WO2017101665A1 - Magnetic anastomosis ring - Google Patents

Magnetic anastomosis ring Download PDF

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Publication number
WO2017101665A1
WO2017101665A1 PCT/CN2016/107413 CN2016107413W WO2017101665A1 WO 2017101665 A1 WO2017101665 A1 WO 2017101665A1 CN 2016107413 W CN2016107413 W CN 2016107413W WO 2017101665 A1 WO2017101665 A1 WO 2017101665A1
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Prior art keywords
ring
magnetic
retaining ring
flap
shaped shell
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PCT/CN2016/107413
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French (fr)
Chinese (zh)
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史源
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史源
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/326Circumcision apparatus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00477Coupling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00876Material properties magnetic

Definitions

  • the invention relates to a medical device, in particular to a magnetic anastomosis ring.
  • Patent 201010200289.3 is mainly for the development of gastrointestinal stapler, which is suitable for end-to-end anastomosis of the intestines and blood vessels.
  • Patent 201210000963 can improve the magnetic ring and facilitate the removal of the magnetic ring through the deformation of the magnetic ring.
  • the patents 201510382495.1 and 201510382496.8 respectively use the technology of the outer casing and the micro-nail to prevent the two magnetic rings from being detached, which can be applied to the forging press cutting, but the processing difficulty is relatively large, and the solution still needs to be optimized and improved.
  • Surgery such as foreskin or hemorrhoids can be done by magnetic pressure magnetic anastomosis, which will greatly simplify the operation of the operation, reduce the patient's pain and save the patient's recovery time.
  • foreskin press or hemorrhoidectomy the fundamental way to reduce the difficulty of surgery and improve the operational comfort is to develop a practical and practical anastomotic device. Improve the patient's surgical efficacy and increase the operability of the doctor, guarantee the package The skin compression anastomosis was successfully performed.
  • the present invention provides a magnetic anastomotic ring, comprising: an upper magnetic ring, a lower magnetic ring, an upper retaining ring and a lower retaining ring, wherein an end face of the lower magnetic ring can be coupled with the upper magnetic ring The end faces of the rings are attracted together; the upper and lower retaining rings can be combined to form an annular space in which the lower magnetic ring and the upper magnetic ring can be accommodated.
  • the upper baffle has a first baffle
  • the lower baffle has a second baffle
  • the inner wall of the first baffle is provided with a thread
  • the outer wall of the second baffle is provided with a thread
  • the upper baffle has a first baffle
  • the lower baffle has a second baffle
  • the edge of the second baffle is provided with a buckle and a discontinuity groove
  • the first baffle is provided with the The buckle corresponds to the engaged annular groove, and the annular space is inside the first flap and the second flap.
  • the upper baffle has a first baffle
  • the lower baffle has a second baffle
  • the rim of the first baffle has a radial flange
  • the second baffle has a radial convex The flanges can be snapped together, the annular space being outside the first flap and the second flap.
  • the second flap is provided with a crack in the axial direction.
  • the magnetic anastomotic ring further includes: a first U-shaped shell and a second U-shaped shell, wherein the first U-shaped shell and the second U-shaped shell are placed in the lower retaining ring, the first U-shaped The shell and the second U-shaped shell buckle are combined into a first cavity, the lower magnetic ring can be placed in the first cavity; and the third U-shaped shell and the fourth U-shaped shell, wherein the third U-shaped shell and the fourth The U-shaped shell is placed in the upper retaining ring, and the third U-shaped shell and the fourth U-shaped shell buckle are combined into a second cavity, and the upper magnetic ring can be placed in the second cavity.
  • the magnetic anastomotic ring further includes: a vent hole disposed on a sidewall of the upper retaining ring.
  • the magnetic anastomotic ring further includes: an observation window for observing the relative positions of the upper retaining ring and the lower retaining ring, the viewing window being disposed on the side wall of the upper retaining ring.
  • outer ring or the lower ring has a mark on the outer circumference.
  • the magnetic anastomotic ring further includes: an auxiliary hole for assisting in tightening or loosening the combined upper and lower retaining rings.
  • auxiliary hole is disposed on a bottom surface of the lower retaining ring or a side wall of the upper retaining ring.
  • the magnetic anastomosis ring further includes: an annular groove for accommodating excess tissue, the annular groove being located in a sidewall of the lower retaining ring.
  • the magnetic anastomosis ring further includes: a flushing hole disposed on a bottom surface of the lower retaining ring and communicating with the annular groove.
  • the lower magnetic ring is placed in the lower retaining ring and the two are integrally formed, or the upper magnetic ring is placed in the upper retaining ring and the two are integrally formed.
  • the upper magnetic ring and the lower magnetic ring have an elliptical shape or a pear shape.
  • the surface on which the upper magnetic ring and the lower magnetic ring are attracted is a tapered arc surface, and the surface of the surface on which the upper magnetic ring and the lower magnetic ring are attracted has a knurled or interrupted groove.
  • the edges of the upper retaining ring and the lower retaining ring can cut the tissue structure.
  • FIG. 1 is a schematic exploded view of an embodiment of a magnetic anastomosis ring of the present invention
  • Figure 2 is a perspective view of the assembled magnetic anvil ring of Figure 1;
  • FIG. 3 is a schematic view showing an application manner of the upper magnetic ring and the lower magnetic ring in FIG. 1;
  • FIG. 4 is a schematic view showing an application manner of the magnetic anastomosis ring shown in FIG. 1;
  • Figure 5 is a cross-sectional view showing another embodiment of the magnetic anastomosis ring of the present invention.
  • Figure 8 is a perspective view of still another embodiment of the magnetic anastomosis ring of the present invention.
  • Figure 9 is a cross-sectional view showing still another embodiment of the magnetic anastomosis ring of the present invention.
  • Figure 10 is a perspective view of still another embodiment of the magnetic anastomosis ring of the present invention.
  • Figure 11 is a perspective view of still another embodiment of the magnetic anastomosis ring of the present invention.
  • Figure 12 is a cross-sectional view of the magnetic anastomotic ring shown in Figure 11;
  • Figure 13 is a schematic exploded view of still another embodiment of the magnetic anastomosis ring of the present invention.
  • the magnetic anastomotic ring of the present invention includes an upper magnetic ring 2, a lower magnetic ring 3, an upper retaining ring 1 and a lower retaining ring 4.
  • the upper magnetic ring 2 and the lower magnetic ring 3 are made of a magnetic material such as neodymium iron boron or the like and satisfy the medical environment.
  • the two end faces of the upper magnetic ring 2 and the lower magnetic ring 3 can be attracted together.
  • the two adsorbable end faces of the upper magnetic ring 2 and the lower magnetic ring 3 are subjected to sanding or knurling, etc., as shown in FIG. 1, the upper end surface of the lower magnetic ring 3 is frosted. Or knurling or the like to form a tissue press surface 5.
  • the surface of the upper magnetic ring 2 and the lower magnetic ring 3 are tapered, and the surface has knurling and discontinuous grooves for increasing friction.
  • the lower magnetic ring 3 When in use, as shown in FIG. 2, the lower magnetic ring 3 is first placed on the outer side of the penis, and the foreskin valgus covers the outer circumference of the lower magnetic ring 3, and the amount of the coating depends on the operation needs. Then, the upper magnetic ring 2 is placed over the penis, and the lower end surface of the upper magnetic ring 2 and the upper end surface of the lower magnetic ring 3 are attracted together, thereby sandwiching the foreskin between the two magnetic rings. The circumcision can then be used to remove the redundant foreskin outside the magnetic annulus. After a few days, when the resection surface heals, the magnetic ring automatically falls off.
  • the upper magnetic ring 2 and the lower magnetic ring 3 can be magnetically attracted together, this method has disadvantages: the magnetic force of the magnetic ring cannot be precisely adjusted, the magnetic force is too large to be prematurely detached, the magnetic force is too small to be easily disengaged, and the magnetic field is postoperatively The ring 2 and the lower magnetic ring 3 may slip off, but at this time the wound has not healed, and the falling magnetic ring causes discomfort to the patient. And the wound is exposed and easy to infect.
  • the invention proposes to add an upper baffle 1 and a lower baffle 4, the upper baffle 1 having a first flap 6, the first baffle 6 being the vertical portion of the upper baffle 1 (in the direction of Figure 1 Standard), the lower retaining ring 4 has a second flap 7, which is the vertical portion of the lower retaining ring 4 (standard in the direction of Figure 1).
  • the lower retaining ring 4 receives the lower magnetic ring 3, and more specifically, the lower magnetic ring 3 is placed inside the second flap 7 of the lower retaining ring 4.
  • the lower magnetic ring 3 and the upper magnetic ring 2 can be installed in the annular space formed by the lower retaining ring 4 and the upper retaining ring 1 to prevent the lower magnetic ring 3 and the upper magnetic ring 2 from being disengaged.
  • the upper retaining ring 1 and the lower retaining ring 4 are tightly coupled, and may be combined with the outer wall of the second baffle 7 of the lower baffle 4 and the inner wall of the first baffle 6 of the upper baffle 1 with the upper retaining ring 1
  • the first flap 6 is threadedly coupled to the outer edge of the second flap 7 of the lower retaining ring 4.
  • Figure 2 shows a perspective view of the assembled magnetic anastomotic ring.
  • the lower retaining ring 4 and the lower retaining ring 3 first pass through the penis, and then the foreskin to be excised is everted, and the upper retaining ring 2 is placed in the foreskin and adsorbed with the lower retaining ring 3 together.
  • the foreskin to be removed is clamped in the end faces of the lower retaining ring 3 and the upper retaining ring 2, and after the redundant foreskin is removed, the upper retaining ring 1 is inserted into the penis and tightly coupled with the lower retaining ring 4. In this way, the foreskin wound is covered by the upper retaining ring 1 and the lower retaining ring 4, and is not exposed to prevent wound infection.
  • the upper retaining ring 1 and the lower retaining ring 4 may be made of a material such as plastic or metal, and the entire anastomotic ring can be fastened to the penis by screwing the upper retaining ring 1 to prevent falling off.
  • a certain non-magnetic pressing force can be provided at the beginning of the tissue pressing.
  • the tissue pressing is necrotic, the thickness of the tissue is reduced, the magnetic pressing force is increased, and the non-magnetic The pressing force is reduced or disappeared, so that the pressing force of the matching magnetic ring is substantially unchanged throughout the pressing process, which is beneficial to the healing of the tissue.
  • the edges of the first flap 6 of the upper retaining ring 1 and the second flap 7 of the lower retaining ring 4 may be sharp, and may be cut when the upper retaining ring 1 is combined with the lower retaining ring 4 organization. Therefore, in use, as shown in FIG. 4, the lower retaining ring 4 and the lower retaining ring 3 first pass through the penis, and then the foreskin to be resected is everted, and the upper retaining ring 2 is placed in the foreskin and adsorbed to the lower retaining ring 3 together. The wrapper is sleeved into the upper retaining ring 1. During the process of combining the upper retaining ring 1 and the lower retaining ring 4, the upper retaining ring 1 realizes cutting of the redundant wrapping or other tissue, so that no manual cutting is required. Simplified operation.
  • the upper magnetic ring 2 and the lower magnetic ring 3 are hollow.
  • the shape of the upper magnetic ring 2 and the lower magnetic ring 3 is non-circular, for example, a pear shape, an elliptical shape, or the like.
  • the lower magnetic ring 3 and the lower retaining ring 4 may be integrated.
  • the lower retaining ring 4 is a magnetic ring that can be fitted to the upper magnetic ring 2, thereby omitting the lower magnetic ring 3.
  • the magnetic anastomotic ring of the present invention further includes: a first U-shaped shell 31 and a second U-shaped shell 32.
  • the first U-shaped shell 31 and the second U-shaped shell 32 are placed in the lower retaining ring 4, and the first U-shaped shell 31 and the second U-shaped shell 32 are buckled into a cavity, and the lower magnetic ring 3 can be placed in the cavity .
  • the mating faces of the first U-shaped shell 31 and the second U-shaped shell 32 are sealed or welded by a material such as medical glue.
  • the tissue press surface 33 of the second U-shaped shell 32 has teeth or knurls to facilitate tight compression of the pressed tissue and prevent tissue slippage.
  • the tissue press surface 33 is also the upper end surface of the lower magnetic ring 3, and is also the matching surface of the lower magnetic ring 3 and the upper magnetic ring 2.
  • the magnetic anastomotic ring of the present invention further comprises: a third U-shaped shell 21 and a fourth U-shaped shell 22.
  • the third U-shaped shell 21 and the fourth U-shaped shell 22 are placed in the upper retaining ring 1, and the third U-shaped shell 21 and the fourth U-shaped shell 22 are buckled into a cavity, and the upper magnetic ring 2 can be placed in the cavity in.
  • the mating faces of the third U-shaped shell 21 and the fourth U-shaped shell 22 are sealed by a material such as medical glue or sealed by welding.
  • the tissue press faces 23 of the third U-shaped shell 21 and the fourth U-shaped shell 22 are provided with teeth or knurls, which facilitates tight compression of the pressed tissue and prevents the tissue from slipping off.
  • the tissue press surface 23 is also the lower end surface of the upper magnetic ring 2, and is also the matching surface of the lower magnetic ring 3 and the upper magnetic ring 2.
  • the magnetic anastomosis ring of the present invention further includes a vent hole 11, as shown in FIG. 6, the vent hole 11 is disposed in the first block of the upper baffle 1 On the sheet 6, the venting opening 11 facilitates healing of the healing of the pressed tissue.
  • the position of the venting opening 11 is preferably flush with or in the vicinity of the tissue press face 23.
  • the venting opening 11 may be provided in plurality along the circumferential side wall of the upper retaining ring 1, preferably uniformly along the circumferential side wall.
  • Fig. 5 shows a perspective view of the assembled magnetic anvil ring with a plurality of vent holes 11.
  • the magnetic anastomosis ring of the present invention further includes an observation window 12, as shown in FIG. 7, the observation window 12 is disposed on the side wall of the upper baffle 1 (ie, at the A flap 6) is preferably disposed at a lower portion of the upper retaining ring 1.
  • the outer circumference of the lower retaining ring 4 is from the threaded opening, Different colors or scales are marked along the outer circumference, so that it can be seen by screwing the position observation window 12 whether the threaded lower retaining ring 4 has been screwed into the appropriate position of the upper retaining ring 1.
  • the magnetic annulus of the present invention further includes an auxiliary hole 41 provided on the bottom surface of the lower retaining ring 4, preferably two or more.
  • the auxiliary hole 41 functions to facilitate the tightening or loosening of the tightened anastomosis ring by a third-party auxiliary installation tool.
  • a third-party auxiliary installation tool When the upper retaining ring 1 is screwed onto the lower retaining ring 4, in order to prevent the anastomotic ring from falling off, it is generally difficult to loosen it in the reverse direction, or it is difficult to apply force after tightening, so that the auxiliary hole 41 is provided.
  • the auxiliary hole 41 by means of a third-party auxiliary installation tool, it is possible to easily apply a force to tighten or loosen the anastomosis ring.
  • a flushing hole 45 communicating with the annular groove 42 is opened on the bottom surface of the threaded lower retaining ring 4, and when flushing is required, the flushing solution can be injected into the ring through the flushing hole 45. In the groove 42, the tissue is washed to prevent tissue inflammation.
  • Fig. 11 shows a perspective view of the embodiment
  • Fig. 12 shows a sectional view of Fig. 11.
  • This embodiment is similar to the first embodiment shown in FIG. 1 except that the upper baffle 1 and the lower baffle 4 are no longer threaded, and the second baffle 7 of the lower baffle 4 has a snap 43 on the rim.
  • a discontinuous groove 44 is formed in the circumferential direction of the second flap 7, and the first flap 6 of the upper retaining ring 1 is opened with an annular groove 13 corresponding to the buckle 43.
  • the lower retaining ring 4 is fastened to the upper retaining ring 1 by the snap 43 on the annular groove 13.
  • a flushing hole 45 communicating with the annular groove 42 is opened on the bottom surface of the lower retaining ring 4, and when flushing is required, the flushing solution can be flushed through the flushing hole 45. Injection into the annular groove 42 allows irrigation of the tissue to prevent tissue inflammation.
  • the upper magnetic ring 2 and the lower magnetic ring 3 are located inside the first flap 6 of the upper retaining ring 1 and the second flap 7 of the lower retaining ring 4.
  • the upper magnetic ring 2 and the lower magnetic ring 3 are still located in the annular space surrounded by the upper retaining ring 1 and the lower retaining ring 4, but unlike the foregoing embodiment, the upper magnetic ring 2 and the lower ring The magnetic ring 3 is sleeved outside the first flap 6 of the upper retaining ring 1 and the second flap 7 of the lower retaining ring 4.
  • the upper magnetic ring 2 and the lower magnetic ring 3 are sleeved on the outer side of the second flap 7 of the lower retaining ring 4 and the first flap 6 of the upper retaining ring 1.
  • the rim of the second flap 7 has a radially outwardly projecting flange, the rim of the first flap 6 having a radially inwardly projecting flange.
  • the radius of the circumference of the first flap 6 is slightly larger than that of the second flap 7.
  • the height of the first flap 6 and the height of the second flap 7 should match the height of the upper magnetic ring 2 and the lower magnetic ring 3, as shown in FIG. 14, wherein FIG. 14 further includes In the U-shaped case described in the second embodiment, the height of the first flap 6 and the height of the second flap 7 should match the heights of the upper magnetic ring 2, the U-shaped shell and the lower magnetic ring 3.
  • a crack is formed in the second baffle 7 in the axial direction, and a plurality of cracks can be uniformly disposed, and the crack is opened to make the baffle elastic, and the second baffle 7 and the first baffle are provided. 6 cards and time can be radially tightened to enhance the card and effect.
  • a projection may be provided on the outer wall of the first flap 6, correspondingly, a recess is provided on the inner wall of the second flap 7, the circumferential radius of the first flap 6 being slightly smaller than the second flap The radius of the circle of 7.
  • the seventh embodiment describes the case where the upper magnetic ring 2 and the lower magnetic ring 3 are located outside the second flap 7 and the first flap 6, in the present embodiment, the second flap 7 and the first flap 6
  • the structure and the card and the manner are equally applicable to the first to sixth embodiments.

Abstract

A magnetic anastomosis ring comprises an upper magnetic ring (2), a lower magnetic ring (3), an upper stop ring (1), and a lower stop ring (4). The end surface of the lower magnetic ring (3) can be adsorbed together with the end surface of the upper magnetic ring (2). The upper stop ring (1) and the lower stop ring (4) can be combined to define an annular space, and the lower magnetic ring (3) and the upper magnetic ring (2) can be accommodated in the annular space. The magnetic anastomosis ring can simplify operations in a surgery, can reduce pain of a patient, and can shorten the recovery time of the patient.

Description

一种磁性吻合环Magnetic anastomotic ring 技术领域Technical field
本发明涉及一种医疗器械,特别涉及一种磁性吻合环。The invention relates to a medical device, in particular to a magnetic anastomosis ring.
背景技术Background technique
磁环压榨吻合原理是利用高磁性材料制成的磁环之间的强吸引力,产生持续性、非穿透性、随间距减少而逐渐加强的机械压迫力。磁环包皮环切术,利用相同或相近形状的两磁环隔着包皮,沿阴茎轴向自动对合的特性进行精准对合,两磁环之间受压的包皮组织缺血坏死,同时磁环内侧包皮组织自动愈合。目前,磁性压榨技术主要应用于术后胆道狭窄治疗、冠脉搭桥、食道狭窄治疗、血管吻合、胃肠吻合等各种传统手术以及腔镜手术中。磁环吻合技术相对于传统的钛钉吻合器而言,其术中不出血,术后几天磁环脱落,伤口愈合处不遗留任何异物,同时伤口愈合更加理想,术后不易感染,从而成为肛肠、包皮以及胃肠等手术的理想选择。The principle of magnetic ring press-flange is to use the strong attraction between the magnetic rings made of high-magnetic materials to produce a continuous, non-penetrating, mechanically compressive force that gradually increases with decreasing pitch. Magnetic ring circumcision, using the same or similar shape of the two magnetic rings across the foreskin, the automatic matching of the characteristics of the penis in the axial direction, the compression of the foreskin between the two magnetic rings, and magnetic The inner foreskin tissue of the annulus is automatically healed. At present, magnetic pressing technology is mainly used in postoperative biliary stricture treatment, coronary artery bypass grafting, esophageal stricture treatment, vascular anastomosis, gastrointestinal anastomosis and other traditional surgery and laparoscopic surgery. Compared with the traditional titanium staple stapler, the magnetic ring anastomosis technique does not bleed during the operation. The magnetic ring falls off after a few days after surgery, and no foreign matter remains in the wound healing site. At the same time, the wound healing is more ideal, and it is not easy to be infected after surgery. Ideal for surgery such as anorectal, foreskin and gastrointestinal.
目前,国内外均对磁环吻合技术以及磁环吻合装置进行研究和开发设计。专利201010200289.3主要针对胃肠吻合器展开,该类吻合装置适合肠道、血管的端端吻合。专利201210000963通过改良磁环,通过磁环变形可以方便磁环排出体外。专利201510382495.1以及201510382496.8分别利用了外包壳以及微钉等技术防止压榨得两个磁环脱离,其能够很好地应用到包皮压榨切断,但是加工难度相对会大,方案仍然有待优化改进。At present, the research and development of magnetic ring anastomosis technology and magnetic ring anastomosis device are carried out at home and abroad. Patent 201010200289.3 is mainly for the development of gastrointestinal stapler, which is suitable for end-to-end anastomosis of the intestines and blood vessels. Patent 201210000963 can improve the magnetic ring and facilitate the removal of the magnetic ring through the deformation of the magnetic ring. The patents 201510382495.1 and 201510382496.8 respectively use the technology of the outer casing and the micro-nail to prevent the two magnetic rings from being detached, which can be applied to the forging press cutting, but the processing difficulty is relatively large, and the solution still needs to be optimized and improved.
通过磁环磁力压榨吻合完成包皮或者痔疮等手术,将会极大地简化手术的操作,降低患者痛苦,节省病人恢复时间。对传统的包皮压榨吻合或者痔疮切除手术而言,降低手术执行难度,提高可操作舒适性的根本方法就是开发一套好用实用的吻合器械。在提高病人的手术疗效和增加医生的可操作性,保证包 皮压榨吻合手术顺利实施。Surgery such as foreskin or hemorrhoids can be done by magnetic pressure magnetic anastomosis, which will greatly simplify the operation of the operation, reduce the patient's pain and save the patient's recovery time. For traditional foreskin press or hemorrhoidectomy, the fundamental way to reduce the difficulty of surgery and improve the operational comfort is to develop a practical and practical anastomotic device. Improve the patient's surgical efficacy and increase the operability of the doctor, guarantee the package The skin compression anastomosis was successfully performed.
发明内容Summary of the invention
针对现有技术中的问题,本发明提出一种磁性吻合环,包括:上磁环、下磁环、上挡环和下挡环,其中,所述下磁环的端面能够与所述上磁环的端面吸附在一起;所述上挡环和下挡环能够结合而围成环形空间,下磁环和上磁环能够容纳在所述环形空间内。In view of the problems in the prior art, the present invention provides a magnetic anastomotic ring, comprising: an upper magnetic ring, a lower magnetic ring, an upper retaining ring and a lower retaining ring, wherein an end face of the lower magnetic ring can be coupled with the upper magnetic ring The end faces of the rings are attracted together; the upper and lower retaining rings can be combined to form an annular space in which the lower magnetic ring and the upper magnetic ring can be accommodated.
进一步,所述上挡环具有第一挡片,所述下挡环具有第二挡片,第一挡片的内壁设有螺纹,第二挡片的外壁设有螺纹,两个螺纹能够螺旋结合,所述环形空间在第一挡片和第二挡片的内侧。Further, the upper baffle has a first baffle, the lower baffle has a second baffle, the inner wall of the first baffle is provided with a thread, and the outer wall of the second baffle is provided with a thread, and the two threads can be screwed together The annular space is inside the first flap and the second flap.
进一步,所述上挡环具有第一挡片,所述下挡环具有第二挡片,第二挡片的边沿上设置有卡扣和间断槽,所述第一挡片上设置有与所述卡扣对应卡合的环状槽,所述环形空间在第一挡片和第二挡片的内侧。Further, the upper baffle has a first baffle, the lower baffle has a second baffle, and the edge of the second baffle is provided with a buckle and a discontinuity groove, and the first baffle is provided with the The buckle corresponds to the engaged annular groove, and the annular space is inside the first flap and the second flap.
进一步,所述上挡环具有第一挡片,所述下挡环具有第二挡片,所述第一挡片的边沿具有径向的凸缘,所述第二挡片具有径向的凸缘,两个凸缘能够卡和在一起,所述环形空间在第一挡片和第二挡片的外侧。Further, the upper baffle has a first baffle, the lower baffle has a second baffle, the rim of the first baffle has a radial flange, and the second baffle has a radial convex The flanges can be snapped together, the annular space being outside the first flap and the second flap.
进一步,所述第二挡片上设置有沿轴向的裂隙。Further, the second flap is provided with a crack in the axial direction.
进一步,所述的磁性吻合环还包括:第一U型壳和第二U型壳,其中第一U型壳和第二U型壳放置在所述下挡环内,所述第一U型壳和第二U型壳扣合成一个第一腔体,下磁环能够放置在该第一腔体中;以及第三U型壳、第四U型壳,其中第三U型壳、第四U型壳放置在上挡环内,所述第三U型壳、第四U型壳扣合成一个第二腔体,上磁环能够放置在该第二腔体中。Further, the magnetic anastomotic ring further includes: a first U-shaped shell and a second U-shaped shell, wherein the first U-shaped shell and the second U-shaped shell are placed in the lower retaining ring, the first U-shaped The shell and the second U-shaped shell buckle are combined into a first cavity, the lower magnetic ring can be placed in the first cavity; and the third U-shaped shell and the fourth U-shaped shell, wherein the third U-shaped shell and the fourth The U-shaped shell is placed in the upper retaining ring, and the third U-shaped shell and the fourth U-shaped shell buckle are combined into a second cavity, and the upper magnetic ring can be placed in the second cavity.
进一步,所述的磁性吻合环还包括:通气孔,所述通气孔设置在上挡环的侧壁上。Further, the magnetic anastomotic ring further includes: a vent hole disposed on a sidewall of the upper retaining ring.
进一步,所述的磁性吻合环还包括:用于观察上挡环和下挡环的相对位置的观察窗,所述观察窗设置在上挡环的侧壁上。Further, the magnetic anastomotic ring further includes: an observation window for observing the relative positions of the upper retaining ring and the lower retaining ring, the viewing window being disposed on the side wall of the upper retaining ring.
进一步,所述上挡环或下挡环外周具有标记。Further, the outer ring or the lower ring has a mark on the outer circumference.
进一步,所述的磁性吻合环还包括:用于辅助旋紧或者松开结合的上挡环和下挡环的辅助孔。 Further, the magnetic anastomotic ring further includes: an auxiliary hole for assisting in tightening or loosening the combined upper and lower retaining rings.
进一步,所述辅助孔设置在下挡环的底面上或者上挡环的侧壁上。Further, the auxiliary hole is disposed on a bottom surface of the lower retaining ring or a side wall of the upper retaining ring.
进一步,所述的磁性吻合环还包括:用于容纳多余组织的环状槽,所述环状槽位于所述下挡环的侧壁内。Further, the magnetic anastomosis ring further includes: an annular groove for accommodating excess tissue, the annular groove being located in a sidewall of the lower retaining ring.
进一步,所述的磁性吻合环还包括:冲洗孔,所述冲洗孔设置在所述下挡环的底面上,并且与所述环状槽连通。Further, the magnetic anastomosis ring further includes: a flushing hole disposed on a bottom surface of the lower retaining ring and communicating with the annular groove.
进一步,所述下磁环放置在所述下挡环中且两者一体成型,或者所述上磁环放置在所述上挡环中且两者一体成型。Further, the lower magnetic ring is placed in the lower retaining ring and the two are integrally formed, or the upper magnetic ring is placed in the upper retaining ring and the two are integrally formed.
进一步,所述上磁环与下磁环的形状为椭圆形或梨形。Further, the upper magnetic ring and the lower magnetic ring have an elliptical shape or a pear shape.
进一步,所述上磁环与下磁环相吸合的面为锥形弧面,所述上磁环与下磁环相吸合的面的表面具有滚花或间断沟槽。Further, the surface on which the upper magnetic ring and the lower magnetic ring are attracted is a tapered arc surface, and the surface of the surface on which the upper magnetic ring and the lower magnetic ring are attracted has a knurled or interrupted groove.
进一步,所述上挡环和下挡环相结合时,所述上挡环和下挡环的边缘能够切断组织结构。Further, when the upper retaining ring and the lower retaining ring are combined, the edges of the upper retaining ring and the lower retaining ring can cut the tissue structure.
本发明的优点在于,简化了手术的操作,降低患者痛苦,节省病人恢复时间。The invention has the advantages that the operation of the surgery is simplified, the pain of the patient is reduced, and the recovery time of the patient is saved.
附图说明DRAWINGS
图1为本发明的磁性吻合环的一个实施例的爆炸示意图;1 is a schematic exploded view of an embodiment of a magnetic anastomosis ring of the present invention;
图2为图1所示的磁性吻合环的组装后的立体图;Figure 2 is a perspective view of the assembled magnetic anvil ring of Figure 1;
图3为图1中的上磁环和下磁环的应用方式示意图;3 is a schematic view showing an application manner of the upper magnetic ring and the lower magnetic ring in FIG. 1;
图4为图1所示的磁性吻合环的应用方式示意图;4 is a schematic view showing an application manner of the magnetic anastomosis ring shown in FIG. 1;
图5为本发明的磁性吻合环的另一个实施例的剖视图;Figure 5 is a cross-sectional view showing another embodiment of the magnetic anastomosis ring of the present invention;
图6为本发明的磁性吻合环的又一个实施例的剖视图;Figure 6 is a cross-sectional view showing still another embodiment of the magnetic anastomosis ring of the present invention;
图7为本发明的磁性吻合环的又一个实施例的立体图;Figure 7 is a perspective view of still another embodiment of the magnetic anastomosis ring of the present invention;
图8为本发明的磁性吻合环的又一个实施例的立体图;Figure 8 is a perspective view of still another embodiment of the magnetic anastomosis ring of the present invention;
图9为本发明的磁性吻合环的又一个实施例的剖视图;Figure 9 is a cross-sectional view showing still another embodiment of the magnetic anastomosis ring of the present invention;
图10为本发明的磁性吻合环的又一个实施例的立体图;Figure 10 is a perspective view of still another embodiment of the magnetic anastomosis ring of the present invention;
图11为本发明的磁性吻合环的又一个实施例的立体图;Figure 11 is a perspective view of still another embodiment of the magnetic anastomosis ring of the present invention;
图12为图11所示的磁性吻合环的剖视图;Figure 12 is a cross-sectional view of the magnetic anastomotic ring shown in Figure 11;
图13为本发明的磁性吻合环的又一个实施例的爆炸示意图; Figure 13 is a schematic exploded view of still another embodiment of the magnetic anastomosis ring of the present invention;
图14为图13所示的磁性吻合环的剖面图。Figure 14 is a cross-sectional view of the magnetic anastomotic ring shown in Figure 13.
附图标记Reference numeral
1-上挡环 2-上磁环 3-下磁环 4-下挡环 5-组织压榨面1-Upper retaining ring 2-Upper magnetic ring 3-lower magnetic ring 4-lower retaining ring 5-tissue press surface
6-第一挡片 7-第二挡片 11-透气孔 12-观察窗 13-环状槽6-first flap 7-second flap 11-venting hole 12-observation window 13-ring groove
21-第三U型壳 22-第四U型壳 23-组织压榨面21-third U-shaped shell 22-fourth U-shaped shell 23-tissue press surface
31-第一U型壳 32-第二U型壳 33-组织压榨面31-First U-shaped shell 32-Second U-shaped shell 33-tissue press surface
41-辅助孔 42-环状槽 43-卡扣 44-间断槽 45-冲洗孔41-auxiliary hole 42-annular groove 43-buckle 44-interrupted groove 45-flushing hole
具体实施方式detailed description
下面参照附图描述本发明的实施方式,其中相同的部件用相同的附图标记表示。Embodiments of the invention are described below with reference to the drawings, in which like parts are designated by the same reference numerals.
第一实施方式First embodiment
如图1所示,本发明的磁性吻合环包括上磁环2、下磁环3、上挡环1和下挡环4。As shown in FIG. 1, the magnetic anastomotic ring of the present invention includes an upper magnetic ring 2, a lower magnetic ring 3, an upper retaining ring 1 and a lower retaining ring 4.
上磁环2和下磁环3由磁性材料(如钕铁硼等)制成且满足医用环境。上磁环2和下磁环3的两个端面能够吸附在一起。优选地,为了增加吸附的摩擦力,上磁环2和下磁环3的两个可以吸附的端面经过磨砂或滚花等处理,如图1中所示,下磁环3的上端面经过磨砂或滚花等处理,形成组织压榨面5。更优选地,上磁环2与下磁环3的吸合的面为锥形弧面,表面具有增加摩擦力的滚花和间断沟槽。The upper magnetic ring 2 and the lower magnetic ring 3 are made of a magnetic material such as neodymium iron boron or the like and satisfy the medical environment. The two end faces of the upper magnetic ring 2 and the lower magnetic ring 3 can be attracted together. Preferably, in order to increase the frictional force of the adsorption, the two adsorbable end faces of the upper magnetic ring 2 and the lower magnetic ring 3 are subjected to sanding or knurling, etc., as shown in FIG. 1, the upper end surface of the lower magnetic ring 3 is frosted. Or knurling or the like to form a tissue press surface 5. More preferably, the surface of the upper magnetic ring 2 and the lower magnetic ring 3 are tapered, and the surface has knurling and discontinuous grooves for increasing friction.
使用时,如图2所示,下磁环3首先套在阴茎外侧,包皮外翻包覆住下磁环3的外周,包覆的多少依手术需要而定。然后,上磁环2套在阴茎上,上磁环2的下端面和下磁环3的上端面吸附在一起,从而将包皮夹在两个磁环中间。接下来可以用手术刀将磁环吻合面外的冗余包皮切除。几天后,当切除面愈合后,磁环自动脱落。虽然上磁环2和下磁环3可以靠磁力吸附在一起,但是这种方式有缺点:磁环磁力无法精确调节,磁力过大容易过早脱落,磁力过小容易脱开,术后上磁环2和下磁环3有可能滑脱,但此时创面还未愈合,下坠的磁环造成病人的不舒适。而且创面外露,容易感染。 When in use, as shown in FIG. 2, the lower magnetic ring 3 is first placed on the outer side of the penis, and the foreskin valgus covers the outer circumference of the lower magnetic ring 3, and the amount of the coating depends on the operation needs. Then, the upper magnetic ring 2 is placed over the penis, and the lower end surface of the upper magnetic ring 2 and the upper end surface of the lower magnetic ring 3 are attracted together, thereby sandwiching the foreskin between the two magnetic rings. The circumcision can then be used to remove the redundant foreskin outside the magnetic annulus. After a few days, when the resection surface heals, the magnetic ring automatically falls off. Although the upper magnetic ring 2 and the lower magnetic ring 3 can be magnetically attracted together, this method has disadvantages: the magnetic force of the magnetic ring cannot be precisely adjusted, the magnetic force is too large to be prematurely detached, the magnetic force is too small to be easily disengaged, and the magnetic field is postoperatively The ring 2 and the lower magnetic ring 3 may slip off, but at this time the wound has not healed, and the falling magnetic ring causes discomfort to the patient. And the wound is exposed and easy to infect.
为此,本发明提出了增加上挡环1和下挡环4,上挡环1具有第一挡片6,第一挡片6为上挡环1的竖直部分(以图1中方向为标准),下挡环4具有第二挡片7,第二挡片7为下挡环4的竖直部分(以图1中方向为标准)。下挡环4承接下磁环3,更具体而言,是下磁环3放置在下挡环4的第二挡片7内侧。下磁环3和上磁环2吸附后可以安装在所述下挡环4和上挡环1所形成的环形空间内,防止下磁环3和上磁环2脱开。上挡环1与下挡环4紧密结合,结合方式可以是:下挡环4的第二挡片7的外壁和上挡环1的第一挡片6的内壁上设置螺纹,上挡环1的第一挡片6螺纹旋转与下挡环4的第二挡片7外缘螺纹相结合。下挡环4拧入上挡环1的量可以调节,从而调整了上磁环2与下磁环3之间的间距,从而调节了磁力的大小。图2显示了组合完毕的磁性吻合环的立体图。To this end, the invention proposes to add an upper baffle 1 and a lower baffle 4, the upper baffle 1 having a first flap 6, the first baffle 6 being the vertical portion of the upper baffle 1 (in the direction of Figure 1 Standard), the lower retaining ring 4 has a second flap 7, which is the vertical portion of the lower retaining ring 4 (standard in the direction of Figure 1). The lower retaining ring 4 receives the lower magnetic ring 3, and more specifically, the lower magnetic ring 3 is placed inside the second flap 7 of the lower retaining ring 4. After the lower magnetic ring 3 and the upper magnetic ring 2 are adsorbed, they can be installed in the annular space formed by the lower retaining ring 4 and the upper retaining ring 1 to prevent the lower magnetic ring 3 and the upper magnetic ring 2 from being disengaged. The upper retaining ring 1 and the lower retaining ring 4 are tightly coupled, and may be combined with the outer wall of the second baffle 7 of the lower baffle 4 and the inner wall of the first baffle 6 of the upper baffle 1 with the upper retaining ring 1 The first flap 6 is threadedly coupled to the outer edge of the second flap 7 of the lower retaining ring 4. The amount by which the lower retaining ring 4 is screwed into the upper retaining ring 1 can be adjusted to adjust the spacing between the upper magnetic ring 2 and the lower magnetic ring 3, thereby adjusting the magnitude of the magnetic force. Figure 2 shows a perspective view of the assembled magnetic anastomotic ring.
在使用时,如图3-4所示,下挡环4、下挡环3首先穿过阴茎,然后待切除的包皮外翻,上挡环2放置在包皮内并与下挡环3吸附在一起。待切除的包皮夹在下挡环3和上挡环2的端面中,切除冗余包皮后,上挡环1套入阴茎并与下挡环4紧密结合。如此,包皮创口被上挡环1和下挡环4包覆住,不外露,防止创口感染。而且,上挡环1和下挡环4可以由塑料或者金属等材料制成,通过旋紧上挡环1可以将整个吻合环紧固在阴茎上,防止脱落。同时,通过调节下挡环4拧入螺纹上挡环1的量,可以在组织压榨开始时候提供一定的非磁性压榨力,当组织压榨坏死,组织厚度减少之后,磁性压榨力增大,非磁性压榨力减少或者消失,从而实现在整个压榨过程中吻合磁环压榨力基本不变,利于组织的愈合。In use, as shown in FIG. 3-4, the lower retaining ring 4 and the lower retaining ring 3 first pass through the penis, and then the foreskin to be excised is everted, and the upper retaining ring 2 is placed in the foreskin and adsorbed with the lower retaining ring 3 together. The foreskin to be removed is clamped in the end faces of the lower retaining ring 3 and the upper retaining ring 2, and after the redundant foreskin is removed, the upper retaining ring 1 is inserted into the penis and tightly coupled with the lower retaining ring 4. In this way, the foreskin wound is covered by the upper retaining ring 1 and the lower retaining ring 4, and is not exposed to prevent wound infection. Moreover, the upper retaining ring 1 and the lower retaining ring 4 may be made of a material such as plastic or metal, and the entire anastomotic ring can be fastened to the penis by screwing the upper retaining ring 1 to prevent falling off. At the same time, by adjusting the amount of the lower retaining ring 4 screwed into the threaded upper retaining ring 1, a certain non-magnetic pressing force can be provided at the beginning of the tissue pressing. When the tissue pressing is necrotic, the thickness of the tissue is reduced, the magnetic pressing force is increased, and the non-magnetic The pressing force is reduced or disappeared, so that the pressing force of the matching magnetic ring is substantially unchanged throughout the pressing process, which is beneficial to the healing of the tissue.
在一种实施方式中,上挡环1的第一挡片6以及下挡环4的第二挡片7的边缘可以是锋利的,当上挡环1与下挡环4结合时,可以切割组织。因此,在使用时,如图4所示,下挡环4、下挡环3首先穿过阴茎,然后待切除的包皮外翻,上挡环2放置在包皮内并与下挡环3吸附在一起。收拢包皮套入上挡环1,在上挡环1与下挡环4结合过程中,上挡环1实现对冗余包皮或者其他组织的切割,如此无需再人工切割。简化了操作过程。In an embodiment, the edges of the first flap 6 of the upper retaining ring 1 and the second flap 7 of the lower retaining ring 4 may be sharp, and may be cut when the upper retaining ring 1 is combined with the lower retaining ring 4 organization. Therefore, in use, as shown in FIG. 4, the lower retaining ring 4 and the lower retaining ring 3 first pass through the penis, and then the foreskin to be resected is everted, and the upper retaining ring 2 is placed in the foreskin and adsorbed to the lower retaining ring 3 together. The wrapper is sleeved into the upper retaining ring 1. During the process of combining the upper retaining ring 1 and the lower retaining ring 4, the upper retaining ring 1 realizes cutting of the redundant wrapping or other tissue, so that no manual cutting is required. Simplified operation.
优选地,为了减轻重量,上磁环2和下磁环3为中空的。Preferably, in order to reduce the weight, the upper magnetic ring 2 and the lower magnetic ring 3 are hollow.
优选地,上磁环2与下磁环3的形状为非圆性,例如为梨形、椭圆形等。 Preferably, the shape of the upper magnetic ring 2 and the lower magnetic ring 3 is non-circular, for example, a pear shape, an elliptical shape, or the like.
优选地,下磁环3和下挡环4可以作为一体的。或者下挡环4为磁性环,可以与上磁环2吻合,从而省略下磁环3。Preferably, the lower magnetic ring 3 and the lower retaining ring 4 may be integrated. Alternatively, the lower retaining ring 4 is a magnetic ring that can be fitted to the upper magnetic ring 2, thereby omitting the lower magnetic ring 3.
第二实施方式Second embodiment
在另一个实施方式中,在图1的实施方式基础上进行了改进,如图5所示,本发明的磁性吻合环还包括:第一U型壳31、第二U型壳32。第一U型壳31和第二U型壳32放置在下挡环4内,第一U型壳31和第二U型壳32扣合成一个腔体,下磁环3可以放置在该腔体中。优选地,第一U型壳31和第二U型壳32的吻合面通过医用胶等材料密封或者焊接。优选地,第二U型壳32的组织压榨面33上有齿牙或者滚花,便于牢牢压紧所压榨的组织,防止组织滑脱。其中,组织压榨面33也为下磁环3的上端面,也是下磁环3与上磁环2的吻合面。In another embodiment, an improvement is made based on the embodiment of FIG. 1. As shown in FIG. 5, the magnetic anastomotic ring of the present invention further includes: a first U-shaped shell 31 and a second U-shaped shell 32. The first U-shaped shell 31 and the second U-shaped shell 32 are placed in the lower retaining ring 4, and the first U-shaped shell 31 and the second U-shaped shell 32 are buckled into a cavity, and the lower magnetic ring 3 can be placed in the cavity . Preferably, the mating faces of the first U-shaped shell 31 and the second U-shaped shell 32 are sealed or welded by a material such as medical glue. Preferably, the tissue press surface 33 of the second U-shaped shell 32 has teeth or knurls to facilitate tight compression of the pressed tissue and prevent tissue slippage. The tissue press surface 33 is also the upper end surface of the lower magnetic ring 3, and is also the matching surface of the lower magnetic ring 3 and the upper magnetic ring 2.
优选地,本发明的磁性吻合环还包括:第三U型壳21、第四U型壳22。第三U型壳21和第四U型壳22放置在上挡环1内,第三U型壳21和第四U型壳22扣合成一个腔体,上磁环2可以放置在该腔体中。优选地,第三U型壳21和第四U型壳22的吻合面通过医用胶等材料密封或者通过焊接密封。优选地,第三U型壳21和第四U型壳22的组织压榨面23上有齿牙或者滚花,便于牢牢压紧所压榨的组织,防止组织滑脱。其中,组织压榨面23也为上磁环2的下端面,也是下磁环3与上磁环2的吻合面。Preferably, the magnetic anastomotic ring of the present invention further comprises: a third U-shaped shell 21 and a fourth U-shaped shell 22. The third U-shaped shell 21 and the fourth U-shaped shell 22 are placed in the upper retaining ring 1, and the third U-shaped shell 21 and the fourth U-shaped shell 22 are buckled into a cavity, and the upper magnetic ring 2 can be placed in the cavity in. Preferably, the mating faces of the third U-shaped shell 21 and the fourth U-shaped shell 22 are sealed by a material such as medical glue or sealed by welding. Preferably, the tissue press faces 23 of the third U-shaped shell 21 and the fourth U-shaped shell 22 are provided with teeth or knurls, which facilitates tight compression of the pressed tissue and prevents the tissue from slipping off. The tissue press surface 23 is also the lower end surface of the upper magnetic ring 2, and is also the matching surface of the lower magnetic ring 3 and the upper magnetic ring 2.
第三实施方式Third embodiment
在又一个实施方式中,与图5所示的实施方式不同的是,本发明的磁性吻合环还包括通气孔11,如图6所示,通气孔11设置在上挡环1的第一挡片6上,通气孔11有利于压榨组织的康复愈合。通气孔11的位置优选地与组织压榨面23平齐或者在其附近。通气孔11可以沿在上挡环1的圆周侧壁上开具多个,优选地,沿圆周侧壁均匀设置。图5显示了开具多个通气孔11的磁性吻合环组装后的立体图。In still another embodiment, different from the embodiment shown in FIG. 5, the magnetic anastomosis ring of the present invention further includes a vent hole 11, as shown in FIG. 6, the vent hole 11 is disposed in the first block of the upper baffle 1 On the sheet 6, the venting opening 11 facilitates healing of the healing of the pressed tissue. The position of the venting opening 11 is preferably flush with or in the vicinity of the tissue press face 23. The venting opening 11 may be provided in plurality along the circumferential side wall of the upper retaining ring 1, preferably uniformly along the circumferential side wall. Fig. 5 shows a perspective view of the assembled magnetic anvil ring with a plurality of vent holes 11.
第四实施方式Fourth embodiment
在又一个实施方式中,与前述实施方式不同的是,本发明的磁性吻合环还包括观察窗12,如图7所示,观察窗12设置在上挡环1的侧壁上(即在第一挡片6上),优选地,设置在上挡环1的下部。下挡环4的外周从螺纹开口处, 沿外周分阶段用不同颜色或者刻度作标记,如此,通过旋紧位置观察窗12可以看到螺纹下挡环4是否已经拧进到上挡环1的合适位置。In still another embodiment, different from the foregoing embodiment, the magnetic anastomosis ring of the present invention further includes an observation window 12, as shown in FIG. 7, the observation window 12 is disposed on the side wall of the upper baffle 1 (ie, at the A flap 6) is preferably disposed at a lower portion of the upper retaining ring 1. The outer circumference of the lower retaining ring 4 is from the threaded opening, Different colors or scales are marked along the outer circumference, so that it can be seen by screwing the position observation window 12 whether the threaded lower retaining ring 4 has been screwed into the appropriate position of the upper retaining ring 1.
更优选地,如图8所示,本发明的磁性吻合环还包括辅助孔41,辅助孔41设置在下挡环4的底面上,优选地的为2个或多个。辅助孔41的作用为便于第三方辅助安装工具进行旋紧或者松开旋紧的吻合环。当上挡环1旋紧到下挡环4上后,为了防止吻合环脱落,一般很难再反向松开,或者拧紧后想再紧固也很难施力,所以,设置辅助孔41,通过用第三方辅助安装工具借助辅助孔41,可以容易地施力来旋紧或者松开吻合环。More preferably, as shown in Fig. 8, the magnetic annulus of the present invention further includes an auxiliary hole 41 provided on the bottom surface of the lower retaining ring 4, preferably two or more. The auxiliary hole 41 functions to facilitate the tightening or loosening of the tightened anastomosis ring by a third-party auxiliary installation tool. When the upper retaining ring 1 is screwed onto the lower retaining ring 4, in order to prevent the anastomotic ring from falling off, it is generally difficult to loosen it in the reverse direction, or it is difficult to apply force after tightening, so that the auxiliary hole 41 is provided. By means of the auxiliary hole 41 by means of a third-party auxiliary installation tool, it is possible to easily apply a force to tighten or loosen the anastomosis ring.
第五实施方式Fifth embodiment
在又一个实施方式中,对下挡环4进行了改进。如图9所示,在下挡环4的第二挡片7的内部设置一个环状槽42,在实际手术时,环状槽42的空间可以容纳多余的组织,同时,环状槽42内部可以预先放置一些消炎药物等,用于防止包皮组织消炎等。In yet another embodiment, the lower retaining ring 4 is modified. As shown in FIG. 9, an annular groove 42 is disposed inside the second baffle 7 of the lower retaining ring 4. During the actual operation, the space of the annular groove 42 can accommodate excess tissue, and the annular groove 42 can be internally Some anti-inflammatory drugs and the like are placed in advance to prevent the anti-inflammatory structure of the foreskin.
更优选地,如图10所示,在另外,在螺纹下挡环4底面上开一个与环状槽42连通的冲洗孔45,当需要冲洗时,可以通过冲洗孔45把冲洗溶液注射到环状槽42中,从而实现冲洗组织,预防组织发炎。More preferably, as shown in FIG. 10, in addition, a flushing hole 45 communicating with the annular groove 42 is opened on the bottom surface of the threaded lower retaining ring 4, and when flushing is required, the flushing solution can be injected into the ring through the flushing hole 45. In the groove 42, the tissue is washed to prevent tissue inflammation.
第六实施方式Sixth embodiment
在又一个实施方式中,变换了下挡环4和上挡环1的结合方式。图11显示了该实施方式的立体图,图12显示了图11的截面图。该实施方式与图1所示第一实施方式相似,不同之处在于:上挡环1与下挡环4上不再有螺纹,下挡环4的第二挡片7边沿上有卡扣43,在第二挡片7的边沿周向上开有间断槽44,上挡环1的第一挡片6与卡扣43对应位置开有一环状槽13。下挡环4通过卡扣43卡在环状槽13上与上挡环1固定。In yet another embodiment, the manner in which the lower retaining ring 4 and the upper retaining ring 1 are combined is changed. Fig. 11 shows a perspective view of the embodiment, and Fig. 12 shows a sectional view of Fig. 11. This embodiment is similar to the first embodiment shown in FIG. 1 except that the upper baffle 1 and the lower baffle 4 are no longer threaded, and the second baffle 7 of the lower baffle 4 has a snap 43 on the rim. A discontinuous groove 44 is formed in the circumferential direction of the second flap 7, and the first flap 6 of the upper retaining ring 1 is opened with an annular groove 13 corresponding to the buckle 43. The lower retaining ring 4 is fastened to the upper retaining ring 1 by the snap 43 on the annular groove 13.
在该实施方式中,还可以参照第四实施方式,在下挡环4的底面上设置辅助孔41,通过用第三方辅助安装工具借助辅助孔41,可以容易地施力来旋紧或者松开吻合环。可选地,辅助孔41也可以设置在上挡环1的侧壁上(即在第一挡片6上)。In this embodiment, it is also possible to refer to the fourth embodiment, in which an auxiliary hole 41 is provided on the bottom surface of the lower retaining ring 4, and by means of the auxiliary hole 41 by means of a third-party auxiliary mounting tool, the force can be easily applied to tighten or loosen the anastomosis. ring. Alternatively, the auxiliary hole 41 may also be provided on the side wall of the upper retaining ring 1 (i.e., on the first flap 6).
在该实施方式中,还可以参照第五实施方式,在下挡环4底面上开一个与环状槽42连通的冲洗孔45,当需要冲洗时,可以通过冲洗孔45把冲洗溶液 注射到环状槽42中,从而实现冲洗组织,预防组织发炎。In this embodiment, reference may also be made to the fifth embodiment, in which a flushing hole 45 communicating with the annular groove 42 is opened on the bottom surface of the lower retaining ring 4, and when flushing is required, the flushing solution can be flushed through the flushing hole 45. Injection into the annular groove 42 allows irrigation of the tissue to prevent tissue inflammation.
第七实施方式Seventh embodiment
在第一至第六实施方式中,上磁环2与下磁环3位于上挡环1的第一挡片6和下挡环4的第二挡片7内侧。In the first to sixth embodiments, the upper magnetic ring 2 and the lower magnetic ring 3 are located inside the first flap 6 of the upper retaining ring 1 and the second flap 7 of the lower retaining ring 4.
在本实施方式中,上磁环2与下磁环3仍然位于上挡环1和下挡环4围成的环形空间内,但是,与前述的实施方式不同的是,上磁环2与下磁环3套在上挡环1的第一挡片6和下挡环4的第二挡片7外侧。In the present embodiment, the upper magnetic ring 2 and the lower magnetic ring 3 are still located in the annular space surrounded by the upper retaining ring 1 and the lower retaining ring 4, but unlike the foregoing embodiment, the upper magnetic ring 2 and the lower ring The magnetic ring 3 is sleeved outside the first flap 6 of the upper retaining ring 1 and the second flap 7 of the lower retaining ring 4.
如图13-14所示,上磁环2与下磁环3套在下挡环4的第二挡片7、上挡环1的第一挡片6的外侧。第二挡片7的边沿具有径向向外突出的凸缘,第一挡片6的边沿具有径向向内突出的凸缘。第一挡片6的圆周半径比第二挡片7的稍大些。卡和时,上挡环1的第一挡片6受力下压,第一挡片6的的凸缘越过到第二挡片7的凸缘,两个凸缘卡和在一起,防止上挡环1和下挡环4脱开。可选地,第一挡片6也可以从第二挡片7的内侧卡和到第二挡片7上,凸缘的朝向相反即可。As shown in FIGS. 13-14, the upper magnetic ring 2 and the lower magnetic ring 3 are sleeved on the outer side of the second flap 7 of the lower retaining ring 4 and the first flap 6 of the upper retaining ring 1. The rim of the second flap 7 has a radially outwardly projecting flange, the rim of the first flap 6 having a radially inwardly projecting flange. The radius of the circumference of the first flap 6 is slightly larger than that of the second flap 7. When the card is jammed, the first flap 6 of the upper retaining ring 1 is pressed down, and the flange of the first flap 6 passes over the flange of the second flap 7, and the two flanges are stuck together to prevent The retaining ring 1 and the lower retaining ring 4 are disengaged. Alternatively, the first flap 6 may also be snapped from the inner side of the second flap 7 to the second flap 7, the orientation of the flange being opposite.
同时,第一挡片6的高度与第二挡片7的高度应与上磁环2和下磁环3叠加在一起的高度相配合,如图14所示,其中图14中还包括了第二实施方式中所述的U型壳,那么第一挡片6的高度与第二挡片7的高度应与上磁环2、U型壳、下磁环3叠加在一起的高度相配合。Meanwhile, the height of the first flap 6 and the height of the second flap 7 should match the height of the upper magnetic ring 2 and the lower magnetic ring 3, as shown in FIG. 14, wherein FIG. 14 further includes In the U-shaped case described in the second embodiment, the height of the first flap 6 and the height of the second flap 7 should match the heights of the upper magnetic ring 2, the U-shaped shell and the lower magnetic ring 3.
如图3-14所示,在第二挡片7上沿轴向开有裂隙,可以均匀设置多个裂隙,开具裂隙的作用是使得挡片具有弹性,第二挡片7与第一挡片6卡和时能径向收紧,增强卡和效果。As shown in FIG. 3-14, a crack is formed in the second baffle 7 in the axial direction, and a plurality of cracks can be uniformly disposed, and the crack is opened to make the baffle elastic, and the second baffle 7 and the first baffle are provided. 6 cards and time can be radially tightened to enhance the card and effect.
在一个替代实施方式中,可以在第一挡片6的外壁上设置凸起,对应地,在第二挡片7的内壁上设置凹陷,第一挡片6的圆周半径稍小于第二挡片7的圆周半径。卡和时,第一挡片6插入到第二挡片7的内侧,第一挡片6的凸起受力卡和到第二挡片7的凹陷中,从而上挡环1和下挡环4卡和到一起。In an alternative embodiment, a projection may be provided on the outer wall of the first flap 6, correspondingly, a recess is provided on the inner wall of the second flap 7, the circumferential radius of the first flap 6 being slightly smaller than the second flap The radius of the circle of 7. When the card is jammed, the first flap 6 is inserted into the inner side of the second flap 7, and the projection of the first flap 6 is forced into the recess of the second flap 7, so that the upper retaining ring 1 and the lower retaining ring 4 cards and get together.
第七实施方式表述了上磁环2和下磁环3位于第二挡片7和第一挡片6的外侧的情况,在本实施方式中,第二挡片7和第一挡片6的结构和卡和方式同样适用于第一至第六实施方式。The seventh embodiment describes the case where the upper magnetic ring 2 and the lower magnetic ring 3 are located outside the second flap 7 and the first flap 6, in the present embodiment, the second flap 7 and the first flap 6 The structure and the card and the manner are equally applicable to the first to sixth embodiments.
以上示意性的对本发明及其实施方式进行了描述,该描述没有限制性,附 图中所示的只是本发明的几种实施方式,实际的结构也并不局限于此,而且各实施方式之间可以组合。如果本领域的技术人员受其启示,在不脱离本发明创造宗旨的情况下,采用其它形式的结构、传动以及安装及连接方式不经创造性的设计与该技术方案相似的结构方式及实施例,均应属于本发明的保护范围。 The invention and its embodiments have been described above schematically, and the description is not limited, The figures are only a few embodiments of the present invention, and the actual structure is not limited thereto, and the embodiments may be combined. Other forms of construction, transmission, and installation and connection are inconspicuously designed in a manner similar to that of the technical solution, without departing from the spirit of the invention. All should fall within the scope of protection of the present invention.

Claims (12)

  1. 一种磁性吻合环,其特征在于,包括:上磁环(2)、下磁环(3)、上挡环(1)和下挡环(4),其中,A magnetic anastomotic ring, comprising: an upper magnetic ring (2), a lower magnetic ring (3), an upper retaining ring (1) and a lower retaining ring (4), wherein
    所述下磁环(3)的端面能够与所述上磁环(2)的端面吸附在一起;An end surface of the lower magnetic ring (3) can be adsorbed together with an end surface of the upper magnetic ring (2);
    所述上挡环(1)和下挡环(4)能够结合而围成环形空间,下磁环(3)和上磁环(2)能够容纳在所述环形空间内。The upper retaining ring (1) and the lower retaining ring (4) can be combined to form an annular space, and the lower magnetic ring (3) and the upper magnetic ring (2) can be accommodated in the annular space.
  2. 根据权利要求1所述的磁性吻合环,其特征在于,所述上挡环(1)具有第一挡片(6),所述下挡环(4)具有第二挡片(7),第一挡片(6)的内壁设有螺纹,第二挡片(7)的外壁设有螺纹,两个螺纹能够螺旋结合,所述环形空间在第一挡片(6)和第二挡片(7)的内侧。The magnetic anastomotic ring according to claim 1, wherein the upper retaining ring (1) has a first blocking piece (6), and the lower blocking ring (4) has a second blocking piece (7), The inner wall of one of the flaps (6) is provided with a thread, and the outer wall of the second flap (7) is provided with a thread, and the two threads can be screwed together, the annular space being in the first flap (6) and the second flap ( 7) The inside.
  3. 根据权利要求1所述的磁性吻合环,其特征在于,所述上挡环(1)具有第一挡片(6),所述下挡环(4)具有第二挡片(7),第二挡片(7)的边沿上设置有卡扣(43)和间断槽(44),所述第一挡片(6)上设置有与所述卡扣(43)对应卡合的环状槽(13),所述环形空间在第一挡片(6)和第二挡片(7)的内侧。The magnetic anastomotic ring according to claim 1, wherein the upper retaining ring (1) has a first blocking piece (6), and the lower blocking ring (4) has a second blocking piece (7), The edge of the second blocking piece (7) is provided with a buckle (43) and a discontinuous groove (44), and the first blocking piece (6) is provided with an annular groove corresponding to the buckle (43). (13) The annular space is inside the first flap (6) and the second flap (7).
  4. 根据权利要求1所述的磁性吻合环,其特征在于,所述上挡环(1)具有第一挡片(6),所述下挡环(4)具有第二挡片(7),所述第一挡片(6)的边沿具有径向的凸缘,所述第二挡片(7)具有径向的凸缘,两个凸缘能够卡和在一起,所述环形空间在第一挡片(6)和第二挡片(7)的外侧,优选地,所述第二挡片(7)上设置有沿轴向的裂隙。Magnetic annulus according to claim 1, characterized in that the upper retaining ring (1) has a first flap (6) and the lower retaining ring (4) has a second flap (7) The rim of the first flap (6) has a radial flange, the second flap (7) has a radial flange, the two flanges can be snapped together, the annular space is at first The outer side of the flap (6) and the second flap (7), preferably, the second flap (7) is provided with a slit in the axial direction.
  5. 根据权利要求1所述的磁性吻合环,其特征在于,还包括:The magnetic anastomosis ring according to claim 1, further comprising:
    第一U型壳(31)和第二U型壳(32),其中第一U型壳(31)和第二U型壳(32)放置在所述下挡环(4)内,所述第一U型壳(31)和第二U型壳(32)扣合成一个第一腔体,下磁环(3)能够放置在该第一腔体中;以及a first U-shaped shell (31) and a second U-shaped shell (32), wherein the first U-shaped shell (31) and the second U-shaped shell (32) are placed in the lower retaining ring (4), The first U-shaped shell (31) and the second U-shaped shell (32) are buckled into a first cavity, and the lower magnetic ring (3) can be placed in the first cavity;
    第三U型壳(21)、第四U型壳(22),其中第三U型壳(21)、第四U型壳(22)放置在上挡环(1)内,所述第三U型壳(21)、第四U型壳(22)扣合成一个第二腔体,上磁环(2)能够放置在该第二腔体中。a third U-shaped shell (21) and a fourth U-shaped shell (22), wherein the third U-shaped shell (21) and the fourth U-shaped shell (22) are placed in the upper retaining ring (1), the third The U-shaped shell (21) and the fourth U-shaped shell (22) are buckled to form a second cavity, and the upper magnetic ring (2) can be placed in the second cavity.
  6. 根据权利要求1所述的磁性吻合环,其特征在于,还包括:通气孔(11), 所述通气孔(11)设置在上挡环(1)或下挡环(4)的侧壁上。The magnetic anastomotic ring according to claim 1, further comprising: a vent hole (11), The venting opening (11) is provided on the side wall of the upper retaining ring (1) or the lower retaining ring (4).
  7. 根据权利要求1所述的磁性吻合环,其特征在于,还包括:用于观察上挡环(1)和下挡环(4)的相对位置的观察窗(12),所述观察窗(12)设置在上挡环(1)或下挡环(4)的侧壁上,优选地,所述上挡环(1)或下挡环(4)外周具有标记。The magnetic anastomotic ring according to claim 1, further comprising: an observation window (12) for observing a relative position of the upper retaining ring (1) and the lower retaining ring (4), the viewing window (12) Provided on the side wall of the upper baffle (1) or the lower baffle (4), preferably the outer ring (1) or the lower baffle (4) has a mark on its outer circumference.
  8. 根据权利要求1所述的磁性吻合环,其特征在于,还包括:用于辅助旋紧或者松开结合的上挡环(1)和下挡环(4)的辅助孔(41),优选地,所述辅助孔(41)设置在下挡环(4)的底面上或者上挡环(1)的侧壁上。The magnetic anastomotic ring according to claim 1, further comprising: an auxiliary hole (41) for assisting in tightening or loosening the combined upper and lower retaining rings (4), preferably The auxiliary hole (41) is disposed on the bottom surface of the lower retaining ring (4) or on the side wall of the upper retaining ring (1).
  9. 根据权利要求1所述的磁性吻合环,其特征在于,还包括:用于容纳多余组织的环状槽(42),所述环状槽(42)位于所述下挡环(4)的侧壁内优选地所述磁性吻合环还包括:冲洗孔(45),所述冲洗孔(45)设置在所述下挡环(4)的底面上,并且与所述环状槽(42)连通。The magnetic anastomosis ring according to claim 1, further comprising: an annular groove (42) for accommodating excess tissue, said annular groove (42) being located on a side of said lower stop ring (4) Preferably, the magnetic anastomotic ring further includes: a flushing hole (45) disposed on a bottom surface of the lower retaining ring (4) and communicating with the annular groove (42) .
  10. 根据权利要求1所述的磁性吻合环,其特征在于,所述下磁环(3)放置在所述下挡环(4)中且两者一体成型,或者所述上磁环(2)放置在所述上挡环(1)中且两者一体成型,优选地,所述上磁环(2)与下磁环(3)的形状为椭圆形或梨形。Magnetic annulus according to claim 1, characterized in that the lower magnetic ring (3) is placed in the lower retaining ring (4) and the two are integrally formed, or the upper magnetic ring (2) is placed In the upper retaining ring (1) and the two are integrally formed, preferably, the upper magnetic ring (2) and the lower magnetic ring (3) are elliptical or pear-shaped.
  11. 根据权利要求1所属的磁性吻合环,其特征在于,所述上磁环(2)与下磁环(3)相吸合的面为锥形弧面,所述上磁环(2)与下磁环(3)相吸合的面的表面具有滚花或间断沟槽。The magnetic anastomotic ring according to claim 1, wherein the surface on which the upper magnetic ring (2) and the lower magnetic ring (3) are attracted is a tapered arc surface, and the upper magnetic ring (2) and the lower surface The surface of the surface on which the magnetic ring (3) is attracted has a knurled or interrupted groove.
  12. 根据权利要求1所属的磁性吻合环,其特征在于,所述上挡环(1)和下挡环(4)相结合时,所述上挡环(1)和下挡环(4)的边缘能够切断组织结构。 Magnetic annulus ring according to claim 1, characterized in that the edge of the upper and lower retaining ring (1) and the lower retaining ring (4) are combined Can cut off the structure of the tissue.
PCT/CN2016/107413 2015-12-18 2016-11-28 Magnetic anastomosis ring WO2017101665A1 (en)

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