FR3064905A1 - DEVICE FOR FACILITATING CIRCUMCISION OR PROSTHECTOMY - Google Patents

Abstract

The invention relates to a device for performing a rapid and effective circumcision by tightening the two banks of the foreskin which will allow them to be fused by mechanical haemostasis and thus operate a painless incision that does not require general anesthesia. It consists of a clamp (9) traditionally called "mogen" composed of a left part (1) having an orifice at its base (7) and a right part (2) having a fixing washer at its base (8) interconnected by a fixing screw (5) allowing a movement of amplitude of opening and closing. The clamp (9) is curved at its center and specifically dug at its end. A handle (4) is connected to the clamp (9) via a closing piece (3) fixed to the base of the handle (4) by a fixing pin (6) on the one hand, and at the end of the left part of the clamp (1) by another axis (6) on the other hand. Once the clip (9) has been slid and tightened on the foreskin, the user will have to operate the handle (4) from left to right, which will introduce the closure piece (3) into the clip (9) to block the prepuce. until you can (4) snap it and lock the device. This will tighten the two banks of the foreskin to merge them by mechanical haemostasis. The device according to the invention is particularly intended to facilitate circumcisions or posthectomies that are ritual, aesthetic, hygienic or therapeutic and thus aims to modernize the equipment of practitioners.

Description

® FRENCH REPUBLIC

NATIONAL INSTITUTE OF INDUSTRIAL PROPERTY © Publication number:

(to be used only for reproduction orders) (© National registration number

064 905

00397

COURBEVOIE © Int Cl ⁸ : A 61 B 17/28 (2017.01)

PATENT INVENTION APPLICATION

A1

©) Date of filing: 10.04.17. ©) Priority: © Applicant (s): ASSUIED DAVID— FR. @ Inventor (s): ASSUIED DAVID. ©) Date of public availability of the request: 12.10.18 Bulletin 18/41. ©) List of documents cited in the preliminary search report: See the end of this booklet (© References to other related national documents: ® Holder (s): ASSUIED DAVID. ©) Extension request (s): © Agent (s): ASSUIED DAVID.

(04) DEVICE FOR FACILITATING CIRCUMCISION OR PROSTHECTOMY.

FR 3 064 905 - A1 (tV) The invention relates to a device making it possible to perform a rapid and effective circumcision by tightening the two banks of the foreskin, which will allow them to be fused by mechanical hemostasis and thus make a painless incision. not requiring general anesthesia.

It consists of a clamp (9) traditionally called "mogen" composed of a left part (1) having an orifice at its base (7) and a right part (2) having a washer for fixing at its base (8) connected together by a fixing screw (5) allowing a movement of amplitude of opening and closing. The clamp (9) is curved at its center and specifically hollowed out at its end.

A handle (4) is connected to the clamp (9) by means of a closure part (3) fixed to the base of the handle (4) by a fixing pin (6) on the one hand, and at the end of the left part of the clamp (1) by another axis (6) on the other hand.

Once the forceps (9) slid and tightened on the foreskin, the user will have to actuate the handle (4) from left to right which will introduce the closing part (3) in the forceps (9) to block the foreskin until you are able to clip it (4) and therefore lock the device. This will tighten the two banks of the foreskin to merge them by mechanical hemostasis.

The device according to the invention is particularly intended to facilitate circumcisions or posthectomies whether ritual, aesthetic, hygienic or therapeutic and thus aims to modernize the equipment of practitioners.

The present invention relates to a device facilitating circumcision or posthectomy which consists in excising the foreskin, partially or totally. The foreskin is the fold of skin that covers and physiologically protects the glans. This intervention can be carried out within the framework of religious practices but also for therapeutic reasons (phimosis operation), hygienic or aesthetic.

Ritual circumcision is traditionally performed without anesthesia before the child's eighth day. Today is the last medical intervention on children that can be performed legally by non-doctors and without anesthesia. Circumcision can also be performed in hospitals under general anesthesia from 24 months and weighing 10 kilograms. In France, parents will mostly prefer general anesthesia which allows pain management. However, such anesthesia on young children is not without risk (Epilepsy attack, anaphylactic shock ...). The incision is usually made using a sharp tool (scalpel, scalpel, etc.) which can cause sterility problems as well as cause great pain. In addition, stitches are to be expected as well as a potentially long healing.

The device according to the invention makes it possible to remedy these risks and drawbacks and thus to practice rapid and effective circumcision.

It consists of a clamp, traditionally called mogen, made of metal, and a handle. They are connected to each other by a closing piece, which appears as a thin plate pierced at the ends, fixed to the base of the handle by a fixing pin on the one hand and fixed at the end of the left part of the clamp by another fixing pin on the other hand. The clamp consists of a left part having an orifice at its base as well as a location for a fixing pin at its end and a right part having a fixing washer molded at its base. These two parts are connected by a screw admitting a slight movement of opening and closing of the clamp. The assembled pliers have a flat elongated curved shape whose base is curved in an arc while its end is straight, moreover, it is curved in its center and specifically hollowed out at its end so that there is sufficient space for the foreskin and the closing part. The handle is inclined according to specific dimensions allowing it to be folded from left to right and has a location for an axis of attachment to its base.

The user must slide the forceps on the foreskin, then tighten it (foreskin upstream of the guide), it is then that he can close the side handle by actuating it from left to right and thus clip it at the level higher which will introduce the room

-2 closing in the forceps, at its end, to block the foreskin. Locking the device up to the “clip” will make it possible to tighten the two banks of the foreskin and by mechanical hemostasis to make them merge. Therefore when you pass the scalpel to cut the foreskin, there is no blood. Once the incision is made, the two banks are merged, so you have to manually loosen the two banks so that the glans appears. Once the cut is made, a hemostatic dressing is necessary for 24 hours.

The present device therefore makes it possible to perform a circumcision in a quasi-painless manner which will be practiced on an outpatient basis and will thus make it possible to avoid general anesthesia. With this device there is no suture for children under 24 months of age, furthermore, healing will take only 7 days.

Finally, the operation will therefore be less costly because it requires a reduced staff and does not require hospitalization.

The device is completely removable which will offer the possibility of changing certain parts to ensure total sterility.

According to particular embodiments, the device can be made of various materials such as stainless steel, ceramic, disposable material or metal.

The accompanying drawings illustrate the invention:

Figure 1 shows an overall drawing of the device in top view, there is the back of the device on the one hand and the front of the device on the other hand.

Figure 2 shows all of the two-sided spare parts making up the device.

Figure 3 shows the clamp of the device from different angles. A view of the front of the top clip, a side view of the clip and a view of the back of the top clip.

Figure 4 shows the handle of the device from different angles. Two flat views of the top handle and one side.

Figure 5 shows the closing part of the device in side and top view.

Figure 6 shows all the screws and pins for fixing the device with side and top views of each part.

Figure 3D-1 shows a rendering of the device open in 3 dimensions.

Figure 3D-2 shows a rendering of the device with the clamp closed in 3 dimensions.

Figure 3D-3 shows a rendering of the device with the clamp closed as well as the folded handle and clipped in 3 dimensions.

With reference to these drawings, the device comprises a clamp (9) which is divided into

-3 two parts. The left part of the clamp (1) has at its base an orifice (7) to receive a screw (5) and a location at its other end to introduce a fixing pin. The right part of the clamp (2) has a molded fixing washer (8) at its base which will fix the two parts of the clamp together using the screw (5). The hole (7) present at the base of the left part of the clamp (1) will be superimposed on the washer (8) of the right part (2), the screw (5) will then be introduced into the hole (7 ) from the left side of the pliers (1) then fixed to the washer (8) from the right side (2). This fixing allows a slight amplitude movement of the clamp (9) which can thus open and close. The assembled clamp (9) has a curved interior of the screw (5) at its end. This end is specifically hollowed out to allow the introduction of the closure part (3) which will block the foreskin. The clamp (9) is completed by a handle (4). The handle (4) is fixed to one end of the closure part (3) by a fixing pin (6) allowing rotation. The other end of the closure piece (3) is fixed with a fixing pin (6) to the left part of the clamp (1) allowing rotation at the end of the left part of the clamp (1).

Once the clamp (9) is tightened, the side handle (4) can be operated from left to right. This introduces the closing piece (3) at the end of the forceps (9) which will allow the foreskin to be wedged and continue to operate the handle (4) towards the right side of the forceps (9) until it locks of the device. The "clip" will allow to tighten the two banks of the foreskin and by mechanical hemostasis will cause the two banks to merge.

According to different manufacturing methods, all of the parts making up the device, that is to say, the left part of the clamp (1), the right part of the clamp (2), the closing part (3), the handle (4) and the screws and fixing pins (5 and 6) can be designed in stainless steel, ceramic, metal or disposable material.

An embodiment of the parts of the device by industrial 3D printing is provided.

By way of nonlimiting example, and according to the appended drawings, the clamp (9) will have the following dimensions: 73 millimeters long, 32.76 millimeters wide at its downstream end and 4.5 millimeters thick. The molded washer (8) at the base of the straight part (2) will have a radius of 7 millimeters. The closing piece (3) will measure 43 millimeters long, 7 millimeters wide and 1.4 millimeters thick, in addition there will be a distance of 36 millimeters between the two locations for axes (6). The handle (4) which has a thickness of 4.5 millimeters is slightly inclined, it therefore has complex dimensions which require reference to the technical drawing (Figure 4). As for the fixing screws, the head of the large screw (5) has a radius of 4.75 millimeters and a total height of 5.29 millimeters, the lower part of this screw, to be introduced into the space provided In this

-4effect of the right part of the clamp (2), has a radius of 1.5 millimeters. The two fixing pins (6) have a radius of 1.5 millimeters and a height of 4.5 millimeters.

The device according to the invention is particularly intended to facilitate the 5 circumcisions or posthectomies whether ritual, aesthetic, hygienic or therapeutic and thus aims to modernize the equipment of practitioners.

Claims (3)

1) Device facilitating circumcision or posthectomy and intended to tighten the two banks of the foreskin which, by mechanical hemostasis, will merge, characterized in that it comprises a clamp (9) composed of a left part (1) and of a straight part (2) connected together by a screw (5) and a handle (4) connected to a part 5 closing (3) by a fixing pin (6) itself connected to the end of the left part of the clamp (1) by another fixing pin (6) allowing a rotary movement of the handle (4) from left to right, the end of the right part (2) being hollowed out to allow the introduction of the closure part (3) and the locking of the device. 2) Device according to claim 1 characterized in that the left part (1) has an orifice (7) at its base allowing, using the screw (5), to connect it to the right part of the clamp ( 2) where there is at the base a molded washer (8) allowing fixing while retaining sufficient amplitude to open and close the clamp 15 (9). 3) Device according to claims 1 and 2 characterized in that the clamp (9), consisting of two parts (1 and 2) and a screw (5), takes a flat bent-elongated shape arched at its base, is curved in the center of the screw (5) at its end. This end being specifically hollowed out in order to be able to slide the foreskin therein while retaining sufficient space to introduce the closing part (3) which will block it until the device is locked by actuating the handle (4). 1/6 32.76