axially in actuating space 124, the actuating arm 151 be arranged on the first ring holder 15 to be inserted into respectively in the storage hole 143 storing and tighten part and will to tighten part and is driven in forming tank 1121, makes to tighten part and is out of shape and tightens the blood vessel on foreskin.Be appreciated that in the process of actuating arm 151 movement, annular cutting knife 16 is also moving, but does not contact with foreskin.

When first moves axially after portion 1343 moves predetermined distance, tighten part and tighten blood vessel, first drives threaded portion 1331 and the first slave thread portion 1342 to depart from combines, even if still rotary driving part 132, first moves axially portion 1343 also no longer moves, but second moves axially portion 1362 still moves, and drive annular cutting knife 16 to stretch out (see Fig. 7 B), to cut off foreskin.

Finally, reversely rotate drive division 132, under the driving of elasticity reset device 17, actuating arm 151 and annular cutting knife 16 can leave stayed surface 112; Whole prepuce ring-cutter is removed from glans penis.

Figure 14-20 shows the prepuce ring-cutter 200 according to the second embodiment of the present utility model.The prepuce ring-cutter 200 of the second embodiment of the present utility model comprises: positioner 21, actuating device 22 and driving device 23.Positioner 21 is configured to position the glans penis of human body and foreskin.Actuating device 22 comprises main body frame, apparatus for ligating and device for excising.Positioner 21 is arranged on described main body frame.Apparatus for ligating is arranged on main body frame, and is configured to drive multiple part (not shown) of tightening to tighten multiple blood vessels on oriented foreskin respectively.Device for excising is arranged on described main body frame, and comprises annular cutting knife 26.Driving device 23 is arranged on main body frame, and be configured to drive described apparatus for ligating and device for excising, make described in the driving of described apparatus for ligating, to tighten part and tighten described blood vessel and make the annular cutting knife excision of described device for excising comprise by the foreskin (not shown) of the blood vessel tightened subsequently.

See Figure 16 and 17, positioner 21 comprises the first protecting film 213 of the flexibility being configured to location cylindrical shell 211, stayed surface 212 and the annular that can be enclosed within human body glans penis (not shown).The end face that stayed surface 212 is formed in the near-end of location cylindrical shell 211 radially outward protrudes, and glans penis is inserted partially in the cylindrical shell 212 of location, to be supported on stayed surface 212 and to continue distally to extend after being overturn by cut foreskin.Stayed surface 212 is formed multiple forming tank 2121, described multiple forming tank 2121 is arranged on stayed surface 212 with circularizing.First protecting film 213 of annular covers in forming tank 2121.

Further, multiple forming tank 2121 is configured to cooperate to apparatus for ligating and tightens tightening part on corresponding blood vessel.Stayed surface 212 is provided with ring liner 2122, and described ring liner 2122 is arranged on the periphery of forming tank 2121.The outer rim of stayed surface 212 is formed multiple mark depression 2123, and each mark depression 2123 is alignd in radial directions with corresponding forming tank 2121, is fixed on blood vessel will tighten part exactly.Further, positioner 21 also comprises clamping band 214, and described clamping band 214 is arranged on the periphery of location cylindrical shell 211, the covered clamp crossing stayed surface 212 to be tightened to the outside of location cylindrical shell 211.

See Figure 14 and 18, main body frame comprises body barrel 221 and inner barrel 223.Inner barrel 223 is arranged on the inner side of body barrel 221, form actuating space, and the near-end of inner barrel 223 is connected (Figure 18) between described body barrel 221 and inner barrel 223 by connecting portion 225 with body barrel 221.

Apparatus for ligating comprises storage device 24 and the first actuating mechanism.Storage device 24, first ring holder 25 of the prepuce ring-cutter 200 of the second embodiment is identical with the concrete structure of actuating arm 151 with storage device 14, first ring holder 15 of the prepuce ring-cutter 100 of the first embodiment with the concrete structure of actuating arm 251, omits it and describes in detail.Similarly, second ring holder 161, the annular cutting knife 16 of the second ring holder 261 of the device for excising of the prepuce ring-cutter 200 of the second embodiment, annular cutting knife 26 and the device for excising of the prepuce ring-cutter 100 of the first embodiment are identical, omit it and describe in detail.

See Figure 14-16 and 18, in the prepuce ring-cutter 200 of the second embodiment, the first gear frame 254 is formed the second through hole 255.The first drive post 252 be arranged on the first ring holder 25 is resisted against on the surface of the far-end of the second gear frame 264, second gear frame 264 forms multiple third through-hole 265, and the second drive post 162 be arranged on the second ring holder 261 is resisted against on the surface of the far-end of described first gear frame through third through-hole 265.Second gear frame 264 and the first gear frame 254 in the outside of connecting portion 225 from far away and closely arrange successively.

The near-end of the first ring holder 25 is provided with at least one first erection column 253, described first erection column 253 is through the through hole 266 be formed on the second gear frame 264 and utilize bolt 2531 to be fixed on the second gear frame 264, and such first erection column 153 to be removably mounted on the second gear frame 264.The near-end of the second ring holder 261 is provided with at least one second erection column 263, described first erection column 263 is through the second through hole 265 be formed on the second gear frame 264 and be formed in the through hole 256 on the first gear frame 254 and utilize bolt 1631 to be fixed on the second gear frame 264, and such second erection column 263 is removably mounted on described first gear frame 254.

In the prepuce ring-cutter 200 of the second embodiment, positioner 21 also comprises multiple connecting device 215, and described connecting device 215 is arranged on the near-end of described location cylindrical shell 211.The far-end of body barrel 211 is connected pivotly with connecting device 215.At least one locating rod 222 is fixed on in the far-end of body barrel 221 and the near-end of location cylindrical shell 211, and in the corresponding aperture 2111 being configured to be inserted in the near-end of far-end and the location cylindrical shell 211 being formed in body barrel 221 on another.Like this, when positioner 21 is attached in body barrel 211, locating rod 222 is inserted in perforate 2111, adds the stability that positioner 21 is combined with body barrel 211.

Driving device comprises: first drives elastic component 231, is arranged between connecting portion 225 and the second gear frame 264; And second drives elastic component 232, is arranged between the first gear frame 254 and the second gear frame 264, wherein first the coefficient of elasticity of elastic component 231 is driven to be less than the coefficient of elasticity of the second driving elastic component 232.Like this, when pressing the first gear frame 254, the pressure acted on the first gear frame 254 will drive elastic component 232 to be delivered to the second gear frame 264 by second.First drives the coefficient of elasticity of elastic component 231 to be less than the coefficient of elasticity of the second driving elastic component 232, first drives elastic component 231 first to shrink, thus promote actuating arm 251 and to be inserted into respectively in the storage hole 243 storing and tighten part and part will be tightened and be driven in forming tank 2121, make to tighten part and be out of shape and tighten the blood vessel on foreskin.After the first driving elastic component 231 is retracted to predetermined length, second drives elastic component 232 to shrink, and the annular cutting knife 26 of drive installation on the second ring holder 261 stretches out (see Figure 20), to cut off foreskin.

See Figure 17, driving device 23 also comprises: drive division, is configured to move axially to drive the first gear frame 254 relative to body barrel 221.Drive division comprises: rotating part 233 and move axially portion 234, moves axially portion 234 and is configured to rotatably be combined with rotating part 233, to move axially relative to body barrel 221 when rotating part 233 rotates.Further, move axially portion 234 to comprise: the bracing frame 2341 of such as disc-shape; Joint portion 2342, is arranged on the surface of the near-end of bracing frame, and is configured to be screwed with rotating part 233; And guide rod 2343, be arranged on the surface of the far-end of bracing frame 2341, and be installed in the groove 2211 on the inwall being formed in body barrel 221, rotate relative to body barrel 221 to stop bracing frame 2341.Like this, just the rotation of rotating part 233 can be converted to the portion of moving axially 234 moving axially.Connecting rod 2344 through bracing frame 2341, first gear frame 254 and the second gear frame 264, and keeps the stability of the position between three.

Figure 21-29 shows the prepuce ring-cutter 300 according to the third embodiment of the present utility model.The prepuce ring-cutter 300 of the 3rd embodiment of the present utility model comprises: positioner 31, actuating device 32 and driving device 33.Positioner 31 is configured to position the glans penis of human body and foreskin.Actuating device 32 comprises main body frame, apparatus for ligating and device for excising.Positioner 31 is arranged on described main body frame.Apparatus for ligating is arranged on main body frame, and is configured to drive multiple part (not shown) of tightening to tighten multiple blood vessels on oriented foreskin respectively.Device for excising is arranged on described main body frame, and comprises annular cutting knife 36.Driving device 33 is arranged on main body frame, and be configured to drive described apparatus for ligating and device for excising, make described in the driving of described apparatus for ligating, to tighten part and tighten described blood vessel and make the annular cutting knife excision of described device for excising comprise by the foreskin (not shown) of the blood vessel tightened subsequently.

See Figure 26, positioner 31 comprises the first protecting film of flexibility being configured to be enclosed within location cylindrical shell 311 on human body glans penis (not shown), stayed surface 312 annular.The stayed surface 312 of the prepuce ring-cutter 300 of the 3rd embodiment is identical with the concrete structure of clamping band 114 with the stayed surface 112 of the prepuce ring-cutter 100 of the first embodiment with the concrete structure of clamping band 314, omits it and describes in detail.

Main body frame comprises body barrel 321 and inner barrel 323.Inner barrel 323 is arranged on the inner side of body barrel 321, form actuating space, and the near-end of inner barrel 323 is connected (Figure 18) between described body barrel 321 and inner barrel 323 by connecting portion 325 with body barrel 321.

Apparatus for ligating comprises storage device 34 and the first actuating mechanism.The storage device 34 of the prepuce ring-cutter 300 of the 3rd embodiment, device for excising, first drive that elastic component 331, second drives the storage device 24 of the first ring holder 35 of elastic component 332 and the first actuating mechanism, actuating arm 351 and the concrete structure of the first drive post 352 and the prepuce ring-cutter 200 of the second embodiment, device for excising, first drives elastic component 231, second to drive the first ring holder 25 of elastic component 232 and the first actuating mechanism, actuating arm 251 identical with the concrete structure of the first drive post 252, omit its detailed description.

In the prepuce ring-cutter 300 of the 3rd embodiment, at least one locating rod 322 is fixed on in the far-end of described body barrel 321 and the near-end of location cylindrical shell 311, and in the corresponding aperture 3111 being configured to be inserted in the near-end of far-end and the location cylindrical shell 311 being formed in body barrel 321 on another.Body barrel 321 can be stoped like this to rotate relative to location cylindrical shell 311.

Driving device 33 comprises drive division, and described drive division is configured to move axially to drive the first gear frame 354 relative to body barrel 321.The outer wall of location cylindrical shell 311 is provided with threaded portion 315.Drive division comprises rotary barrel 333, it is inner that body barrel 311 is arranged on rotary barrel 333, the far-end of rotary barrel 333 is rotatably combined with threaded portion 315, the near-end of rotary barrel 311 is provided with end cap 3332, and described end cap 3332 is formed at when rotary barrel 3332 rotates and is compressed the first driving elastic component 331 and the second driving elastic component 332 by driving first gear frame 354.

Driving device 33 also comprises: drive link 334, is arranged between end cap 3332 and the first gear frame 354; And clutch shaft bearing 335, be arranged between drive link 334 and end cap 3332, to allow drive rod 3334 to rotate relative to end cap 3332, namely when end cap 3332 rotates, drive link 334 does not rotate.Between end cap 3332 and the first gear frame 354, be provided with axle sleeve 3341, axle sleeve 3341 is enclosed within drive link 334, so that the pressure of end cap 3332 is delivered to the first gear frame 354.

For keeping rotary barrel 333 relative to the stability of body barrel 321, the second bearing 17 is set between body barrel 321 and rotary barrel 333.In one embodiment, the second bearing 17 is maintained in body barrel 321 by annulus 171 and multiple set bolt 172.In the alternative embodiment, fixing annular projection can be set between body barrel 321 and rotary barrel 333.

The prepuce ring-cutter 300 of the 3rd embodiment being arranged on glans penis and after locating foreskin, there is personnel hold location cylindrical shell 311 far-end with one, another holds rotary barrel 333 and rotates.End cap 3332 will by drive link 3341 and axle sleeve 3341 to the first gear frame 354 transmission of pressure.Like this, the pressure acted on the first gear frame 354 will drive elastic component 332 to be delivered to the second gear frame 364 by second.Because first drives the coefficient of elasticity of elastic component 331 to be less than the coefficient of elasticity of the second driving elastic component 332, first drives elastic component 331 first to shrink, thus promote actuating arm 351 and to be inserted into respectively in the storage hole storing and tighten part and part will be tightened and be driven into and be arranged in stayed surface 312 forming tank, make to tighten part and be out of shape and tighten the blood vessel on foreskin.After the first driving elastic component 331 is retracted to predetermined length, second drives elastic component 332 to shrink, and drives annular cutting knife 36 to stretch out (see Figure 28), to cut off foreskin.

In the alternative embodiment of the prepuce ring-cutter 200 of the second embodiment, first gear frame 254 forms the second through hole 255, second drive post is resisted against on the surface of the far-end of the second gear frame 264, described second gear frame 264 is formed multiple third through-hole 265, first drive post to be resisted against on the surface of the far-end of the first gear frame 264 through third through-hole 265.Further, first drives elastic component to be arranged between connecting portion 225 and described second gear frame 264, second drives elastic component to be arranged between the first gear frame 254 and the second gear frame 264, wherein first drives the coefficient of elasticity of elastic component to be greater than the coefficient of elasticity of described second driving elastic component.Like this, can be implemented in equally after blood vessel tightened and cut off foreskin again.

Figure 30-39 shows the prepuce ring-cutter 400 according to the 4th kind of embodiment of the present utility model.This prepuce ring-cutter 400, comprises positioner 41, actuating device and driving device 43.Positioner 41 is configured to position the glans penis of human body and foreskin.Actuating device, comprising: main body frame, and positioner 41 is arranged in main body frame; Apparatus for ligating, is arranged on described main body frame, and is configured to drive multiple part (not shown) of tightening to tighten multiple blood vessels on oriented foreskin respectively; And device for excising, be arranged on described main body frame, and comprise annular cutting knife 46.Driving device 43 is arranged on described main body frame, and be configured to drive described apparatus for ligating and device for excising, make described apparatus for ligating drive described in tighten part and tighten described blood vessel and the excision of the annular cutting knife of described device for excising comprises by the foreskin (not shown) of the blood vessel tightened.

In prepuce ring-cutter 400, positioner 41 comprises: location cylindrical shell 411, is constructed such that glans penis is partly inserted in the cylindrical shell 411 of location; Flange 412, is formed in the distal radial outwardly convex of location cylindrical shell 411; Stayed surface 413, be formed in flange 412 towards on the face of near-end, to be supported on after cut foreskin is striden across flange 412 on stayed surface 413 and to continue proximally to extend.

See Figure 33, stayed surface 413 is formed multiple forming tank 4131, described multiple forming tank 4131 is arranged and is configured to cooperate to apparatus for ligating and tightens on corresponding blood vessel by described part of tightening with circularizing, stayed surface 413 is provided with ring liner 4132, and described forming tank 4131 is arranged on the periphery of ring liner 4132.Ring liner 4132 can be arranged on and be formed with the cannelure on stayed surface 412, is cut off by foreskin for coordinating with annular cutting knife.Ring liner 4132 is made up of such as elastomeric material, to alleviate the pain of patient.Forming tank 4131 is coated with the first protecting film of the flexibility of annular, also can alleviates the pain of patient.Angle between the axis of stayed surface and flange 412 and location cylindrical shell 411 is acute angle, meets the shape of glans penis like this, is convenient to cut foreskin.The scope of described angle is 30-60 degree.

According to the prepuce ring-cutter 400 of the 4th embodiment, see Figure 32 and 34-36, main body frame comprises body barrel 421.Apparatus for ligating comprises: storage device 44, and described storage device 44 is arranged on the inner side of the far-end of body barrel 421, multiplely tightens part for storing; And first actuating mechanism, be configured to tighten described in driving part and tighten by the blood vessel on the foreskin of locating.More specifically, storage device 44 comprises storage ring 441, is arranged on the inner side of the far-end of body barrel 421; Multiple storage part 442, is formed in storage ring 441, described in tighten part and be stored in respectively in storage part 442.

See Figure 32,37 and 38, the first actuating mechanism comprises: inner barrel 422, and the inside being formed at body barrel 421 is moved in the axial direction relative to body barrel 421; Multiple actuating arm 4221, is formed in the far-end of inner barrel 422, and is configured to drive and tightens part in storage part 442; And annular cutting knife 46, be fixed to inner barrel 422 in the inner side of actuating arm 4221, the far-end of annular cutting knife 46 is roughly concordant with the far-end of actuating arm 4221.Therefore, in the prepuce ring-cutter 400 of the 4th embodiment, the operation of tightening blood vessel and cut-out foreskin is carried out roughly simultaneously.

Further, as shown in Figure 36 and 38, form the multiple juts 443 arranged with constant spacing in the inside of storage ring 441, storage part 442 be formation is the slit of jut 443 both sides, and the slit of adjacent jut 443 can be placed and tighten part.The both sides of actuating arm 4221 are formed guide protrusion 4222, when each actuating arm 4221 inserts between corresponding two juts 443, guide protrusion 4222 is inserted in slit, thus drives to be placed on and tighten part in slit.

Further, the distal surface of storage ring 442 is provided with the second protecting film of the flexibility for covering jut.Because the second protecting film has flexibility, can have cushioning effect to the part of tightening of the slit stretching out storage part, making to tighten part speed after puncturing the second protecting film increases, thus more successfully thrusts in the foreskin of human body, can alleviate the pain of patient.Can also accelerate to tighten coming off of part.

See Figure 31,32 and 37, the near-end of inner barrel 422 is provided with the actuation part 423 with drum, and described actuation part 423 can move in body barrel 421, and is provided with the follower 4231 reaching body barrel 421 outside.

The prepuce ring-cutter 400 of the 4th embodiment also comprises fixture, and described fixture is configured to stop location cylindrical shell 411 to move axially relative to body barrel 421.More specifically, see Figure 31,32 and 37, fixture comprises: locating rod 47, and be fixed on the cylindrical shell 411 of location, actuation part 423 can move axially relative to locating rod 47 in the outside of locating rod 47; And installation portion 48, described installation portion 48 is fixed relative to body barrel 411.Locating rod 47 is provided with multiple guiding rib 471, and correspondingly, form multiple guiding groove 4231 in actuation part 423, guiding rib 471 can be attached in corresponding guiding groove 4231, thus stops body barrel 411 to be rotated relative to inner barrel 422.

See Figure 31,34,35 and 39, the near-end of body barrel 421 is provided with and coordinates cylindrical shell 49, described actuation part 423 is slidably disposed on and coordinates in cylindrical shell, and follower 4231 coordinates the slit 491 (Figure 39) on cylindrical shell 49 to stretch out cooperation cylindrical shell 49 by being formed in, and described installation portion 48 is fixed on the near-end of described cooperation cylindrical shell 49.The near-end of actuation part 423 is provided with can at the sliding barrel 4232 coordinating slip in cylindrical shell 49, and described follower 4231 is arranged on sliding barrel 4232.Back-moving spring 4233 is provided with between sliding barrel 4232 and the flange 4211 being formed in body barrel 421 inside.

Driving device comprises: handle 431, and the far-end of described handle 431 is connected with the outer pivot ground of body barrel 421; Connecting rod 432, between the near-end being connected to handle 431 and far-end, the other end of connecting rod 432 is pivotally connected to follower 4231 provided at one of described connecting rod 432.In the alternative embodiment, can sliding barrel be omitted, and follower is connected directly to actuation part.In the interchangeable embodiment of another kind, coordinate cylindrical shell 49 can be integrally formed with body barrel 421.Also can be attached in body barrel 421 by two semicircular body, form the cooperation cylindrical shell with slit.

The operating process of the prepuce ring-cutter 400 according to the 4th embodiment of the present utility model is described below.

First, a part for glans penis is inserted in the location cylindrical shell 421 of prepuce ring-cutter 400, foreskin crossed flange 412 simultaneously and be attached on stayed surface 413, completing the location to glans penis.Afterwards, the near-end of pressing handle 431, handle 431 distally promotes follower 4231 by connecting rod 432, makes sliding barrel 4232 distally promote actuation part 423 and inner barrel 422.

Because locating rod 47 is fixed on fixed part 48, location cylindrical shell 411 does not move relative to body barrel 421; Each actuating arm 4221 on inner barrel 422 inserts between corresponding two juts 443, and guide protrusion 4222 is inserted in slit, thus drives to be placed on and tighten part in slit; Meanwhile, annular cutting knife 46 moves with inner barrel 422, and coordinates with the ring liner 4132 on stayed surface 413 and cut off by foreskin.

Finally, release handle 431, under the driving of elasticity reset device 4233, actuating arm and annular cutting knife 46 can leave stayed surface 413; Whole prepuce ring-cutter 400 is removed from glans penis.

It will be appreciated by those skilled in the art that, embodiment described above is all exemplary, and those skilled in the art can make improvements, independent assortment can be carried out when the conflict of the structure described in various embodiment in not recurring structure or principle, thus on the basis solving technical problem of the present utility model, realize more kinds of positioner.

After detailed description preferred embodiment of the present utility model; those of ordinary skill in the art can clearly understand; various change and change can be carried out under the protection domain not departing from claim of enclosing and spirit, and this utility model is not also limited to the embodiment of examples cited embodiment in description.

Claims (19)

1. for a positioner for prepuce ring-cutter, it is characterized in that, comprising:

Location cylindrical shell, is configured to be enclosed within described glans penis;

Stayed surface, is arranged on the near-end of described location cylindrical shell, is supported on by cut foreskin on described stayed surface, described stayed surface forms multiple forming tank, and described multiple forming tank is arranged with circularizing; And

First protecting film of annular, covers in described forming tank.

2. positioner as claimed in claim 1, it is characterized in that, described stayed surface is provided with ring liner, and described ring liner is arranged on the side of described forming tank.

3. positioner as claimed in claim 2, is characterized in that, form multiple mark part in its surface.

4. positioner as claimed in claim 1, it is characterized in that, described positioner also comprises clamping band, and described clamping band is arranged on the periphery of described location cylindrical shell, in order to crossing described surface-supported covered clamp and be tightened to the outside of described location cylindrical shell.

5. positioner as claimed in claim 4, is characterized in that, location cylindrical shell forms cannelure, and covered clamp is tightened in cannelure by described clamping band.

6. the positioner as described in any one in claim 1-5, is characterized in that, described positioner also comprises multiple hold-down arm, and described hold-down arm is pivotably mounted on the far-end of described location cylindrical shell, and the free end of described hold-down arm is formed with screw thread.

7. the positioner as described in any one in claim 1-5, is characterized in that, described positioner also comprises multiple articulated mounting, and described articulated mounting is arranged on the near-end of described location cylindrical shell, to be combined pivotly by described positioner.

8. the positioner as described in any one in claim 1-5, is characterized in that, the outer wall of described location cylindrical shell is provided with threaded portion.

9. a prepuce ring-cutter, is characterized in that, comprising:

Positioner as described in any one in claim 1-9.

10. prepuce ring-cutter as claimed in claim 9, is characterized in that, also comprise:

Actuating device, comprising:

Main body frame;

Apparatus for ligating, be arranged on described main body frame, and comprise for store multiple tighten part storage device and drive and multiplely tighten the first actuating mechanism that part tightens the multiple blood vessels on oriented foreskin respectively, described storage device is provided with for described the second protecting film tightened part and cushion; And

Device for excising, is arranged on described main body frame, and comprises annular cutting knife; And

Driving device, be rotatably installed on described main body frame, and be configured to drive described apparatus for ligating and device for excising to move in described main body frame, make described in the driving of described apparatus for ligating, to tighten part and tighten described blood vessel and make the annular cutting knife excision of described device for excising comprise by the foreskin of the blood vessel tightened subsequently.

11. prepuce ring-cutters as claimed in claim 10, it is characterized in that, described main body frame comprises:

Body barrel; And

Inner barrel, is arranged on the inner side of described body barrel, forms actuating space between described body barrel and inner barrel, and the near-end of described inner barrel is connected by connecting portion with described body barrel.

12. prepuce ring-cutters as claimed in claim 10, it is characterized in that, described storage device is arranged on the outside of the far-end of described inner barrel;

Described apparatus for ligating also comprises: the first actuating mechanism, is configured for tighten part described in driving and tighten by the blood vessel on the foreskin of locating.

13. prepuce ring-cutters as claimed in claim 12, it is characterized in that, described storage device comprises:

Storage ring, is arranged on the outside of the far-end of described inner barrel; And

Multiple storage hole, be formed in described storage ring, described storage hole is positioned at the outside of the outer wall of described inner barrel in radial directions, described in tighten part and be stored in respectively in described storage hole.

14. prepuce ring-cutters as claimed in claim 13, it is characterized in that, described second protecting film is arranged on described storage ring and covers described storage hole.

15. 1 kinds for the storage device of prepuce ring-cutter, is characterized in that, comprising:

Storage ring, is arranged on the outside of the far-end of described inner barrel; And

Multiple storage hole, be formed in described storage ring, described storage hole is positioned at the outside of the outer wall of described inner barrel in radial directions, described in tighten part and be stored in respectively in described storage hole.And be arranged on described storage ring and cover the second protecting film of described storage hole.

16. 1 kinds of prepuce ring-cutters, is characterized in that, comprising:

Storage device as claimed in claim 15.

17. prepuce ring-cutters as claimed in claim 16, is characterized in that, also comprise positioner, comprising:

Location cylindrical shell, is configured to be enclosed within described glans penis;

Stayed surface, is arranged on the near-end of described location cylindrical shell, is supported on by cut foreskin on described stayed surface, described stayed surface forms multiple forming tank, and described multiple forming tank is arranged with circularizing; And

First protecting film of annular, covers in described forming tank.

18. prepuce ring-cutters as claimed in claim 17, is characterized in that, also comprise:

Actuating device, comprising:

Main body frame;

Apparatus for ligating, is arranged on described main body frame, and comprise for store multiple tighten part storage device and drive and multiplely tighten the first actuating mechanism that part tightens the multiple blood vessels on oriented foreskin respectively, and

Device for excising, is arranged on described main body frame, and comprises annular cutting knife; And

Driving device, be rotatably installed on described main body frame, and be configured to drive described apparatus for ligating and device for excising to move in described main body frame, make described in the driving of described apparatus for ligating, to tighten part and tighten described blood vessel and make the annular cutting knife excision of described device for excising comprise by the foreskin of the blood vessel tightened subsequently.

19. prepuce ring-cutters as claimed in claim 18, it is characterized in that, described storage device is arranged on the outside of the far-end of described inner barrel;

Described apparatus for ligating also comprises: the first actuating mechanism, is configured for tighten part described in driving and tighten by the blood vessel on the foreskin of locating.