CN206587000U - A kind of prepuce cutting stitching instrument - Google Patents

Abstract

The utility model is related to a kind of interior keeper on foreskin shaping stapler, its resist-nailed seat and outside fix part coordinates positioning foreskin, patient can hand-held resist-nailed seat upset foreskin observation frenulum position on the other hand, positioning adjustment frenulum avoids it from entering cutting area；Endless knife cutting foreskin is pushed, nail-pushing part is pushed and pushes suturing nail to follow closely groove；When suturing nail nail is on foreskin, suturing nail is located in pad side, side stable position on pad where suturing nail, opposite side can coordinate with the erection of penis to be stirred, reduce the pressure between suturing nail and skin, asymmetrical pad causes suturing nail closer to otch, and during telotism under the unilateral pad lever force prying and pulling effect away from otch, suturing nail is easier to cut from notching edge.Myometrial suture spike condition is observed when outer keeper is not released after the completion of cutting suture, is released after ensuring that all suturing nail stitchings are firm, if can carry out releasing again after remedying suture in the presence of non-stickfast situation, it is to avoid intraoperative hemorrhage risk.

Description

A kind of prepuce cutting stitching instrument

Technical field

The utility model is related to a kind of medicine equipment, more particularly, to a kind of prepuce cutting stitching instrument.

Background technology

Redundant prepuce or phimosis are the common reproductive problems of male.As people's living standard and the continuous of health perception carry Height, higher requirement is proposed to self germ health.Redundant prepuce is easily sheltered evil people and countenance evil practices, and causes penis foreskin inflammation, influence Normal love life, and increase the chance that sexual partner suffers from Cervicitis and cervical carcinoma.Circumcision operation is treatment foreskin mistake The effective ways of long and phimosis.Current redundant prepuce is generally using conventional circumcision and the method for stapler.It is conventional Circumcision, is sutured using hand cut, easily causes foreskin otch out-of-flatness, and intraoperative hemorrhage is more, and operating time is long.It is existing Although stapler have that otch is smooth, operating time is short, it is easy to operate the characteristics of, but still there is certain defect.

The cutting suturing skill of existing stapler, due to the important features such as bridle of prepuce can not be accurately controlled, The damage of said structure is easily caused, operation can not be standardized, cause postoperative frenulum to offset, too short or long, influence operation is outer See.The cutting suturing skill of device is stitched in existing cutting in addition, and suturing nail is monomer structure, and it is after stitching work is completed, suture Nail bends to form snap ring lock ring tissue；But penis is different from other body parts, penis can erect often makes suturing nail place Tissue oppressed；Over time, tissue meeting ischemic necrosis, suturing nail can be absorbed in cutting prepuce tissues, cause group Knit damage and postoperative scar is formed；Suturing nail is absorbed in tissue, by tissue encapsulation de- nail can be caused difficult, and the shadow because of cicatrization Outward appearance is rung, it is uncomfortable that patient understands shouting pain.Although in the prior art, also there is suturing nail to coordinate symmetrically arranged pad, when erecing, Two side uniform forces of pad all can produce compressing to skin, skin histology is sustained damage and form scar, influence outward appearance, Pain, and the abjection of the symmetrical inconvenient later stage suturing nail of pad meeting are brought to patient.The hemostasis skill of existing stapler Art, nail spacing is excessive, easily causes blood vessel missing nail, cause in art and postoperative hemorrhage or hemotoncus complication.On the other hand it is existing Prepuce cutting stitching instrument, which exists, can not look at down the accurate location for seeing bridle of prepuce straight in art, preputial excision it is how many also without Method accomplish it is preoperative being accurately positioned and fixed, cause the risk for cutting damage frenulum in art by mistake higher；Foreskin can not reliably be consolidated in art Surely inner and outer plates relative position is caused easily to shift, postoperative easy generation frenulum skew, glans penis axial-rotation deformity；Circumcision mistake It is many or very few cause the defects such as postoperative influence is erected or outward appearance is dissatisfied.

Utility model content

The purpose of this utility model is to overcome the deficiencies in the prior art to be reduced there is provided one kind in art or postoperative hemorrhage, is improved Foreskin suture comfort level, reduces and is oppressed when erecing, and is easy to de- nail, reduces postoperative scar and is formed, and can look at lower adjustment straight Bridle of prepuce position is positioned, the preputial length of pre-cut is adjusted, and carries out good spacing fixation, operation is advantageously reduced Risk, increase operation safety, raising surgical quality so that operation is more standardized, operates repeatable enhanced foreskin to cut Slot clutch.

The utility model uses following technical scheme：A kind of prepuce cutting stitching instrument, including endless knife, ejector pin body, nail bin, Resist-nailed seat and outside fix part, resist-nailed seat include resist-nailed seat body, glans penis accommodating chamber, nail groove and interior keeper, resist-nailed seat body tool There are inner chamber and outer wall, inner chamber caves inward to extend for one end sets a circle to follow closely groove, glans penis appearance on the glans penis accommodating chamber formed, outer wall Keeper in formation on the outer wall received between chamber and nail groove；Endless knife is arranged at the inside of ejector pin body, ejector pin body, nail bin, to nail Seat is set gradually, and screw position is set on nail bin, and the side of screw position is provided with load pad storehouse, and nail groove is relative with screw position, load pad storehouse It should set, the projected position of the suturing nail in screw position is located at the inner side for carrying pad storehouse, carry and unilateral pad nail piece is set in pad storehouse； Glans penis is placed in glans penis accommodating chamber and foreskin is turned into resist-nailed seat body outer wall when using, and bag is waled from outside by outside fix part Skin, outside fix part is positioned at interior keeper position and foreskin is positioned, and nail bin is positioned to the foreskin of resist-nailed seat body outer wall, ring Shape knife and ejector pin body are pushed to nail groove, endless knife cutting foreskin, and ejector pin body pushes away the suturing nail in screw position and unilateral pad nail piece To nail groove；Suturing nail is followed closely on foreskin, and suturing nail is located in one where suturing nail on unilateral pad nail piece side, unilateral pad nail piece Opposite side can coordinate with the erection of penis and stir on side stable position, unilateral pad nail piece.

As an improvement, the neck and card of mutual cooperation are respectively arranged with the opposite face of interior keeper and outside fix part Card rib is spacing by the both sides cell wall of neck when rib, interior keeper and outside fix part coordinate positioning, while foreskin is by neck and card rib The rugosity space of formation is spacing.

As an improvement, circlewise, outside fix part is the positioning arc of multisection type or the one-part form of elasticity to outside fix part, The positioning arc of multisection type is sequentially connected the most two ends formation opening that connects and around junction folding, can position arc, at opening Positioning arc end is respectively arranged with the upper buckle and lower buckle for being engaged engaging, the multistage positioning arc formation domain after engaging；On Buckle and the opposite outside of lower buckle are provided with the clutch handle for people's operation, and two clutch hands are operated when passing through opposition Handle season upper buckle and the separation of lower buckle.

As an improvement, when outside fix part, which is positioned at interior keeper position, wales foreskin from outside, interior positioning There is the foreskin after the order positioning of gap between part and outside fix part and do position adjustment.

As an improvement, resist-nailed seat is also another including being connected on resist-nailed seat body relative glans penis accommodating chamber relative position The polygon prism shape connecting bridge at end, interior keeper is arranged on the periphery of glans penis accommodating chamber open at one end on resist-nailed seat body；Resist-nailed seat The confession people observation glans penis of at least one insertion glans penis accommodating chamber and the visual window of foreskin position are offered on body.

As an improvement, in addition to main support and handle are fixedly installed in main support mobilizable in nail bin, main support Endless knife and ejector pin body are set, and handle is rotatably arranged on main support and penetrates main support and is linked with ejector pin body；Hand Handle includes outer pivoted arm and interior push arm, and outer pivoted arm and interior push arm are rotatably arranged on main support by the rotating shaft at middle part, rotating shaft Upper setting torsion spring, torsion spring coordinates with outer pivoted arm, main support, and interior push arm is two, and two interior push arms are stretched into symmetrically to be set on ejector pin body That puts pushes away in groove；Back-moving spring is provided with main support, back-moving spring coordinates with the block piece set on ejector pin body, and ejector pin body is forward Block piece compression reseting spring when movable, when removing the power on ejector pin body, back-moving spring drives ejector pin body to reset；Push away the bottom land of groove A projection is provided with, when interior push arm and the bottom land for pushing away groove offset and when rotating by projection, ejector pin body is returned by the power of back-moving spring Bullet prompting ejector pin is in place.

As an improvement, collision piece is additionally provided with main support and spring is contradicted, collision piece and conflict spring are engaged On main support, offseted compression conflict spring when resist-nailed seat is fitted into main support with collision piece, and the distal end of resist-nailed seat is worn Go out main support and removably set one to lock the locking mark window set on main support in button, locking button screwing operations to determine The position of collision piece；It is additionally provided with main support on rotation fastener, outer pivoted arm and is provided with stuck point, when rotation fastener is against at stuck point When, outer pivoted arm is limited.

As an improvement, nail groove is set in arranged in parallel in a circumferential direction, and the spacing between adjacent nail groove is respectively less than Equal to 1.0mm, and it is all higher than being equal to 0.4mm；The setting in screw position and load pad storehouse is corresponding with nail groove.

As an improvement, screw position, which has, is located at the stopper slot that location slit dowel nail pin is carried out in both sides, the projection of stopper slot Position is located in the inner side for carrying pad storehouse, screw position by the spacing setting suturing nail of stopper slot；Carrying pad storehouse includes carrying nail pad chamber side With sled nail pad chamber side, carry nail pad chamber side and be correspondingly arranged with stopper slot on projected position, sled nail pad chamber side, which is located at, carries nail pad chamber side Outside；Unilateral pad nail piece includes the load nail portion being wholely set and sled nail portion, carries nail pad chamber side and sled nail pad chamber side and accommodates respectively Nail portion and sled nail portion are carried, carries and suturing nail is worn in nail portion, prizes nail portion to stir side；After suturing nail nail is on foreskin, nail portion is prized Towards radix penis part；Nail portion stress is prized in telotism to be overturn to cut-out direction.

As an improvement, screw position and load pad storehouse are set close to nail bin inwall, and formation is axially passed through on nail bin inwall Logical opening port.

The beneficial effects of the utility model：The prepuce cutting stitching instrument is applied to the suturing nail of unilateral pad, and nail bin is set The good screw position for accommodating suturing nail and pad nail piece and pad storehouse is carried, and the stopper slot where suturing nail in screw position is reasonable Be arranged on the load pad inner side in storehouse hole, the load nail pad for being limited in pad nail piece side can be arranged when suturing nail is pushed out nail bin Upper to form unilateral pad pattern, then penetrating needs the prepuce tissues of stitching, through following closely the shaping of falling pin of groove on nail-plate, clamps stitching Foreskin so that pad nail piece is located between prepuce tissues and suturing nail.The roomy area of pad can keep good with skin histology Good is engaged, and unilateral pad reduces pressure of the original suturing nail to skin histology, and suturing nail cutting can be prevented to be absorbed in Tissue, and by tissue encapsulation；Nail bin and nail-plate, which coordinate, compresses foreskin, is pressed in by unilateral pad and suturing nail on the outside of otch, annular Knife carries out foreskin cutting, can effectively reduce in art or postoperative hemorrhage；The shape of ejector pin body and nail bin and unilateral pad, suture Nail is adapted, and improves the stability of ejector pin and pushing pad piece, and the stitching mode directly pushed away ensures that the unilateral pad of a circle and suturing nail are steady Release and stitching；After the suturing nail of unilateral pad is followed closely on foreskin, when penis hyperemia is erected, unilateral pad nail piece can keep with Skin histology being engaged well, so as to reduce the pressure between suturing nail and skin histology when erecing, improves patient's Comfort level, while the pressure of suturing nail is undertaken by the unilateral of pad during telotism, and the penis erected is to unilateral pad Follow closely sector-meeting and produce outside pushing force, the strength to notching edge lever prying and pulling is produced to suturing nail, due to asymmetrical Pad causes the nail frame part of suturing nail closer to otch, to be followed closely in unilateral pad under the prying and pulling effect of piece lever force so that suturing nail Easily cut from notching edge, reach quick de- nail effect so that postoperative wound scar is smaller, and wound healing is more natural It is attractive in appearance, generally improve the shaping effect of incision.Another aspect resist-nailed seat employs composite construction, its glans penis accommodating chamber tool There is good receiving and protection glans penis effect, after its interior keeper is wrapped up by foreskin, limit is supported with certain to Inner prepuce Position effect；After outer keeper and interior keeper coordinate positioning, it is complete that patient can subcontract skin with a hand-held another handspring of resist-nailed seat Exposure bridle of prepuce and inner plate structure, line-of-sight observation frenulum position, and positioning adjustment frenulum avoids the cutting suture that it enters nail groove Area, and can be alignd by rotating resist-nailed seat and finely tuning bridle of prepuce to outside plate ventral midline.When ensuring harness safety, it is right Position is good, inner and outer plates are adjusted after satisfaction, fixed spacing preputial skin, by the nail bin and resist-nailed seat of prepuce cutting stitching instrument Assembled, percussion cutting handle carries out the cutting and suture of push broach and ejector pin completion to foreskin, the nail groove of resist-nailed seat is used to beat Curved nail pin shaping suturing nail.After the completion of cutting suture, nail bin is removed, in the case where outer keeper is not yet released, otch is observed Suturing nail situation, now outside fix part the effect of certain hemostasis by compression is played to foreskin, when ensuring all suturing nail stitchings After firm, then outside fix part is released, non-stickfast can carry out being released again after remedial suture if there is a situation where, it is to avoid Intraoperative hemorrhage risk.Pass through above-mentioned technological improvement so that operation is safer, operate more accurate, intraoperative hemorrhage complication less, Surgical quality and efficiency are improved, the operation satisfaction of patient is improved comprehensively.

Brief description of the drawings

Fig. 1 is the exploded perspective figure of the utility model prepuce cutting stitching instrument.

Fig. 2 is the three-dimensional structure diagram of resist-nailed seat of the present utility model.

Fig. 3 a are the section direction views of resist-nailed seat embodiment one of the present utility model.

Fig. 3 b are the section direction views of resist-nailed seat embodiment two of the present utility model.

Fig. 4 a are to regarding structure chart when outside fix part embodiment one of the present utility model is closed up.

Fig. 4 b are to regarding structure chart when outside fix part embodiment one of the present utility model is opened.

Fig. 4 c are to regarding structure chart when outside fix part embodiment two of the present utility model is closed up.

Fig. 4 d are to regarding structure chart when outside fix part embodiment two of the present utility model is opened.

Fig. 5 is the section direction view of the utility model prepuce cutting stitching instrument.

Fig. 6 is that the utility model prepuce cutting stitching instrument removes the three-dimensional view after the main support of part.

Fig. 7 is the part section amplification direction view of the utility model prepuce cutting stitching instrument.

Fig. 8 a are the dimensional structure diagrams one of the nail bin state arranged in parallel of the utility model prepuce cutting stitching instrument.

Fig. 8 b are the dimensional structure diagrams two of the nail bin state arranged in parallel of the utility model prepuce cutting stitching instrument.

Fig. 8 c are the present invention looks up structural representation of the nail bin state arranged in parallel of the utility model prepuce cutting stitching instrument.

Fig. 9 a are that the nail bin of the utility model prepuce cutting stitching instrument sets the dimensional structure diagram one of opening port.

Fig. 9 b are that the nail bin of the utility model prepuce cutting stitching instrument sets the dimensional structure diagram two of opening port.

Fig. 9 c are that the nail bin of the utility model prepuce cutting stitching instrument sets the present invention looks up structural representation of opening port.

Figure 10 is the suturing nail of the utility model prepuce cutting stitching instrument and the three-dimensional view of pad.

Figure 11 is that the suturing nail and pad of the utility model prepuce cutting stitching instrument show in the structure and stress of stitching state It is intended to.

Embodiment

Specific embodiment of the utility model is elaborated below in conjunction with accompanying drawing.

As shown in figs. 1-11, it is the specific embodiment of the utility model prepuce cutting stitching instrument, the embodiment includes annular Knife 1, ejector pin body 2, nail bin 3, resist-nailed seat 4 and outside fix part 5, resist-nailed seat 4 include resist-nailed seat body 41, glans penis accommodating chamber 42, nail Groove 43 and interior keeper 44, resist-nailed seat body 41 have inner chamber and outer wall, and inner chamber caves inward for one end extends the glans penis formed Keeper 44 in being formed on one circle nail groove 43, the outer wall between glans penis accommodating chamber 42 and nail groove 43 is set on accommodating chamber 42, outer wall； Endless knife 1 is arranged at the inside of ejector pin body 2, and ejector pin body 2, nail bin 3, resist-nailed seat 4 are set gradually, and screw position 31 is set on nail bin 3, The side of screw position 31 is provided with load pad storehouse 32, nail groove 43 and screw position 31, carries in the corresponding setting in pad storehouse 32, screw position 31 The projected position of suturing nail 6 is located at the inner side for carrying pad storehouse 32, carries and unilateral pad nail piece 7 is set in pad storehouse 32；Glans penis when using It is placed in glans penis accommodating chamber 42 and foreskin is turned into the outer wall of resist-nailed seat body 11, foreskin is waled from outside by outside fix part 5, it is outer fixed Position part 5 is positioned at the interior position of keeper 44 and foreskin is positioned, and nail bin 3 is positioned to the foreskin of the outer wall of resist-nailed seat body 11, ring Shape knife 1 and ejector pin body 2 are pushed to nail groove 43, the cutting foreskin of endless knife 1, and ejector pin body 2 is by the suturing nail 6 in screw position 31 and singly Side pad nail piece 7 is pushed to follow closely groove 43；Suturing nail 6 is followed closely on foreskin, and suturing nail 6 is located in unilateral pad nail piece 7 side, and unilateral pad follows closely piece Opposite side can coordinate with the erection of penis and stir on side stable position on 7 where suturing nail 6, unilateral pad nail piece 7.

When in use, glans penis is first placed in glans penis accommodating chamber 42 and protected the utility model by patient, and foreskin is turned to To the outer wall of resist-nailed seat body 11, resist-nailed seat body 11 can be the shape matched with glans penis, adjustment foreskin position as shown in drawings It is determined that the position location of interior keeper 44, position wales foreskin from outside by outside fix part 5 after determining and completes preliminary fixed Position；Patient can subcontract skin with an another handspring of hand-held resist-nailed seat 4 and bridle of prepuce and inner plate structure is completely exposed, and line-of-sight observation default Position part 44 and frenulum position, positioning adjustment frenulum avoid the cutting suture zone that it enters nail groove 43, and can be by rotating resist-nailed seat 4 Bridle of prepuce is finely tuned to outside plate ventral midline and alignd.When being sized to for interior keeper 44 and outside fix part 5 When mutually firmly blocking foreskin after assembling in place, patient can be finely adjusted by unclamping outside fix part 5, and it is fixed to wale again afterwards Position；In the case of also there is certain adjustment gap after interior keeper 44 and outside fix part 5 are designed to that mutually assembling is in place, that is, wrap Skin is not by firmly stuck, and patient can be by pulling foreskin trim locations；Two ways can accomplish accurate positioning Cutting.After ensuring that harness safety, good apposition, inner and outer plates adjustment are satisfied, fixed spacing preputial skin.This practicality is new In multiple screw positions 31 on multiple pushing blocks insertion nail bin 3 on type ejector pin body 2, pushing block can promote the seam in screw position 31 Dowel 6 is to nail groove 43, and suturing nail 6 pierces through the nail groove 41 on prepuce tissues, contact stud groove 43 and shaping of bending, and unilateral pad follows closely piece 7 A nail nipping is driven when suturing nail 6 is released in prepuce tissues；During ejector pin, endless knife 1 with ejector pin body 2 simultaneously Motion carries out the cutting of foreskin, and nail bin 3 and nail groove 43 coordinate in both sides up and down compresses foreskin, and piece 7 and suturing nail 6 are followed closely by unilateral pad It is pressed on the outside of the otch of endless knife 1, endless knife 1 can effectively reduce bleeding during foreskin cutting is carried out, no matter in art In or it is postoperative all have preferable protecting effect；The stitching mode that endless knife 1 and ejector pin body 2 are directly pushed away ensure a circle steadily cut, Unilateral pad nail piece 7 and suturing nail 6 can be released steadily and stitching.After the completion of cutting suture, nail bin 3 is removed, in outer keeper 5 In the case of not yet releasing, observation myometrial suture follows closely 6 situations, after ensuring that all stitchings of suturing nail 6 are firm, then determines except solution Position part 5, if there is a situation where, non-stickfast can carry out being released again after remedial suture, it is to avoid intraoperative hemorrhage risk.It is logical Cross the technological improvement of interior keeper 44 and outside fix part 5 so that operation is safer, operate more accurate, intraoperative hemorrhage complication more It is few, surgical quality and efficiency are improved, the operation satisfaction of patient is improved comprehensively.Padded using the screw position 31 and load that match The structure of storehouse 32 follows closely piece 7 to store suturing nail 6 and unilateral pad, and both are accurately positioned for order, makes suturing nail 6 be located at unilateral pad and follows closely piece 7 Side, after the suturing nail 6 that unilateral pad follows closely piece 7 is followed closely on foreskin, when penis hyperemia is erected, unilateral pad nail piece 7 can keep with Skin histology being engaged well, so as to reduce the pressure between suturing nail 6 and skin histology when erecing, improves patient's Comfort level, while the pressure of suturing nail 6 is undertaken by the unilateral of pad during telotism, and the penis erected is to unilateral pad Nail piece 7 can produce outside pushing force, the strength to notching edge lever prying and pulling be produced to suturing nail 6, due to asymmetric Pad the nail frame part of suturing nail 6, closer to otch, is followed closely under the prying and pulling effect of the lever force of piece 7 so that seam in unilateral pad Dowel 6 is easier to cut from notching edge, reaches quick de- nail effect, and postoperative wound scar is smaller, and outward appearance is more attractive.

As an improvement embodiment, be respectively arranged with the opposite face of interior keeper 44 and outside fix part 5 The neck 441 and card rib 442 of mutual cooperation, card rib 442 is by neck 441 when interior keeper 44 and outside fix part 5 coordinate positioning Both sides cell wall 443 is spacing, while the rugosity space that foreskin is formed by neck 441 and card rib 442 is spacing.As shown in Fig. 3 a, 3b, For two kinds of necks 441 and the set-up mode of card rib 442, two kinds of set-up modes make the upper-lower position of card rib 442 receive cell wall 443 it is spacing, outside fix part 5 coordinates after positioning foreskin with interior keeper 44 to be realized good spacing, can prevent outside fix Part 5 departs from influence operation when foreskin adjustment is carried out with interior keeper 44, and card rib 442 and cell wall 443 form folding Stacked snap-latch surface, adds the contact friction area to foreskin, good limit effect is served to foreskin, is unlikely to again pair Foreskin causes the damage of squeezing property.Under the conditions of interior keeper 44 and the clamping of outside fix part 5 foreskin elasticity are suitable, card rib 442 With the rugosity gap of the formation of cell wall 443 both can well spacing foreskin, again can be by appropriate external force adjustment foreskin The relative position of outside plate and interior keeper 44 and outside fix part 5, plays the double effectses of adjustment and positioning.Set as one kind optimization Meter, neck 441 and card rib 442 may be designed to annular, realized on whole circle and coordinate adjustment positioning.And it is spacing in order to improve Neck 441 and card rib 442 on effect, interior keeper 44 and outside fix part 5 can be multigroup, the continuous waveform of arrangement form Setting structure.

As an improvement embodiment, outside fix part 5 circlewise, outside fix part 5 be multisection type or elasticity One-part form positioning arc 51, the positioning arc 51 of multisection type be sequentially connected connects and can around junction folding, position arc 51 most two End forms opening 52, and positioning arc 51 end at opening 52 is respectively arranged with the upper buckle 53 and lower buckle for being engaged engaging 54, the multistage positioning formation domain of arc 51 after engaging；Upper buckle 53 and the opposite outside of lower buckle 54 are provided with what is operated for people Clutch handle 55, when operating two seasons of clutch handle 55 by opposition, above buckles 53 and lower buckle 54 are separated.As schemed Shown in 4a, 4b, 4c, 4d, outside fix part 5 can be arranged as required into the positioning arc 51 of multistage, figure and indicate two sections Form, can be further designed to more hop counts as needed, and what the positioning arc 51 of multisection type made outside fix part 5 plays open and close The free degree of conjunction is higher, the positioning arc 51 of multisection type can as needed using elasticity or can not deformation material manufacture.One The positioning arc 51 of segmentation represents that the positioning arc 51 of one-part form is mainly using elastomeric material manufacture, by itself not in the drawings Elastic deformation open, make end close and be engaged by upper buckle 53 and lower buckle 54 by deformation.Different embodiments can To select suitable style according to patient's operating habit and patient's concrete condition, different demands are adapted to.Clutch handle 55 is specific Operation is, when the operation for implementing that foreskin is fixed, two clutch handles 55 to be extruded toward relative direction, blocked above and below realization The contraposition engaging outside fix part 5 of button, when after the completion of operation, it is necessary to carry out removing outside fix part 5 operate when, patient is carried out and outer fixed Two opposite direction active force pressing clutch handles 55, complete the upper buckle 53 and lower buckle of outside fix part 5 above and below the plane of part 5 of position 54 separation, implements the dismounting of external keeper 5；Above structure only needs one hand just to operate, and simplifies surgical procedure.Above institute The clutch handle 55 of finger is arranged on buckle 53 and the opposite outside of lower buckle 54, the position not exclusively represented in accompanying drawing, It may be located remotely from buckle 53 and lower buckle 54, can also be located at relatively upper buckle 53 position different with lower buckle 54, as long as It is arranged on opposite both sides can the two for human use upper buckles 53 of mutually opposing active forces pressing separation and lower buckle 54 i.e. Can.

As an improvement embodiment, upper buckle 53 and lower buckle 54 are the card dentalation being engaged, tooth Shape structure is evenly distributed in a circumferential direction, is adjusted by the quantity of the upper buckle 53 of the adjustment latch occlusion relative with lower buckle 54 The space size that section positioning arc 51 and interior keeper 44 are surrounded.Patient passes through clutch handle 55 according to the thickness situation of foreskin Operation carry out the occlusion of part latch, reaching can carry out reliable spacing to foreskin, be unlikely to move during operation Position, can suitably be adjusted to foreskin again.After foreskin position adjustment is satisfied with, continue to promote clutch handle 55 to cause upper buckle 53 and lower buckle 54 be fully engaged against fixing foreskin.Such mode is operated flexibly, easy to adjust, is easy to patient accurate to foreskin Regulation and firm fixation, improve surgical quality and procedure efficiency.

As an improvement embodiment, when outside fix part 5 is positioned at the interior position of keeper 44 from outside When waling foreskin, there is the foreskin after the order positioning of gap between interior keeper 44 and outside fix part 5 and do position adjustment.Interior keeper The gap that there is appropriateness between 44 and outside fix part 5 make it that the foreskin after fixing can relatively interior keeper under appropriate strength 44 or outside fix part 5 carry out displacement adjustment.This kind of embodiment preferably contributes to patient to release interior keeper 44 and outer fixed Fixation between the part 5 of position just can freely be adjusted to precut foreskin so that operation is easier, more efficient.

As an improvement embodiment, resist-nailed seat 4 also includes being connected on resist-nailed seat body 41 relative glans penis The polygon prism shape connecting bridge 45 of the relative position other end of accommodating chamber 42, interior keeper 44, which is arranged on glans penis on resist-nailed seat body 41, to be held Receive the periphery of the open at one end of chamber 42；The confession people observation tortoise of at least one insertion glans penis accommodating chamber 42 is offered on resist-nailed seat body 41 Head and the visual window 46 of foreskin position.Polygon prism shape connecting bridge 45 as the one of resist-nailed seat body 41 extended structure, for The nail bin 3 of prepuce cutting stitching instrument carries out cooperation positioning, is more beneficial for the accurate He of quickly assembling prepuce cutting stitching instrument nail bin 3 Resist-nailed seat 4, both accurately position the cutting sewing effect for advantageously ensuring that foreskin, improve surgical quality.And be arranged on to nail Keeper 44 in the periphery of the open at one end of glans penis accommodating chamber 42, plays the safe location for determining inner panel excision on seat body 41, will Frenulum is located remotely from cutting suture zone, while coordinating outside fix part 5 foreskin to be fixed and adjustment effect.Further to carry The accuracy of high bridle of prepuce positioning and the intuitive of observation, set one to can see the visual of the inside glans penis of glans penis accommodating chamber 42 After window 46, patient's upset foreskin, glans penis and coupled frenulum in glans penis accommodating chamber 42 can be seen by visual window 46 Position, can more be visually observed that the complete frenulum situation in the interior inner side and outer side of keeper 44 so that positioning it is more accurate, adjustment It is more convenient, it is to avoid frenulum is damaged, improve operation safety.

As an improvement embodiment, nail bin is fixedly installed in main support 8 in addition to main support 8 and handle 9 3, mobilizable setting endless knife 1 and ejector pin body 2 in main support 8, handle 9 are rotatably arranged on main support 8 and penetrate master Support 8 is linked with ejector pin body 2；Handle 9 includes outer pivoted arm 91 and interior push arm 92, and outer pivoted arm 91 and interior push arm 92 pass through middle part Rotating shaft 93 be rotatably arranged on main support 8, torsion spring 94, torsion spring 94 and outer pivoted arm 91, main support 8 are set in rotating shaft 93 Coordinate, interior push arm 92 is two, and two interior push arms 92 stretch into symmetrically arranged on ejector pin body 2 push away in groove 21；Set in main support 8 Back-moving spring 82 is equipped with, back-moving spring 82 coordinates with the block piece 22 set on ejector pin body 2, block piece 22 when ejector pin body 2 is movable forward Compression reseting spring 82, when removing the power on ejector pin body 2, back-moving spring 82 drives ejector pin body 2 to reset；The bottom land for pushing away groove 21 is set A projection 23 is equipped with, when interior push arm 92 and the bottom land for pushing away groove 21 offset and when rotating by projection 23, ejector pin body 2 is by back-moving spring 82 power resilience prompting ejector pin is in place.

In use, the hand-held main support 8 of doctor, control resist-nailed seat 4 and main support 8 clamp the foreskin of patient, specifically Be that nail bin 3 on nail groove 43 and main support 8 on resist-nailed seat 4 clamps foreskin from both sides up and down, doctor's pressing handle 9 is controlled The activity of endless knife 1 and ejector pin body 2, so as to realize that the straight foreskin that pushes away is cut；Endless knife 1, ejector pin body 2, nail bin 3 can be in main supports 8 In good positioning limit, coordinate stable, be easy to the inner structure of main support 8 to coordinate with Standard on glans penis cover 5.The handle 9 It is simple in construction but flexibility is stronger, pass through outer pivoted arm 91, interior push arm 92 and form lever construction with rotating shaft 93, doctor presses outer pivoted arm 91 can drive interior push arm 92 to push down on ejector pin body 2, realize ejector pin and cutting；During reset, pass through torsion spring 94 and back-moving spring 82 stable resets, the elastic force driving handle 9 of torsion spring 94 resets, and the elastic force driving ejector pin body 2 of back-moving spring 82 resets, and makes both Better reduction, will not interim card, be easy to use；Interior push arm 92 is two and is combined with the symmetrically arranged groove 21 that pushes away beneficial to pushing away The steady promotion of rivet nut 2, it is ensured that ejector pin body 2 moves smooth, and ejector pin is consistent with cutting and in place.In practical operation, patient presses Press handle 9 not in place or excessive pressing, it is possible to occur that the missing nail of suturing nail 6 or excessively compressing suturing nail 6 are deformed, influence Surgical quality.Therefore pushing away at groove 21 there is provided projection 23, when setting projection 23 in the particular location in pushing away groove 21 just with seam The suitable ejector pin position correspondence of dowel 6, when patient presses handle 9, interior push arm 92 be against push away the bottom land of groove 21 by rotate to Preceding propulsion ejector pin body 2, when suturing nail 6 is advanced to suitable position in place, i.e., suturing nail 6, which has bended, pegs foreskin and beats It is curved it is excessive when, interior push arm 92 is reached exactly at projection 23, and interior push arm 92 can make the feel of patient to coming to nothing by projection 23 Sense, the meeting of ejector pin body 2 is by the power resilience of back-moving spring 82, and patient can feel ejector pin in place, so as to ensure surgical quality, stitches Dowel 6 it is good peg wound.Projection 23 can, in a smooth projection of the bottom land formation for pushing away groove 21, not influence patient's Force promotes ejector pin body 2 or any can realize the protrusion structure of function above.

As an improvement embodiment, collision piece 83 is additionally provided with main support 8 and spring 84 is contradicted, supported Contact element 83 and conflict spring 84 are engaged on main support 8, when resist-nailed seat 4 is fitted into main support 8 with the phase of collision piece 83 Compress contracting and contradict spring 84, the distal end of resist-nailed seat 4 passes main support 8 and removably sets one to lock button 10, and locking button 10 revolves The locking mark window 85 set during tight on main support 8 determines the position of collision piece 83；Rotation is additionally provided with main support 8 Turn to be provided with stuck point 95 on fastener 81, outer pivoted arm 91, when rotation fastener 81 is against at stuck point 95, outer pivoted arm 91 is limited.It is existing Some stitching unstruments do not have the prompt facility that resist-nailed seat 4 is installed in place, and foreskin can not after resist-nailed seat 4 and main support 8 are installed See again, patient is that locking button 10 is screwed into the fixation for completing resist-nailed seat 4 and main support 8 as possible on resist-nailed seat 4, still The fixation for remaining resist-nailed seat 4 and main support 8 when not screwing is insecure, or excessive screwing compressing foreskin, and two kinds Situation can all have stroke disunity, and good bend or excessively oppresses suturing nail at suturing nail 6 in the progradation of operation handle 9 6 influence suture qualities.Therefore collision piece 83 is set and the structure of spring 84 is contradicted, collision piece 83 is against by spring 84 is contradicted In main support 8, when resist-nailed seat 4 is from side loading main support 8, resist-nailed seat 4, which can be pushed up, holds collision piece 83, and collision piece 83 is by resist-nailed seat 4 With contradict spring 84 it is spacing, set locking mark window 85 intuitively can observe and determine the position of collision piece 83, can be pre- The position being installed in place first is set, when locking button 10, which screws resist-nailed seat 4, moves to position in place until collision piece 83, to nail The fixed completion of seat 4 and main support 8, it is ensured that endless knife 1 and ejector pin body 2 have most suitable stroke, can well cut Steamed sandwich skin and the suturing nail 6 that bends, improve surgical quality, it is to avoid the missing nail of suturing nail 6 or excessively compressing suturing nail 6 are deformed.For Doctor is avoided to promote ejector pin body 2 by mistake before glans penis and foreskin positioning are completed in art, there is provided rotation fastener 81 and stuck point 95, outside Pivoted arm 91 can not be rotatably compressed inwardly after being propped up by rotation fastener 81, it is ensured that the security of circumcision, reduce accident Possibility；On the other hand also allow for depositing stitching unstrument, the storage in stitching unstrument loaded after suturing nail 6 and unilateral pad nail piece 7 In the case of, maloperation can be prevented to be pushed out, the management and the normal of operation next time for being conducive to medicine equipment are used.

As an improvement embodiment, nail groove 43 in a circumferential direction in it is arranged in parallel set, adjacent nail groove Spacing between 43, which is respectively less than, is equal to 1.0mm, and is all higher than being equal to 0.4mm；Screw position 31 and setting and the nail for carrying pad storehouse 32 The correspondence of groove 43.Follow closely the proper alignment of groove 43 annular in shape, ordered arrangement is closeer in parallel in order end to end between nail groove 43 and nail groove 43 More neat arrangement architecture makes the spacing between nail groove 43 orderly, more preferable closing gap, is conducive to the neat U.S. of whole circle wound healing See, there is stable stitching effect each position on circumference.Compared to existing structure, the embodiment will follow closely the spacing of groove 43 and set It is smaller, screw position 31 and carry that pad storehouse 32 is corresponding to be set, can more preferable sealing blood vessels, reduce and sutured using foreskin cutting Device carries out the possibility of blood vessel missing nail during foreskin cutting, and it is more firm to stop blooding, and the possibility of postoperative hemorrhage is smaller.The vascular distribution of foreskin Uneven, some position vascular distributions are more dense, such as the dorsal part and ventral locations in penis section, are that further improve is sealed to blood vessel The effect closed, according to clinical experience, the blood vessel less than or equal to 1.0mm can be by postoperative compression hemostasis, more than or equal to 1.0mm Blood vessel be difficult that by hemostasis by compression, post-surgical vascular retraction easily causes hemotoncus.Relative to existing larger spacing arrangement architecture, Spacing between adjacent nail groove 43 is arranged on below 1.0mm, experimenter selects different sizes to be tested, such as several standards Size 1.0mm, 0.9mm, 0.8mm, 0.7mm, 0.6mm, 0.5mm, 0.4mm etc., can substantially reduce diameter on foreskin and be more than The possibility of 1.0mm blood vessel missing nails, is improved using suturing nail during the progress foreskin cutting of foreskin shaping stapler to blood vessel In sealing effect, art and postoperative hemostasis fixing, the generation of postoperative hematoma is reduced, sealing effect is more preferable.And according to clinic Experiment, below 0.4mm spacing can cause the tissue tensile elasticity between following closely and following closely to decline, easily be formed after telotism narrow Ring, wales penis and causes Foreskin edema, sets the nail groove 43 more than or equal to 0.4mm spacing to overcome disadvantages described above, while can protect The blood supply of incision is demonstrate,proved, wound healing is fast, and the probability that splits is low, and postoperative scar is smaller.

As an improvement embodiment, screw position 31 have be located at both sides comes location slit dowel nail pin it is spacing Groove 31a, stopper slot 31a projected position are located in the inner side for carrying pad storehouse 32, screw position 31 to be set by stopper slot 31a is spacing Suturing nail 6；Carrying pad storehouse 32 includes carrying nail pad chamber side 32a and sled nail pad chamber side 32b, carries nail pad chamber side 32a and stopper slot 31a and exists It is correspondingly arranged on projected position, sled nail pad chamber side 32b is located at the outside for carrying nail pad chamber side 32a；Unilateral pad nail piece 7 includes integrally setting The load nail portion 71 and sled nail portion 72 put, carry nail pad chamber side 32a and sled nail pad chamber side 32b accommodates load nail portion 71 and sled nail portion respectively 72, carry and suturing nail 6 is worn in nail portion 71, sled nail portion 72 is that can stir side；After suturing nail 6 is followed closely on foreskin, the direction of sled nail portion 72 Radix penis part；The stress of nail portion 72 is prized in telotism to be overturn to cut-out direction.Stopper slot 31a setting makes screw position 31 fit Suturing nail 6 is answered, two leader pin pin of suturing nail 6, which are located in stopper slot 31a, keeps suturing nail 6 is stable and accurate to be promoted and push nail to Groove 41；Stopper slot 31a projected position is located at the inner side for carrying pad storehouse 32, forms the amesiality structure of suturing nail 6, suturing nail 6 Push to lower section unilateral pad follow closely piece 7 when be located in it is unilateral, close to inner side i.e. after stitching suturing nail 6 close to otch；Ejector pin body 2 On pushing block adapt to screw position 31 shape, screw position 31 adapt to below unilateral pad nail piece 7, make the pushing block on ejector pin body 2 exist Ejector pin in place when can stablize be pressed on unilateral pad nail piece 7 and make the unilateral pad nail accurate limit of piece 7, unilateral pad nail piece 7 and suturing nail 6 Cooperation stitching that can be smooth is in prepuce tissues, it is ensured that haemostatic effect, it is ensured that the comfort level that unilateral pad nail piece 7 is contacted with skin. As shown in Fig. 8 a, 8b, 8c, 9a, 9b, 9c, 1O, 11, the load nail portion 71 of unilateral pad nail piece 7, which is arranged on, carries nail pad chamber side 32a, sled nail Portion 72 is arranged on sled nail pad chamber side 32b, and Stability Analysis of Structures is easy to positioning, and the pushing position for following closely unilateral pad piece 7 is inclined to stopper slot Region where 31a, is conducive to bending to the ejector pin of suturing nail 6, and the load nail portion 71 that suturing nail 6 follows closely piece 7 together with unilateral pad is good Nail it is fixed on skin, haemostatic effect is good, and ensures that the sled nail portion 72 of opposite side has certain flexibility ratio, cloudy after being easy to The prying and pulling to suturing nail when stem erects are stirred.In telotism, sled nail portion 72 can be stirred by thrust with penile surface, so that Preferably support penis；Caused pushing force upset can be expanded with penis by prizing the stress of nail portion 72, and sled nail portion 72 stirs such as one Lever plays a part of prying and pulling to suturing nail 6 so that suturing nail 6 is easier to cut from notching edge, contributes to de- nail.

As an improvement embodiment, screw position 31 and carry pad storehouse 32 close to the inwall of nail bin 3 set, and nail Formed on the inwall of storehouse 3 axially through opening port 33.By screw position 31 and carry that pad storehouse 32 sets closer to the inwall of nail bin 3 During, the inwall of nail bin 3 is excessively thin can cause to be easily damaged and processing difficulties defect；Therefore by embodiment of above, As shown in Fig. 9 a, 9b, 9c, directly the inwall of nail bin 3 is removed, that is, opening port 33 is set, screw position 31 and load can be further made Pad storehouse 32 set the edge of close nail bin 3 so that suturing nail 6 apart from notching edge closer to, by lever prying and pulling principle cause stitch Dowel 6 is easier from the de- nail of notching edge.And opening port 33 only need than screw position 31 and carry pad storehouse 32 relative width it is small, Or the shape width of unilateral pad nail piece 7 is more than the width of opening port 33, and suturing nail 6 and unilateral pad would not be influenceed to follow closely 7 points of piece The not normal storage in screw position 31 and load pad storehouse 32 and push.

Claims (10)

1. a kind of prepuce cutting stitching instrument, it is characterised in that：Including endless knife（1）, ejector pin body（2）, nail bin（3）, resist-nailed seat（4） With outside fix part（5）, the resist-nailed seat（4）Including resist-nailed seat body（41）, glans penis accommodating chamber（42）, nail groove（43）With interior positioning Part（44）, the resist-nailed seat body（41）With inner chamber and outer wall, inner chamber caves inward for one end extends the glans penis formed receiving Chamber（42）, a circle nail groove is set on outer wall（43）, the glans penis accommodating chamber（42）With nail groove（43）Between outer wall on formed in Keeper（44）；The endless knife（1）It is arranged at ejector pin body（2）Inside, the ejector pin body（2）, nail bin（3）, resist-nailed seat（4） Set gradually, the nail bin（3）Upper setting screw position（31）, the screw position（31）Side be provided with load pad storehouse（32）, nail Groove（43）With screw position（31）, carry pad storehouse（32）It is corresponding to set, the screw position（31）Interior suturing nail（6）Projected position Storehouse is padded positioned at carrying（32）Inner side, the load pad storehouse（32）It is interior that unilateral pad nail piece is set（7）；Glans penis is placed in glans penis when using Accommodating chamber（42）It is interior and foreskin is turned into resist-nailed seat body（11）Outer wall, by outside fix part（5）Foreskin, outside fix are waled from outside Part（5）It is positioned at interior keeper（44）Position is positioned to foreskin, nail bin（3）To resist-nailed seat body（11）The foreskin of outer wall is determined Position, endless knife（1）With ejector pin body（2）To nail groove（43）Push, endless knife（1）Cut foreskin, ejector pin body（2）By screw position（31） In suturing nail（6）Piece is followed closely with unilateral pad（7）Push to follow closely groove（43）；Suturing nail（6）Nail is on foreskin, the suturing nail（6）Wear It is located at unilateral pad nail piece（7）Side, the unilateral pad nail piece（7）Upper suturing nail（6）The side stable position at place, unilateral pad nail Piece（7）Upper opposite side can coordinate with the erection of penis to be stirred.

2. a kind of prepuce cutting stitching instrument according to claim 1, it is characterised in that：The interior keeper（44）With it is outer fixed Position part（5）Opposite face on be respectively arranged with the neck of mutual cooperation（441）With card rib（442）, the interior keeper（44）With Outside fix part（5）Card rib when coordinating positioning（442）By neck（441）Both sides cell wall（443）It is spacing, while foreskin is by neck （441）With card rib（442）The rugosity space of formation is spacing.

3. a kind of prepuce cutting stitching instrument according to claim 2, it is characterised in that：The outside fix part（5）Circlewise, The outside fix part（5）For multisection type or the positioning arc of the one-part form of elasticity（51）, the positioning arc of multisection type（51）Phase successively Connect and arc can be positioned around junction folding（51）Most two ends formed opening（52）, positioned at opening（52）The positioning arc at place （51）End is respectively arranged with the upper buckle for being engaged engaging（53）With lower buckle（54）, the multistage positioning arc after engaging（51）Shape Into the domain；The upper buckle（53）With lower buckle（54）Opposite outside is provided with the clutch handle operated for people（55）, when logical Cross opposition and operate two clutch handles（55）Buckle on season（53）With lower buckle（54）Separation.

4. a kind of prepuce cutting stitching instrument according to claim 1 or 2 or 3, it is characterised in that：When the outside fix part （5）It is positioned at interior keeper（44）When foreskin is waled in position from outside, the interior keeper（44）With outside fix part（5）It Between exist gap order positioning after foreskin do position adjustment.

5. a kind of prepuce cutting stitching instrument according to claim 1 or 2 or 3, it is characterised in that：The resist-nailed seat（4）Also Including being connected to resist-nailed seat body（41）Upper relative glans penis accommodating chamber（42）The polygon prism shape connecting bridge of the relative position other end （45）, the interior keeper（44）It is arranged on resist-nailed seat body（41）Upper glans penis accommodating chamber（42）The periphery of open at one end；It is described Resist-nailed seat body（41）On offer at least one insertion glans penis accommodating chamber（42）Confession people observation glans penis and foreskin position can Form（46）.

6. a kind of prepuce cutting stitching instrument according to claim 1 or 2 or 3, it is characterised in that：Also include main support（8） And handle（9）, the main support（8）Nail bin is inside fixedly installed（3）, the main support（8）Interior mobilizable setting endless knife（1） With ejector pin body（2）, the handle（9）It is rotatably arranged on main support（8）Go up and penetrate main support（8）With ejector pin body（2）Connection It is dynamic to coordinate；The handle（9）Including outer pivoted arm（91）With interior push arm（92）, the outer pivoted arm（91）With interior push arm（92）In The rotating shaft in portion（93）It is rotatably arranged on main support（8）On, the rotating shaft（93）Upper setting torsion spring（94）, the torsion spring（94） With outer pivoted arm（91）, main support（8）Coordinate, the interior push arm（92）For two, two interior push arms（92）Stretch into ejector pin body（2）On It is symmetrically arranged to push away groove（21）In；The main support（8）Inside it is provided with back-moving spring（82）, the back-moving spring（82）With ejector pin Body（2）The block piece of upper setting（22）Coordinate, the ejector pin body（2）Block piece when movable forward（22）Compression reseting spring（82）, when Remove ejector pin body（2）On power when back-moving spring（82）Drive ejector pin body（2）Reset；It is described to push away groove（21）Bottom land be provided with one Projection（23）, when interior push arm（92）With pushing away groove（21）Bottom land offset and rotate and pass through projection（23）When, ejector pin body（2）By resetting Spring（82）Power resilience prompting ejector pin in place.

7. a kind of prepuce cutting stitching instrument according to claim 6, it is characterised in that：The main support（8）Inside also set up There is collision piece（83）With conflict spring（84）, the collision piece（83）With conflict spring（84）It is engaged installed in main support（8） On, work as resist-nailed seat（4）Load main support（8）When middle and collision piece（83）The compression that offsets contradicts spring（84）, the resist-nailed seat（4） Distal end pass main support（8）And removably set one to lock button（10）, lock button（10）By main support in screwing operations（8） The locking mark window of upper setting（85）Determine collision piece（83）Position；The main support（8）On be additionally provided with rotation fastener （81）, the outer pivoted arm（91）On be provided with stuck point（95）, when the rotation fastener（81）It is against stuck point（95）During place, outer pivoted arm （91）It is limited.

8. a kind of prepuce cutting stitching instrument according to claim 1 or 2 or 3, it is characterised in that：The nail groove（43）In circle Set in circumferential direction in arranged in parallel, adjacent nail groove（43）Between spacing be respectively less than and be equal to 1.0mm, and be all higher than being equal to 0.4mm；The screw position（31）Storehouse is padded with carrying（32）Setting with nail groove（43）Correspondence.

9. a kind of prepuce cutting stitching instrument according to claim 8, it is characterised in that：The screw position（31）With positioned at The stopper slot that location slit dowel follows closely pin is carried out in both sides（31a）, the stopper slot（31a）Projected position be located at carry pad storehouse（32）Lean on Interior side, the screw position（31）It is interior by stopper slot（31a）Spacing setting suturing nail（6）；It is described to carry pad storehouse（32）Including carrying nail Pad chamber side（32a）With sled nail pad chamber side（32b）, it is described to carry nail pad chamber side（32a）With stopper slot（31a）The correspondence on projected position Set, the sled nail pad chamber side（32b）Chamber side is padded positioned at nail is carried（32a）Outside；The unilateral pad nail piece（7）Including integrally setting The load nail portion put（71）With sled nail portion（72）, it is described to carry nail pad chamber side（32a）With sled nail pad chamber side（32b）Accommodate respectively and carry nail portion （71）With sled nail portion（72）, the load nail portion（71）On wear suturing nail（6）, the sled nail portion（72）For side can be stirred；Suture Nail（6）After nail is on foreskin, the sled nail portion（72）Towards radix penis part；The sled nail portion in telotism（72）Stress can Overturn to cut-out direction.

10. a kind of prepuce cutting stitching instrument according to claim 8, it is characterised in that：The screw position（31）Padded with carrying Storehouse（32）Close to nail bin（3）Inwall is set, and in nail bin（3）Formed on inwall axially through opening port（33）.