CN210204864U - Visual foreskin cutting anastomat - Google Patents
Visual foreskin cutting anastomat Download PDFInfo
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- CN210204864U CN210204864U CN201920395131.2U CN201920395131U CN210204864U CN 210204864 U CN210204864 U CN 210204864U CN 201920395131 U CN201920395131 U CN 201920395131U CN 210204864 U CN210204864 U CN 210204864U
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Abstract
The utility model provides a visual foreskin cutting anastomat, including the anastomat main part, the front end of anastomat main part is equipped with annular cutting knife, still includes visual glans penis seat, and the fixed cover in the penis outside is located including the cover to visual glans penis seat, is equipped with the annular sword hammering block with the butt joint of annular cutting knife in fixed cover front end, is equipped with fixed knot in the anastomat main part outside and constructs, is equipped with the connection structure who is used for being connected with fixed knot on the visual glans penis seat. The utility model provides a fixed cover in the penis outside is located for the cover to the glans penis seat among the foreskin cutting anastomat, locate the male sex penis outside with this fixed cover, the annular sword that is fixed in fixed cover with the foreskin that needs the cutting is glued on, through this fixed cover can be fine observation, the adjustment is located the planking of the foreskin of the annular sword hammering block department of fixed cover, the position of inner panel and frenulum, especially the cutting length of the inner panel of foreskin and frenulum, the foreskin tissue position that needs the cutting of judgement that can be accurate, operation efficiency and success rate are improved.
Description
Technical Field
The utility model belongs to the technical field of the medical instrument technique and specifically relates to a visual foreskin cutting anastomat is related to.
Background
Foreskin, a layer of skin tissue covering the penis, glans and meatus of the male. The excess prepuce length is a common problem in the male reproductive system. However, the prepuce is too long, which makes the penis inconvenient to clean, long-term accumulation is easy to form the periderm scale, teenagers can affect the development of the penis, and adult males can easily cause various diseases of the reproductive system and even the carcinoma of the penis. Therefore, patients with excessively long foreskin mostly need circumcision for treatment. Most of the prepuce cutting operations at present adopt a prepuce cutting anastomat for surgical operation, and the anastomat can be used for suturing by directly using anastomosis nails in the anastomat, so that the operation time is shortened, and the pain of a patient is relieved. However, in the existing prepuce cutting anastomat, the glans penis is covered by the glans penis in the operation process, the glans penis is covered by the overlong foreskin and the foreskin is fixed, and then the glans penis is fixed on the anastomat to be directly cut. In the surgical cutting process, a doctor can only see the cutting position of the foreskin outer plate, but cannot observe the cutting positions of the foreskin inner plate and the frenulum, so that the problems of incomplete surgical cutting or excessive excision are easily caused. In addition, during the operation, the foreskin cannot be fixed on the glans penis cover, so that in the process of cutting by matching with the anastomat, a doctor is required to adjust the cutting position according to the experience of the doctor.
Disclosure of Invention
An object of the utility model is to solve current foreskin cutting anastomat and can't effectively observe the shortcoming of the cutting position of foreskin inner panel and frenulum at the operation in-process, provide a visual foreskin cutting anastomat.
The utility model provides a technical scheme that its technical problem adopted is: the visual foreskin cutting anastomat comprises an anastomat main body, wherein an annular cutting knife is arranged at the front end of the anastomat main body, the visual glans penis seat is detachably fixed on the visual glans penis seat on the anastomat main body, the visual glans penis seat comprises a fixing cover sleeved on the outer side of a penis, an annular knife anvil butted with the annular cutting knife is arranged at the front end of the fixing cover, a fixing structure used for fixing the visual glans penis seat is arranged on the outer side of the anastomat main body, and a connecting structure used for being connected with the fixing structure is arranged on the visual glans penis seat.
Furthermore, a first annular groove is formed in the annular knife anvil of the fixing cover, and an annular cutting knife of the anastomat main body can extend into the first annular groove for cutting.
Further, the fixed knot of anastomat main part constructs including being fixed in dead lever and connecting screw in the anastomat main part outside, in the top of dead lever is equipped with and is used for locking connecting screw's adjusting nut, the connection structure of visual tortoise headstock is for locating the first fixed block in the fixed cover outside, be equipped with on the first fixed block with the coaxial first connecting hole that sets up of dead lever, connecting screw passes first connecting hole lock in the adjusting nut department of dead lever.
Furthermore, the visual balanus seat further comprises a foreskin fixing ring which is arranged on the outer side of the fixing cover and abutted against the outer circumferential surface of the fixing cover, a second annular groove is formed between the fixing cover and the foreskin fixing ring, and an annular cutting knife of the anastomat main body can extend into the second annular groove for cutting.
Furthermore, the foreskin fixing ring comprises a first half ring and a second half ring which are hinged with each other, one end of the first half ring and one end of the second half ring are fixedly connected through a hinge assembly, the other end of the first half ring and the other end of the second half ring are movably connected through a locking assembly, and third fixing blocks used for being abutted to the fixing covers are arranged on the inner walls of the first half ring and the second half ring.
Furthermore, an elastic gasket is arranged on the outer circumferential surface of the fixed cover.
Specifically, the hinge assembly comprises a first connecting piece arranged at the fixed end of the first half ring and a second connecting piece arranged at the fixed end of the second half ring, wherein a connecting rod is arranged on the first connecting piece, a hinge hole for the connecting rod to penetrate is formed in the second connecting piece, and the connecting rod of the first connecting piece is inserted into the hinge hole to enable the fixed end of the first half ring to be hinged with the fixed end of the second half ring.
Specifically, the locking assembly comprises first sawteeth arranged at the movable end of the first half ring and second sawteeth arranged at the movable end of the second half ring, and the first sawteeth and the second sawteeth are meshed with each other to enable the movable end of the first half ring to be detachably and fixedly connected with the movable end of the second half ring.
Specifically, the locking assembly further comprises an adjusting device arranged on the movable end of the first half ring, and the adjusting device comprises a shell fixed on the movable end of the first half ring, a rotating shaft arranged in the shell and used for hinging the first sawteeth in the shell, a knob abutted against the first sawteeth and capable of driving the first sawteeth to be separated from the second sawteeth, and a return spring arranged between the shell and the first sawteeth and used for always abutting the first sawteeth against the knob.
Specifically, the fixing structure of the anastomat main body comprises a fixing rod and a connecting screw rod, the fixing rod and the connecting screw rod are fixed on the outer side of the anastomat main body, an adjusting nut used for locking the connecting screw rod is arranged at the top of the fixing rod, the connecting structure of the visual balanus seat is a pair of second fixing blocks arranged on the outer side of the foreskin fixing ring, the second fixing blocks are respectively arranged on the outer circumferential surfaces of the first half ring and the second half ring, a second connecting hole is formed in the second fixing blocks, and the connecting screw rod penetrates through the second connecting hole and is locked at the adjusting nut of the fixing rod.
The utility model provides a visual foreskin cutting anastomat's beneficial effect lies in: the utility model provides a be fixed in the glans penis seat replacement of anastomat main part inboard with the tradition and locate the fixed cover in the penis outside for the cover, locate the male sex penis outside with this fixed cover and will need the foreskin of cutting outwards overturn by the inboard of fixed cover, make the foreskin that needs the cutting can set up on the annular sword of fixed cover glues and the outer periphery of fixed cover, through the observation to fixed cover annular sword hammering block department, and the adjustment lies in the planking of the foreskin of the annular sword hammering block department of fixed cover, inner panel and frenulum's position, and the utility model provides a fixed cover can adopt transparent material preparation, is favorable to treating the observation of cutting department foreskin tissue more, controls foreskin cutting length effectively, especially the cutting length of the inner panel of foreskin and frenulum, the foreskin tissue position that needs the cutting can accurate judgement, improves operation efficiency and success.
Drawings
Fig. 1 is a schematic perspective exploded view of a visual foreskin cutting stapler according to a first embodiment of the present invention;
fig. 2 is a schematic perspective view of a glans base of a visual foreskin cutting stapler according to a first embodiment of the present invention;
fig. 3 is a schematic perspective exploded view of a visual foreskin cutting stapler according to a second embodiment of the present invention;
fig. 4 is a front view of a glans base of a visual foreskin cutting stapler according to a second embodiment of the present invention;
FIG. 5 is a cross-sectional view taken at A-A of FIG. 4;
fig. 6 is a schematic perspective view of a first half ring of a foreskin fixing ring of a visual foreskin cutting stapler according to a second embodiment of the present invention;
fig. 7 is a schematic perspective view of a second half ring of the foreskin fixing ring of the visual foreskin cutting stapler according to the second embodiment of the present invention;
fig. 8 is a schematic perspective view of a fixing cover in a foreskin fixing ring of a visual foreskin cutting anastomat according to a second embodiment of the present invention.
In the figure: 100(200) -a visual foreskin cutting anastomat, 10-an anastomat body, 11-an annular cutting knife, 12-a fixed rod, 13-a connecting screw rod, 131-an adjusting thread, 132-a positioning bulge, 14-an adjusting nut, 15-a nail bin, 16-a movable handle, 20-a visual tortoise base, 21-a fixed cover, 211-an annular knife anvil, 212-a first fixed block, 2121-a first connecting hole, 2122-a first positioning hole, 213-a through hole, 22-a foreskin fixing ring, 221-a first half ring, 2211-a movable end of the first half ring, 2212-a fixed end of the first half ring, 222-a second half ring, 2221-a movable end of the second half ring, 2222-a fixed end of the second half ring, 223-a second fixed block, 2231-a second connecting hole, 2232-a second hole position hole, 224-a third fixing block, 23-a hinge assembly, 231-a first connecting piece, 2311-a connecting rod, 232-a second connecting piece, 2321-a hinge hole, 24-a locking assembly, 241-a first saw tooth, 242-a second saw tooth, 243-an adjusting device, 2431-a housing, 2432-a rotating shaft, 2433-a knob, 2434-a return spring, 25-an elastic washer, 26-a first annular groove, and 27-a second annular groove.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more clearly understood, the present invention is further described in detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
The first embodiment is as follows:
referring to fig. 1-2, a visual foreskin cutting stapler 100 according to a first embodiment of the present invention is provided. The utility model provides a visual foreskin cutting anastomat 100 can be used in various foreskin cutting operations directly being applied to. For the penis with different sizes, the anastomat 100 with different sizes is selected for cutting the redundant foreskin tissue. Specifically, as shown in fig. 1, the utility model discloses visual foreskin cutting anastomat 100 that the first embodiment provided, including anastomat main part 10, the front end of anastomat main part 10 is equipped with annular cutting knife 11, still is equipped with the nail storehouse 15 around the annular cutting knife 11 outside in the anastomat main part 10, is equipped with in the nail storehouse 15 and sews up the nail, still will sew up the nail on the anastomat by the ejecting movable handle 16 of nail storehouse 15 department. Utilize the annular cutting knife 11 of anastomat main part 10 front end to cut, and be equipped with a pair of movable handle 16 in the both sides of anastomat main part 10, this movable handle 16 can push through the connecting piece that sets up in anastomat main part 10 and set up the sewing nail in the nail storehouse 15 of front end and directly sew up cutting department after pushing out by the side of annular cutting knife 11, accomplish cutting and sutural operation process in step, thereby simplify the operation step in the foreskin cutting operation, reduce the work load of doctor's operation, shorten operation time, and cutting and suture synchronous operation also can reduce patient's bleeding volume, the import healing of wound, and need not to sew up, the problem of taking out stitches and changing dressings, alleviate patient's misery.
Further, as shown in fig. 2, the visual foreskin cutting stapler 100 provided by the present invention further includes a visual balanus seat 20 detachably fixed on the stapler main body 10. In the first embodiment, the visual glans base 20 includes a fixing cover 21 covering the penis, and an annular anvil 211 abutting against the annular cutting blade 11 is disposed at the front end of the fixing cover 21. That is, the annular anvil 211 is coaxially disposed with both the annular cutter 11 on the stapler body 10 and butted in the axial direction. Furthermore, as shown in fig. 2, in the first embodiment of the present invention, the annular anvil 211 of the fixed cover 21 is further provided with a first annular groove 26, and the annular cutting knife 11 of the stapler body 10 can extend into the first annular groove 26 for cutting, so as to cut off the redundant foreskin tissue turned outwards from the inside of the fixed cover 21. The utility model provides a visual glans penis seat 20, be equipped with the through-hole 213 that can supply the penis cover to establish on its fixed cover 21, in the operation process, locate the penis cover in fixed cover 21, then outwards turn out unnecessary foreskin tissue by fixed cover 21 in along the annular sword hammering block 211 face of fixed cover 21, can observe the planking of glans penis department foreskin effectively, the position of inner panel and frenulum, the doctor can direct observation and adjust the length that the foreskin tissue is located this fixed cover 21 annular sword hammering block 211 department, thereby the position of control operation cutting is in this first annular groove 26 department. In order to better observe the foreskin tissue at the annular knife anvil 211 of the fixing cover 21, a micro illuminating lamp (not shown) is disposed inside the stapler body 10 of the visual foreskin incision stapler 100 provided in the present embodiment in the direction of the annular cutting knife 11, and the length to be cut at the annular cutting knife 11 can be observed through the foreskin tissue on the fixing cover 20 by the micro illuminating lamp. Through the utility model provides a setting of visual glans penis seat 20 and miniature light can be so that the operation doctor can fully observe the inner and outer structure of foreskin, and the position of placing of glans penis is no longer judged blindly to the operation in-process, avoids the inner panel of foreskin tissue or the condition that the frenulum is cut by the mistake.
Further, the present invention provides a visual foreskin stapler 100, wherein the stapler body 10 and the visual glans base 20 are independent from each other. Namely, a fixing structure for fixing the visual balanus seat 20 is arranged on the outer side of the anastomat main body 10, a connecting structure for connecting with the fixing structure is arranged on the visual balanus seat 20, and the anastomat main body 10 and the visual balanus seat 20 are fixedly connected in a mutually detachable mode through the fixing structure and the connecting structure. Specifically, as shown in fig. 1, the fixing structure of the stapler body 10 includes a fixing rod 12 fixed to the outside of the stapler body and a connection screw 13, and an adjusting nut 14 for locking the connection screw is provided at the top of the fixing rod 12. The connecting structure of the visual glans base 20 is a first fixing block 212 disposed outside the fixing cover 21, and the first fixing block 212 is provided with a first connecting hole 2121 coaxial with the fixing rod 12. The first fixing block 212 is disposed on a side of the fixing cover 21 away from the annular anvil 211, so as to prevent the cutting from being affected by the first fixing block 212 after the excess foreskin tissue turns outwards during the operation. The connection screw 13 is locked to the adjusting nut 14 of the fixing rod 12 through the first connection hole 2121. In the present embodiment, the fixing rods 12 are two oppositely disposed rod-shaped members uniformly distributed on the outer side of the main body 10 of the stapler, and the pair of fixing rods 12 plays a role of positioning and also plays a role of fixing connection. The radial fixing position of the visual balanus seat 20 can be determined by a pair of fixing rods 12, and the fixing is connected. An adjusting nut 14 is fixed on the top of the rod-shaped component, namely, on the side close to the movable handle 16 of the anastomat main body 10, the adjusting nut 14 is fixedly connected with the fixed rod 12 and can rotate relative to the fixed rod 12, and an internal thread is arranged in the adjusting nut 14 and is connected with the connecting screw rod 13. One end of the connecting screw 13 abuts against the first connection hole 2121 of the first fixing block 212 on the outer side of the fixing cover 21, and the other end is provided with an adjusting thread 131, and the adjusting thread 131 extends into the fixing rod 12 and is connected with the internal thread of the adjusting nut 14, so that the fixing cover 21 is locked on the stapler main body 10, and the visible fixed connection between the glans base 20 and the stapler main body 10 is realized. When the fixing rod 12 is connected to the first fixing block 212 of the fixing cover 21 through the connecting screw 13, the positioning in the radial direction between the anastomat main body 10 and the visual balanus seat 20 is realized. Meanwhile, as shown in fig. 2, a first positioning hole 2122 is further formed in the first connection hole 2121 of the first fixing block 212 to communicate with the first connection hole 2121, and correspondingly, a positioning protrusion 132 is also formed on the connection screw 13, the positioning protrusion 132 is embedded in the first positioning hole 2122, after the connection screw 13 passes through the first fixing block 212 of the fixing cover 21, the connection screw 13 cannot rotate in the radial direction, and the connection screw 13 can be locked only by rotating the adjusting nut 14. And can realize the location of visual tortoise-plastron seat 20 and anastomat main part 10 in the axial direction through screwing this adjusting nut 14, after locking adjusting nut 14 completely, can make the distance control between the nail storehouse 15 in the annular cutting knife 11 outside on this visual tortoise-plastron seat 20's annular anvil 211 and the anastomat main part 10 about 1mm to guarantee that annular cutting knife 11 can carry out the effectual suture to sewing up of suturing nail in the nail storehouse 15 when cutting the foreskin tissue of annular anvil 211 department.
The utility model discloses visual foreskin cutting anastomat 100's that first embodiment provided working process:
sleeving the fixing cover 21 of the visual balanus seat 20 on the outer side of the penis, turning out the foreskin tissue to be cut from the annular knife anvil 211 of the visual balanus seat 20, determining the position of the foreskin tissue to be cut, ensuring that the cutting position is located at the first annular groove 26 of the annular knife anvil 211, fixing the foreskin tissue to be cut on the outer side of the fixing cover 21 through a binding wire, aligning the first fixing block 212 on the balanus seat 20 with the fixing rod 12 on the anastomat body 10, inserting the connecting screw 13 into the first connecting hole 2121 of the first fixing block 212, adjusting the adjusting nut 14 located at the top of the fixing rod 12, locking the connecting screw 13 into the adjusting nut 14 of the fixing rod 12 through the first connecting hole 2121 from the outer side of the first fixing block 212, completely locking the visual balanus seat 20 on the anastomat body 10, pushing the movable handle 16 on the outer side of the anastomat body 10, the annular cutting knife 11 in the anastomat main body 10 moves towards one side of the visible glans penis seat 20 and extends into the first annular groove 26 located on the annular knife anvil 211 to complete cutting, redundant foreskin tissues located on the annular knife anvil 211 and on the outer side of the fixed cover 21 are cut off through the annular cutting knife 11, the cut foreskin tissues are sewn through stitching nails in the nail bin 15 on the outer side of the annular cutting knife 11, the adjusting nut 14 is rotated again, the connecting screw 13 is taken down from the fixed cover 21, the anastomat main body 10 is separated from the glans penis seat 20, and finally the glans penis seat 20 is taken out from the penis to complete the operation.
Example two:
referring to fig. 3 to 8, a visual foreskin cutting stapler 200 according to a second embodiment of the present invention is provided. The difference between the visual foreskin cutting stapler 200 of the second embodiment and the first embodiment is that the visual balanus seat 20 further comprises a foreskin fixing ring 22 which is arranged outside the fixing cover 21 and abuts against the outer circumferential surface of the fixing cover 21. Specifically, as shown in fig. 3, the foreskin fixing ring 22 for fixing the foreskin tissue to be cut is disposed on the outer circumferential surface of the fixing cover 21 of the visual glans base 20, the success rate of the operation can be sufficiently improved by the foreskin fixing ring 22, and the foreskin tissue to be cut can be fixed by the foreskin fixing ring 22 in the operation process without being fixed by a binding wire. And, a second annular groove 27 is formed between the fixing cover 21 and the foreskin fixing ring 22, and the annular cutting knife 11 of the stapler body 10 can be inserted into the second annular groove 27 for cutting. The fixing cover 21 is sleeved on the penis, foreskin tissues to be cut are turned outwards from the inside of the fixing cover 21 along the annular knife anvil 211, and redundant tissues turned out of the outside of the fixing cover 21 can be finally fixed to the outside of the fixing cover 21 through the foreskin fixing ring 22.
Further, as shown in fig. 4, 6 and 7, the sheath fixing ring 22 includes a first half ring 221 and a second half ring 222 fixed to the outer circumferential surface of the fixing cover 21 in a hinged manner, one end of the first half ring 221 and one end of the second half ring 222 are fixedly connected by a hinge assembly 23, and the other end thereof is movably connected by a locking assembly 24. The sheath fixing ring 22 is composed of two half rings with one end detachable and the other end hinged. The inner walls of the first half ring 221 and the second half ring 222 are provided with a plurality of third fixing blocks 224 which are uniformly distributed along the circumferential direction and abut against the outer circumferential surface of the fixed cover 21. In this embodiment, two third fixing blocks 224 abutting against the outer circumferential surface of the fixed cover 21 are disposed on the first half ring 221 along the circumferential direction, two third fixing blocks 224 abutting against the outer circumferential surface of the fixed cover 212 are disposed on the second half ring 222 along the circumferential direction, the third fixing blocks 224 disposed on the first half ring 221 are integrally formed with the first half ring 221, and the third fixing blocks 224 disposed on the second half ring 222 are integrally formed with the second half ring 222. Due to the different thicknesses of human tissues, in order to ensure proper fastening tightness of the foreskin fixing ring 22 fixed on the outer circumferential surface of the fixing cover 21, the visual balanus seat 20 further comprises an elastic washer 25 arranged on the outer circumferential surface of the fixing cover 21. As shown in fig. 5, the elastic washer 25 is disposed on the outer circumferential surface of the fixed cover 21. During the operation, the outer side of the fixing cover 21 is the redundant foreskin tissue to be cut, and then the redundant foreskin tissue is fixed on the outer side of the fixing cover 21 through the foreskin fixing ring 22 by the third fixing block 224 of the foreskin fixing ring 22 abutting against the elastic washer 25.
Specifically, as shown in fig. 6 and 7, the fixed ends (2212, 2222) of the sheathing fixed ring 22 are fixedly coupled by the hinge assembly 23, as shown in fig. 6, the hinge assembly 23 includes a first coupling piece 231 provided at the fixed end 2212 of the first half ring 221, the first coupling piece 231 is integrally formed with the first half ring 221, as shown in fig. 7, the hinge assembly 23 further includes a second coupling piece 232 provided at the fixed end 2222 of the second half ring 222, and the second coupling piece 232 is integrally formed with the second half ring. The first connecting piece 231 is provided with a connecting rod 2311, the second connecting piece 232 is provided with a hinge hole 2321 through which the connecting rod 2311 can pass, and the connecting rod 2311 of the first connecting piece 231 is inserted into the hinge hole 2321 so that the fixed end 2212 of the first half ring 221 and the fixed end 2222 of the second half ring 222 are hinged to each other. The fixed ends (2212, 2222) of the first half ring 221 and the second half ring 222 of the sheath fixing ring 22 are fixedly connected in a relatively rotatable manner through the hinge assembly 23.
Further, as shown in fig. 6 and 7, the movable ends (2211, 2221) of the sheath fixing ring 22 are detachably fixed by the locking assembly 24. As shown in fig. 6, the locking assembly 24 includes a first saw tooth 241 disposed at the movable end 2211 of the first half ring 221, and in this embodiment, the first saw tooth 241 is disposed in the adjusting device 243. As shown in fig. 7, the locking assembly 24 further includes second saw teeth 242 disposed on the movable end 2221 of the second half ring 222, in this embodiment, the second saw teeth 242 are directly disposed on the movable end 2221 of the second half ring 222, and the second saw teeth 242 are integrally formed with the second half ring 222. The movable ends (2211, 2221) of the sheath retaining ring 22 are engaged with each other by the first and second serrations 241, 242 such that the movable end 2211 of the first half ring 221 is detachably and fixedly connected with the movable end 2221 of the second half ring 222. The first saw tooth 241 and the second saw tooth 242 on the sheath fixing ring 22 enable the sheath fixing ring 22 to be adjusted when being fixed, namely, two different working states of primary buckling and complete buckling are realized through the saw tooth structure. The two different operating states are controlled by the adjusting device 243 disposed on the first half ring 221. The first saw tooth 241 and the second saw tooth 242 can realize preliminary fastening after the saw teeth contact each other in the mutual fastening process, and in the preliminary fastening state, the first half ring 221 and the second half ring 222 are fixedly connected, and the second saw tooth 242 is pushed to move towards the first half ring 221, so that the first half ring 221 and the second half ring 222 can be completely locked. In the operation process, the foreskin fixing ring 22 is firstly arranged at the outer side of the fixing cover 21, the foreskin tissue to be cut is arranged at the outer side of the fixing cover 21, the foreskin tissue is fixed at the elastic washer 25 of the fixing cover 21 from the outer side of the foreskin tissue through the foreskin fixing ring 22, and at the moment, the preliminary buckling state is only needed to be realized between the first saw teeth 241 and the second saw teeth 242. Thus, the foreskin tissue to be cut in the foreskin fixing ring 22 is not completely locked in the foreskin fixing ring 22, a doctor can observe the length of the inner plate of the foreskin tissue to be cut, the length of the lace and the position to be cut by naked eyes, then fine adjustment is carried out, after the position is completely adjusted, the second saw teeth 242 are pushed to the first saw teeth 241, complete buckling and fixing of the first half ring 221 and the second half ring 222 are achieved, and at the moment, the foreskin tissue to be cut is completely locked between the foreskin fixing ring 22 and the fixing cover 21.
Specifically, as shown in fig. 6, the locking assembly 24 of the sheath retaining ring 22 further includes an adjustment device 243 disposed on the movable end 2211 of the first half ring 221. By means of the adjusting device 243, the tightness of the movable ends (2211, 2221) of the first half ring 221 and the second half ring 222 can be controlled, namely, two different working states of primary buckling and complete buckling of the foreskin fixing ring 22 are realized. Specifically, the adjusting device 243 includes a housing 2431 fixed on the movable end 2211 of the first half ring 221, a rotating shaft 2432 fixed in the housing 2431 and used for hinging the first saw tooth 241, a knob 2433 abutting against the first saw tooth 241 and driving the first saw tooth 241 to be separated from the second saw tooth 242, and a return spring 2434 disposed between the housing 2431 and the first saw tooth 241 and used for constantly abutting against the knob 2433 for the first saw tooth 241. The return spring 2434 of the adjusting device 243 is disposed between the housing 2431 and the first saw tooth 241, such that the first saw tooth 241 is always abutted against the knob 2433, and the first saw tooth 241 and the second saw tooth 242 can be fixed in an engaged manner. And the first saw teeth 241 are disengaged from the engagement of the second saw teeth 242 by rotating the knob 2433, thereby separating the first half ring 221 from the second half ring 222. The housing 2431 of the adjusting device 243 is fixed at the movable end 2211 of the first half ring 221 and is integrally formed with the first half ring 221. One end of the knob 2433 arranged in the housing 2431 extends out of the housing 2431, so that the movable ends (2211, 2221) of the wrapping fixing ring 22 can be conveniently opened. The adjustment device 243 can easily separate the first saw teeth 241 and the second saw teeth 242 engaged with each other by rotating the knob 2433, so as to open the first half ring 221 and the second half ring 222. Moreover, the foreskin fixing ring 22 is opened by the adjusting device 243, so that the first sawtooth 241 and the second sawtooth 242 can be prevented from extending towards the center during opening, and the first half ring 221 and the second half ring 222 can be prevented from touching the wound to cause wound dragging and pain when being opened.
Further, in the foreskin cutting stapler 200 provided by the second embodiment of the present invention, the fixing structure of the stapler main body 10 includes a fixing rod 12 and a connecting screw rod 13 fixed outside the stapler main body 10, and an adjusting nut 14 for locking the connecting screw rod 13 is provided at the top of the fixing rod 12. The connecting structure of the visual balanus seat 20 is a pair of second fixing blocks 223 arranged outside the foreskin fixing ring 22, the pair of second fixing blocks 223 are arranged on the outer circumferential surfaces of the first half ring 221 and the second half ring 222 in half, the second fixing blocks 223 are provided with second connecting holes 2231, and the connecting screw 13 passes through the second connecting holes 2231 and is locked at the adjusting nut 14 of the fixing rod 12. The connecting structure is arranged on the outer side of the sheath fixing ring 22, and the second fixing block 223 of the sheath fixing ring 22 is fixedly connected with the fixing rod 12 of the anastomat main body 10 through the connecting screw rod 13. Meanwhile, a second positioning hole 2232 is further disposed on the second connecting hole 2231 of the second fixing block 223, the second positioning hole 2232 is communicated with the second connecting hole 2231, and a corresponding positioning protrusion 132 is disposed on the connecting screw 13, and the positioning protrusion 132 is embedded in the second positioning hole 2232, so that the connecting screw 13 does not rotate in the radial direction when penetrating into the second fixing block 223, and the connecting screw 13 is locked only by the adjusting nut 14.
The utility model discloses visual foreskin cutting anastomat 200's that second embodiment provided working process:
the fixing cover 21 of the visual balanus seat 20 is sleeved outside the penis, the foreskin tissue to be cut is turned outwards from the annular knife anvil 211 of the visual balanus seat 20, or is directly arranged inside the foreskin tissue to be cut, the position of the foreskin tissue to be cut is determined, the foreskin tissue to be cut is preliminarily fastened and fixed on the outer circumferential surface of the fixing cover 21 through the foreskin fixing ring 22, then a doctor finely adjusts the position to be cut by observing the lengths of the inner plate, the outer plate and the frenum of the foreskin to be cut, then locks the foreskin fixing ring 22, finally aligns the second fixing block 223 on the visual balanus seat 20 with the fixing rod 12 on the anastomat main body 10, locks the connecting screw 13 in the adjusting nut 14 of the fixing rod 12 through the second connecting hole 2231 from the outer side of the second fixing block 223, and completely locks the visual balanus seat 20 on the anastomat main body 10, the movable handle 16 outside the anastomat main body 10 is pushed to extend into a second annular groove 27 between the fixed cover 21 and the foreskin fixing ring 22 through the annular cutting knife 11, the foreskin tissue at the annular knife anvil 211 is cut, the cut foreskin tissue is sewn through sewing nails in the nail bin 15 outside the annular cutting knife 11, finally the adjusting nut 14 is rotated to take down the connecting screw rod 13, so that the anastomat main body 10 is separated from the glans penis seat 20, then the first half ring 221 and the second half ring 222 of the foreskin fixing ring 22 are separated through the adjusting device 243 on the foreskin fixing ring 22, the foreskin fixing ring 22 is taken down from the fixed cover 21, the glans penis seat 20 is taken out from the penis, and the operation is completed.
The utility model provides a visual foreskin cutting anastomat (100, 200), the glans penis seat 20 that its provided replaces the glans penis seat that the tradition is fixed in the anastomat main part 10 inboard for the fixed cover 21 of cover locating the penis outside, locate the male sex's penis outside and fix the foreskin that needs the cutting on the annular sword anvil 211 of fixed cover 21 with this fixed cover 21 cover, can outwards turn out the foreskin tissue that needs the excision from fixed cover 21 through this fixed cover 21, can be fine observe, adjust the position of planking, inner panel and frenulum of the foreskin that is located the annular sword anvil 211 department of fixed cover 21, control foreskin cutting length effectively, and the fixed cover 21 of the visual glans penis seat 20 that the utility model provides can adopt transparent material preparation, be favorable to treating the observation of cutting department's foreskin tissue more, especially the cutting length of the inner panel and the frenulum of foreskin, the foreskin tissue position needing to be cut can be accurately judged, and the operation efficiency and the success rate are improved.
The above description is only exemplary of the present invention and should not be construed as limiting the present invention, and any modifications, equivalents and improvements made within the spirit and principles of the present invention are intended to be included within the scope of the present invention.
Claims (10)
1. The visual foreskin cutting anastomat comprises an anastomat main body, wherein an annular cutting knife is arranged at the front end of the anastomat main body, and the visual foreskin cutting anastomat is characterized by further comprising a visual glans seat which is detachably fixed to the anastomat main body, the visual glans seat comprises a fixing cover which is sleeved on the outer side of a penis, an annular knife anvil which is in butt joint with the annular cutting knife is arranged at the front end of the fixing cover, a fixing structure which is used for fixing the visual glans seat is arranged on the outer side of the anastomat main body, and a connecting structure which is used for being connected with the fixing structure is arranged on the visual glans.
2. The visual foreskin cutting stapler according to claim 1, wherein the annular knife anvil of the fixed cover is provided with a first annular groove, and the annular cutting knife of the stapler body can extend into the first annular groove for cutting.
3. The visual foreskin cutting anastomat according to claim 2, wherein the fixing structure of the anastomat body comprises a fixing rod and a connecting screw rod which are fixed on the outer side of the anastomat body, an adjusting nut for locking the connecting screw rod is arranged at the top of the fixing rod, the connecting structure of the visual glans base is a first fixing block which is arranged on the outer side of the fixing cover, a first connecting hole which is coaxial with the fixing rod is arranged on the first fixing block, and the connecting screw rod passes through the first connecting hole and is locked at the adjusting nut of the fixing rod.
4. The visual foreskin cutting anastomat according to claim 1, wherein the visual glans base further comprises a foreskin fixing ring which is arranged outside the fixing cover and abuts against the outer circumferential surface of the fixing cover, a second annular groove is formed between the fixing cover and the foreskin fixing ring, and the annular cutting knife of the anastomat body can extend into the second annular groove for cutting.
5. The visual foreskin cutting anastomat according to claim 4, wherein the foreskin fixing ring comprises a first half ring and a second half ring which are hinged to each other, one end of the first half ring and one end of the second half ring are fixedly connected through a hinge assembly, the other end of the first half ring and the other end of the second half ring are movably connected through a locking assembly, and a third fixing block for abutting against the fixing cover is arranged on the inner wall of each of the first half ring and the second half ring.
6. The visual foreskin cutting stapler according to claim 4, wherein the fixing cover is further provided with an elastic washer on an outer circumferential surface thereof.
7. The visual foreskin cutting anastomat according to claim 5, wherein the hinge assembly comprises a first connecting piece arranged at the fixed end of the first half ring and a second connecting piece arranged at the fixed end of the second half ring, the first connecting piece is provided with a connecting rod, the second connecting piece is provided with a hinge hole for the connecting rod to pass through, and the connecting rod of the first connecting piece is inserted into the hinge hole so that the fixed end of the first half ring and the fixed end of the second half ring are hinged to each other.
8. The visual foreskin cutting stapler of claim 5, wherein the locking assembly includes first serrations formed on the movable end of the first half-ring and second serrations formed on the movable end of the second half-ring, the first serrations and the second serrations engaging with each other to removably secure the movable end of the first half-ring to the movable end of the second half-ring.
9. The visual foreskin cutting stapler according to claim 8, wherein the locking assembly further comprises an adjusting device disposed on the movable end of the first half ring, the adjusting device comprises a housing fixed on the movable end of the first half ring, a rotating shaft disposed in the housing for hinging the first saw tooth to the housing, a knob abutting against the first saw tooth for driving the first saw tooth to be disengaged from the second saw tooth, and a return spring disposed between the housing and the first saw tooth for constantly abutting against the knob against the first saw tooth.
10. The visual foreskin cutting anastomat according to claim 5, wherein the fixing structure of the anastomat body comprises a fixing rod and a connecting screw rod fixed on the outer side of the anastomat body, an adjusting nut for locking the connecting screw rod is arranged on the top of the fixing rod, the connecting structure of the visual glans base is a pair of second fixing blocks arranged on the outer side of the foreskin fixing ring, the pair of second fixing blocks are respectively arranged on the outer circumferential surfaces of the first half ring and the second half ring, a second connecting hole is arranged on the second fixing block, and the connecting screw rod passes through the second connecting hole and is locked on the adjusting nut of the fixing rod.
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN110179530A (en) * | 2019-03-26 | 2019-08-30 | 深圳市人民医院 | A kind of visual foreskin Endo-GIA |
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2019
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN110179530A (en) * | 2019-03-26 | 2019-08-30 | 深圳市人民医院 | A kind of visual foreskin Endo-GIA |
CN110179530B (en) * | 2019-03-26 | 2024-08-23 | 深圳市人民医院 | Visual foreskin cutting anastomat |
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