CN113425383B - Uropoiesis is identical ring cutter of foreskin for surgery - Google Patents
Uropoiesis is identical ring cutter of foreskin for surgery Download PDFInfo
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- CN113425383B CN113425383B CN202110788175.3A CN202110788175A CN113425383B CN 113425383 B CN113425383 B CN 113425383B CN 202110788175 A CN202110788175 A CN 202110788175A CN 113425383 B CN113425383 B CN 113425383B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/326—Circumcision apparatus
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
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Abstract
The invention relates to a circumcision device for urinary surgery, which comprises a glans penis cover body, a fixed rod, a circumcision cover body, a wiring pipe, a connecting column, a spherical handle and a T-shaped handle. Compared with the prior art, the method has the following advantages: 1) The urination cavity is arranged in the fixed rod, so that urination or urinary incontinence of a patient in an operation can be solved, surgical infection can be prevented, and the success rate and efficiency of the circular incision surgery can be improved; 2) The glans penis cover body and the circumcision cover body are the same in shape and can be matched with circumcision, the glans penis cover body is matched with the outline of a male glans penis, the edge of the glans penis cover body is sharpened, and the prepuce of a male patient can be quickly separated from the glans penis; 3) The glans penis cover body is provided with longitudinal scales, and the extension length of the foreskin on the glans penis cover body can be displayed by irradiation of the lighting device, so that a doctor can quickly adjust the cutting position; 4) The auxiliary sleeve is matched with the circumcision cover body, when the extension length of the foreskin can not meet the circumcision requirement, the length of the auxiliary sleeve is adjusted, and the auxiliary sleeve can be further suitable for circumcision operations of men of different ages.
Description
Technical Field
The invention relates to the technical field of urinary surgery operation instruments, in particular to a foreskin anastomosis ring cutter for urinary surgery.
Background
For men, a series of life problems are caused by the long prepuce of the glans: 1) Balanitis preputialis occurs repeatedly; 2) Recurrent urinary tract infections; 3) Difficulty in urination, labor waste in urination and repeated swelling of foreskin during urination; 4) Is not good for the health of sexual partners, the foreskin is easy to store dirt and bring pathogenic bacteria into the uterus of women. Circumcision is one of the most common operations for urinary surgery to solve the problem of overlong glans foreskin, and the existing circumcision is mainly performed in the following two ways: the circumcision method comprises the following steps of performing a conventional circumcision operation by using a conventional instrument and performing a circumcision operation by using a special instrument, wherein the main steps of the conventional circumcision operation performed by using the conventional surgical instrument comprise: the operations of sharp cutting of foreskin, hemostasis, suturing and the like exist, and the operation mode has the problems of long time consumption, time and labor waste and the like.
Circumcision performed by using special instruments generally means circumcision is completed by simultaneously cutting and anastomosing the foreskin inner and outer plates by using foreskin anastomosis and circumcision instruments, and the operation mode has the characteristics that: short operation time, less bleeding, no need of needle and thread sewing, neat and beautiful appearance and less postoperative scar. Therefore, the foreskin anastomat has great advantages in the circumcision.
However, the foreskin staplers currently in use suffer from the following problems: firstly, the existing foreskin anastomat is not provided with a urination channel, when a glans penis cover is sleeved on the glans penis, if a patient has a sudden urination or urinary incontinence condition in the operation process, the discharged urine can pollute an circumcision wound and increase the operation risk; secondly, when the foreskin is cut in the operation of the existing foreskin anastomat, the glans penis cover part of the existing foreskin anastomat can shield part of the penis body and the glans penis part, so that a doctor cannot adjust the cutting length of the foreskin or the frenulum under the direct-view condition and cannot accurately adjust the scope of foreskin excision, and therefore, misoperation that the foreskin excision is excessive or insufficient exists, and the problems of insufficient safety and low accuracy of the operation are caused. Thirdly, performing secondary filtration; the existing anastomat adopts a blade to press and cut, so that the cutting efficiency is poor, and the condition that the anastomat cannot be completely cut off exists.
In view of the above, there is a need for a new foreskin anastomosis ring cutter for urinary surgery to solve the above-mentioned deficiencies in the prior art and to solve the technical problems to be solved by the present application.
Disclosure of Invention
In order to further solve the technical problem, the invention provides a circumcision device for urinary surgery, which comprises:
a circumcision device for uropoiesis surgery comprises a glans penis cover body, a fixed rod, a circumcision cover body, a wiring pipe, a connecting column, a spherical handle and a T-shaped handle. The glans penis cover body is connected with the fixing rod, the fixing rod is connected with the spherical handle through the connecting column, the wiring tube is fixed on the fixing rod, the T-shaped handle is fixed at one end of the fixing rod, the lighting device is arranged at one end, facing the glans penis cover body, of the wiring tube, the annular cutting cover body is sleeved on the fixing rod, the annular cutting cover body is identical to the glans penis cover body in shape, and the annular cutting cover body is used for being matched with the glans penis cover body to perform circumcision.
The glans penis cover body is bowl-shaped and is matched with the outline of the male glans penis, the edge of the glans penis cover body is sharpened, and the glans penis and the foreskin can be separated on the premise that the glans penis and the foreskin are not damaged.
The utility model discloses a glans penis cover body, including glans penis cover body, annular protrusion and annular groove, the one side that the outside of glans penis cover body is close to the sharpening edge is provided with annular groove, the inboard of the circular cutting cover body is provided with annular protrusion, annular protrusion and annular groove cooperate, can carry on spacingly when moving the circular cutting cover body to glans penis cover body direction on the one hand, on the other hand annular protrusion and annular groove are laminated sealed each other, can guarantee the security when the circular cutting operation.
The urine drainage device is characterized in that a urine drainage cavity is formed in the fixing rod and used for draining temporary urine of a male patient, the urine drainage cavity is formed in the fixing rod, urine generated in an operation of the male patient can be effectively drained, and urine backflow or leakage into the circumcision device to cause operation infection is prevented.
Preferably, a urinary catheter is connected at the outlet of the urinary cavity.
The outer surface of the glans penis cover body is provided with the radial scales, the illumination device irradiates the radial scales, so that a clinician can clearly see the extension length of the foreskin on the outer surface of the glans penis cover body, the clinician can quickly determine the cutting length of the foreskin, for a trainee who is not skilled in foreskin operation, the cutting length of the foreskin can be determined through the radial scales, and too much clinical experience is not required to be accumulated.
Preferably, the lighting device may employ a micro infrared or red light irradiation device.
The glans penis cover body is matched with the outline of a male glans penis, the glans penis cover body can accommodate and support the male glans penis, the edge of the glans penis cover body is sharpened, the glans penis and a foreskin can be separated on the premise that the glans penis and the foreskin are not damaged, the glans penis is located on the inner side of the glans penis cover body, the foreskin is located on the outer side of the glans penis cover body, circumcision is only conducted on the outer portion of the glans penis cover body, and the glans penis cannot be damaged.
The foreskin outside cladding has auxiliary cannula, auxiliary cannula is provided with anti-skidding portion, anti-skidding portion comprises the arris portion that many circumference set up, auxiliary cannula has fore-and-aft cut open, is convenient for auxiliary cannula adjustment position or takes off from the penis. The auxiliary cannula is used for holding the auxiliary cannula by a clinician in the process of the circumcision operation to enable the foreskin to stretch out and draw back, so that the extension length of the foreskin at the outer side of the glans body can be adjusted.
A plurality of circular cutting devices are longitudinally distributed on the circular cutting cover body at an angle, and each circular cutting device is composed of an arc-shaped sliding groove, a hand sliding block and a connecting blade. The circumcision cover comprises an arc-shaped sliding groove, a hand sliding block is embedded in the arc-shaped sliding groove, one end of the hand sliding block is used for touching and pressing an operation end by a finger, the other end of the hand sliding block is connected with a blade, and the blade is used for performing circumcision operation on the foreskin. The clinician can adjust the position of the blade by manually sliding the hand slider, and then can adjust the cutting length of the foreskin.
The fixing rod is characterized in that a plurality of elastic stopping parts are arranged outside the fixing rod, and the elastic stopping parts are used for limiting the position of the circular cutting cover body when the circular cutting cover body does not need a circular cutting operation.
In conclusion, the foreskin anastomosis ring cutting device for the urinary surgery comprises a glans penis cover body, a fixed rod, a ring cutting cover body, a wiring tube, a connecting column, a spherical handle and a T-shaped handle. Compared with the prior art, the method has the following advantages:
1) The urination cavity for guiding urine is arranged in the fixed rod, so that urination or urinary incontinence of a patient during operation can be avoided, surgical infection caused by sudden urination can be prevented, and the success rate and efficiency of the circular cutting surgery can be improved;
2) The glans penis cover body and the circumcision cover body are the same in shape and are both bowl-shaped, matched circumcision can be carried out, the glans penis cover body is matched with the outer contour of a male glans penis, the edge of the glans penis cover body is sharpened, and the prepuce of a male patient can be quickly separated from the glans penis conveniently;
3) The glans penis cover body is provided with longitudinal scales, the longitudinal scales are irradiated by the lighting device, the extending length of the foreskin on the glans penis cover body can be displayed, and therefore a clinician can quickly adjust the cutting position;
4) The auxiliary sleeve is matched with the circumcision cover body, when the extension length of the foreskin can not meet the circumcision requirement, the length of the foreskin is adjusted, and the circumcision cover can be further suitable for circumcision operations of boys, young men and even old men.
Drawings
FIG. 1 is a side view in axial view of one direction of a uro-surgical circumcision device of the present invention;
FIG. 2 is a schematic axial view of another aspect of a uro-surgical circumcision apparatus of the present invention;
FIG. 3 is a cross-sectional view of one direction of a uro-surgery circumcision device of the present invention;
FIG. 4 is another cross-sectional view of the uro-surgical circumcision device in another orientation;
FIG. 5 is a schematic view of the glans penis cover structure of the present invention;
FIG. 6 is a schematic view of the ring-cut cover structure of the present invention;
in the drawings, 1-circumcision device; 2-glans penis cover; 3-fixing the rod; 4-cutting the cover body circularly; 5-installing a bulge annularly; 6-ring cutting device; 7-a wiring tube; 8-connecting column; 9-a ball-type handle; a 10-T shaped handle; 11-an annular groove; 12-urination chamber; 13-an elastic stop; 14-glans penis; 15-wrapping; 16-an auxiliary sleeve; 16-1-a non-slip portion; 17-arc chute; 18-hand slider; 19-blade.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Considering fig. 1-2, a foreskin anastomosis ring cutter 1 for urinary surgery comprises a glans penis cover body 2, a fixed rod 3, a ring cutting cover body 4, a wiring tube 7, a connecting column 8, a spherical handle 9 and a T-shaped handle 10. The glans penis cover body 2 is connected with the fixing rod 3, the fixing rod 3 is connected with the spherical handle 9 through the connecting column 8, the wiring tube 7 is fixed on the fixing rod 3, the lighting device is arranged at one end, facing the glans penis cover body 2, of the wiring tube 7, the annular cutting cover body 4 is sleeved on the fixing rod 3, the annular cutting cover body 4 is identical to the glans penis cover body 2 in appearance, and the annular cutting cover body 4 is used for being matched with the glans penis cover body 2 to perform circumcision.
The glans penis cover body 2 is bowl-shaped and is matched with the outline of a male glans penis, the glans penis cover body 2 is used for accommodating the male glans penis, the edge of the glans penis cover body 2 is sharpened, the glans penis and the foreskin can be separated on the premise that the glans penis and the foreskin are not damaged, and then the glans penis is located on the inner side of the glans penis cover body 2, and the foreskin is located on the outer side of the glans penis cover body.
One side that the outside of the glans penis cover body 2 is close to the sharpening edge is provided with annular groove 11, correspondingly, the inboard of the circular cutting cover body 4 is provided with annular bulge 5, and annular bulge 5 cooperatees with annular groove 11, carries on spacingly when can moving the circular cutting to the left of the circular cutting cover body 4 on the one hand, and the annular bulge 5 of on the other hand is sealed with laminating each other of annular groove 11, can guarantee the security when the circular cutting operation.
Considering fig. 3-4, the fixing rod 3 is hollow and provided with a urination cavity 12, and the urination cavity 12 is used for discharging the temporary urine of the male patient.
Before performing the circumcision, it is usually necessary to inject a local anesthetic into the male patient for blocking the nerve at the root of the penis to relieve the pain of the patient during the operation. The local anesthetic lidocaine is usually used for an anesthesia time of about 30 to 35 minutes, and in order to minimize pain of a patient, a clinician starts a circumcision operation 40 minutes after the injection is completed. In the process of the girdling operation, due to stimulation of operation or narcotics, or male patients still suffer from kidney inflammation, prostatitis, diabetes and the like, urination in the operation exists, and the root of the penis is blocked by the narcotics, so that the patients do not feel that urine flows out of the urethral orifice when urinating. And improper urinary protection during the operation can cause infection at the foreskin incision/suture part, thereby causing greater operation risk. Therefore, the urination cavity 12 is arranged in the fixing rod, so that urine of a male patient in an operation can be effectively discharged, and the urine is prevented from flowing back or permeating into the circumcision device to cause operation infection.
Furthermore, a urine discharging pipe is connected at the outlet of the urine discharging cavity 12 (one end of the fixed rod 3 opposite to the ball-shaped handle 9).
The outer surface of the glans penis cover body 2 is provided with radial scales, as the foreskin covers the outer surface of the glans penis cover body 2, the foreskin is irradiated by the illuminating device, so that a clinician can clearly see the length of the foreskin on the outer surface of the glans penis cover body 2, the cutting length of the foreskin can be conveniently determined by the clinician, for a practitioner who is not skilled in foreskin operation, the cutting length of the foreskin can also be determined by the radial scales, and much clinical experience does not need to be accumulated.
The lighting device can adopt a miniature infrared light or red light irradiation device.
Looking at fig. 5, the bowl-shaped glans penis housing 2 is adapted to the outer contour of the male glans penis 14, the glans penis housing 2 can accommodate and support the male glans penis 14, the edge of the glans penis housing 2 is sharpened, the glans penis 14 and the foreskin 15 can be separated without damaging the glans penis 14 and the foreskin 15, the glans penis 14 is further positioned on the inner side of the glans penis housing 2, the foreskin 15 is positioned on the outer side of the glans penis housing, and circumcision is only performed on the outer side of the glans penis housing 2 without damaging the glans penis.
The foreskin is covered with an auxiliary sleeve 16, the auxiliary sleeve 16 is provided with an anti-slip part 16-1, the anti-slip part 16-1 is composed of a plurality of edge parts arranged circumferentially, and the auxiliary sleeve 16 is provided with a longitudinal cut so as to facilitate the position adjustment of the auxiliary sleeve 16 or the taking-off from the penis. The auxiliary cannula 16 is used for the clinician to hold the auxiliary cannula 16 during the circumcision procedure to stretch the foreskin 14, so that the extension length of the foreskin outside the glans body 2 can be adjusted.
The auxiliary sleeve 16 is made of silica gel material, and the wall thickness is 0.5-1.5 mm.
Looking at fig. 3-4 and fig. 6, 3 circular cutting devices 6 are longitudinally distributed on the circular cutting cover body 4 at 120 degrees, and each circular cutting device 6 is composed of an arc-shaped sliding chute 17, a hand sliding block 18 and a connecting blade 19. Wherein, the arc chute 17 is arranged along the longitudinal direction of the circular cutting cover body 4, the arc chute 17 is embedded with a hand slide block 18, one end of the hand slide block 18 is a finger touch operation end, the other end is connected with a blade 19, and the blade 19 is used for cutting the foreskin. The clinician can adjust the position of the blade 19 by manually sliding the hand slider 18, and thus the cutting length of the foreskin can be adjusted.
Further investigate fig. 4, the outside of dead lever 3 is provided with a plurality of elastic backstop portions 13, and elastic backstop portion 13 is the arch that elastic material made, when needing the circular cutting cover body 4 to move to glans penis cover body 2 direction, the clinician only need to support circular cutting cover body 4 with the finger, impels forward with a little hard, then circular cutting cover body 4 can easily slide past elastic backstop portion 13. Thus, the circular cutting mask body 4 serves to position the circular cutting mask body 4 when circular cutting surgery is not required.
When the circumcision device 1 is in clinical operation, a clinician only needs to use fingers to prop against the circumcision cover body 4 and slightly forcibly push the circumcision cover body 4 forwards, so that the circumcision cover body 4 passes over the elastic stopping part 13 and slides to the position near the glans penis cover body 2 along the fixing rod 3, whether the extension length of the foreskin at the outer side of the glans penis cover body 2 meets the requirement is judged according to the longitudinal scale irradiated by the illuminating device, if the extension length of the foreskin at the outer side of the glans penis cover body 2 meets the cutting requirement, the circumcision position of the circumcision device 6 is adjusted, the circumcision cover body 4 is tightly pressed on the foreskin on the glans penis cover body 2, and the circumcision cover body 4 is rotated to carry out circumcision; if the extension length of the foreskin at the outer side of the glans penis cover body 2 does not meet the cutting requirement, the extension length of the foreskin is adjusted through the auxiliary sleeve 16, then the circumcision position of the circumcision device 6 is adjusted, the circumcision cover body 4 is tightly pressed on the foreskin on the glans penis cover body 2, and the circumcision cover body 4 is rotated to carry out circumcision.
The preferred embodiments of the invention disclosed above are intended to be illustrative only. The preferred embodiments are not intended to be exhaustive or to limit the invention to the precise embodiments disclosed. Obviously, many modifications and variations are possible in light of the above teaching. The embodiments were chosen and described in order to best explain the principles of the invention and the practical application, to thereby enable others skilled in the art to best utilize the invention. The invention is limited only by the claims and their full scope and equivalents.
Claims (5)
1. A uro logical circumcision device, comprising: glans penis cover body, dead lever, the circular cutting cover body, connecting tube, spliced pole, ball-type handle and T type handle, its characterized in that: the glans penis cover body is connected with a fixed rod, the fixed rod is connected with a spherical handle through a connecting column, a wiring tube is fixed on the fixed rod, a T-shaped handle is fixed at one end of the fixed rod, a lighting device is arranged at one end, facing the glans penis cover body, of the wiring tube, an annular cutting cover body is sleeved on the fixed rod, and the annular cutting cover body and the glans penis cover body are identical in appearance;
sharpening the edge of the glans penis cover body;
the outer surface of the glans penis cover body is provided with radial scales, and the illuminating device is opposite to the radial scales;
a plurality of circular cutting devices are longitudinally distributed on the circular cutting cover body in an angle;
the circular cutting device is composed of an arc-shaped sliding groove, a hand sliding block and a connecting blade, the arc-shaped sliding groove is longitudinally arranged along the circular cutting cover body, the hand sliding block is embedded in the arc-shaped sliding groove, one end of the hand sliding block is used for touching and pressing the operating end by a finger, and the other end of the hand sliding block is connected with the blade.
2. The circumcision device for urinary surgery as claimed in claim 1, wherein: the glans penis cover body is bowl-shaped and is matched with the outer contour of a male glans penis.
3. The circumcision device for urinary surgery according to any one of claims 1-2, wherein: an annular groove is formed in one side, close to the sharpening edge, of the outer side of the glans penis cover body, an annular bulge is arranged on the inner side of the annular cutting cover body, and the annular bulge is matched with the annular groove.
4. The circumcision device for urinary surgery as claimed in claim 1, wherein: a urination cavity is arranged inside the fixing rod, and an outlet of the urination cavity is connected with a urination pipe.
5. The circumcision device for urinary surgery as claimed in claim 1, wherein: the foreskin outside cladding has auxiliary cannula, auxiliary cannula is provided with anti-skidding portion, anti-skidding portion comprises the arris portion that many circumference set up, auxiliary cannula has fore-and-aft cut.
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CN210078046U (en) * | 2019-04-15 | 2020-02-18 | 新疆维吾尔自治区人民医院 | Special foreskin subsides after circumcision |
CN110279448A (en) * | 2019-07-27 | 2019-09-27 | 广西医科大学 | A kind of self-fitting type surgical operation operation handle |
CN211066909U (en) * | 2019-10-11 | 2020-07-24 | 江苏景润医疗器械有限公司 | Balanus seat capable of accurately positioning and freely adjusting prepuce cutting length |
CN211883921U (en) * | 2020-02-17 | 2020-11-10 | 昆明医科大学第一附属医院 | Visual circumcision anastomat |
CN213156260U (en) * | 2020-07-28 | 2021-05-11 | 湖南康呈医疗科技有限公司 | Circumcision anastomat applying novel silica gel pad |
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