CN211460416U

CN211460416U - Bridge type direct vision prepuce cutting and suturing device

Info

Publication number: CN211460416U
Application number: CN201921844068.2U
Authority: CN
Inventors: 李锦恒
Original assignee: Individual
Current assignee: Individual
Priority date: 2019-10-30
Filing date: 2019-10-30
Publication date: 2020-09-11
Anticipated expiration: 2029-10-30

Abstract

The utility model discloses a bridge type direct-view prepuce cutting stitching instrument, which comprises a nail drill ring seat (1), a bridge type fixing frame (2), a nail bin component (3), a pressurizing handle (4) and a fixing piece (5); the nail drill ring seat (1) is of a hollow annular columnar structure, and is provided with an annular cutting surface (11) and a plurality of nail body grooves (12) which are annularly arranged; the glans penis penetrates through the nail drill ring seat from the lower part, the wrapper turns outwards and is wrapped on the nail drill ring seat through the fixing piece, the bridge type fixing frame is connected with the nail drill ring seat and the nail bin assembly, a movable part (31) is arranged in the nail bin assembly, nail bodies (32) which correspond to the nail body grooves one by one are arranged in the movable part, and a circular cutting blade (33) is arranged at the bottom of the movable part and is opposite to the circular cutting surface; the pressurizing handle is arranged on the nail bin assembly and is connected with and controls the movable part. The utility model discloses can be visual with the process of foreskin cutting, and can accurate control foreskin cutting's length, improve the security and the maneuverability of circumcision, be favorable to the postoperative to resume.

Description

Bridge type direct vision prepuce cutting and suturing device

Technical Field

The utility model relates to a prepuce cutting operation instrument especially relates to a bridge type looks at prepuce cutting stitching instrument directly.

Background

The redundant prepuce or phimosis can cause various problems of inflammation, infection, unsmooth urination and the like, even malignant tumor of penis is induced, the health and the life of the male are seriously affected, and the redundant prepuce can be cut off through surgical operation, so that the diseases are avoided. The circumcision operation has less damage to patients and quicker postoperative recovery, the prepuce cutting suturing device in the prior art can cut and suture the prepuce once, has short operation time and less bleeding points, and becomes a main tool of the current prepuce cutting operation.

The patent ZL201510442478.4 of China invention discloses a foreskin cutting and suturing device, which comprises a nail abutting seat assembly, suturing nails arranged in a nail bin, a nail bin sleeve, a force applying device connected with the nail bin sleeve, a nail pushing body arranged in the nail bin sleeve and an annular knife arranged on the nail pushing body. In the operation process, the glans penis of the nail pushing seat assembly covers the glans penis, the foreskin is wrapped on the glans penis and fixed through a binding wire, then the positioning rod on the nail pushing seat assembly is inserted into the guide groove in the nail pushing body, the butterfly nut is rotated to be matched with the thread at the rear end of the nail pushing seat assembly to adjust the cutting position. The safety block is detached, the stress application handle is triggered to drive the connecting block, the nail pushing body is pushed forwards through the pushing sleeve body, namely, the nail pushing teeth and the annular cutter move forwards simultaneously, when a 'crack' is heard, the annular cutter cuts off a backing cutter ring arranged in the nail pushing seat assembly, namely, redundant foreskin tissue is cut off, meanwhile, a suturing nail in the nail bin is ejected out by a nail pushing sheet at the front end of the nail pushing body, the penetrating tissue contacts a nail pit in the nail pushing seat assembly, the suturing nail is bent and falls to the foot, and the purpose of suturing the cut position of the foreskin is achieved. This patent covers the tortoise head cover and pulls out the foreskin to the device inside, fixes again and cuts to sew up, and the foreskin at glans penis and cutting position all is supported nail seat subassembly and nail storehouse cover lid among the cutting process, and the operation field of vision is sheltered from completely, is unfavorable for going on of operation, simultaneously, the length of unable accurate control cutting, and probably causes the secondary damage to the patient. In addition, the nail body is directly nailed on the body tissue, so the nail body is easily wrapped by the body tissue when the wound is healed, the nail body is inconvenient to disassemble, and secondary injury is easily caused.

Disclosure of Invention

An object of the utility model is to provide a bridge type looks at foreskin cutting stitching instrument directly can be visual with the process of foreskin cutting, and can the length of accurate control foreskin cutting, improves the security and the maneuverability of circumcision operation, is favorable to the postoperative to resume.

The utility model discloses a realize like this:

a bridge type direct-view prepuce cutting suturing device comprises a nail drill ring seat, a bridge type fixing frame, a nail bin assembly, a pressurizing handle and a fixing piece; the nail drill ring seat is of a hollow annular columnar structure, and an annular cutting surface and a plurality of annularly arranged nail body grooves are arranged on the upper end surface of the nail drill ring seat; the glans penis penetrates through the nail drill ring seat from bottom to top, so that the foreskin can be turned outwards and wrapped on the outer side surface of the nail drill ring seat, and the edge of the foreskin is fixed on the nail drill ring seat through a fixing piece; two ends of the bridge type fixing frame of the bridge type structure are respectively connected with the nail drill ring seat and the nail bin assembly, and the nail drill ring seat and the nail bin assembly are coaxially arranged; the nail bin assembly is internally provided with a movable part, a plurality of annularly distributed nail bodies are arranged in the movable part, and the nail bodies and the nail body grooves are arranged in a one-to-one correspondence manner; the bottom of the movable part is provided with a ring cutting blade, and the ring cutting blade is arranged opposite to the ring cutting surface; the pressurizing handle is arranged on the nail bin assembly and is connected with the movable part, and the movable part pushes out the nail bin assembly through the pressurizing handle and enables the nail body to be pressed down and nailed in the nail body groove of the nail drill ring seat.

The upper end face of the nail drill ring seat is provided with a lower hemostatic membrane which is of an annular structure and covers the surface of the nail body groove; the bottom surface of the movable part is provided with an upper hemostatic membrane which is in an annular structure and is positioned below the nail body, and the lower hemostatic membrane and the upper hemostatic membrane are arranged oppositely, so that after the movable part is pressed and nailed on the nail drill ring seat, the lower hemostatic membrane and the upper hemostatic membrane can be nailed on two sides of the cutting surface of the foreskin at the same time.

The cross section of the nail drill ring seat is circular, and the movable part, the lower hemostatic membrane and the upper hemostatic membrane are all circular structures matched with the nail drill ring seat.

The diameter of the nail drill ring seat is 2-4 cm.

The cross section of the nail drill ring seat is in an elliptical ring shape, and the movable part, the lower hemostatic membrane and the upper hemostatic membrane are all elliptical ring structures matched with the nail drill ring seat.

The length of the short shaft of the nail drill ring seat is 2-4 cm.

And the outer side surface of the nail drill ring seat is provided with a scale mark which is arranged along the axial direction of the nail drill ring seat.

The fixing piece is a fixing ring movably sleeved on the nail drill ring seat or a fixing nail fixed on the outer wall of the nail drill ring seat.

The pressurizing handle is provided with a pressurizing window, a reference line is arranged in the pressurizing handle, and when the pressurizing handle is pressed downwards and cuts and sews, the reference line can be positioned in the pressurizing window.

Compared with the prior art, the utility model, following beneficial effect has:

1. the utility model discloses owing to adopted the cylindrical nail of cavity annular to bore the ring seat, enable the foreskin and turn up fixedly to external cutting blade and the nail body on the movable part that the cooperation was released reach the direct visualization operation of cutting sutural, improve the security and the controllability of circumcision operation.

2. The utility model discloses owing to adopted the lower hemostasis membrane that sets up relatively and stopped blood membrane and nail simultaneously on the cutting plane, reach quick and effectual hemostasis purpose, further reduce the point of bleeding, reduce the operation and the pain of hindering of changing dressings, be favorable to wound healing.

3. The utility model discloses owing to adopted the fixed mode of the foreskin that turns up, can pass through the length of the accurate control foreskin cutting of scale mark according to the state of an illness needs, improve the accurate nature and the security of operation, can be at the injury to the patient of furthest's reduction under the prerequisite that reaches the best treatment purpose.

The utility model discloses a circumcision is visual with the process of circumcision operation to the external cutting structure on the foreskin turns up and the movable part to the cooperation scale sign reaches the purpose of accurate cutting foreskin length, makes circumcision operation process safer, controllable, has avoided medical accident and the secondary operation that cutting error leads to, reduces the painful and bleeding point of operation, is favorable to the postoperative to resume.

Drawings

FIG. 1 is a schematic structural view of the bridge type direct-view prepuce cutting and suturing device of the present invention;

FIG. 2 is a top view of the nail drill ring holder of embodiment 1 of the present invention in a bridge-type direct-view prepuce cutting stapler;

FIG. 3 is a bottom view of the cartridge assembly of example 1 of the bridge direct view prepuce cutting stapler of the present invention;

fig. 4 is a partial sectional view of the bridge type direct-view prepuce cutting suturing device of the present invention after suturing.

In the figure, 1 nail drill ring seat, 11 annular cutting surfaces, 12 nail body grooves, 13 lower hemostatic membranes, 14 scale marks, 2 bridge type fixing frames, 3 nail bin assemblies, 31 movable parts, 32 nail bodies, 33 annular cutting blades, 34 upper hemostatic membranes, 4 pressurizing handles, 41 reference lines, 42 pressurizing windows and 5 fixing parts.

Detailed Description

The invention will be further explained with reference to the drawings and the specific embodiments.

Referring to the attached figure 1, the bridge type direct-view prepuce cutting and suturing device comprises a nail drill ring seat 1, a bridge type fixing frame 2, a nail bin assembly 3, a pressurizing handle 4 and a fixing piece 5; referring to fig. 2, the nail drill ring seat 1 is a hollow annular columnar structure, and an annular cutting surface 11 and a plurality of annularly arranged nail body grooves 12 are arranged on the upper end surface of the nail drill ring seat 1; the glans penis penetrates through the nail drill ring seat 1 from bottom to top, so that the foreskin can be turned outwards and wrapped on the outer side surface of the nail drill ring seat 1, and the edge of the foreskin is fixed on the nail drill ring seat 1 through a fixing piece 5; two ends of a bridge type fixing frame 2 of a bridge type structure are respectively connected with a nail drill ring seat 1 and a nail bin assembly 3, and the nail drill ring seat 1 and the nail bin assembly 3 are coaxially arranged; referring to fig. 3, a movable portion 31 is disposed in the magazine assembly 3, a plurality of annularly distributed nail bodies 32 are disposed in the movable portion 31, and the nail bodies 32 are disposed in one-to-one correspondence with the nail body slots 12; the bottom of the movable part 31 is provided with a ring cutting blade 33, and the ring cutting blade 33 is arranged opposite to the ring cutting surface 11; the pressurizing handle 4 is arranged on the cartridge component 3 and is connected with the movable part 31, the movable part 31 pushes out the cartridge component 3 through the pressurizing handle 4 and enables the nail body 32 to be pressed and nailed in the nail body groove 12 of the nail drill ring seat 1.

The upper end face of the nail drill ring seat 1 is provided with a lower hemostatic membrane 13, and the lower hemostatic membrane 13 is of an annular structure and covers the surface of the nail body groove 12; the bottom surface of the movable part 31 is provided with an upper hemostatic membrane 34, the upper hemostatic membrane 34 is of an annular structure and is positioned below the nail body 32, the lower hemostatic membrane 13 and the upper hemostatic membrane 34 are arranged oppositely, so that after the movable part 31 is pressed and nailed on the nail drill ring seat 1, the lower hemostatic membrane 13 and the upper hemostatic membrane 34 can be nailed on two sides of the cutting surface of the foreskin at the same time, thereby playing a role in quickly and effectively stopping bleeding and being beneficial to wound recovery; meanwhile, the nail body 32 is nailed on the lower hemostatic membrane 13 and the upper hemostatic membrane 34, and the nail body 32 is not wrapped by body tissues, so that the nail body 32 is more convenient to disassemble, the damage of the disassembled nail body 32 to the body tissues is reduced to the greatest extent, and the pain is reduced.

The outer side surface of the nail drill ring seat 1 is provided with a scale mark 14 which is arranged along the axial direction of the nail drill ring seat 1 and can be used for controlling the fixed length of the everted foreskin, thereby accurately controlling the cutting length of the foreskin.

The fixing piece 5 is a fixing ring movably sleeved on the nail drill ring seat 1 or a fixing nail fixed on the outer wall of the nail drill ring seat 1, and other structural forms can be adopted, so that the fixing piece can fix the everted foreskin edge.

The pressurizing handle 4 is provided with a pressurizing window 42, a reference line 41 is arranged in the pressurizing handle 4, when the pressurizing handle 4 is pressed down and cuts the suture, the reference line 41 can be positioned in the pressurizing window 42, so that the pressurizing operation is convenient, the pressurizing stroke of the pressurizing handle 4 is ensured to be in a proper range, and excessive or incomplete cutting is avoided.

Example 1:

the cross section of the nail drill ring seat 1 is circular, so that cutting and sewing are facilitated. Preferably, the diameter of the nail drill ring seat 1 is 2-4cm, and the nail drill ring seat is suitable for circumcision of patients in different age stages. Correspondingly, the movable part 31, the lower hemostatic membrane 13 and the upper hemostatic membrane 34 are all in a circular structure matched with the nail drill ring seat 1, so that the movable part, the lower hemostatic membrane and the upper hemostatic membrane can be matched with the nail drill ring seat 1 and the nail bin assembly 3.

Example 2:

the cross section of the nail drill ring seat 1 is in an elliptical ring shape, so that cutting and sewing are facilitated. Preferably, the length of the short shaft of the nail drill ring seat 1 is 2-4cm, the nail drill ring seat is suitable for circumcision of patients at different ages, and the length of the long shaft of the nail drill ring seat 1 is slightly larger than that of the short shaft of the nail drill ring seat 1. Correspondingly, the movable part 31, the lower hemostatic membrane 13 and the upper hemostatic membrane 34 are all in an elliptical ring structure matched with the nail drill ring seat 1, so that the movable part, the lower hemostatic membrane and the upper hemostatic membrane can be matched with the nail drill ring seat 1 and the nail bin assembly 3.

The cross section of the nail drill ring seat 1 can also be designed into other structures like an elliptical ring and the like, so that the nail drill ring seat can be convenient for the eversion and fixation of the edge of the foreskin. Adopt the utility model discloses bridge type orthoptic foreskin cutting stitching instrument carries out the operation step of circumcision and is: the nail drill ring seat 1 with a proper size and the movable part 31, the lower hemostatic membrane 13 and the upper hemostatic membrane 34 with matched sizes are selected according to the operation requirement. Penetrating the glans penis through the nail drill ring seat 1 from bottom to top, arranging a lower hemostatic membrane 13 on a nail body groove 12 of the nail drill ring seat 1, wrapping the foreskin on the nail drill ring seat 1 in an everted manner, and fixing the foreskin through a fixing piece 5, wherein the fixing piece 5 can adopt a binding wire or a binding belt commonly used in the operation; at this time, the hemostatic membrane 13 is located between the foreskin and the trephine holder 1. The length of the prepuce turned to the outer side face of the nail drill ring seat 1 can be accurately controlled through the scale marks 14 according to the state of an illness, so that the length of prepuce cutting is controlled, medical accidents caused by overlong cutting are avoided, secondary operations caused by too short cutting are prevented, and the optimal treatment effect is achieved. The upper stop blooding membrane 34 is arranged at the bottom of the movable part 31 or on the surface of the everted foreskin, so that the lower stop blooding membrane 13 and the upper stop blooding membrane 34 can be attached to two sides of the cutting surface of the foreskin, the movable part 31 is controlled to move downwards and push out the nail bin assembly 3 through the pressurizing handle 4, and the movable part 31 is reset after the cutting and sewing operations are simultaneously completed by the nail body 32 and the ring-cutting blade 33.

The utility model provides a pressurization handle 4 can adopt among the foreskin cutting stitching instrument of prior art to be used for pushing down the handle structure of nail storehouse with the nail body in the cutting of blade, reach and reset after the purpose of simultaneous stapling and cutting, other structural style realization among the also can adopt prior art to the promotion of nail body 32 and girdling piece 33, and its operation and principle here are no longer repeated.

Referring to fig. 4, preferably, the nail body 32 with an inverted U-shaped structure can be inserted into the lower hemostatic membrane 13 in a manner of bending and inverting legs in the nail body groove 12 when the nail cartridge assembly 3 is pressed down, so that the upper hemostatic membrane 34 and the lower hemostatic membrane 13 can be sutured on the upper and lower wound surfaces of the body tissue in a "sandwich structure". The utility model discloses also can adopt other modes to realize creating sewing up of mouthful department, no longer give unnecessary details here.

The above description is only for the purpose of illustrating the preferred embodiments of the present invention and should not be taken as limiting the scope of the present invention, therefore, any modifications, equivalents, improvements and the like made within the spirit and principles of the present invention should be included in the scope of the present invention.

Claims

1. The utility model provides a bridge type is looked at foreskin cutting stitching instrument directly, characterized by: comprises a nail drill ring seat (1), a bridge type fixing frame (2), a nail bin assembly (3), a pressurizing handle (4) and a fixing piece (5); the nail drill ring seat (1) is of a hollow annular columnar structure, and an annular cutting surface (11) and a plurality of annularly arranged nail body grooves (12) are arranged on the upper end surface of the nail drill ring seat (1); the glans penis penetrates through the nail drill ring seat (1) from bottom to top, so that the foreskin can be turned outwards and wrapped on the outer side surface of the nail drill ring seat (1), and the edge of the foreskin is fixed on the nail drill ring seat (1) through a fixing piece (5); two ends of a bridge type fixing frame (2) of a bridge type structure are respectively connected with a nail drill ring seat (1) and a nail bin assembly (3), and the nail drill ring seat (1) and the nail bin assembly (3) are coaxially arranged; a movable part (31) is arranged in the nail bin assembly (3), a plurality of annularly distributed nail bodies (32) are arranged in the movable part (31), and the nail bodies (32) and the nail body grooves (12) are arranged in a one-to-one correspondence manner; the bottom of the movable part (31) is provided with a circular cutting blade (33), and the circular cutting blade (33) is arranged opposite to the circular cutting surface (11); the pressurizing handle (4) is arranged on the nail bin assembly (3) and is connected with the movable part (31), and the movable part (31) pushes out the nail bin assembly (3) through the pressurizing handle (4) and enables the nail body (32) to be pressed down and nailed in the nail body groove (12) of the nail drill annular seat (1).

2. The bridge direct view foreskin incision stapler of claim 1, wherein: a lower hemostatic film (13) is arranged on the upper end surface of the nail drill ring seat (1), and the lower hemostatic film (13) is of an annular structure and covers the surface of the nail body groove (12); an upper bleeding stopping film (34) is arranged on the bottom surface of the movable part (31), the upper bleeding stopping film (34) is of an annular structure and is positioned below the nail body (32), the lower bleeding stopping film (13) and the upper bleeding stopping film (34) are arranged oppositely, so that after the movable part (31) is pressed and nailed on the nail drill ring seat (1), the lower bleeding stopping film (13) and the upper bleeding stopping film (34) can be nailed on two sides of the cutting surface of the foreskin at the same time.

3. The bridge direct vision foreskin incision stapler of claim 1 or 2, wherein: the cross section of the nail drill ring seat (1) is circular, and the movable part (31), the lower hemostatic membrane (13) and the upper hemostatic membrane (34) are all circular structures matched with the nail drill ring seat (1).

4. The bridge direct view foreskin incision stapler of claim 3, wherein: the diameter of the nail drill ring seat (1) is 2-4 cm.

5. The bridge direct vision foreskin incision stapler of claim 1 or 2, wherein: the cross section of the nail drill ring seat (1) is in an elliptical ring shape, and the movable part (31), the lower hemostatic membrane (13) and the upper hemostatic membrane (34) are all in elliptical ring structures matched with the nail drill ring seat (1).

6. The bridge direct view foreskin incision stapler of claim 5, wherein: the length of the short shaft of the nail drill ring seat (1) is 2-4 cm.

7. The bridge direct view foreskin incision stapler of claim 1, wherein: the outer side surface of the nail drill ring seat (1) is provided with a scale mark (14) which is arranged along the axial direction of the nail drill ring seat (1).

8. The bridge direct view foreskin incision stapler of claim 1, wherein: the fixing piece (5) is a fixing ring movably sleeved on the nail drill ring seat (1) or a fixing nail fixed on the outer wall of the nail drill ring seat (1).

9. The bridge direct view foreskin incision stapler of claim 1, wherein: the pressurization handle (4) on be equipped with pressurization window (42), be equipped with reference line (41) in pressurization handle (4), when pressurization handle (4) push down and cut the suture, reference line (41) can be located pressurization window (42).