FR2970637A1 - Surgical grip-clamp for circumcision of skin of child, has toothed rack provided at rear end of clamp, and screwing system installed at front end of clamp, where set of narrow blades is provided for clamping skin - Google Patents

Surgical grip-clamp for circumcision of skin of child, has toothed rack provided at rear end of clamp, and screwing system installed at front end of clamp, where set of narrow blades is provided for clamping skin Download PDF

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Publication number
FR2970637A1
FR2970637A1 FR1200434A FR1200434A FR2970637A1 FR 2970637 A1 FR2970637 A1 FR 2970637A1 FR 1200434 A FR1200434 A FR 1200434A FR 1200434 A FR1200434 A FR 1200434A FR 2970637 A1 FR2970637 A1 FR 2970637A1
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Prior art keywords
clamp
skin
circumcision
clamping
child
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FR1200434A
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FR2970637B1 (en
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Gad Amar
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/326Circumcision apparatus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection
    • A61B17/2833Locking means
    • A61B2017/2837Locking means with a locking ratchet

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The clamp has a toothed rack provided at rear end of the clamp, and a screwing system installed at front end of the clamp. A set of narrow blades is provided for clamping the tissue of 1 mm thickness, and a handle is provided for controlling clamping of the skin.

Description

DEMANDE DE BREVET Description de l'invention 1.1 Domaine technique de l'invention PATENT APPLICATION DESCRIPTION OF THE INVENTION 1.1 TECHNICAL FIELD OF THE INVENTION

L'invention porte sur la réalisation d'un instrument médical spécifique permettant une circoncision précise et peu hémorragique. The invention relates to the production of a specific medical instrument for precise circumcision and little haemorrhage.

1.2 Etat de la technique antérieure 1.2 State of the prior art

Maguen est un terme hébreu signifiant «protection ». Ce mot désigne l'instrument traditionnel juif de la circoncision, qui se présente comme une pince large en forme de coeur, réalisant entre ses deux branches le pincement, et par sa surface la « protection » du gland, au moment de la section du prépuce. Maguen is a Hebrew term meaning "protection". This word refers to the traditional Jewish instrument of circumcision, which presents itself as a wide, heart-shaped pincer, realizing between its two branches the pinching, and by its surface the "protection" of the glans, at the moment of the foreskin section .

Le Maguen-Clamp de Bornstein est une pince sans branche. Il est conçu pour la circoncision des bébés israélites de 8 jours. Le prépuce est introduit entre les deux branches, dont la surface d'écrasement est de 1 mm. On rapproche les deux branches, puis on les serre ensuite à l'aide d'un système rabattable sur l'extrémité des deux branches. Bornstein's Maguen-Clamp is a clip without a branch. It is designed for the circumcision of 8-day Israelite babies. The foreskin is introduced between the two branches, whose crushing surface is 1 mm. The two branches are brought together and then tightened with a folding system on the ends of the two branches.

Le Maguen-clamp de Bornstein réalise un écrasement extrême de la- peau et de la muqueuse du prépuce sur 1 mm, avant la section de la partie à éliminer. Il est utile de décoller préalablement la peau du prépuce du gland. Après la section de la partie à éliminer du prépuce, la peau revient vers l'arrière, et la circoncision est pratiquement terminée, compte tenu des conditions dans laquelle elle est réalisée, au domicile des bébés. Le saignement est minime ou inexistant, mais un bon pansement circulaire pourra mieux assurer ce résultat. The Bornstein Maguen-clamp performs an extreme crushing of the skin and mucosa of the foreskin over 1 mm, before the section of the part to be eliminated. It is useful to take off beforehand the skin of the foreskin of the glans. After the section of the part to be removed from the foreskin, the skin returns to the rear, and the circumcision is practically finished, given the conditions in which it is performed, in the homes of babies. Bleeding is minimal or non-existent, but a good circular bandage can better ensure this result.

Cet instrument a été conçu pour les bébés de huit jours ou quelques semaines. En outre, 25 son utilisation n'est ni ergonomique, ni simple et ne permet pas un bon réglage du niveau de coupe. This instrument has been designed for babies of eight days or weeks. In addition, its use is neither ergonomic nor simple and does not allow a good adjustment of the cutting level.

Aucun instrument médical alternatif n'existe pour des enfants plus âgés, permettant une intervention exsangue. No alternative medical instrument exists for older children, allowing bloodless intervention.

1.3 Exposé de l'invention 1.3 Presentation of the invention

30 La Pince-clamp de circoncision que nous présentons est un développement du Maguen-Clamp de Bornstein, qui associe lui-même le principe du clampage du prépuce par le procédé de la cloche, et ceux du pincement et de la protection du Maguen, The Circumcision Clamp Pliers that we present is a development of the Bornstein Maguen-Clamp, which associates itself the principle of clamping the prepuce by the bell method, and those of the pinching and protection of the Maguen,

Dans les circoncisions des enfants de 3 ans que nous pratiquons dans les hôpitaux et les cliniques, le saignement est souvent important. On le contient en comprimant le gland, 35 pendant que l'on fait l'hémostase à l'aide du bistouri électrique. Ce temps est assez long, car le saignement est diffus, y compris sur les tranches de peau. In the circumcisions of 3-year-olds we practice in hospitals and clinics, bleeding is often important. It is contained by compressing the glans while hemostasis is performed with the electrocautery. This time is quite long because the bleeding is diffuse, including on the skin slices.

Pour éviter ce saignement, pour bénéficier de l'avantage protecteur du Maguen, mais aussi pour un usage plus ergonomique, nous avons conçu notre Pince-clamp de circoncision sous la forme d'une pince chirurgicale. To avoid this bleeding, to benefit from the protective advantage of Maguen, but also for a more ergonomic use, we designed our circumcision clamp clamp in the form of a surgical forceps.

En chirurgie, la pince est d'un usage courant, mais le clamp à surface d'écrasement fin est inconnu. In surgery, the forceps is in common use, but the fine crush surface clamp is unknown.

La Pince-clamp selon l'invention, associant les principes de la pince chirurgicale et du clamp fin, permet le clampage des tissus entre deux branches ou lames de la pince, sur une épaisseur d' l mm. The clamp-clamp according to the invention, combining the principles of the surgical clamp and the thin clamp, allows the clamping of tissue between two branches or blades of the clamp, to a thickness of 1 mm.

L'écrasement est ensuite assuré par un double système : une crémaillère à l'arrière, au pied des branches de la pince, et un système de vissage à l'extrémité antérieure de la pince. The crushing is then ensured by a double system: a rack at the back, at the foot of the branches of the clamp, and a screwing system at the front end of the clamp.

Nous avons conçu progressivement trois pinces, chacune présentant un avantage par rapport à la précédente : We have gradually designed three clamps, each with an advantage over the previous one:

- La première (« Pince numéro 1 ») se présente comme une pince à lames larges, à force d'écrasement maximal. - The first ("Clamp number 1") is like a pliers with wide blades, maximum crushing force.

- La seconde (« Pince numéro 2 ») a introduit des anses qui permettent de mieux contrôler le moment de l'écrasement. - The second ("Clamp number 2") has introduced handles that allow better control of the moment of the crash.

- Enfin, la troisième (« Pince numéro 3) a évolué vers la forme plus conventionnelle des pinces, avec des lames étroites (1 cm pour les deux lames) : cela donne l'avantage de mieux voir, palper et éventuellement repousser le gland, de manière à éviter qu'il ne soit aussi en partie écrasé. - Finally, the third ("Clamp number 3) has evolved to the more conventional shape of the forceps, with narrow blades (1 cm for both blades): this gives the advantage of better seeing, palpating and possibly pushing back the glans, so as to avoid that it is also partially crushed.

Les avantages de la Pince-clamp sont donc multiples : The advantages of the clamp-clamp are thus multiple:

- Obtenir une section nette de la peau, - Get a clean section of the skin,

- Réaliser cette section du côté de la peau à éliminer et non du côté du gland (effet Maguen), comme on le fait habituellement avec des pinces simples, - Make this section on the side of the skin to eliminate and not on the side of the glans (Maguen effect), as is usually done with simple forceps,

- Supprimer ce saignement important initial (cela n'est pas possible avec des pinces simples). Chez l'enfant de 3 ans, l'usage de la Pince-clamp ne dispense pas de l'hémostase, mais celle-ci est beaucoup moins importante, et elle se fait dans la sérénité, puisque l'enfant n'est pas en train de saigner. - Remove this important initial bleeding (this is not possible with simple forceps). In the 3-year-old, the use of the clamp-clamp does not dispense hemostasis, but it is much less important, and it is done in serenity, since the child is not in bleeding.

Au total, cette pince facilite une bonne coupe de la peau, avec peu de risques sur le gland, et un saignement inexistant, - qui ne dispense toutefois pas de gestes d'hémostase préventifs, qui se font dans la sérénité. All in all, this clip facilitates a good cut of the skin, with little risk on the glans, and a non-existent bleeding, - which does not dispense, however, preventive hemostasis, which are done in serenity.

La Pince-clamp de circoncision décrite précédemment, est illustrée par les schémas joints. The circumcision clamp clamp described above is illustrated by the attached diagrams.

Cette pince pourrait également servir à l'ablation de tumeurs cutanées pédiculées (application en dermatologie). This forceps could also be used for the removal of pedicled cutaneous tumors (application in dermatology).

Claims (2)

REVENDICATIONS1. Pince-clamp de circoncision associant les principes de REVENDICATIONS1. Pince-clamp de circoncision associant les principes de la pince chirurgicale et du clamp fin, permettant le clampage et l'écrasement des tissus sur une épaisseur d' 1 mm, 5 caractérisé en ce qu'elle comprend : une crémaillère à l'arrière, et REVENDICATIONS1. Circumcision clamp clamp combining the principles of CLAIMS1. Circumcision clamp clamp combining the principles of the surgical clamp and the thin clamp, allowing the clamping and crushing of tissues to a thickness of 1 mm, 5 characterized in that it comprises: a rack at the rear, and 2. un système de vissage à l'extrémité antérieure de la pince. 2. a screwing system at the front end of the clamp.
FR1200434A 2012-02-15 2012-02-15 CIRCUMCISION CLAMP CLAMP Expired - Fee Related FR2970637B1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
FR1200434A FR2970637B1 (en) 2012-02-15 2012-02-15 CIRCUMCISION CLAMP CLAMP

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Application Number Priority Date Filing Date Title
FR1200434A FR2970637B1 (en) 2012-02-15 2012-02-15 CIRCUMCISION CLAMP CLAMP

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FR2970637A1 true FR2970637A1 (en) 2012-07-27
FR2970637B1 FR2970637B1 (en) 2014-06-20

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR3028748A1 (en) * 2014-11-20 2016-05-27 Gad Amar CIRCUMCISION INSTRUMENT WITH DOUBLE SECURITY SYSTEM
EP3060139A4 (en) * 2013-10-23 2017-10-11 University of Florida Research Foundation, Inc. Devices and methods for removing unwanted tissue

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR452248A (en) * 1912-12-20 1913-05-10 Eugene Louis Doyen Pliers or shears with screw clamp and broken nut
US2548670A (en) * 1947-10-10 1951-04-10 Hyatt Morris Circumcision instrument
US3277895A (en) * 1963-09-20 1966-10-11 Charles A Johnson Clamp-type surgical instrument
US5746748A (en) * 1995-12-27 1998-05-05 Frederic Steinberg Circumcision instrument
US20070244516A1 (en) * 2006-04-17 2007-10-18 Chiu Kwok W Apparatus for adult circumcision

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR452248A (en) * 1912-12-20 1913-05-10 Eugene Louis Doyen Pliers or shears with screw clamp and broken nut
US2548670A (en) * 1947-10-10 1951-04-10 Hyatt Morris Circumcision instrument
US3277895A (en) * 1963-09-20 1966-10-11 Charles A Johnson Clamp-type surgical instrument
US5746748A (en) * 1995-12-27 1998-05-05 Frederic Steinberg Circumcision instrument
US20070244516A1 (en) * 2006-04-17 2007-10-18 Chiu Kwok W Apparatus for adult circumcision

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3060139A4 (en) * 2013-10-23 2017-10-11 University of Florida Research Foundation, Inc. Devices and methods for removing unwanted tissue
US10542997B2 (en) 2013-10-23 2020-01-28 University Of Florida Research Foundation, Inc. Devices and methods for removing unwanted tissue
FR3028748A1 (en) * 2014-11-20 2016-05-27 Gad Amar CIRCUMCISION INSTRUMENT WITH DOUBLE SECURITY SYSTEM

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