WO2013071692A1 - 一次性包皮环切吻合器 - Google Patents

一次性包皮环切吻合器 Download PDF

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Publication number
WO2013071692A1
WO2013071692A1 PCT/CN2012/001439 CN2012001439W WO2013071692A1 WO 2013071692 A1 WO2013071692 A1 WO 2013071692A1 CN 2012001439 W CN2012001439 W CN 2012001439W WO 2013071692 A1 WO2013071692 A1 WO 2013071692A1
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WO
WIPO (PCT)
Prior art keywords
elastic gasket
knife edge
disposable circumcision
circumcision stapler
stapler according
Prior art date
Application number
PCT/CN2012/001439
Other languages
English (en)
French (fr)
Inventor
商建忠
商晶晶
Original Assignee
Shang Jianzhong
Shang Jingjing
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Shang Jianzhong, Shang Jingjing filed Critical Shang Jianzhong
Publication of WO2013071692A1 publication Critical patent/WO2013071692A1/zh

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Classifications

    • 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

Definitions

  • the present invention relates to a surgical tool for circumcision surgery, and more particularly to a disposable circumcision anastomat. Background technique
  • the role of circumcision in adults in reducing HIV transmission has been widely recognized.
  • the one-time circumcision anastomat designed by Mr. Shang Jianzhong has greatly improved the safety and standardization of circumcision.
  • the disposable circumcision anastomat designed by Mr. Shang Jianzhong uses the inner ring and the outer ring to fit the inner ring on the penis. After the outer skin is overturned, the outer ring and the inner ring are used to tighten the foreskin and block. The blood circulates, then cut off the excess foreskin. The disposable ring-cut stapler is then worn for a certain number of days until the wound heals.
  • the existing disposable circumcision stapler has an inner ring 2 and an outer ring 1, and the outer ring has a knife edge 3.
  • the knife edge is generally made of a plastic material, and the foreskin is tightened by the pressing action between the knife edge and the inner ring. Block blood circulation. With this outer ring structure, the knife edge is in direct contact with the patient's foreskin skin. In practice, some patients may feel uncomfortable or painful. Therefore, the existing disposable circumcision stapler has room for improvement. Summary of the invention
  • the technical problem solved by the present invention is to provide a disposable circumcision anastomat which can further improve the patient's feeling and reduce discomfort and pain.
  • a disposable circumcision anastomat comprising an inner ring and an outer ring with a knife edge, and further comprising an elastic washer, the elastic washer being disposed adjacent to the knife edge.
  • the knife edge is provided with a projection or a hole
  • the elastic washer is provided with a hole or a projection matching the projection or the hole in the knife edge, and the projection and the hole are used to connect the elastic washer and the knife edge.
  • the knife edge and the elastic gasket are bonded to each other by glue.
  • the elastic gasket has a U-shaped or V-shaped cross section or a trapezoidal or circular groove.
  • the elastomeric gasket cross section has a top end and an open end, the top inner surface and/or the outer surface being provided with bumps.
  • the elastomeric gasket has a top end and an open end, the top end being connected to a flat structure.
  • One end or both ends of the inline shape are provided with a bent portion opposite to the mouth end.
  • the elastic gasket is provided with a bump on the inner and/or outer surface.
  • the inner surface and/or the outer surface of the elastic gasket is provided with a pattern which is protruded or recessed.
  • the elastic gasket is made of silicone or rubber.
  • the beneficial effects of the present invention are: During use, the inner ring is now placed on the glans, and then the foreskin can be everted, and then the elastic ring is placed at the position where the outer ring is prepared, and then the outer ring is placed, so that the outer ring
  • the knife edge is not in direct contact with the patient's skin.
  • the knife edge is in contact with the elastic gasket, and the elastic gasket is in contact with the skin to improve the patient's feeling and reduce discomfort and pain.
  • FIG. 1 is a perspective view showing the structure of a conventional disposable circumcision stapler.
  • FIG. 2 is a top plan view of a prior art disposable circumcision anastomat structure.
  • FIG. 3 is a schematic perspective view of a conventional disposable circumcision anastomat outer ring snoring.
  • Figure 4 is a schematic view showing the structure of the outer ring and the elastic gasket of the present invention.
  • Figure 5 is a schematic view showing the structure of the elastic gasket of the present invention.
  • 6-23 are schematic enlarged cross-sectional views of a resilient gasket according to various embodiments of the present invention. detailed description
  • the present invention is a disposable circumcision stapler comprising an inner ring (not shown) and an outer ring 1 having a knife edge 3, which further comprises an elastic washer 4, the elasticity
  • the washer 4 is disposed adjacent to the knife edge 3.
  • the inner ring is now placed over the glans, and then the foreskin can be turned over, then the elastic washer 4 is placed on the outer ring, and then the outer ring is placed so that the outer ring is not directly attached to the patient's skin.
  • the knife edge 3 is in contact with the elastic gasket 4, and the elastic gasket 4 is in contact with the skin, thereby improving the patient's feeling and reducing discomfort and pain.
  • the knife edge 3 may be provided with a protrusion or a hole
  • the elastic washer 4 is provided with a hole or a protrusion matching the protrusion or the hole in the knife edge 3, by which the elastic washer and the knife edge are connected, so that Elastomeric washers and knife edges provide better retention.
  • the knife edge 3 and the elastic gasket 4 may be bonded to each other by glue.
  • FIG. 6 and FIG. 7 it is a schematic cross-sectional structure of the elastic gasket, and the elastic gasket cross section may be U-shaped or V-shaped.
  • the elastic gasket has a top end 5 and an open end 6, as shown in Figs. 8 and 9, the inner surface of the top end 5
  • the ⁇ butyl is provided with a bump 7 which can be arranged on the inner surface of the elastic gasket.
  • the number of the set and the distance of the interval can be selected according to requirements, and the bump can be used to press the skin to improve the microcirculation. , is conducive to the rapid dissipation of edema.
  • the bumps may also be disposed on the outer surface of the elastic gasket, or may be provided with bumps inside and outside. Generally, the inner surface contacts the knife edge and the outer surface contacts the skin, which can also be used in reverse.
  • the inner surface and/or the outer surface of the elastic gasket may also be provided with a pattern, which may be a protrusion or a recess, a convex groove or a concave groove structure, or a spring washer that is in contact with the skin.
  • the raised or depressed portion makes the elastic gasket not completely in close contact with the skin, which can also improve the microcirculation, facilitate the rapid dissipation of edema, and prevent adhesion.
  • the elastic gasket of the present invention can be selected from silica gel or rubber, or the like, and its thickness can be made up to about lmm, which can play its intended role without affecting the extrusion effect of the knife edge on the foreskin.
  • the elastic gasket profile can be the most common one-word type (cumular rectangle) or the bracket type as shown in Fig. 23 (different from the U-shape, the bending is smaller).
  • the elastomeric gasket profile can be trapezoidal.
  • the elastic gasket profile may be circularly provided with a recess 7.
  • the elastic gasket profile may be a V-shaped top connection in a one-line configuration.
  • the elastic gasket cross section may be a U-shaped top end connecting in-line structure. Of course, it may also be a trapezoidal or circular structure with a groove at the top end connected to the inline structure.
  • one end or both ends of the inline shape are provided with a bent portion 8 opposite to the end of the opening 6, and the bent portion can block the slit of the overly long foreskin stump to avoid contact.
  • the bent portion 8 can also be disposed in the same direction as the open end. It can also be set at the same time, that is, the same direction as the open end, or the opposite direction to the open end.
  • the structure of the elastic washer can be used for a single knife edge, and can also be applied to a double knife edge or a multiple knife edge, and the structure can also be changed slightly.
  • the open end can be set to a W-like structure, which can be changed in various ways. I will not repeat them here.

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

Abstract

一种一次性包皮环切吻合器，包含内环、带有刀口（3）的外环（1）和弹性垫圈（4），该弹性垫圈（4）与刀口（3）相邻设置。该弹性垫圈（4）剖面为U型或V型，弹性垫圈（4）的剖面具有顶端（5）和开口端（6），该顶端（5）内表面和/或外表面设有凸点（7）。在使用过程中，先将内环套在龟头上，然后外翻包皮，在准备上外环（1）的位置套上弹性垫圈（4），最后套上外环（1），使得外环（1）的刀口（3）不与患者的皮肤直接接触，刀口（3）与弹性垫圈（4）接触，弹性垫圈（4）再与皮肤接触，由此改善患者的感受，降低不适感和疼痛感。

Description

一次性包皮环切吻合器
技术领域
本发明涉及一种用于包皮环切手术的手术用具， 特别是一种一次性包皮环切 吻合器。 背景技术
成年人包皮环切手术在降低 HIV传播的作用己经被广泛认可，商建忠先生设计 的一次性包皮环切吻合器， 大大提高了包皮环切手术的安全性和规范性。 商建忠 先生设计的一次性包皮环切吻合器， 采用内环和外环配合的方式， 可以先在阴茎 上套设内环， 外翻包皮后， 利用外环与内环加紧包皮， 阻断血液循环， 然后剪掉 多余包皮。 之后佩戴该一次性环切吻合器一定天数， 直到伤口愈合。
现有的一次性包皮环切吻合器， 其具有内环 2及外环 1， 外环具有刀口 3， 该刀 口一般采用的是塑料材质， 利用刀口和内环之间的挤压作用加紧包皮， 阻断血液 循环。 采用这种外环结构， 刀口与患者的包皮皮肤直接接触， 实践中， 有部分患 者会有不适感或疼痛感。 因此现有的一次性包皮环切吻合器还有改善的空间。 发明内容
本发明所解决的技术问题在于提供一种更加改善患者感受， 降低不适感和疼 痛感的一次性包皮环切吻合器。
本发明采用的技术方案为： 一次性包皮环切吻合器， 其包含内环及带有刀口 的外环， 还包含有弹性垫圈， 该弹性垫圈与刀口相邻设置。
该刀口设有凸起或孔洞， 该弹性垫圈设有与刀口上的凸起或孔洞相匹配的孔 洞或凸起， 利用该凸起和孔洞将弹性垫圈和刀口相连接。
该刀口与弹性垫圈之间通过胶水相互粘接。
该弹性垫圈剖面为 U型或 V型或梯形或圆形设有凹槽。
该弹性垫圈剖面具有顶端和开口端， 该顶端内表面和 /或外表面设有凸点。 该弹性垫圈剖面具有顶端和开口端， 该顶端连接一字型结构。
该一字型一端或两端设置有与幵口端相反方向的弯折部。 该弹性垫圈内表而和 /或外表面设有凸点。
该弹性垫圈内表面和 /或外表面设有花纹， 该花纹突出或凹陷设置。
该弹性垫圈为硅胶或橡胶。
本发明的有益效果是： 在使用过程中， 现将内环套在龟头上， 然后可以外翻 包皮， 然后在准备上外环的位置， 套上弹性垫圈， 之后再上外环， 使得外环刀口 不与患者皮肤直接接触， 刀口与弹性垫圈接触， 弹性垫圈再与皮肤接触， 以此改 善患者感受， 降低不适感和疼痛感。 附图说明
图 1为现有的一种一次性包皮环切吻合器结构立体示意图。
图 2为现有的一种一次性包皮环切吻合器结构俯视示意图。
图 3为现有的一种一次性包皮环切吻合器外环打幵立体示意图。
图 4为本发明的外环和弹性垫圈结构示意图。
图 5为本发明的弹性垫圈结构示意图。
图 6-23为本发明各种实施例的弹性垫圈剖面放大结构示意图。 具体实施方式
如图 4及 5所示， 本发明， 一次性包皮环切吻合器， 其包含内环 （图中未标出） 及带有刀口 3的外环 1， 其还包含有弹性垫圈 4， 该弹性垫圈 4与刀口 3相邻设置。 在 使用过程中， 现将内环套在龟头上， 然后可以外翻包皮， 然后在准备上外环的位 置， 套上弹性垫圈 4， 之后再上外环， 使得外环刀口不与患者皮肤直接接触， 刀口 3与弹性垫圈 4接触， 弹性垫圈 4再与皮肤接触， 以此改善患者感受， 降低不适感和 疼痛感。
该刀口 3可以设有凸起或孔洞， 该弹性垫圈 4设有与刀口 3上的凸起或孔洞相匹 配的孔洞或凸起， 利用该凸起和孔洞将弹性垫圈和刀口相连接， 以使得弹性垫圈 和刀口具有更佳的固定效果。 另外， 该刀口 3与弹性垫圈 4之间也可以通过胶水相 互粘接。
如图 6及图 7所示， 为弹性垫圈的剖面结构示意图， 该弹性垫圈剖面可以为 U型 或 V型。 该弹性垫圈剖面具有顶端 5和开口端 6， 如图 8及图 9所示， 该顶端 5内表面 π丁以设有凸点 7， 该凸点可以是在弹性垫圈内表面一周设置， 设置的个数和间隔的 距离可以按照需求选择， 利用该凸点可以对皮肤起到按压作用， 改善微循环， 有 利于水肿快速消散。 当然， 该凸点也可以设置在弹性垫圈的外表面， 或者内外均 设置凸点。 一般的， 内表面接触刀口， 外表面接触皮肤， 也可以反过来使用。
另外， 该弹性垫圈内表面和 /或外表面也可以设有花纹， 该花纹可以是以突出 或凹陷设置， 暨凸起槽或凹陷槽结构， 也可以是其使得弹性垫圈与皮肤接触的同 时， 凸起或凹陷部位使得该弹性垫圈与皮肤并非完全紧密接触， 同样可以改善微 循环， 有利于水肿快速消散， 还可以防止粘连。
本案的该弹性垫圈可以选用为硅胶或橡胶， 或其它类似物质， 其厚度可以做 到 lmm左右， 既能起到其应有的作用， 又不会影响刀口对包皮的挤压作用。
如图 10所示， 该弹性垫圈剖面可以是最普通的一字型 （暨矩形） 或如图 23的 括号型 （区别于 U型， 弯折较小）。 如图 11所示， 该弹性垫圈剖面可以是梯形。 如 图 12所示， 该弹性垫圈剖面可以是圆形设有凹槽 7。 如图 13所示， 该弹性垫圈剖面 可以是 V型顶端连接一字型结构。 如图 14所示， 该弹性垫圈剖面可以是 U型顶端连 接一字型结构。 当然， 其也可以是梯形或圆形设有凹槽的结构顶端连接一字型结 构。
如图 15-21所示， 该一字型一端或两端设置有与开口 6端相反方向的弯折部 8， 利用该弯折部可以挡住过长包皮残端的切口， 以避免碰触。
如图 22所示， 该弯折部 8也可以设置与开口端相同方向。 也可以同时设置， 即 设置与开口端相同方向， 也可以设置与开口端相反方向。
另外， 该弹性垫圈的结构可以使用于单刀口， 也可以适用与双刀口或多刀口， 其结构也可以做些许改变， 例如开口端可以设置成 W型类似的结构， 其可以做多 种变化， 在此不再赘述。

Claims

权利要求书
1、 一次性包皮环切吻合器， 其包含内环及带有刀口的外环， 其特征在于， 还 包含有弹性垫圈， 该弹性垫圈与刀口相邻设置。
2、 如权利要求 1所述的一次性包皮环切吻合器， 其特征在于， 该刀口设有凸 起或孔洞， 该弹性垫圈设有与刀口上的凸起或孔洞相匹配的孔洞或凸起， 利用该 凸起和孔洞将弹性垫圈和刀口相连接。
3、 如权利要求 1所述的一次性包皮环切吻合器， 其特征在于， 该刀口与弹性 垫圈之间通过胶水相互粘接。
4、 如权利要求 1所述的一次性包皮环切吻合器， 其特征在于， 该弹性垫圈剖 面为 U型或 V型或梯形或圆形设有凹槽。
5、 如权利要求 4所述的一次性包皮环切吻合器， 其特征在于， 该弹性垫圈剖 面具有顶端和开口端， 该顶端内表面和 /或外表面设有凸点。
6、 如权利要求 4所述的一次性包皮环切吻合器， 其特征在于， 该弹性垫圈剖 面具有顶端和开口端， 该顶端连接一字型结构。
7、 如权利要求 6所述的一次性包皮环切吻合器， 其特征在于， 该一字型一端 或两端设置有与开口端相反方向的弯折部。
8、 如权利要求 6或 7所述的一次性包皮环切吻合器， 其特征在于， 该一字型一 端或两端设置有与开口端相同方向的弯折部
9、 如权利要求 1所述的一次性包皮环切吻合器， 其特征在于， 该弹性垫圈内 表面和 /或外表面设有凸点。
10、 如权利要求 1所述的一次性包皮环切吻合器， 其特征在于， 该弹性垫圈内 表面和 /或外表面设有花纹， 该花纹突出或凹陷设置。
11、 如权利要求 1所述的一次性包皮环切吻合器， 其特征在于， 该弹性垫圈剖 面为一字型或单括号型。
12、 如权利要求 1-11任一所述的一次性包皮环切吻合器， 其特征在于， 该弹性 垫圈为硅胶或橡胶。
PCT/CN2012/001439 2011-11-14 2012-10-26 一次性包皮环切吻合器 WO2013071692A1 (zh)

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CN102488544A (zh) * 2011-11-14 2012-06-13 商建忠 一次性包皮环切吻合器
CN102743211B (zh) * 2012-05-28 2015-08-19 商建忠 一次性包皮环切吻合器
CN102940520A (zh) * 2012-11-21 2013-02-27 郑巧晶 改良型包皮环切吻合器
CN103767770A (zh) * 2014-01-11 2014-05-07 商建忠 一次性包皮环切吻合器
CN108143467A (zh) * 2016-12-05 2018-06-12 上海圣博艾医疗科技有限公司 包皮环切吻合器

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CN101983615A (zh) * 2010-12-08 2011-03-09 商建忠 一次性包皮环切吻合器及套设环形弹性圈的辅助装置
CN102068297A (zh) * 2010-12-23 2011-05-25 商建忠 一次性包皮环切吻合器
CN102488544A (zh) * 2011-11-14 2012-06-13 商建忠 一次性包皮环切吻合器
CN202537613U (zh) * 2011-11-14 2012-11-21 商建忠 一次性包皮环切吻合器

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