CN102188276B - Disposable circumcision anastomat - Google Patents
Disposable circumcision anastomat Download PDFInfo
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- CN102188276B CN102188276B CN 201110118471 CN201110118471A CN102188276B CN 102188276 B CN102188276 B CN 102188276B CN 201110118471 CN201110118471 CN 201110118471 CN 201110118471 A CN201110118471 A CN 201110118471A CN 102188276 B CN102188276 B CN 102188276B
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- tooth bar
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- torus
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B17/326—Circumcision apparatus
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- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
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Abstract
The invention discloses a disposable circumcision anastomat. The disposable circumcision anastomat comprises an outer ring which is provided with an opening, wherein one side of the opening of the outer ring is provided with a first gear and a second gear which are engaged with each other; the other side of the opening of the outer ring is provided with a first rack and a second rack which extend outward; the first gear and the first rack are engaged with each other, and the first rack moves toward the opposite side of the first rack under the progressive driving of the first gear; and the second gear and the second rack are engaged with each other, and the second gear drives the second rack to move toward the opposite side of the second rack under the driving of the first gear. Through a closed regulation structure obtained by matching the gears with the racks, the loosening degree during ring loading can be appropriately and moderately controlled according to the actual situation of different operators such as the difference of the thickness of preputial skin tissues of each patient and the difference of tolerance degree of each patient on pain.
Description
Technical field
The present invention relates to a kind of prepuce ring-cutter, refer in particular to and to realize compensating roller lock solid structure.
Background technology
Adult's Wrapping annulus cuts operation is extensively approved in the effect that reduces the HIV propagation, the disposable circumcision anastomat of Mr. Shang Jianzhong design, employing arranges the closed lock solid structure of type self-destroyed clamping block at the outer shroud opening part, the apparatus that efficiently solves the screw connection of traditional prepuce ring-cutter tool use screw rod and cause is reused problem, has greatly improved safety and the standardization of Wrapping annulus cuts operation.
But widely used type self-destroyed clamping block formula is identical with the screw rod screw closed manners of transmission at present, all belongs to one-time positioning formula closing device, and apparatus is subdivided into different models according to the size of ring.In the operation implementation process, according to measurement result, selects different apparatuses, after local anesthesia is carried out at the corrective surgery position, overlap upper inner ring, foreskin is turned up, adjust the position of inner and outer ring after, closed outer shroud is finished the action of the pressed on ring of prepuce ring-cutter.Owing to there are differences between each individuality, even identical measurement result, the skin histology thin and thick of every patient's foreskin is different, every patient is also different to the tolerance degree of pain, like this, use the girdling device of same model, but can't take into account everyone individual variation.
In addition, after finishing the step of above-mentioned pressed on ring, will be first that the patient is unnecessary foreskin falls major part by excision, the patient is by wearing prepuce ring-cutter in many days, pressuring action by prepuce ring-cutter, so that the remaining unnecessary foreskin self falling of fraction, and the position that prepuce ring-cutter compresses rebulids new circulative metabolism and obtain recovery.It is few that this kind therapeutic modality, the recovery process of foreskin need not anaesthetic, antibiolics, pain, the postoperative effect smooth and beautiful appearance.But, still need operation to finish local excision.
In above-mentioned whole therapeutic process, the tightness of outer shroud is only once determined by installation process, can't take into account the individual diversity abnormity, and in the middle of operation, can not regulate the degree of tightness of outer shroud again, the pain that produces if generation extruding property edema or patient can't tolerate the compressing of girdling device still needs extraneous auxiliary treatment even descends ring midway.
So, how to improve the different crowd suitability of prepuce ring-cutter and wear level of comfort, and the real operation Wicresoft that realizes, to be worth inquiring into, for the demand that exists in the prior art, Mr. Shang Jianzhong research has also designed the aperture closure of taking into account locked mechanism and adjustment structure, introduces in detail below in conjunction with accompanying drawing and explanation.
Summary of the invention
The present invention is directed to the requirement of existing Wrapping annulus cuts operation, a kind of novel disposable circumcision anastomat is provided, fundamentally change the modus operandi that Wrapping annulus cuts operation is operated on.
The technical solution used in the present invention is: disposable circumcision anastomat, and outer shroud has opening, wherein:
One side of outer ring opening is provided with the first gear and the second gear, this first gear and the mutual interlock of the second gear;
The opposite side of outer ring opening is provided with outward extending the first tooth bar and the second tooth bar;
The first gear and the mutual interlock of the first tooth bar, the first tooth bar are moved to its opposite side under the progressive driving of the first gear;
The second gear and the mutual interlock of the second tooth bar, the second gear drive the second tooth bar to its opposite side motion under the driving of the first gear.
Wherein: each sawtooth on this first tooth bar and the second tooth bar is skewed setting from center, outer shroud lateral;
This first gear and the second gear comprise the round tooth torus of upper end and the conical tooth torus of lower end, and it is skewed to what mate with the first gear and the first tooth bar that the sawtooth on the conical tooth torus is;
Pass through round tooth torus interlock separately between the first gear and the second gear; The first gear and the second gear are by conical tooth torus and the first tooth bar and the mutual interlock of the second tooth bar of lower end.
Wherein: described the first gear and the second gear are the single direction rotation gear.
Wherein: the first gear or the second gear include interior fixed axis, and round tooth torus and angular wheel ring set are located at the interior fixed axis outside, and the round tooth torus drives the rotation of conical tooth torus;
Offer socket on the outer wall of interior fixed axis, be placed with elastic block rubber and active fastening block in this socket, round tooth torus inwall arranges some caulking grooves;
Offer socket on the interior fixed axis outer wall, be placed with elastomer and active fastening block in the socket, this active fastening block outer end shape and above-mentioned caulking groove form fit;
Active fastening block is placed in the caulking groove, or is subjected to interior fixed axis outer wall extruding force, and compresses elastomeric is placed in the socket.
Wherein: it is pointed that described caulking groove is crescent moon, and to lopsidedness, it is pointed that the outer end of described active fastening block is crescent moon equally, and to lopsidedness.
Wherein: the couple positioned opposite of the first tooth bar and the second tooth bar has the first groove and second groove of accommodating this first tooth bar and the second tooth bar.
Wherein: be provided with linear protrusion on described the first tooth bar and the second tooth bar, be provided with linear grooves in described the first groove and the second groove.
Wherein: be provided with some drainage systems be used to alleviating edema on the outer shroud edge of a knife.
The invention has the beneficial effects as follows: by the closed adjustment structure of wheel and rack cooperation, can be according to the practical situation of different operators, for example, every patient's skin of foreskin organizes different and every the patient of thin and thick to the difference of the tolerance degree of pain, suitably the tightness during the moderate control pressed on ring.Then, can tolerate gradually the compression degree of ring according to human skin tissue, the different times in operation, the size of progressively dwindling ring.Like this, in the process that compresses gradually of outer shroud, the outer unnecessary foreskin of ring is naturally downright bad gradually.Because in the operation process, it is incremental tolerance that human body compresses the pain that produces to outer shroud, can be according to everyone tolerance degree, select a good opportunity and adjust or the size of adjustment ring not, so that more hommization of Wrapping annulus cuts operation, effectively reduce patient's uncomfortable degree, improve the acceptance of this operation.
Description of drawings
Fig. 1 is the front view that anastomat for circumcision of the present invention adopts the Double-gear closed manners.
Fig. 2 is the side view that anastomat for circumcision of the present invention adopts the Double-gear closed manners.
Fig. 3 is the opposite side view that anastomat for circumcision of the present invention adopts the Double-gear closed manners.
Fig. 4 is the rearview that anastomat for circumcision of the present invention adopts the Double-gear closed manners.
Fig. 5 is the axonometric chart that anastomat for circumcision of the present invention adopts the Double-gear closed manners.
Fig. 6, Fig. 7 are the structural representation of the unidirectional control of anastomat for circumcision gear of the present invention.
The specific embodiment
Disposable circumcision anastomat of the present invention, outer shroud can adopt whole C type structure also can adopt Split type structure, no matter overall structure or Split type structure, the cutting ring mouth has first half edge of a knife junction in a side of opening outside, and the outer shroud edge of a knife has Lower Half edge of a knife junction in the opposite side of opening.See also Fig. 1 to shown in Figure 5, wherein, outer shroud 1 adopts Split type structure, comprises left semi-ring 1 and right semi-ring 2.Outer shroud outer wall inboard is provided with knife edge structure, because outer shroud split, outer shroud forms opening and link, the outer shroud link is realized connecting by the pin-jointed structure (circular hole is connected with drive-connecting shaft) that is arranged on the outer shroud outer wall, and the knife edge structure on the outer shroud forms respectively first half edge of a knife junction and the Lower Half edge of a knife junction of mutual coupling in opening and link.Take opening as example: the opening of left semi-ring 1 edge of a knife has first half edge of a knife junction 11, and this first half edge of a knife junction 11 comprises along the edge of a knife from caving in outside to inside, be thinner than the adjacent edge of a knife.The opening of right semi-ring 2 edges of a knife has Lower Half edge of a knife junction 21, this Lower Half edge of a knife junction 21 comprises along the edge of a knife caves in, is thinner than the adjacent edge of a knife from inside to outside, and the outer of this first half edge of a knife junction 11 and Lower Half edge of a knife junction 21 can be fillet, corner or oblique angle.When opening was closed, the depressed part of first half edge of a knife junction 11 and Lower Half edge of a knife junction 21 mutually mated and forms complete knife edge structure, avoid pressing from both sides meat in the process of pressed on ring, and complete knife edge structure was so that postoperative effect is very attractive in appearance.
Emphasis of the present invention improves and is, the open end of left semi-ring 1 is provided with the Double-wheel structure of the first gear 3 and the second gear 4, the first gear 3 and the 4 mutual interlocks of the second gear.Right semi-ring 2 open end are outward extended with the first tooth bar 5 and the second tooth bar 6, the first gear 3 engages mutually with the first tooth bar 6, the second gear engages mutually with the second tooth bar 6, form the passage 7 for the first gear 3 and 4 operations of the second gear between described the first tooth bar 5 and the second tooth bar 6, offer on the left semi-ring 1 for accommodating the first groove 8 of the first tooth bar 5 with for the second accommodating groove 9 of the second tooth bar 6, in order to make things convenient for being connected and increasing firm performance between tooth bar and the groove between tooth bar and the groove, be provided with mutual coupling position limiting structure at bottom or side that tooth bar contacts with groove, this position limiting structure can be line style projection and the linear grooves of mutually coupling or be other retaining structures, specifically, be provided with linear protrusion on the first tooth bar and the second tooth bar, be provided with linear grooves in described the first groove and the second groove.
See also Fig. 1 to shown in Figure 3, each sawtooth on this first tooth bar 5 and the second tooth bar 6 tilts from the lateral central side respectively, be skewed, this first gear 3 and the second gear 4 comprise the round tooth torus of upper end and the conical tooth torus of lower end, sawtooth on the conical tooth torus be with the second tooth bar and the first tooth bar be complementary skewed, the round tooth torus interlock by the upper end between the first gear 3 and the second gear 4; The first gear 3 and the second gear 4 are by conical tooth torus and the first tooth bar and the mutual interlock of the second tooth bar of lower end.
Wherein, above-mentioned the first gear 3 and the second gear 4 are one-way rotation mechanisms, prevent its reverse opening, cause reusing of apparatus, avoid cross infection.See also Fig. 6 and shown in Figure 7, it is the structural representation of the unidirectional control of gear, and take the second gear 4 as example, round tooth torus 41 inwalls arrange some caulking grooves 411, and it is pointed that caulking groove 411 is crescent moon, and to lopsidedness (clockwise among the figure).This round tooth torus 41 and conical tooth torus 42 are set in an interior fixed axis 43 outsides, by the linkage rotation of the rotary actuation conical tooth torus 42 of round tooth torus 41.Interior fixed axis 43 bottoms are fixed on the outer shroud, play fixing effect.Should offer socket 431 on the outer wall of interior fixed axis 43, and be placed with elastic block rubber 432 and active fastening block 433 in this socket 431, it is pointed that the outer end of this active fastening block 433 is crescent moon, and to lopsidedness, its shape and above-mentioned caulking groove 411 are complementary.Round tooth torus 41 can be rotated in a clockwise direction, round tooth torus 41 inwall Compressive activities fixture blocks 433 compressing elastic block rubbers 432 dwindle, so that active fastening block resists in socket 431, when active fastening block 433 and caulking groove 411 intersect, because its incline direction is identical.Therefore when continuing to apply external force, caulking groove 411 is very easy to break away from the restriction of active fastening block 433, continue to slide clockwise, when reverse rotation round tooth torus 41, owing to being subject to the restriction of active fastening block 433, finally can't realize rotation.This designs, and has ensured the single direction rotation of external tooth torus, after the opening closure, prevents its reverse opening, has avoided the Reusability of this medical apparatus and instruments, has guaranteed the use safety of user.
During pressed on ring, the first gear 3 and the second gear 4 are engaged with the first tooth bar 5 and the second tooth bar 6 respectively, left semi-ring 1 and right semi-ring 2 are formed closure, when inner ring sleeve is located on the glans penis, after foreskin turned up, again it is set on the operative site, at this moment, according to patient's skin conditions, rotate the first gear 3, the first gear 3 drives the second gear 4, and drives the first tooth bar 5 and the second tooth bar 6 is advanced to the opposite interlock, and is closed and tighten outer ring opening.
In sum, by the closed adjustment structure that wheel and rack cooperates, can be according to the practical situation of different operators, for example, every patient's skin of foreskin organizes different and every the patient of thin and thick to the difference of the tolerance degree of pain, suitably the tightness during the moderate control pressed on ring.Then, can tolerate gradually the compression degree of ring according to human skin tissue, the different times in operation, the size of progressively dwindling ring.Like this, in the process that compresses gradually of outer shroud, the outer unnecessary foreskin of ring is naturally downright bad gradually.
Because in the operation process, it is incremental tolerance that human body compresses the pain that produces to outer shroud, can be according to everyone tolerance degree, select a good opportunity and adjust or the size of adjustment ring not, so that more hommization of Wrapping annulus cuts operation, effectively reduce patient's uncomfortable degree, improve the acceptance of this operation.Simultaneously, on the cutting ring mouth, be provided with drainage system 10 outside, drainage system 10 can be the pointed tooth that evenly is laid on the outer shroud, in the process that outer shroud clamps, can alleviate the edema situation in the hands operation process.
Claims (8)
1. disposable circumcision anastomat, outer shroud has opening, it is characterized in that:
One side of outer ring opening is provided with the first gear and the second gear, this first gear and the mutual interlock of the second gear;
The opposite side of outer ring opening is provided with outward extending the first tooth bar and the second tooth bar;
The first gear and the mutual interlock of the first tooth bar, the first tooth bar are moved to its opposite side under the progressive driving of the first gear;
The second gear and the mutual interlock of the second tooth bar, the second gear drive the second tooth bar to its opposite side motion under the driving of the first gear.
2. disposable circumcision anastomat as claimed in claim 1 is characterized in that:
Each sawtooth on this first tooth bar and the second tooth bar is skewed setting from center, outer shroud lateral;
This first gear and the second gear comprise the upper end the round tooth torus and the conical tooth torus of lower end, the sawtooth on the conical tooth torus be with the second tooth bar and the first tooth bar be complementary skewed;
Pass through round tooth torus interlock separately between the first gear and the second gear; The first gear and the second gear conical tooth torus by the lower end respectively with the first tooth bar and the mutual interlock of the second tooth bar.
3. disposable circumcision anastomat as claimed in claim 2, it is characterized in that: described the first gear and the second gear are the single direction rotation gear.
4. disposable circumcision anastomat as claimed in claim 2 or claim 3 is characterized in that:
The first gear and the second gear include interior fixed axis, and round tooth torus and angular wheel ring set are located at the interior fixed axis outside, and the round tooth torus drives the rotation of conical tooth torus;
Offer socket on the outer wall of interior fixed axis, be placed with elastomer and active fastening block in this socket, round tooth torus inwall arranges some caulking grooves, active fastening block outer end shape and described caulking groove form fit;
Active fastening block can be placed in the caulking groove.
5. disposable circumcision anastomat as claimed in claim 4, it is characterized in that: it is pointed that described caulking groove is crescent moon, and to lopsidedness, it is pointed that the outer end of described active fastening block is crescent moon equally, and to lopsidedness.
6. disposable circumcision anastomat as claimed in claim 5, it is characterized in that: the couple positioned opposite of the first tooth bar and the second tooth bar has the first groove and second groove of accommodating this first tooth bar and the second tooth bar.
7. disposable circumcision anastomat as claimed in claim 6 is characterized in that: be provided with linear protrusion on described the first tooth bar and the second tooth bar, be provided with linear grooves in described the first groove and the second groove.
8. disposable circumcision anastomat as claimed in claim 7 is characterized in that: be provided with some drainage systems be used to alleviating edema on the outer shroud edge of a knife.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201110118471 CN102188276B (en) | 2011-05-09 | 2011-05-09 | Disposable circumcision anastomat |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201110118471 CN102188276B (en) | 2011-05-09 | 2011-05-09 | Disposable circumcision anastomat |
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| Publication Number | Publication Date |
|---|---|
| CN102188276A CN102188276A (en) | 2011-09-21 |
| CN102188276B true CN102188276B (en) | 2013-02-06 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN 201110118471 Active CN102188276B (en) | 2011-05-09 | 2011-05-09 | Disposable circumcision anastomat |
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Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103142291B (en) * | 2013-03-06 | 2016-05-25 | 辽宁爱母医疗科技有限公司 | Foreskin loop cutter |
| CN105232106A (en) * | 2015-11-13 | 2016-01-13 | 无锡贝恩外科器械有限公司 | Circumcision anastomat |
| US10758244B2 (en) * | 2017-02-06 | 2020-09-01 | Covidien Lp | Endoscopic surgical clip applier |
Family Cites Families (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101313867B (en) * | 2008-06-25 | 2010-09-01 | 商建忠 | Anastomat for circumcision |
| CN102028520A (en) * | 2010-12-27 | 2011-04-27 | 商建忠 | Disposable circumcision anastomat |
| CN202096272U (en) * | 2011-05-09 | 2012-01-04 | 商建忠 | Disposable foreskin circumcision stapler |
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2011
- 2011-05-09 CN CN 201110118471 patent/CN102188276B/en active Active
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| CN102188276A (en) | 2011-09-21 |
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Owner name: WUHU SHANGHUAN TECHNOLOGY CO., LTD. Free format text: FORMER OWNER: SHANG JIANZHONG Effective date: 20150818 |
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Effective date of registration: 20150818 Address after: 241009 Anhui Province, Wuhu economic and Technological Development Zone Branch Center D Park 402 Patentee after: WUHU SHANGHUAN SCIENCE & TECHNOLOGY CO., LTD. Address before: 241000 Zhongshan Road, Wuhu, Jinghu District, Zhongshan building, room 4, building 702, room Patentee before: Shang Jianzhong |