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
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
  • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
  • A61B17/115—Staplers for performing anastomosis in a single operation
  • A61B17/1155—Circular staplers comprising a plurality of staples

Definitions

• the present invention relates to a surgical medical device, and more particularly to a circumcision device for removing a foreskin of a male penis. Background technique
• Excessive foreskin or phimosis is one of the root causes of male urinary tract infections and sexually transmitted diseases. Excessive pericarp or phimosis can cause urinary tract infections leading to chronic prostatitis, which can cause back pain, impotence and premature ejaculation. Therefore, clearing the long foreskin is one of the best measures to prevent these diseases.
• the present invention provides a circumcision device, which is configured to prevent the ridges from being pressed against the foreskin on the surface by operating the driving device, thereby achieving the purpose of removing excessively long foreskin. , reducing the possibility of infection in the genitals and reducing the suffering of male patients.
• a circumcision device comprising: a barrel, a first end of the barrel configured to be inserted between a glans and a foreskin of a subject; a ring member configured to fit over an outer surface of the barrel; and a drive device configured to drive the ring Pieces.
• one of the barrel and the ring member includes a blocking surface
• the other of the barrel and the ring member includes a blocking ridge
• the driving device drives the ring member at the The outer surface of the barrel slides such that the blocking surface is adjacent to the blocking ridge and clamps the foreskin between the two.
• an elastic pad is provided on the blocking surface.
• the driving device includes two link mechanisms disposed oppositely on opposite sides of the barrel, each of the link mechanisms including: a first link, the first link a first end hinged to the second end of the barrel; and a second link, the first end of the second link being hinged to the second end of the first link, the second link The second end is hinged to the ring.
• the blocking surface is brought close to the blocking ridge by driving the first end of the second link and the second end of the first link adjacent to an outer surface of the barrel.
• an outer diameter of the cylindrical body gradually increases from a second end to a first end of the cylindrical body, and the blocking surface is formed on an outer surface adjacent to the first end of the cylindrical body Upper, the blocking ridge is at least one annular protrusion disposed on an inner surface of the ring member, the protrusion having a substantially "V" shape in cross section.
• the blocking ridge is one or two of the protrusions.
• the blocking ridge is made of a soft material.
• the plane in which the first end of the cylinder is located and the plane in which the tip end portion of the protrusion of the "V" shape are located are perpendicular to the axis of the cylinder.
• an angle between a plane in which the tip end portion of the protrusion of the "V" shape is located and an axis of the cylinder is an acute angle.
• the plane in which the first end of the cylinder is located is parallel to the plane in which the tip end portion of the protrusion of the "V" shape is located.
• a plurality of gas permeable portions are provided on a wall of the cylindrical body other than the blocking surface.
• the gas permeable portion is a plurality of through holes, and the through hole has a cross section having at least one of a triangular shape, a quadrangular shape, a circular shape, and an elliptical shape.
• the gas permeable portion is extended in the axial direction of the cylindrical body An elongated hole.
• the retaining means holds the first link and the second link by a snap connection structure.
• the holding device includes: one of a socket and a pin formed on one of the first link and the second link; and a hole formed in the barrel The other of the jack and latch on the outer surface.
• the plug has a plurality of projections projecting radially, and the projections are disposed on at least one circumference.
• the holding device includes: one of a protrusion portion and a plug portion formed on one of the first link and the second link; and is formed in the barrel The other of the protrusion and the insertion portion on the outer surface of the body.
• the driving device includes: a drive ring having at least one inwardly projecting pawl on the inner surface of the drive ring; a plurality of ratchets, the spine Forming a tooth in a spiral arrangement on an outer surface of the barrel adjacent the second end, each ratchet engaging a pawl to unidirectionally rotate the drive ring on an outer surface of the barrel And moving from the first end to the second end of the barrel during the rotation; and an elastic member fitted between the drive ring and the ring member to bias the elastic member by rotating the drive ring
• the blocking surface on the ring is adjacent to the blocking ridge on the barrel.
• the drive ring is provided with an unlocking hole formed in the vicinity of the pawl, and the pawl can be removed from the drive ring by operating the unlocking hole, thereby releasing the spine Engagement between the teeth and the pawl.
• a radially extending flange is formed at a first end of the barrel, and the blocking ridge is formed by extending at least one side of the flange toward the second end.
• An annular projection having a substantially "V" shape in cross section, the blocking surface being formed on a first side of the ring facing the blocking ridge.
• the barrel includes: a first barrel portion adjacent to the first end of the barrel; and a second barrel portion adjacent the second end of the barrel, and the first barrel
• the body is formed integrally.
• the outer diameter of the second cylindrical portion is constant, and the outer diameter of the first cylindrical portion is from the second a first end of the barrel portion to the barrel gradually increasing, the blocking surface being formed on an outer surface of the first barrel portion adjacent to the first end of the barrel, the blocking ridge A cross section of the protrusion having a substantially "V" shape for at least one annular projection provided on an inner surface of the ring member.
• the protrusion is made of a soft material.
• the barrel includes: a first barrel portion adjacent to the first end of the barrel; and a second barrel portion adjacent the second end of the barrel, and the first barrel
• the body is formed integrally.
• the outer diameter of the second cylindrical portion is constant, and the outer diameter of the first cylindrical portion gradually increases from the second cylindrical portion to the first end of the cylindrical body, and the blocking surface is formed.
• the ring member includes: a support ring in contact with the elastic member; a blocking ring, an inner surface of the blocking ring protruding inwardly to form an annular flange, the end of the flange forming the blocking ridge; At least one connecting bracket is coupled between the support ring and the blocking ring.
• the barrel comprises: a first barrel portion adjacent to the first end of the barrel; and a second barrel portion adjacent the second end of the barrel, and the A cylindrical body is integrally formed.
• the outer diameter of the second cylindrical portion is constant, and the outer diameter of the first cylindrical portion gradually increases from the second cylindrical portion to the first end of the cylindrical body, and the blocking surface is formed.
• the ring member On the outer surface of the first barrel portion adjacent the first end of the barrel, the ring member has a circular or rectangular cross section, and the portion of the ring member facing the blocking surface The blocking ridge is provided.
• the ring member is provided with a drug injection hole.
• the operation of the driving device prevents the ridge from being pressed against the foreskin on the blocking surface for a certain period of time, thereby achieving the purpose of clearing the excessive foreskin, and there is no surgery during the operation.
• the use of traditional cutting methods to remove the excessive foreskin reduces the possibility of infection in the genitals and reduces the suffering of male patients.
• Figure 1 is a plan view showing a circumcision cutter according to a first embodiment of the present invention
• Figure 2 is a plan view of the circumcision shown in Figure 1;
• Figure 3 is a cross-sectional view of the circumcision cutter shown in Figure 1;
• Figure 4 is a cross-sectional view showing the first fitting manner of the barrel and the ring member of the circumcision shown in Figure 1;
• Figure 5 is a plan view showing the operation of the circumcision cutter shown in Figure 1;
• Figure 6 is a cross-sectional view of the circumcision shown in Figure 5;
• Figure 7 is a cross-sectional view of a circumcision in accordance with a second embodiment of the present invention
• Figure 8 is a plan view of a circumcision in accordance with a third embodiment of the present invention
• Figure 9 is a fourth aspect of the present invention
• FIG. 10 is a plan view of a circumcision in accordance with a fifth embodiment of the present invention
• FIG. 11 is a cylindrical body and a ring member of the circumcision cutter shown in FIG. a cross-sectional view of the second fit;
• Figure 12 is a plan view showing a circumcision in accordance with a sixth embodiment of the present invention
• Figure 13 is a plan view showing the operation of the circumcision shown in Figure 12;
• Figure 14 is a plan view of the circumcision device shown in Figure 13;
• Figure 15 is a cross-sectional view showing the first fitting manner of the barrel and the ring member of the circumcision shown in Figure 12;
• Figure 16 is a cross-sectional view showing the manner in which the cylinder and the ring member shown in Fig. 15 are in operation;
• Figure 17 is a cross-sectional view showing the second fitting manner of the barrel and the ring member of the circumcision shown in Figure 12;
• Figure 18 is a plan view showing a circumcision device according to a seventh embodiment of the present invention
• Figure 19 is a side view of the circumcision device shown in Figure 18;
• Figure 20 is a cross-sectional view of the circumcision device shown in Figure 18 taken along the line A-A;
• Figure 21 is an enlarged schematic view of a portion B of Figure 20;
• Figure 22 is another enlarged schematic view of the portion B of Figure 20;
• Figure 23 is a cross-sectional view showing the first fitting manner of the barrel and the ring member of the circumcision shown in Figure 18;
• Figure 24 is a plan view showing the operation of the circumcision cutter shown in Figure 18;
• Figure 25 is a cross-sectional view showing the manner in which the barrel and the ring of the circumcision shown in Fig. 24 work together;
• Figure 26 is a cross-sectional view showing the second fitting manner of the barrel and the ring member of the circumcision shown in Figure 18;
• Figure 27 is a cross-sectional view showing the manner in which the cylinder and the ring member are in operation when they are in operation;
• Figure 28 is a plan view showing the circumcision in accordance with the eighth embodiment of the present invention; a bottom view of the loop cutter;
• Figure 30 is a cross-sectional view showing the first fitting manner of the barrel and the ring member of the circumcision shown in Figure 28;
• Figure 31 is a cross-sectional view showing the circumcision shown in Figure 30 in operation
• Figure 32 is a cross-sectional view showing the second fitting manner of the barrel and the ring member of the circumcision shown in Figure 28;
• Figure 33 is a cross-sectional view showing the circumcision shown in Figure 32 in operation
• Figure 34 is a plan view showing a circumcision device according to a ninth embodiment of the present invention
• Figure 35 is a plan view of the circumcision device shown in Figure 34;
• Figure 36 is a cross-sectional view showing the first fitting manner of the barrel and the ring member of the circumcision shown in Figure 34;
• Figure 37 is an enlarged schematic view of a portion C of Figure 36;
• Figure 38 is a cross-sectional view showing the circumcision shown in Figure 36 in operation
• Figure 39 is a cross-sectional view showing the second fitting manner of the barrel and the ring member of the circumcision shown in Figure 34;
• Figure 40 is an enlarged schematic view showing a portion D in Figure 39;
• Figure 41 is a cross-sectional view showing the circumcision shown in Figure 38 in operation
• Figure 42 is a plan view showing a circumcision cutter according to a tenth embodiment of the present invention
• Figure 43 is a cross-sectional view of the circumcision cutter shown in Figure 42;
• Figure 44 is an enlarged schematic view of a portion E in Figure 39;
• Figure 45 is a plan view showing the circumcision shown in Figure 42 in operation
• Figure 46 is a cross-sectional view showing the circumcision shown in Figure 42 in operation
• Figure 47 is a cross-sectional view of a circumcision cutter according to an eleventh embodiment of the present invention
• Figure 48 is a cross-sectional view of the circumcision cutter of Figure 47 in operation
• Figure 49 is a plan view showing a circumcision cutter according to a twelfth embodiment of the present invention.
• Figure 50 is a cross-sectional view of the circumcision cutter shown in Figure 49;
• Figure 51 is a plan view showing a circumcision device according to a thirteenth embodiment of the present invention
• Figure 52 is a bottom view of the circumcision device shown in Figure 51
• Figure 53 is a cross-sectional view of the circumcision device shown in Figure 51;
• Figure 54 is a plan view showing a circumcision device according to a fourteenth embodiment of the present invention.
• Figure 55 is a cross-sectional view of the circumcision device shown in Figure 54;
• Figure 56 is a cross-sectional view of a circumcision in accordance with a fifteenth embodiment of the present invention. detailed description
• FIGS 1-6 illustrate a circumcision cutter 100 in accordance with a first embodiment of the present invention.
• the circumcision device 100 of the present invention is for removing an excessively long foreskin or phimosis of a male patient, comprising: a barrel 11 having a first end configured to be inserted into a glans of a subject (male patient) Between the wrapper and the wrapper; the ring member 12, configured to fit over the outer surface of the barrel 11; and the drive means 13 configured to drive the ring member 12.
• the barrel 11 includes a blocking surface 111
• the ring member 12 includes a blocking ridge 121
• the driving device 13 drives the ring member 12 to slide on the outer surface of the barrel 11 such that the blocking surface 111 is adjacent to the blocking ridge 121 and is clamped Close to the foreskin between the two.
• the outer diameter of the cylinder 11 gradually increases from the second end (the right end in FIGS. 1 and 2) to the first end (the left end in FIGS. 1 and 2).
• the blocking surface 111 is formed on the outer surface near the first end of the barrel 11.
• the blocking ridge 121 is an annular projection integrally formed from the inner surface of the ring member 12.
• the projection has a substantially "V" shape in cross section, but the end of the projection is not particularly sharp, so that it does not collapse. Broken foreskin.
• the blocking ridge 121 of the ring member 12 will gradually approach the outer surface of the barrel 11, thereby gradually clamping. A sheath coated on the outer surface of the first end of the barrel 11.
• the blocking ridge 121 is a protrusion made of a soft material such as a rubber material, for example, by adhesively disposed on the inner surface of the ring member 12.
• the blocking surface is provided with an elastic pad 14 made of, for example, a rubber material, so that the foreskin can be slowly clamped to alleviate the pain of a male patient.
• the driving device 13 includes two link mechanisms disposed oppositely on the outer sides of the barrel 11, each of the link mechanisms including: a first link 132, first The first end of the link 132 is hinged to the second end of the barrel 11 by a hinge member such as a pin; and the second link 131, the first end of the second link 131 utilizing a hinge member 133 such as a pin Hinged to the second end of the first link 132, the second end of the second link 131 is hinged to the ring member 12 by, for example, manually driving the first end of the second link 131 and the second end of the first link 132 Adjacent to the outer surface of the barrel 11, the blocking ridge 121 of the ring member 12 is brought closer to the blocking surface on the barrel 11.
• the plane in which the first end of the barrel 11 is located and the plane in which the tip end portion of a "V"-shaped projection is located are perpendicular to the barrel 11 Axis. That is, when the cylinder 11 is placed upright, the plane in which the first end of the cylinder 11 is located is a horizontal plane.
• a plurality of gas permeable portions are provided on the wall of the barrel 11 other than the blocking surface 111, so that the patient inserted in the barrel 11 can be kept in the process of removing the excessively long foreskin.
• the glans are in a ventilated environment.
• the gas permeable portion 112 is a plurality of through holes each having a cross section having at least one of a triangular shape, a quadrangular shape, a circular shape, and an elliptical shape.
• the circumcision 100 of the first embodiment further includes retaining means for holding the first link 132 and the second link 131 adjacent to the outer surface of the barrel 11.
• the holding device holds the first link 132 and the second link 131 through the snap connection structure. More specifically, referring to Fig. 3, the holding device includes: a socket 134 formed on the first link 132; and a latch 113 formed on the outer surface of the barrel 11.
• the latch 113 has a plurality of projections 1131 projecting radially, and the projections 1131 are distributed over the two circumferences.
• the plug 113 When the first link 132 and the second link 131 are close to the outer surface of the cylinder 11, the plug 113 will be inserted into the insertion hole 134, and two projections 1131 on the circumference can be used to achieve two according to the degree to which the cover is clamped. Level lock.
• Figure 7 is a cross-sectional view of a circumcision cutter 200 in accordance with a second embodiment of the present invention.
• the circumcision 200 of the second embodiment is different from the circumcision 100 of the first embodiment in that the latch 223 in the holding device of the circumcision cutter 200 has projections on one circumference, respectively. 2231, and the jack 234 is disposed on the first link 232.
• the circumcision 200 of the second embodiment can only achieve a one-stage locking of the holding device. Understandably, through the three in the bolt The protrusions are provided on one or more circumferences to achieve three or more levels of locking of the holding device.
• Figure 8 is a plan view of a circumcision cutter 300 in accordance with a third embodiment of the present invention.
• the circumcision 300 of the third embodiment is different from the circumcision 100 of the first embodiment in that the holding means of the circumcision cutter 300 includes: a projection formed on the second link 331 And a plug portion 313 formed on an outer surface of the cylindrical body 31.
• Two opposite arm portions 3131 are provided at the end of the insertion portion 313. When the first link 132 and the second link 131 are close to the outer surface of the cylindrical body 31, the arm portion 3131 holds the projection 334, thereby locking the insertion portion 313 and the protruding portion 334 together.
• Figure 9 is a plan view of a circumcision 400 in accordance with a fourth embodiment of the present invention.
• the circumcision 400 of the fourth embodiment is different from the circumcision 100 of the first embodiment in that the retaining means of the circumcision cutter 400 includes a spherical groove formed on the second link 431. 434; and a plug portion 413 formed on an outer surface of the cylinder 41.
• a spherical projection 4131 is provided at the end of the insertion portion 413. When the first link 432 and the second link 431 are close to the outer surface of the cylinder 41, the spherical projection 4131 is snap-locked in the spherical groove 434.
• FIG 10 is a plan view of a circumcision device 500 in accordance with a fifth embodiment of the present invention.
• the circumcision 500 of the fifth embodiment is different from the circumcision 100 of the first embodiment in that the holding means of the circumcision cutter 500 includes: a spherical protrusion formed on the first link 532 534; and an insertion portion 513 formed to protrude from the outer surface of the cylindrical body 51, and a spherical groove is formed in the insertion portion 513.
• the spherical projection 534 is locked in the spherical groove in a snap-fit manner.
• a cutter such as a scissors can be used to cut the latch of the holding device, thereby releasing the first link and the second link.
• at least one of the insertion portion and the projection of the holding means may be cut by a tool such as scissors to release the first link and the second link.
• the retaining means is broken by this cutting operation, so that the circumcision of the present invention can only be used once.
• Figure 11 is a cross-sectional view showing a second fitting manner of the cylindrical body and the ring member of the circumcision cutters of the first to fifth embodiments, wherein the blocking ridge portion 121 is integrally formed from the inner surface of the ring member 12. Two annular protrusions.
• FIGS. 12-16 are schematic plan views of a circumcision device 600 in accordance with a sixth embodiment of the present invention.
• Figure. The difference between the circumcision 600 of the sixth embodiment and the circumcision 300 of the third embodiment is that in the circumcision 600, a "V" shaped projection 121 located on a circumference
• the angle between the plane in which the tip end portion is located and the axis of the barrel 61 is an acute angle, and the plane where the first end of the barrel 61 (the left end in Fig. 12) is located and the tip end portion of a "V" shaped protrusion 121 are located.
• the planes are parallel.
• the ring member 62 is obliquely disposed on the cylindrical body 61, and when the cylindrical body 61 is placed upright, the plane in which the first end of the cylindrical body 61 is located is an inclined plane.
• the barrel 61 having an inclined section is more in line with the shape of the male genital coronal groove, so that it is safer to use and has a better surgical effect.
• Figure 17 is a cross-sectional view showing a second fitting manner of the cylindrical body 61 and the ring member 62 of the circumcision cutter 600 shown in Fig. 12, wherein the blocking ridge portion 621 is two rings integrally formed from the inner surface of the ring member 62.
• the protrusions, and each of the annular protrusions has a substantially "V" shape in cross section.
• the blocking ridge 621 is a protrusion made of a soft material such as a rubber material, for example, by adhesively disposed on the inner surface of the ring member 62. It is to be understood that any of the holding devices described in the first to fifth embodiments can be applied to the circumcision device 600 of the sixth embodiment.
• the circumcision 700 includes: a barrel 71 having a first end configured to be inserted between a glans and a foreskin of a subject (male patient); a ring member 72, configured to be set in the barrel And an actuating device 73 configured to drive the ring member 72.
• a radially extending flange 714 is formed at a first end of the barrel 71, and an annular projection is formed from a side of the flange 714 toward the second end of the barrel 71.
• the cross section is generally "V" shaped to form a blocking ridge 7141.
• the blocking ridge 7141 is a protrusion made of a soft material such as a rubber material disposed on the flange 714, for example, by bonding.
• a blocking surface is formed on the first side of the ring member 72 facing the blocking ridge 714.
• the drive unit 73 drives the ring member 72 to slide over the outer surface of the barrel 71 such that the blocking surface on the ring member 72 is adjacent to the blocking ridge 7141 and clamps the wrap between the two.
• the blocking surface is provided with an elastic pad 74 made of, for example, a rubber material to alleviate the pain of a male patient.
• the driving device 73 includes: the driving ring 732 is provided on the inner surface of the driving ring 71 with at least one inwardly projecting pawl 7321 (see FIG. 22); Teeth 712, the ratchet teeth 712 are formed in a spiral arrangement on the barrel 71 On the outer surface of the second end, each ratchet 712 cooperates with the pawl 7321 to unidirectionally rotate the drive ring 72 on the outer surface of the cylinder 71, and from the first end of the cylinder 71 to the first during rotation Two end movements; and an elastic member 731 such as a spring, fitted between the drive ring 732 and the ring member 72 to bias the blocking surface of the ring member 72 toward the barrel by rotating the drive ring 732 Blocking the ridge 7141 on the 71 and clamping the foreskin between the two.
• an elastic member 731 such as a spring
• the second end side of the flange 714 forms a blocking surface toward the second end side of the barrel 71 and forms a blocking ridge on the first side of the ring member 72 facing the blocking surface.
• the drive ring 732 is provided with an unlocking hole 7322 formed in the vicinity of the pawl 7321, and the pawl 7321 can be driven from the drive ring by operating the unlocking hole 7322.
• the 732 is removed to release the engagement between the ratchet 712 and the pawl 7321.
• a continuous or discontinuous unlocking hole 7322 is formed in the vicinity of the periphery of the driving collar 732 forming the pawl 7321, but the portion that still forms the pawl 7321 is still connected to the driving ring 732 and ensures that the pawl 7321 can block the driving ring.
• the 732 automatically turns.
• a tool such as a screwdriver can be inserted into the unlocking hole 7322 and a small force is applied to remove the portion forming the pawl 7321 from the drive ring 732, so that the circumcision 700 can be used only once.
• a long groove is formed in the vicinity of the periphery of the forming pawl 7321 of the drive ring 732, thereby reducing the thickness of the connecting portion of the pawl 7321 and the driving ring 732, and forming an unlocking hole 7322 in the long groove.
• 26 and 27 are cross-sectional views of a second fit of the barrel 71 and the ring member 82 of the circumcision 700, wherein the blocking ridge 7141 is two protrusions extending from the flange 714 toward the second end of the barrel. .
• the plane in which the first end of the cylinder 71 is located and the plane in which the blocking surface of the ring member 72 are located are perpendicular to the axis of the cylinder 71.
• a plurality of gas permeable portions 711 are provided on the wall of the cylinder 71.
• a dispensing hole 7142 is provided in the flange 714, and the injection hole 7142 communicates with the blocking ridge 7141 to deliver the desired drug to the clamped sheath.
• the cylinder 71 has a constant outer diameter and inner diameter.
• the circumcision cutter 800 is obtained by improvement on the basis of the seventh embodiment, and has a drive ring 832, an elastic member 831, a ratchet tooth 813 disposed on the cylinder 81, and a drive ring 82.
• a drive 83 of a pawl (not shown).
• the tube The plane in which the first end of the body 81 is located and the plane in which the blocking surface of the ring member 82 are located are parallel to each other and at an acute angle to the axis of the cylinder 81.
• the barrel 81 having an inclined section is more in line with the shape of the male genital glans, so that it is convenient to use and has a good surgical effect.
• the second side of the ring member 82 opposite to the first side as the blocking surface is provided with a balance portion 821 extending toward the second end of the cylindrical body 81, the balance portion 821 and the elastic member
• the surface of the 831 contact is perpendicular to the axis of the barrel 81.
• the balance portion 821 may be formed to extend from the ring member 82 and have a right-angled triangle shape or a right-angled trapezoid shape in a plan view. Since the balance portion 821 has a portion that abuts against the surface of the cylindrical body 81, the ring member 82 can be held in a constant inclined posture.
• 32 and 33 are cross-sectional views of a second fit of the barrel and ring of the circumcision cutter 800, wherein the blocking ridge 8141 is two protrusions extending from the flange 814 toward the second end of the barrel.
• FIGs 34-38 illustrate a circumcision 900 in accordance with a ninth embodiment of the present invention.
• the circumcision 900 comprises: a barrel 91, the first end of the barrel 91 being configured to be inserted between the glans and the foreskin of the subject (male patient); the ring member 92, configured to be set in the barrel And an actuating device 93 configured to drive the ring member 92.
• the cylinder 92 includes: a first cylindrical portion 911 adjacent to a first end (left end in Fig. 36) of the cylindrical body 91; and a second cylindrical portion 912 adjacent to a second end of the cylindrical body 91, second The cylindrical portion 912 is formed integrally with the first cylindrical portion 911.
• the outer diameter of the second cylindrical portion 912 is constant, and the outer diameter of the first cylindrical portion 911 gradually increases from the second cylindrical portion 912 to the first end of the cylindrical body 91, adjacent to the first cylindrical portion 911.
• a blocking surface is formed on the outer surface of the first end of the body 91, and an elastic pad 94 made of, for example, a rubber material is provided on the blocking surface.
• the blocking ridge 921 is an annular projection integrally formed from the inner surface of the ring member 92, and the projection has a substantially "V" shape in cross section.
• a dispensing hole 922 is provided in the ring member 92.
• the blocking ridge 921 is a protrusion made of a soft material such as a rubber material, for example, by adhesively disposed on the inner surface of the ring member 92.
• the circumcision 900 of the ninth embodiment includes the drive ring 932, the elastic member 931, the ratchet teeth 913 provided on the cylindrical body 91, and the setting
• the driving device 93 of the pawl (not shown) on the drive ring 92 can be the same as the driving device of the circumcision cutter 800 of the eighth embodiment, and a detailed description thereof will be omitted herein.
• the elastic member 931 is biased to the ring member 92 by rotating the drive ring 932 due to the first cylindrical portion 911
• the outer diameter gradually increases from the second cylindrical portion 912 to the first end of the cylindrical body 91, such that during the movement of the annular member 92, it will gradually approach the blocking surface on the first cylindrical portion 911 of the cylindrical body 91, thereby As shown in Fig. 38, the sheath between the blocking ridge 921 of the clamping ring member 92 and the resilient pad 94 on the blocking surface is clamped.
• 39-41 are cross-sectional views of a second fit of the barrel 91 and the ring member 92 of the circumcision 900, wherein the blocking ridge 921 is two protrusions extending inwardly from the ring member 92.
• the plane in which the first end of the cylindrical body 91 is located and the plane in which the blocking surface of the ring member 92 are located are parallel to each other and the angle between the axis of the cylindrical body 91 is an acute angle.
• the ring member 92 is provided with a balance portion 921 which extends toward the second end of the cylindrical body 91, and the surface of the balance portion 921 which is in contact with the elastic member 931 is perpendicular to the axis of the cylindrical body 91.
• the balance portion 921 may be formed to extend from the ring member 92 and have a right-angled triangle or a right-angled trapezoidal shape in a plan view. Since the balance portion 921 has a portion that abuts against the surface of the cylindrical body 91, the ring member 92 can be maintained at a constant inclined posture.
• the plane in which the first end of the barrel 92 lies and the plane in which the tip end of a "V" shaped projection 921 lies is perpendicular to the axis of the barrel 92.
• the circumcision device 1000 is obtained by improvement on the basis of the ninth embodiment, and has a driving ring 1032, an elastic member 1031, a ratchet tooth 1013 disposed on the cylinder 101, and a driving ring 1032.
• a drive 103 for a pawl (not shown).
• the cylinder 101 includes: a first cylindrical portion 1011 adjacent to the first end of the cylinder 101; and a second cylindrical portion 1012 adjacent to the second end of the cylindrical body 101, the second cylindrical portion 1012 is formed integrally with the first cylindrical body portion 1011.
• the outer diameter of the second cylindrical portion 1012 is constant, and the outer diameter of the first cylindrical portion 1011 gradually increases from the second cylindrical portion 1012 to the first end of the cylindrical body 101, adjacent to the first cylindrical portion 1011.
• a blocking surface is formed on the outer surface of the first end of the body 101, and an elastic pad 104 is disposed on the blocking surface.
• the ring member 102 includes: a support ring 1021 in contact with the elastic member 1031; a blocking ring 1022, as shown in Fig. 44, an inner surface of the blocking ring 1022 projects inwardly to form an annular flange, and the end of the flange is formed The blocking ridge; and at least one connecting frame 1023 connected between the support ring 1021 and the blocking ring 1022.
• the elastic member 1031 is biased to the support ring 1021 by rotating the drive ring 1032, and the support ring 1021 pushes the blocking ring 1022 toward the first end of the barrel 101 through the connecting frame 1023.
• the outer diameter of the first cylindrical body portion 1011 gradually increases from the second cylindrical body portion 1012 to the first end of the cylindrical body 101, the first cylindrical body gradually approaches the cylindrical body 101 during the movement of the blocking ring 1022.
• the blocking surface on portion 911 thereby, as shown in Figures 45 and 46, clamps the sheath between the blocking ridge of the blocking ring 1022 and the resilient pad 104 on the blocking surface, thereby achieving an overly long covering. Clear.
• the plane in which the first end of the cylinder 101 is located and the plane in which the blocking ring 1023 is located are perpendicular to the axis of the cylinder 101.
• a plurality of venting portions 1012 are provided on the wall of the barrel 101 other than the blocking surface so that the patient inserted in the barrel 101 can be retained during the removal of the oversized sheath.
• the glans are in a ventilated environment.
• the gas permeable portion 1012 is a plurality of through holes each having a cross section having at least one of a triangular shape, a quadrangular shape, a circular shape, and an elliptical shape.
• Figures 47-48 illustrate a circumcision 1100 in accordance with a first embodiment of the present invention.
• the circumcision 1100 is obtained by improvement on the basis of the tenth embodiment, and the difference between the circumcision 1100 of the first embodiment and the circumcision 1000 of the tenth embodiment is obtained.
• the angle between the plane in which the blocking ring 1123 is located on one circumference and the axis of the cylinder 1101 is an acute angle, and the first end of the cylinder 1101 (in FIGS. 47 and 48) The plane at the right end) is parallel to the plane in which the blocking ring 1023 is located. That is, the blocking ring
• the cylindrical body 1101 having an inclined section is more in conformity with the shape of the male genital glans, so that it is convenient to use and has a good surgical effect.
• FIG. 50 illustrates a circumcision cutter 1200 in accordance with a twelfth embodiment of the present invention.
• the circumcision 1200 is obtained by improvement on the basis of the tenth embodiment, and the difference between the circumcision 1200 of the twelfth embodiment and the circumcision 1000 of the tenth embodiment
• a plurality of gas permeable portions 1213 are provided on the wall of the first cylindrical portion 1211 of the cylindrical body 121 excluding the blocking surface.
• the gas permeable portion 1213 is disposed between the blocking surface and the second cylindrical portion 1212, and each of the gas permeable portions 1213 is an elongated hole such that the plurality of gas permeable portions 1213 are at the first cylindrical portion 1211.
• the grid structure is formed on the surface.
• Figures 51-53 illustrate a circumcision 1300 in accordance with a thirteenth embodiment of the present invention.
• the circumcision 1300 is obtained by improvement on the basis of the first embodiment, and the difference between the circumcision 1300 of the twelfth embodiment and the circumcision 1100 of the tenth embodiment
• a plurality of gas permeable portions 1313 are provided on the wall of the first cylindrical portion 1311 of the cylindrical body 131 excluding the blocking surface.
• the gas permeable portion 1313 is disposed between the blocking surface and the second cylindrical portion 1312, and each of the gas permeable portions 1313 is an elongated hole such that the plurality of gas permeable portions 1313 are at the first cylindrical portion 1311.
• the grid structure is formed on the surface.
• Figures 54-55 illustrate a circumcision 1400 in accordance with a fourteenth embodiment of the present invention.
• the circumcision 1400 is obtained by improvement on the basis of the tenth embodiment, and has a driving ring 1432, an elastic member 1431, a ratchet 1413 disposed on the cylinder 141, and a driving ring 1432.
• a drive device 143 of a pawl (not shown).
• the barrel 141 includes: a first barrel portion 1411 adjacent the first end of the barrel 141; and a second barrel portion 1412 adjacent the second end of the barrel 141, the second barrel portion 1412 is formed integrally with the first tubular body portion 1411.
• the outer diameter of the second cylindrical portion 1412 is constant, and the outer diameter of the first cylindrical portion 1411 gradually increases from the second cylindrical portion 1412 to the first end of the cylindrical body 141, adjacent to the first cylindrical portion 1411.
• a blocking surface is formed on the outer surface of the first end of the body 141, and an elastic pad 144 is disposed on the blocking surface.
• the ring member 142 has a circular or rectangular cross section, and a portion of the ring member 142 facing the blocking surface is provided with a blocking ridge.
• the plane in which the first end of the barrel 141 is located and the plane in which the ring member 142 is located are perpendicular to the axis of the barrel 141.
• Figure 56 is a cross-sectional view of a circumcision 1500 in accordance with a fifteenth embodiment of the present invention.
• the circumcision 1500 is obtained by improvement on the basis of the fifteenth embodiment, the plane in which the first end of the cylinder 151 is located and the plane in which the ring member 152 is located are parallel to each other and to the axis of the cylinder 151. The angle between them is an acute angle.
• the driving device includes the guide rotating device in which the ratchet and the pawl are engaged, but the present invention is not limited thereto.
• the driving device includes: a drive ring threaded onto the outer surface of the barrel near the second end of the barrel; and an elastic member that fits over the drive ring and Between the rings, the spring biases the blocking ridges by rotating the drive ring The blocking surface.
• the drive ring is threadedly engaged with the barrel to rotate the drive ring in the opposite directions.

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• Health & Medical Sciences (AREA)
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• 2012
  • 2012-01-20 CN CN201710360715.1A patent/CN107343811B/zh active Active
  • 2012-01-20 CN CN201210019081.0A patent/CN103211641B/zh not_active Expired - Fee Related
• 2013
  • 2013-01-21 WO PCT/CN2013/070768 patent/WO2013107412A1/zh active Application Filing
  • 2013-01-21 AP AP2014007860A patent/AP2014007860A0/xx unknown

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