CN204337012U - Remover - Google Patents

Abstract

This utility model relates to a kind of remover for anastomat for circumcision (100), described remover (100) comprising: the handle (101), the launched portion (102) be arranged on one end of handle (101) that form remover (100) main body, and the portion of ticking (103) be arranged on the other end of handle (101), described launched portion (102) has the shape of rounding, to be suitable for pushing scar open, and described in tick portion (103) there is hook-like shapes.Utilize according to remover of the present utility model (100), the adhesion of scar and pad first can be pushed open by launched portion (102), pad in outer annular recess is ticked again with ticking portion (103), to take advantage of a situation cut-out pad, remove foreskin after pad to be separated union space completely with internal ring and to increase, use launched portion (102) to be pushed out of outside internal ring by otch again, easily remove the quotient ring thus and alleviate the pain of dismounting.

Description

Remover

Technical field

This utility model belongs to and relates to medical apparatus and instruments, is specifically related to a kind of remover for anastomat for circumcision.

Background technology

Redundant prepuce or phimosis are one of roots of male urinary system and sexually transmitted disease (STD), and redundant prepuce or phimosis can cause urinary tract infection, thus cause the diseases such as chronic prostatitis.Therefore, long foreskin is removed or phimosis is one of measure preventing this disease.

Foreskin or the phimosis of reset procedure need open surgery in early days, but operation can produce the edge of a knife, bleeds, pain etc.

In order to reduce patient's misery, and eliminate the problems referred to above, Peng [Peng YF in 2008, Cheng Y, Wang GY, et al.Clinical application of a new device for minimally invasive circumcision.Asian J Androl.2008,10 (3): 447-54] etc. first describe and carry out posthetomy with anastomat for circumcision (below referred to as " quotient ring ").Subsequently, this apparatus is extensively promoted.Its advantage be operating time short, go out insufficiency of blood, incisxal edge healing neat appearance, not easily to infect, the postoperative complication such as hematoma, without the need to suture, take out stitches, the harmful effect that noresidue the end of a thread causes; Can directly appear inner panel and frenulum, the situation such as there will not be frenulum too short.

But the outstanding problem that it exists removes internal ring difficulty, pain, have impact on patient to the acceptance of this art and satisfaction (see Wu X, Wang Y, Zheng J, et al.A report of 918cases of circumcision with the Shang Ring:comparison between children and adults.Urology.2013,81 (5): 1058-63; Disposable circumcision suture device:clinical effect and patient satisfaction; Hatzold K, Mavhu W, Jasi P, et al.Barriers and Motivators to Voluntary Medical Male Circumcision Uptake among Different Age Groups of Men in Zimbabwe:Results from a Mixed Methods Study).In practice, existing clinician has carried out method improvement to postoperative ring of tearing open, as see Wu [Wu X, Wang Y, Zheng J, et al.A report of 918cases of circumcision with the Shang Ring:comparison between children and adults.Urology.2013,81 (5): 1058-63] etc., where it is proposed as reducing pain, the Best Times tearing ring open was postponed to 2 weeks.But there are handicapped, edema, skin friction and pain etc. during patient's band, affect the therapeutic effect of patient.

As the improvement to above-mentioned anastomat for circumcision, in No. 201110219810.2, Chinese patent ZL, propose a kind of anastomat for circumcision.This anastomat for circumcision comprises internal cutting ring, outer cut ring and cutting blade etc., and cutting blade is arranged on inside outer shroud between cut ring and internal cutting ring outside.In use, long foreskin can be clamped between internal cutting ring and outer cut ring, and utilizes cutting blade cutting.This patent document all combines therewith by reference.

In the periphery of internal cutting ring, be formed with groove, the both sides of groove are provided with flange, with the silicone rubber pad arranged in detent.By arranging silicone rubber pad, to reduce foreskin and the adhesion of internal cutting ring.

Ring method is torn open for this type of anastomat for circumcision, is generally: after removing outer shroud, the flange of groove side is crossed in incrustation together with foreskin and releases internal ring.In this process, there are the following problems: 1. need otch to cross the flange of internal ring during extrapolation, certainly will cause pain by tractive otch; 2. incrustation, hemorrhage and internal ring adhesion, release difficulty; 3. foreskin otch incrustation contracture, tractive can cause the tearing of otch, cicatrix, hemorrhage, and easily causes infection.

Therefore, how to reduce and tear ring pain open, shorten and tear the ring time open and convenient dismounting is this type of circumcision stapler problem anxious to be resolved.

Utility model content

Pain during in order to overcome foreskin postoperative dismounting internal ring and difficulty, according to this utility model, propose a kind of novel remover, this remover comprises: the handle, the launched portion be arranged on one end of handle that form remover main body, and be arranged on the other end of handle ticks portion, described launched portion has the shape of rounding, to be suitable for pushing scar open, and described in the portion of ticking there is hook-like shapes.

Utilize according to remover of the present utility model, launched portion can be utilized to push scar open, to expose pad, and described in utilizing, pad is ticked in the portion of ticking.

Preferably, described in the portion of ticking comprise the link and relative free end that are connected with handle, described free end is formed as tip.Utilize this tip, pad can be ticked more easily.

Preferably, thread line of cut is set between described free end and the described close handle side ticking portion.Described line of cut is fine rule or tinsel, particularly medical fine rule or tinsel.

Preferably, described in the portion of ticking be a part for annulus, and be preferably 3/4ths parts of annulus, the external diameter of described annulus is approximately 2cm, and internal diameter is approximately 1.7cm.

Preferably, described in tick the inner side in portion, from described tip, described link is provided with blade, and preferably, the width of described blade is 3mm.Utilize this blade, while ticking pad, pad can be cut off, avoid more apparatuses such as needing shears.

Preferably, described launched portion is toroidal, and the external diameter of described annulus is 1cm, and internal diameter is 9.2mm.

Preferably, described handle is rectangular cross section, and this is rectangular is of a size of 11mm × 4mm.

Preferably, described remover forms.

Utilize according to remover of the present utility model, the adhesion of scar and pad first can be pushed open by launched portion, again with ticking portion, and the pad in the outer annular recess of the quotient ring is ticked in the tip especially ticking portion, take advantage of a situation with the sword cut-out pad ticking portion, remove foreskin after pad to be separated union space completely with internal ring and to increase, then by launched portion, otch is pushed out of outside internal ring, thus the easily dismounting quotient ring alleviate the pain of dismounting.Utilize remover of the present utility model, " push away, hook, cut, push away " action of above-mentioned demolishing process can have been linked up by a hands remover, without the need to repeatedly changing apparatus, does not also need the more apparatuses such as shears.

Accompanying drawing explanation

Feature of the present utility model, advantage and technology and industrial progress will from being able to better understanding to detailed description of the preferred embodiment of the present utility model with reference to the accompanying drawings, in figure:

Fig. 1 is the schematic diagram of an embodiment of anastomat for circumcision of the prior art; And

Fig. 2 is the structure chart of this utility model remover.

Detailed description of the invention

Before detailed description remover of the present utility model, first with reference to Fig. 1, anastomat for circumcision of the prior art is described.

As shown in Figure 1, described in No. 201110219810.2nd, Chinese patent, anastomat for circumcision comprises: for the outer shroud 44 that cuts and clamp and the internal ring 45 for overlapping foreskin, the outer surface of described internal ring 45 is provided with at least one circle groove 46, the surface of described groove 46 is set with elastomeric pad, that is, silicone rubber pad 48, the both sides of groove 46 have flange (mark), and be provided with at least one circle edge of a knife 78 inside described outer shroud 44.

In use, first by inner ring sleeve on penis, and make to translate into outside internal ring 45 outside long foreskin, and outer shroud 44 is enclosed within internal ring 45, thus, long foreskin can be sandwiched between internal ring and outer shroud, and utilizes the edge of a knife 78 arranged inside outer shroud 44 to excise.

In the process of removing anastomat, first, remove outer shroud 44, then, the foreskin turned up in the groove 46 of internal ring 45 extrapolation is crossed the flange of internal ring, then internal ring 45 is taken off.

But, in above-mentioned demolishing process, there is following problem, that is: 1, when flange crossed by foreskin of extrapolating, certainly will tractive otch and cause pain; 2, wound likely form a scab, hemorrhage and adhere with internal ring, and especially to adhere with the elastomeric pad of internal ring, cause and release difficulty, if released by force, larger misery certainly will be caused; 3. foreskin otch incrustation contracture, tractive can cause the tearing of otch, cicatrix, hemorrhage, and easily causes infection.In order to overcome the problems referred to above, according to this utility model, provide a kind of remover.Referring to Fig. 2, describe in detail according to remover of the present utility model.

Remover 100 constructs for integral type and is elongated shape, comprises elongated handle 101, and an end of this handle 101 is provided with launched portion 102, and the end relative with described launched portion 102 of handle 101 is provided with the portion of ticking 103.Described remover 100 can by medical material, as 304 rustless steels are made.The handle of remover 100 has rectangular cross section, and the size of this cross section is such as: long 11mm, wide 4mm, hand-held to facilitate, but this utility model is not limited thereto, handle can have the cross section of any suitable shape, as oval, square, polygon etc.

Described launched portion 102 is the shape of rounding, such as, for circular, oval, avette etc., and such as has center drilling, and is formed as ring-type.In the embodiment shown in figure 2, launched portion 102 is toroidal, and the external diameter of this annulus is such as 1.0cm, and internal diameter is such as approximately 9.2mm.Except with except handle connected component, the cross section of the launched portion of this annular is that diameter is approximately 0.8mm circle.

Described portion 103 of ticking is for hook-like shapes, and such as this hook-like shapes is a part for annulus.The external diameter of this annulus is about 2.0cm, and internal diameter is about 1.7cm, and ticking portion 103 is such as that 3/4ths rings lack, and one end is connected with handle, and the other end is free end.The end of this free end is the tip 104 of taper, is about 3m.Further, inside the annulus that this ticks portion 103, tick the part that portion 103 is connected with handle be provided with blade 105 from the tip that this ticks the free end in portion 103 to this, this blade 105 forms sharp blade, so that cutting.The width of this blade 105 in the radial direction of this annulus is such as about 3mm.Optionally, thread line of cut is set between described free end and the described close handle side ticking portion 103, is similar to the appearance of dental floss.Described line of cut is fine rule or tinsel, particularly medical fine rule or tinsel, thus also can not arrange tip 104.

Application " quotient ring " row is peritomized postoperative, first, removes outer shroud, removes outer shroud and traditional skid plate can be utilized to pry open outer shroud snap close and remove outer shroud thus; Secondly, utilize the launched portion 102 of remover to touch foreskin, to be separated with the silicon rubber pad in outer annular recess by foreskin otch, and expose the pad 48 (step " pushes away ") of internal ring; Again, utilize the tip 104 in the portion of ticking 103 of remover 100 to tick pad 48 (step " hook), and utilize the blade 103 ticked inside portion 103 to cut off pad 48 (step " is cut ") thereupon; Again, the pad pull-out will cut off; Then roundlet is utilized the foreskin be separated with internal ring to be pushed through the flange (step " pushes away ") of internal ring; And last, remove internal ring, such as, with Special scissors, internal ring can be taken off.

Remove utilizing remover of the present utility model " quotient ring " process in, due in demolishing process, pad is removed, and between internal ring and foreskin, adhesion disappears, and space between the two increases.During extrapolated foreskin, the tractive of foreskin otch is reduced, pain relief.Such patient more easily coordinates, and can remove foreskin internal ring faster simultaneously.

Remove in the process of " quotient ring " utilizing remover of the present utility model, the adhesion of scar and pad is first pushed open by the rounded ends of launched portion 102, the pad in outer annular recess is ticked again with the tip ticking portion, take advantage of a situation with the blade cut-out pad ticked inside portion, remove foreskin after pad to be separated union space completely with internal ring and to increase, with roundlet far-end, otch is being pushed out of outside internal ring." push away, hook, cut, push away " action of above-mentioned demolishing process can have been linked up by a hands remover, without the need to repeatedly changing apparatus, does not also need the more apparatuses such as shears.

The not easily adhesion of the silicon rubber pad of inner panel and foreskin.Because external force disappearance pad resiles automatically after removing outer shroud, be easily separated with foreskin and easy tear fracture.Utilize remover of the present utility model, cicatrix of can easily extrapolating, to appear pad, to be ticked, from disconnected pad in inner groove, and takes out pad.The space enlargement of internal ring and foreskin after taking-up pad, like this, the more easy also pain relief when crossing the flange of internal ring to extrapolation scar tissue and foreskin, this is because pushed away the opposite side of tissue and both sides tissue can move freely most recess to internal ring, for by the activity space pushing away tissue and provide larger, two is that when extrapolating incisxal edge, the tractive degree of cicatrix reduces, and pain relief, hemorrhage and tongue tear chance reduces.Further, utilize according to remover of the present utility model, above-mentioned multiple step does not need to change multiple apparatus, only needs an apparatus to carry out above-mentioned " push away, hook, cut, push away " sequence, just can remove internal ring by fast dismantling.

Therefore, the beneficial effects of the utility model are: be 1. separated internal ring and foreskin otch by remover, tractive is few, and the space after involving internal ring pad between foreskin otch and internal ring increases, and tractive when decreasing ring flange in releasing tears pain; 2. the action of above-mentioned " push away, hook, cut, push away " has linked up in a hands, and without the need to frequently changing apparatus, the time of removing is shorter; 3. pain relief, patient can better coordinate, and is beneficial to " quotient ring " and overcomes current application drawback, be both conducive to the acceptance of patient, be also beneficial to application and the popularization of doctor; 4. the time of removing obviously shortens, and the time is about the half of previously method for dismounting.

Although describe this utility model by means of preferred implementation, scope of the present utility model is not limited thereto.Such as, remover can comprise multiple independent part, and fits together.Such as, the handle of remover and launched portion can be the integrative-structures that plastics are made, and portion of ticking can be by metal, and as rustless steel is made, the two is assembled into together after making; Or launched portion, to tick portion and handle be all the part manufactured separately, and then such as utilization is threaded, welds, bonding etc. to connect together.

In addition, although in the description of this utility model preferred implementation above, launched portion is annular shape at plane graph, but this utility model is not limited thereto, but any shape can be adopted, such as ellipse, track type, polygon etc., and also can for solid shape and other than ring type, such as spherical etc., as long as this launched portion does not comprise wedge angle to prevent scratch patient tissue.Similarly, the portion of ticking also need not be confined to a part for above-described annulus, but can be any shape, as long as this portion of ticking has tip to tick pad.In addition, blade is not necessary, and independent shears, scalpel etc. also can be utilized to cut off by the pad ticked.

Therefore, description is above only illustrative, and does not form restriction of the present utility model, and scope of the present utility model is limited only by the accompanying claims.

Claims (12)

1. the remover for anastomat for circumcision (100), it is characterized in that, described remover (100) comprising: the handle (101), the launched portion (102) be arranged on one end of handle (101) that form remover (100) main body, and the portion of ticking (103) be arranged on the other end of handle (101), described launched portion (102) has the shape of rounding, to be suitable for pushing scar open, and described in tick portion (103) there is hook-like shapes.

2. remover (100) as claimed in claim 1, it is characterized in that, described portion (103) of ticking comprises the link and relative free end that are connected with handle (101), and described free end is formed as tip (104).

3. remover (100) as claimed in claim 2, is characterized in that, described in tick portion (103) inner side, described tip (104) are provided with blade (105) to described link.

4. remover (100) as claimed in claim 3, it is characterized in that, the width of described blade (105) is 3mm.

5. the remover (100) according to any one of Claims 1-4, is characterized in that, described in tick the part that portion (103) is annulus.

6. remover (100) as claimed in claim 5, it is characterized in that, a part for described annulus is 3/4ths parts of annulus.

7. remover (100) as claimed in claim 5, it is characterized in that, the external diameter of described annulus is 2cm, and internal diameter is 1.7cm.

8. the remover (100) according to any one of Claims 1-4, is characterized in that, described launched portion (102) is toroidal.

9. remover (100) as claimed in claim 8, it is characterized in that, the external diameter of described annulus is 1cm, and internal diameter is 9.2mm.

10. the remover (100) according to any one of Claims 1-4, is characterized in that, described remover (100) forms.

11. removers (100) as claimed in claim 1, it is characterized in that, described portion (103) of ticking comprises the link and relative free end that are connected with handle (101), between described free end and described close handle (101) side ticking portion (3), arrange thread line of cut.

12. removers (100) as claimed in claim 11, it is characterized in that, described line of cut is fine rule or tinsel.