A kind of anastomat for circumcision
Technical field
This utility model relates to a kind of surgical operation medical apparatus and instruments, particularly relates to anastomat for circumcision.
Background technology
Redundant prepuce or phimosis are the common reproductive problems of male, along with improving constantly of people's living standard and health perception, have higher requirement to self germ health.Because the diseases such as the phimosis that redundant prepuce causes, urinary tract infection, carcinoma of penis are more and more concerned by people, circumcision operation is the effective ways for the treatment of Redundant prepuce and phimosis.
Current redundant prepuce uses the method for conventional posthetomy and stapler usually, and conventional posthetomy adopts hand cut to sew up, and make the out-of-flatness of foreskin otch, intraoperative hemorrhage is more, and operating time is long.Although existing stapler has the features such as otch is smooth, and operating time is short, easy and simple to handle, but still there is certain defect.Although existing anastomat for circumcision kind is many, but majority is Dual Action handle arrangement, need after having pulled the trigger manually to pull open two flexible handles, just can make in cutting knife retraction nail bin, this makes troubles to doctor's operation, and because operating force is difficult to control, considerably increase the risk that cutting knife accidentally injures patient and doctor.
Therefore design one and can complete cutting and stitching by a hands, and can automatically reset, novel anastomat for circumcision that security performance is high, be the current technical issues that need to address of those skilled in the art.
Summary of the invention
The technical problem to be solved in the present invention there is provided a kind of anastomat for circumcision adopting single flexible handle structure, one hand can complete cutting and stitching operation, can solve and pull the trigger rear flexible handle and automatically reset and make the problem of cutting knife automatic retraction nail bin simultaneously, while doctor provides convenient operation, reduce the risk that cutting knife accidentally injures patient and doctor.
In order to solve the problems of the technologies described above, this utility model provides a kind of anastomat for circumcision, comprises housing; Relative to the flexible handle that described housing into rotation connects; Described housing distal is provided with nail bin groupware, and inside is axially installed with push rod; The near-end of described push rod is provided with adjusting nut, the far-end of described push rod is connected with spill seat through nail bin groupware, described flexible handle is arranged at the side of described housing, and is connected with described push rod contact, is provided with back-moving spring between described housing and described flexible handle.
Preferably, the nail storehouse sleeve that described nail bin groupware comprises hollow structure and the nail bin be installed on described nail storehouse sleeve, in described nail bin, anastomosis staple is installed, the near-end of described nail bin is provided with relative to nail bin slidably pushing slice of nail, be fixed with endless knife inside described pushing slice of nail, the centrage of described nail storehouse sleeve, described nail bin, described pushing slice of nail, described endless knife all overlaps with the centrage of described housing.
The anastomat for circumcision that this utility model provides, also comprises pushing block, and described pushing block is socketed on described push rod, and is fixedly connected with described pushing slice of nail.
More preferably, described pushing slice of nail is provided with draw-in groove, described pushing block is also provided with the elastic projection with pocket matches clamping.
More preferably, described pushing slice of nail is provided with elastic projection, described pushing block is also provided with the draw-in groove with the clamping of elastic projection coupling.
More preferably, described pushing block is provided with the groove with described push rod Matching installation, and described pushing block vertically both sides arranges holding tank respectively, and described holding tank can hold the first end of described flexible handle.
More preferably, the first end of described flexible handle adopts curved edge in described holding tank near-end corresponding position.
Preferably, described flexible handle is connected with described housing by bearing pin.
Preferably, described back-moving spring is torsion spring.
More preferably, described flexible handle has inside groove, and the sidewall of described inside groove side is provided with projection, and described torsion spring has first paragraph and second segment, pin or the limited step of the first paragraph of described torsion spring and the interior setting of described housing offset, and described second segment and described projection offset.
Preferably, described push rod and described spill seat are structure as a whole.
The anastomat for circumcision that this utility model provides, owing to arranging the single flexible handle for pulling the trigger in device body side, be convenient to doctor's one hand and complete cutting and stitching operation, after having pulled the trigger, flexible handle and cutting knife can automatically reset to initial position, without the need to manually pulling open, make doctor's handling safety, easily and fast.
Accompanying drawing explanation
The structural representation of the anastomat for circumcision that Fig. 1 provides for this utility model embodiment;
The flexible handle structural representation that Fig. 2 provides for this utility model embodiment;
The torsion spring structural representation that Fig. 3 provides for this utility model embodiment;
The flexible handle structural representation being provided with torsion spring that Fig. 4 provides for this utility model embodiment;
The pushing block structural representation that Fig. 5 provides for this utility model embodiment;
The pushing slice of nail structural representation that Fig. 6 provides for this utility model embodiment;
The pushing slice of nail that Fig. 7 provides for this utility model embodiment and pushing block mounting structure schematic diagram;
The anastomat for circumcision that Fig. 8 provides for this utility model embodiment is cross-sectional view when original state;
Anastomat for circumcision cross-sectional view when percussion completes that Fig. 9 provides for this utility model embodiment.
Detailed description of the invention
Understand the technical solution of the utility model better to make those skilled in the art can be implemented, below in conjunction with the drawings and specific embodiments, the utility model is described in further detail, but illustrated embodiment is not as to restriction of the present utility model.
This utility model provides a kind of anastomat for circumcision, as shown in figs 1-9, comprises housing 1; Relative to the flexible handle 2 that described housing 1 is rotationally connected; Described housing 1 far-end is provided with nail bin groupware 4, and inside is axially installed with push rod 5; The near-end of described push rod 5 is provided with adjusting nut 6, the far-end of described push rod 5 is connected with spill seat 3 through nail bin groupware 4, described flexible handle 2 is arranged at the side of described housing 1, and is connected with described push rod 5 contact, is provided with back-moving spring between described housing 1 and described flexible handle 2.
Refer to shown in Fig. 8-9, the nail storehouse sleeve 41 that described nail bin groupware 4 comprises hollow structure and the nail bin 42 be installed on described nail storehouse sleeve 41, in described nail bin 42, anastomosis staple is installed, described nail bin 42 near-end is provided with pushing slice of nail 43, and contact with described nail bin 42, described pushing slice of nail 43 far-end and described anastomosis staple contact, also be fixed with the endless knife 44 for cutting and organizing inside described pushing slice of nail 43, the centrage of described nail storehouse sleeve 41, described nail bin 42, described pushing slice of nail 43, described endless knife 44 all overlaps with the centrage of described housing 1.During percussion, described pushing slice of nail 43 is subject to the driving of percussion force, pushing slice of nail 43 releases the anastomosis staple be arranged in described nail bin 42, spill seat 3 in the nail supporting base nail groove arranged extrude compacted under, the endless knife 44 be simultaneously fixed in described pushing slice of nail 43 is also pulled the trigger, and completes cutting and the stitching of tissue.
Above-mentioned anastomat for circumcision also comprises pushing block 8, specifically refers to shown in Fig. 5-7, and described pushing block 8 is socketed on described push rod 5, and is fixedly connected with described pushing slice of nail 43.
Preferably, the afterbody of described pushing slice of nail 43 is provided with draw-in groove 431, described pushing block 8 is also provided with the elastic projection 83 mating clamping with described draw-in groove 431, also elastic projection or dovetail groove can be set at the afterbody of described pushing slice of nail 43, and coordinate the one end of installing that the draw-in groove of coupling clamping is set with described pushing slice of nail 43 on described pushing block 8.
Preferably, the afterbody of described pushing slice of nail 43 is provided with a pair draw-in groove 431, described pushing block 8 arranges the elastic projection matched with it for a pair, described pushing slice of nail 43 and described pushing block 8 is made removably to be fixedly mounted in housing 1, anatomical connectivity good stability, the connected mode of described pushing slice of nail 43 and described pushing block 8 can also adopt other modes, as long as can to ensure and this dismountablely connects.
Described pushing block 8 is provided with the groove 81 with described push rod 5 Matching installation, described pushing block 8 vertically both sides arranges holding tank 82 respectively, described holding tank 82 can hold the first end 21 of described flexible handle 2, the first end 21 of described flexible handle 2 adopts curved edge in described holding tank 82 near-end corresponding position, and such setting can make the first end 21 of described flexible handle 2 that the rotation of certain angle occurs in holding tank 82.
Preferably, described holding tank 82 is the cell body of up/down perforation.
Specifically refer to shown in Fig. 2-4, the flexible handle 2 of above-mentioned anastomat for circumcision is connected with described housing 1 by bearing pin 22.Described flexible handle 2 has inside groove, the sidewall of described inside groove side is provided with protruding 23, described torsion spring 7 has first paragraph 71 and second segment 72, the pin 11 arranged in described first paragraph 71 and described the housing 1 or limited step be arranged in housing 1 offsets, the second segment 72 of described torsion spring and described protruding 23 offsets, concrete, the first paragraph 71 of described torsion spring is against the bottom of described pin 11 or limited step, and described second segment 72 is against the described top of protruding 23.
Preferably, described back-moving spring can select torsion spring or leaf spring.
During operation technique, first spill seat 3 and stiching instrument housing 1 are separated, after spill seat 3 has covered glans penis, by spill seat 3 location and installation in the nail storehouse sleeve 41 of stiching instrument housing 1 head, concrete, because described spill seat 3 is fixedly connected with the push rod 5 in nail storehouse sleeve 41, by the adjusting nut 6 of adjustment housings afterbody, screw adjusting nut 6, clamp suture tissue to be cut to suitable thickness, open apparatus insurance, hold flexible handle 2, flexible handle 2 rotates counterclockwise, back-moving spring is by flexible handle 2 twist compression, flexible handle 2 rotates around bearing pin 22, the pushing block be slidably arranged on push rod 5 is subject to the driving of flexible handle 2, move along push rod 5 to apparatus far-end, and then drive the pushing slice of nail 43 be connected with described pushing block 8 to pull the trigger anastomosis staple, release endless knife 44 simultaneously and cut off tissue, complete cutting and the stitching of tissue.
Unclamp flexible handle 2, flexible handle 2 is by being promoted by the back stretch of compression reseting spring, rotate clockwise, the first end 21 of flexible handle 2 pulls push rod 5 proximally rollback simultaneously, described push rod 5 pulls pushing slice of nail 43 and endless knife 44 rollback, and flexible handle 2 and endless knife 44 are returned to initial position.
Near-end herein, far-end limited according to industry practice, and be namely near-end from person close to doctor during operation, opposite end is far-end.
The above embodiment is only that its protection domain is not limited thereto in order to absolutely prove the preferred embodiment that this utility model is lifted.The equivalent alternative or conversion that those skilled in the art do on this utility model basis, all within protection domain of the present utility model, protection domain of the present utility model is as the criterion with claims.