CN206641891U - Nail bin groupware and anastomat for circumcision - Google Patents

Abstract

The utility model discloses a kind of nail bin groupware and anastomat for circumcision, the nail bin groupware includes nail barrel, the pushing slice of nail and nail bin being arranged in the nail barrel, some suturing nails for enclosing and being set as hollow annular structure are provided with the nail bin, some suturing nails include spike region and remaining region, in on the direction at the centrally directed edge of the hollow annular structure, spike region gapless, there is gap in remaining described region, when being operated in suture, the spike region closure back of the body superficial vein and the outermost nail pin in spike region both pass through the outside of the back of the body superficial vein.Present embodiment in surgical procedure, can easily stitched backing superficial vein region, and the complete closure in back of the body superficial vein region can be realized, close blood effect so as to improve, mitigate postoperative hemorrhage situation.

Description

Nail bin groupware and anastomat for circumcision

Technical field

It the utility model is related to medicine equipment, more particularly to a kind of nail bin groupware and anastomat for circumcision.

Background technology

Redundant prepuce, phimosis are the common reproductive problems of male.Redundant prepuce is easily sheltered evil people and countenance evil practices, if cleaning not in time, Glans foreskin inflammation and phallitis can be caused, influence normal love life, and increase sexual partner and suffer from Cervicitis and cervical carcinoma Chance, simultaneously, it is also possible to cause carcinoma of penis, trigger the various problems such as infertility, premature ejaculation.

With the continuous improvement of people's living standard and health perception, higher requirement is proposed to self germ health. Wrapping annulus cuts operation is exactly the effective ways for treating Redundant prepuce and phimosis.Numerous studies nearly ten years show, male's foreskin Not only to reducing, skin of penis infects procedure, urinary tract infection is of great importance, and can reduce the balanitis of adult male Deng incidence, reduce vagina infection, the incidence of disease of cervical carcinoma of its spouse, or even to preventing the property biography including AIDS including It is significant to broadcast disease and genital system etc..

Treatment redundant prepuce can use anastomat for circumcision.Generally, anastomat for circumcision includes a glans penis Glans penis, in surgical procedure, can first be placed in the glans penis intracavitary of glans penis seat, then the near-end by foreskin to be cut towards glans penis seat by seat Stretch and fix, operation is sutured so as to implement follow-up cutting.

At present, after carrying out circumcision using anastomat for circumcision, easily there is postoperative hemorrhage, main blutpunkte from The closer back of the body superficial vein position of foreskin.

It is about 3mm to carry on the back superficial vein width, and in operation, back of the body superficial vein is reachable by the width after nail anvil and nail bin extruding 5mm, and the suturing nail overall width of existing anastomat for circumcision is 3.5mm, after the diameter of two nail pins for removing suturing nail Width there was only 3mm, and there is gap between adjacent suturing nail, it is shallow quiet when going to close the wide back ofs the body of 5mm using the wide suturing nails of 3mm During arteries and veins, back of the body superficial vein is clearly what can not be fully closed, and not closed region forms blutpunkte.

Utility model content

The purpose of this utility model is to provide a kind of nail bin groupware and anastomat for circumcision, and blood effect is closed for improving Fruit.

To realize one of above-mentioned purpose of utility model, the embodiment of the utility model one provides a kind of nail bin groupware, described Nail bin groupware includes nail barrel, the pushing slice of nail and nail bin being arranged in the nail barrel, is provided with to enclose in the nail bin and is set as hollow and annular Some suturing nails of structure, some suturing nails include spike region and remaining region, in the hollow annular structure center Towards on extrorse direction, there is gap in spike region gapless, remaining described region, described when being operated in suture The spike region closure back of the body superficial vein and the outermost nail pin in spike region both pass through the outside of the back of the body superficial vein.

As the further improvement of the embodiment of the utility model one, the spike region includes some suturing nails, described Some suturing nails are interspersed to cause the spike region in nothing on the direction at the centrally directed edge of the hollow annular structure Gap.

As the further improvement of the embodiment of the utility model one, in the hollow annular structure circumferential direction, institute The width range for stating spike region is 5mm~8mm.

To realize one of above-mentioned purpose of utility model, the embodiment of the utility model one provides a kind of nail bin groupware, described Nail bin groupware includes nail barrel, the pushing slice of nail and nail bin being arranged in the nail barrel, is provided with to enclose in the nail bin and is set as hollow and annular Some suturing nails of structure, some suturing nails include a spike, and when being operated in suture, the spike closes the back of the body Two nail pins of superficial vein and the spike both pass through the outside of the back of the body superficial vein.

As the further improvement of the embodiment of the utility model one, the spacing range between two nail pins of the spike For 5mm~8mm.

As the further improvement of the embodiment of the utility model one, the spacing is 7mm.

As the further improvement of the embodiment of the utility model one, the outer surface of the nail barrel is provided with spike instruction unit, When being operated in suture, the spike instruction unit aids in two nail pins of the spike to be positioned at the two of the back of the body superficial vein Side.

As the further improvement of the embodiment of the utility model one, along the centrally directed edge of the hollow annular structure Direction, when in initial position, the spike overlaps in the projection in the nail barrel with the spike instruction unit.

As the further improvement of the embodiment of the utility model one, run through in the side wall of the nail barrel formed with least one Hole, the through hole are used to expose the part glans penis seat.

To realize one of above-mentioned purpose of utility model, the embodiment of the utility model one provide one kind peritomize it is identical Device, including stapler body, it is arranged at the glans penis seat of the stapler body distal end and as above described in any one technical scheme Nail bin groupware.

Compared with prior art, the beneficial effects of the utility model are：In surgical procedure, can easily stitched backing it is shallow Venosomes, and the complete closure in back of the body superficial vein region can be realized, blood effect is closed so as to improve, mitigates postoperative hemorrhage situation.

Brief description of the drawings

Fig. 1 is the anastomat for circumcision stereogram of the embodiment of the utility model one；

Fig. 2 is the anastomat for circumcision explosive view of the embodiment of the utility model one；

Fig. 3 is the nail bin groupware schematic diagram of the embodiment of the utility model one；

Fig. 4 is the nail barrel schematic diagram of the embodiment of the utility model one；

Fig. 5 is the suturing nail schematic diagram of the example of the utility model one；

Fig. 6 is partial enlarged drawing in Fig. 5；

Fig. 7 is the suturing nail schematic diagram of another example of the utility model；

Fig. 8 is partial enlarged drawing in Fig. 7；

Fig. 9 is the nail barrel schematic diagram of the embodiment of the utility model one；

Figure 10 is the pushing slice of nail schematic diagram of the embodiment of the utility model one；

Figure 11 is the nail bin schematic diagram of the embodiment of the utility model one；

Figure 12 is the glans penis seat of the embodiment of the utility model one, nail anvil combination diagram.

Embodiment

The utility model is described in detail below with reference to embodiment shown in the drawings.But these embodiment party Formula is not intended to limit the utility model, structure that one of ordinary skill in the art is made according to these embodiments, method or Conversion functionally is all contained in the scope of protection of the utility model.

The word of described expression position and direction in the utility model, be using exercises on apparatus author as reference, it is close One end of operator is near-end, and one end away from operator is distal end.

In embodiment of the present utility model, using anastomat for circumcision be example to it is of the present utility model it is medical coincide Device does specific explaination, but it should explanation, involved skill spirit can be by alternatively in embodiment disclosed below Use on the stapler of other forms.

As shown in Figures 1 to 4, in the embodiment of the utility model one, anastomat for circumcision is used for multiple sutures Nail is applied in physiological tissue's (herein referring to foreskin) of human body, while implements cutting to unnecessary physiological tissue accordingly.

The anastomat for circumcision includes stapler body (not indicating), nail bin groupware 40 and can connect the stapler The glans penis seat 20 of body.

Stapler body includes the percussion handle 30 of casing 10 and the pivotally connected casing 10.

Glans penis seat 20 is located at the distal end of casing 10, can be close to each other between glans penis seat 20 and casing 10 or be separated from each other fortune It is dynamic.

Nail bin groupware 40 is located at the distal end of casing 10.

The nail bin groupware 40 includes nail bin 41, nail barrel 42, pushing slice of nail 43, cutting knife 44 and anvil assembly 45, wherein, anvil group Part 45 is located in glans penis seat 20.

Here, it is necessary to which explanation, cutting knife 44 be in hollow and annular, cutting knife 44 can be annular cutting knife or closely Like annular cutting knife, for example, oval ring cutting knife etc..

The distal end of the nail barrel 42 is in hollow and annular, and the nail barrel 42 connects the distal end of the casing 10, the nail barrel 42 are removably connected the nail bin 41, and the nail bin 41 is annular nail bin.

Likewise, the distal end of nail barrel 42 can be annular nail barrel, oval ring nail barrel etc., nail bin 41 can be annular Nail bin, oval ring nail bin etc..

The pushing slice of nail 43 is arranged in nail barrel 42, and cutting knife 44 is fixedly installed in pushing slice of nail 43, and nail bin 41, which is arranged at, to be pushed away Follow closely the distal end of piece 43.

The nail bin 41 is provided with some nail mouthes 413 coordinated with pushing slice of nail 43 on its end face, and some suturing nails 411 divide Wei Yu not be in some nail mouthes 413.

The anvil assembly 45 includes the nail anvil 451 for coordinating suturing nail 411 and the knife anvil 452 for coordinating the cutting knife 44, institute It is annular nail anvil to state nail anvil 451, and the knife anvil 452 is endless knife anvil.

Likewise, nail anvil 451 can be annular nail anvil, oval ring nail anvil etc., knife anvil 452 can be annular knife Anvil, oval ring knife anvil etc..

At least one auxiliary 90 is also provided between nail bin 41 and anvil assembly 45, described auxiliary 90 is matched somebody with somebody with suturing nail 411 Close and use.Auxiliary 90 pain that can reduce postoperative erection, reduce oedema, and can aid in stopping blooding.

The glans penis seat 20 also includes being used to accommodate the glans penis chamber 21 of glans penis and the anvil axle 22 positioned at the near-end of glans penis chamber 21.

Wherein, the opening of glans penis chamber 21 forms a ring-shaped edge (not indicating), and the near-end of the ring edge is formed with ring Shape cavity (does not indicate), and the knife anvil 452 and the nail anvil 451 are located in the toroidal cavity.

It is of course also possible to be the ring edge of glans penis chamber 21 near-end formed an anvil assembly mounting surface (not indicating), the knife Anvil 452 and the nail anvil 451 are arranged on the anvil assembly mounting surface.

Likewise, the toroidal cavity of glans penis seat 20 can be annular cavity, oval ring cavity etc., the anvil of glans penis seat 20 Component mounting surface can be annular anvil assembly mounting surface, oval ring anvil assembly mounting surface etc..

The near-end outer surface of the anvil axle 22 is provided with the first auxiliary section 221, and the proximal interior surface of the pushing slice of nail 43 is provided with Second auxiliary section 433, first auxiliary section 221 and second auxiliary section 433 be mutually matched be accurately positioned nail anvil 451 and Nail bin 41, to ensure the precise forming of suturing nail 411.

The anastomat for circumcision also include be connected to the near-end of casing 10 adjusting knob 50 and with the tune Save the nut piece 51 that knob 50 coordinates.

The outer surface of nut piece 51 and the inner surface of adjusting knob 50 coordinate, meanwhile, the inner surface of the nut piece 51 with The outer surface of the near-end of screw mandrel 60 coordinates.

In this way, the adjusting knob 50 can drive axial direction of the screw mandrel 60 along anastomat for circumcision by nut piece 51 It is reciprocating.

The distal end of the screw mandrel 60 is fixedly connected with the anvil axle 22, in this way, when the anvil axle 22 connects the screw mandrel 60, By adjusting knob 50 clockwise or counterclockwise the glans penis seat 20 can be driven to be moved closer or far from the casing 10 It is dynamic so that anvil assembly 45 and nail bin 41 are close to each other or remote, so as to clamp or unclamp desired physiological tissue.

It is also connected with being provided with the connector 301 extended to inside casing 10 in the percussion handle 30.

The near-end of the pushing slice of nail 43 is provided with the neck 432 coordinated with the connector 301, the connector 301 and institute State neck 432 to be synchronized with the movement, or there is minimum gap between the connector 301 and the neck 432.

The distal end of the neck 432 of the pushing slice of nail 43 is provided with the first flange 434, joins Fig. 3, the inner side of the nail barrel 42 is provided with Second flange 425, back-moving spring 80, the first end 802 of back-moving spring 80 are arranged with the proximal lateral outer rim of the pushing slice of nail 43 The first flange 434 is supported, the second end 801 of back-moving spring 80 supports the second flange 425.

When percussion handle 30 rotates relative to casing 10, percussion handle 30 drives the direction of pushing slice of nail 43 by connector 301 Distal movement, now, pushing slice of nail 43 realize the percussion of suturing nail 411 and cutting knife 44 with respect to nail barrel 42 towards distal movement, together When, the spacing between the first flange 434 and the second flange 425 tapers into, and is located in the first flange 434 and the second flange 425 Between back-moving spring 80 compressed.

When cancellation puts on the power in percussion handle 30, back-moving spring 80 automatically resets, while promotes on pushing slice of nail 43 The proximal movement of the first flange 434, the spacing between the first flange 434 and the second flange 425 becomes larger, so that pushing away Nail piece 43 and the cutting knife 44 reset, meanwhile, the pushing slice of nail 43 drives percussion handle 30 to reset by connector 301.

In the present embodiment, certainly, in other embodiments, also can be symmetrical only there is provided a percussion handle 30 Two percussion handles 30 are set.

The percussion handle 30, which coordinates, is provided with safety block 70, and one end of safety block 70 removably supports percussion handle 30, The other end is provided with pin hole 701, and the pin hole 701 is connected with the hole 101 on casing 10 by bearing pin 102, in this way, insurance Block 70 can rotate relative to the casing 10.

When safety block 70 is maintained between percussion handle 30 and casing 10, the percussion handle 30 can not be with respect to casing 10 Rotate, pushing slice of nail 43 can not fire.

When safety block 70 is struck and departs from percussion handle 30 and when turning at casing 10, percussion handle 30 can be relative Casing 10 rotates, and the pushing slice of nail 43 is mobile to distal end in the presence of the connector 301 of percussion handle 30 and realizes and fires.

Below, the workflow of the anastomat for circumcision of the embodiment of the utility model one is simply introduced：

In the present embodiment, glans penis seat 20 is removably attachable to the distal end of casing 10, during original state, glans penis seat 20 In can open mode, the desired physiological tissue operated can be placed between nail bin 41 and anvil assembly 45.

When the anastomat for circumcision/nail bin groupware 40 switches to closure state by original state, the tune is rotated Knob 50, the proximally facing motion in the presence of adjusting knob 50 of screw mandrel 60 are saved, screw mandrel 60 drives the glans penis seat 20 close to machine The movement of shell 10 can clamp desired physiological tissue until anvil assembly 45 and nail bin 41 close therebetween, the pushing slice of nail 43 and described cut Knife 44 does not move and is still located on the near-end of the nail bin groupware 40.

When the anastomat for circumcision/nail bin groupware 40 switches to cock by closure state, the anvil assembly 45 and nail bin 41 remain in that closure, driving safety block 70 departs from percussion handle 30, and pressing percussion handle 30 makes its drive ejector pin Piece 43 is mobile towards distal end, and now pushing slice of nail 43 and cutting knife 44 are moved by the proximate of the nail bin groupware 40, cutting knife 44 and Suturing nail 411 cuts and sutures clamped desired physiological tissue.

When the anastomat for circumcision/nail bin groupware 40 switches to percussion completion status by cock, release is hit Handle 30 is sent out, percussion handle 30, pushing slice of nail 43 and cutting knife 44 reset in the presence of back-moving spring 80.Opposite direction rotation regulation rotation Button 50, screw mandrel 60 drive glans penis seat 20 to be moved away from casing 10, and the anvil assembly 45 and nail bin 41 are in open shape, will can now be cut Desired physiological tissue after slot closes departs from glans penis seat 20.

With reference to Fig. 5, it is provided with to enclose in the embodiment of the utility model one, in the nail bin 41 and is set as hollow annular structure Some suturing nails 411, some suturing nails 411 include spike region 412 and remaining region (not indicating), in the hollow ring Shape structure centre is towards on extrorse direction X, and the gapless of spike region 412, there is gap in remaining described region.

There is back of the body superficial vein, when being operated in suture, it is shallow that the spike region 412 closes the back of the body at foreskin to be cut Vein and 412 outermost nail pin of the spike region both pass through the outside of the back of the body superficial vein.

Here, outermost two nail pin in spike region 412 is located at the outside of back of the body superficial vein, and spike region 412 during suture In gapless on the X of direction.

That is, now, there are enough width in spike region 412 to close back of the body superficial vein completely, compared to existing skill Art, the blutpunkte at back of the body superficial vein can be effectively eliminated here, blood effect is closed so as to improve, mitigates postoperative hemorrhage situation.

It should be noted that in addition to spike region 412, the suturing nail 411 in other regions can be with some suturing nails 411 With of the prior art identical, i.e., those suturing nails 411 are set with size and mutually separation.

In the present embodiment, in order to effectively control the closure back of the body superficial vein completely of spike region 412, in the hollow and annular On structure circumferential direction Y, the width D scope in the spike region is 5mm~8mm, preferably, the width D in the spike region It is set to 7mm.

The width D in spike region 412 substantially refers to remove the width after the diameter of outermost two nail pins, and width D It is spike region 412 in the length on hollow annular structure circumferential direction Y.

The spike region 412 can have variform.

In the example of the utility model one, with reference to Fig. 6, spike region 412 includes a suturing nail 412a.

That is, in this example, some suturing nails 411 include a spike 412a, when being operated in suture, The spike 412a closures back of the body superficial vein and the spike 412a two nail pin 4121a both pass through the back of the body superficial vein Outside.

Here, spike region 412 is formed with spike 412a, and manufacture difficulty is relatively low, and reliability is higher.

Spike 412a crown 4122a is continuous structure, and spike 412a is in the centrally directed edge of the hollow annular structure Direction X on gapless.

When suturing operation, spike 412a two nail pin 4121a both pass through the outside of the back of the body superficial vein, that is, Say, spike 412a crown 4122a part can close back of the body superficial vein completely, and nail pin 4121a will not pierce through back of the body superficial vein, one Spike 412a setting can effectively eliminate the blutpunkte at back of the body superficial vein, and blood effect is closed so as to improve, and mitigate postoperative hemorrhage shape Condition.

In this example, the scope of space D 1 between two nail pin 4121a of the spike 412a is 5mm~8mm, preferably , the space D 1 is 7mm.

The space D 1 is more than the width of extruding back superficial vein, and spike 412a can close back of the body superficial vein completely.

In addition, the essence of space D 1 refers to the distance between two nail pin 4121a inner surface, and space D 1 is spike 412a is in the length on hollow annular structure circumferential direction Y.

In this example, spike 412a is located on same circumference with other suturing nails, but is not limited.

With reference to Fig. 7 and Fig. 8, in another example of the utility model, spike region 412 includes some suturing nail 412b, institute Some suturing nail 412b are stated to be interspersed to cause the spike region 412 in the centrally directed edge of the hollow annular structure Gapless on the X of direction.

Specifically, exemplified by including two suturing nail 412b by spike region 412, but not to be limited.

Each suturing nail 412b width D 2 can be the width of suturing nail in the prior art, as 3mm.

Two suturing nail 412b are staggered, to close two suturing nail 412b in the gap on the X of direction.

The suturing nail 412b essence of width D 2 refers to remove the width after the diameter of two nail pins of suturing nail, and width D 2 It is suturing nail 412b in the length on hollow annular structure circumferential direction Y.

Assuming that now hollow annular structure is circular ring, two suturing nail 412b are with removing outside spike region 412 Other suturing nails are located in concentric circumferences, and the width in the region that is overlapping between two suturing nail 412b is 0.5mm.

So, the now width D 2 ' in whole spike region 412=(2*D2-0.5) mm=5.5mm, spike region 412 Width is more than the width of extruding back superficial vein, and spike region 412 can close back of the body superficial vein completely.

It should be noted that when having overlapping region between two suturing nail 412b, two suturing nail 412b are not same On circumference, now, hollow annular structure is substantially approximate hollow annular structure.

In addition, two suturing nail 412b can also be connected to each other setting to eliminate gap between the two, and now, two There is no overlapping region between suturing nail 412b substantially.

In this example, two suturing nail 412b width D 2 is identical, but is not limited, in other examples, two Suturing nail 412b width D 2 can be different.

Suturing nail 412b quantity, relative position, bearing of trend, hollow annular structure concrete form etc. also can not more than State it is bright be limited, can be according to actual conditions depending on.

Join Fig. 9, in the present embodiment, exemplified by including a spike 412a by spike region 412, outside the nail barrel 42 Surface 421 is provided with spike instruction unit 422, and when being operated in suture, the spike instruction unit 422 aids in the spike 412a's Two nail pin 4121a are positioned at the both sides of the back of the body superficial vein.

Specifically, along the direction X at the centrally directed edge of the hollow annular structure, it is described big when in initial position Nail 412a overlaps in the projection in the nail barrel 42 with the spike instruction unit 422.

That is, spike instruction unit 422 also in fall " door " font, when spike instruction unit 422 with carry on the back superficial vein be aligned when, Actual spike 412a is also aligned with back of the body superficial vein.

In practical operation, when carrying out Wrapping annulus cuts operation, back of the body superficial vein position is easy to be observed, and patient only needs to control Spike instruction unit 422 processed and the position of back of the body superficial vein, can cause spike 412a two nail pin 4121a to puncture foreskin to be cut Shi Shizhi is respectively positioned at the both sides of back of the body superficial vein, in this way, it is possible to prevente effectively from damage while complete closure back of the body superficial vein Carry on the back superficial vein in itself.

In the present embodiment, formed with least pass through aperture 424, the through hole in the side wall 423 of the nail barrel 42 424 are used to expose the part glans penis seat 20, and nail bin 41 and anvil assembly 45 are placed in the desired physiological tissue operated Between after, and close anastomat for circumcision/nail bin groupware 40 before, can be observed by the through hole 424；If target Physiological tissue have stacking, became uneven or it is elastic uneven when, the through hole 424 can be passed through and use surgical clamp, tweezers etc. Tissue is finely adjusted, so that the incisxal edge that desired physiological tissue is cut after suture is more smooth, attractive in appearance.

Here, by taking symmetrically arranged two through holes 424 as an example, and per pass through aperture 424 in the circumferential direction of nail barrel 42 The half for being closely sized to the girth of nail barrel 42.

In the present embodiment, in order to adapt to spike 412a setting, the other structures coordinated with it also need to do mutually to strain Change.

Specifically, as shown in Figure 10, the distal end of the pushing slice of nail 43 is provided with to be spaced on hollow annular structure circumferential direction Y Some ejector pin portions 431 of distribution, a spike ejector pin portion 4311, the spike ejector pin portion are included in some ejector pin portions 431 4311 size is mutually matched with spike 412a.

As shown in figure 11, a spike nail mouth 4131 is included in some nail mouthes 413 of the distal end of nail bin 41, the spike goes out The size of nail mouth 4131 is mutually matched with spike 412a.

As shown in figure 12, if the near-end of the nail anvil 451 is provided with being spaced apart on hollow annular structure circumferential direction Y Dry nail forming part 4511, some follow closely in forming parts 4511 include a spike forming part 45111, the spike forming part 45111 size is mutually matched with spike 412a.

The above-mentioned description as described in pushing slice of nail 43, nail bin 41, nail anvil 451 is only a specific example, and not to pushing slice of nail 43, Nail bin 41, the form of nail anvil 451 make specific restriction, and present embodiment only needs to ensure that spike 412a can normally be fired, is molded i.e. Can.

It should be appreciated that although the present specification is described in terms of embodiments, not each embodiment only includes one Individual independent technical scheme, this narrating mode of specification is only that those skilled in the art will should say for clarity For bright book as an entirety, the technical scheme in each embodiment may also be suitably combined to form those skilled in the art can With the other embodiment of understanding.

The a series of tool described in detail only for feasibility embodiment of the present utility model of those listed above Body illustrates that they are simultaneously not used to limit the scope of protection of the utility model, all to be made without departing from the utility model skill spirit Equivalent implementations or change should be included within the scope of protection of the utility model.

Claims (10)

1. a kind of nail bin groupware, the nail bin groupware includes nail barrel, the pushing slice of nail and nail bin being arranged in the nail barrel, its feature It is, some suturing nails for enclosing and being set as hollow annular structure are provided with the nail bin, and some suturing nails include spike region And remaining region, on the direction at the centrally directed edge of the hollow annular structure, spike region gapless, it is described remaining There is gap in region, when being operated in suture, the spike region closure back of the body superficial vein and the outermost nail in spike region Pin both passes through the outside of the back of the body superficial vein.

2. nail bin groupware according to claim 1, it is characterised in that the spike region includes some suturing nails, described Some suturing nails are interspersed to cause the spike region in nothing on the direction at the centrally directed edge of the hollow annular structure Gap.

3. nail bin groupware according to claim 1, it is characterised in that in the hollow annular structure circumferential direction, institute The width range for stating spike region is 5mm ~ 8mm.

4. a kind of nail bin groupware, the nail bin groupware includes nail barrel, the pushing slice of nail and nail bin being arranged in the nail barrel, its feature It is, some suturing nails for enclosing and being set as hollow annular structure are provided with the nail bin, and some suturing nails include a spike, when When being operated in suture, two nail pins of the spike closure back of the body superficial vein and the spike both pass through the outer of the back of the body superficial vein Side.

5. nail bin groupware according to claim 4, it is characterised in that the spacing range between two nail pins of the spike For 5mm ~ 8mm.

6. nail bin groupware according to claim 5, it is characterised in that the spacing is 7mm.

7. nail bin groupware according to claim 4, it is characterised in that the outer surface of the nail barrel is provided with spike instruction unit, When being operated in suture, the spike instruction unit aids in two nail pins of the spike to be positioned at the two of the back of the body superficial vein Side.

8. nail bin groupware according to claim 7, it is characterised in that along the centrally directed edge of the hollow annular structure Direction, when in initial position, the spike overlaps in the projection in the nail barrel with the spike instruction unit.

9. nail bin groupware according to claim 4, it is used cooperatively with a glans penis seat, it is characterised in that the side of the nail barrel Formed with least pass through aperture on wall, the through hole is used to expose the part glans penis seat.

10. a kind of anastomat for circumcision, it is characterised in that including stapler body, be arranged at the stapler body distal end Glans penis seat and the nail bin groupware as described in any one in claim 1-9.