TW201038245A - Matching device for circumcision - Google Patents

Abstract

The invention is a matching device for circumcision, related to a medical apparatus, used for cutting long covering of the penis of a man. The matching device for circumcision of the invention comprises an inner cutting ring, a tubular cutter capable of lifting, an outer cutting ring, a connection ring, and a removable preventing board set in the inner side of the linking board of the inner cutting ring. Put the inner cutting ring in the outer cutting ring. Put the tubular cutter capable of lifting between the inner cutting ring and the outer cutting ring. The tube leg of the tubular cutter passes through the curving slot of the lower ring blocking piece of the connection ring, and connects to the knob on the tubular cutter. The outer cutting and the connection ring are connected removably. The advantage of the invention is that during the treatment process of prepuce and phimosis, the patient will not pain, operation, bleed, sew, and take medicine. The patient has no fear. The operation is finished only few minutes, capable of walking after operation. It will not influence the patience's work and learning. The skin of the cutting position is bright and clean. Therefore, it is deeply welcomed by patients.

Description

201038245 VI. Description of the Invention: [Technical Field of the Invention] [0001] The present invention relates to a medical device, and more particularly to an apparatus for removing a male foreskin. C prior art] [0002] Foreskin is too long or phimosis is one of the root causes of male urinary system and sexually transmitted diseases, too long foreskin or phimosis can cause urinary tract infection leading to chronic prostatitis, back pain, impotence and premature ejaculation Wait for a series of symptoms. 0 Therefore 'clearing the foreskin or phimosis is a measure to prevent these conditions - 〇 clearing the foreskin or phimosis too long. There have been several reforms since the beginning of my painting. The first method is surgery, but surgery Inevitably will flow, pain, 'knife mouth need to be sutured, need to eat anti-inflammatory drugs and smear anti-inflammatory water after surgery, every day to change the medicine 'to suture after suturing the line' walking inconvenient, often need to live & surgery, the entire treatment costs high. The second method is laser. Since laser application to the clinic, circumcision has solved a major problem of hemostasis. However, burned skin causes edema, and it takes a long time to suture with the gut. It requires a lot of antibiotic treatment. It will leave scars after surgery, and the price is very expensive. 098114070 Then there is CN 2()Μι〇1 18525 applied by the applicant in China. ·7, the patent for the "contoured tubular circulator with bearing", which solves the problem of bleeding, knife-edge suture, anti-inflammatory drugs, and expensive in the operation of clearing the foreskin. Door question. However, the tubular loop cutter adopts an integral sleeve structure, and the incision of the annular knife installed in the sleeve is relatively sharp, which makes the incision process in the foreskin more painful, and after the foreskin excision, the tubular loop is cut. Form number Λ0101 Page 3 of 60 pages 0983 201038245 It is also necessary to hang on the penis for a period of time, since the circulator is a unitary structure 'so the patient will feel a certain weight' additionally in the foreskin and During the postoperative recovery, if the patient has penile erectile congestion, it will directly affect the foreskin resection and postoperative recovery. Also, the loop cutter adjusts the thickness or thickness of the cut wrap by a spring that is attached to one end of the bearing or the retaining ring. This method of controlling the thickness or thickness of the cut wrapper is not accurate enough and difficult to grasp. SUMMARY OF THE INVENTION [0003] The object of the present invention is to solve the deficiencies of the prior art, and provide a circumcision anastomat, which solves the problem of bleeding, pain, knife-edge suture, and anti-inflammatory drugs required in the operation of clearing the foreskin. It can prevent the current penile erection during the foreskin cutting and wound healing, making the thickness or thickness of the cutting sheath easy to control, and the cutting knife can move and lift. In order to achieve the above object, the technical solution of the present invention adopts a working and circumcision anastomat, comprising: an inner cutting, consisting of an upper casing, a lower casing, and a connecting plate connecting the lower casing; The ring 'from the upper sleeve, the upper sleeve =, the lower sleeve, the connecting rod connecting the upper sleeve and the lower sleeve, each of the 098,114,070 connecting ring, is sleeved and mounted on the sleeve The lower ring block of the lower end of the tube is configured to be detachable, and the inner surface of the anti-ball board is distributed with a plurality of bumps on the surface of the anti-ball board. The inner cutting ring is set in the cutting ring. Inside, ',, the upper end of the upper casing and the outer cutting ring «β /·α afe AA1 ni f〇st Form No. A0101 Page 4 / Total page inside the inside of the inner ring of the ring ring 0933168230 -0 201038245 ', the lower end of the lower annular flap of the lower sleeve of the bucket cutting ring and the sleeve of the connecting ring and the sleeve of the connecting ring=cut ring The inner cutting ring is connected to the outer cutting ring in the lower cut ring; 瞢知所,+,,* 1 . The upper sleeve and the lower sleeve of the ankle ring are provided with a gap between the connecting plates for receiving the foreskin. a θ · Ο ', a spiral groove provided in the cutting sleeve, a pin disposed at a lower end of the cutting tube, and a knob connected to the pin for cutting a foreskin; the liftable tube a cutter set between the inner cutting ring and the outer cut %, the pin on the liftable tubular cutter passing through the lower (four) flap of the connecting loop (four) _, and then tubular The knob connection on the cutter. A buckle is disposed on an outer surface of the connecting plate of the inner cutting ring, and the male buckle cooperates with a spiral groove on the wall of the cutting sleeve on the tubular cutting blade. --=1 ^ »

One end of the cutting sleeve of the liftable tubular cutter is provided with an acute angle edge or a serrated edge, and the acute angle edge or the serrated edge and the upper annular flap of the outer cutting ring The inner top press fit, or the acute angle cutting edge or the serrated edge and the rubber gasket mounted in the upper annular ring in the outer cutting ring are press-fitted, the cutting of the liftable tubular cutter The inner diameter of the sleeve is the same as the outer diameter of the upper sleeve and the lower sleeve in the inner cutting ring. The outer surface of the connecting rod is provided with a scale, a digital scale and an alarm. A ruler is also provided on the outer wall of the lower sleeve of the outer cutting ring and the outer wall of the sleeve of the connecting ring. 098114070 Form No. A0101 Page 5 of 60 0983168230-0 201038245 The digital display includes a light peach digital display, an electromagnetic induction digital display, and an infrared digital display. The alarm device includes a circuit board on which an alarm or a memory chip is not provided, and the vocabulary chip is used to indicate the lower sleeve and the outer ring on the outer cutting ring. The cannula connection of the connecting ring is too tight, and/or used to prompt wound healing information. An end face of the upper sleeve of the inner cutting ring is evenly distributed, the shape of the end face is a pattern, and the inner side of the upper end of the inner ring and the outer ring The top press fits, or the end face teeth are press-fitted with the rubber top seal mounted on the upper annular baffle (4). β The upper end section of the sleeve on the inner cutting ring is a tooth or an upper end section, and the V-shaped tooth or the guillotine is press-fitted with the inner side of the upper ring push piece in the outer cutting ring, or The v-shaped teeth or the μ-shaped teeth are press-fitted with the rubber bucks placed in the upper annular baffle. The upper sleeve and the lower sleeve of the inner cutting ring are spliced sleeves. The spliced sleeve is formed by a plurality of segments _ splicing/shaped (four) sleeves in the form of 4 buckles. The upper sleeve of the cutting ring and the [[the tube wall of the lower sleeve are further provided with a tearing strip along the axial direction]. The cutting ring is threadedly connected to the connecting ring, or the buckle button on the outer wall of the installed +Wing ring is disposed on the connecting ring, the snap connection, or is respectively disposed outside the ring The cutting ring is coupled to the ratchet and the ratchet on the connecting ring, and the ratchet provided on the connecting ring is an easy #m ratchet. q 衣回杈 has a right-handed mouth, and the fascinating point is lower. There is also a "striped piece" with a plastic plaque under the cymbal.斤 l inner cutting ring, outer cutting ring, connecting ring 098114070 Page 6 of 60 Form number _ ... 201038245.包 098 098114070 A circumcision anastomat comprising a tubular inner ring, a tubular outer ring fitted on the inner side of the inner portion, and a cavity for containing a sheath between the inner ring and the outer ring, the outer ring being The outer ring and the outer ring of the outer ring are connected to each other, and a retaining ring is respectively arranged at an end of the outer ring and the outer ring, and a gasket is arranged on the inner side of the retaining ring; One end of the inner ring is a circumscribed end of the circumcision, a convex edge is arranged on the outer side of the cut end of the circumcision, and a ligature for fixing the foreskin is assembled at a lower end of the rim, and the circumcision is cut and the outer ring of the outer ring The gasket on the inside of the end retaining ring cooperates to press the sheath, and the other end of the inner ring cooperates with the inner side of the B outer ring end retaining ring for axially pressing the inner ring. Wherein: a through hole for injecting a drug or a cleaning agent is disposed on an end surface of the side wall or the retaining ring of the outer ring, and a plurality of side holes of the outer ring are further provided for disassembling the outer ring of B and the outer ring of B. Connect the removal holes (3 7). A non-slip bump, or a groove, or a pattern is provided on the outer wall of the outer ring. _ , a plurality of bumps are formed at the end of the cut end of the circumcision. A plurality of serrations are provided at the ends of the cut ends of the circumcision. The other end of the tubular inner ring is coupled to the retaining ring on the outer ring of the B to form a unitary piece. The surface of the outer side of the circumcision of the circumcision is a tapered surface, and the lower end of the tapered surface forms a right angle with the outer wall of the inner ring, and the right angle is used for the ligature to fix the foreskin on the outer wall of the inner ring. The tapered surface is adapted to cooperate with a positioning convex surface on the tapered surface or the circular arc surface between the inner surface of the outer ring of the outer ring A and the inner surface of the retaining ring. The 7th yellow / a total of 60 pages form nickname A0101 201038245 The embossed edge is a number of segments.

The inner ring is a splicing ring, and the splicing ring is formed by splicing two semi-circular rings. The outer ring is composed of two semi-circular rings, and the two ends of the two semi-rings pass through the connecting piece. Or threaded connection. a circumcision anastomosis comprising an outer ring for cutting and clamping and an inner ring for the sheath, the inner ring being composed of an integral ring, or two half rings, or two or more curved segments Providing at least one groove on the outer surface of the inner ring, a resilient washer on the surface of the groove, and at least two turns in the outer ring, at the edge of the edge Arranging a plurality of serrations or bumps, the cutting edges cooperate with the grooves for squeezing and/or cutting the foreskin; and the outer ring is provided with a passage for injecting a liquid medicine, the passage Connected to the cavity between the outer ring and the inner ring. The outer ring is a two semi-circular split ring, or the outer ring is an integral open flexible ring, and the upper end of the opening is provided with a corresponding upper half blade joint and a lower half edge joint, the upper half The knife edge and the lower half edge are single layer or double layer, and a plurality of blades perpendicular to the double-layer knife edge are disposed between the double-layer knife edges, and the single-layer or double-layer knife edge is coated with anti-infective drugs a coating; the opening is provided with one end of the upper half of the joint of the blade is provided with a first stepped snap block; the opening is provided with one end of the lower half of the blade joint, and a second stepped snap block is provided, the first step The first stepped snap block and the second stepped snap block are single layer or double layer; 098114070 the first stepped snap block is located The upper half of the knife form number Α 0101 page 8 / total 6 〇 page mouth joint below the 0893168230-0, the second stepped snap block is located at the lower half of the knife edge joint at the top 9 the upper half of the knife edge combined The edges of the joints at the lower and lower edges are rounded. A pattern is provided on the upper half edge and/or the lower half edge. The outer ring is composed of two semicircular open rings, one end of which is connected by a connecting buckle; one end of one semicircular open ring or the whole open flexible ring is provided with an upper half blade joint and the other semicircle One end of the split ring or the integral open flexible ring is provided with a lower half edge joint corresponding to the upper half edge joint. The edges of the upper half edge joint and the lower half edge joint are rounded. The other end of the two semi-circular split rings or the integral open flexible ring is locked by a screw. One end of the two semicircular open loops or the other end of the integral open flexible ring is respectively provided with a matching portion, and the top end of the L-shaped portion is provided with a connecting rod body, and a connecting hole is arranged on the bottom platform thereof. The connecting rod body and the other semi-circular split ring or the connecting hole on the bottom platform of the L-shaped portion at the other end of the integral open flexible ring cooperate with each other, and the L-shaped portion has a tooth-shaped protrusion or a tooth-shaped groove on the inner side of the upright end. The toothed or toothed groove and the other semicircular open ring or the other end of the integral open flexible ring have a toothed groove or a toothed protrusion on the inner side of the upright end. The other ends of the two semi-circular split rings or the integral open flexible ring are respectively provided with hook-shaped protrusions or slots, and the hook-shaped protrusions or slots and the slots or hook-shaped protrusions of the other semi-circular split ring are mutually The hook-shaped protrusion is composed of a connecting plate and a locking piece of an inverted V-shaped structure, and one end of the connecting plate is connected to the form number A0101 „ 098 page 9 / 60 pages 201038245 in the semi-circular opening π ring or the whole Opening the end of the flexible ring, the other end is connected to the middle of the clamping piece. The other ends of the two semi-circular split rings or the integral open flexible ring are respectively provided with concave slots, the concave slot holes a collar-shaped block is disposed. The other ends of the two semi-circular split rings or the integral open flexible ring are respectively provided with strip-shaped teeth or strip-shaped perforations, the strip-shaped tooth bodies or strip-shaped pupils and another a strip-shaped perforation or a strip-shaped toothed body of the semi-circular split ring is fitted to each other. Two loops of snap rings are provided on the two semi-circular split rings or the integrally-opened flexible outer ring, and the inner ring is provided on the inner ring a ring-fitted groove, a convex ring is disposed between the grooves; the inner ring is The left and right half sleeves are separated from each other, and the left and right half sleeves are provided with rounded corners. At the end of the two semicircular split rings or the integral open flexible ring, a ruler or a digital ruler is provided for displaying the buckle In the elastic data, a field alarm is provided at the other end of the two semi-circular split rings or the integral open flexible ring to prompt the fastening too tight and/or wound healing information. In the two semicircular open rings or the whole One end of the open flexible ring is provided with an unlocking handle and an unlocking hole. The outer ring and the inner ring have a rubber pad. The surface of the outer ring and the inner ring is provided with a matte pattern. The outer ring is formed for injection. There are two or more channels for the liquid medicine. In use, the inner cutting ring I, the lifting tube cutter π, the connecting ring IV are placed on the outside of the penis, and then the oversized foreskin is turned over and sleeved. On the outer side of the upper sleeve 1 of the inner cutting ring I, the outer cutting ring Κ is connected to the inner cutting ring I by threading or snapping. At this time, the end face of the sleeve 1 on the inner cutting ring 1 is 11 Or the section is a-shaped tooth 12a, or the section is 098114070 Form No. A0101 09831 68230-0 Page 10 / Total 60 pages 201038245 The toothed tooth 12b and the outer cutting ring] the inner side of the upper ring ring 6 or the inner side of the rubber gasket 4 with the inner length of the rubber sheath 4 Pressurizing, gradually preventing the blood loop of the compressed foreskin, and finally rotating the knob 26 at the lower end of the adjustable tubular cutter n so that the spiral groove 14 on the cutting sleeve 24 is convex on the outer wall of the connecting plate on the inner cutting ring I With the buckle 13 engaged, the cutting sleeve 24 is raised along the spiral groove 14 on the casing wall. The necrotic foreskin is cut off by the sharp-edged edge 21 or the mineral-toothed edge 21a at the end of the cutting sleeve 24, and then rotated in the opposite direction. The knob 26 of the lower end of the tubular cutter can be lifted to return the cutting sleeve 24

In situ, the above process of cutting the foreskin is completed. When using, the lifting tube cutter can be omitted. The inner cutting ring I and the connecting ring IV are placed on the outside of the penis. Then the overly long foreskin is turned over and the upper casing 1 of the inner cutting ring I is set. On the outside, the outer cutting ring ΠΙ is connected to the inner cutting ring I by a thread or a snap, and at this time, the end face/ft* pattern 11 on the end face 12 of the sleeve 1 on the inner cutting ring j, or the v-shaped tooth 12a is a cross section. Or the cross section is the inner side of the upper ring baffle 6 in the crotch tooth 12b and the outer cutting ring m, or the rubber pad 4 mounted therein is slowly pressed against the root of the wrapper, and gradually resists being pressed. The tightly wrapped skin, such as the liquid loop, is cut from the vet 12a, or the cross section is the squat tooth 12b, and the necrotic oversized circumcision is cut off with a scalpel. The above can also be used to cut the foreskin. After the compression, the wound is healed, and the clamped foreskin is gradually necrotic. The necrotic foreskin will also fall off automatically, and then the liftable tube cutter can be completely removed. In the case of an excessively long foreskin being cut by a hoisting cutter or 098114070, and during the wound healing period, in order to prevent the penis from being erected, causing stretching of the foreskin, the upper casing of the penis sheath and the inner cutting ring is required. i. Insert the anti-Board plate v between the sleeve 2 and the inner side of the connecting plate 3, and prevent the erection of the penis on the outer surface of the penis. At the same time, the form number A0101 U page / total 60 buy 0893168230-0 201038245 The outer side of the connecting rod 8 of the cutting ring and the outer side of the sleeve 9 of the connecting ring IV are respectively provided with scales for user control or adjustment of the need Remove the thickness of the foreskin. The invention has the advantages and beneficial effects that the circumcision anastomat has no pain during the treatment of the foreskin and phimosis, no surgery, no bleeding, no suture, no medication, and the patient has no fear, especially in use. When the cross-section 12-shaped tooth 12b is pressed tightly, the analgesic drug can be placed in the sacral groove of the cross-sectional gingival tooth 12b, and the operation can be completed in only a few minutes, and it does not affect work and study, and it takes four days. It can be cured without scars, and the skin at the incision is smooth, so it is well received by the majority of patients. The circumcision anastomat of the present invention can reduce the overall weight of the circumcision anastomat due to the inner cutting ring I and the outer cutting ring m only in the middle of the upper and lower sleeves. The upper end surface 11 of the upper sleeve 1 in the inner cutting ring 1 is designed in a pattern shape, which greatly alleviates the pain of the patient as compared with the past annular crossing. In addition, it is equipped with an anti-Board plate V for preventing penile erection in the connecting plate 3 of the inner cutting ring I, which can effectively prevent the wound pain caused by the penis erection of the patient, and also, because the connecting rod of the ring is cut outside. The outside of the 8 is provided with a ruler finance, which is convenient for the user to adjust the crimping force between the outer cutting ring and the connecting ring IV according to the thickness of the foreskin, and to install the liftable tube between the outer cutting ring m and the connecting ring iv. Adjust the thickness of the cut when cutting the knife. Also, since the upper sleeve 1 and the lower sleeve 2 of the inner cutting ring I can be respectively designed as a spliced ring, it can adjust the inner diameter of the inner cutting ring I according to the needs of different patients. In addition, since the liftable tubular cutter is a movable cutter, the cutter can be raised and cut, and the cutter can be returned when not in use, that is, flexible and convenient, and the cutter is disposable. Use the product to prevent the disease 098114070 Form No. A0101 Page 12 / Total 60 Page 0983168230-0 201038245 Spread of the disease. The device of the invention has the advantages of small and exquisite shape, light weight, convenient use and low price, and therefore is suitable for promotion in general hospitals. [Embodiment] The following examples are intended to illustrate the invention, but are not intended to limit the scope of the invention. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, the present invention will be described in detail with reference to the accompanying drawings, as shown in Figs. 1 to 12.

098114070 The present invention is a circumcision anastomat comprising: an upper cannula for crushing blood vessels in the foreskin tissue and the foreskin! The end face 12 is uniformly distributed on the upper end surface of the upper sleeve i, and the shape of the end face 12 is a pattern 11 having a concave-convex phase, or a cross-section is a tooth 12a or a cross-sectional tooth 12b, and the different shapes of the tooth are used. The upper cutting sleeve j, the connecting plate 3 for connecting the upper sleeve 1 and the lower sleeve 2, the inner cutting ring I formed by the upper sleeve 下, the lower sleeve 2 and the connecting plate 3, the inner cutting ring j may be a unitary structure or may be spliced from several parts. The tube wall of the upper sleeve 1 and the lower sleeve 2 of the inner cutting ring j may also be provided with an easy-to-break line 27 in the axial direction. The circumcision anastomat further includes a stalk 214 for the excessively long foreskin cutting sleeve 24, a s14 for the tube wall of the escaping tube 24, and a pin 25 for the lower end of the gang tube 24, the pin 25 and the _ The rotary joint is connected, and the cutting sleeve 24, the pin 25 and the knob 26 are connected together to form a liftable lifting pipe cutter. The circumcision anastomat further includes an upper sleeve 5 for fixing the broadcast piece, and an upper circle mounted on the upper end of the upper sleeve 5 for pressing the upper sheath with the upper sleeve of the inner cutting ring 1 Ring block 6, lower sleeve for connection to the connecting ring, upper sleeve 5, lower 0983168230-0 barrel 7, connecting rod 8 for connecting the upper sleeve 5 and the lower sleeve 7 Form No. A0101 Page 13 / A total of 60 pages 201038245 sleeve 7 and the connecting rod 8 constitute the outer cutting ring 诅. I skin-cutting anastomosis|g further includes a sleeve 9 formed by joining the outer cutting ring melon and tightening the inner cut I, and a connecting ring formed by the lower annular flap 1 装 attached to the lower end of the sleeve 9. Jy. The foreskin cut stapler also includes a detachable anti-ball board v mounted inside the inner cut ring 3 of the inner cut ring. Will ^ cut the ring! The outer cutting ring (4) is set so that the upper end surface of the upper casing 1 of the inner cutting piece is tightly pressed with the inner side of the upper circular ring piece 6 of the outer cutting position, so that the lower end surface of the lower casing 3 of the inner cutting ring I is connected. The inner side of the lower circular cymbal block 10 in the ring ^ is tightly spliced, and the lifting and lowering tube-type cutting d-knife slings can be lifted and lowered between the inner cutting ring and the outer cutting ring. The pin 25 at the lower end of the cutting blade passes through the connecting ring. The arcuate groove 16' on the annular ring 10 is connected to the knob 26 on the liftable tubular cutting π, and the towel's outer casing (four) ring and the connecting sleeve IV 9 is made into a detachable connection ^ as shown in the figure, Fig. 3, Fig. 4, Fig. 5, Fig. 6, Fig. 1, Fig. 12, Fig. 12. In the above example, the liftable tubular cutter may not be installed. As shown in Fig. 2, Fig. 7, Fig. 8, and Fig. 9. In the present invention, the end face teeth 12 are uniformly distributed on the end surface of the sleeve 1 on the inner cutting ring I, and the shape of the end face teeth 12 is a concave-convex pattern, or the V-shaped teeth 12a or the cross-section is a μ-shaped tooth. 12ΐ), the end face 12 or the cross-section V-shaped tooth 12a, or the cross-section μ-shaped tooth i2b is tightly press-fitted with the inner side of the upper annular stretcher 6 in the outer cutting ring, or the end face tooth 12 or The cross section is the shaped tooth 12a, or the cross section is the μ shaped tooth 12b tightly press-fitted with the rubber spacer 4 mounted in the upper annular baffle 6 for pressing the cells, tissues and blood vessels of the excessively long foreskin root dead. 098114070 Form No. A0101 Page 4 of 60 pages 0893168230-0 201038245 In the present invention, a convex buckle 13 is provided on the outer surface of the connecting plate 3 of the inner cutting ring I, and the convex buckle 13 and the liftable tubular cutting are provided. The helical grooves 14 in the wall of the cutting sleeve 24 on the knives cooperate to allow the liftable tubular cutting knives to be raised and lowered. In the circumcision anastomat of the present invention, in the evening, it is generally required to insert the anti-Board plate V into the inner side of the connecting plate 3 in the inner cutting ring I, and a bump is provided on the anti-Board plate V for stimulating the appearance of the penis Prevent the erection of the penis. In order to accurately control the cutting thickness of the foreskin and the thickness at the time of pressing, the present invention is provided with a compression thickness gauge 17 on the outer side of the outer cutting ring connecting rod 8, or on the outer wall of the outer cutting ring sill sleeve 7, and A ruler 15 of the thickness of the foreskin cut is also provided circumferentially on the outer wall of the sleeve 9 connecting the rings IV. According to the present invention, one end of the liftable and lowerable tubular cutting blade cutting sleeve 24 is formed as an acute angle cutting edge 21 or a serrated cutting edge 21a, and one end of the acute angle cutting edge 21 or the serrated cutting edge 21a and the crimping member are The inner side of the upper annular baffle 5 can be pressed against the cutting sheath or not pressed back to the original position, or the acute angle cutting edge 21 or the serrated cutting edge 21 a and the upper annular blocking piece mounted in the crimping piece The rubber gasket 4 in the 6 is pressed against the foreskin or is not pressed back to the original position.切割 The inner diameter of the cutting sleeve 24 of the liftable liftable tubular cutting blade of the present invention is the same as the outer diameter of the upper sleeve 1 and the lower sleeve 3 of the inner cutting ring I. In the present invention, the crimping member m and the connecting ring IV may be connected by a thread 22 connection. In the present invention, there should be a containment wrap between the upper sleeve 1, the lower sleeve 2 and the connecting plate 3 of the inner cutting ring I and the upper sleeve 5, the lower sleeve 7 and the connecting rod 8 of the outer cutting ring ΙΠ. The gap 23 is. As shown in Fig. 7, unlike the first embodiment, the upper sleeve 3 and the lower sleeve 2 of the inner cutting ring 1 are made of a detachable sleeve 18 098114070. Form No. A0101 15 pages / total 60 pages 0893168230-0 201038245 'Removable casing 18 is cut into four casings (four) and only the 2QQ form is spliced into two segments, the upper casing of the inner cutting ring and The repellent sleeve 18 can also be provided with a tear line 2 in the axial direction. ^ On the official wall of the actual ^ and the embodiment 丨 not _ is the crimping member ::: on the even ~ card - two:) on the ratchet and the thread to cooperate with each other, set the ring (8) (10) coffee tear _ Ratchet = tearable ratchet connection is to prevent the cutter from being used repeatedly _ = sick coffee, W full set is called - secondary use = seat σ. In the following, the details of the present invention are shown in conjunction with the present invention. a circumcision anastomat comprising a tubular sample 8 that is placed over the outside of the patient's penis, the overly long foreskin being turned over over the outer wall of the tubular inner ring 28' and then the tubular outer ring 29 The outer sleeve of the tubular inner ring 28 is disposed between the tubular inner and outer tubular portions (four) with a cavity 3 accommodating the excess foreskin to be cut. Wherein, the tubular outer ring 29 is composed of two parts of a tubular outer ring 2Η and an outer tube ring 29-2 which are fastened and coupled to each other, and are respectively provided at ends of the tubular outer ring and the outer ring of the tubular β. A retaining ring 31 is provided, and a spacer 32 is mounted on the inner side of the retaining ring 31. The end of the inner ring 28 is a circumcision end 33 of the circumcision, and a convex edge 34 is disposed on the outer side of the cut end 33 of the circumcision ring. At the lower end of the convex edge 34, a batt 35 for fixing the foreskin is assembled. Tubular a outer ring 29 _i and tubular β 098114070 Form No. Α0101 Page 16 / Total 6 2010 page 201038245 After the outer ring 29-2 is snap-fitted by the A ratchet 137A, B ratchet 37B, the tubular inner ring 28 The circumcision end 33 will cooperate with the spacer 32 on the inside of the end retaining ring 4 of the tubular A outer ring 29-1 for squeezing the sheath, the other end of the tubular inner ring 28 and the tubular b outer ring 29 The inner end of the -2 end retaining ring 31 cooperates to axially press the tubular inner ring 28. At least two through holes 36 for injecting a drug or a cleaning agent are provided on the side wall of the tubular outer ring 29 or the end face of the retaining ring 31, and a plurality of side walls of the outer ring 29 are provided for disassembling A. A detaching hole 37 to which the outer ring 29-1 and the B outer ring 29-1 are connected.

A projection 38 or a flower for anti-slip is provided on the outer wall of the tubular outer ring 29. A plurality of projections 39 are provided at the ends of the circumscribed ends 33 of the tubular inner ring 28 for the circumcision. Or a plurality of wrong teeth 4 设有 are provided at the end of the circumcision end 33 of the circumcision. The bumps 39 or serrations 40 are used to hold the stripped loops and then squeeze.

The other end of the tubular inner ring 28 and the retaining ring 31 on the tubular B outer ring 29-2 may be joined into a single piece, and the integral piece and the tubular A outer ring 2 9 -1 Far away and the foreskin is suppressed. The surface of the outer rim of the circumcision end 33 of the circumcision is designed as a tapered surface 41 such that the lower end of the tapered surface 41 forms a right angle 42 with the outer wall of the tubular inner ring 28, and the right angle 42 is used for the ligature 35 The cover is fixed to the outer wall of the tubular inner ring 28 for positioning the projection on the tapered or arcuate surface between the inner surface of the outer ring 29-1 and the inner surface of the retaining ring 31. The purpose of the positioning block 43 is to facilitate positioning of the circumcision end 33 of the tubular inner ring 28. The flange 34 can be decomposed into a thousand segments of bumps, the plurality of segments of the bumps 098114070 Form No. A0101 Page 17 / Total 60 pages 0983168230-0 201038245 are uniformly distributed on the outer wall of the tubular inner ring 28 circumcision end 33 Surroundings. The outer ring of the outer ring may be composed of two halves, and the two ends of the two half rings are connected to each other by a snap member or a screw. The circumcision anastomat is used when it is used. · The first thin outer 2 and the inner ring 28 are set in the circumcision of the cloth = the guilloche - side, but the skin: the outer wall of the inner ring 1, due to The outer wall of the circumcision end 66 is provided with a rim 34'. The lower edge of the rim 34 and the outer wall of the inner ring 28 form a right angle 42 groove. The ligature 35 is used to fix the sheath on the inner ring (10) wall. Live, so that the excess length of the foreskin is accommodated between the inner ring and the outer ring, and finally the outer ring 29-1 and the outer ring 29-2 of the B are fastened together, wherein the outer ring 29-mB outer ring 29_2 is The end of the connecting section is provided with a loop 31, and the inside of the pusher ring on the side of the second outer ring 29-1- is provided with a cymbal 32. The thickness of the spacer 32 plus the length of the inner ring is almost equal to that of the outer ring... The distance from the inside to the inner side of the outer ring 29-2 of the B-ring 31, when the outer ring 29]_the outer ring 29-2 is fastened, the spacer on the inner side of the wrong back (four) and the inner ring The circumcision end 33 fits the foreskin The ring incision is squeezed, so that the foreskin tissue is apoptotic necrosis below the extrusion end, and the circumcision can be automatically detached after 5-7 days. From the above surgical procedure, the operation of the circumcision device is very Simple, the circumcision can be made of plastic or stainless steel, has a small size, light weight, simple structure and low cost. Therefore, it can be made into a single-use product. In addition, due to the side wall or the retaining ring of the outer ring. There are at least two through holes 36 through which an anti-inflammatory anti-inflammatory liquid or a cleaning solution can be injected into the anterior end, which can also be used to relieve the patient. 098114070 0983168230-0 Form No. A0101 Page 18 of 60 201038245 The pain, accelerate the healing of the wound. - The implementation of the technique", for the different needs of the circumcision, the ring can be cut into the ring 28 and the spliced (four) lion, "sexual opening material magic / among them, the stitching inner ring can be A plurality of inner rings are fixed on the dangerous stem by a resilient washer, and the spliced outer ring is generally composed of two half rings, and one end of the two half rings is connected by a hinge, and the other end of the two half rings Can pass the card: or close

The fixed screw connection, the open end of the flexible opening outer ring 29 can also be connected by snaps or fastening screws. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Another embodiment of the present invention will now be described with reference to the accompanying drawings, as shown in Figs. 21 to 31. For the combiner, including for cutting the lungs «the ring 44 and the cuff cover _ the inner ring is composed of an integral ring, or two half rings, or two money arc segments" outside the inner ring 45 The surface is provided with at least a circle concave, and the surface of the groove is closed, and at least a ring edge 78 is provided at the edge of the blade, and a plurality of ore teeth are uniformly distributed at the edge of the edge. Or the edge of the bump 49' cooperates with the groove for squeezing and/or cutting the sheath; a channel 52 for injecting a drug solution is provided on the side wall of the outer ring 44, the channel 52 and the The outer ring 44 and the inner ring 45 are connected to each other. The circumcision anastomat comprises an inner ring 45, and the outer ring 44 is provided on the outside. The inner ring 45 and the outer ring 44 are made of a high-grade 372 type non-toxic side effect organic. material. Outside the %44 points, the two half-rings 44-A, 44-Β, the outer ring 44 can also be used as the whole open flexible ring 'in half circle or the whole opening flexible ring two 098114070 Form No. A0101 Page 19 of 60 The end of the page 〇 983 201038245 is provided with a connecting buckle 5 3 , and the other end has a connecting fixing member 75 and an unlocking hole 7 6 . Of course, the outer ring 44 can also be a unitary structure, but has an opening which is connected by the fixing member 75 . The fixing member 75 is a fixing screw 8 2 or other connection form, and this embodiment will be described below by way of example. Fig. 24 is a schematic view showing the structure of the outer ring κ-κ section of the circumcision stapler according to the embodiment of the present invention; and Fig. 25 is a structural view showing the inner ring 1-1 of the circumcision stapler of the embodiment of the invention. As shown, the focus of the present invention is to provide two loops 49, 50 on the two semi-circular split rings or the integral open flexible outer ring 44, and the inner ring 45 is provided with a snap ring. 49, 50 matching groove 46' is provided with a convex ring 51 between the grooves 46; the inner ring 45 is composed of left and right half sleeves which are separated from each other, and the joint of the left and right half rings Features rounded corners. The inner ring 45 and the outer ring 44 cooperate to sandwich the sheath of the sheath to be removed, so that the blood flow is poor and necrotic. Because in the process of circumcision, it is inevitable that there will be money. 1 The drug should be combined with the treatment to eliminate the inflammation and nourishment. The teaching of __(4) directly penetrates into the infection department, except for the New Zealand and the Fortune (4), which makes the hand (4) time shorter. The dispensing of this transfusion is formulated for circumcision, which is not relevant to this patent application and will not be repeated here. Since the existing connector A (4) is very inconvenient to operate, it is extremely uncomfortable for the patient who is going to undergo surgery, which increases the patient's fear of surgery and extends the operation time. The following describes several connection structures. 098114070 Fig. 26A is an enlarged schematic view showing a structure of the outer ring a of the circumcision anastomat according to the embodiment of the present invention. The outer ring 44 is composed of two half-rings, _8, 44-B and a connecting buckle 53. The two half-rings 44_8 and the ends are connected by a connecting buckle 53, and the two ring members are m setting

Form No. A0101 Page 20 / Total 60 I 0983168 201038245 There are mutually cooperating L-shaped portions 54, 55, the top end of which is provided with a connecting rod body 56, and a connecting hole 57 is provided on the bottom platform thereof. The connecting rod body 56 and the connecting hole 57 on the bottom platform of the L-shaped portion at the other end of the other half-ring member cooperate with each other. The L-shaped portion has a tooth-shaped protrusion 58 or a tooth-shaped groove 59 on the inner side of the upright end, the tooth The shaped projection 62 or the toothed groove 59 and the toothed groove 58 or the toothed projection 59 on the inner side of the upright end of the other end of the other half ring member cooperate with each other. Thus, when it is necessary to lock the half-rings 44-A, 44-B, the 连接 simply inserts the connecting rod 56 into the connecting hole 57 and simultaneously places the toothed projection 58 and the other L-shaped portion. The toothed grooves 59 are engaged with each other to complete the locking of the entire outer ring 44. Of course, if it is necessary to open the connection, a screwdriver or other tool can be inserted into the hole 44 provided in the L-shaped portion, and the entire structure can be broken with a little force, thereby opening the embodiment (because the embodiment is a disposable circumcision Device). Fig. 26B is an enlarged schematic view showing another structure of the outer ring A of the circumcision anastomat according to the embodiment of the present invention. The outer ring 44 is composed of two half ring members 44-A, 44-B and a connecting buckle 53. The two ring members 44-A, 44-B are connected by a connecting buckle 53, and The other ends of the half jaws 44-A, 44-B are respectively provided with hook-shaped projections 61 or slots 62, the hook-shaped projections 61 or the slots 62 and the slots 62 or hook-shaped projections of the other half-ring member 61. The hook-shaped protrusion 61 is composed of a connecting plate 63 and a locking piece 64 of an inverted v-shaped structure. The connecting plate 61 is connected to the end of the half-ring member 44_A, and the other end is connected to the clamping portion. In the middle of the sheet 64, the fastening piece 64 is a structure having both a relatively elastic and a firmness, such as a thin steel sheet, and the opening of the groove 62 has a large diameter, and the internal cavity 50 has a large volume. A hole 65 is provided at the end of the half ring member 44_8, and the hole 65 has the same function as the hole 60 in Fig. 26A. When the locking is fixed, the hook-shaped protrusion 61 is inserted into the groove 62, and this 098114070 form number A0101 page 21/60 pages 0983168230-0 201038245 098114070 When the elastic part of the card piece 64 is specified, The heart card is 64 on the wall of the carding portion, so that the locking piece 64 is locked and fixed against the inside of the groove 62. Part A of the Bu ring 44, enlarged view. The outer ring is composed of two halves _-A, = connecting buckles 53. The two half-rings are connected by one end buckle 53 and are set in the two half-rings 44-A '44-B. There is a concave groove 66 which is provided with a collar-like block tear. At the end of the half-piece 44_A, a hole is provided, and the hole 68 and the aforementioned side G, 62 are secreted. The two ends of the collar-shaped block 67 are respectively inserted into the concave groove. The second is a schematic enlarged view of the outer ring a-a of the circumcision stapler of the embodiment of the present invention; (4) The sample is composed of two half ring members 44-A, 44-B and a connecting buckle 53, and the two half ring members 44_8, 44-B-end are connected by a connecting buckle 53, and in the two half circles The other ends of the pieces a. 44-B are respectively provided with strip-shaped teeth _ or strip-shaped perforations 7 〇. As shown in the enlarged view of the detail of the strip-shaped tooth body 69, the strip-shaped tooth body 69 has many a strip-shaped lateral strip protrusion for mating with a laterally disposed fine groove in the strip-shaped perforation 7〇, when the strip-shaped tooth is inserted into the strip-shaped perforation 70, the strip The small horizontal bar of the perforation 7Q is just stuck In the small grooves of the strip-shaped tooth body 69, it is worth noting that the insertion is unidirectional. This requires the small horizontal strip projection of the strip-shaped perforation 54 and the small concave shape of the strip-shaped tooth body 69. The inclination direction of the groove is an obtuse angle with the insertion direction. Once the two cards are fixed, the strip tooth body 69 cannot be simply pulled out of the strip-shaped perforation 7〇 under normal conditions, thus ensuring the firmness of the fastening. Sex, making the invention more stable and stable, and has good maneuverability

Form No. A0101 Page 22 of 6 Page 0983168230-0 201038245 Ο 098 098114070 Persistence. Of course, how to disassemble after the end of the operation, the embodiment still uses the aforementioned hole structure for breaking the connection. If it is necessary to break the connection, a screwdriver or other tool can be inserted into the hole 71, and the entire structure can be broken with a little force. This embodiment is opened. Figure 31 is an overall open flexible ring of the present invention, wherein the two ends of the opening are provided with corresponding blade joints, which are double-layered, and are disposed perpendicular to the double-layered edge 78. Several sections 79 of the double-layered knife edge are described. The blade interface is provided with a first stepped snap block π, a second stepped snap block 74, an unlocking handle 80, an unlocking hole 81, a ruler 8/, a digital scale 84, and an alarm 85. 27 to 30 are schematic views of the outer ring of the circumcision stapler according to another embodiment of the present invention. The outer ring 44 has an opening, and the two ends of the ball opening are provided with a corresponding upper half knife π joint 72 Α and a lower abundance knife edge joint; the opening is provided with a top end of the upper blade joint 72B The first stepped engaging block 73 and the second stepped engaging block 74 are disposed at the end of the lower half of the blade joint 72B. The first stepped engaging block 73 and the second stepped engaging block are provided. The first stepped engaging block 73 is located below the upper half of the blade joint 72A, and the second stepped card block 74 is located above the lower half of the blade joint 72B. When in use: the lower half edge joint 72B is inserted below the upper half edge joint 72a, and the second stepped snap 56 is positioned above the first step engaging block 55, so that The first stepped card money 7 is used as the second stepped snap block 73, which is tightly coupled by the upper half of the knife edge joint portion 72A and the lower half knife edge joint portion 72B, and the entire outer ring achieves a strict effect. The first stepped snap block 55 or the second stepped snap block is provided with a hole secret. If f is to be opened, the form number A0101 » 〇〇 _ or other page 23 / total 6 page 0893168230-0 201038245 The tool is inserted into the hole 65, and the whole structure can be broken with a little force, thereby opening the embodiment (because the present embodiment is a disposable circumcision anastomat). After introducing several different connection structures, the following description will be respectively The operation steps of the present invention: 1. disinfecting the genitals; pushing the foreskin covering the glans back to expose the foreskin completely; 2. adjusting the position of the inner ring, pulling out the foreskin pushed back until the The foreskin completely covers the inner ring and the glans; 3. Open the outer ring and insert it from the side of the patient so that the outer ring surrounds the inner ring and fix the outer ring, thereby preventing the blood circulation of the foreskin and necrosis of the foreskin 4. The liquid is injected into the cavity from the channel 52 for injecting the drug solution, and the cavity liquid can directly reach the affected part, thereby achieving anti-inflammatory and analgesic effect after 9 5, 2 - 5 days (sometimes a little longer) Remove the necrotic foreskin while releasing the outer ring at a later time. Inserting a latex pad between the outer ring and the inner ring reduces the compressive force generated when the foreskin is cut. The inner ring of the existing circumcision anastomat is an integrated ring-like structure, and the structure with the inner ring diameter is constant, which increases the patient's discomfort. A schematic exploded view of another embodiment of a circumcision stapler according to an embodiment of the present invention is shown. Another embodiment of the present invention converts a single integral inner ring structure into two sections of left and right half ferrules 45-1, 45-2, so that the erection of the penis can be accommodated. This also buffers the squeezing force. 098114070 Form No. A0101 Page 24 of 60 0983168230-0 201038245

Further, as shown in Figs. 27 and 28, in still another embodiment, one half ring member 44-A of the outer ring 44 is provided with an upper half blade joint portion 53' and another half ring member 44-B. The lower half edge joint 72B corresponding to the knife edge joint 72A of the upper half is provided, and the outer ring 44 can be better combined by the structure of the upper and lower halves; the edge of the knife joint is provided with rounded corners 72 With this rounded structure, it is possible to avoid clamping the foreskin during operation, to make the operation smoother and avoid the pain of the patient. If the foreskin is clamped, it will be clipped into meat teeth, resulting in prolonged healing period of the patient. pain. Similarly, the same or similar rounded corners can be provided at the junction of the left and right half ferrules of the inner ring 1 to avoid the effect of clamping the foreskin. The invention has no pain, and the circumcision is ambiguous, the scar is scar, the ring is dislocated, and the healing time is fast. Children, young people, and the elderly can accept this treatment. Different models can be used according to the actual X inch of the patient's glans. Moreover, it does not affect the work, study, and operation during the entire treatment process, and no special training is required. This surgery can be performed in a small clinic. The price is low, and the entire cost of treatment includes surgery, anti-inflammatory and other expenses of only 1 60-200 yuan. INDUSTRIAL APPLICABILITY The present invention is a circumcision anastomat i, the inner cutting ring j and the outer cutting ring m are only provided with a sleeve 3 and a connecting rod 8 in the middle of the upper and lower sleeves, thereby reducing the circumcision anastomat The overall weight, which is further designed to be patterned by the upper end surface 11 of the upper sleeve 1 in the inner cutting ring I, greatly relieves the patient's pain compared to the past circular crossing. In addition, it is equipped with an anti-Board plate v for preventing penile erection in the connecting plate 3 of the inner cutting ring 1, and 098114070 can effectively prevent wound pain caused by penile erection, and also because of the external (four) m connection The outer side of the rod 8 is provided with a ruler scale, which can facilitate the user to adjust the outer part (four) ring m and the connecting ring! v according to the thickness of the foreskin. Form number A0101, page 25/60 pages 09831 201038245, and the outer cutting ring The thickness of the cut is adjusted when the liftable tubular cutter D is inserted between m and the connection gamma. Also, since the upper casing and the lower casing 2 of the inner (four) ring are respectively designed as a splicing ring, it is possible to adjust the inner cutting ring (10) according to the needs of different patients. In addition, since the liftable tubular cutter can be used when the movable cutter is used, the cutter can be raised and cut, and the cutter can be returned to the flexible and convenient, and the cutter is used. Sexual use of products can prevent the spread of disease. The device of the invention has the advantages of small and exquisite shape, light weight, convenient use and low price, and therefore has industrial applicability. BRIEF DESCRIPTION OF THE DRAWINGS [0005] FIG. 1 is a schematic exploded view of a circumcision of a circumcision of the present invention; FIG. 2 is a second exploded view of the circumcision anastomat of the present invention; 3 is a perspective view of a detachable tubular cutter in the circumcision anastomat; FIG. 4 is a perspective view of a detachable tubular cutter in the circumcision stapler of the present invention; FIG. 6 is a cross-sectional view of a circumcision anastomat without a rubber gasket in the present invention, and FIG. 6A is an inner surface of the upper annular flap of the present invention. Figure 7 is a cross-sectional view of a circumcision anastomat equipped with a rubber gasket but without a detachable tubular cutter; Figure 8 is a perspective view of the circumcision stapler of the present invention. Sectional view of the upper end face of the V-shaped tooth on the cutting ring; Form No. A0101 Page 26 of 60: 0983168230-0 201038245 Figure 9 is a section of the inner cutting ring of the circumcision stapler of the present invention Sectional view of the upper end of the tooth; Figure 10 The present invention is a sectional view of the circumcision anastomat connecting ring of the present invention. FIG. 12 is a schematic view showing the splicing of the inner cutting ring of the circumcision anastomat of the present invention; FIG. 12 is a view of the circumcision anastomat of the present invention. FIG. 13 is a schematic cross-sectional view showing the assembly structure of the circumcision stapler of the present invention, and FIG. 14 is a schematic view showing the assembly structure of the circumcision stapler of the present invention; FIG. 16 is a schematic top plan view of the inner ring of the circumcision anastomat of the present invention; FIG. 17 is a schematic perspective view of the outer ring of the circumcision anastomat of the present invention; Figure 18 is a schematic perspective view showing the outer structure of the outer ring of the circumcision anastomat of the present invention; Fig. 19 is a schematic view showing the partial structure of the outer ring of the circumcision anastomat of the present invention, and Fig. 20 is a circumcision of the present invention. Fig. 21 is a schematic view showing the assembly structure of the outer ring buckle of the stapler; Fig. 21 is a schematic view showing the assembly structure of the circumcision stapler of the present invention; and Fig. 22-1 is the inner half of the circumcision anastomat according to the embodiment of the present invention. It is not intended that the present invention is not intended to be an inner ring structure in the circumcision anastomat according to the embodiment of the present invention. 098114070 Form No. A0101 Page 27/60 pages 0983168230-0 201038245 FIG. 23 is a foreskin of the embodiment of the present invention. 24 is a schematic structural view of an outer ring K-K cross-section of a circumcision anastomat according to an embodiment of the present invention; and FIG. 25 is an inner ring of a circumcision anastomat according to an embodiment of the present invention; FIG. 26A is a schematic enlarged view showing a structure of the outer ring A of the circumcision anastomat according to the embodiment of the present invention; and FIG. 26B is a view showing the outer ring A of the circumcision anastomat according to the embodiment of the present invention. FIG. 26C is a schematic enlarged view showing another structure of the outer ring A of the circumcision anastomat according to the embodiment of the present invention; and FIG. 26D is another structure of the outer ring A of the circumcision anastomat according to the embodiment of the present invention; FIG. 26 is a schematic exploded view of another embodiment of a circumcision anastomat according to an embodiment of the present invention; and FIG. 27 is a cross section of a circumcision anastomat M-M according to still another embodiment of the present invention; FIG. 28 is a schematic structural view of the upper and lower double-knife joints of the circumcision section of the circumcision anastomat according to still another embodiment of the present invention; FIG. 29 is a circumcision of still another embodiment of the present invention. The outer ring structure of the stapler is not intended, and FIG. 30 is an enlarged schematic view of the cross-sectional structure of the sputum in FIG. 29; FIG. 31 is a schematic view showing the overall flexible outer ring structure of the circumcision stapler according to the embodiment of the present invention. [Main component symbol description] 098114070 Form number A0101 Page 28/60 pages 0893168230-0 201038245 Ο [0006] 1 Upper casing [0007] 2 Lower casing [0008] 3 Connecting plate [0009] 4 Rubber gasket [ 0010] 5 Upper sleeve [0011] 6 Upper ring stop [0012] 6-1 Bump [0013] 7 Lower sleeve [0014] 8 Link [0015] 9 Sleeve [0016] 10 Lower ring block Sheet [0017] 11 pattern [0018] 12 face tooth [0019] 12a V-shaped tooth [0020] 12b Μ tooth [0021] 13 丨 convex buckle [0022] 14 丨 spiral groove [0023] 1 Ε 丨 ruler [0024] U 丨 arc slot form number Α 0101 098114070 Page 29 / Total 60 pages 1:3⁄4 0983168230-0 201038245 [0025] 16- 1 bump [0026] 17 ruler [0027] 17- 1 digital display [0028] 17 -2 alarm [0029] 18 Removable sleeve [0030] 19 Circular plate [0031] 20 Buckle [0032] 21 Sharp edge [0033] 21a Serrated edge [0034] 22 Thread [0035] 23 Clearance [0036] 24 Cutting sleeve [0037] 25 Pin [0038] 26 Knob [0039] 27 Easy tear line [0040] I Inner cutting ring [0041] Π Liftable tube cutter [0042] Μ Outside cutting Ring [0043] IV connecting ring 098114070 Form No. A0101 Page 30 / Total 60 Page 0983168230-0 201038245 Ο ❹ [0044] V Anti-Board [0045] 28 Tubular Inner Ring [0046] 29 Tubular Outer Ring [0047] 29-1 A Outer Ring [0048] 29- -2 B outer ring [0049] 30 cavity [0050] 31 retaining ring [0051] 32 gasket [0052] 33 foreskin cutting end [0053] 34 flange [0054] 35 cable tie [0055] 36 through hole [0056] 37 Removal Hole [0057] 37A A Ratchet [0058] 37B B Ratchet [0059] 38 Bump [0060] 39 Bump [0061] 40 Serrated [0062] 41 Tapered Face 098114070 Form Number Α 0101 31 Page / Total 60 pages 0893168230-0 201038245 [0063] 42 Right angle [0064] 43 Positioning lug [0065] 44 Outer ring [0066] 44-A, 44_B left and right two and a half [0067] 45 Inner ring [0068] 46 concave Slot [0069] 47 Elastic washer [0070] 48 Sawtooth or bump [0071] 49, 50 snap ring [0072] 51 Coronal ring [0073] 52 Channel [0074] 53 Connection buckle [0075] 54 L-shaped [0076] 55 L-shaped [0077] 56 Connecting rod [0078] 57 Connecting hole [0079] 58 Toothed protrusion [0080] 59 Toothed groove [0081] 60 Hole 098114070 Form No. A0101 Page 32 of 60 0983168230- 0 201 038245

61 Hook-shaped protrusions [0083] 62 Slots [0084] 63 Connection plates [0085] 64 Cartridges [0086] 65 Holes [0087] 66 Concave grooves [0088] 67 Bow-like blocks [0089] 68 Hole [0090] 69 Strip tooth [0091] 70 strip perforation [0092] 71 Hole [0093] 72A upper half knife joint [0094] 72B lower half knife joint [0095] 73 First ladder Shaped snap block [0096] 74 Second stepped snap block [0097] 75 Open handle [0098] 76 Open lock hole [0099] 77 Overall open flexible ring [0100] 78 Double edge

098114070 Form No. A0101 Page 33 / Total 60 Page 0983168230-0 201038245 [0101] 79 [0102] 81 [0104] 82 [0105] 83 [0106] 84 [0107] 85 slice unlocking handle unlocking screw scale Gauge ruler alarm 098114070 Form number A0101 Page 34 / Total 60 pages 0893168230-0

Claims (1)

201038245 VII. Patent application scope: 1. A circumcision stapler, characterized in that it comprises: an inner cutting ring (1), an upper casing (1), a lower casing (1), and the upper casing (1) and the joint The connecting plate (3) of the sleeve (1) is constructed; the outer ring J ring (melon) is cut by the upper sleeve (5), the upper annular baffle (4) attached to the upper end of the upper sleeve (5), and the lower ring a sleeve (7), a connecting rod (4) connecting the upper sleeve (1) and the lower sleeve (7); a connecting core (IV) 'by a sleeve (9) and a lower ring mounted at a lower end of the sleeve (1) The baffle (10) is configured; the detachable anti-ball plate (V) is mounted on the inner side of the sill plate (3) of the splicing ring ο), and is evenly distributed on the surface of the anti-ball plate (V) a bump; the inner cutting ring (1) is nested in the outer cutting ring (melon), the upper end of the upper casing (1) of the inner cutting ring (I) and the outer cutting ring (m) The inner side of the inner ring (6) is crimped, the lower end of the lower sleeve (8) of the inner cutting ring (1) and the lower ring of the connecting ring (IV). Inner crimping, the outer a lower sleeve (7) on the cutting ring (m) is detachably connected to the sleeve (9) of the connecting ring (IV); ^ the inner cutting ring (Ϊ) and the outer cutting ring (melon) Between the upper casing (1), the lower casing (1) and the connecting plate (3), a gap (23) for accommodating the sheath is provided. 2. If you apply for a patent scope! The circumcision stapler according to the invention is characterized in that it further comprises: a lifting and lowering cutter (11), which is provided by a cutting sleeve (24), and is disposed at 098114070, form number AOI01, page 35/60 pages, 0983168230 -0 201038245 The groove ((4) on the pipe wall of the cutting sleeve (24), the pin (25) provided at the lower end of the cutting tube (24) and the knob (26) connected to the pin (25) Constructed for cutting the foreskin; the liftable tubular cutter (the sleeve is between the inner cutting ring (with the outer cutting ring (8), the liftable tubular cutter (D) The pin (25) passes through an arcuate groove (16) on the connecting ring (Iv) flap (10) and is connected to the knob (26) on the tubular cutter. The circumcision (four) clutch according to claim 2, characterized in that the surface of the connecting plate (3) of the inner cutting ring (1) is slanted with a buckle (13) 'the buckle (13) Cooperating with the spiral groove <(4) on the wall of the cutting sleeve (24) on the tubular cutting blade (π). The circumcision as described in claim 2 The utility model is characterized in that the end of the cutting sleeve (Μ) of the liftable tubular cutting blade (η) is provided with an acute angle cutting edge (21) or a zigzag matching opening (21a), the acute angle cutting edge (21) Or a serrated edge (21a) is press-fitted with the inner side of the upper annular flap (6) in the outer cutting ring (冚), or the acute-edge cutting edge (21) or the serrated cutting edge (21a) a rubber gasket (4) in the upper annular flap (6) mounted in the outer cutting ring (诅). The circumcision stapler according to claim 4, Characterized in that the inner diameter of the cutting sleeve (24) of the liftable tubular cutter (Π) and the outer casing (1) and the lower casing (2) of the inner cutting ring (I) 098114070 The circumcision stapler according to claim 1 or 2, characterized in that the outer surface of the connecting rod (8) is provided with a scale (17) and a number of 0983168230-0 forms. No. Α0101 Page 36/60 pages 201038245 Bayer (17~1) and alarm (17_2). The circumcision stapler described in Item 6 of the patent scope is characterized by a ruler 15 is also provided on the outer wall of the lower sleeve (7) of the outer cutting ring (dish) and the outer wall of the sleeve (8) of the connecting ring (IV). For example, claim 6 The circumcision stapler according to the invention is characterized in that: the digital scale includes: a grating type digital display scale (17-1), an electromagnetic induction type digital display scale, and an infrared digital display ruler. The circumcision device of the sixth aspect, wherein the alarm device comprises a circuit board, and an alarm or a memory chip or a voice chip is provided on the circuit board, and the voice crystal is And used to indicate that the lower sleeve (7) on the outer cutting ring (m) is too tightly connected to the sleeve (9) of the #(IV), and/or used to prompt wound healing information. The circumcision stapler according to the invention of claim 1, wherein the end face of the upper casing (丨) is uniformly distributed with the end face teeth. (12), the shape of the end face (12) is a pattern (11), and the inner side of the upper ring (12) and the outer ring (d) The top press (12) is press-fitted with the rubber gasket (4) mounted in the upper annular flap (6). The circumcision stapler according to claim 1 or 2, wherein the upper end of the sleeve (1) of the inner cutting ring (I) is a V-shaped tooth (12a) Or the upper end section is a crotch (12b), the V-shaped tooth (12a) or the crotch (12b) and the inner top of the upper annular baffle (6) in the outer cutting ring (melon) Press fit, or the V-shaped tooth (i2a) or the stirrup (12b) and the rubber 塾 098114070 installed in the upper annular flap (6) Form No. A0101 Page 37 / Total 60 pages 0983168230-0 201038245 piece (4) top press fit. The circumcision stapler according to claim 1 or 2, wherein the upper sleeve (1) and the lower sleeve of the inner cutting ring (I) are %* (2) is a splicing sleeve (18) 'The splicing sleeve (W) is a circular splicing sleeve (18) formed by a plurality of circular arc plates (19) in the form of a buckle (20). An axially tearable strip (27) is also provided on the tube wall of the upper sleeve (1) and the lower sleeve (2) of the inner cutting ring (I). The circumcision anastomat according to the invention of claim 2, wherein the outer cutting ring (buried) and the soil quick-connecting ring (IV) are connected by a thread (2 2 ). Or snapping a buckle provided on the outer wall of the outer cutting ring (诅) into a card slot provided in the connecting ring (IV), or by being respectively disposed on the outer cutting ring (π A ratcheting and threaded connection with the connecting ring (iy), the ratchet provided on the connecting ring (IV) is a tear-off ratchet. W. If you apply for a patent scope! The foreskin-coated stapler of the item or the first rotation is characterized in that the upper ring block (the inner surface of the (4) is provided with a plurality of protrusions (6-1) at which the protrusions (6-丨) A shimming is provided under the shims. The circumcision anastomat according to claim 2, wherein the circumcision is in the inner cutting The surface of the ring (I), the outer cutting ring (8), and the connecting ring (IV) is provided with a matte pattern. - A circumcision annulus, including a tubular (four) (28), which is placed on the outer side of the (four) material ring (29)' A cavity (30) for accommodating the foreskin is disposed between the inner ring and the outer ring, and #胜妈+ is characterized in that the outer ring is connected by an outer ring (29) and a form number Page 38 / total &quot; (29_2) two partial structures 0983168230 201038245 into 'the end of the outer ring and the outer ring of the ring are respectively provided with a retaining ring (31), inside the retaining ring is equipped with 塾a piece (32); one end of the inner ring is a circumcision end (33), and a convex edge (34) is provided on an outer side of the cut end of the circumcision, at a lower end of the rim Equipped with a cable tie (35) for fixing the foreskin, the forged end of the circumcision cooperates with a gasket on the inner side of the outer ring end retaining ring for squeezing the foreskin, the other end of the inner ring and the B The inner side of the outer ring end ring is fitted to axially press the inner ring. 17 . Ο 18 . 19 . 20 Ο 21 22 098114070 The circumcision stapler according to claim 16 of the patent application, a through hole (36) for injecting a drug or a cleaning agent is provided on an end surface of the side wall or the retaining ring of the outer ring, and there are thousands of outer rings for disassembling the outer ring of the outer ring. A circumcision stapler as described in claim 17 is characterized in that 'the outer wall of the outer ring is provided with a projection for preventing slipping (38). The circumcision anastomat according to claim 16, characterized in that a plurality of bumps (39) are provided at the end of the cut end of the circumcision. The circumcision anastomat according to Item 16, characterized in that the end of the circumcision end of the circumcision is provided A circumcision anastomat according to claim 19 or 20, wherein the other end of the tubular inner ring and the retaining ring on the outer ring of the outer ring The circumcision anastomat according to claim 19, wherein the surface of the outer side of the circumcision of the circumcision is a tapered surface (41). The lower end of the tapered surface forms a right angle (42) with the outer wall of the inner ring, and the right angle is used for the strap to fix the foreskin to the outer wall of the inner ring. The tapered surface is used for the outer ring of the inner ring. Conical form number A0101 between the surface and the inner surface of the retaining ring Page 39/60 pages 0893168230-0 201038245 The positioning lugs (43) on the face or arc surface match. 23. The circumcision stapler of claim 22, wherein the flange is a plurality of segments. The circumcision anastomat according to claim 23, wherein the inner ring is a splicing ring, and the splicing ring is formed by splicing at least two semi-circles. The circumcision stapler according to claim 18, wherein the outer ring is composed of two semi-circular rings, and both ends of the two half rings are connected by a snap member or a screw. a circumcision anastomat, comprising an outer ring (4) for cutting and clamping, and an inner ring (45) for sheathing, the release being such that the inner ring consists of an integral ring or two half rings Or two or more segments are formed on the outer surface of the inner ring (45) with at least one groove (46), and a surface of the groove is provided with a resilient washer (47), The inner ring is provided with at least a ring edge (78), and a plurality of ore teeth or bumps (48) are evenly distributed at the edge of the knife edge, and the knife edge is engaged with the groove for pressing and/or Cutting the foreskin; a channel (52) for injecting a drug solution is provided on the side wall i of the outer ring (44), and the channel (52) is interposed between the channel (52) and the outer ring (44) and the inner ring (45) The cavities are connected. The circumcision stapler according to claim 26, wherein the outer ring (44) is two semicircular open rings, or the outer ring ((4) is an integral open flexible ring (77), The upper end of the opening is provided with a corresponding upper half blade (72A) joint and a lower half knife σ (72B) joint. The upper half edge (72A) and the lower half knife σ (72B) are A single layer or a double layer, between the double-layered edges, is provided perpendicular to the double layer 098114070:::::, in the single layer or the edge 0893168230-0 201038245 Ο 28 . 29 · ❹ is coated with an anti-infective drug coating; the opening is provided with a first stepped engaging block (73) at one end of the upper half of the blade (72 Α) joint, and the opening is provided with a lower half blade (72 Β) combined A second stepped engaging block (74) is disposed at one end thereof, and the first stepped engaging block (73) and the second stepped engaging block (74) cooperate with each other, the first stepped engaging block (73) and the second stepped engaging block (74) is a single layer or a double layer (78); the first stepped engaging block (73) is located at the upper half of the blade (72Α) combined Below, the second stepped snap block (74) is located above the junction of the lower half of the blade (72Β); the upper half of the blade (72Α) joint and the lower half of the blade (72Β) joint The edges are rounded. A circumcision stapler according to claim 27, characterized in that the upper half edge (72 inch) and/or the lower half edge (72 inch) are provided with a pattern. The circumcision stapler according to claim 26, wherein the outer ring (44) is composed of two semicircular ring rings, one end of the two semicircular open rings or through a connecting buckle (53) Connected; one end of the semi-circular split ring or the integral open flexible ring is provided with a joint of the upper half edge (72Α), and the other end of the semi-circular split ring or the integral open flexible ring is provided at the joint with the upper half edge (72Α) Corresponding lower half edge (72 Β) joint, the edge of the upper half edge (72 Β) joint and the lower half edge (44) joint is rounded. A circumcision stapler according to claim 29, wherein one end of the two semicircular open loops or the other end of the integral open flexible loop is locked by a screw (82). 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 The other end of the open flexible ring is respectively provided with an interfitting L-shaped portion (55). The top end of the l-shaped portion (55) is provided with a connecting rod body, and a connecting hole (57) is arranged on the bottom platform thereof. The connecting rod body and the other semi-circular split ring or the connecting hole (57) on the bottom platform of the L-shaped portion (55) of the other end flexible ring are mutually engaged, and the L-shaped portion (55) is provided with a tooth shape on the inner side of the upright end. The protrusion (58) or the toothed groove 'the toothed protrusion (58) or the toothed groove (59) and the other semicircular open ring or the integral open flexible ring at the other end of the upright end of the tooth opening &gt; (59) or the toothed projections (58) cooperate with each other. 32. The circumcision anastomat of claim 29, wherein the other ends of the two semi-circular split rings (44) or the integral open flexible ring are respectively provided with fishing-shaped protrusions (61) or a slot (62), the hook protrusion (61) or the slot (62) and the pupil (62) or the hook protrusion (61) of the other semicircular opening ring cooperate with each other, the hook protrusion (6丨) by a connecting plate and an inverted V-shaped structure of a fastening piece ((4)); g, the connecting plate - end is connected to the semicircular open ring or; the end of the integral open flexible ring, the other end is connected to The circumcision stapler according to claim 29, wherein the two semicircular open loops or the other end of the integral open flexible loop are respectively A concave slot (66) is provided, and a bow-shaped block (67) is accommodated in the recessed slot (66). The circumcision stapler according to claim 29, wherein a strip tooth (69) is respectively disposed at the other end of the two semicircular split rings or the integral open flexible ring. Strip-shaped perforations (7G), strip-shaped teeth (69) or strip-shaped perforations (7)) and strip-shaped forms of another semi-circular split ring are numbered 1 ^ 42 I/# 60 I 0983168230-0 201038245 Perforation ( 70) or the strip teeth (69) cooperate with each other. 35. The circumcision stapler according to claim 29, characterized in that the two semicircular open rings or the integral open flexible outer ring (44) are provided with two loops of snap rings (49, 50). The inner ring (45) is provided with a groove (46) adapted to the snap ring (49, 50), and a convex ring (51) is disposed between the groove (46); The inner ring (45) is composed of left and right half ferrules which are separated from each other, and the joint of the left and right half ferrules is provided with rounded corners. 36. The circumcision stapler according to claim 29, wherein the two semicircular open loops or the integral open flexible loop end are provided with a ruler (83) or a digital display. The ruler (68) is suspended from the information showing the buckle fastening. At the other end of the two semi-circular split rings or the entire f, the open flexible ring is provided with an alarm (85) for prompting the buckle and/or the wound. Healing information. 37. A circumcision stapler according to claim 29, wherein an opening handle (80) and an unlocking hole (81) are provided at one end of the two semicircular split rings or the integral open flexible ring. 38. The circumcision stapler according to claim 26, wherein the outer ring (44) and the inner ring (45) are provided with a rubber pad. A circumcision stapler according to claim 26, characterized in that a frosted pattern is provided on the surfaces of the outer ring (44) and the inner ring (45). A circumcision anastomosis according to claim 26, wherein the outer ring (44) has two or more passages (52) for injecting a drug solution. 098114070 Form No. A0101 Page 43 of 60 0983168230-0 40 .