WO2021073172A1 - 夹持装置、包皮吻合及环切器械及其使用方法 - Google Patents

夹持装置、包皮吻合及环切器械及其使用方法 Download PDF

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Publication number
WO2021073172A1
WO2021073172A1 PCT/CN2020/100878 CN2020100878W WO2021073172A1 WO 2021073172 A1 WO2021073172 A1 WO 2021073172A1 CN 2020100878 W CN2020100878 W CN 2020100878W WO 2021073172 A1 WO2021073172 A1 WO 2021073172A1
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WIPO (PCT)
Prior art keywords
clamping
clamping member
structural body
anastomotic
upper structural
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PCT/CN2020/100878
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English (en)
French (fr)
Inventor
梁金
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上海康路联医疗科技有限公司
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Publication of WO2021073172A1 publication Critical patent/WO2021073172A1/zh

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/3209—Incision instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/326—Circumcision apparatus

Definitions

  • the embodiment of the application relates to a medical device, in particular to a device for performing a circumcision operation.
  • Circumcision is one of the most common operations in urology.
  • circumcision is performed in the following two ways: namely, traditional circumcision performed with conventional instruments and circumcision performed with special instruments
  • the main steps of traditional foreskin anastomosis performed with conventional surgical instruments include: sharp cutting of the foreskin, hemostasis, and suture. This type of operation has problems such as time-consuming, time-consuming and labor-intensive operation.
  • the circumcision operation performed with special equipment usually refers to the use of circumcision and circumcision instruments to cut and anastomize the inner and outer plates of the prepuce at the same time to complete the circumcision operation.
  • the characteristics of this type of operation include: short operation time and bleeding The amount is small, no stitches are needed, and the appearance is neat, beautiful, and the postoperative scar is small. Therefore, the use of the circumcision stapler in circumcision surgery has great advantages.
  • the currently used circumcision stapler has the following problems: First, the existing circumcision stapler (such as the "shang ring") is not used for one-time cutting during the operation, but requires the patient to carry the stapler after the operation. Pressing the “foreskin” incision for several days will cause inconvenience to the life of the postoperative patient, and easily lead to problems such as foreskin edema and incision pain; second, the base part of the existing foreskin stapler will be blocked when the foreskin is cut during the operation. Live part of the penis body and glans part, so that the doctor cannot adjust the length of the foreskin or frenulum under direct vision, nor can he accurately adjust the scope of the foreskin resection. Therefore, there is the possibility of misoperation of excessive or insufficient foreskin resection. The safety of the operation is insufficient and the accuracy is not high.
  • anastomosis device that can overcome various problems in the prior art.
  • the developed anastomosis device has a relatively special structure. Therefore, how can an anastomosis device that is compatible with the foregoing anastomosis device be provided?
  • the clamping device with a suitable structure can further reduce the difficulty of the operation and improve the safety of the operation, which is the technical problem to be solved in this application.
  • the main purpose of this application is to provide a clamping device, circumcision and circumcision instrument and a method of use thereof, which can accurately control the anastomotic device between the pre-operation state and the operation state through the clamping device according to actual needs.
  • Switching increases the convenience and controllability of the surgical operation, and improves the accuracy and safety of the operation.
  • Another object of the present application is to provide a clamping device, a circumcision and circumcision instrument and a method of use thereof, which can reduce the operation difficulty of the operation and realize the purpose of a single operation by the doctor to complete the operation.
  • a clamping device which includes: a first clamping member, a second clamping member, a third clamping member, and a pivoting member; wherein, the second clamping member
  • the clamping piece is detachably combined with the first clamping piece to form a clamping assembly, and the pivoting piece is used to pivotally connect the first clamping piece, the second clamping piece, and the
  • the third clamping member is provided for the first clamping member, the second clamping member, and the third clamping member to pivot around the pivoting member; and wherein, when the first clamping member, the second clamping member, and the third clamping member pivot;
  • the first clamping member can be forced or the first clamping member and the third clamping member can be clamped
  • the clamping assembly and the third clamping member are relatively pivoted around the pivoting member until the clamping assembly and the third clamping member are formed between the clamp
  • Included angle can make the first clamping member and the third clamping member continue to bear force, so that the second clamping member and the first clamping member are separated from each other, so that the second clamping
  • the first included angle is maintained between the third clamping piece and the third clamping piece, and the first clamping piece is further pivoted around the pivoting piece until the first clamping piece and the first clamping piece are A second included angle smaller than the first included angle is formed between the three clamping members.
  • the clamping device further includes an assembly, which is separately provided on the first clamping member and the second clamping member for providing the second clamping member
  • the holding part is detachably combined with the first holding part.
  • the first clamping member has a first pivoting portion, a first clamping portion, and a first actuating portion
  • the second clamping member has a second pivoting portion.
  • the third clamping member has a third pivotal portion, a third clamping portion, and a third actuation portion; wherein, the first pivotal portion, the second pivotal portion Portion and the third pivotal portion are used to provide the first clamping piece, the second clamping piece, and the third clamping piece to respectively pivotally connect the pivoting piece, the first alignment
  • the moving portion and the third actuating portion are used to provide applied force; and wherein, the first pivoting portion and the first actuating portion are respectively located at two ends of the first clamping portion, and the The third pivoting portion and the third actuating portion are respectively located at two ends of the third clamping portion, and the second pivoting portion is located at one end of the second clamping member; or, the first The pivot portion is located between the first clamping
  • the present application also provides a circumcision and circumcision instrument for anastomosis and circumcision of the foreskin on the penis, comprising: an anastomosis device and a clamping device, the anastomosis device has an upper anastomosis structure and a lower anastomosis structure, and
  • the upper anastomosis structure also has a first upper structural body and a second upper structural body, the first upper structural body can move axially relative to the second upper structural body, and the first upper structural body and the second upper structural body
  • the two upper structural bodies are kept circumferentially fixed, and the anastomotic device can be switched between the pre-operation state and the operation state with the axial movement of the first upper structural body relative to the second upper structural body;
  • the clamping device has: a first clamping member for assembling the first upper structural body of the upper anastomotic structure; a second clamping member for assembling the second upper structural body of the upper anastomotic structure The
  • the clamping device further includes an assembly, which is separately provided on the first clamping member and the second clamping member for providing the second clamping member
  • the holding part is detachably combined with the first holding part.
  • the upper anastomotic structure further includes an upper piercing channel, an upper circumcision member, and an upper anastomotic member, wherein the upper piercing channel penetrates the first upper structural body With the second upper structural body, the upper ring-cutting member is provided on the first upper structural body and circumferentially surrounds the upper through passage, and the upper anastomotic member is separately provided on the first upper structural body And the second upper structural body, and circumferentially surrounding the upper piercing channel; the lower anastomosing structure further includes a lower piercing channel, a lower structural body, a lower ring cutting part, and a lower anastomotic part, wherein The lower penetration channel axially penetrates the lower structural body, the lower circumferential cutting member and the lower anastomosing member are respectively provided on the lower structural body and circumferentially surround the lower penetration channel; and wherein, The upper perforating channel and the lower perforating channel are used
  • the upper anastomosis structure further includes a limiting structure, which is separately provided on the first upper structural body and the second upper structural body, and the limiting structure defines There are a first limiting portion and a second limiting portion, so as to limit the first upper structural body relative to the first limiting portion within the stroke range defined by the first limiting portion and the second limiting portion.
  • the second upper structural body moves axially; and wherein, when the anastomotic device is in the pre-operation state, the first upper structural body is located at the first limiting portion relative to the second upper structural body, And in this state, between the upper anastomotic piece and the lower anastomosis piece, the upper circumcision piece and the lower circumcision piece have no action; when the anastomotic device is operated by the pre-operation When switched to the operating state, the first upper structural body moves axially from the first limiting portion to the second limiting portion relative to the second upper structural body; when the anastomotic device is in In the operating state, the first upper structural body is located at the second limiting portion relative to the second upper structural body, and in this state, the upper anastomotic piece and the lower anastomosis piece cooperate with each other To fit the foreskin, and the upper circumcision piece cooperates with the lower circumcision piece to circumcise the foreskin.
  • the limiting structure is also used to provide a circumferential fixation between the first upper structural body and the second upper structural body.
  • the circumcision and circumcision instrument further includes an upper joining component and a lower joining component, wherein the upper joining component is used to combine the second clamping member with the The second upper structural body is used to fix the two in a circumferential direction, and the lower coupling assembly is used to combine the third clamping member and the lower structural body and fix the two in a circumferential direction, so that the The clamping device provides circumferential fixation between the upper anastomosis structure and the lower anastomosis structure.
  • the upper anastomosis member includes a plurality of staple cartridges circumferentially arranged on the first upper structural body and a plurality of staples stored in the staple cartridge, and A plurality of nail paths arranged circumferentially on the second upper structural body
  • the lower anastomosis member includes a plurality of nail holders circumferentially arranged on the lower structural body, wherein each of the nail holders is arranged on the lower structural body.
  • the nail lanes and the positions of the nail cartridges are in a one-to-one correspondence.
  • Each of the nail cartridges pushes out each of the staples stored therein through each of the nail lanes, and each of the nail holders is used to compare the ejected nails.
  • Each of the staples provides supporting force and rivets the feet of each of the staples to perform an anastomosis operation on the foreskin;
  • the upper circumcision member includes a circumcision knife provided on the first upper structural body
  • the lower ring cutting member includes a knife groove provided on the lower structural body;
  • the upper anastomotic member and the lower anastomotic member respectively have a first outer diameter
  • the upper ring cutting member and the lower ring cutting The parts respectively have a second inner diameter, and the first outer diameter is smaller than the second inner diameter.
  • the first clamping member has a first pivoting portion, a first clamping portion, and a first actuating portion;
  • the second clamping member has a second pivoting portion Portion and a second clamping portion;
  • the third clamping member has a third pivoting portion, a third clamping portion, and a third actuation portion; wherein, the first pivoting portion, the second pivoting portion Part, the third pivotal part is used to provide the first clamping member, the second clamping member, and the third clamping member to pivotally connect the pivotal member, the first actuation Part and the third actuation part are used to provide applied force, the first clamping part, the second clamping part, and the third clamping part are used to provide the assembly of the first upper structure The body, the second upper structural body, and the lower anastomosing structure.
  • the first clamping member further has a first adapting unit provided on the first clamping portion
  • the second clamping member further has a The second adapting unit on the second clamping portion
  • the third clamping portion further has a third adapting unit provided on the third clamping portion, so as to provide the first clamping portion
  • the second clamping portion and the third clamping portion are adapted to assemble the first upper structural body, the second upper structural body, and the lower anastomosing structure with different diameters.
  • the first adapting unit is pivotally connected to the first clamping part, so that the first clamping member and the third clamping member are in contact with each other.
  • the circumferential cross section of the first upper structure body and the circumferential cross section of the lower anastomotic structure are always kept parallel.
  • the first pivoting portion and the first actuating portion are respectively located at two ends of the first clamping portion, and the third pivoting portion and the The third actuating portion is located at both ends of the third clamping portion, and the second pivoting portion is located at one end of the second clamping member; or, the first pivoting portion is located at the first Between the clamping portion and the first pivotal portion, the third pivotal portion is located between the third clamping portion and the third pivotal portion, and the second pivotal portion is located on the One end of the second clamping member.
  • the present application also provides a method for using the circumcision and circumcision instrument, which is applied to the circumcision and circumcision instruments described in the above embodiments.
  • the method includes the following processing steps: assembling the first upper structural body to the circumcision instrument. Assemble the second upper structural body on the second clamping member on the first clamping member, and assemble the lower anastomotic structure on the third clamping member; make the second The clamping member is combined with the first clamping member to form the clamping assembly, so that the second upper structural body and the first upper structural body form a linkage; the first clamping member is subjected to Force or force the first clamping member and the third clamping member to be simultaneously forced to actuate the clamping assembly and the third clamping member to pivot relative to each other with the pivoting member as the center, and Drive the second upper structural body to move in a direction approaching the lower anastomotic structure synchronously with the first upper structural body, until the anastomotic device is in the pre-operational state; and make the first clamp
  • the clamping device provided by the present application constitutes a clamping assembly by detachably combining the second clamping member with the first clamping member, so that a second clamping member is formed between the clamping assembly and the third clamping member.
  • An included angle, and by disengaging the second clamping member from the first clamping member, the first clamping member is further pivoted to form a second included angle smaller than the first included angle with the third clamping member, In order to achieve the technical effect of segmented clamping.
  • the foreskin anastomosis and circumcision instrument provided by the present application can be used to precisely control the anastomotic device to switch between the pre-operation state and the operation state by using the above-mentioned clamping device, thereby reducing the difficulty of the surgical operation and realizing the single operation by the doctor.
  • the purpose of the operation can be completed, and the safety of the operation can be effectively improved.
  • FIGS 1 to 2 are schematic diagrams of embodiments of the clamping device of this application in different operating states
  • FIG. 3 is a schematic diagram of an exploded structure of the clamping device of this application.
  • FIGS. 4 and 5 are schematic diagrams of embodiments of the circumcision and circumcision instrument in different operating states of this application;
  • Figure 6 is a schematic diagram of an exploded structure of the anastomotic device of the present application.
  • 7A and 7B are bottom and top views of the upper anastomotic structure of the application.
  • Figure 8 is a top view of the lower anastomosis structure of the application.
  • Figure 9 is a schematic diagram of another embodiment of the circumcision and circumcision instrument (clamping device) of the present application.
  • 1 Circumcision and circumcision instrument; 10: clamping device; 11: first clamping member; 111: first pivot part; 112: first clamping part; 113: first actuating part; 114: first An adapting unit; 12: the second clamping member; 121: the second pivoting portion; 122: the second clamping portion; 124: the second adapting unit; 13: the third clamping member; 131: the third pivot Connecting part; 132: third clamping part; 133: third actuating part; 134: third adapting unit; 14: pivoting part; 15: clamping assembly; 16: assembly part; 161: first engagement Pieces; 162: second engaging piece; 20: anastomotic device; 21: upper anastomotic structure; 210: upper piercing channel; 211: first upper structural body; 212: second upper structural body; 213: upper ring cutting part 214: Upper anastomosis piece; 2141: Staple cartridge; 2142: Anastomosis nail; 2143: Na
  • an embodiment of the present application provides a clamping device 10.
  • the clamping device 10 mainly includes a first clamping member 11, a second clamping member 12, and a third clamping member.
  • the second clamping member 12 is detachably combined with the first clamping member 11 to form a clamping assembly 15 (as shown in FIG. 2 ).
  • the clamping device 10 further includes an assembly 16, as shown in the figure, which includes a first engaging member 161 disposed on the first clamping member 11 and a first clamping member 161 disposed on the second clamping member 12
  • the second engaging member 162 allows the first engaging member 161 and the second engaging member 162 to engage with each other to provide the second clamping member 12 to be detachably assembled to the first clamping member 11.
  • the pivoting member 14 is used to pivotally connect the first clamping member 11, the second clamping member 12, and the third clamping member 13 to provide the first clamping member 11, the second clamping member 12, and the third clamping member 11, 12, and 13 respectively.
  • the clamping member 13 pivots with the pivoting member 14 as the center.
  • the first clamping member 11 when the second clamping member 12 is combined with the first clamping member 11 to form the clamping assembly 15, the first clamping member 11 can be forced, or the first clamping member 11 and the third clamping member 11 can be clamped.
  • the members 13 are subjected to a common force, so that the clamping assembly 15 (that is, the second clamping member 12 is driven by the first clamping member 11 to act in synchronization) and the third clamping member 13 are relatively pivoted around the pivot member 14 , Until a first included angle is formed between the clamping assembly 15 and the third clamping member 13.
  • the first clamping member 11 and the third clamping member 13 can continue to receive force, so that the second clamping member 12 and the first clamping member 11 are separated from each other, so that the second clamping member 12 and the third clamping member 11 can be separated from each other.
  • the first clamping member 11 is further pivoted around the pivoting member 14 until the first clamping member 11 and the third clamping member 13 A second included angle smaller than the first included angle is formed therebetween.
  • the first clamping member 11 has a first pivoting portion 111, a first clamping portion 112, and a first actuation portion 113
  • the second clamping member 12 has a second pivoting portion 121 and the second clamping portion 122
  • the third clamping member 13 has a third pivoting portion 131, a third clamping portion 132 and a third actuating portion 133.
  • first pivoting portion 111, the second pivoting portion 121, and the third pivoting portion 131 provide the first clamping member 11, the second clamping member 12, and the third clamping member 13 to be pivotally connected to
  • first actuating portion 113 on the first clamping member 11 and the third actuating portion 133 on the third clamping member 13 are used to provide an applied force.
  • first pivotal portion 111 and the first actuation portion 113 are respectively located at two ends of the first clamping portion 112, and the third pivotal portion 131 and the third actuation portion 133 are respectively located on the third clamping portion.
  • the second pivoting portion 121 is located at one end of the second clamping member 12 to form the structure of the clamping device 10 shown in FIGS. 1 to 2.
  • first pivotal portion 111 is located between the first clamping portion 112 and the first pivotal portion 111
  • the third pivotal portion 131 is located on the third clamping portion.
  • the second pivoting portion 121 is located at one end of the second clamping member 12, thereby forming the structure of the clamping device 10 as shown in FIG. 9.
  • the present application also provides a circumcision and circumcision instrument 1 for anastomosis and circumcision of the foreskin on the penis, as shown in Figure 4, Figure 5, and Figure 7.
  • the circumcision and circumcision instrument 1 of the present application consists of The clamping device 10 and the anastomosing device 20 are constituted.
  • the anastomotic device 20 has an upper anastomosis structure 21 and a lower anastomosis structure 22, wherein the upper anastomosis structure 21 also has a first upper structural body 211 and a second upper structural body 212, the first upper structural body 211 can be opposite The second upper structural body 212 moves axially, and the first upper structural body 211 and the second upper structural body 212 remain circumferentially fixed.
  • the upper anastomotic structure 21 further includes an upper perforating channel 210, an upper circumferential cutting member 213, and an upper anastomotic member 214.
  • the upper through channel 210 penetrates the first upper structural body 211 and the second upper structural body 212, and the upper ring-cutting member 213 is provided on the first upper structural body 211 and circumferentially surrounds it
  • the passage 210 is formed, and the upper anastomosis member 214 is separately provided on the first upper structural body 211 and the second upper structural body 212, and surrounds the upper passage 210 in a circumferential direction.
  • the lower anastomotic structure 22 further includes a lower penetration channel 220, a lower structural body 221, a lower circumferential cutting member 222, and a lower anastomotic member 223, wherein the lower penetration channel 220 axially penetrates the lower structure
  • the main body 221, the lower circumferential cutting member 222 and the lower anastomosing member 223 are respectively disposed on the lower structural body 221 and circumferentially surround the lower through channel 220.
  • the upper penetration channel 210 and the lower penetration channel 220 are used to provide the upper anastomotic structure 21 and the lower anastomotic structure 22 to be coaxially assembled on the penis.
  • the upper stapler 214 may include a plurality of staple cartridges 2141 circumferentially arranged on the first upper structural body 211 and a plurality of staples 2142 stored in each staple cartridge 2141, and circumferentially arranged on the second upper structural body 212
  • the lower anastomosis member 223 includes a plurality of nail holders 2231 circumferentially arranged on the lower structural body 221, wherein the positions of the nail holders 2231, the nail passages 2143, and the staple cartridges 2141 are One-to-one correspondence, each nail magazine 2141 can push out each staple 2142 stored therein through each nail channel 2143, and each nail seat 2231 is used to provide support for the pushed out each staple 2142 and rivet the foot of each staple 2142 , So as to perform anastomosis operation on the foreskin.
  • the upper circumcision member 213 may include a circumcision knife provided on the first upper structural body 211, and the lower circumcision member 222 may include a knife groove provided on the lower structural body 221, so as to perform a circumcision operation on the foreskin.
  • the upper anastomotic piece 214 and the lower anastomotic piece 223 have first outer diameters, respectively, the upper circumcision piece 213 and the lower circumcision piece 222 have second inner diameters, and the first outer diameter is smaller than the second inner diameter, thereby
  • the upper circumcision part 213 and the lower circumcision part 222 are provided to perform the circumcision operation on the outer ring while allowing the upper anastomosis part 214 and the lower anastomosis part 223 to perform the circumcision operation on the inner ring to realize the circumcision and circumcision operations.
  • the simultaneous execution of the operation can not only simplify the operation steps, but also effectively improve the safety of the operation.
  • the anastomotic device 20 of the present application may further include a pre-tensioning member.
  • the pre-tensioning member is, for example, a pre-tensioning ring 224 sleeved on the lower structural body 221 (as shown in FIGS. 6 and 8). (Shown), where the inner diameter of the pre-tightening ring 224 is adjustable, and is used to provide a pre-tightening and fixing function for the foreskin to be cut.
  • the structural design of the above-mentioned pretensioner is not limited to the embodiment shown in Figs. 6 and 8, and can also be implemented in other ways. Since it is not the technical focus of this application, it is not here. Go into details.
  • the upper anastomotic structure 21 further includes a limiting structure 215, which includes a first limiting member 215A provided on the first upper structural body 211 and a second limiting member 215B provided on the second upper structural body 212.
  • the first limiting portion 215A is, for example, a bump 215A provided on the inner wall of the first upper structural body 211
  • the second limiting unit 215B is, for example, formed along the axial direction of the second upper structural body 212.
  • the groove 215B provided on the outer wall of the second upper structural body 212 allows the protrusion 215A to slide in the groove 215B to allow the first upper structural body 211 to move axially relative to the second upper structural body 212.
  • the limiting structure 215 also defines a first limiting portion 2151 and a second limiting portion 2152.
  • the first limiting portion 2151 and the second limiting portion 2152 are respectively located in the groove 215B, for example. Both ends of, thereby limiting the first upper structural body 211 (bump 215A) to axially move relative to the second upper structural body 212 within the stroke range defined by the first limiting portion 2151 and the second limiting portion 2152 .
  • the above-mentioned limiting structure 215 can also realize the circumferential fixation between the first upper structural body 211 and the second upper structural body 212, thereby facilitating the positional alignment between the upper anastomotic piece 214 and the lower anastomotic piece 223. quasi.
  • the anastomotic device 20 can be switched between the pre-operation state and the operation state along with the axial movement of the first upper structural body 211 relative to the second upper structural body 212. Specifically, when the anastomotic device 20 is in the pre-operation state, the first upper structural body 211 is located at the position of the first limiting portion 2151 relative to the second upper structural body 212 (refer to the state shown in FIG.
  • the first upper structural body 211 When the anastomotic device 20 is in the operating state, the first upper structural body 211 is located at the second limiting portion 2152 relative to the second upper structural body 212 (refer to the state shown in FIG. 5). In this state, the upper anastomotic piece 214 cooperates with the lower anastomosis part 223 to perform an anastomosis operation for the foreskin. At the same time, the upper circumcision part 213 and the lower circumcision part 222 also cooperate to perform a circumcision operation for the circumcision, so as to realize the linkage and execution of the circumcision operation of the foreskin. .
  • the structure of the clamping device 10 is substantially the same as the embodiment shown in FIGS. 1 to 3 above, and mainly includes a first clamping member 11, a second clamping member 12, a third clamping member 13, and a first clamping member respectively pivotally connected to each other.
  • the first clamping member 11 is used to assemble the first upper structural body 211 of the upper anastomotic structure 21.
  • the second clamping member 12 is used for assembling the second upper structural body 212 of the upper anastomotic structure 21, and the second clamping member 12 is detachably assembled to the first clamping member 11 to form a clamping assembly 15.
  • the clamping device 10 further includes an assembly 16.
  • the assembly 16 includes a first engaging member 161 disposed on the first clamping member 11 and a second clamping member 161
  • the second engaging member 162 on the 12 engages the first engaging member 161 and the second engaging member 162 with each other to provide the second clamping member 12 to be detachably assembled to
  • the first clamping member 11 is on.
  • the third clamping member 13 is used to assemble the lower anastomotic structure 22 of the anastomotic device 20.
  • the first clamping member 11 further has a first pivoting portion 111, a first clamping portion 112, and a first actuating portion 113; and the second clamping member 12 has a first pivoting portion 111, a first clamping portion 112, and a first actuating portion 113.
  • the third clamping member 13 has a third pivoting portion 131, a third clamping portion 132, and a third actuation portion 133; wherein, the first pivoting portion 111, The second pivoting portion 121 and the third pivoting portion 131 are used to provide the first clamping member 11, the second clamping member 12, and the third clamping member 13 to be pivotally connected to the pivoting member 14.
  • the first pivoting portion 111, the second pivoting portion 121, and the third pivoting portion 131 are, for example, pivotal connections formed on the first clamping member 11, the second clamping member 12, and the third clamping member 13.
  • the pivoting member 14 is, for example, a pivoting rod, and the first pivoting portion 111, the second pivoting portion 121, and the third pivoting portion 131 are inserted through the pivoting member 14 for the first clamping member 11.
  • the second clamping member 12 and the third clamping member 13 have to rotate around the pivoting member 14.
  • the first actuating portion 113 and the third actuating portion 133 are used to provide applied force
  • the first clamping portion 112, the second clamping portion 122, and the third clamping portion 132 are used to provide the assembly first
  • the upper structural body 211, the second upper structural body 212 and the lower anastomosing structure 22 are used to provide the assembly first The upper structural body 211, the second upper structural body 212 and the lower anastomosing structure 22.
  • the clamping device 10 of the present application can be implemented in different structural forms.
  • the first pivotal portion 111 and the first actuation portion 113 are respectively located at two ends of the first clamping portion 112, and the third pivotal portion 131 and the third actuation portion 133 are respectively located on the third clamping portion.
  • the second pivoting portion 121 is located at one end of the second clamping member 12 to form the structure of the clamping device 10 shown in FIGS. 1 to 5.
  • the first pivotal portion 111 is located between the first clamping portion 112 and the first pivotal portion 111, and the third pivotal portion 131 is located on the third clamping portion.
  • the second pivoting portion 121 is located at one end of the second clamping member 12, thereby forming the structure of the clamping device 10 as shown in FIG. 9.
  • the first clamping member 11 also has a detachable assembly on the first clamping portion 112 on the first adapter unit 114
  • the second clamping member 12 also has a second adapter unit 124 detachably assembled on the second clamping portion 122
  • the third clamping portion 132 also has a detachable assembly
  • the third adapting unit 134 on the third clamping portion 132 (as shown in FIG.
  • first adapting unit 114 may have different first adapting unit 114, second adapting unit 124, and third adapting unit 134
  • different first adapting unit 114, second adapting unit 124, and third adapting unit 134 may have different In order to provide the first clamping portion 112, the second clamping portion 122, and the third clamping portion 132 to fit and assemble the first upper structural body 211, the second upper structural body 212, and the second upper structural body 212 with different diameters (outer diameters).
  • the first adapting unit 114 is pivotally connected to the first clamping portion 112, so that the first adapting unit 114 can rotate relative to the first clamping portion 112. Therefore, when the first clamping member 11 and the third clamping member 13 are relatively pivoted with the pivoting member 14 as the center, the circumferential cross section of the upper first upper structural body 211 and the circumferential cross section of the lower anastomosing structure 22 can be made Always keep parallel between them (refer to Figure 2), so as to ensure that the upper ring-cutting piece 213 and the lower ring-cutting piece 222, the upper anastomotic piece 214 and the lower anastomosing piece 223 can maintain uniform force in the circumferential direction when they work together. So as to ensure the smooth execution of circumcision and anastomosis operations.
  • the above-mentioned clamping device 10 can also provide a circumferential fixation between the upper anastomotic structure 21 and the lower anastomotic structure 22 of the anastomotic device 20.
  • the prepuce anastomosis and circumcision instrument 1 further includes an upper coupling assembly 31 and a lower coupling assembly 32, wherein the upper coupling assembly 31 includes a second clamping member 12 (second adaptor The first upper coupling unit 31a (as shown in Figures 1 and 3) on the unit 124) and the second upper coupling unit 31b provided on the second upper structural body 212, by making the first upper coupling unit 31a and the second The upper coupling units 31b are engaged with each other, so that the second upper structural body 212 is assembled on the second clamping member 12 and fixed therebetween in a circumferential direction.
  • second clamping member 12 second adaptor The first upper coupling unit 31a (as shown in Figures 1 and 3) on the unit 124)
  • the second upper coupling unit 31b provided on the
  • the lower coupling assembly 32 includes a first lower coupling unit 32a (as shown in FIGS. 1 and 3) disposed on the third clamping member 13 (third adapting unit 134) and disposed on the lower structural body 221
  • the second lower coupling unit 32b of the first lower coupling unit 32a and the second lower coupling unit 32b are engaged with each other, so that the lower structural body 221 is assembled on the third clamping member 13 with a circumferential direction between the two fixed.
  • the clamping device 10 can be used to provide the upper anastomotic structure 21 and the lower anastomosis of the anastomotic device 20
  • the structures 22 are fixed circumferentially to ensure the smooth execution of the foreskin anastomosis operation.
  • the second clamping member 12 of the clamping device 10 when the second clamping member 12 of the clamping device 10 is combined with the first clamping member 11 to form the clamping assembly 15, the second upper structural body assembled on the second clamping member 12 212 and the first upper structural body 211 assembled to the first clamping member 11 can be pivoted relative to the pivoting member 14, that is, the above anastomotic structure 21 is pivoted relative to the pivoting member 14 as a whole, and the first The upper structural body 211 is located at the position of the first limiting portion 2151 relative to the second upper structural body 212. In this state, the first clamping member 11 can be forced or the first clamping member 11 and the third clamping member 11 can be clamped.
  • the member 13 is forced together, and the actuating clamping assembly 15 and the third clamping member 13 pivot relatively around the pivoting member 14, thereby driving the upper anastomotic structure 21 and the lower anastomosing structure 22 to move toward each other until the anastomotic device 20
  • the second upper structural body 212 of the upper anastomotic structure 21 and the lower anastomotic structure 22 abut against each other, and the first upper structural body 211 remains at the first limiting portion relative to the second upper structural body 212 2151 position (refer to the state shown in Figure 4).
  • the first clamping member 11 and the third clamping member 13 can continue to receive force, so that the second clamping member 12 and the first clamping member 11 are separated from each other, and the first clamping member 11 is activated.
  • a clamping member 11 further relatively pivots around the pivoting member 14 to drive the first upper structural body 211 to move axially relative to the second upper structural body 212 in the direction approaching the lower anastomotic structure 22 (that is, to make the first upper structural body 212 move axially with respect to the second upper structural body 212).
  • the upper structural body 211 moves from the first limiting portion 2151 to the second limiting portion 2152 relative to the second upper structural body 212), until the anastomotic device 20 is switched from the pre-operating state to the operating state, that is, the first upper structure
  • the main body 211 is located at the position of the second limiting portion 2152 relative to the second upper structural main body 212 (refer to the state shown in FIG. 5 ).
  • the upper anastomotic piece 214 and the lower anastomosis piece 223 cooperate to perform an anastomosis operation for the foreskin, and at the same time, the upper circumcision piece 213 and the lower circumcision piece 222 also cooperate to perform a circumcision operation for the foreskin .
  • this application also provides a method for using a circumcision and circumcision instrument, which mainly includes the following processing steps:
  • Assembling the anastomotic device to the clamping device which specifically includes assembling the first upper structural body 211 on the first clamping member 11, assembling the second upper structural body 212 on the second clamping member 12, and The lower anastomotic structure 22 is assembled on the third clamping member 13.
  • the second clamping member 12 of the clamping device is combined with the first clamping member 11 to form the clamping assembly 15, so that the second upper structural body 212 of the anastomotic device and the first upper structural body 211 form a linkage Dynamic relationship.
  • the penis can be passed through the lower penetration channel and the upper penetration channel respectively, and the lower anastomosis structure and the upper anastomosis structure are assembled on the penis coaxially, and the glans part of the penis is protruded from the upper penetration channel and exposed.
  • the second upper structural body 212 is driven to move synchronously with the first upper structural body 211 in a direction approaching the lower anastomotic structure 22 until the anastomotic device 20 is in a pre-operational state.
  • the part of the foreskin to be cut is sandwiched between the second upper structural body 212 and the lower anastomotic structure 22, and between the upper anastomotic piece 214 and the lower anastomotic piece 223, the upper circumcision piece 213 and the lower circumcision There is no effect between the pieces 222, and the doctor can adjust the operation for the foreskin to be cut.
  • the present application may also include the use of the anastomotic device 20 to perform a pre-tensioning and fixing operation for the foreskin to be cut.
  • the above-mentioned pre-tensioning and fixing operation can be implemented in various different embodiments, and It is not directly related to the clamping device 10 of the present application. In order to avoid obscuring the technical focus of the present application, it will not be repeated here.
  • the first upper structural body 211 is further pivoted relative to the second upper structural body 212 in the direction approaching the lower anastomotic structure 22, until the anastomotic device 20 is switched from the pre-operation state
  • the upper anastomotic piece 214 and the lower anastomosis piece 223 cooperate to fit the foreskin
  • the upper circumcision piece 213 and the lower circumcision piece 222 cooperate to circumscribe the foreskin, thereby completing the anastomosis and looping of the foreskin Cut operation.
  • the clamping device uses the segmented clamping function to control the switching of the anastomotic device between the pre-operation state and the operation state, thereby facilitating the execution of the circumcision and circumcision surgery, and realizing the surgeon
  • the purpose of the operation can be completed by a single operation, and the safety of the operation can be effectively improved.

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Abstract

本申请提供一种夹持装置、包皮吻合及环切器械及其使用方法，所述夹持装置主要包括第一夹持件、第二夹持件、第三夹持件与枢接件，第一夹持件、第二夹持件、第三夹持件可分别绕枢接件枢转，第二夹持件可拆卸地组合至第一夹持件而构成夹持组件，其中，夹持组件与第三夹持件可以枢接件为中心相对枢转以形成第一夹角，且第一夹持件还可与第二夹持件脱离并以枢接件为中心进一步枢转而与第三夹持件形成小于第一夹角的第二夹角。本申请的包皮吻合及环切器械利用上述夹持装置，以精确操控吻合装置在预操作状态与操作状态下切换，从而方便包皮吻合及环切手术的执行，提高手术安全性。

Description

夹持装置、包皮吻合及环切器械及其使用方法 技术领域
本申请实施例涉及一种医疗器械，尤其涉及一种执行包皮环切手术的器械。
背景技术
包皮环切术是泌尿外科最常见的手术之一，现有技术中，执行包皮环切手术通过以下两种方式来执行：即利用常规器械执行的传统包皮环切手术以及利用特殊器械执行的包皮环切手术，其中，利用常规手术器械执行的传统包皮吻合手术主要步骤包括：锐性切割包皮、止血及缝合等操作，此种手术方式存在着耗时较长，费时费力等问题。
利用特殊器械所进行的包皮环切手术，通常是指利用包皮吻合及环切器械，通过同时切割和吻合包皮内外板，完成包皮环切手术，此种手术方式的特点包括：手术时间短，出血量少，无需针线缝合，且具有外观整齐，美观，术后瘢痕较小的优点。因此，包皮吻合器在包皮环切手术中的使用具有极大的优势。
然而，当前所应用的包皮吻合器上存在以下问题：第一，现有的包皮吻合器(如“商环”)并非术中一次性切割使用，而是需患者在术后携带吻合器，“加压套住”包皮切口数日，导致术后患者的生活不便，且易导致包皮水肿、切口疼痛等问题；第二，现有的包皮吻合器在术中切割包皮时，其底座部分会遮挡住部分阴茎体及龟头部分，导致医师无法在直视条件下调整包皮或系带需保留的长度，也无法精确调整包皮切除的范围，因此，存在着包皮切除过度或不足的误操作可能，造成手术的安全性不足以及精确度不高的问题。
有鉴于此，目前业界开发出一种吻合装置，可以克服上述现有技术中的各种问题，然而，所开发的吻合装置由于本身结构较为特殊，因此，如何能提供一种与上述吻合装置的结构相适配的夹持装置，以进一步降低手术操作难度并提高手术的安全性，即为本申请待解决的技术问题。
发明内容
鉴于上述问题，本申请的主要目的在于提供一种夹持装置、包皮吻合及环切器械及其使用方法，可根据实际需求而经由夹持装置精确操控吻合装置在预操作状态以及操作状态之间切换，增加了手术操作的方便性和可控性，并可提高手术的精确性以及安全性。
本申请的另一目的在于提供一种夹持装置、包皮吻合及环切器械及其使用方法，可降低手术的操作难度并实现医生单人操作即可完成手术的目的。
为达上述目前及其他相关目的，本申请提供一种夹持装置，其包括：第一夹持件、第二夹持件、第三夹持件、以及枢接件；其中，所述第二夹持件可拆卸地组合至所述第一夹持件上而构成夹持组件，所述枢接件用于枢接所述第一夹持件、所述第二夹持件、与所述第三夹持件，以供所述第一夹持件、所述第二夹持件、和所述第三夹持件以所述枢接件为中心枢转；且其中，当所述第二夹持件组合至所述第一夹持件上而构成所述夹持组件时，可令所述第一夹持件受力或令所述第一夹持件与所述第三夹持件受力，而使所述夹持组件与所述第三夹持件以所述枢接件为中心相对枢转，直至所述夹持组件与所述第三夹持件之间形成第一夹角；以及可令所述第一夹持件与所述第三夹持件继续受力，使得所述第二夹持件与所述第一夹持件相互脱离，以令第二夹持件与第三夹持件之间保持所述第一夹角，而令所述第一夹持件以所述枢接件为中心进一步枢转，直至所述第一夹持件与所述第三夹持件之间形成小于所述第一夹角的第二夹角。
可选地，在本申请的实施例中，所述夹持装置还包括组合件，其分设于所述第一夹持件与所述第二夹持件上，用于提供所述第二夹持件可拆卸式地组合至所述第一夹持件上。
可选地，在本申请的实施例中，所述第一夹持件具有第一枢接部、第一夹持部和第一致动部，所述第二夹持件具有第二枢接部和第二夹持部，所述第三夹持件具有第三枢接部、第三夹持部和第三致动部；其中，所述第一枢接部、所述第二枢接部、所述第三枢接部用于提供所述第一夹持件、所述第二夹持件、与所述第三夹持件分别枢接所述枢接件，所述第一致动部与所述第三致动部用于提供施加作用力；且其中，所述第一枢接部与所述第一致动部分别位于所述第一夹持部的两端，所述第三枢接部与所述第三致动部分别位于所述第三夹持部的两端，所述第二枢接部位于所述第二夹持件的一端；或者，所述第一枢接部位于所述第一夹持部与所述第一枢接部之间，所述第三枢接部位于所述第三夹持部与所述第三枢接部之间，所述第二枢接部位于所述第二夹持件的一端。
本申请还提供一种包皮吻合及环切器械，用于吻合并环切阴茎上的包皮，其包括：吻合装置与夹持装置，所述吻合装置具有上吻合结构与下吻合结构，且所述上吻合结构还具有第一上结构本体与第二上结构本体，所述第一上结构本体可相对于所述第二上结构本体轴向移动，且所述第一上结构本体与所述第二上结构本体之间保持周向固定，所述吻合装置可随所述第一上结构本体相对于所述第二上结构本体的轴向移动而在预操作状态和操作状态之间切换；所述夹持装置具有：第一夹持件，其用于组装所述上吻合结构的所述第一上结构本体；第二夹持件，其用于组装所述上吻合结构的所述第二上结构本体，且所述第二夹持件可拆卸式地组合至所述第一夹持件上而构成夹持组件；第三夹持件，其用于组装所述下吻合结构；以及枢接件，其用于枢接所述第一夹持件、所述第二夹持件、与所述第三夹持件，以供所述第一夹持件、所述第二夹持件、和所述第三夹持件以所述枢接件为中心枢转；其中，当所述第二夹持件组合至所述第一夹持件上而构成所述夹持组件时，可令所述第一夹持件受力或令所述第一夹持件与所述第三夹持件受力，而致动所述夹持组件与所述第三夹持件以所述枢接件为中心相对枢转，并带动所述上吻合结构与所述下吻合结构相向移动，直至所述吻合装置处于所述预操作状态；以及当所述吻合装置处于所述预操作状态时，可令所述第一夹持件与所述第三夹持件继续受力，使得所述第二夹持件与第一夹持件相互脱离，并致动所述第一夹持件以所述枢接件为中心进一步相对枢转，以带动所述第一上结构本体朝接近所述下吻合结构的方向相对于所述第二上结构本体轴向移动，直至所述吻合装置由预操作状态切换至所述操作状态，借以吻合并环切所述阴茎上的所述包皮。
可选地，在本申请的实施例中，所述夹持装置还包括组合件，其分设于所述第一夹持件与所述第二夹持件上，用于提供所述第二夹持件可拆卸式地组合至所述第一夹持件上。
可选地，在本申请的实施例中，所述上吻合结构还包括上穿设通道、上环切件、与上吻合件，其中，所述上穿设通道贯穿所述第一上结构本体与所述第二上结构本体，所述上环切件设于所述第一上结构本体上并周向环绕所述上穿设通道，所述上吻合件分设于所述第一上结构本体与所述第二上结构本体上，并周向环绕所述上穿设通道；所述下吻合结构还包括下穿设通道、下结构本体、下环切件、以及下吻合件，其中，所述下穿设通道轴向贯穿所述下结构本体，所述下环切件与所述下吻合件分别设于所述下结构本体上并周向环绕所述下穿设通道；且其中，所述上穿设通道与所述下穿设通道用于提供所述上吻合结构与所述下吻合结构共轴装配于所述阴茎上。
可选地，在本申请的实施例中，所述上吻合结构还包括限位结构，其分 设于所述第一上结构本体与所述第二上结构本体上，所述限位结构上定义有第一限位部与第二限位部，借以限定所述第一上结构本体在由所述第一限位部与所述第二限位部所定义的行程范围内相对于所述第二上结构本体进行轴向移动；且其中，当所述吻合装置处于所述预操作状态时，所述第一上结构本体相对于所述第二上结构本体位于所述第一限位部，且于此状态下，所述上吻合件与所述下吻合件之间，所述上环切件和所述下环切件之间均不发生作用；当所述吻合装置由所述预操作切换为所述操作状态时，所述第一上结构本体相对于所述第二上结构本体由所述第一限位部轴向移动至所述第二限位部；当所述吻合装置处于所述操作状态时，所述第一上结构本体相对于所述第二上结构本体位于所述第二限位部，且于此状态下，所述上吻合件与所述下吻合件协同配合以吻合所述包皮，且所述上环切件与所述下环切件协同配合以环切所述包皮。
可选地，在本申请的实施例中，所述限位结构还用于提供所述第一上结构本体与所述第二上结构本体之间保持周向固定。
可选地，在本申请的实施例中，所述包皮吻合及环切器械还包括上结合组件与下结合组件，其中，所述上结合组件用于结合所述第二夹持件与所述第二上结构本体并使二者之间周向固定，所述下结合组件用于结合所述第三夹持件与所述下结构本体并使二者之间周向固定，以借由所述夹持装置提供所述上吻合结构与所述下吻合结构之间周向固定。
可选地，在本申请的实施例中，所述上吻合件包括周向布设于所述第一上结构本体上的多个钉仓及存放于所述钉仓内的多个吻合钉，以及周向布设于所述第二上结构本体上的多个钉道，所述下吻合件包括周向布设于所述下结构本体上的多个钉座，其中，各所述钉座，各所述钉道，以及各所述钉仓的设置位置为一一对应，各所述钉仓通过各所述钉道推出存放于其中的各所述吻合钉，各所述钉座用于对推出的各所述吻合钉提供支撑力且铆弯各所述吻合钉的钉脚，从而对所述包皮执行吻合操作；所述上环切件包括设于所述第一上结构本体上的环切刀，所述下环切件包括设于所述下结构本体上的刀槽；所述上吻合件与所述下吻合件分别具有第一外径，所述上环切件与所述下环切件分别具有第二内径，且所述第一外径小于所述第二内径。
可选地，在本申请的实施例中，所述第一夹持件具有第一枢接部、第一夹持部和第一致动部；所述第二夹持件具有第二枢接部和第二夹持部；所述第三夹持件具有第三枢接部、第三夹持部和第三致动部；其中，所述第一枢接部、所述第二枢接部、所述第三枢接部用于提供所述第一夹持件、所述第二夹持件、与所述第三夹持件枢接所述枢接件，所述第一致动部与所述第三致动部用于提供施加作用力，所述第一夹持部、所述第二夹持部、与所述第 三夹持部用于提供组装所述第一上结构本体、所述第二上结构本体、与所述下吻合结构。
可选地，在本申请的实施例中，所述第一夹持件还具有设于所述第一夹持部上的第一适配单元，所述第二夹持件还具有设于所述第二夹持部上的第二适配单元，所述第三夹持部还具有设于所述第三夹持部上的第三适配单元，借以提供所述第一夹持部、所述第二夹持部和所述第三夹持部适配组装具有不同直径的所述第一上结构本体、所述第二上结构本体、与所述下吻合结构。
可选地，在本申请的实施例中，所述第一适配单元为枢接至所述第一夹持部上，以供所述第一夹持件与所述第三夹持件在以所述枢接件为中心相对枢转时，令所述第一上结构本体的周向截面与所述下吻合结构的周向截面之间始终保持平行。
可选地，在本申请的实施例中，所述第一枢接部与所述第一致动部分别位于所述第一夹持部的两端，所述第三枢接部与所述第三致动部分别位于所述第三夹持部的两端，所述第二枢接部位于所述第二夹持件的一端；或者，所述第一枢接部位于所述第一夹持部与所述第一枢接部之间，所述第三枢接部位于所述第三夹持部与所述第三枢接部之间，所述第二枢接部位于所述第二夹持件的一端。
本申请还提供一种包皮吻合及环切器械的使用方法，应用于上述各实施例所述的包皮吻合及环切器械，该方法包括以下处理步骤：将所述第一上结构本体组装于所述第一夹持件上，将所述第二上结构本体组装于所述第二夹持件上，并将所述下吻合结构组装于所述第三夹持件上；令所述第二夹持件组合至所述第一夹持件上而构成所述夹持组件，以使所述第二上结构本体与所述第一上结构本体形成联动；令所述第一夹持件受力或令所述第一夹持件与所述第三夹持件同时受力，以致动所述夹持组件与所述第三夹持件以所述枢接件为中心相对枢转，而带动所述第二上结构本体随所述第一上结构本体同步向接近所述下吻合结构的方向移动，直至所述吻合装置处于所述预操作状态；以及令所述第一夹持件与所述第三夹持件继续受力，使得所述第二夹持件与所述第一夹持件相互脱离，并使所述第一夹持件与所述第三夹持件以所述枢接件为中心进一步相对枢转，借以带动所述第一上结构本体朝接近所述下吻合结构的方向相对于所述第二上结构本体轴向移动，直至所述吻合装置由预操作状态切换至所述操作状态，从而针对阴茎上的包皮执行吻合及环切操作。
由上可见，本申请所提供的夹持装置，通过令第二夹持件可拆卸地与第一夹持件组合而构成夹持组件，使得夹持组件与第三夹持件之间形成第一夹角，并通过令第二夹持件与第一夹持件脱离，使得第一夹持件进一步枢转而 与第三夹持件之间形成小于第一夹角的第二夹角，借以实现分段式夹持的技术效果。
此外，本申请所提供的包皮吻合及环切器械，利用上述夹持装置可以精确地操控吻合装置在预操作状态以及操作状态下切换，从而降低手术操作的难度，并实现了医生单人操作即可完成手术的目的，还可有效提高手术的安全性。
附图说明
为了更清楚地说明本申请实施例或现有技术中的技术方案，下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍，显而易见地，下面描述中的附图仅仅是本申请实施例中记载的一些实施例，对于本领域普通技术人员来讲，还可以根据这些附图获得其他的附图。
图1至图2为本申请的夹持装置处于不同操作状态的实施例示意图；
图3为本申请的夹持装置的分解结构示意图；
图4及图5为本申请的包皮吻合及环切器械处于不同操作状态的实施例示意图；
图6为本申请的吻合装置的分解结构示意图；
图7A及图7B为本申请的上吻合结构的仰视图及俯视图；
图8为本申请的下吻合结构的俯视图；以及
图9为本申请的包皮吻合及环切器械(夹持装置)的另一实施例示意图。
元件标号
1：包皮吻合及环切器械；10：夹持装置；11：第一夹持件；111：第一枢接部；112：第一夹持部；113：第一致动部；114：第一适配单元；12：第二夹持件；121：第二枢接部；122：第二夹持部；124：第二适配单元；13：第三夹持件；131：第三枢接部；132：第三夹持部；133：第三致动部；134：第三适配单元；14：枢接件；15：夹持组件；16：组合件；161：第一卡合件；162：第二卡合件；20：吻合装置；21：上吻合结构；210：上穿设通道；211：第一上结构本体；212：第二上结构本体；213：上环切件；214：上吻合件；2141：钉仓；2142：吻合钉；2143：钉道；215：限位结构；215A：第一限位件；215B：第二限位件；2151：第一限位部；2152：第二限位部；22：下吻合结构；220：下穿设通道；221：下结构本体；222：下环切件；223：下吻合件；224：预紧环；2231：钉座；31：上结合组件；31a：第一上结构单元；31b：第二上结构单元；32：下结合组件；32a：第一下结构单元；32b：第二下结构单元；
具体实施方式
为了使本领域的人员更好地理解本申请实施例中的技术方案，下面将结合本申请实施例中的附图，对本申请实施例中的技术方案进行清楚、完整地描述，显然，所描述的实施例仅是本申请实施例一部分实施例，而不是全部的实施例。基于本申请实施例中的实施例，本领域普通技术人员所获得的所有其他实施例，都应当属于本申请实施例保护的范围。
请参考图1至图3，本申请的一实施例提供一种夹持装置10，如图所示，夹持装置10主要包括第一夹持件11、第二夹持件12、第三夹持件13和枢接件14。
第二夹持件12可拆卸地组合至第一夹持件11上而构成夹持组件15(如图2所示状态)。于本实施例中，夹持装置10还包括组合件16，如图所示，其包括设置于第一夹持件11上的第一卡合件161和设置于第二夹持件12上的第二卡合件162，通过令第一卡合件161与第二卡合件162相互卡合，以提供第二夹持件12可拆卸式地组合至第一夹持件11上。枢接件14用于分别枢接第一夹持件11、第二夹持件12、与第三夹持件13，以供第一夹持件11、第二夹持件12、和第三夹持件13以枢接件14为中心枢转。
其中，当第二夹持件12组合至第一夹持件11上而构成夹持组件15时，可令第一夹持件11受力，或者令第一夹持件11与第三夹持件13共同受力，而使夹持组件15(即借由第一夹持件11带动第二夹持件12同步作动)与第三夹持件13以枢接件14为中心相对枢转，直至夹持组件15与第三夹持件13之间形成第一夹角。于此状态下，可令第一夹持件11与第三夹持件13继续受力，使得第二夹持件12与第一夹持件11相互脱离，以在第二夹持件12与第三夹持件13之间仍保持第一夹角的情况下，令第一夹持件11以枢接件14为中心进一步枢转，直至第一夹持件11与第三夹持件13之间形成小于第一夹角的第二夹角。
请参阅图3，于本申请中，第一夹持件11具有第一枢接部111、第一夹持部112和第一致动部113，第二夹持件12具有第二枢接部121和第二夹持部122，第三夹持件13具有第三枢接部131、第三夹持部132和第三致动部133。具体而言，第一枢接部111、第二枢接部121、第三枢接部131提供第一夹持件11、第二夹持件12、与第三夹持件13分别枢接至枢接件14上，而第一夹持件11上的第一致动部113与第三夹持件13上的第三致动部133则用于提供施加作用力。
于一实施例中，第一枢接部111与第一致动部113分别位于第一夹持部112的两端，第三枢接部131与第三致动部133分别位于第三夹持部132的 两端，而第二枢接部121则位于第二夹持件12的一端，借以构成图1至图2所示的夹持装置10的结构形态。然，并不以此为限，于另一实施例中，第一枢接部111位于第一夹持部112与第一枢接部111之间，第三枢接部131位于第三夹持部132与第三枢接部131之间，而第二枢接部121则位于第二夹持件12的一端，借以构成如图9所示的夹持装置10的结构形态。
此外，本申请还提供一种包皮吻合及环切器械1，用于吻合并环切阴茎上的包皮，如图4、图5、图7所示，本申请的包皮吻合及环切器械1由夹持装置10以及吻合装置20所构成。
请结合参考图6，吻合装置20具有上吻合结构21与下吻合结构22，其中，上吻合结构21还具有第一上结构本体211与第二上结构本体212，第一上结构本体211可相对于第二上结构本体212轴向移动，且第一上结构本体211与第二上结构本体212之间保持周向固定。
于具体的实施例中，上吻合结构21还包括上穿设通道210、上环切件213、与上吻合件214。请结合参考图6以及图7A所示，上穿设通道210贯穿第一上结构本体211与第二上结构本体212，上环切件213设于第一上结构本体211上并周向环绕上穿设通道210，上吻合件214分设于第一上结构本体211与第二上结构本体212上，并周向环绕上穿设通道210。请配合参考图6及图8，下吻合结构22还包括下穿设通道220、下结构本体221、下环切件222、以及下吻合件223，其中，下穿设通道220轴向贯穿下结构本体221，下环切件222与下吻合件223分别设于下结构本体221上并周向环绕下穿设通道220。
具体而言，上穿设通道210与下穿设通道220用于提供上吻合结构21与下吻合结构22共轴装配于所述阴茎上。
上吻合件214可包括周向布设于第一上结构本体211上的多个钉仓2141及存放于各钉仓2141内的多个吻合钉2142，以及周向布设于第二上结构本体212上的多个钉道2143，下吻合件223则包括周向布设于下结构本体221上的多个钉座2231，其中，各钉座2231，各钉道2143，以及各钉仓2141的设置位置为一一对应，各钉仓2141可通过各钉道2143推出存放于其中的各吻合钉2142，各钉座2231用于对推出的各吻合钉2142提供支撑力且铆弯各吻合钉2142的钉脚，从而对包皮执行吻合操作。上环切件213可包括设于第一上结构本体211上的环切刀，下环切件222可包括设于下结构本体221上的刀槽，借以针对包皮执行环切操作。于本实施例中，上吻合件214与下吻合件223分别具有第一外径，上环切件213与下环切件222分别具有第二内径，且第一外径小于第二内径，借以提供上环切件213与下环切件222在完外圈执行包皮环切操作的同时令上吻合件214与下吻合件223在内圈执行 包皮的吻合操作，以实现包皮吻合及环切操作的同步执行，可在简化手术操作步骤的同时亦能有效提高手术的安全性。
另外，本申请的吻合装置20还可包括预紧件，于本实施例所示的附图中，预紧件例如为套设在下结构本体221上的预紧环224(如图6及图8所示)，其中，预紧环224的内径为可调节，用于针对待切割的包皮提供预紧固定的作用。需说明的是，上述预紧件的结构设计并不以图6及图8所示的实施例为限，亦可采用其他方式予以实现，由于其并非本申请的技术重点，故在此不予赘述。
此外，上吻合结构21还包括限位结构215，其包括设于第一上结构本体211上的第一限位件215A与设在第二上结构本体212上的第二限位件215B。于本实施例中，第一限位部215A例如为设置在第一上结构本体211的内壁上的凸块215A，而第二限位单元215B例如为沿第二上结构本体212的轴向而设置在第二上结构本体212的外壁上的凹槽215B，通过令凸块215A在凹槽215B内滑动，以供第一上结构本体211相对于第二上结构本体212轴向移动。再者，限位结构215上还定义有第一限位部2151与第二限位部2152，于本实施例中，第一限位部2151与第二限位部2152例如分别位于凹槽215B的两端，借以限定第一上结构本体211(凸块215A)在由第一限位部2151与第二限位部2152所定义的行程范围内相对于第二上结构本体212进行轴向移动。再者，借由上述的限位结构215亦可实现第一上结构本体211与第二上结构本体212之间保持周向固定，从而利于上吻合件214与下吻合件223之间的位置对准。
于本申请中，吻合装置20可随着第一上结构本体211相对于第二上结构本体212的轴向移动而在预操作状态和操作状态之间切换。具体而言，当吻合装置20处于预操作状态时，第一上结构本体211相对于第二上结构本体212位于第一限位部2151的位置(参考图4所示状态)，于此状态下，上吻合件214与下吻合件223之间以及上环切件213和下环切件222之间均不发生作用，以供医生利用预紧件(例如预紧环224)执行包皮的预紧固定操作。当吻合装置20由预操作切换为操作状态时，第一上结构本体211相对于第二上结构本体212由第一限位部2151轴向移动至第二限位部2152。而当吻合装置20处于操作状态时，第一上结构本体211相对于第二上结构本体212位于第二限位部2152的位置(参考图5所示状态)，于此状态下，上吻合件214与下吻合件223协同配合以针对包皮执行吻合操作，同时，上环切件213与下环切件222亦协同配合以针对包皮执行环切操作，借以实现联动执行包皮的吻合及环切操作。
夹持装置10的结构于上述图1至图3所示的实施例大致相同，主要包 括第一夹持件11，第二夹持件12，第三夹持件13，以及分别枢接第一夹持件11、第二夹持件12、与第三夹持件13的枢接件14。其中，第一夹持件11用于组装上吻合结构21的第一上结构本体211。第二夹持件12用于组装上吻合结构21的第二上结构本体212，且第二夹持件12可拆卸式地组合至第一夹持件11上而构成夹持组件15。于一实施例中，夹持装置10还包括组合件16，其本实施例中，组合件16包括设置于第一夹持件11上的第一卡合件161和设置于第二夹持件12上的第二卡合件162(如图5所示)，通过令第一卡合件161与第二卡合件162相互卡合，以提供第二夹持件12可拆卸式地组合至第一夹持件11上。第三夹持件13用于组装吻合装置20的下吻合结构22。
请配合参阅图3，于另一实施例中，第一夹持件11还具有第一枢接部111、第一夹持部112和第一致动部113；第二夹持件12具有第二枢接部121和第二夹持部122；第三夹持件13具有第三枢接部131、第三夹持部132和第三致动部133；其中，第一枢接部111、第二枢接部121、第三枢接部131用于提供第一夹持件11、第二夹持件12、与第三夹持件13枢接至枢接件14上，于本实施例中，第一枢接部111、第二枢接部121和第三枢接部131例如为形成在第一夹持件11、第二夹持件12和第三夹持件13上的枢接孔，枢接件14例如为枢接杆，通过令第一枢接部111、第二枢接部121和第三枢接部131穿设于枢接件14上，以供第一夹持件11、第二夹持件12、与第三夹持件13得绕枢接件14进行转动作动。此外，第一致动部113与第三致动部133用于提供施加作用力，而第一夹持部112、第二夹持部122、与第三夹持部132用于提供组装第一上结构本体211、第二上结构本体212与下吻合结构22。
此外，本申请的夹持装置10可以不同结构形态予以实现。于一实施例中，第一枢接部111与第一致动部113分别位于第一夹持部112的两端，第三枢接部131与第三致动部133分别位于第三夹持部132的两端，而第二枢接部121则位于第二夹持件12的一端，借以构成图1至图5所示的夹持装置10的结构形态。然并不以此为限，于另一实施例中，第一枢接部111位于第一夹持部112与第一枢接部111之间，第三枢接部131位于第三夹持部132与第三枢接部131之间，而第二枢接部121则位于第二夹持件12的一端，借以构成如图9所示的夹持装置10的结构形态。
此外，为使本申请的夹持装置10可适配于不同口径的吻合装置20，以降低成本，于本实施例中，第一夹持件11还具有可脱卸地组装在第一夹持部112上的第一适配单元114，第二夹持件12还具有可脱卸地组装在第二夹持部122上的第二适配单元124，第三夹持部132还具有可脱卸地组装在第 三夹持部132上的第三适配单元134(如图3所示)，其中，不同的第一适配单元114、第二适配单元124、第三适配单元134可具有不同的内径，借以提供第一夹持部112、第二夹持部122和第三夹持部132适配组装具有不同直径(外径)的第一上结构本体211、第二上结构本体212、与下吻合结构22。
请继续参阅图3，于较佳实施例中，第一适配单元114为枢接至第一夹持部112上，以使第一适配单元114可相对于第一夹持部112转动，从而提供第一夹持件11与第三夹持件13在以枢接件14为中心相对枢转时，可令上第一上结构本体211的周向截面与下吻合结构22的周向截面之间始终保持平行(参考图2)，借以确保上环切件213与下环切件222，上吻合件214与下吻合件223在协同作业时，可保持周向方向上的受力均匀，从而确保包皮环切及吻合操作的顺利执行。
再者，上述夹持装置10还可提供吻合装置20的上吻合结构21与下吻合结构22之间保持周向固定。具体而言，于另一实施例中，包皮吻合及环切器械1还包括上结合组件31与下结合组件32，其中，上结合组件31包括设于第二夹持件12(第二适配单元124)上的第一上结合单元31a(如图1及图3所示)以及设于第二上结构本体212上的第二上结合单元31b，通过令第一上结合单元31a和第二上结合单元31b相互卡合，以供第二上结构本体212组装于第二夹持件12上且令二者之间周向固定。在此，下结合组件32包括设于第三夹持件13(第三适配单元134)上的第一下结合单元32a(如图1及图3所示)以及设于下结构本体221上的第二下结合单元32b，通过令第一下结合单元32a和第二下结合单元32b相互卡合，以供下结构本体221组装于第三夹持件13上且令二者之间周向固定。此外，如上所述，由于第二上结构本体212与第一上结构本体211之间亦保持周向固定，因此，可借由夹持装置10以提供吻合装置20的上吻合结构21与下吻合结构22之间周向固定，从而确保包皮吻合操作的顺利执行。
于本实施例中，当夹持装置10的第二夹持件12组合至第一夹持件11上而构成夹持组件15时，组装至第二夹持件12上的第二上结构本体212与组装至第一夹持件11上的第一上结构本体211可通过相对于枢接件14枢转，亦即，以上吻合结构21为整体相对于枢接件14枢转，且第一上结构本体211相对于第二上结构本体212位于第一限位部2151的位置，于此状态下，可令第一夹持件11受力或令第一夹持件11与第三夹持件13一并受力，而致动夹持组件15与第三夹持件13以枢接件14为中心相对枢转，从而带动上吻合结构21与下吻合结构22相向移动，直至吻合装置20处于预操作状态，例如，上吻合结构21的第二上结构本体212与下吻合结构22相互抵顶，且 第一上结构本体211相对于第二上结构本体212仍保持位于第一限位部2151的位置(参考图4所示状态)。如上所述，于此状态下，上吻合件214与下吻合件223之间以及上环切件213和下环切件222之间均不发生作用，可提供医生执行包皮的预紧固定操作(例如利用预紧环224)。
当吻合装置20处于预操作状态时，可令第一夹持件11与第三夹持件13继续受力，使得第二夹持件12与第一夹持件11相互脱离，并致动第一夹持件11以枢接件14为中心进一步相对枢转，以带动第一上结构本体211朝接近下吻合结构22的方向相对于第二上结构本体212轴向移动(亦即，令第一上结构本体211相对于第二上结构本体212由第一限位部2151朝第二限位部2152的方向移动)，直至吻合装置20由预操作状态切换至操作状态，即第一上结构本体211相对于第二上结构本体212位于第二限位部2152的位置(参考图5所示状态)。如上所述，于此状态下，上吻合件214与下吻合件223协同配合以针对包皮执行吻合操作，同时，上环切件213与下环切件222亦协同配合以针对包皮执行环切操作。
再者，本申请还提供一种包皮吻合及环切器械的使用方法，其主要包括以下处理步骤：
将吻合装置组装至夹持装置上，其具体包括，将第一上结构本体211组装于第一夹持件11上，将第二上结构本体212组装于第二夹持件12上，并将下吻合结构22组装于第三夹持件13上。
令夹持装置的第二夹持件12组合至第一夹持件11上而构成夹持组件15，以使吻合装置的第二上结构本体212与第一上结构本体211之间形成联动作动关系。
可令阴茎分别穿过下穿设通道与上穿设通道，而将下吻合结构与上吻合结构共轴装配于阴茎上，且令阴茎的龟头部分从上穿设通道伸出并外露。
通过对第一夹持件11施加作用力，或者针对第一夹持件11与第三夹持件13同时施加作用力，以致动夹持组件15与第三夹持件13以枢接件14为中心相对枢转，而带动第二上结构本体212随第一上结构本体211同步向接近下吻合结构22的方向移动，直至吻合装置20处于预操作状态。于此状态下，待切割的部分包皮被夹设在第二上结构本体212与下吻合结构22之间，且上吻合件214与下吻合件223之间，上环切件213和下环切件222之间均不发生作用，医生可以针对待切割的包皮进行调整操作。需说明的是，于此过程中，本申请还可包括利用吻合装置20针对待切割的包皮执行预紧固定操作，然而，由于上述预紧固定操作可通过各种不同的实施方式予以实现，且与本申请的夹持装置10并无直接关联，为避免模糊本申请的技术重点，在此将不予赘述。
对第一夹持件11与第三夹持件13继续施加作用力，使得第二夹持件12与第一夹持件11相互脱离，并使第一夹持件11与第三夹持件13以枢接件14为中心进一步相对枢转，进而带动第一上结构本体211朝接近下吻合结构22的方向相对于第二上结构本体212轴向移动，直至吻合装置20由预操作状态切换至操作状态，即上吻合件214与下吻合件223协同配合以吻合所述包皮，且上环切件213与下环切件222协同配合以环切所述包皮，从而完成包皮的吻合及环切操作。
综上所述，本申请所提供的夹持装置利用分段式夹持功能，以控制吻合装置在预操作状态与操作状态下切换，从而方便了包皮吻合及环切手术的执行，实现了医生单人操作即可完成手术的目的，还可有效提高手术的安全性。
最后应说明的是：以上实施例仅用以说明本申请实施例的技术方案，而非对其限制；尽管参照前述实施例对本申请进行了详细的说明，本领域的普通技术人员应当理解：其依然可以对前述各实施例所记载的技术方案进行修改，或者对其中部分技术特征进行等同替换；而这些修改或者替换，并不使相应技术方案的本质脱离本申请各实施例技术方案的精神和范围。

Claims (15)

  1. 一种夹持装置，其包括：第一夹持件、第二夹持件、第三夹持件、以及枢接件；其中，
    所述第二夹持件可拆卸地组合至所述第一夹持件上而构成夹持组件，所述枢接件用于枢接所述第一夹持件、所述第二夹持件、与所述第三夹持件，以供所述第一夹持件、所述第二夹持件、和所述第三夹持件以所述枢接件为中心枢转；且其中，
    当所述第二夹持件组合至所述第一夹持件上而构成所述夹持组件时，可令所述第一夹持件受力或令所述第一夹持件与所述第三夹持件受力，而使所述夹持组件与所述第三夹持件以所述枢接件为中心相对枢转，直至所述夹持组件与所述第三夹持件之间形成第一夹角；以及
    可令所述第一夹持件与所述第三夹持件继续受力，使得所述第二夹持件与所述第一夹持件相互脱离，以令第二夹持件与第三夹持件之间保持所述第一夹角，而令所述第一夹持件以所述枢接件为中心进一步枢转，直至所述第一夹持件与所述第三夹持件之间形成小于所述第一夹角的第二夹角。
  2. 根据权利要求1所述的夹持装置，其特征在于，所述夹持装置还包括组合件，其分设于所述第一夹持件与所述第二夹持件上，用于提供所述第二夹持件可拆卸式地组合至所述第一夹持件上。
  3. 根据权利要求1所述的夹持装置，其特征在于，所述第一夹持件具有第一枢接部、第一夹持部和第一致动部，所述第二夹持件具有第二枢接部和第二夹持部，所述第三夹持件具有第三枢接部、第三夹持部和第三致动部；其中，
    所述第一枢接部、所述第二枢接部、所述第三枢接部用于提供所述第一夹持件、所述第二夹持件、与所述第三夹持件分别枢接所述枢接件，所述第一致动部与所述第三致动部用于提供施加作用力；且其中，
    所述第一枢接部与所述第一致动部分别位于所述第一夹持部的两端，所述第三枢接部与所述第三致动部分别位于所述第三夹持部的两端，所述第二枢接部位于所述第二夹持件的一端；或者，所述第一枢接部位于所述第一夹持部与所述第一枢接部之间，所述第三枢接部位于所述第三夹持部与所述第三枢接部之间，所述第二枢接部位于所述第二夹持件的一端。
  4. 一种包皮吻合及环切器械，用于吻合并环切阴茎上的包皮，其特征在于，包括：
    吻合装置，其具有上吻合结构与下吻合结构，且所述上吻合结构还具有第一上结构本体与第二上结构本体，所述第一上结构本体可相对于所述第二 上结构本体轴向移动，且所述第一上结构本体与所述第二上结构本体之间保持周向固定，所述吻合装置可随所述第一上结构本体相对于所述第二上结构本体的轴向移动而在预操作状态和操作状态之间切换；以及
    夹持装置，其具有：
    第一夹持件，其用于组装所述上吻合结构的所述第一上结构本体；
    第二夹持件，其用于组装所述上吻合结构的所述第二上结构本体，且所述第二夹持件可拆卸式地组合至所述第一夹持件上而构成夹持组件；
    第三夹持件，其用于组装所述下吻合结构；以及
    枢接件，其用于枢接所述第一夹持件、所述第二夹持件、与所述第三夹持件，以供所述第一夹持件、所述第二夹持件、和所述第三夹持件以所述枢接件为中心枢转；其中，
    当所述第二夹持件组合至所述第一夹持件上而构成所述夹持组件时，可令所述第一夹持件受力或令所述第一夹持件与所述第三夹持件受力，而致动所述夹持组件与所述第三夹持件以所述枢接件为中心相对枢转，并带动所述上吻合结构与所述下吻合结构相向移动，直至所述吻合装置处于所述预操作状态；以及
    当所述吻合装置处于所述预操作状态时，可令所述第一夹持件与所述第三夹持件继续受力，使得所述第二夹持件与第一夹持件相互脱离，并致动所述第一夹持件以所述枢接件为中心进一步相对枢转，以带动所述第一上结构本体朝接近所述下吻合结构的方向相对于所述第二上结构本体轴向移动，直至所述吻合装置由预操作状态切换至所述操作状态，借以吻合并环切所述阴茎上的所述包皮。
  5. 根据权利要求4所述的包皮吻合及环切器械，其特征在于，所述夹持装置还包括组合件，其分设于所述第一夹持件与所述第二夹持件上，用于提供所述第二夹持件可拆卸式地组合至所述第一夹持件上。
  6. 根据权利要求4所述的包皮吻合及环切器械，其特征在于，
    所述上吻合结构还包括上穿设通道、上环切件、与上吻合件，其中，所述上穿设通道贯穿所述第一上结构本体与所述第二上结构本体，所述上环切件设于所述第一上结构本体上并周向环绕所述上穿设通道，所述上吻合件分设于所述第一上结构本体与所述第二上结构本体上，并周向环绕所述上穿设通道；
    所述下吻合结构还包括下穿设通道、下结构本体、下环切件、以及下吻合件，其中，所述下穿设通道轴向贯穿所述下结构本体，所述下环切件与所述下吻合件分别设于所述下结构本体上并周向环绕所述下穿设通道；且其中，
    所述上穿设通道与所述下穿设通道用于提供所述上吻合结构与所述下吻 合结构共轴装配于所述阴茎上。
  7. 根据权利要求6所述的包皮吻合及环切器械，其特征在于，
    所述上吻合结构还包括限位结构，其分设于所述第一上结构本体与所述第二上结构本体上，所述限位结构上定义有第一限位部与第二限位部，借以限定所述第一上结构本体在由所述第一限位部与所述第二限位部所定义的行程范围内相对于所述第二上结构本体进行轴向移动；且其中，
    当所述吻合装置处于所述预操作状态时，所述第一上结构本体相对于所述第二上结构本体位于所述第一限位部，且于此状态下，所述上吻合件与所述下吻合件之间，所述上环切件和所述下环切件之间均不发生作用；
    当所述吻合装置由所述预操作切换为所述操作状态时，所述第一上结构本体相对于所述第二上结构本体由所述第一限位部轴向移动至所述第二限位部；
    当所述吻合装置处于所述操作状态时，所述第一上结构本体相对于所述第二上结构本体位于所述第二限位部，且于此状态下，所述上吻合件与所述下吻合件协同配合以吻合所述包皮，且所述上环切件与所述下环切件协同配合以环切所述包皮。
  8. 根据权利要求7所述的包皮吻合及环切器械，其特征在于，所述限位结构还用于提供所述第一上结构本体与所述第二上结构本体之间保持周向固定。
  9. 根据权利要求8所述的包皮吻合及环切器械，其特征在于，所述包皮吻合及环切器械还包括上结合组件与下结合组件，其中，所述上结合组件用于结合所述第二夹持件与所述第二上结构本体并使二者之间周向固定，所述下结合组件用于结合所述第三夹持件与所述下结构本体并使二者之间周向固定，以借由所述夹持装置提供所述上吻合结构与所述下吻合结构之间周向固定。
  10. 根据权利要求9所述的包皮吻合及环切器械，其特征在于，
    所述上吻合件包括周向布设于所述第一上结构本体上的多个钉仓及存放于所述钉仓内的多个吻合钉，以及周向布设于所述第二上结构本体上的多个钉道，所述下吻合件包括周向布设于所述下结构本体上的多个钉座，其中，各所述钉座，各所述钉道，以及各所述钉仓的设置位置为一一对应，各所述钉仓通过各所述钉道推出存放于其中的各所述吻合钉，各所述钉座用于对推出的各所述吻合钉提供支撑力且铆弯各所述吻合钉的钉脚，从而对所述包皮执行吻合操作；
    所述上环切件包括设于所述第一上结构本体上的环切刀，所述下环切件包括设于所述下结构本体上的刀槽；以及
    所述上吻合件与所述下吻合件分别具有第一外径，所述上环切件与所述下环切件分别具有第二内径，且所述第一外径小于所述第二内径。
  11. 根据权利要求4所述的包皮吻合及环切器械，其特征在于，
    所述第一夹持件具有第一枢接部、第一夹持部和第一致动部；所述第二夹持件具有第二枢接部和第二夹持部；所述第三夹持件具有第三枢接部、第三夹持部和第三致动部；其中，
    所述第一枢接部、所述第二枢接部、所述第三枢接部用于提供所述第一夹持件、所述第二夹持件、与所述第三夹持件枢接所述枢接件，所述第一致动部与所述第三致动部用于提供施加作用力，所述第一夹持部、所述第二夹持部、与所述第三夹持部用于提供组装所述第一上结构本体、所述第二上结构本体、与所述下吻合结构。
  12. 根据权利要求11所述的包皮吻合及环切器械，其特征在于，所述第一夹持件还具有设于所述第一夹持部上的第一适配单元，所述第二夹持件还具有设于所述第二夹持部上的第二适配单元，所述第三夹持部还具有设于所述第三夹持部上的第三适配单元，借以提供所述第一夹持部、所述第二夹持部和所述第三夹持部适配组装具有不同直径的所述第一上结构本体、所述第二上结构本体、与所述下吻合结构。
  13. 根据权利要求11所述的包皮吻合及环切器械，其特征在于，所述第一适配单元为枢接至所述第一夹持部上，以供所述第一夹持件与所述第三夹持件在以所述枢接件为中心相对枢转时，令所述第一上结构本体的周向截面与所述下吻合结构的周向截面之间始终保持平行。
  14. 根据权利要求11所述的包皮吻合及环切器械，其特征在于，所述第一枢接部与所述第一致动部分别位于所述第一夹持部的两端，所述第三枢接部与所述第三致动部分别位于所述第三夹持部的两端，所述第二枢接部位于所述第二夹持件的一端；或者，所述第一枢接部位于所述第一夹持部与所述第一枢接部之间，所述第三枢接部位于所述第三夹持部与所述第三枢接部之间，所述第二枢接部位于所述第二夹持件的一端。
  15. 一种包皮吻合及环切器械的使用方法，应用于根据权利要求4至14中任一项所述的包皮吻合及环切器械，其特征在于，该方法包括以下处理步骤：
    将所述第一上结构本体组装于所述第一夹持件上，将所述第二上结构本体组装于所述第二夹持件上，并将所述下吻合结构组装于所述第三夹持件上；
    令所述第二夹持件组合至所述第一夹持件上而构成所述夹持组件，以使所述第二上结构本体与所述第一上结构本体形成联动；
    令所述第一夹持件受力或令所述第一夹持件与所述第三夹持件同时受力， 以致动所述夹持组件与所述第三夹持件以所述枢接件为中心相对枢转，而带动所述第二上结构本体随所述第一上结构本体同步向接近所述下吻合结构的方向移动，直至所述吻合装置处于所述预操作状态；以及
    令所述第一夹持件与所述第三夹持件继续受力，使得所述第二夹持件与所述第一夹持件相互脱离，并使所述第一夹持件与所述第三夹持件以所述枢接件为中心进一步相对枢转，借以带动所述第一上结构本体朝接近所述下吻合结构的方向相对于所述第二上结构本体轴向移动，直至所述吻合装置由预操作状态切换至所述操作状态，从而针对阴茎上的包皮执行吻合及环切操作。
PCT/CN2020/100878 2019-10-15 2020-07-08 夹持装置、包皮吻合及环切器械及其使用方法 WO2021073172A1 (zh)

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