TWI290826B - Circumcision apparatus - Google Patents
Circumcision apparatus Download PDFInfo
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- TWI290826B TWI290826B TW94110995A TW94110995A TWI290826B TW I290826 B TWI290826 B TW I290826B TW 94110995 A TW94110995 A TW 94110995A TW 94110995 A TW94110995 A TW 94110995A TW I290826 B TWI290826 B TW I290826B
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- sealing device
- needle
- sealing
- tool
- nail
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/326—Circumcision apparatus
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- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Portable Nailing Machines And Staplers (AREA)
- Surgical Instruments (AREA)
Abstract
Description
1290826 九、發明說明: 【發明所屬之技術領域】 本發明提供-種外科手術裝置,尤其關於施行包皮環切術之 外科手術裝置。 【先前技術】 基於面療或不教目的’包皮環切術(circumGwQn)係一種發 展成熟且已有數百年歷史的外科手術。其程序為手術钳以及 更刀剪開絲之包皮’接著崎合材料缝合包皮之術後傷口。手 術時間約為2議分鐘,包含施行麻醉時間。在手術期間及手術 後’常會有出血、組織腫脹(tissue s_ng)、以及水廬(edema) =況產生。因此需魏多驗復_且有較錄在將症以及 現的風險存在。此外,傷口的邊緣常因縫合之故而呈現不 規則的形妝。 【發明内容】 用於更安全且更快速而容 本發明在於提供一外科手術裝置 易地執行包皮環切術。 本發明之另一方面在於提供一外科 且縫人德π _ 衣置,用於切Wf包皮 且縫口知口,同時具有止血之功能。1290826 IX. DESCRIPTION OF THE INVENTION: TECHNICAL FIELD OF THE INVENTION The present invention provides a surgical device, and more particularly to a surgical device for performing circumcision. [Prior Art] Orthopedic circumcision (circumGwQn) is a developmental and centuries-old surgical procedure based on facial therapy or non-teaching. The procedure is a surgical forceps and a more knife-cut opener's skin. The surgical time is approximately 2 minutes, including the time of anesthesia. During surgery and after surgery, there is often bleeding, tissue swelling (tissue s_ng), and edema (edema). Therefore, it is necessary to have Wei Duo _ and there are risks associated with the disease and the current risks. In addition, the edges of the wound often exhibit irregular shapes due to stitching. SUMMARY OF THE INVENTION The present invention is directed to providing a surgical device that facilitates circumcision. Another aspect of the present invention is to provide a surgical and sutured π _ garment for cutting the Wf foreskin and for slitting the mouth while having a hemostatic function.
4CHIU/05001TW 1290826 置’猎由手的握力 ^月之另一方面在於提供一外科手術裳 而操作。 ,细金難的 本么明之又-方面在於提供—外科手術m有效縮 術時間。 、本务明之另-方面在練供—外科手術裝置,在手術過程中 及術後,產生較少的組織腫脹與水腫。 藉由下述之實施方式配合圖式可以知悉本發明之優點與其他 貫施例。n由以範舰财^,將數個實蘭揭露於後。 【實施方式】 本餐明提供用於執行外科手術之釘封I置1QQ。該釘封裝置 100可應用於如痒切手術(he隨hQidectQmy)或皮膚良性腫瘤 切割手術(skin lesion exds丨〇n)等醫療手術程序。本發明之較佳 應用係應驗包平勒術(drcume丨sbn)巾,然而並非限制於本 發明僅能實施於此。4CHIU/05001TW 1290826 〗 〖Hunting by the hand's grip ^ Another aspect of the month is to provide a surgical skirt to operate. The difficulty of the fine gold is also clear - the aspect is to provide - the surgical surgery m effective reduction time. In addition, the other aspects of this work are in the training-surgical device, which produces less tissue swelling and edema during and after surgery. Advantages and other embodiments of the present invention will be apparent from the following description of the embodiments. n by Fan Fancai ^, will be exposed to several real orchids. [Embodiment] This meal provides a nail seal I set 1QQ for performing a surgical operation. The sealing device 100 can be applied to medical procedures such as itch cutting (he with hQidectQmy) or skin lesion exds 丨〇n. A preferred application of the present invention is to administer a drcume 丨 sbn towel, however, it is not limited to the invention and can only be implemented herein.
4CHIU/05001TW -7- 1290826 置^Γ—=言綺封裝置100包含第—裝置”以及第二裝 衣11精由—連接裝置(connect丨ondew.ce) 105 =於第二裝置13。第包含—手持_件_ P ssembly) KH ’且第二裝置包含—切斷構件(〇耐 __刻。該手騎封構件仙包含至少一個釘 咖)仙3、用以敲擊該釘封針之健湖、用於推動釘封針1〇13 之方塊1015、用於保持方塊1〇15於適當位置之彈菁贿虚抽 。每一個釘封針1013皆包含兩個針腳㈣。該切斷構件 包含祕彎曲針腳之平台侧、师謂病患之手術部位之 刀具1033、桿件娜以及槓桿震置1〇35。桿件侧具有第一 端篇與第二端1039,該桿件聰之第_端贿與刀具機 連接。使用者可利用手握的力量操作該釘封裝置⑽,如同操作 普通的釘書機或剪刀-般。詳請參閱如後的詳細說明。 請參閱圖1b所示本發明之另一實施例。該釘封農置_包含 第-裝置11以及第二裝置13。該第—裝置U藉由連接裝置1〇5 樞接於第二裝置13。第-裝置1彳包含—手持釘封構件彻,且第 二裝置包含-支承構件103。該手持釘封構件包含至少—個钉封 針(staplernail) 1〇13、用以敲擊該釘封針之擊挺侧、用於推 動釘封針觸之方塊㈣、用於保持方塊1〇15於適备位置之4CHIU/05001TW -7- 1290826 Γ = = = = = = = = = = = = = = = = = = 丨 丨 丨 丨 丨 丨 丨 丨 丨 丨 丨 丨 丨 丨 丨 丨 丨 丨 = = = = = = = = = = = - Handheld_P ssembly) KH 'and the second device includes - a cutting member (〇耐__刻. The hand riding member includes at least one nail coffee) 仙3, used to strike the nail sealing needle The Jianhu Lake, the block 1015 for pushing the nail seal 1〇13, and the bullet seal for holding the block 1〇15 in place, each of the staple seals 1013 includes two stitches (four). The tool 1033, the rod member Na, and the lever shocking 1 〇 35 are included on the platform side of the curved bending stitch, and the first side and the second end 1039 are provided on the side of the rod. The bribe is connected to the cutter. The user can use the power of the hand to operate the sealing device (10) as if it were a normal stapler or scissors. For details, please refer to the detailed description below. Please refer to Figure 1b. Another embodiment of the present invention. The nail sealing device includes a first device 11 and a second device 13. The first device U The second device 13 is pivotally connected by the connecting device 1〇5. The first device includes a hand-held sealing member, and the second device includes a supporting member 103. The hand-held sealing member comprises at least one nail sealing pin ( Staplernail) 1〇13, used to strike the pin on the side of the pin, used to push the pin to seal the pin (4), used to keep the block 1〇15 in the proper position
4CHIU/05001TW 1290826 彈簧1017雜侧。每—術封針觸皆包含_針腳㈣。 該手持釘封構件1〇1更包含用於切割病患之手術部位之刀具 扣33、桿件1038以及槓桿裝置1035。桿件1038具有第一端1〇37 與第二端1039,該桿件1〇38之第一端i037與刀具1〇33連接。 遠支承構件1〇3僅包含用於彎曲針腳之平台则。與圖1a所示 的貫施例相異之處在於,本實施例中的刀具彳咖、槓桿裝置職 與桿件^038係設置於手持釘封構件1〇1之侧。使用者可利用手 握的力量操作該釘封裝置1〇〇,如同操作普通的釘書機或剪刀一 般。詳請參閱如後的詳細說明。 圖fa、2b與2c係示意圖,顯示圖1a所示實施例之操作方 厂月 > 閱圖2a ’病患之包皮2〇被安置於手術位置(詳請參閱 後述圖式知七的說明)。此欲執行包皮環域之包皮如必須被 放置於平口 1031與刀具1Q33之上方。如圖2a所示,包皮2〇結 構上係由兩層顺成。詳言之,該包皮如預定被糊之位置,靡 準確的安排於刀具_的正上方。當欲切割之包皮20就定鄉 使用者可辑侧錢行包皮環切手術。請參酬处,使用者握 n、:《置_彻’亚對桿件簡8的第二端彳_施加一向下的力 (圖2b所示的X方向),使得設置在桿件娜之第-端1037 的刀,、1033,受到槓桿裝置娜的影響而抬起並使該包皮20 被切_—部份21與第二部分23。_,向下施加的力亦使4CHIU/05001TW 1290826 Spring 1017 miscellaneous side. Each of the seals contains _ pins (four). The hand-held sealing member 1〇1 further includes a cutter buckle 33, a lever member 1038, and a lever device 1035 for cutting a surgical site of the patient. The rod 1038 has a first end 1〇37 and a second end 1039, the first end i037 of which is connected to the cutter 1〇33. The distal support member 1〇3 only includes a platform for bending the pins. The difference from the embodiment shown in Fig. 1a is that the tool holder, the lever device and the lever member 038 are disposed on the side of the hand-held sealing member 1〇1. The user can use the force of the hand to operate the sealing device 1 as with a conventional stapler or scissors. Please refer to the detailed description below for details. Figures fa, 2b, and 2c are schematic views showing the operation of the embodiment shown in Figure 1a. > Figure 2a' The foreskin 2 of the patient is placed at the surgical site (see the description of the figure 7 below for details) . The foreskin that wants to perform the circumcision must be placed above the flat 1031 and the tool 1Q33. As shown in Fig. 2a, the structure of the foreskin is composed of two layers. In particular, the foreskin is accurately placed at the top of the tool_ as it is intended to be pasted. When the foreskin 20 to be cut is settled, the user can collect the circumcision surgery. Please go to the rewards office, the user holds n,: "Setting__" the second end of the rod member 8 彳 _ applies a downward force (X direction shown in Figure 2b), so that the setting is in the member Na The knife of the first end 1037, 1033, is lifted by the lever device Na and the sheath 20 is cut by the portion 21 and the second portion 23. _, the downward force is also
4CHIU/05001TW 1290826 得該擊槌1011敲擊釘封針 請參閱圖〜⑽絲物=^_獅二部分23。 1031開靡釘封針彻^作卿槌湖上時,平台 口而防止傷口出血。因此,此=腳,使其缝合第二部分23之傷 T、T封針期3將包皮20内的雙層 此子在時,該擊槌1〇1獅 此4切口 41 (請參閱圖4b) -^.vpoe, ^成於包皮20之第一部份21與第 :二 本發明釘封裝置100的方法請進-步參閱圖 =的詳細·。而圖1b所示軸之使雌作方式,與圖^ 所不貫施例的操作方式相類似。 圖3a顯示了本發明釘封裳置之另一實施例。在此實施例中, 釘封衣置300包合包含一手持針封構件π〗,與一切斷構件1〇3。 該手騎封構件101勤連接裝置枢接於鱗構件観。該 手持針封構件101包含至少一個釘封針1013、用以敲擊該釘封針 之擊槌、用於推動釘封針1013之方塊娜、用於保持方塊 1015於適當位置之彈簧前與軸1019。每-個釘封針簡皆 包含兩個針腳。該切斷構件簡包含用於f曲針腳之平台则、 用於切割病患之手術部位之刀具聰、桿件娜以及槓桿裝置 觸5。捍件1038具有第一端1 〇37與第二端1039,該桿件]038 之第1037與刀具1〇33連接。使用者可利用手握的力量操作4CHIU/05001TW 1290826 It is necessary to hit the 1011 knocking pin to seal the needle. See Figure ~ (10) Silk = ^ _ Lion 2 part 23. When the 1031 was opened and the needle was sealed, the platform was used to prevent bleeding from the wound. Therefore, this = foot, so that it sutures the second part 23 of the injury T, T sealing period 3 will double the inside of the foreskin 20 at this time, the shot 1 〇 1 lion this 4 cut 41 (see Figure 4b ) -^.vpoe, ^In the first part of the foreskin 20 21 and the second: the method of the invention of the sealing device 100, please refer to the detailed description of the figure. The mode of the female figure shown in Fig. 1b is similar to the mode of operation of the embodiment. Figure 3a shows another embodiment of the staple closure of the present invention. In this embodiment, the staple seal 300 includes a hand-held seal member π and a cutting member 1〇3. The hand-held sealing member 101 is connected to the scale member 枢. The hand-held pin seal member 101 includes at least one staple seal 1013, a hammer for striking the staple seal, a square for pushing the staple seal 1013, and a spring front and shaft for holding the block 1015 in place. 1019. Each pin seal contains two pins. The cutting member includes a blade for the f-stitch, a cutter for cutting the surgical site of the patient, a lever member, and a lever device. The jaw 1038 has a first end 1 〇 37 and a second end 1039, and the 1037 of the rod 038 is coupled to the cutter 1 〇 33. The user can operate with the power of the hand
4CHIU/05001TW -10- !29〇826 该釘封裂置300 ’如_作普通的釘書機或剪刀—般。詳細操作 方法請參閱圖2b-2c的說明。 請參閱圖3b所示本發明之另一實施例。該钉封裳置3〇〇包含 手持釘封構件101以及支承構件鶴。該手持釘封構件藉^ 連接襄置1〇5柩接於支承構件103。該手持釘封構件1〇1包妓 少—個釘封針1013、用以敲擊該釘封針之擊槌1〇11、用於推動 2封針1013之方塊娜、用於保持方塊1〇15於適當位置之彈 耳1〇17與軸1019。每-個釘封針觸皆包含兩個針腳。該手 持釘封構件101更包含用於切割病患之手術部位之刀具1033、桿 件1〇38以及槓桿裝置·5。桿件娜具有第一端卿2 Π轉請8之第—端~連接。該絲 例相里曲針腳之平台则。與圖%所示的實施 件1㈣ί於’本實施例中的刀具1033、槓捍裝置1〇35與桿 力量摔作釘封構件期之側。使用者可利用手握的 詳請參撕繼剪刀-般。 來_用本發明之购 之陰莖4〇〇執行4a ’ 開始對病患 皮每切術。該針封裝置彻被配置於手術位置4CHIU/05001TW -10- !29〇826 The nail is sealed and set to 300 ’ as an ordinary stapler or scissors. For detailed operation, please refer to the description of Figure 2b-2c. Please refer to another embodiment of the present invention shown in Figure 3b. The nail seal 3 includes a hand-held nail seal member 101 and a support member crane. The hand-held sealing member is connected to the supporting member 103 by means of a connecting device 1〇5. The hand-held nail sealing member 1〇1 is less than one nail sealing needle 1013, the hammering 1槌11 for striking the nail sealing needle, and the square nano for pushing the 2 sealing needle 1013, for holding the square 1〇 15 in the appropriate position of the ear 1 〇 17 and the shaft 1019. Each pin seal contains two pins. The hand holding member 101 further includes a cutter 1033 for cutting a surgical site of a patient, a lever 1 〇 38, and a lever device 5. Rod Na has the first end of the Qing 2 Π turn to the 8th - end ~ connection. The wire is the platform of the curved stitch. The embodiment shown in Fig. 1 (4) is the side of the cutter 1033, the lever device 1〇35 and the rod force in the present embodiment. Users can use the details of the hand to remove the scissors. To perform the treatment of the patient's skin with 4a' performed on the penis 4 of the present invention. The needle sealing device is completely configured at the surgical position
4CHIU/05001TW -11- 1290826 (請參閱圖2a之描述),此時包皮2〇包覆著切斷構件^主 的(請同時參觸㈣«達到技的目 設置訂封針的動作。請參閱圖4:用===重複著切斷與 一_皮2。的外皮,使得病4:數;手躺43 401言φi 亍届w之龜碩(glans penis) 在口 。明〉忍,此時釘封針1031合將;~ 士 % 膚與内層部分相連接,而不會隨同剝離^主〔 外層皮 用剪刀45峨誠生之 7圖4d ’利用手術 的多餘部分。此時應注意不要剪咐掉剝離過包皮2〇 效果。接# “on 封針1〇13,否則會影響縫合 ^接者,包皮20將會被分割成第_部份與第二部分402。此 手術實行所需時間^ 完成。的财效的減低了 的現象。 手術期間減少了組織腫脹、浮腫與出血 施例之實施方式於此詳細說明。然而讀者應注意 t == 1精神崎範_,仍可以多種變化的方式實施。 示之用,< 2路之細即轉意圖關本發明之制,而係供例 ’以使付舰記憶者可㈣此崎施本發明。 圖式簡單說明】4CHIU/05001TW -11- 1290826 (please refer to the description of Figure 2a), at this time, the foreskin 2〇 is covered with the cutting member ^ (please also touch (4) « to achieve the purpose of setting the needle. See Figure 4: Repeating the cut with a ===, the outer skin of the skin, so that the disease is 4: the number; the hand lies 43 401 words φi 亍 w 之 硕 硕 gla gla (glans penis) in the mouth. Ming> endure, this When the nail seal 1031 is combined; ~%% of the skin is connected to the inner layer, and will not be peeled off with the main [outer skin scissors 45 峨 生 之 7 Figure 4d 'utilize the excess part of the operation. At this time should be careful not to Cut off the effect of peeling off the foreskin 2. Connect # "on seal 1〇13, otherwise it will affect the stitching, the foreskin 20 will be divided into the first part and the second part 402. Time ^ completed. The phenomenon of reduced financial efficiency. The implementation of the tissue swelling, edema and hemorrhage during surgery is described in detail. However, the reader should note that t == 1 mentality _, can still be varied The way of implementation. For the purpose of use, < 2 roads are transferred to the system of the invention, and the case is 'to make This memory may Kawasaki administered iv present invention. Brief Description of the drawings]
4CHIU/05001TW 12 1290826 圖1a為本發明針封裳置實施例之透視圖; 圖1b為本發明針封《置另-實施例之透視圖; 圖 2a、2b、2c 土 …、不忍圖,說明本發明圖1a實施例之操作 圖3a為本發明針封裝置實施例之透視圖; 圖3b為本發明針封裝置另一實施例之透視圖;以及 圖a 4b 4c與4d為示意圖,說明本發明之釘封裝置之 法。 【主要元件符號說明】 11第一裝置 13第二裝置 1〇〇釘封裝置 手持針封構件 103切斷構件/支承構件 105連接裝置 1011擊槌 1013釘封針 1015方塊 1017彈簧 1019 軸 1031平台 1033刀具 1035槓桿裝置 1037第一端 1038桿件 1039第二端 20包皮 21第一部份 23第二部分 300釘封裝置 400陰莖 401龜頭 402第二部分4CHIU/05001TW 12 1290826 FIG. 1a is a perspective view of an embodiment of a needle seal skirt according to the present invention; FIG. 1b is a perspective view of a needle seal according to the present invention; FIG. 2a, 2b, 2c soil, unbearable diagram, description Figure 3a is a perspective view of an embodiment of the needle sealing device of the present invention; Figure 3b is a perspective view of another embodiment of the needle sealing device of the present invention; and Figures 4b, 4c and 4d are schematic views illustrating The method of the invention of the sealing device. [Main component symbol description] 11 first device 13 second device 1 〇〇 nail sealing device hand-held needle sealing member 103 cutting member / support member 105 connecting device 1011 smashing 1013 nail sealing needle 1015 square 1017 spring 1019 shaft 1031 platform 1033 Tool 1035 lever device 1037 first end 1038 rod 1039 second end 20 sheath 21 first portion 23 second portion 300 sealing device 400 penis 401 glans 402 second part
4CHIU/05001TW 13- 1290826 41切口 43手術鉗 45剪刀4CHIU/05001TW 13- 1290826 41 incision 43 surgical forceps 45 scissors
4CHIU/05001TW -14-4CHIU/05001TW -14-
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TW94110995A TWI290826B (en) | 2005-04-07 | 2005-04-07 | Circumcision apparatus |
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TW94110995A TWI290826B (en) | 2005-04-07 | 2005-04-07 | Circumcision apparatus |
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TW200635558A TW200635558A (en) | 2006-10-16 |
TWI290826B true TWI290826B (en) | 2007-12-11 |
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TWI595856B (en) * | 2009-04-28 | 2017-08-21 | Jianzhong Shang | Circumcision stapler |
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