CN207462128U - A kind of ultra-sonic operation device - Google Patents

Abstract

The utility model is related to a kind of ultra-sonic operation devices for being integrated with eruption water mist and the anti-infection function of disinfection, including ultrasonic generator, transmitting device, end structure and water fog generator, wherein, ultrasonic generator is connected to transmitting device and can ultrasonic wave be sent to transmitting device for generating ultrasonic wave；Transmitting device is connected to end structure and can ultrasonic wave be sent to end structure；Water fog generator is used for before end structure start, applies water or mist during end structure start and/or to end structure and/or end structure institute site of action after end structure start.In various in emergency circumstances implementation ultrasonic surgeries and it can ensure that operative site does not generate smog and smell, and can further complete disinfection prevent postoperative infection, meanwhile it for the field of surgery for this subdivision of peritomizing can prevent from that smog, smell and the adhesion for avoiding the occurrence of tissue and cutter head occur during ultrasonic surgery.

Description

A kind of ultra-sonic operation device

Technical field

The utility model is related to a kind of ultra-sonic operation devices, and in particular to one kind is integrated with eruption water mist and the anti-sense of disinfection Contaminate the ultra-sonic operation device of function.

Background technology

Many rescues not in time by the commonly seen injuries of threat to life be frequently experienced at home, travelling, field work these do not have There is the place of surgical condition, especially cause the open injury of a large amount of personnel when burst fire-disasters occur in earthquake, need scene It is urgent to implement the operations such as cutting process, hemostasis blood coagulation.Existing first-aid method, it is several in addition to speed sends operating room to hospital and carries out operation Without his method, and many life just in way is transported because can not give treatment to or stop blooding and fail to retrieve in time.

If however, carry out surgical procedure at the scene by force, and the problem of in face of bacteriovirus infection, with modern medical service The development of technology, to operation when sterility requirements it is stringenter, the quantity of bacterium and microorganism is to a certain degree in ambient enviroment How co-relation carries out effective operative site disinfection, reduces the postoperative infection caused by pollution, be always to the success or failure of operation Subject of concern, the power supply of the widely used air sterillization in market at present is usually the main power source of alternating current, but these In view of requirement under the conditions of field surgery, it is impossible to suitable for emergencies such as wartime, natural calamity and major accidents One line of batch wounded is quickly given treatment to during generation.Anti- infection/the decontamination system of traditional surgical operation also has the following disadvantages：Volume It is huge, it is mobile inconvenient；Complete machine power is high, and power consumption is big, and 220V power supplys is needed to power, can not be under power environment rugged environment It uses；Complete machine can not shockproof water proof and dust proof, can not under severe medical environment normal use.

Select ultrasound knife that can largely be solved in terms of hemostasis and healing during emergency operation under more than adverse circumstances Certainly a part of problem, but in practical operation, ultrasound knife has the shortcomings that certain at present, ultrasound knife will generate certain cigarette when performing the operation Mist or liquid mist influence the visual field, in addition can not also synchronize and precisely complete to sterilize anti-infection.

In addition to this, ultrasonic technique is introduced this field of Wrapping annulus cuts operation by the utility model people for the first time, but is ground It is found that while peritomize using ultrasound and can terminate to perform the operation to a few minutes for several seconds during hair, foreskin blood vessel is completed to be cured It closes, after operation is not in bleeding risk during operation, but also there are problems that generation smog and smell.

In conclusion following problem exists in the prior art：

(1) in the environment of largely not having surgical condition, timely condition of the injury processing can not be carried out；

(2) performed the operation in the presence of a harsh environment or other processing when can not synchronize and be precisely accomplished disinfection and prevent from infecting Processing；

(3) in addition, the prior art in field of peritomizing there are still following urgent problems to be solved so far：Operation at that time by After cutting prepuce tissues, notch cannot heal in time；The limitation of Foreskin loop cutter structure causes ring cutting face not beautiful enough, Ke Nengzao Into repenting forever；The operation of certain probability, which will appear section, can not form complete loop；Blade is needed to cut or cut during operation Knife shears tissue, and patients ' psychological is frightened, physiology pain；Needed after operation band follow closely or band, to patient bring psychology and The dual pain of physiology；During using suturing nail mode, easily because suturing nail position does not know to cause to punch blood vessel, blood vessel is difficult to be cured Conjunction leads to postoperative hemorrhage；Process needs with nail after operation take several days or even more than ten days, and minimal invasive treatment is greatly inconvenient, Er Qieyi Denier appearance activity is acutely or external force influence is easy to cause de- nail, causes danger；Band nail, leads to always that there are later stage lifes after operation Rationality leads to bleeding or de- nail when erecing；Traditional operation mode cut surface forms a scab or foreskin is caused to lose situations such as slowly healing Original elasticity；Traditional operation mode needs to continue a few minutes or even half a day, and operating time length results in various risks；Traditional operation The easy bleeding of mode, leads to communicable disease risk, etc..And it is easy when solving the above problems using ultrasound peritomize Certain smog and smell are generated, influences the visual field and surgical environments, while the adhesion that tissue and cutter head may occur causes hand Art failure or bleeding.

Utility model content

It, can be with the purpose of this utility model is to provide a kind of ultra-sonic operation device for more than prior art problem In various in emergency circumstances implementation ultrasonic surgeries and ensure that operative site does not generate smog and smell, and can further complete Disinfection prevents postoperative infection, meanwhile, for the field of surgery for this subdivision of peritomizing can prevent from that cigarette occurs during ultrasonic surgery Mist, smell and the adhesion for avoiding the occurrence of tissue and cutter head.Specific technical solution is as follows：

A kind of ultra-sonic operation device, including ultrasonic generator, transmitting device, end structure and water fog generator, Wherein, the ultrasonic generator is connected to transmitting device and can be sent to ultrasonic wave and transmit dress for generating ultrasonic wave It puts；The transmitting device is connected to end structure and can ultrasonic wave be sent to end structure；The water fog generator is used for Before end structure start, to end structure and/or end structure institute during end structure start and/or after end structure start Site of action applies water or mist.

Further, the water fog generator is independent relative to ultrasonic generator, transmitting device and end structure Setting.

Further, the water fog generator be partly or entirely integrally disposed in ultrasonic generator, transmitting device or On end structure.

Further, the water fog generator includes water reservoir and water outlet, and the water reservoir is set to biography On defeated device and for storing water or liquid medicine, the water outlet can be opened and closed, and be set to water reservoir close to the one of end structure It holds and is used to apply the water of water reservoir memory storage or liquid medicine to end structure and/or end structure institute site of action.This is deposited The liquid such as water, alcohol, disinfectant can be stored in water installations, by squeezing, push or the mode of ultrasonic vibration is from water outlet It sprays, before peritomizing, when peritomizing and/or after peritomizing, is formed about in first annular contact surface mist-like Environment.

Further, the water reservoir is annular water reservoir, is set to transmitting device periphery；The water outlet is Multiple, the annular end face along annular water reservoir close to one end of end structure is arranged.

Further, the water fog generator includes water reservoir and nozzle, and the water reservoir is set to transmission On device and for storing water or liquid medicine, the nozzle is set to water reservoir close to one end of end structure and is used for water The water or liquid medicine of device memory storage will be erupted after water or liquid medicine atomization to end structure and/or end structure institute site of action.

Further, the water reservoir include water structure and atomization structure, the water structure for store water or Liquid medicine, the atomization structure are placed in water structure and for water or liquid medicine to be atomized.

Further, the water fog generator further includes water filling port, is opened in water reservoir and is used for water Filling water or liquid medicine in device.

Further, the water fog generator is ultrasonic water mist generation device.

Further, the ultrasonic generator is connected to water reservoir and for being sent to ultrasonic wave by the water of storage Or liquid medicine is atomized.

Further, the second ultrasonic generator is further included, second ultrasonic generator is connected to water reservoir simultaneously The water of storage or liquid medicine are atomized for being sent to ultrasonic wave.

Further, the end structure is ultrasonic cut cutter head or Foreskin loop cutter.

Further, the Foreskin loop cutter includes first end and second end, and the first end is foreskin fixing end, described Second end is mutual for extruding or cutting or hemostasis or healing end, the foreskin fixing end and extruding or cutting or hemostasis or healing end Cooperation foreskin is squeezed and/or is cut and/or, stopped blooding to the surface of a wound and/or healed.

Further, the foreskin fixing end is inner ring, and the extruding or cutting or hemostasis or end of healing are outer shroud, described Inner ring is for being built in inside foreskin, and the outer shroud is for being placed outside outside foreskin, inner ring and outer rings mutual cooperation clamping foreskin.

Further, the foreskin fixing end is the positioning cylinder for being configured to may be such that glans penis is partially inserted into, The distal radial outwardly convex of the positioning cylinder forms flange, is formed on the face towards proximal end of the flange first annular Contact surface, foreskin is across being supported on the first annular contact surface after the flange；It is described extruding cutting or hemostasis or Healing end is to be installed on jointly on same frame with positioning cylinder, and mobile excision can be drivingly carried out to foreskin fixing end Device, the device for excising have the second annular contact surface.

Further, the foreskin fixing end is the positioning cylinder for being configured to be sleeved on glans penis, in the positioning tube The proximal end of body forms first annular contact surface, and foreskin is supported on the first annular contact surface；It is described extruding or cutting or Hemostasis or healing end are to be installed on jointly on same frame, and can drivingly be moved to foreskin fixing end with positioning cylinder Device for excising, the device for excising have the second annular contact surface.

Compared with currently available technology, the utility model can in the environment of largely not having surgical condition, in time into The row condition of the injury is handled and is stopped blooding；Performed the operation under above-mentioned adverse circumstances or other processing when can synchronize and be precisely accomplished disinfection With the processing for preventing infection；Meanwhile the generation of smog or liquid mist is not only avoided when ultrasound knife is performed the operation and influences to regard Open country can also synchronize and precisely complete to sterilize anti-infection.In addition, in Wrapping annulus cuts operation, generated using ultrasonic generator Ultrasound simultaneously passes through transmitting device and sends foreskin cut end to, and the frictional heat energy as caused by mechanical oscillation is while foreskin is cut pair Foreskin blood vessel carries out coagulation, and hemostasis and close healing can be completed in a few minutes；Ultrasound is generated simultaneously using ultrasonic generator Foreskin cut end is sent to by transmitting device, makes prepuce tissues cut ring section beautiful；Ultrasonic wave makes to connect with Foreskin loop cutter Tactile prepuce tissues are in moment moisture vaporization, formation complete loop；Operation is sheared without blade or scissors, is greatly alleviated The patient feared state of mind and physiology pain；Patient is without band nail or band on penis after Wrapping annulus cuts operation；A few minutes After operation, foreskin blood vessel has healed, and after operation is not in bleeding risk during operation；Change prior art foreskin It needs, with the annulus nail present situation of 7 days or even more than ten days, to solve the problems, such as that minimal invasive treatment is inconvenient, solve simultaneously after ring cutting operation Aggravating activities or external force caused de- nail decylization risk when acting on；The erection of patient's physiological is led after solving Wrapping annulus cuts operation The bleeding of cause or de- nail decylization risk；Using the ultrasonic Wrapping annulus cuts operation of the utility model, foreskin cutting healed surface is smooth Naturally, maintain original elasticity；Using the ultrasonic Wrapping annulus cuts operation of the utility model, the time only needs several seconds can be complete Into；It using the ultrasonic Wrapping annulus cuts operation of the utility model, heals on the spot, avoids operation and neutralize postoperative bleeding, avoid The generation of communicable disease；Avoid the coking scab occurred and the situation smoldered in operation, the smooth healing in ring cutting face.

Description of the drawings

Fig. 1 is ultra-sonic operation device schematic diagram

Fig. 2 is the first form schematic diagram of outer shroud

Fig. 3 is the first form schematic diagram of inner ring

Fig. 4 is the top view illustration of inner ring

Fig. 5 is the second form schematic diagram of outer shroud

Fig. 6 is the second form schematic diagram of inner ring

Fig. 7 is the housing elastic tape schematic diagram of inner ring

Fig. 8 is a kind of varus formula ultrasound foreskin extruding of the utility model, cutting, stops blooding, the preputial ring in healing component The front view of cutter

Fig. 9 is the sectional view of Fig. 8

Figure 10 is the partial enlarged view of Fig. 9

Figure 11 is the front view of the positioning cylinder in the Foreskin loop cutter of Fig. 8

Another varus formula ultrasound foreskin of Figure 12 the utility model squeezes, cutting, stops blooding, the preputial ring in healing component The front view of cutter

Figure 13 is the front view of the positioning cylinder in the Foreskin loop cutter of Figure 12

Figure 14 is a kind of eversion type ultrasound foreskin extruding of the utility model, cutting, stops blooding, the preputial ring in healing component The front view of cutter

Figure 15 is the sectional view of Figure 14

Figure 16 is the partial enlarged view of Figure 15

Figure 17 is the front view of the positioning cylinder in the Foreskin loop cutter of Fig. 8

In figure：A. ultrasonic generator, B. ultrasonic cuts/hemostasis cutter head, 1. supersonic generators, 2. energy converters, 3. pass Defeated device (main body), 4. transmitting devices (forepart), 5. firm joint devices (external screw thread), 6. annular storage devices, 7. can close opening, 8. attachment device/connecting cable, 9. firm joint devices, 10. internal threads, 11. outer shrouds, 12. locking devices/clamping screw, 13. lockings Device/locking screw holes, 14. inner ring, 15. outer shroud locking devices/locking buckle, 16. anti-stick coatings, 17. elastic tapes/anti-snearing Layer, 18. protection structures, 19. positioning cylinders, 20. flanges, 21. first annular contact surfaces, 22. gas-permeable channels, 23. body frames Frame, 24. device for excising, 25. second annular contact surfaces, 26. driving devices, 27. upper covers, 28. lower covers, 29. retaining rings

Specific embodiment

The utility model is described in detail below according to attached drawing, is one in the utility model numerous embodiments Kind preferred embodiment.

Referring to Fig. 1, in the preferred embodiment, ultra-sonic operation device includes ultrasonic generator A and as termination knot The ultrasonic cut of structure/hemostasis cutter head B, ultrasonic generator A includes supersonic generator 1 and energy converter 2, supersonic generator 1 Energy converter 2 is connected to by attachment device or connecting cable 8, ultrasonic generator A is connected to preputial ring by transmitting device Cutter, transmitting device include the main body 3 of transmitting device and the forepart 4 of transmitting device, and the end of the forepart 4 of transmitting device is equipped with The external screw thread 5 of firm joint device, the ultrasonic cut/one end of hemostasis cutter head B far from cut end are equipped with internal thread, can be with external screw thread 5 Cooperation screws, and side/both sides of the forepart 4 of transmitting device or ring week, annular storage device 6 leaned on equipped with annular storage device 6 One end of nearly Foreskin loop cutter, which is equipped with, can close opening 7.

Smog and smell are generated during in order to avoid being peritomized using ultrasound, influencing the visual field and surgical environments, The water fog generator of the utility model ultra-sonic operation device can be arranged on including one on main body frame, and positioned at excision The annular water reservoir 6 of device or transmitting device outer periphery or inner periphery and face ultrasonic cut/hemostasis in the water reservoir The water outlet or vent of eruption that cutter head B is equipped with can store the liquid such as water, alcohol, disinfectant in the water reservoir, by squeezing Pressure, pushes or the mode of ultrasonic vibration is sprayed from water outlet, before peritomizing, when peritomizing and/or after peritomizing, Mist-like environment is formed about in ultrasonic cut/hemostasis cutter head B.When by the way of ultrasonic vibration, using the second ultrasound Generating means, second ultrasonic generator are connected to water reservoir and for being sent to ultrasonic wave by the water or medicine of storage Water carries out atomization so as to be sprayed from water outlet, supersonic frequency 1.7-1.9mhz.

When using ultrasonic cut/hemostasis cutter head B, supersonic frequency 55.5kHz, when using Foreskin loop cutter, vibration Frequency is 55.5kHz-166.5kHz, preferably 135kHz.Ultrasonic generator includes supersonic generator and ultrasonic transducer, The supersonic generator is drivingly connected to ultrasonic transducer, and the ultrasonic transducer is connected to transmitting device, transmission dress Ultrasonic conducting bar is set to, ultrasonic generator is connected with control unit, and the ultrasonic generator includes longitudinal ultrasonic driver With lateral ultrasonic drivers.

When end structure uses Foreskin loop cutter, the ultrasonic foreskin that is formed squeezes, cutting, hemostasis, healing component, will Applications of ultrasound organizes the foreskin of junction to squeeze in the inside and outside portion of human body tip, cuts, stops blooding, heals, including ultrasonic generator A, transmitting device 3,4 and Foreskin loop cutter, ultrasonic generator A are connected to transmitting device 3,4 for generating ultrasonic wave And ultrasonic wave can be sent to transmitting device 3,4；Transmitting device 3,4 is connected to Foreskin loop cutter and ultrasonic wave can be sent to packet Skin girdling device；Foreskin loop cutter for being squeezed foreskin and/or cut and/or, stopped blooding to the surface of a wound and/or healed.

Foreskin fixing end be connected to transmitting device 3,4 and/or, squeeze or cutting hemostasis or healing end be connected to transmission Device 3,4, and receive transmitting device 3,4 transmission ultrasonic wave and foreskin is squeezed and/or is cut and/or, to the surface of a wound Stopped blooding and/or healed.Lead between transmitting device 3,4 and foreskin fixing end and/or extruding or cutting or hemostasis or healing end It crosses internal and external threads 5,10 or buckle progress is affixed.

Foreskin fixing end and extruding or cutting or hemostasis or healing end are carried out respectively at the inner panel and outside plate of foreskin with co-clip Foreskin is held, the 9%-87% of thickness when clamping degree is foreskin nature.

Foreskin fixing end and extruding or cutting or hemostasis or healing end are carried out respectively at the inner panel and outside plate of foreskin with co-clip Hold foreskin, clamping force 0.02-3.5N/mm.

Water fog generator 6,7 is further included, is used for before peritomizing, when peritomizing and/or after peritomizing Water and/or water mist are applied to Foreskin loop cutter and/or position of peritomizing.Water fog generator 6,7 is filled relative to ultrasound A, transmitting device 3,4 and Foreskin loop cutter is put to be separately provided；And/or water fog generator 6,7 is partly or entirely integrally disposed On ultrasonic generator A, transmitting device 3,4 or Foreskin loop cutter.

Further include protective device, be used for before peritomizing, when peritomizing and/or after peritomizing to penis, The foreskin that glans penis and/or needs retain is protected.Protective device for be set on Foreskin loop cutter contact penis, glans penis and/ Or need the protection structure 18 of the position of foreskin retained.

Ultrasonic generator include supersonic generator 1 and ultrasonic transducer 2, supersonic generator 1 be drivingly connected to Ultrasonic transducer 2, ultrasonic transducer 2 are connected to transmitting device 3,4.

Referring to Fig. 2, in the preferred embodiment, the outer shroud 11 of Foreskin loop cutter has opening, and opening can pass through locking screw 13 fitting closure of bolt 12 and locking screw holes, outer shroud 11 are equipped with firm joint device 9, and firm joint device 9 is equipped with internal thread 10, interior spiral shell Line 10 and external screw thread 5 can be with thread fittings and affixed, and the inside of outer shroud 11 is equipped with anti-stick coating 16.

Foreskin loop cutter include first end and second end, first end be foreskin fixing end, second end for squeeze or cutting or Hemostasis or healing end, foreskin fixing end and squeeze or cutting hemostasis or healing end cooperate foreskin is squeezed and/or Cutting and/or, stopped blooding to the surface of a wound and/or healed.It foreskin fixing end and squeezes or cutting or hemostasis or healing end are matched Conjunction mode is used to be placed in the inner panel or outside plate of foreskin for foreskin fixing end, squeezes or cuts or stop blooding or end of healing is used for In the outside plate of foreskin or being placed with the corresponding position of foreskin fixing end for inner panel.Foreskin fixing end and squeeze or cutting or Hemostasis or healing end carry out cooperation clamping foreskin respectively at the inner panel and outside plate of foreskin, and for being squeezed foreskin and/or Cutting and/or, stopped blooding to the surface of a wound and/or healed.Foreskin fixing end have the first toroidal contact surface, squeeze or cutting or Hemostasis or healing end have the second toroidal contact surface, and the first toroidal contact surface is placed foreskin with the cooperation of the second toroidal contact surface Between two contact surfaces.First toroidal contact surface and the second toroidal contact surface are closed circle contact surface.

Foreskin fixing end is the first ring, squeezes or cuts or stop blooding or healing end is the second ring.First ring and the second ring phase Foreskin is arranged inside and outside or the second ring and the first ring are arranged inside and outside relative to foreskin.First ring is inner ring 14, is used for interior It is placed in inside foreskin, the second ring is outer shroud 11, is used to be placed outside outside foreskin, 11 mutual cooperation clamping packet of inner ring 14 and outer shroud Skin.Inner ring 14 is close ring, and outer shroud 11 has opening, and opening can be closed by locking device 12,13.

It is a kind of form of inner ring 14 in the preferred embodiment, width is more than outer shroud 11 and sets referring to Fig. 3 Two parallel circle grooves can coordinate clamping with outer shroud, be a kind of shape of inner ring 14 in the preferred embodiment referring to Fig. 6 State, width is basically identical with outer shroud 11 and can coordinate clamping with outer shroud.Referring to Fig. 4, the outer ring of inner ring 14 be equipped with elastic tape/ Anti-stick coating 17, inner ring are equipped with protection structure 18.

Referring to Fig. 7, the elastic tape or anti-stick coating 17 being arranged for inner ring outer ring.

Referring to Fig. 5, in the preferred embodiment, the outer shroud 11 of Foreskin loop cutter has opening, and opening can pass through locking clamp 15 fitting closures are detained, outer shroud 11 is equipped with firm joint device 9, and firm joint device 9 is equipped with internal thread 10, and internal thread 10 can with external screw thread 5 With thread fitting and affixed, the inside of outer shroud 11 is equipped with anti-stick coating 16.

In ring cutting operation, following steps may be used：

1st, in a state that penis does not erect, the perimeter of penis at 1cm below glans penis is measured with tape, determines to peritomize Device specifications and models；The inside and outside skin zone of penis is fully wiped one time with sterilized cotton ball, surgical operation towel is completed, selects corresponding foreskin Girdling device model；

2nd, adult uses 2% lidocaine anesthesia agent of 3-5ml every time；Children use 2% lidocaine anesthesias of 2-3ml every time Agent goes in ring injection glans penis at the 1/3 of root；

3rd, after anaesthetizing, radix penis part, Basilar artery blood circulation are ligatured with rubber band；

4th, inner ring is placed at penis foreskin, adjusts the position of inner ring；

5th, foreskin edge is clamped with vessel forceps, foreskin is turned up and entangles inner ring, retain 1 centimeter of frenulum；

6th, check whether inner and outer plates are smooth；

7th, the male threaded stub of ultrasound transmission apparatus and the internal thread on outer shroud firm joint device are screwed, starts ultrasound Device simultaneously carries out each gear detection of perioperative ultrasound generating means in sink, and ultrasonic generator is closed after detection；

8th, outer shroud is pressed into inner ring at extra foreskin, checks that inner and outer ring side keeps horizontality, be closed outer shroud：Pass through Outer shroud junction, which is oriented to, is closed outer shroud, and tentatively fastened with locking device；Foreskin is adjusted to satisfaction, it is complete with locking device It fastens；

9th, start ultrasonic generator and foreskin is cut, and start water mist simultaneously using high frequency cutting gear Device erupts water mist to position of peritomizing；

10th, after continuing corresponding clipping time (general 3-9s) according to practical foreskin situation, cutting at this time finishes, and contacts the surface of a wound It is the side (dull face) of Foreskin loop cutter, blood coagulation is carried out using low frequency blood coagulation gear, until hemostasis is completed and tentatively healed；

11st, outer shroud is removed；

12nd, inner ring is slowly retreated to radix penis part；

13rd, it is cut with sharp mouth and inner ring is cut into two sections, and take out inner ring, complete operation.

Or preferably by following optional step：

1st, inner ring is built between glans penis and Inner prepuce and is probably positioned according to length of peritomizing；

2nd, the male threaded stub of ultrasound transmission apparatus and the internal thread on outer shroud firm joint device are screwed, starts ultrasound Device simultaneously carries out each gear detection of perioperative ultrasound generating means in sink, and ultrasonic generator is closed after detection；

3rd, by outer shroud from foreskin outside plate it is corresponding with inner ring after be closed outer shroud：It is oriented to by outer shroud junction and is closed outer shroud, and It is tentatively fastened with locking device；Foreskin is adjusted to satisfaction, is fastened completely with locking device；

4th, start ultrasonic generator and foreskin is cut using high frequency cutting gear；

5th, after continuing corresponding clipping time according to practical foreskin situation, cutting at this time finishes, and it is preputial ring to contact the surface of a wound The side (dull face) of cutter carries out blood coagulation using low frequency blood coagulation gear, until hemostasis is completed and tentatively healed；

6th, outer shroud is removed；

7th, inner ring is removed, completes operation.

One embodiment according to the present utility model provides a kind of ultrasonic foreskin extruding, cutting, hemostasis, healing component, packet Ultrasonic generator, transmitting device and Foreskin loop cutter are included, wherein, the ultrasonic generator is used to generate ultrasonic wave, It is connected to transmitting device and ultrasonic wave can be sent to transmitting device；The transmitting device, which is connected to Foreskin loop cutter, can will simultaneously surpass Sound wave is sent to Foreskin loop cutter；The Foreskin loop cutter for being squeezed foreskin and/or cut and/or, to the surface of a wound into Whereabouts blood and/or healing.

Foreskin loop cutter in the present embodiment includes：Cylinder is positioned, it is described to be constructed such that glans penis is partially inserted into It positions in cylinder, at least one gas-permeable channels can be equipped on the positioning cylinder；It is outside in the distal radial of the positioning cylinder Convex to form flange；First annular contact surface is formed on the face towards proximal end of the flange, by long foreskin across institute It is supported on the first annular contact surface after stating flange.In above-mentioned positioning cylinder, the first annular contact surface and institute The angle stated between the axis of positioning cylinder can be right angle or be acute angle.The angular range of the acute angle can be 30-60 Degree.In above-mentioned positioning cylinder, the gas-permeable channels are included in the groove that the outside of the positioning cylinder in axial direction extends.It should Groove connects inner space with outside holding.So that the pressure in inner space keeps substantial equilibrium with external pressure, In interchangeable embodiment, gas-permeable channels can also be formed in positioning cylinder on through positioning cylinder wall thickness it is more A through-hole, for example, circle, ellipse, triangle, quadrangle and other geometries.

Foreskin loop cutter in the present embodiment further includes：Main body frame, the positioning cylinder are mounted on the main body frame In；And device for excising, on the main body frame, and including the second annular contact surface.The device for excising can be constructed Into drivingly being moved to positioning cylinder, until the second annular contact surface and first annular contact surface are to packet between Skin is squeezed, is cut, is stopped blooding, is healed.

The embodiment of another utility model according to the present utility model provides a kind of ultrasonic foreskin and squeezes, cutting, stops Blood, healing component, including ultrasonic generator, transmitting device and Foreskin loop cutter, wherein, the ultrasonic generator is used for Ultrasonic wave is generated, transmitting device is connected to and ultrasonic wave can be sent to transmitting device；The transmitting device is connected to foreskin Ultrasonic wave can be simultaneously sent to Foreskin loop cutter by girdling device；The Foreskin loop cutter is used to that foreskin to be squeezed and/or cut, And/or stopped blooding to the surface of a wound and/or healed.

Foreskin loop cutter in the present embodiment includes：Cylinder is positioned, is configured to be sleeved on the glans penis and first Annular contact surface is arranged on the proximal end of the positioning cylinder, for long foreskin to be supported on the positioning cylinder.Upper It states in positioning cylinder, the angle between the axis of the first annular contact surface and the positioning cylinder can be right angle or be Acute angle.The angular range of the acute angle can be 30-60 degree.In above-mentioned positioning cylinder, clamping band is further included, the clamping band is set It puts in the periphery of the positioning cylinder, the outer of the positioning cylinder is clamped to the foreskin that will extend over the first annular contact surface Portion.The clamping band is equipped with multiple ratchets that the clamping band is allowed unidirectionally to clamp.

Foreskin loop cutter in the present embodiment further includes：Main body frame, the positioning cylinder are mounted on the main body frame In；And device for excising, on the main body frame, and including the second annular contact surface.The device for excising can be constructed Into drivingly being moved to positioning cylinder, until the second annular contact surface and first annular contact surface are to packet between Skin is squeezed, is cut, is stopped blooding, is healed.

It is highly preferred that one embodiment according to the present utility model, provide a kind of varus formula ultrasound foreskin squeeze, cutting, Hemostasis, healing component, including ultrasonic generator, transmitting device and Foreskin loop cutter, wherein, the ultrasonic generator is used In generating ultrasonic wave, it is connected to transmitting device and ultrasonic wave can be sent to transmitting device；The transmitting device is connected to packet Ultrasonic wave can be simultaneously sent to Foreskin loop cutter by skin girdling device；The Foreskin loop cutter is used to that foreskin to be squeezed and/or cut Cut and/or, stopped blooding to the surface of a wound and/or healed.

For ease of understanding, in the present embodiment, by the Foreskin loop cutter and its each during the operation of excision foreskin One end (such as right end of Fig. 8) of the close human body of component is known as distal end, by the separate people of Foreskin loop cutter and its all parts One end of body is known as proximal end close to one end (such as left end of Fig. 8) of surgical staff operation.

Refer to the attached drawing 8-13, the Foreskin loop cutter in the present embodiment include：Cylinder 19 is positioned, is constructed such that glans part It is inserted into dividing in the positioning cylinder；Flange 20 is formed in the distal radial outwardly convex of the positioning cylinder；Described convex First annular contact surface 21 is formed on the face towards proximal end of edge, by long foreskin across being supported on institute after the flange 20 It states on first annular contact surface 21, forms structure of the distal end of positioning cylinder between Inner prepuce and penis, referred to as varus Formula structure.In above-mentioned positioning cylinder, the angle between the axis of the first annular contact surface 21 and the positioning cylinder 19 It can be right angle or be acute angle.Refer to the attached drawing 12-13, the angular range of the acute angle can be 30-60 degree, thus and glans penis The shape of coronary sulcus match, convenient for more accurate positioning.It can be equipped in above-mentioned positioning cylinder at least one ventilative logical Road 22, the gas-permeable channels 22 are included in the groove that the outside of the positioning cylinder in axial direction extends.The groove will be internal Space is connected with outside holding.So that the pressure in inner space keeps substantial equilibrium with external pressure, interchangeable In embodiment, gas-permeable channels can also be the multiple through-holes for being formed in the wall thickness through positioning cylinder on positioning cylinder, ginseng Attached drawing 11 is examined, for example, circle, ellipse, triangle, quadrangle and other geometries.

Foreskin loop cutter in the present embodiment further includes：Main body frame 23, the positioning cylinder 19 are mounted on the main body In frame 23；And device for excising 24, on the main body frame 23, and including the second annular contact surface 25.The excision Device 24 can be configured to driven device 26 and drivingly be moved to positioning cylinder 19, until the second annular contact surface 25 with First annular contact surface 21 squeezes foreskin between, is cut, is stopped blooding, is healed.Driving device can be to be arranged on Depressible handle on main body frame pushes device for excising to be pushed to move in main body frame, and performing the operation by external force It is resetted after the completion by the bounce of spring.

With reference to figure 9,11, the positioning cylinder 19 in the present embodiment can be extended a positioning link bar by proximal end, fixed by this Position connecting rod is located by connecting with main body frame.

Ultrasonic generator in the present embodiment includes supersonic generator 1 and energy converter 2, and the ultrasonic wave of generation passes through biography Defeated apparatus main body 3 and transmitting device forepart 4 are conveyed to Foreskin loop cutter, and transmitting device forepart can pass through firm joint device 5 and foreskin The positioning cylinder 19 and/or device for excising 24 of girdling device connect, so as to by ultrasonic wave be transmitted to first annular contact surface 21 and/or Second annular contact surface 25.Firm joint device 5 can be to be attached by internal and external threads, may be designed in by bayonet unit It is attached.

It sticks together between foreskin and girdling device when performing the operation in order to prevent, wound is caused to tear again, position cylinder and cut It is preferably in the cylinder of positioning cylinder and convex except the part contacted on device with foreskin is provided with 16 (not shown) of anti-stick coating Anti-stick coating 16 is set on edge and on the second annular contact surface of device for excising.

Smog and smell are generated during in order to avoid being peritomized using ultrasound, influencing the visual field and surgical environments, The Foreskin loop cutter of the utility model is additionally provided with water fog generator, refer to the attached drawing 10, which can include One is arranged on main body frame, and positioned at the annular water reservoir 6 of device for excising outer periphery or inner periphery and in the water 7 (not shown) of water outlet that device surface is equipped with the side of first annular contact surface 21 can store in the water reservoir The liquid such as water, alcohol, disinfectant by squeezing, push or the mode of ultrasonic vibration are sprayed from water outlet, peritomizing it Before, when peritomizing and/or after peritomizing, mist-like environment is formed about in first annular contact surface 21.

The embodiment of another utility model according to the present utility model provides a kind of eversion type ultrasound foreskin and squeezes, cuts Cut, stop blooding, heal component, including ultrasonic generator, transmitting device and Foreskin loop cutter, wherein, the ultrasound fills It puts to generate ultrasonic wave, be connected to transmitting device and ultrasonic wave can be sent to transmitting device；The transmitting device connection Simultaneously ultrasonic wave can be sent to Foreskin loop cutter to Foreskin loop cutter；The Foreskin loop cutter be used for foreskin carry out squeeze and/ Or cutting and/or, stopped blooding to the surface of a wound and/or healed.

For ease of understanding, in the present embodiment, by the Foreskin loop cutter and its each during the operation of excision foreskin One end (such as right end of Figure 14) of the close human body of component is known as distal end, by the separate people of Foreskin loop cutter and its all parts One end of body is known as proximal end close to one end (such as left end of Figure 14) of surgical staff operation.

Foreskin loop cutter in the present embodiment includes：Cylinder 19 is positioned, is configured to be sleeved on the glans penis, Yi Ji One annular contact surface 21, be arranged on it is described positioning cylinder proximal end, for by glans penis from distal end proximally through positioning cylinder after, Long foreskin is dug and is supported on the positioning cylinder proximal end.Form the knot that positioning cylinder is integrally located at except foreskin outside plate Structure, referred to as eversion type structure.

In above-mentioned positioning cylinder, the angle between the axis of the first annular contact surface and the positioning cylinder can be with For right angle or it is acute angle.The angular range of the acute angle can be 30-60 degree.So as to the shape phase with the coronary sulcus of glans penis Match, convenient for more accurate positioning.

In above-mentioned positioning cylinder, clamping band (not shown) is may also include, the clamping band is arranged on the positioning tube The periphery of body is clamped to the outside of the positioning cylinder with the foreskin that will extend over the first annular contact surface.The clamping band It is equipped with multiple ratchet (not shown)s that the clamping band is allowed unidirectionally to clamp.

Foreskin loop cutter in the present embodiment further includes：Main body frame 23, the positioning cylinder are mounted on the body frame In frame；And device for excising 24, on the main body frame, and including the second annular contact surface 25.The device for excising 24 It can be configured to driven device 26 drivingly to be moved to positioning cylinder, until the second annular contact surface connects with first annular Contacting surface squeezes foreskin between, is cut, is stopped blooding, is healed.Driving device can be to be arranged on main body frame Depressible handle pushes device for excising to be pushed to move in main body frame, and rely on bullet after the completion of operation by external force The bounce of spring resets.

With reference to figure 15,16, positioning cylinder can be by upper cover 27 in the present embodiment, the cooperation knot of lower cover 28 and retaining ring 29 Structure is fixed together with main body frame.The closing in of upper cover distal end forms support, the proximal lateral of upper cover to the distal end for positioning cylinder Equipped with external screw thread, lower cover distal exterior also is provided with external screw thread, is equipped with internal thread on the inside of retaining ring, three is connected through a screw thread realization It is fixed.

Ultrasonic generator in the present embodiment includes supersonic generator 1 and energy converter 2, and the ultrasonic wave of generation passes through biography Defeated apparatus main body 3 and transmitting device forepart 4 are conveyed to Foreskin loop cutter, and transmitting device forepart can pass through firm joint device 5 and foreskin The positioning cylinder 19 of girdling device and/or device for excising 24, so as to which ultrasonic wave is transmitted to first annular contact surface 21 and/or second Annular contact surface 25.Firm joint device 5 can be to be attached by internal and external threads, may be designed in and carried out by bayonet unit Connection.

It sticks together between foreskin and girdling device when performing the operation in order to prevent, wound is caused to tear again, position cylinder and cut Except the part contacted on device with foreskin is provided with 16 (not shown) of anti-stick coating, preferably in the first annular of positioning cylinder Anti-stick coating 16 is set on contact surface and on the second annular contact surface of device for excising.

Smog and smell are generated during in order to avoid being peritomized using ultrasound, influencing the visual field and surgical environments, The Foreskin loop cutter of the utility model is additionally provided with water fog generator, refer to the attached drawing 13, which can include One is arranged on main body frame, and positioned at the annular water reservoir 6 of device for excising outer periphery or inner periphery and in the water 7 (not shown) of water outlet that device surface is equipped with the side of first annular contact surface 21 can store in the water reservoir The liquid such as water, alcohol, disinfectant by squeezing, push or the mode of ultrasonic vibration are sprayed from water outlet, peritomizing it Before, when peritomizing and/or after peritomizing, mist-like environment is formed about in first annular contact surface 21.

Claims (16)

1. a kind of ultra-sonic operation device, which is characterized in that including ultrasonic generator, transmitting device, end structure and water mist Generating means, wherein,

The ultrasonic generator is connected to transmitting device and can be sent to ultrasonic wave and transmit dress for generating ultrasonic wave It puts；

The transmitting device is connected to end structure and can ultrasonic wave be sent to end structure；

The water fog generator is used for before end structure start, during end structure start and/or after end structure start Water or mist are applied to end structure and/or end structure institute site of action.

2. ultra-sonic operation device as described in claim 1, which is characterized in that the water fog generator occurs relative to ultrasound Device, transmitting device and end structure are separately provided.

3. ultra-sonic operation device as described in claim 1, which is characterized in that the water fog generator partly or entirely integrates It is arranged on ultrasonic generator, transmitting device or end structure.

4. ultra-sonic operation device as claimed in claim 3, which is characterized in that the water fog generator include water reservoir with And water outlet, the water reservoir is set on transmitting device and for storing water or liquid medicine, the water outlet can be opened and closed, set Water reservoir is placed in close to one end of end structure and for applying the water of water reservoir memory storage or liquid medicine to end structure And/or end structure institute site of action.

5. ultra-sonic operation device as claimed in claim 4, which is characterized in that the water reservoir is annular water reservoir, It is set to transmitting device periphery；The water outlet is multiple, along annular water reservoir close to the annular of one end of end structure End face is arranged.

6. ultra-sonic operation device as claimed in claim 3, which is characterized in that the water fog generator include water reservoir with And nozzle, the water reservoir is set on transmitting device and for storing water or liquid medicine, the nozzle is set to water reservoir Close to one end of end structure and for extremely being held by the water of water reservoir memory storage or liquid medicine or by eruption after water or liquid medicine atomization Header structure and/or end structure institute site of action.

7. ultra-sonic operation device as claimed in claim 6, which is characterized in that the water reservoir includes water structure and atomization Structure, for storing water or liquid medicine, the atomization structure is placed in water structure and is used for water or liquid medicine the water structure Atomization.

8. the ultra-sonic operation device as described in any one of claim 4-7, which is characterized in that the water fog generator also wraps Water filling port is included, is opened in water reservoir and for filling water or liquid medicine into water reservoir.

9. the ultra-sonic operation device as described in any one of claim 1-7, which is characterized in that the water fog generator is super Sound wave water fog generator.

10. ultra-sonic operation device as claimed in claim 9, which is characterized in that the ultrasonic generator is connected to water dress It puts and is used to being sent to ultrasonic wave being atomized the water of storage or liquid medicine.

11. ultra-sonic operation device as claimed in claim 9, which is characterized in that further include the second ultrasonic generator, described Two ultrasonic generators are connected to water reservoir and are atomized the water of storage or liquid medicine for being sent to ultrasonic wave.

12. such as claim 1-7, the ultra-sonic operation device described in any one of 10,11, which is characterized in that the end structure For ultrasonic cut cutter head or Foreskin loop cutter.

13. ultra-sonic operation device as claimed in claim 12, which is characterized in that the Foreskin loop cutter includes first end and the Two ends, the first end are foreskin fixing end, and the second end is fixed for extruding or cutting or hemostasis or healing end, the foreskin End and squeeze or cutting hemostasis or healing end cooperate foreskin is squeezed and/or is cut and/or, to the surface of a wound carry out Hemostasis and/or healing.

14. ultra-sonic operation device as claimed in claim 13, which is characterized in that the foreskin fixing end is inner ring, described to squeeze It presses or cuts or stop blooding or healing end is outer shroud, the inner ring is used to be built in inside foreskin, and the outer shroud is used to be placed outside packet Outside skin, inner ring and outer rings mutual cooperation clamping foreskin.

15. ultra-sonic operation device as claimed in claim 13, which is characterized in that the foreskin fixing end is is configured to make The positioning cylinder that glans penis is partially inserted into is obtained, flange is formed in the distal radial outwardly convex of the positioning cylinder, described Form first annular contact surface on the face towards proximal end of flange, foreskin is described first annular across being supported on after the flange On contact surface；The extruding or cutting or hemostasis or healing end are to be installed on jointly on same frame, and can quilt with positioning cylinder Mobile device for excising is drivingly carried out to foreskin fixing end, the device for excising has the second annular contact surface.

16. ultra-sonic operation device as claimed in claim 13, which is characterized in that the foreskin fixing end is is configured to cover Positioning cylinder on glans penis forms first annular contact surface in the proximal end of the positioning cylinder, and foreskin is supported on described the On one annular contact surface；The extruding or cutting or hemostasis or healing end are to be installed on jointly on same frame with positioning cylinder, And mobile device for excising can be drivingly carried out to foreskin fixing end, the device for excising has the second annular contact surface.