TW201534262A - Circumcision anastomat - Google Patents

Abstract

This invention discloses a circumcision anastomat which relates to a medical appliance for resecting overlong foreskin of male penis. The circumcision anastomat according to this invention comprises an inner cutting ring, an elevating tubular cutting knife, an outer cutting ring, a connecting ring, and a detachable anti-erection plate arranged at the inner side of the connecting plate of the inner cutting ring. The inner cutting ring is sleeved into the outer cutting ring, and the elevating tubular cutting knife is sleeved between the inner cutting ring and the outer cutting ring. The pipe foot on the tubular cutting knife is penetrated through an arc groove on the lower annular blocking piece of the connecting ring and then connected with the rotary buckle on the tubular cutting knife, and the outer cutting ring is detachably connected with the connecting ring. The advantages of this invention are: the patient will feel no pain, has no need of surgery, no bleeding, no suture, no medicine and no fear; the operation may be finished within few minutes; the patient may leave right after the operation without affecting the patient's work and study; and, the skin at the incision is smooth and clean, which shall be widely accepted by patients.

Description

Circumcision anastomat

The invention relates to a medical device, in particular to an instrument for removing a long foreskin of a male penis.

Excessive foreskin or phimosis is one of the root causes of male urinary system and sexually transmitted diseases. Excessive foreskin or phimosis can cause urinary tract infection leading to chronic prostatitis, which may cause a series of symptoms such as back pain, impotence and premature ejaculation. Therefore, removal of too long foreskin or phimosis is one of the measures to prevent these conditions.

Clearing the long foreskin or phimosis, there have been several reforms since the beginning of China. The first method is surgery, but the operation will inevitably bleed, pain, the knife needs to be sutured, anti-inflammatory drugs and anti-inflammatory water need to be taken after surgery. It is necessary to change the medicine every day. After suturing, it is necessary to remove the thread. It is inconvenient to walk, and often requires hospitalization to perform surgery. The entire treatment cost is 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, leaving scars after surgery, and the price is very expensive.

Furthermore, it is the invention patent of CN 200310118525.7, "the sheathed tubular circulator with bearing" applied by the applicant in China. The patented technology solves the problem of bleeding, knife edge stitching, in the operation of removing the foreskin too long. Anti-inflammatory drugs are needed, as well as expensive. However, the tubular loop cutter is an integral sleeve structure, and the slit of the annular cutter is installed in the sleeve. Relatively sharp, this will make the process of the foreskin more painful, and after the circumcision, the tubular circulator needs to be hung on the penis for a period of time. Since the circulator is a whole structure, the patient will Feel there is a certain weight, in addition, in the process of cutting the foreskin and postoperative recovery, if the patient has penile erectile congestion, it will directly affect the foreskin resection and postoperative recovery. Further, the loop cutter adjusts the thickness or thickness of the cut wrap by a spring 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.

The object of the present invention is to solve the deficiencies of the prior art, and to provide a circumcision anastomat, which solves the problem of bleeding, pain, knife-edge suture, anti-inflammatory drugs, and prevention of cutting in the foreskin in the operation of clearing the foreskin. Neutralizing the penile erection during 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 is to adopt a circumcision anastomat, comprising: an inner cutting ring, an upper casing, a lower casing, and a connection connecting the upper casing and the lower casing The outer cutting ring is composed of an upper sleeve, an upper annular baffle attached to the upper end of the upper sleeve, a lower sleeve, and a connecting rod connecting the upper sleeve and the lower sleeve; , comprising a sleeve and a lower annular baffle attached to the lower end of the sleeve; a detachable anti-ball board mounted on the inner side of the connecting plate of the inner cutting ring, uniformly on the surface of the anti-ball board a plurality of bumps are disposed; the inner cutting ring is sleeved in the outer cutting ring, and an upper end of the upper sleeve of the inner cutting ring is crimped to an inner side of the upper annular flap in the outer cutting ring, The inner cutting ring The lower end of the sleeve is crimped to the inner side of the lower annular flap in the connecting ring, and the lower sleeve on the outer cutting ring is detachably connected with the sleeve of the connecting ring; The inner cutting ring and the upper sleeve, the lower sleeve and the connecting plate of the outer cutting ring are provided with a gap for receiving the foreskin.

Wherein: a liftable tubular cutter comprises a cutting sleeve, a spiral groove disposed on the wall of the cutting sleeve, a pin disposed at a lower end of the cutting sleeve, and a knob connected to the pin. For cutting a sheath; the liftable tubular cutter is disposed between the inner cutting ring and the outer cutting ring, the pin on the liftable tubular cutter passes through the connecting ring The arcuate groove on the middle and lower ring blocks is connected to the knob on the tubular cutter.

A convex buckle is disposed on an outer surface of the connecting plate of the inner cutting ring, and the convex buckle cooperates with a spiral groove on the wall of the cutting sleeve on the tubular cutting blade.

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 in the outer cutting ring The inner side is press-fitted, or the sharp-edged edge or serrated edge is press-fitted with a rubber gasket housed in the upper annular flap in the outer cutting ring.

The inner diameter of the cutting sleeve of the liftable tubular cutter is the same as the outer diameter of the upper and lower sleeves in the inner cutting ring.

The outer surface of the connecting rod is provided with a scale, a digital display 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.

The digital display includes: a grating type digital display, an electromagnetic induction type digital display, and an infrared digital display.

The alarm device includes a circuit board on which an alarm or prompt memory chip and a voice wafer are provided, and the voice chip is used to prompt the sleeve of the outer cutting ring and the sleeve of the connecting ring. The tube is connected too tightly and/or used to prompt wound healing information.

An end face tooth is evenly distributed on an end surface of the upper sleeve of the inner cutting ring, the shape of the end face tooth is a pattern shape, and the inner side top of the upper ring tooth and the upper ring stop piece in the outer cutting ring Press-fit, or the end face teeth are press-fitted with a rubber gasket mounted in the upper annular flap.

The upper end section of the sleeve on the inner cutting ring is a V-shaped tooth or an upper end section is an M-shaped tooth, and the V-shaped or M-shaped tooth and the inner top of the upper annular blocking piece in the outer cutting ring Press fit, or the V-shaped or M-shaped teeth are press-fitted with a rubber gasket mounted in the upper annular flap.

The upper sleeve and the lower sleeve of the inner cutting ring are spliced sleeves, and the spliced sleeve is formed by a circular splicing sleeve formed by a plurality of circular arc plates in a buckle form. The upper casing of the inner cutting ring and the pipe wall of the lower casing are further provided with a tear line in the axial direction.

The outer cutting ring is screwed with the connecting ring, or the buckles disposed on the outer wall of the outer cutting ring are snapped into the card slots provided on the connecting ring, or are respectively disposed at The outer cutting ring is coupled to the ratchet and the thread on the connecting ring, and the ratchet disposed on the connecting ring is a tear-off ratchet.

The inner surface of the upper annular baffle is provided with a plurality of bumps, and the bump is provided under the bump A gasket is provided, and a gasket is provided under the gasket.

A frosted pattern is provided on the surface of the inner cutting ring, the outer cutting ring and the connecting ring.

A circumcision anastomat comprising a tubular inner ring, a tubular outer ring fitted outside the inner ring, and a cavity for containing a sheath between the inner ring and the outer ring, the outer ring being connected to each other The two outer portions of the outer ring and the outer outer ring B are respectively provided with a retaining ring at the ends of the outer ring of the outer ring B and the outer ring of the outer ring, and a spacer is arranged on the inner side of the retaining ring; One end is a circumcision end of the circumcision, a convex edge is disposed on an outer side of the cut end of the circumcision ring, and a ligature for fixing the foreskin is assembled at a lower end of the rim, the circumscribed end of the circumcision ring and the end ring of the A outer ring The inner shim fits for squeezing the wrap, 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 the outer ring and the outer ring of the B. Remove the hole (37).

A bump, or a groove, or a pattern for preventing slipping is provided on the outer wall of the outer ring.

A plurality of bumps are provided 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 used for a tapered surface or an arc between the inner surface of the outer ring of A and the inner surface of the retaining ring The positioning bumps on the surface cooperate.

The flange is a plurality of segments of bumps.

The inner ring is a splicing ring, and the splicing ring is formed by splicing at least two semi-circular rings.

The outer ring is composed of two semi-circular rings, and the two ends of the two half rings are connected by a snap member or a screw.

A circumcision anastomosis cutter comprising an outer ring for cutting and clamping and an inner ring for a 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 one ring edge in the outer ring, at the edge of the edge Uniformly provided with a plurality of serrations or bumps, the knife edge cooperates with the groove for squeezing and/or cutting the sheath; and a channel for injecting a liquid medicine is provided on the side wall of the outer ring, the channel being The outer ring and the inner ring are connected to each other.

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 a first stepped engaging block at one end of the upper half of the blade joint, and a second stepped engaging block is provided at one end of the opening with the lower half of the blade joint, the first step The first engaging block and the second stepped engaging block are single layer or double layer; The first stepped engaging block is located below the upper half of the blade joint, the second stepped engaging block is located above the lower half of the blade joint; the upper half of the blade joint and the lower half The edges of the knife edge joint 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, and the upper half edge joint and the lower half edge joint are provided with rounded corners.

One end of the two semicircular open rings or the other end of 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 an L-shaped portion that cooperates with each other, 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 Cooperating, the hook-shaped protrusion is composed of a connecting plate and a locking piece of an inverted V-shaped structure, the connection One end of the connecting plate is connected to the end of the semicircular split ring or the integral open flexible ring, and 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, and the concave slots receive the collar-like blocks.

Stripped teeth or strip-shaped perforations are respectively arranged at the other ends of the two semi-circular split rings or the integral open flexible ring, the strip-shaped tooth or the strip-shaped perforations and the strip-shaped teeth of the other semi-circular split ring The holes or strip teeth cooperate with each other.

Providing two loops of snap rings on the two semi-circular split rings or the integrally-open flexible outer ring, and the inner ring is provided with a groove corresponding to the snap ring, and between the grooves The inner ring 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.

A ruler or a digital scale is arranged at one end of the two semi-circular split rings or the integral open flexible ring for displaying the buckled elastic data, and an alarm is provided at the other end of the two semi-circular split rings or the integral open flexible ring. For indicating over-tightening and/or wound healing information.

An unlocking handle and an unlocking hole are provided at one end of the two semicircular split rings or the integral open flexible ring.

There is a rubber pad between the outer ring and the inner ring.

A frosted pattern is provided on the surfaces of the outer ring and the inner ring.

There are two or more passages formed on the outer ring for injecting the drug solution.

In use, the inner cutting ring I, the liftable tubular cutter II, and the connecting ring IV are first placed on the outside of the penis, and then the overly long foreskin is turned over and sleeved outside the upper casing 1 of the inner cutting ring I. Then, the outer cutting ring III and the inner cutting ring I are connected by thread or snap, and the inner cutting ring is at this time. I is the end face pattern 11 on the end face 12 of the sleeve 1 or the V-shaped tooth 12a, or the inner side of the M-shaped tooth 12b and the upper ring-shaped flap 6 of the outer cutting ring III, or is contained therein. The rubber gasket 4 is measured to slowly pressurize the root of the overly long sheath, gradually preventing the blood loop of the compressed foreskin, and finally rotating the knob 26 at the lower end of the tubular cutter II to make the spiral groove on the cutting sleeve 24. 14 The inner casing 6 is fitted with a buckle 13 on the outer wall of the connecting plate, and the cutting sleeve 24 is raised along the spiral groove 14 on the casing wall, and the sharp edge 21 or the serrated edge of the end of the cutting sleeve 24 is cut. 21a cuts off the necrotic foreskin, and then reversely rotates the knob 26 at the lower end of the tube cutter II to retract the cutting sleeve 24, thereby completing the process of cutting the foreskin.

When using, the lifting tube cutter II can be omitted. The inner cutting ring I and the connecting ring IV are placed on the outside of the penis, and then the overly long foreskin is turned over and the upper casing 1 of the inner cutting ring I is sleeved. On the outside, the outer cutting ring III and the inner cutting ring I are connected by threads or snaps. At this time, the end face pattern 11 on the end face 12 of the sleeve 1 on the inner cutting ring I, or the cross section is a V-shaped tooth 12a, or a cross section. It is the inner side of the upper ring flap 6 of the M-shaped tooth 12b and the outer cutting ring III, or the rubber gasket 4 mounted therein is slowly pressed against the root of the over-prepform, gradually preventing the blood of the foreskin being compressed. The loop is a process in which the V-shaped tooth 12a is cross-sectioned, or the M-shaped tooth 12b is cross-sectioned, or the necrotic elongate foreskin is removed with a scalpel. After a few days of compression, the wound is healed, and the clamped foreskin is gradually necrotic, and the necrotic foreskin will automatically fall off, and then the liftable tubular cutter II and the like are completely removed. In the long foreskin is cut or cut by the liftable tube cutter II, and during the wound healing period, in order to prevent the penis from being erected, the stretching of the foreskin is required, and the upper cannula of the penis sheath and the inner cutting ring is required. An anti-ball board V is inserted between the lower sleeve 2 and the inner side of the connecting plate 3, and a bump is provided on the anti-ball board V for stimulating the erection of the penis. At the same time, a scale is provided on the outer side of the connecting rod 8 of the outer cutting ring III and the outer side of the sleeve 9 of the connecting ring IV for the user. Control or adjust the thickness of the foreskin that needs to be removed.

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 section M-shaped tooth 12b is pressed against the foreskin, an analgesic drug can be placed in the M groove of the section M-shaped 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 III 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. Moreover, it is provided 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 wound pain caused by penile erection, and also, because of the outer connecting ring III connecting rod The outer side of the 8 is provided with a ruler scale, which can facilitate the user to adjust the crimping force between the outer cutting ring III and the connecting ring IV according to the thickness of the foreskin, and install the liftable tube cutting between the outer cutting ring III and the connecting ring IV. Adjust the thickness of the cut when the knife II. 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 II 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 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 is suitable for promotion in general hospitals.

1‧‧‧Upper casing

2‧‧‧ casing

3‧‧‧Connected board

4‧‧‧Rubber gasket

5‧‧‧Upper sleeve

6‧‧‧Upper ring cover

6-1‧‧‧ bumps

7‧‧‧Sleeve

8‧‧‧ Connecting rod

9‧‧‧ casing

10‧‧‧ lower ring cover

11‧‧‧pattern

12‧‧‧ Face teeth

12a‧‧‧V-shaped teeth

12b‧‧‧M-shaped teeth

13‧‧‧Gel buckle

14‧‧‧Spiral groove

15‧‧‧ rule

16‧‧‧ arc slot

16-1‧‧‧Bumps

17‧‧‧ rule

17-1‧‧‧Digital ruler

17-2‧‧‧Announcer

18‧‧‧Spliced casing

19‧‧‧ arc plate

20‧‧‧ buckle

21‧‧‧ acute angle cutting edge

21a‧‧‧Sawtooth cutting edge

22‧‧‧ thread

23‧‧‧ gap

24‧‧‧ cutting casing

25‧‧‧ pins

26‧‧‧ knob

27‧‧‧easy tear line

I‧‧‧ inner cutting ring

II‧‧‧ Lifting tube cutter

III‧‧‧Outer cutting ring

IV‧‧‧ Connecting ring

V‧‧‧Anti-Board

28‧‧‧Tubular inner ring

29‧‧‧Tubular outer ring

29-1‧‧‧A outer ring

29-2‧‧‧B outer ring

30‧‧‧ Cavity

31‧‧ ‧ retaining ring

32‧‧‧shims

33‧‧‧ circumcision

34‧‧‧Front

35‧‧‧ Cable Ties

36‧‧‧through hole

37‧‧‧Removal hole

37A‧‧‧A ratchet

37B‧‧‧B ratchet

38‧‧‧Bumps

39‧‧‧Bumps

40‧‧‧Sawtooth

41‧‧‧Conical surface

42‧‧‧right angle

43‧‧‧Positioning bumps

44‧‧‧ outer ring

44-A, 44-B‧‧‧ two half-rings

45‧‧‧ Inner Ring

46‧‧‧ Groove

47‧‧‧Flexible washers

48‧‧‧Sawtooth or bump

49, 50‧‧‧ card ring

51‧‧‧ convex ring

52‧‧‧ channel

53‧‧‧Connecting buckle

54‧‧‧L-shaped

55‧‧‧L-shaped

56‧‧‧Connecting rod

57‧‧‧Connection hole

58‧‧‧Toothed protrusion

59‧‧‧toothed groove

60‧‧‧ holes

61‧‧‧Hook-shaped bulges

62‧‧‧Slots

63‧‧‧Connecting plate

64‧‧‧Cards

65‧‧‧ holes

66‧‧‧ concave groove

67‧‧‧ Bow-like block

68‧‧‧ holes

69‧‧‧ strip tooth

70‧‧‧ stripped perforations

71‧‧‧ hole

72A‧‧‧The upper half of the knife joint

72B‧‧‧ Lower half of the knife joint

73‧‧‧First stepped snap block

74‧‧‧Second stepped snap block

75‧‧‧Opening handle

76‧‧‧Opening hole

77‧‧‧Integral open flexible ring

78‧‧‧Double knife edge

79‧‧‧Slice

80‧‧‧Opening handle

81‧‧‧Opening hole

82‧‧‧ screw

83‧‧‧ rule

84‧‧‧Digital ruler

85‧‧‧Announcer

1 is a perspective exploded view of the circumcision anastomat of the present invention; FIG. 2 is a perspective exploded view of the circumcision anastomat of the present invention; FIG. 3 is a detachable circumcision stapler of the present invention; Stereoscopic view of the acute angle cutting edge of the tubular cutting knife; Fig. 4 is a perspective view of the serrated edge of the detachable tubular cutting knife in the circumcision stapler of the present invention; Fig. 5 is a circumcision ring with a rubber gasket in the invention Fig. 6 is a cross-sectional view of a circumcision anastomat without a rubber gasket in the present invention; and Fig. 6A is a projection view showing a convex surface on an inner surface of the upper annular flap in the present invention; Figure 1 is a cross-sectional view of a circumcision anastomat equipped with a rubber gasket in the present invention, but without a detachable tubular cutter; Figure 8 is a V-shaped tooth of a cannula at the inner cutting ring of the circumcision stapler of the present invention. Figure 9 is a cross-sectional view of the M-shaped upper end surface of the cannula section of the inner cutting ring of the circumcision anastomat of the present invention; Figure 10 is a cross-sectional view of the circumcision anastomat connecting ring of the present invention; Figure 11 is the inside of the circumcision stapler of the present invention. 12 is a top view of a pattern end face of a sleeve on an inner cutting ring of the circumcision anastomat of the present invention; and FIG. 13 is a schematic cross-sectional view showing the assembly structure of the circumcision anastomat of the present invention; Figure 14 is a schematic view showing the assembly structure of the circumcision stapler of the present invention; Fig. 15 is a schematic cross-sectional view showing the inner ring of the circumcision stapler of the present invention; Figure 16 is a top plan view of the inner ring of the circumcision stapler of the present invention; Figure 17 is a schematic view showing the three-dimensional structure of the outer ring of the circumcision stapler of the present invention; and Figure 18 is a view of the outer ring of the circumcision stapler of the present invention. Figure 19 is a schematic view showing the partial structure of the outer ring buckle of the circumcision anastomat of the present invention; Fig. 20 is a partial structural view of the outer ring buckle of the circumcision anastomat of the present invention; Schematic diagram of the assembly structure of the circumcision anastomat of the present invention; FIG. 22-1 is a schematic view showing the structure of the inner ring of the two halves in the circumcision anastomat according to the embodiment of the present invention; and 22-2 is a circumcision anastomat of the embodiment of the present invention FIG. 23 is a schematic structural view of an outer ring of a circumcision anastomat according to an embodiment of the present invention; and FIG. 24 is a schematic structural view of an outer ring KK section of a circumcision anastomat according to an embodiment of the present invention; The figure is a schematic structural view of an inner ring LL cross-section of a circumcision anastomat according to an embodiment of the present invention; and FIG. 26A is an enlarged schematic view showing a structure of an outer ring A of a circumcision anastomat according to an embodiment of the present invention; Case 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 a circumcision anastomosis according to an embodiment of the present invention; FIG. 27 is a schematic structural view of the upper and lower single-knife joints of the MM section of the circumcision anastomat according to still another embodiment of the present invention; FIG. 28 is still another embodiment of the present invention; Schematic diagram of the upper and lower double-knife joints of the MM section of the circumcision anastomat; 29 is a schematic view showing the outer ring structure of the circumcision anastomat according to still another embodiment of the present invention; FIG. 30 is an enlarged schematic view showing a sectional structure of the portion A in FIG. 29; and FIG. 31 is a circumcision anastomat of the embodiment of the present invention. Schematic diagram of the overall flexible outer ring structure.

detailed description

The following examples are intended to illustrate the invention but are not intended to limit the scope of the invention.

The present invention will be described in detail below with reference to the accompanying drawings, as shown in Figs. 1 to 12.

The present invention is a circumcision anastomat comprising: an upper cannula 1 for crushing blood vessels in the foreskin tissue and the foreskin, and an end face 12 uniformly distributed on the upper end surface of the upper cannula 1, the end face 12 The shape is a pattern 11 having a concave-convex phase, or a V-shaped tooth 12a or a M-shaped tooth 12b having a cross section, and the differently shaped teeth are used for pressing the upper sleeve 1 for connecting the upper sleeve 1 with The inner cutting ring I formed by the connecting plate 3 of the lower casing 2, the upper casing 1, the lower casing 2 and the connecting plate 3. The inner cutting ring I may be an integral structure or may be formed by splicing several parts. Further, an axially easy tear line 27 may be provided on the tube wall of the upper sleeve 1 and the lower sleeve 2 of the inner cutting ring I.

The circumcision anastomat further comprises a cutting sleeve 24 for cutting the excessively long foreskin, a spiral groove 14 is provided on the wall of the cutting sleeve 24, and a pin 25 is provided at the lower end of the cutting sleeve 24, the pin 25 is connected to a knob 26, and the cutting sleeve 24, the pin 25, and the knob 26 are connected to form a liftable and detachable tubular cutter II.

The circumcision anastomat further includes an upper sleeve 5 for fixing the flap, and an upper ring mounted on the upper end of the upper sleeve 5 for engaging the upper sleeve 1 of the inner cutting ring I to crush the foreskin block a sheet 6, a lower sleeve 7 for connecting to the connecting ring, a connecting rod 8 for connecting the upper sleeve 5 and the lower sleeve 7, an outer cutting ring formed by the upper sleeve 5, the lower sleeve 7 and the connecting rod 8. III.

The circumcision stapler further includes a sleeve 9 formed by joining the outer cutting ring III and tightening the inner cutting ring I, and a connecting ring IV formed by the lower annular flap 10 attached to the lower end of the sleeve 9.

The circumcision anastomat also includes a detachable anti-Board plate V mounted inside the web 3 of the inner cutting ring I.

The inner cutting ring I is set in the outer cutting ring III, so that the upper end surface of the upper casing 1 of the inner cutting ring I is tightly pressed against the inner side of the upper annular blocking piece 6 in the outer cutting ring III, so that the inner cutting ring I is under the inner ring The lower end surface of the sleeve 3 is tightly pressed against the inner side of the lower annular flap 10 in the connecting ring IV, and the liftable lifting tube cutter II is installed between the inner cutting ring I and the outer cutting ring III. The pin 25 at the lower end of the liftable tubular cutter II is passed through the arcuate groove 16 in the lower ring block 10 of the connecting ring IV, and then connected to the knob 26 on the liftable tubular cutter II, wherein The lower sleeve 7 in the outer cutting ring III is made detachably connected to the sleeve 9 in the connecting ring IV. 1st, 3rd, 4th, 5th, 6th, 10th, 11th, and 12th.

In the above example, the liftable tubular cutter II may not be installed. As shown in Fig. 2, Fig. 7, Fig. 8, and Fig. 9.

In the present invention, the end face 12 is evenly distributed on the end surface of the sleeve 1 on the inner cutting ring I. The shape of the end face 12 is a concave-convex pattern 11 or a V-shaped tooth 12a or a M-shaped tooth 12b. The end face 12 or the V-shaped tooth 12a is cross-sectioned, or the M-shaped tooth 12b is tightly press-fitted with the inner side of the upper annular baffle 6 in the outer cutting ring III, or the end face 12 or the cross section is V The shaped tooth 12a, or the M-shaped tooth 12b having a cross-section, is tightly press-fitted with the rubber spacer 4 mounted in the upper annular flap 6, for crushing the cells, tissues and blood vessels of the root of the oversized foreskin.

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 male buckle 13 is matched with the spiral groove 14 on the wall of the cutting sleeve 24 on the liftable tubular cutting blade II. It is used to make the liftable tube cutter II liftable.

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 on the outer side of the outer cutting ring III connecting rod 8, or the outer wall of the sleeve 7 under the outer cutting ring III is provided with a pressing thickness gauge 17, and On the outer wall of the sleeve 9 of the connecting ring IV, a ruler 15 having a thickness of the foreskin cut is also provided along the circumference.

The invention has one end of the lifting and lowering tubular cutter 2 cutting sleeve 24 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 piece III 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 21a and the upper annular blocking piece 6 mounted in the crimping member III The inner rubber gasket 4 is pressed against the foreskin or is not pressed back to the original position.

The inner diameter of the cutting sleeve 24 of the liftable liftable tubular cutter II 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 III and the connecting ring IV may be connected by a thread 22 connection.

In the present invention, there should be a containment sheath 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 III. The gap 23 is.

As shown in Fig. 7, unlike the first embodiment, the present embodiment is an inner cutting ring. The upper sleeve 3 and the lower sleeve 2 of I are formed into a splicing sleeve 18, which is divided into four circular arc plates 19, and the four-segment circular arc plate 19 will only be provided with a buckle 20 The form is spliced into a circular splicing sleeve 18, and an axially easy tear line 27 can also be provided on the tube wall of the inner sleeve and the lower sleeve of the inner cutting ring.

The difference between the embodiment and the first embodiment is that the buckle on the outer wall of the crimping member III is buckled into the card slot provided on the connecting ring, and is connected by a snap-fit connection.

The difference between the embodiment and the embodiment 1 is that the ratchets and the threads respectively arranged on the outer cutting ring (III) and the connecting ring (IV) are connected with each other, and the ratchet teeth disposed on the connecting ring (IV) are easily torn. The ratchet is connected to prevent the cutter from being used repeatedly, causing infection of the disease, and the complete device of the cutter can be used as a single-use product.

Another embodiment of the present invention will be described in detail below with reference to the accompanying drawings as shown in Figs. 13 to 20.

A circumcision anastomat comprising a tubular inner ring 28 disposed outside the patient's penis, overturning the oversized sheath over the outer wall of the tubular inner ring 28, and then placing the tubular outer ring 29 Suitably outside the tubular inner ring 28, a cavity 30 is provided between the tubular inner ring 1 and the tubular outer ring 29 that accommodates the excess foreskin to be removed. Wherein, the tubular outer ring 29 is composed of two parts of a tubular A outer ring 29-1 and a tubular B outer ring 29-2 which are fastened to each other, at the ends of the outer ring of the tubular A and the outer ring of the tubular B The retaining ring 31 is respectively provided on the portion, and the spacer 32 is mounted on the inner side of the retaining ring 31. One end of the inner ring 28 is a circumcision end 33, a convex edge 34 is provided on the outer side of the circumcision end 33 of the circumcision, and a ligature 35 for fixing the foreskin is assembled at the lower end of the rim 34. After the outer ring 29-1 of A and the outer ring 29-2 of the tubular B are snap-fitted by the A ratchet 37A, B ratchet 37B, the circumcision end 33 of the tubular inner ring 28 will be associated with the tubular A outer ring 29- 1 end retaining ring 4 The side spacers 32 cooperate to press the sheath, and the other end of the tubular inner ring 28 cooperates with the inner side of the end of the tubular B outer ring 29-2 for axially pressing 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 pattern for non-slip is provided on the outer wall of the tubular outer ring 29.

A plurality of bumps 39 are provided at the ends of the circumcision end 33 of the tubular inner ring 28. Or a plurality of serrations 40 are provided at the ends 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 can be joined to the retaining ring 31 on the tubular B outer ring 29-2 as a unitary piece, and the integral piece can be coupled to the tubular A outer ring 29-1 and Squeeze the foreskin.

The surface of the outer rim of the circumcision end 33 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 plurality of segments of bumps that are evenly distributed around the periphery of the outer wall of the incision end 33 of the tubular inner ring 28.

The inner ring 28 may be a splicing ring, and the splicing ring is formed by splicing at least two semi-circular rings.

The outer ring may be composed of two semicircular rings, both ends of the two half rings They are connected to each other by snaps or screws.

In the circumcision stapler of the present invention, the specific operation steps are: first, the B outer ring 29-2 and the inner ring 28 are set on the outside of the penis, and the circumcision end 33 of the inner ring 28 is directed toward the glans side. Then, the overly long foreskin is turned over the outer wall of the inner ring 1. Since the outer edge of the cut end 33 of the circumcision is provided with a flange 34, the lower edge of the flange 34 and the outer wall of the inner ring 28 form a right angle. 42 slots, with the strap 35 to fix the cover on the outer wall of the inner ring 28, 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 of the outer ring 29 -2 snapped together. Wherein the outer ring 29-1 and the outer ring 29-2 of the B are provided with a retaining ring 31 at the end of the connecting portion, and a spacer 32 is disposed on the inner side of the retaining ring of the outer ring 29-1. The thickness plus the length of the inner ring is almost equal to the distance between the inner side of the outer ring 29-1 of the outer ring 29-1 and the inner side of the outer ring 29-2 of the outer ring 29-2, when the outer ring 29-1 and the outer ring 29 of the outer ring 29 -2, when the buckles are fastened together, the gasket 32 on the inner side of the outer ring 29-1 of the outer ring 29-1 cooperates with the inner end of the inner ring circumcision 33 to press the ring slit of the foreskin, so that the excessively long prepuce tissue below the extrusion end Blood necrosis, the circumcision can automatically fall off 5-7 days after surgery. It can be seen from the above surgical procedure that the operation of the circumcision is very simple, and the circumcision can be made of plastic parts or stainless steel parts, has a small volume, light weight, simple structure and low cost. Therefore, it can be made into a single-use product. In addition, since at least two through holes 36 are provided on the side wall or the retaining ring of the outer ring, the through hole can be used to inject pain or inflammation into the empty front, thereby reducing the pain of the patient and accelerating the wound. Heal.

In another embodiment of the present invention, in order to adapt to different needs of different patients for the circumcision, the ring cutter can be made into a spliced inner ring 28 and a spliced outer ring 29, or outside the flexible opening. Ring 29. Wherein, the splicing inner ring can first fix several inner rings on the penis by the elastic washer, and the spliced outer ring is generally composed of two semi-rings, one end of the two half rings is hinged The chain ends are connected, and the other ends of the two half rings can be connected by snaps or fastening screws, and the open ends of the outer rings 29 of the flexible openings can also be connected by snaps or fastening screws.

Another embodiment of the present invention will be described in detail below with reference to the accompanying drawings as shown in Figs. 21 to 31.

As shown in Figures 21 to 23, a circumcision anastomosis device includes an outer ring 44 for cutting and clamping and an inner ring 45 for the sheath, the inner ring being an integral ring, or two a half ring, or two or more arc segments, on the outer surface of the inner ring 45 is provided with at least one groove 46, on the surface of the groove is provided with a resilient washer 48, in the outer ring The inner test is provided with at least one round of knife edge 78, and a plurality of serrations or bumps 49 are evenly distributed at the edge of the knife edge, and the knife edge cooperates with the groove for pressing and/or cutting the foreskin; The side wall of the outer ring 44 is provided with a passage 52 for injecting a chemical solution, and the passage 52 is connected to a cavity between the outer ring 44 and the inner ring 45.

The circumcision anastomat comprises an inner ring 45, and an 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.

The outer ring 44 is divided into two half ring members 44-A, 44-B, and the outer ring 44 can also adopt an integral open flexible ring, and a connecting buckle 53 is provided at both ends of the half ring or the whole open flexible ring, and the other end has The fixing member 75 and the unlocking hole 76 are connected. Of course, the outer ring 44 may also have a unitary structure, but has an opening which is connected 75 by a fixing member. The fixing member 75 is a fixing screw 82 or other connection form, and this embodiment will be described below by way of example.

Figure 24 is a schematic view showing the structure of the outer ring K-K of the circumcision anastomat according to the embodiment of the present invention; and Figure 25 is a schematic view showing the structure of the inner ring L-L of the circumcision anastomat according to the embodiment of the present invention. As shown, the focus of the invention is on the two semi-circular split rings or The body opening flexible outer ring 44 is provided with two snap rings 49, 50, and the inner ring 45 is provided with a groove 46 adapted by the snap rings 49, 50, and is disposed between the grooves 46. There is a convex ring 51; 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. The inner ring 45 and the outer ring 44 cooperate to sandwich the foreskin to be removed, so that the blood circulation is poor and necrosis. Since infection is inevitable during the circumcision process, it is necessary to cooperate with the drug to eliminate inflammation and breed the skin. The liquid contained in the cavity directly penetrates into the infected part to eliminate inflammation and breed the skin, which shortens the healing time of the operation. . The formulations of these solutions are specifically formulated for circumcision, and are not relevant to this patent application and will not be described herein.

Since the connection portion A of the existing outer ring 44 is very inconvenient to operate, it is extremely uncomfortable for the patient to be operated, which increases the patient's fear of surgery and prolongs the operation time. The following describes several connection structures.

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 ring members 44-A, 44-B and a connecting buckle 53. One end of the two half ring members 44-A, 44-B is connected by a connecting buckle 53, and the two The other ends of the half ring members are respectively provided with mutually cooperating L-shaped portions 54, 55. The top ends of the L-shaped portions 54, 55 are provided with a connecting rod body 56, and a connecting hole 57 is provided on the bottom platform thereof, and the connecting rod body is provided. 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, the inside of the L-shaped portion is provided with a tooth-shaped protrusion 58 or a tooth-shaped groove 59 on the inner side of the upright end, or the tooth-shaped protrusion 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-ring members 44-A, 44-B, it is only necessary to insert the connecting rod body 56 into the connecting hole 57, and at the same time the tooth-shaped projection 58 and the other L-shaped portion The toothed recesses 59 are engaged with each other to complete the locking of the entire outer ring 44. Of course, if you need to open the connection, you can use a screwdriver or other tool to insert In the hole 44 provided in the L-shaped portion, the entire structure can be broken with a little force, thereby opening the present embodiment (because the present embodiment is a disposable circumcision stapler).

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. One end of the two half ring members 44-A, 44-B is connected by a connecting buckle 53, and the two The other ends of the half ring members 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 61 of the other half-ring member. Cooperating, the hook-shaped protrusion 61 is composed of a connecting plate 63 and a locking piece 64 of an inverted V-shaped structure. One end of 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 fixing piece 64 is a structure having relatively high elasticity and a certain hardness, such as a thin steel sheet, and the opening of the groove 62 has a large diameter, and the volume of the inner cavity 50 is large. A hole 65 is provided at the end of the half ring member 44-A, 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. At this time, the elastic property of the fixing piece 64 functions, and after the fixing piece 64 is fixed by the fixing piece 64, the hardness of the fixing piece 64 makes the card The solid piece 64 abuts against the cavity wall inside the groove 62 to be fixedly locked.

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. The outer ring 44 is composed of two half ring members 44-A, 44-B and a connecting buckle 53. One end of the two half ring members 44-A, 44-B is connected by a connecting buckle 53, and the two The other ends of the half ring members 44-A, 44-B are respectively provided with concave grooves 66 in which the bow-like blocks 67 are accommodated. A hole 68 is provided at the end of the half ring member 44-A, and the hole 68 has the same function as the aforementioned holes 60, 62. When the locking is fixed, the two ends of the bow-like block 67 are respectively inserted into the concave slot 66.

Figure 26D is a view of the outer ring 44-A of the circumcision anastomat according to the embodiment of the present invention. A schematic enlarged view of the structure; the outer ring is also composed of two half ring members 44-A, 44-B and a connecting buckle 53, and one end of the two half ring members 44-A, 44-B is connected by a connecting buckle 53 And at the other end of the two half-rings 44-A, 44-B, respectively, a strip-shaped tooth body 69 or a strip-shaped perforation 70 is provided, as shown in the enlarged view of the detail of the strip-shaped tooth body 69 in the figure, The strip-shaped tooth body 69 has a plurality of lateral thin horizontal strip projections for cooperating with the laterally disposed fine grooves in the strip-shaped perforations 70. When the strip-shaped tooth body 69 is inserted into the strip-shaped teeth In the hole 70, the small horizontal bar protrusion of the strip-shaped perforation 70 is just fixed in the small groove of the strip-shaped tooth body 69. It is worth noting that the insertion is unidirectional, which requires The inclination direction of both the small horizontal projections of the strip-shaped perforations 54 and the small grooves of the strip-shaped teeth 69 is an obtuse angle with the insertion direction. Once the two cards are fixed, the strip teeth 69 can not be simply pulled out of the strip-shaped perforations 70 under normal conditions, thus ensuring the firmness of the fastening, making the invention more stable and stable, and having good operation. Sex. 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 a perspective view of the present invention, wherein the outer ring is an integral open flexible ring 77, and the two ends of the opening are provided with corresponding blade joints, the two layers being double-sided, and the double-layered edge 78 is perpendicular to the Several slices 79 of the double-layered knife edge. A first stepped engaging block 73, a second stepped engaging block 74, an unlocking handle 80, an unlocking hole 81, a ruler 83, a digital display 84, and an alarm 85 are provided at the knife edge interface.

27 to 30 are schematic views of the outer ring of the circumcision anastomat according to another embodiment of the present invention. The outer ring 44 has an opening, and the two ends of the opening are provided with a corresponding upper half of the blade joint 72A and the lower half of the blade joint; the opening is provided with a top half of the blade joint 72B The first stepped engaging block 73 is disposed at one end of the opening, and the second stepped engaging block 74 is disposed at one end of the lower half of the cutting edge joint portion 72B. The first stepped engaging block 73 and the second stepped engaging block 74 is mated with each other; in the cross-sectional direction, the first stepped engaging block 73 is located below the upper half of the blade joint 72A, and the second stepped engaging 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 stepped snap 55 to engage. The first stepped engaging block 74 and the second stepped engaging block 73 are tightly combined by the limiting action of the upper half of the blade joint 72A and the lower half of the blade joint 72B, and the entire outer ring is tightly locked. . A hole 65 is disposed in the first stepped engaging block 55 or the second stepped engaging block 56. If the connection needs to be opened, a screwdriver or other tool can be inserted into the hole 65, and the entire structure can be broken with a little force. This embodiment is opened (since this embodiment is a disposable circumcision stapler).

After introducing several different connection structures, the following describes the operation of the present invention separately. Steps for use: 1. Disinfect the genitals; push the foreskin covering the glans back to make the foreskin completely exposed; 2. Adjust the position of the inner ring, pull out the foreskin pushed back until the foreskin is completely covered. The inner ring and the glans; 3, the outer ring is opened, and is inserted from the patient side so that the outer ring surrounds the inner ring, and the outer ring is fixed, thereby preventing the blood circulation of the foreskin and necrosis of the foreskin: 4. The liquid medicine is injected into the cavity from the channel 52 for injecting the drug solution, and the cavity liquid medicine can directly reach the affected part, thereby achieving anti-inflammatory and analgesic; 5, 2-5 days later (sometimes a little longer) remove the necrotic foreskin, or at the same time or loosen the outer ring later.

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. The exploded structure of another embodiment of the circumcision stapler according to the embodiment of the present invention is shown. According to another embodiment of the present invention, the single integral inner ring structure is changed into two segments of the left and right half ferrules 45-1, 45-2, so that the erection of the penis can be adapted. This also buffers the squeezing force.

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 knife edge joint 53 and the other half ring member 44-B. The lower half edge joint 72B corresponding to the knife edge joint portion 72A of the upper half is provided, and the outer ring portion 44 can be better combined by the structure of the upper and lower half portions; the edge of the knife edge joint is provided with rounded corners 72. By using the structure of the rounded corners, the clamping of the foreskin can be avoided during the operation, the operation can be carried out more smoothly, and the pain of the patient can be avoided. If the foreskin is clamped, the meat will be clamped into the teeth, thereby prolonging the healing period of the surgery and increasing the patient's 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, no obvious scar after the circumcision, and the position of the ring is accurate and the healing time is fast. Children, young people, and the elderly can receive this treatment. Different models can be used according to the actual size of the patient's glans.

Moreover, it does not affect the work, study, and operation during the whole treatment process without special training. This operation can be realized in a small clinic. Low price, the entire treatment The cost includes surgery, anti-inflammatory and other expenses of only 160-200 yuan, which can be accepted by the public. Industrial applicability

The invention relates to a circumcision anastomat device. Because the inner cutting ring I and the outer cutting ring III are only connected with the sleeve 3 and the connecting rod 8 in the middle of the upper and lower sleeves, the overall weight of the circumcision anastomat can be reduced, and then Since the upper end surface 11 of the upper sleeve 1 in the inner cutting ring 1 is designed in a pattern, it greatly alleviates the pain of the patient as compared with the past roundabout. Moreover, it is provided 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 wound pain caused by penile erection, and also, because of the outer connecting ring III connecting rod The outer side of the 8 is provided with a ruler scale, which can facilitate the user to adjust the crimping force between the outer cutting ring III and the connecting ring IV according to the thickness of the foreskin, and install the liftable tube cutting between the outer cutting ring III and the connecting ring IV. Adjust the thickness of the cut when the knife II. 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 II 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 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.

1‧‧‧Upper casing

2‧‧‧ casing

3‧‧‧Connected board

5‧‧‧Upper sleeve

6‧‧‧Upper ring cover

7‧‧‧Sleeve

8‧‧‧ Connecting rod

9‧‧‧ casing

10‧‧‧ lower ring cover

11‧‧‧pattern

12‧‧‧ Face teeth

13‧‧‧Gel buckle

15, 17‧‧ ‧ rule

I‧‧‧ inner cutting ring

III‧‧‧Outer cutting ring

IV‧‧‧ Connecting ring

Claims (21)

A circumcision anastomat comprising an outer ring (44) for cutting and clamping and an inner ring (45) for sheathing, wherein the inner ring (45) consists of an integral ring, or two a semi-ring or two or more arc segments, at least one groove (46) is provided on the outer surface of the inner ring (45), and at least one ring is measured in the outer ring (44) a knife edge (78), the outer ring (44) is two semi-circular split rings, or the outer ring (44) is an integral open flexible ring (77), the semi-circular split ring or the integral open flexible ring has at least one opening The two ends of the opening are provided with a corresponding upper half blade (72A) joint and a lower half edge (72B) joint, and the upper half edge (72A) and the lower half edge (72B) are single A layered knife edge or double layer knife edge, the knife edge (78) cooperating with the groove (46) for squeezing and/or cutting the sheath. A circumcision stapler according to claim 1, characterized in that a plurality of blades (79) perpendicular to the double-layered knife edge are provided between the double-layered edges. A circumcision stapler according to claim 1, characterized in that a plurality of serrations or bumps (48) are evenly distributed at the edges of the knife edge (78). A circumcision stapler according to claim 1, characterized in that a resilient gasket (47) is attached to the surface of the groove (46). A circumcision stapler according to claim 4, characterized in that a channel (52) for injecting a drug solution is provided on a side wall of the outer ring (44), the channel (52) and the channel The cavities between the outer ring (44) and the inner ring (45) are connected. A circumcision stapler according to claim 1 or 3, characterized in that the single-layer knife edge or the double-layer knife edge (78) is coated with an anti-infective drug coating. The circumcision stapler according to claim 1, wherein the edge of the joint of the upper half edge (72A) and the lower half edge (72B) is rounded. The circumcision stapler according to claim 1, characterized in that the upper half edge (72A) and/or the lower half edge (72B) are provided with a pattern. The circumcision stapler according to claim 1, wherein the opening is provided with a first stepped engaging block (73) at one end of the joint of the upper half (72A), and is provided with A second stepped engaging block (74) is disposed at one end of the joint of the lower half (72B), and the first stepped engaging block (73) and the second stepped engaging block (74) cooperate with each other. First step The first engaging block (73) is a single layer or a double layer; the first stepped engaging block (73) is located below the joint of the upper half (72A). The second stepped snap block (74) is located above the junction of the lower half edge (72B). The circumcision stapler according to claim 1, wherein the joint of the upper half (72A) and the lower half (72B) are locked by a screw (82). The circumcision stapler according to any one of claims 8 to 10, wherein the outer ring (44) is composed of two semicircular open rings, and any of the two semicircular open rings Both ends of the opening are connected by a connecting buckle (53). The circumcision stapler according to claim 1, wherein the upper half edge (72A) joint portion and the lower half knife edge (72B) joint portion are respectively provided with a matching L-shaped portion. (55), the top end of each of the L-shaped portions (55) is provided with a connecting rod body, and a connecting hole (57) is provided on the bottom platform thereof, and the connecting rod body and the other L-shaped portion (55) The connecting holes (57) cooperate with each other; each of the L-shaped portions (55) is provided with a toothed protrusion (58) or a toothed groove (59) on the inner side of the upright end, the toothed protrusion (58) or the toothed concave The groove (59) and the toothed groove (59) or the toothed projection (58) of the other L-shaped portion (55) cooperate with each other. The circumcision stapler according to claim 1, wherein the upper half edge (72A) joint portion and the lower half edge edge (72B) joint portion are respectively provided with hook-shaped protrusions (61). Or a slot (62), the hook-shaped projection (61) or slot (62) at one joint and the slot (62) or hook-shaped projection (61) at the other joint cooperate with each other A hook-shaped projection (61) is composed of a connecting plate and a locking piece (64) of an inverted V-shaped structure, and one end of the connecting plate is connected to a middle portion of the fixing piece (64). The circumcision stapler according to claim 1, wherein the upper blade edge (72A) joint portion and the lower half blade edge (72B) joint portion are respectively provided with concave slot holes (66). ), a bow-shaped block (67) is accommodated in the concave slot (66). The circumcision stapler according to claim 1, wherein the upper half edge (72A) joint portion and the lower half knife edge (72B) joint portion are respectively provided with strip tooth bodies (69). Or strip-shaped perforations (70), one of the strip-shaped teeth (69) or the strip-shaped perforations (70) at one junction and the strip-shaped perforations (70) or strip-shaped teeth at the other joint (69) Cooperate with each other. The circumcision stapler according to claim 1, characterized in that the outer ring (44) is provided with two loops of snap rings (49, 50) on the inner ring (45). a groove (46) adapted to the snap ring (49, 50), a convex ring (51) being disposed between the grooves (46); the inner ring (45) being mutually Separate left and right half ferrules, and the joints of the left and right half ferrules are rounded. The circumcision stapler according to claim 1, characterized in that a ruler (83) or a digital scale (68) is provided at one end of the opening for displaying the buckled elastic material. The other end of the opening is provided with an alarm (85) for prompting the fastening too tight and/or wound healing information. The circumcision stapler according to claim 1, characterized in that the opening handle (80) and the unlocking hole (81) are provided at either end of the opening. The circumcision stapler according to claim 1, wherein the outer ring (44) and the inner ring (45) have a rubber pad. The circumcision stapler according to claim 1, wherein a frosted pattern is provided on a surface of the outer ring (44) and the inner ring (45). The circumcision anastomosis according to claim 1, wherein the outer ring (44) has two or more channels (52) for injecting a drug solution.