CN106214226B - Glans penis holder assembly and anastomat for circumcision - Google Patents
Glans penis holder assembly and anastomat for circumcision Download PDFInfo
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- CN106214226B CN106214226B CN201610643220.5A CN201610643220A CN106214226B CN 106214226 B CN106214226 B CN 106214226B CN 201610643220 A CN201610643220 A CN 201610643220A CN 106214226 B CN106214226 B CN 106214226B
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- glans penis
- fixing belt
- foreskin
- stationary plane
- holder assembly
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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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis, e.g. in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
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- Life Sciences & Earth Sciences (AREA)
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- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
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Abstract
Present invention discloses a kind of glans penis holder assembly and anastomat for circumcision, glans penis holder assembly includes glans penis seat and fixing belt, glans penis seat includes glans penis chamber, anvil assembly mounting surface and the foreskin stationary plane formed by the outer wall face of glans penis chamber, foreskin stationary plane is set to the proximal end of anvil assembly mounting surface, anvil assembly mounting surface cooperates for installing knife anvil, knife anvil and cutter;Fixing belt includes two free terminals, fixing belt is arranged to that the periphery of foreskin stationary plane can be assemblied in winding, for fixing foreskin to be cut, when knife anvil and fixing belt are assemblied in glans penis seat, in in the axial direction of glans penis seat, projection and fixing belt projection in knife anvil extended surface at of the cutter at knife anvil is not overlapped.In the course of surgery, foreskin to be cut can be easily fixed, patient's one-hand operation is easy to operate, effectively improves the efficiency of operation.
Description
Technical field
The present invention relates to medical instrument more particularly to a kind of glans penis holder assemblies and anastomat for circumcision.
Background technique
Redundant prepuce, phimosis are the common reproductive problems of male.Redundant prepuce is easy to shelter evil people and countenance evil practices, if cleaning not in time,
It will lead to glans foreskin inflammation and phallitis, influence normal love life, and increase sexual partner and suffer from Cervicitis and cervical carcinoma
Chance, simultaneously, it is also possible to cause carcinoma of penis, cause the various problems such as infertility, premature ejaculation.
With the continuous improvement of people's living standard and health perception, to self germ health, more stringent requirements are proposed.
Wrapping annulus cuts operation is exactly the effective ways for treating Redundant prepuce and phimosis.Nearly ten years a large number of studies show that, male's foreskin
Not only to reducing, skin of penis infects procedure, urinary tract infection is of great importance, but also can reduce the balanitis of adult male
Deng incidence, reduce the vagina infection of its spouse, the disease incidence of cervical carcinoma, or even the property biography to prevention including AIDS including
Disease and genital system etc. is broadcast to be of great significance.
Currently, anastomat for circumcision can be used in treatment redundant prepuce.Under normal circumstances, anastomat for circumcision includes one
Glans penis seat, in the course of surgery, the glans penis that glans penis first can be placed in glans penis seat are intracavitary, then by foreskin to be cut towards glans penis seat
Proximal end stretches and fixes, to implement subsequent cutting suture operation.
In the prior art, the fixation of foreskin to be cut is realized using band, but band is complicated for operation, and the fixation to foreskin
It is ineffective, it is easy to produce cutting error, frenulum damage or foreskin is caused to cut through phenomena such as more or very few.
Summary of the invention
It is to be cut for easily fixing the purpose of the present invention is to provide a kind of glans penis holder assembly and anastomat for circumcision
The foreskin cut.
One of for achieving the above object, an embodiment of the present invention provides a kind of glans penis holder assembly comprising:
Glans penis seat comprising glans penis chamber, anvil assembly mounting surface and the foreskin formed by the outer wall face of the glans penis chamber
Stationary plane, the foreskin stationary plane are set to the proximal end of the anvil assembly mounting surface, and the anvil assembly mounting surface is for installing knife
Anvil, the knife anvil and cutter cooperate;
Fixing belt comprising two free terminals, it is solid that the fixing belt is arranged to can be assemblied in winding the foreskin
The periphery for determining face, for fixing foreskin to be cut, when the knife anvil and the fixing belt are assemblied in the glans penis seat, in institute
In the axial direction for stating glans penis seat, projection and fixing belt projection in knife anvil extended surface at of the cutter at the knife anvil is not
Overlapping.
As the further improvement of an embodiment of the present invention, the fixing belt includes belt shape and cyclic form,
During the fixing belt is assembled to the glans penis seat, the fixing belt from belt shape gradually to cyclic form transition,
And the cyclic form is in when assembling and completing.
As the further improvement of an embodiment of the present invention, the foreskin stationary plane is equipped at least one first cooperation
Structure, the fixing belt be equipped with at least one matched second fit structure of first fit structure, described first matches
It closes structure and second fit structure can at least foreskin stationary plane described in the axially position of the glans penis seat and the fixation
Band.
As the further improvement of an embodiment of the present invention, each first fit structure is matched including at least 1 first
Conjunction portion, first auxiliary section are boss or card slot, and each second fit structure includes at least one second auxiliary section, described
Second auxiliary section is card slot or boss, and first auxiliary section and second auxiliary section shape are matched and can be mutually clamped.
As the further improvement of an embodiment of the present invention, the foreskin stationary plane includes proximal edge, remote edge
And the central region of the proximal edge and the remote edge is connected, first matching part is in the central region and leans on
The close or connection proximal edge.
As the further improvement of an embodiment of the present invention, the foreskin stationary plane includes proximal edge, remote edge
And connect the central region of the proximal edge and the remote edge, the fixing belt include proximal end side, distal edge and
Connecting the intermediate region of the proximal end side and distal edge, first fit structure includes a pair of first auxiliary section, and two
First auxiliary section is extended to form by the proximal edge and the remote edge towards the central region respectively;Described second matches
Closing structure includes a pair of second auxiliary section, and two the second auxiliary sections are respectively from the proximal end side and the distal edge to described
Intermediate region extends to form.
As the further improvement of an embodiment of the present invention, described two first auxiliary sections are opposite or are arranged in a staggered manner, institute
It states two the second auxiliary sections relatively or is arranged in a staggered manner.
As the further improvement of an embodiment of the present invention, the appearance profile of described two first auxiliary sections is different, institute
The appearance profile for stating two the second auxiliary sections is different.
As the further improvement of an embodiment of the present invention, the fixing belt is equipped with connection structure, the connection knot
The fixing belt can be connected as cyclic form by belt shape by structure, and the connection structure includes free close to the fixing belt one
First connection structure of end setting, and close to the second connection structure of another free terminal setting of the fixing belt, it is described
First connection structure and second connection structure can be ordinatedly clamped, and become cricoid a part in cyclic form.
As the further improvement of an embodiment of the present invention, first connection structure includes connection buckle and connecting band,
Second connection structure includes the link slot with the connector of connection buckle cooperation and with connecting band cooperation.
As the further improvement of an embodiment of the present invention, in the axial direction of the glans penis seat, the width of the connection buckle
Degree is greater than the width of the connecting band, and the connection buckle is arranged close to a free terminal of the fixing belt, and the freely end
End is a part of the connection buckle, and the width of the link slot is less than the width of the connector, and the link slot is close to institute
State another free terminal setting of fixing belt and through the free terminal.
As the further improvement of an embodiment of the present invention, when the fixing belt is assemblied at the foreskin stationary plane
When, first opening and the separate foreskin stationary plane of the connector with the close foreskin stationary plane being interconnected
Second opening, the connection buckle have the first end face close to the foreskin stationary plane and second far from the foreskin stationary plane
End face, in the circumferential direction of the fixing belt, the opening bore of second opening is less than the opening mouth of first opening
Diameter, the length of the second end face is less than the length of the first end face, and the opening bore of first opening is equal to described
The opening bore of the length of first end face, second opening is equal to the length of the second end face.
One of for achieving the above object, an embodiment of the present invention provides a kind of anastomat for circumcision, including kiss
Clutch ontology, nail bin groupware, and glans penis seat described in any one technical solution as above of the stapler ontology can be connected
Component.
Compared with prior art, the beneficial effects of the present invention are: in the course of surgery, can easily fix to be cut
Foreskin, patient's one-hand operation is easy to operate, effectively improves the efficiency of operation.
Detailed description of the invention
Fig. 1 is the anastomat for circumcision perspective view of an embodiment of the present invention;
Fig. 2 is the anastomat for circumcision explosive view of an embodiment of the present invention;
Fig. 3 is the glans penis holder assembly of an embodiment of the present invention and the explosive view of anvil assembly;
Fig. 4 is the glans penis holder assembly of an embodiment of the present invention and the perspective view of anvil assembly;
Fig. 5 is the glans penis holder assembly of an embodiment of the present invention and the cross-sectional view of anvil assembly;
Fig. 6 is the partial enlarged view in Fig. 5;
Fig. 7 is the fixing belt belt shape and cyclic form schematic diagram of an embodiment of the present invention;
Fig. 8 is the fixing belt belt shape partial enlarged view of an embodiment of the present invention;
Fig. 9 is the sectional view when fixing belt of an embodiment of the present invention is assemblied at foreskin stationary plane;
Figure 10 is the partial enlarged view in Fig. 9;
Figure 11 is the glans penis holder assembly of an embodiment of the present invention and the cooperation figure of anvil assembly;
Figure 12 is the glans penis holder assembly and anvil assembly schematic diagram of first embodiment of the invention;
Figure 13 is the glans penis holder assembly and anvil assembly schematic diagram of second embodiment of the invention;
Figure 14 is the glans penis holder assembly and anvil assembly schematic diagram of third embodiment of the invention;
Figure 15 is the glans penis holder assembly and anvil assembly schematic diagram of fourth embodiment of the invention;
Figure 16 is the glans penis holder assembly and anvil assembly schematic diagram of fifth embodiment of the invention;
Figure 17 is the glans penis holder assembly and anvil assembly schematic diagram of sixth embodiment of the invention;
Figure 18 is the glans penis holder assembly and anvil assembly schematic diagram of seventh embodiment of the invention;
Figure 19 is the glans penis seat and anvil assembly schematic diagram of seventh embodiment of the invention.
Specific embodiment
Below with reference to specific embodiment shown in the drawings, the present invention will be described in detail.But these embodiments are simultaneously
The present invention is not limited, structure that those skilled in the art are made according to these embodiments, method or functionally
Transformation is included within the scope of protection of the present invention.
The word of described expression position and direction in the present invention, is to lean near operation using equipment operator as reference
One end of person is proximal end, and one end far from operator is distal end.
In embodiments of the present invention, Medical stapler of the invention is done specifically using anastomat for circumcision as example
Explaination, but it should be stated that, the skill spirit involved in embodiment disclosed below can alternatively be used it
On the stapler of its form.
As shown in Figures 1 to 4, in an embodiment of the present invention, anastomat for circumcision is for applying multiple suturing nails
It is added in physiological tissue's (herein referring to foreskin) of human body, while cutting is implemented to extra physiological tissue accordingly.
The anastomat for circumcision includes stapler ontology (not indicating), nail bin groupware 40 and can connect the stapler
The glans penis holder assembly 20 of ontology.
Stapler ontology includes casing 10 and the percussion handle 30 for being pivotally connected the casing 10.
Glans penis holder assembly 20 is located at the distal end of casing 10.
Glans penis holder assembly 20 includes glans penis seat 21 and the fixing belt 22 being used cooperatively with glans penis seat 21, glans penis seat 21 and casing
Can be close to each other between 10 or it be separated from each other movement.
Nail bin groupware 40 is located at the distal end of casing 10.
The nail bin groupware 40 includes nail bin 41, nail barrel 42, pushing slice of nail 43, cutter 44 and anvil assembly 45, wherein anvil group
Part 45 is located in glans penis seat 21.Here, it should be noted that cutter 44 is in hollow and annular, and cutter 44 can be circular ring shape cutter,
It is also possible to approximate circular ring shape cutter, for example, oval ring cutter etc..
The nail barrel 42 is in hollow and annular, and the nail barrel 42 connects the remote of the casing 10 by fixed ring (not indicating)
End, the nail barrel 42 are removably connected the nail bin 41, and the nail bin 41 is annular nail bin.Likewise, nail barrel 42 can be
Circular ring shape nail barrel, oval ring nail barrel etc., nail bin 41 can be circular ring shape nail bin, oval ring nail bin etc..
The pushing slice of nail 43 is set in nail barrel 42, and cutter 44 is installed in pushing slice of nail 43, and nail bin 41 is set to pushing slice of nail
43 distal ends, when cutter 44 is assembled at pushing slice of nail 43, the distal end end face of cutter 44 protrudes out the distal end end face of pushing slice of nail 43, institute
It states nail bin 41 and is equipped with several nail mouthes (not indicating) cooperated with pushing slice of nail 43 on its end face, several suturing nails are located at nail mouth
Place.
The anvil assembly 45 includes the nail anvil 451 of cooperation suturing nail and the knife anvil 452 of the cooperation cutter 44, the nail
Anvil 451 is annular nail anvil, and the knife anvil 452 is endless knife anvil.Likewise, nail anvil 451 can be circular ring shape nail anvil, oval ring
Nail anvil etc., knife anvil 452 can be circular ring shape knife anvil, oval ring knife anvil etc..
At least one auxiliary 90, described auxiliary 90 and suturing nail (not indicating) are additionally provided between nail bin 41 and anvil assembly 45
It is used cooperatively.Described auxiliary 90 can reduce the pain of postoperative erection, reduce oedema, and can assist stopping blooding.
The glans penis seat 21 further includes the glans penis chamber 211 for accommodating glans penis and the anvil axis positioned at 211 proximal end of glans penis chamber
212.Wherein, 211 opening of glans penis chamber forms a ring-shaped edge (not indicating), and the proximal end of the ring edge is formed with annular sky
Chamber (does not indicate), and the knife anvil 452 and the nail anvil 451 are located in the toroidal cavity, it is of course also possible to be glans penis chamber 211
The proximal end of ring edge forms an anvil assembly mounting surface 213, and the knife anvil 452 and the nail anvil 451 are set to the anvil assembly
On mounting surface 213.Likewise, the toroidal cavity of glans penis seat 21 can be annular cavity, oval ring cavity etc., glans penis seat 21
Anvil assembly mounting surface 213 can be circular ring shape anvil assembly mounting surface, oval ring anvil assembly mounting surface etc..
The outer surface of the ring-shaped edge of the glans penis chamber 211 is formed with a holding tank 2111,2111 edge of holding tank
The axial X of glans penis seat 21 extends, and when foreskin to be cut stretches, the holding tank 2111 is for accommodating frenulum to play to frenulum
Protective effect.
The anastomat for circumcision further includes the adjusting knob 50 for being connected to 10 proximal end of casing.
The adjusting knob 50 is flexibly connected the proximal end for the screw rod 60 that one is arranged in the casing 10, and the adjusting is revolved
It is reciprocating in the axial direction of anastomat for circumcision that button 50 passes through screw rod 60 described in the screw drive being arranged inside.
The distal end of the screw rod 60 is fixedly connected with the anvil axis 212, in this way, when the anvil axis 212 connects the screw rod 60
When, the glans penis seat 21 can be driven close to or far from the casing 10 by adjusting knob 50 clockwise or counterclockwise
It is mobile, so that 41 clamp or release desired physiological tissue of anvil assembly 45 and nail bin.
The casing 10 includes right shell body 10a and the left shell 10b being correspondingly arranged with the right shell body 10a.Below only
Dense medium continues right shell body 10a, and the explanation of left shell 10b can refer to right shell body 10b.
The distal end of the right shell body 10a is equipped with a housing coupling part 102a, so that the casing 10 can pass through fixed ring
It is connect with the nail barrel 42.
The right shell body 10a is equipped with percussion handle mounting hole 104a, and the right shell body 10a passes through percussion handle mounting hole
Pin hole 301 on 104a and the percussion handle 30 is pivotally connected.
It is additionally provided with the impeller 302 extended to inside casing 10 in the percussion handle 30, is set inside the casing 10
There is jacking block 70, the proximal face of the jacking block 70 supports the elongated end of the impeller 302, and the distal end end face of the jacking block 70 is supported
Hold pushing slice of nail 43.
The jacking block 70 has an initial position and a firing position, when percussion handle 30 is rotated relative to casing 10, pushes away
Moving part 302 drives the jacking block 70 to be moved to firing position by initial position, and the jacking block 70 drives pushing slice of nail 43 and cutter 44
It moves and carries out cutting suture operation.
In the present embodiment, it is only provided with a percussion handle 30, the impeller 302 of percussion handle 30 supports the top
The proximal face center of block 70, so that 70 uniform force of jacking block in other embodiments, can also be symmetrical arranged two certainly
A percussion handle 30.
The cooperation of jacking block 70 is equipped with safety block 80, and casing 10 is equipped with the hole 101 for accommodating the safety block 80.Work as guarantor
When dangerous block 80 is maintained in described hole 101, the percussion handle 30 can not drive the jacking block 70 mobile, at this time at jacking block 70
In initial position;When safety block 80 is in firing position, the safety block 80 is detached from described hole 101, and the jacking block 70 exists
It is mobile to its firing position under the action of percussion handle 30.
In the following, simply introducing the workflow of the anastomat for circumcision of an embodiment of the present invention:
In the present embodiment, glans penis seat 21 is removably attachable to the distal end of casing 10, when original state, glans penis seat 21
In openable state, the desired physiological tissue (foreskin) operated stretches towards proximal end and is fixed on glans penis seat using fixing belt 22
On 21, the desired physiological tissue operated can be placed between nail bin 41 and anvil assembly 45.
When the anastomat for circumcision/nail bin groupware 40 switches to closed state by original state, the tune is rotated
Knob 50, proximally facing movement under the action of adjusting knob 50 of screw rod 60 are saved, screw rod 60 drives the glans penis seat 21 close to machine
Shell 10 is mobile until anvil assembly 45 and nail bin 41 are closed, and can clamp desired physiological tissue therebetween, the pushing slice of nail 43 and described cuts
Knife 44 does not move and is still located on the proximal end of the nail bin groupware 40.
When the anastomat for circumcision/nail bin groupware 40 switches to cock by closed state, the anvil assembly
45 and nail bin 41 still maintain closure, driving safety block 80 is detached from described hole 101, and pressing percussion handle 30 makes its drive jacking block
70 is mobile towards distal end, and jacking block 70 drives pushing slice of nail 43 and cutter 44 mobile by the proximate of the nail bin groupware 40, cutter
44 and pushing slice of nail 43 cut and suture the desired physiological tissue of clamping, and can be limited in the distal end of the nail bin groupware 40 and
Stop movement.
When the anastomat for circumcision/nail bin groupware 40 switches to percussion completion status by cock, relieving is hit
Handle 30, opposite direction rotation of adjustment knob 50 are sent out, screw rod 60 drives glans penis seat 21 mobile far from casing 10, pushing slice of nail 43 and cutter
44 return back to initial position, and the anvil assembly 45 and nail bin 41 are in open shape, at this time can be by the desired physiological group after cutting suture
It knits and is detached from glans penis seat 21.
In conjunction with Fig. 5 to Fig. 7, in the present embodiment, the outer wall face of the glans penis chamber 211 forms foreskin stationary plane
214, the foreskin stationary plane 214 is set to the proximal end of the anvil assembly mounting surface 213.
There are two free terminal (the first free end A and the second free end B) for the tool of fixing belt 22, and the fixing belt 22 is set
For can be assemblied in the foreskin stationary plane 214 periphery with winding, for fixing foreskin to be cut.
When the knife anvil 452 and the fixing belt 22 are assemblied in the glans penis seat 21, in the axial X of the glans penis seat 21
On, projection and the fixing belt 22 projection in knife anvil 452 extended surface at of the cutter 44 at the knife anvil 452 does not weigh
It is folded.
That is, when foreskin to be cut with fixation at fixing belt 22 is assemblied in foreskin stationary plane 214, the fixing belt
22 do not hinder cutter 44 mobile towards knife anvil 452.
In addition, in the course of surgery, foreskin to be cut can be easily fixed using fixing belt 22, it is easy to operate, effectively
Ground improves the efficiency of operation, is suitable for patient's one-handed performance.
In a specific example, the knife anvil 452 is " several " font knife anvil, and knife anvil 452 is equipped with cutting thin-walled 4521, institute
It states cutter 44 and the cutting thin-walled 4521 cooperates.
When the knife anvil 452 and the fixing belt 22 are assemblied in the glans penis seat 21, the cutting thin-walled 4521 up to
Minimum range D1 between small part point and the extended surface of the foreskin stationary plane be greater than in the fixing belt 22 any point with
Minimum range D2 between the foreskin stationary plane 214.
That is, when the knife anvil 452 and the fixing belt 22 are assemblied in the glans penis seat 21, in 21 axis of glans penis seat
To on X, there is no an overlapping region between fixing belt 22 and cutting thin-walled 4521, either, fixing belt 22 and cutting thin-walled 4521 it
Between have and partly overlap region, but cutting thin-walled 4521 still has partial region not Chong Die with fixing belt 22.
In this way, fixing belt 22 will not hinder cutter 44 to contact cutting for knife anvil 452 when fixing belt 22 is assembled to glans penis seat 21
Cut thin-walled 4521.
It is appreciated that when have between fixing belt 22 and cutting thin-walled 4521 partly overlap region when, fixing belt 22 it is outer
Surface is alternatively arranged as guiding parts to guide cutter 44 to be stabilized to Dutch and cut at thin-walled 4521.
In the present embodiment, the outside wall surface of the glans penis chamber 211 includes first area 2112 and second area 2113, institute
The distal end that first area 2112 is located at the second area 2113 is stated, and the foreskin stationary plane 214 is located at the first area
2112。
It should be noted that first area 2112 here parallel with 21 axial direction X of glans penis seat can either have centainly
Angle, the generally hollow cyclic structure in first area 2112, second area 2113 is located in first area 2112 and anvil axis 212
Between.
In the present embodiment, joint face is equipped between the anvil assembly mounting surface 213 and the foreskin stationary plane 214
215, as shown in fig. 6, joint face 215 is in inverted L shape.
In one example, center is open towards on extrorse direction Y in the glans penis chamber 21, fix in foreskin to be cut
Afterwards, the overall thickness H of the fixing belt 22 and foreskin to be cut is preferably more than the width W of the joint face 215, does not surpass at most
The cutter 44 is crossed in the projection on the cutting thin-walled 4521.
That is, it is preferred that being formed with a stage portion between anvil assembly mounting surface 213 and foreskin stationary plane 214 under situation
(i.e. joint face 215), fixing belt 22 are configured at stage portion just, and stage portion is substantially annular step.
When fixing belt 22 is assemblied in the glans penis seat 21, the fixing belt 22 be fully accommodated at joint face 215 and not
Protrude out the outer rim of joint face 215.
It should be understood that joint face 215 is located at the distal end of foreskin stationary plane 214 at this time, and joint face 215 defines foreskin
The distal end boundary of stationary plane 214.
Certainly, in other embodiments, a bulge loop (not indicating) can be formed in the proximal end of foreskin stationary plane 214, it is described convex
Ring defines the proximal boundary of foreskin stationary plane 214, at this point, 214 place plane of foreskin stationary plane is enclosed with joint face 215, bulge loop and set
It is in the " [ loop concave of " type in an axial direction section X.
Certainly, above description is only to illustrate a kind of specific example, and fixing belt 22 and the relationship of joint face 215 are not stated above
Bright to be limited, the specific structure of foreskin stationary plane 214 is not also limited with above description.
It should be noted that direction Y is substantially the diameter of the opening of glans penis chamber 211 when the opening of glans penis chamber 211 is round
To when the opening of glans penis chamber 211 is ellipse, direction Y is substantially the direction at 211 opening center to edge of glans penis chamber.
Further, in the present embodiment, in conjunction with Fig. 7, the fixing belt 22 include belt shape and cyclic form this
Two states, during the fixing belt 22 is assembled to glans penis seat 21, the fixing belt 22 by belt shape by
Gradually to cyclic form transition, and the cyclic form is in when assembling and completing.
Here, when foreskin to be cut is stretched at foreskin stationary plane 214, the fixing belt 22 of belt shape is assembled to tortoise
At headstock 21, and by fixing belt 22 gradually around form annular in shape foreskin to be cut to be fixed at foreskin stationary plane 214.
Further, in the present embodiment, the fixing belt 22 is equipped with connection structure 221, the connection structure 221
The fixing belt 22 can be connected as cyclic form by belt shape.
The connection structure 221 includes the first connection structure close to the 22 first free terminal A of fixing belt setting
221a, and close to the second connection structure 221b of the 22 second free terminal B of fixing belt setting, first connection structure
221a and the second connection structure 221b can be ordinatedly clamped, and become cricoid a part in cyclic form.
Here, by the clamping of the first connection structure 221a and the second connection structure 221b, fixing belt 22 can be convenient for
Switch between belt shape and cyclic form, and when the first connection structure 221a and the second connection structure 221b is clamped
Afterwards, the first connection structure 221a and the second connection structure 221b does not protrude out the fixing belt 22 of cyclic form itself.
Specifically, the first connection structure 221a includes connection buckle 2211a and connecting band 2212a, second connection
Structure 221b includes the connection with the connector 2211b of connection buckle 2211a cooperation and with connecting band 2212a cooperation
Slot 2212b.
Together refering to Fig. 8 to Figure 10, on the axial X of the glans penis seat 21, the width of the connection buckle 2211a is greater than institute
The width of connecting band 2212a is stated, the connection buckle 2211a is arranged close to the first free terminal A of the fixing belt 22, and described
Connection buckle 2211a is connected to the connecting band 2212a, and the first free terminal A is a part of the connection buckle 2211a.
The width of the link slot 2212b be less than the connector 2211b width, the link slot 2212b with it is described
The shape of connector 2211b is adapted with the cross sectional shape of the connection buckle 2211a and connecting band 2211b respectively, the connection
Slot 2212b is arranged close to the second free terminal B of the fixing belt 22 and runs through the second free terminal B, the link slot
2212b is connected to the connector 2211b.
Here, by the clamping respectively of connection buckle 2211a, connecting band 2212a and connector 2211b, link slot 2212b,
On the one hand, the cooperation of different clamping structures can make the cyclic form stable structure of fixing belt 22, avoid in subsequent cutting
Fixing belt 22 scatters and loses the fixed function to foreskin to be cut in sewing process;On the other hand, the first free terminal A and
Two free terminal B structures are different, and the fixing belt 22 has directionality, convenient for the cooperation of fixing belt 22 and glans penis seat 21.
In the present embodiment, when the fixing belt 22 is assemblied at the foreskin stationary plane 214, the connector
2211b has the first opening 2213b and the separate foreskin stationary plane close to the foreskin stationary plane 214 being interconnected
214 second opening 2214b, the connection buckle 2211a have close to the foreskin stationary plane 214 first end face 2213a and
Second end face 2214a far from the foreskin stationary plane 214, in the circumferential direction of the fixing belt 22, described second is open
The opening bore B2 of 2214b is less than opening the bore B1, the length A2 of the second end face 2214a of the first opening 2213b
Opening bore B1 less than the length A1 of the first end face 2213a, and the first opening 2213b is substantially equal to described first
The opening bore B2 of the length A1, the second opening 2214b of end face 2213a are substantially equal to the length of the second end face 2214a
Spend A2.
That is, the connector 2211b and the connection buckle 2211a are trapezoidal, the company along the section of direction Y
Buckle 2211a has elasticity, when the connection buckle 2211a and the connector 2211b are mutually clamped, due to the company at this time
The length A1 of the first end face 2213a of buckle 2211a is greater than the opening bore B2 of the opening of connector 2211b second 2214b, connection
The first end face 2213a of 2211a is detained by squeezing across the opening 2214b of connector 2211b second and entering connector 2211b
It is interior, finally, the first end face 2213a with it is described first opening 2213b be mutually matched, the second end face 2214a with it is described
Second opening 2214b is mutually matched.
Here, by the interference fit of connector 2211b and connection buckle 2211a, it is possible to prevente effectively from fixing belt 22 is scattered.
It should be noted that in the present embodiment, the first opening 2213b of the connector 2211b is through described solid
Determine inner surface (do not indicate) of the band 22 close to foreskin stationary plane 214, in other embodiments, the first of the connector 2211b
Being open 2213b can be not through the inner surface, and connector 2211b is semiclosed shape recess at this time.
Further, in the present embodiment, together refering to fig. 11, the foreskin stationary plane 214 is equipped at least one
First fit structure S1, the fixing belt 22 is equipped with to be tied at least one matched second cooperation of the first fit structure S1
Structure S2, the first fit structure S1 and the second fit structure S2 at least can position institute in the axial X of the glans penis seat 21
State foreskin stationary plane 214 and the fixing belt 22.
Certainly, the first fit structure S1 and the second fit structure S2 can also position the foreskin in direction y
Stationary plane 214 and the fixing belt 22.
In the present embodiment, each first fit structure S1 includes at least one first auxiliary section 2141, and described the
One auxiliary section 2141 is boss or card slot, and each second fit structure S2 includes at least one second auxiliary section 222, described the
Two auxiliary sections 222 are card slot or boss, and first auxiliary section 2141 and 222 shape of the second auxiliary section match and can be mutual
Clamping.
First auxiliary section 2141 and the second auxiliary section 222 include various embodiments, in the following, enumerating several specific embodiments.
As shown in figure 12, in the first embodiment, the quantity of the first auxiliary section 2141 and the second auxiliary section 222 is one
It is a, and the first auxiliary section 2141 is boss 2141a, the second auxiliary section 222 is card slot 222a.
First auxiliary section 2141 is set as protruding from the boss 2141a of the foreskin stationary plane 214, and described second matches
Conjunction portion 222 is set as the card slot 222a in the fixing belt 22.
Specifically, in the present embodiment, the foreskin stationary plane 214 include proximal edge 2142, remote edge 2143 and
Connect the central region 2144 of the proximal edge 2142 and the remote edge 2143, the boss 2141a is from proximal edge
2142 protrude out to be formed towards 2143 direction of remote edge.
The fixing belt 22 includes proximal end side 223, distal edge 224 and connection proximal end side 223 and distal edge 224
Intermediate region 225, the card slot 222a is recessed to be formed from proximal end side 223 towards 224 direction of distal edge, and card slot 222a
Through the proximal edge 223.
That is, in the present embodiment, the boss 2141a and the card slot 222a are located at foreskin stationary plane
214 and fixing belt 22 edge.
When fixing belt 22 is configured at glans penis seat 21, the distal edge 224 of fixing belt 22 is supported at joint face 215,
The proximal end side 223 of fixing belt 22 is limited by the cooperation of card slot 222a and boss 2141a in the proximal end of foreskin stationary plane 214
At edge 2142.
Here, the card slot 222a in fixing belt 22 is located at the middle part of fixing belt 22, i.e. it is freely last that card slot 222a is located at first
The middle part of A and the second free terminal B limited area is held, but not limited to this.
In addition, the distal edge 224 of fixing belt 22 can not support connection when fixing belt 22 is configured at glans penis seat 21
The proximal end side 223 in face 215, fixing belt 22 can have gap, Xia Shushi between the proximal edge 2142 of foreskin stationary plane 214
It is also such to apply example.
As shown in figure 13, in a second embodiment, the quantity of the first auxiliary section 2141 and the second auxiliary section 222 is one
It is a, and the first auxiliary section 2141 is boss 2141b, the second auxiliary section 222 is card slot 222b.
Here, for the structure being identical with the first embodiment using being identically numbered, subsequent embodiment is also such.
The difference of second embodiment and first embodiment is:
In the present embodiment, the boss 2141b is located at the central region 2144 and close to the proximal edge 2142
Side, and there is a gap between the boss 2141b and proximal edge 2142.
The card slot 222b is located at intermediate region 225, at this point, the card slot 222b is substantially one in 22 thickness side of fixing belt
To the through hole for running through fixing belt 22, and card slot 222b is not through the proximal end side 223 of fixing belt 22.
That is, in the present embodiment, the boss 2141b and the card slot 222b are located at foreskin stationary plane
214 and fixing belt 22 the inclined proximal end region in middle part.
When fixing belt 22 is configured at glans penis seat 21, the distal edge 224 of fixing belt 22 is supported at joint face 215,
Fixing belt 22 itself realizes limit by the cooperation of card slot 222b and boss 2141b, and the proximal end side of fixing belt 22 at this time
223 are located at the proximal edge 2142 of foreskin stationary plane 214.
As shown in figure 14, in the third embodiment, the quantity of the first auxiliary section 2141 and the second auxiliary section 222 is two
It is a, and two the first auxiliary sections 2141 are boss 2141c, two the second auxiliary sections 222 are card slot 222c.
Two boss 2141c are extended to form from proximal edge 2142 and remote edge 2143 to central region 2144 respectively.
Two card slot 222c are formed from proximal end side 223 and distal edge 224 to the recess of intermediate region 225 respectively.
That is, in the present embodiment, the boss 2141c and the card slot 222c are located at foreskin stationary plane
214 and fixing belt 22 both sides of the edge at.
When fixing belt 22 is configured at glans penis seat 21, the distal edge 224 of fixing belt 22 by side bayonet slot 222c and
The cooperation of boss 2141c and limit at the remote edge 2143 of foreskin stationary plane 214, the proximal end side 223 of fixing belt 22 is logical
It crosses the cooperation of side bayonet slot 222c and boss 2141c and limits at the proximal edge 2142 of foreskin stationary plane 214.
In the present embodiment, the appearance profile of described two boss 2141c is different, is located at 214 proximal edge of foreskin stationary plane
The appearance profile of boss 2141c at 2142 is rectangle, and the appearance profile of the boss 2141c at remote edge 2143 is semicircle
Shape.
Correspondingly, the appearance profile of described two card slot 222c is also different, the card at 22 proximal end side 223 of fixing belt
The appearance profile of slot 222c is rectangle, and the appearance profile of the card slot 222c at distal edge 224 is semicircle.
It is appreciated that the appearance profile of two boss 2141c can be identical, or it is in other shapes, two card slot 222c
Appearance profile can also be identical, or be in other shapes.
In addition, in the present embodiment, two boss 2141c are oppositely arranged, that is to say, that the center of two boss 2141c
Line and 21 axial direction X of glans penis seat are in the same direction.
Correspondingly, two card slot 222c are also oppositely arranged.
As shown in figure 15, in the fourth embodiment, the quantity of the first auxiliary section 2141 and the second auxiliary section 222 is two
It is a, and two the first auxiliary sections 2141 are boss 2141d, two the second auxiliary sections 222 are card slot 222d.
Two boss 2141d are extended to form from proximal edge 2142 and remote edge 2143 to central region 2144 respectively.
Two card slot 222d are formed from proximal end side 223 and distal edge 224 to the recess of intermediate region 225 respectively.
The difference of the present embodiment and 3rd embodiment is:
In the present embodiment, two boss 2141d are staggered, and two card slot 222d are also staggered.
As shown in figure 16, in the 5th embodiment, the quantity of the first auxiliary section 2141 and the second auxiliary section 222 is two
It is a, and two the first auxiliary sections 2141 are respectively first boss 2141e and the first card slot 2141f, two the second auxiliary sections 222 are divided
It Wei not second boss 222e and the second card slot 222f.
First boss 2141e is extended to form from proximal edge 2142 to central region 2144, and the first card slot 2141f is by distal end
Edge 2143 is recessed to central region 2144 and is formed.
Second card slot 222f is formed from proximal end side 223 to the recess of intermediate region 225, and second boss 222e is by distal edge
224 extend to form to intermediate region 225, and second boss 222e is located at fixing belt 22 and contacts on the side of foreskin stationary plane 214.
That is, in the present embodiment, first boss 2141e and the first card slot 2141f are located at foreskin stationary plane
214 two sides, second boss 222e and the second card slot 222f are located at the two sides of fixing belt 22.
When fixing belt 22 is configured at glans penis seat 21, the distal edge 224 of fixing belt 22 by second boss 222e and
The cooperation of first card slot 2141f and limit at the remote edge 2143 of foreskin stationary plane 214, the proximal end side of fixing belt 22
223 limit the proximal edge in foreskin stationary plane 214 by the cooperation of the side the second card slot 222f and first boss 2141e
At 2142.
In the present embodiment, the appearance profile of the first boss 2141e and the first card slot 2141f are different, first boss
The appearance profile of 2141e is rectangle, and the appearance profile of the first card slot 2141f is semicircle.
Correspondingly, the appearance profile of the second boss 222e and the second card slot 222f are also different, the second card slot 222f's
Appearance profile is rectangle, and the appearance profile of second boss 222e is semicircle.
It is appreciated that the appearance profile of first boss 2141e and the first card slot 2141f can be identical, or it is in other shapes
The appearance profile of shape, second boss 222e and the second card slot 222f can also be identical, or are in other shapes.
In addition, in the present embodiment, first boss 2141e and the first card slot 2141f are oppositely arranged, that is to say, that first
The line of centres of boss 2141e and the first card slot 2141f and 21 axial direction X of glans penis seat are in the same direction.
Correspondingly, second boss 222e and the second card slot 222f are also oppositely arranged.
As shown in figure 17, in the sixth embodiment, the quantity of the first auxiliary section 2141 and the second auxiliary section 222 is two
It is a, and two the first auxiliary sections 2141 are respectively first boss 2141g and the first card slot 2141h, two the second auxiliary sections 222 are divided
It Wei not second boss 222g and the second card slot 222h.
First boss 2141g is extended to form from proximal edge 2142 to central region 2144, and the first card slot 2141h is by distal end
Edge 2143 is recessed to central region 2144 and is formed.
Second card slot 222h is formed from proximal end side 223 to the recess of intermediate region 225, and second boss 222g is by distal edge
224 to intermediate region 225 extend to form and second boss 222g be located at fixing belt 22 contact foreskin stationary plane 214 side on.
The present embodiment and the difference of the 5th embodiment are:
In the present embodiment, first boss 2141g and the first card slot 2141h are staggered, and second boss 222g and
Two draw-in groove 222h is also staggered.
As shown in Figure 18 and Figure 19, in the seventh embodiment, set on foreskin stationary plane 214 there are two the first fit structure
S1, meanwhile, it is set in fixing belt 22 there are two the second fit structure S2.
Here, the specific setting of every one first fit structure S1 and every one second fit structure S2 can refer to above-mentioned implementation
Example, details are not described herein.
In the present embodiment, two the first fit structure S1 are symmetrically disposed on foreskin stationary plane 214 along direction Y, and two
The second free terminal B that one of second fit structure S2 is set to fixing belt 22 locates, wherein another be set to fixing belt 22
Middle part.
Certainly, the quantity and position of the first fit structure S1 and the second fit structure S2 are not limited with above description, can be with
Depending on according to the actual situation.
It should be appreciated that although this specification is described in terms of embodiments, but not each embodiment only includes one
A independent technical solution, this description of the specification is merely for the sake of clarity, and those skilled in the art should will say
As a whole, the technical solution in each embodiment may also be suitably combined to form those skilled in the art can for bright book
With the other embodiments of understanding.
The series of detailed descriptions listed above only for feasible embodiment of the invention specifically
Protection scope bright, that they are not intended to limit the invention, it is all without departing from equivalent implementations made by technical spirit of the present invention
Or change should all be included in the protection scope of the present invention.
Claims (13)
1. a kind of glans penis holder assembly, which is characterized in that the glans penis holder assembly includes:
Glans penis seat comprising glans penis chamber, anvil assembly mounting surface and fixed by the foreskin that the outer wall face of the glans penis chamber is formed
Face, the foreskin stationary plane are set to the proximal end of the anvil assembly mounting surface, and the anvil assembly mounting surface is for installing knife anvil, institute
It states knife anvil and cutter cooperates;
Fixing belt comprising two free terminals, the fixing belt are arranged to that the foreskin stationary plane can be assemblied in winding
Periphery, for fixing foreskin to be cut, when the knife anvil and the fixing belt are assemblied in the glans penis seat, in the tortoise
In the axial direction of headstock, projection and fixing belt projection in knife anvil extended surface at of the cutter at the knife anvil is not weighed
It is folded.
2. glans penis holder assembly according to claim 1, which is characterized in that the fixing belt includes belt shape and ring-type
State, during the fixing belt is assembled to the glans penis seat, the fixing belt is from belt shape gradually to cyclic form
Transition, and the cyclic form is in when assembling and completing.
3. glans penis holder assembly according to claim 2, which is characterized in that the foreskin stationary plane be equipped at least one the
One fit structure, the fixing belt be equipped with at least one matched second fit structure of first fit structure, it is described
First fit structure and second fit structure can at least the foreskin stationary plane described in the axially position of the glans penis seat and institutes
State fixing belt.
4. glans penis holder assembly according to claim 3, which is characterized in that each first fit structure includes at least one
First auxiliary section, first auxiliary section are boss or card slot, and each second fit structure includes at least one second cooperation
Portion, second auxiliary section are card slot or boss, and first auxiliary section and second auxiliary section shape match and can be mutual
Clamping.
5. glans penis holder assembly according to claim 4, which is characterized in that the foreskin stationary plane includes proximal edge, remote
End margin and the central region for connecting the proximal edge and the remote edge, first matching part is in the middle region
Domain and the close or connection proximal edge.
6. glans penis holder assembly according to claim 4, which is characterized in that the foreskin stationary plane includes proximal edge, remote
End margin and the central region for connecting the proximal edge and the remote edge, the fixing belt includes proximal end side, distal end
Side and the connection proximal end side and the intermediate region of distal edge, first fit structure include that a pair first cooperates
Portion, two the first auxiliary sections are extended to form by the proximal edge and the remote edge towards the central region respectively;Institute
Stating the second fit structure includes a pair of second auxiliary section, and two the second auxiliary sections are respectively by the proximal end side and the distal side
While being extended to form to the intermediate region.
7. glans penis holder assembly according to claim 6, which is characterized in that described two first auxiliary sections are opposite or are staggered and set
It sets, described two second auxiliary sections are opposite or are arranged in a staggered manner.
8. glans penis holder assembly according to claim 6, which is characterized in that the appearance profile of described two first auxiliary sections is not
Together, the appearance profile of described two second auxiliary sections is different.
9. glans penis holder assembly according to claim 2, which is characterized in that the fixing belt is equipped with connection structure, described
The fixing belt can be connected as cyclic form by belt shape by connection structure, and the connection structure includes close to the fixing belt
First connection structure of one free terminal setting, and the second connection knot close to another free terminal setting of the fixing belt
Structure, first connection structure and second connection structure can be ordinatedly clamped, and become cricoid one in cyclic form
Part.
10. glans penis holder assembly according to claim 9, which is characterized in that first connection structure include connection buckle and
Connecting band, second connection structure include the connection with the connector of connection buckle cooperation and with connecting band cooperation
Slot.
11. glans penis holder assembly according to claim 10, which is characterized in that in the axial direction of the glans penis seat, the company
The width of buckle is greater than the width of the connecting band, and the connection buckle is arranged close to a free terminal of the fixing belt, and institute
A part that free terminal is the connection buckle is stated, the width of the link slot is less than the width of the connector, the connection
Slot is arranged close to another free terminal of the fixing belt and runs through the free terminal.
12. glans penis holder assembly according to claim 11, which is characterized in that consolidate when the fixing belt is assemblied in the foreskin
When determining at face, the connector has the first opening of the close foreskin stationary plane being interconnected and the separate foreskin solid
Determine second opening in face, the connection buckle has close to the first end face of the foreskin stationary plane and far from the foreskin stationary plane
Second end face, in the circumferential direction of the fixing belt, the opening bore of second opening is less than first opening
Be open bore, and the length of the second end face is less than the length of the first end face, and the opening bore etc. of first opening
It is equal to the length of the second end face in the opening bore of the length of the first end face, second opening.
13. a kind of anastomat for circumcision, it is characterised in that including stapler ontology, nail bin groupware, and the kiss can be connected
The glans penis holder assembly as described in claim 1 ~ 12 any one of clutch ontology.
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CN201610643220.5A CN106214226B (en) | 2016-08-08 | 2016-08-08 | Glans penis holder assembly and anastomat for circumcision |
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CN201610643220.5A CN106214226B (en) | 2016-08-08 | 2016-08-08 | Glans penis holder assembly and anastomat for circumcision |
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CN106214226B true CN106214226B (en) | 2019-01-11 |
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CN110652362B (en) * | 2019-11-11 | 2020-12-15 | 常州安康医疗器械有限公司 | Glans penis cover device for prepuce cutting anastomat |
CN112043351A (en) * | 2020-08-21 | 2020-12-08 | 深圳市人民医院 | Glans penis cover assembly and prepuce cutting anastomat |
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CN105662543A (en) * | 2016-03-14 | 2016-06-15 | 孙朴 | Circumcising anastomat |
CN206120411U (en) * | 2016-08-08 | 2017-04-26 | 苏州天臣国际医疗科技有限公司 | Balanus seat subassembly and circumcision anastomat |
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CN101332114A (en) * | 2007-06-25 | 2008-12-31 | 谭晓雯 | Telescopic prepuce ligation cutting device |
CN201076467Y (en) * | 2007-07-23 | 2008-06-25 | 商建忠 | Wrapping annulus cuts operation measuring rule |
CN102309357A (en) * | 2008-06-25 | 2012-01-11 | 商建忠 | Foreskin circumcision anastomat |
CN201631331U (en) * | 2010-04-01 | 2010-11-17 | 韩文冬 | Medical circumcision positioning aid |
CN103169526A (en) * | 2011-12-22 | 2013-06-26 | 厦门施爱德科技有限公司 | Loop ligature device used for circumcision and circumcision device |
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