CN215129678U - Outward turning type foreskin cutting visual anastomat - Google Patents

Abstract

The utility model discloses an outward turning foreskin cutting visual anastomat, which comprises a nail abutting seat component, a nail pusher component and a glans penis sleeve component; the nail abutting seat assembly comprises a knob (4), a nail abutting seat (6), a fixing ring (7), a knife backing ring (8) and a nail abutting body (9); the nail pusher component comprises a perspective sleeve (14), a nail bin (16), an annular knife (17), a push knife ring (18), a nail bin sleeve (19) and a synchronous pushing component; the penis penetrates through the adjusting assembly, the foreskin is everted to the fixing groove (62) and is bound and fixed through the fixing ring, and the glans penis is inserted into the glans penis sleeve assembly; the knob is sleeved on the perspective sleeve, so that the nail abutting seat and the glans penis sleeve assembly are inserted into the perspective sleeve, the anastomotic nail is pushed out of the nail bin and then pressed on the nail abutting body, and the annular knife is pressed on the backing knife ring after sliding. The utility model discloses can realize through the perspective sleeve that the overall process of operation is visual when the foreskin cutting, provide effectual protection and fixed to the penis, the operation of being convenient for is accurate, controllable, safe, the efficient goes on.

Description

Outward turning type foreskin cutting visual anastomat

Technical Field

The utility model relates to a surgical instrument especially relates to a visual anastomat of formula foreskin cutting turns up.

Background

Many male diseases and even canceration are caused by overlong foreskin or phimosis, which can be generally cured by a foreskin incision operation. The circumcision cutter in the prior art adopts a circular cutting mode, and is used for carrying out circumcision and anastomotic nail suture operation after fixing the foreskin, so that the damage to a patient is small, and the wound recovery is fast.

The circumcision cutter in the prior art has the following technical problems:

1. a blade holder subassembly for installing the cutting knife and the nail storehouse subassembly that is used for installing the anastomotic nail are relative motion, influence the cutting easily or anastomotic synchronism when carrying out circumcision and surface of a wound coincide, probably cause certain influence to cutting accuracy simultaneously, are unfavorable for the recovery of operation.

2. The circumcision cutter of prior art is cylindrical invisible structure, and cutting knife and anastomosis nail all remove in invisible cylindrical structure, and the operation field of vision is sheltered from completely by invisible cylindrical structure, can't guarantee the precision of cutting, relies on surgeon's experience control entirely.

3. Before circumcision, the foreskin needs to be fixed, the foreskin cutter in the prior art can only bind and fix the foreskin of the part needing to be cut, and the fixing mode is as follows: after the glans penis is inserted into the glans penis cover body, the foreskin is stretched forwards along the insertion direction and then is bound and fixed on the outer wall of the glans penis cover body. This fixation is less stable and the foreskin may slip during the procedure, resulting in a deviation of the cutting position. Meanwhile, the penis cannot be fixed in the operation process, and the operation is not facilitated.

Chinese patent application CN201610778152.3 discloses a surgical percussion window device of a disposable prepuce cutting anastomat, and specifically discloses: the foreskin cutting anastomat is characterized in that a viewing window is arranged on a sleeve of the foreskin cutting anastomat, scale marks are arranged on two sides of the viewing window, red indicating lines are arranged on the short tube of the glans penis, the red indicating lines can be observed through the viewing window and a safety block clamping groove in the pushing block, and the red indicating lines are adjusted to be between the two scale marks through the adjusting screw knob to be operated. The visual window is used for adjusting the position of the internal pushing block, so that the percussion position can be accurately controlled, the operation process cannot be seen, and the control on each operation step in the operation process is not facilitated.

Disclosure of Invention

The utility model aims at providing a visual anastomat of formula foreskin cutting turns up can realize the visualization of operation overall process through perspective sleeve when the foreskin cutting, and provides effectual protection and fixed to the penis, and the operation of being convenient for is accurate, controllable, safe, the efficient goes on.

The utility model discloses a realize like this:

an outward turning foreskin cutting visual anastomat comprises a nail abutting seat assembly, a nail pusher assembly and a glans penis sleeve assembly;

the nail abutting seat assembly comprises a knob, a nail abutting seat, a fixing ring, a cutter backing ring and a nail abutting body; the cutter backing ring and the nail abutting body are both in annular structures and are coaxially embedded at one end of the nail abutting seat, and the cutter backing ring is positioned at the outer side of the nail abutting body; the adjusting component is movably inserted into the other end of the nail abutting seat and can slide along the axial direction of the nail abutting seat; an inner concave type fixing groove is formed on the outer wall of one end of the nail abutting seat; the penis penetrates through the adjusting assembly from the other end of the nail abutting seat, the adjusting assembly can be fixed on the penis, the foreskin can be everted to the fixing groove and is bound and fixed on the fixing groove through the fixing ring, the everted foreskin is attached to the surfaces of the cutter backing ring and the nail abutting body, and the glans penis is inserted into the glans penis sleeve assembly;

the nail pusher component comprises a perspective sleeve, a nail bin, an annular knife, a knife pushing ring, a nail bin sleeve and a synchronous pushing component; the annular cutter is embedded in the push broach ring, and the push broach ring is coaxially embedded in the perspective sleeve through the synchronous push assembly and can slide along the axial direction of the perspective sleeve; the nail bin is arranged in the perspective sleeve through the nail bin sleeve, a plurality of anastomotic nails are embedded in the nail bin, the synchronous pushing assembly can be coaxially inserted into the nail bin and pushes the anastomotic nails out of the nail bin, and the annular knife is positioned on the outer side of the anastomotic nails;

the other end of the nail abutting seat is inserted into the knob, the knob is sleeved at one end of the perspective sleeve in a matching mode, the nail abutting seat and the glans penis sleeve assembly are synchronously inserted into the perspective sleeve, a plurality of anastomotic nails can be correspondingly pressed on the nail abutting body after being pushed out of the nail bin, and the annular cutter can be pressed on the backing cutter ring after sliding.

The adjusting assembly comprises an adjusting handle, an installation ring frame, a retainer ring cover and an inner tooth sleeve; a plurality of first guide grooves are formed in the inner wall of the nail abutting seat along the axial direction of the nail abutting seat, a plurality of first guide ribs matched with the first guide grooves are formed in the outer wall of one end of the mounting ring frame, the mounting ring frame is coaxially inserted into the nail abutting seat through the first guide ribs, and the mounting ring frame can slide relative to the nail abutting seat; the inner thread sleeve is screwed in the mounting ring frame; a plurality of first positioning bosses which are arranged in a protruding mode are formed at the other end of the nail abutting seat, and when the nail abutting seat is inserted into the knob, the first positioning bosses extend to the outside of the knob; a plurality of positioning holes matched with the first positioning bosses are formed in the retainer ring cover along the circumferential direction, so that the retainer ring cover is coaxially arranged at the other end of the nail abutting seat and is attached to the outer surface of the knob, and the other end of the mounting ring frame extends to the outer parts of the retainer ring cover and the knob; a plurality of positioning ribs are formed on the outer wall of the adjusting handle, and a plurality of first positioning grooves matched with the positioning ribs are formed on the inner wall of the inner tooth sleeve, so that the adjusting handle can be inserted into the inner tooth sleeve and drives the inner tooth sleeve to synchronously rotate;

the other end of the fixed ring frame is provided with a plurality of fixed blades which are bound on the penis through a fixing piece; gaps are arranged between adjacent fixed blades, and flanges are formed at the ends of the fixed blades; the retainer ring cover is provided with a plurality of second limiting grooves matched with the fixed blades, the fixed blades of the fixed ring frame correspondingly penetrate through the second limiting grooves respectively, and a pressing edge is formed between every two adjacent second limiting grooves and covers the top of the inner tooth sleeve.

A first mounting groove is formed at one end of the nail abutting seat, and a plurality of limiting columns are arranged in the first mounting groove at intervals; a plurality of first limiting grooves are formed on the nail abutting body at intervals, the nail abutting body is embedded in the first installation groove in a matching mode, and a plurality of limiting columns are embedded in the first limiting grooves correspondingly; the one end of supporting the nail seat is formed with the second mounting groove, and the second mounting groove sets up with the first mounting groove is coaxial, and the second mounting groove is located the outside of first mounting groove, and the matching of shim ring inlays the dress in the second mounting groove.

A first mounting ring column and a second mounting ring column which are coaxially arranged are formed at the other end of the nail abutting seat, and the first mounting ring column is sleeved outside the second mounting ring column; a first mounting ring hole and a second mounting ring hole are formed in the knob, the first mounting ring hole and the second mounting ring hole are coaxially arranged, and the first mounting ring hole is positioned outside the second mounting ring hole; the nail abutting seat is coaxially inserted into the knob, so that the first mounting ring column is inserted into the first mounting ring hole in a matching mode, and the second mounting ring column is inserted into the second mounting ring hole in a matching mode.

The glans penis sleeve assembly comprises a soft sleeve, a hard sleeve and a negative gland; an installation boss is formed at the edge of one end of the hard sleeve, and a plurality of anti-falling holes are formed on the installation boss at intervals; one end of the soft sleeve is sleeved on the mounting boss through the anti-falling hole, the other end of the soft sleeve is arranged in the hard sleeve, and the soft sleeve can wrap the outside of the glans penis;

an annular rib is formed at the edge of one end of the negative pressure cover, and an annular groove matched with the annular rib is formed at the edge of the other end of the hard sleeve, so that the negative pressure cover is sleeved at the other end of the hard sleeve in a matching manner; the other end of the negative pressure cover is provided with a negative pressure hole.

A third positioning boss is formed on the outer wall of the nail bin, and a plurality of third positioning grooves are formed on the outer wall of the third positioning boss along the circumferential direction; a plurality of third guide ribs matched with the third positioning grooves are formed on the inner wall of the nail bin sleeve along the circumferential direction, so that the nail bin is fixedly inserted in the nail bin sleeve through the third positioning grooves through the third guide ribs, and the outer wall of the third positioning boss is attached to the inner wall of the nail bin sleeve.

An external thread is formed on the outer wall of the perspective sleeve, and a plurality of second guide grooves are formed on the inner wall of the perspective sleeve at intervals; an internal thread is formed on the inner wall of the knob, a plurality of second guide ribs matched with the second guide grooves are formed on the outer wall of the nail abutting seat at intervals, so that the knob can be matched and screwed on the other end of the perspective sleeve, and the nail abutting seat is coaxially inserted into the knob and the perspective sleeve; the perspective sleeve can be movably screwed with a protective cover.

The synchronous pushing assembly comprises a nail pusher, a linkage pin, a hoop, a return spring, a pushing block, a middle sleeve and a movable handle;

the two sides of the nail bin sleeve are respectively provided with a long-strip-shaped long groove, the two sides of the cutter pushing ring are respectively provided with a first linkage pin hole matched with the linkage pin, the two sides of the nail pusher are respectively provided with a second linkage pin hole matched with the linkage pin, the linkage pin penetrates through the cutter pushing ring, the nail bin sleeve and the nail pusher through the long-strip-shaped long groove, the first linkage pin hole and the second linkage pin hole, and the cutter pushing ring and the nail pusher are locked by the linkage pin and synchronously slide relative to the nail bin sleeve;

a plurality of third guide grooves matched with the third guide ribs of the nail bin sleeve are formed on the outer wall of the nail pusher at intervals, so that the nail pusher is coaxially inserted into the nail bin sleeve through the third guide grooves and the third guide ribs, and the outer wall of the nail pusher is in sliding fit with the inner wall of the nail bin sleeve; a plurality of nail pushing blocks are arranged at one end of the nail pusher at intervals in a protruding mode, and when the nail pusher slides towards the nail bin in the nail bin sleeve, the plurality of nail pushing blocks can be inserted into the nail bin groove and push out the anastomosis nails; the other end of the nail pusher is coaxially provided with a connecting rod, the end part of the connecting rod is fixedly inserted in the pushing block, the reset spring is sleeved on the connecting rod, and the reset spring abuts against between the pushing block and the nail bin sleeve; sliding grooves are formed in two sides of the middle sleeve, the connecting rod is inserted into the middle sleeve through the pushing block, and sliding blades on two sides of the pushing block penetrate through the middle sleeve through the sliding grooves, so that the connecting rod can slide relative to the middle sleeve along the sliding grooves; one end of the middle sleeve is inserted into the nail bin sleeve and fixed through the hoop; one end of the pair of movable handles can be rotatably connected with the two ends of the nail bin sleeve, and the middle parts of the pair of movable handles can be rotatably connected with the sliding sheets on the two sides of the pushing block through handle connecting pieces respectively.

The tail end of the middle sleeve is sleeved with a dustproof cover.

The middle sleeve is movably sleeved with a safety buckle, and the safety buckle is positioned between the connecting convex sleeve of the nail bin sleeve and the sliding sheet of the pushing block.

Compared with the prior art, the utility model, following beneficial effect has:

1. the utility model is provided with the adjusting component and the nail-supporting seat component, the fixing ring frame can be made to relatively slide in a telescopic way by rotating the adjusting handle, so as to adjust the heights of the fixing ring frame and the nail-supporting seat component to adapt to different lengths of the penis, and simultaneously, the adjusted height is ensured to be kept stable by utilizing the thread self-locking function, so that the fixing ring frame and the nail-supporting seat component are stably sleeved and bound outside the penis in the operation process, thereby not only playing the role of protecting the penis, but also ensuring the stability of the penis in the operation process, and further ensuring the safety and smooth operation of the operation; in addition, the fixing of the fixing ring frame on the penis can be more stable and reliable through the fixing blades with certain deformation capacity and the internal threads, and the universality is higher.

2. The utility model discloses owing to be equipped with the nail seat of supporting that has the fixed slot on the outer wall, enable the foreskin and fix on supporting the nail seat with the form of rolling over outwards, the foreskin turns over the direction of rolling over and the opposite direction of insertion of penis to the ligature stability of the regional prepuce of waiting to cut of assurance that can be better prevents that the foreskin from sliding or droing, and then has guaranteed the accuracy nature of cutting position, is favorable to the postoperative to resume.

3. The utility model discloses owing to be equipped with transparent material's perspective sleeve, and annular sword sets up in the outside of coincide nail, make perspective sleeve internally mounted's annular sword and the motion process of coincide nail visual, through the cutting process of annular sword and the visualization of cutting position, the overall process that makes the operation obtains effectual control, avoid the annular sword to be located the blind unnecessary injury that leads to when coinciding the nail inboard and the uncertainty of cutting position, be favorable to doctor in good time to adjust the operation, ensure the security and the accurate nature of operation.

4. The utility model discloses owing to be equipped with the interlocking round pin, combine elongated slot, first linkage pinhole and second linkage pinhole, enable to be located the outside push broach ring of nail storehouse cover and the relative nail storehouse cover synchronous slip of the inside ejector pin ware of nail storehouse cover, realize the synchronous promotion of annular sword and coincide nail, can satisfy the operation requirement, solved again annular sword move to nail storehouse cover outside behind unable and nail storehouse cover inside push pin ware synchronous slip's problem, ensured the visual realization of annular sword cutting process.

The utility model realizes the visualization and controllability of the movement process of the annular knife and the anastomosis nail in the sleeve through the transparent sleeve so as to adjust the operation in due time; meanwhile, the length of the penis can be adapted through the nail abutting seat assembly, the everted foreskin can be fixed, the stability of the penis and the foreskin of the area to be cut in the operation process can be kept, the foreskin cutting and sewing are synchronously completed, and therefore the accurate, controllable, safe and efficient operation is guaranteed.

Drawings

Fig. 1 is a front view of the outward foreskin cutting visual anastomat of the utility model;

fig. 2 is a perspective view of the outward-turning foreskin cutting visual anastomat of the utility model;

fig. 3 is an exploded view (a side view) of the nail abutting seat assembly of the visual anastomat for circumcision of the present invention;

fig. 4 is an exploded view (another side view) of the nail seat assembly of the visual anastomat for outward-turning foreskin cutting according to the invention;

fig. 5 is an exploded view of the glans penis sleeve assembly of the outward turning foreskin cutting visual anastomat of the utility model;

fig. 6 is an exploded view of the nail pusher assembly of the visual anastomat for circumcision of the utility model;

fig. 7 is a perspective view (a side view) of the nail abutting seat in the outward-turning foreskin cutting visual anastomat of the utility model;

fig. 8 is a perspective view (another side view) of the nail abutting seat in the outward-turning foreskin cutting visual anastomat of the utility model;

fig. 9 is a perspective view of the knob of the outward-turning foreskin cutting visual anastomat of the utility model;

fig. 10 is a perspective view of a perspective sleeve in the outward-turning foreskin cutting visual anastomat of the present invention;

FIG. 11 is a perspective view of the nail bin of the visible anastomat for outward-turning foreskin cutting according to the present invention;

FIG. 12 is a perspective view of the nail cartridge sleeve of the visible anastomat for outward-turning foreskin cutting according to the present invention;

fig. 13 is a perspective view of the nail pusher in the outward-turning foreskin cutting visual anastomat of the utility model;

fig. 14 is a perspective view of a pushing block in the outward-turning foreskin cutting visual anastomat of the utility model;

fig. 15 is a perspective view of the middle sleeve of the outward-turning foreskin cutting visual anastomat of the utility model;

fig. 16 is a perspective view of a circular knife in the outward-turning foreskin cutting visual anastomat of the utility model;

fig. 17 is a perspective view of a knife pushing ring in the outward-turning foreskin cutting visual anastomat of the utility model;

fig. 18 is a perspective view of a retainer ring cover in the outward-turning foreskin cutting visual anastomat of the utility model.

In the figure, 1 an adjusting handle, 101 a positioning rib, 2 a fixed ring frame, 2001 a first guiding rib, 2003 a fixed blade, 2004 a flange, 3 a retainer ring cover, 301 a positioning hole, 302 a second limiting groove, 303 a pressing edge, 4 a knob, 41 a first mounting ring hole, 42 a second mounting ring hole, 5 an internal tooth sleeve, 51 a first positioning groove, 6 a nail abutting seat, 61 a second guiding rib, 62 a fixing groove, 63 a second mounting groove, 64 a first mounting groove, 65 a limiting column, 66 a first mounting ring column, 67 a second mounting ring column, 68 a first positioning boss, 69 a first guiding groove, 7 a fixing ring, 8 a cutter ring, 9 a nail abutting body, 91 a first limiting groove, 92 a nail abutting groove, 10 a soft sleeve, 11 a hard sleeve, 111 a mounting boss, 112 an anti-falling hole, 113 a ring groove, 12 a negative pressure cover, 121 a ring rib, 122 a negative pressure hole, 13 a protective cover, 14 a sleeve, 141 a second positioning boss, 142 a second connecting ring surface, 145 a second guiding groove, 15 anastomotic nails, 16 nail bins, 161 third positioning grooves, 162 third positioning bosses, 163 nail bin grooves, 17 annular knives, 171 knife rests, 18 knife pushing rings, 181 first linkage pin holes, 184 knife rest bosses, 19 nail bin sleeves, 191 first clamping holes, 192 connecting convex sleeves, 193 second positioning grooves, 194 first connecting ring faces, 196 long grooves, 198 third guide ribs, 1910 clamping columns, 20 nail pushers, 201 connecting rods, 203 second linkage pin holes, 204 third guide grooves, 205 nail pushing blocks, 206 nail pushing grooves, 21 linkage pins, 22 hoops, 222 clamping bosses, 24 safety buckles, 25 reset springs, 26 pushing blocks, 262 sliding sheets, 263 connecting holes, 27 middle sleeves, 271 stoppers, 273 second clamping holes, 274 connecting bosses, 275 sliding grooves, 28 movable handles, 29 handle connecting pieces and 31 dust covers.

Detailed Description

The invention will be further explained with reference to the drawings and the specific embodiments.

Referring to fig. 1 and 2, an outward-turning foreskin cutting visual anastomat comprises a nail abutting seat assembly, a nail pusher assembly and a glans penis sleeve assembly.

Referring to fig. 3 and 4, the nail abutting seat assembly includes a knob 4, a nail abutting seat 6, a fixing ring 7, a knife backing ring 8 and a nail abutting body 9; the cutter backing ring 8 and the nail abutting body 9 are both in annular structures and are coaxially embedded at one end of the nail abutting seat 6, and the cutter backing ring 8 is positioned at the outer side of the nail abutting body 9; the adjusting component is movably inserted into the other end of the nail abutting seat 6 and can slide along the axial direction of the nail abutting seat 6; a concave fixing groove 62 is formed on the outer wall of one end of the nail abutting seat 6; the penis penetrates through the adjusting assembly from the other end of the nail abutting seat 6, the adjusting assembly can be fixed on the penis, the foreskin can be everted to the fixing groove 62 and is bound and fixed on the fixing groove 62 through the fixing ring 7, the everted foreskin is attached to the surfaces of the knife backing ring 8 and the nail abutting body 9, and meanwhile, the glans is inserted into the glans sleeve assembly. The fixing ring 7 can be made of elastic plastics, has good elasticity, is convenient to be sleeved on the fixing groove 62 of the nail abutting seat 6 and is hooped, and can play a role in fixing the everted foreskin.

Referring to fig. 6, the staple pusher assembly includes a perspective sleeve 14, a staple cartridge 16, an annular knife 17, a knife pushing ring 18, a staple cartridge sleeve 19 and a synchronous pushing assembly; the annular knife 17 is embedded in a knife pushing ring 18, and the knife pushing ring 18 is coaxially embedded in the perspective sleeve 14 through a synchronous pushing assembly and can slide along the axial direction of the perspective sleeve 14; the nail bin 16 is installed in the perspective sleeve 14 through the nail bin sleeve 19, a plurality of staples 15 are annularly embedded in the nail bin 16 through the nail bin groove 163, the synchronous pushing assembly can be coaxially inserted into the nail bin 16 and push the staples 15 out of the nail bin 16, and the annular knife 17 is located on the outer side of the staples 15. The perspective sleeve 14 can be made of transparent materials, the whole process of operation implementation can be effectively observed, operation can be timely adjusted conveniently, meanwhile, the annular knife 17 is located on the outer side of the anastomosis nail 15, the annular knife 17 can be guaranteed to be visible through the whole process of the perspective sleeve 14 in the moving and cutting processes, the blind cutting problem caused by the fact that the annular knife 17 is located on the inner side of the anastomosis nail 15 in the prior art is avoided, and accuracy of a cutting position is effectively improved.

The surface of the nail pushing body 9 is provided with a plurality of nail pushing grooves 92 at intervals along the circumferential direction.

The other end of the nail abutting seat 6 is inserted into the knob 4, the knob 4 is sleeved at one end of the perspective sleeve 14 in a matching mode, the nail abutting seat 6 and the glans penis sleeve assembly are synchronously inserted into the perspective sleeve 14, the plurality of anastomotic nails 15 can be correspondingly pressed into the plurality of nail abutting grooves 92 of the nail abutting body 9 after being pushed out of the nail bin 16, and the annular knife 17 can be pressed on the knife backing ring 8 after sliding. The knob 4 and the see-through sleeve 14 may be connected by screwing or the like.

Referring to fig. 7 and 8, a first mounting groove 64 is formed at one end of the nail abutting seat 6, and a plurality of limiting columns 65 are arranged in the first mounting groove 64 at intervals; a plurality of first limiting grooves 91 are formed on the nail abutting body 9 at intervals, the nail abutting body 9 is embedded in the first mounting groove 64 in a matching manner, and the plurality of limiting columns 65 are embedded in the plurality of first limiting grooves 91 respectively and correspondingly. Through the arrangement of the first mounting groove 64, the limiting column 65 and the limiting groove 91, the embedding stability of the nail abutting body 9 in the nail abutting seat 6 is ensured, and the nail abutting body 9 is prevented from rotating or falling off.

One end of the nail abutting seat 6 is provided with a second installation groove 63, the second installation groove 63 and the first installation groove 64 are coaxially arranged, the second installation groove 63 is located on the outer side of the first installation groove 64, and the cutter gasket 8 is embedded in the second installation groove 63 in a matching mode.

Referring to fig. 7 to 9, a first mounting ring column 66 and a second mounting ring column 67 which are coaxially arranged are formed at the other end of the nail abutting seat 6, and the first mounting ring column 66 is sleeved outside the second mounting ring column 67; a first mounting ring hole 41 and a second mounting ring hole 42 are formed in the knob 4, the first mounting ring hole 41 and the second mounting ring hole 42 are coaxially arranged, and the first mounting ring hole 41 is positioned outside the second mounting ring hole 42; the nail abutting seat 6 is coaxially inserted into the knob 4, so that the first mounting ring column 66 is fittingly inserted into the first mounting ring hole 41, and the second mounting ring column 67 is fittingly inserted into the second mounting ring hole 42. The inserting coaxiality of the nail abutting seat 6 and the knob 4 is ensured through the two annular mounting ring columns and the mounting ring holes, and the assembly is convenient.

The adjusting assembly comprises an adjusting handle 1, a mounting ring frame 2, a retainer ring cover 3 and an inner tooth sleeve 5; a plurality of first guide grooves 69 are formed on the inner wall of the second mounting ring column 67 of the nail abutting seat 6 along the axial direction of the nail abutting seat 6, a plurality of first guide ribs 2001 matched with the first guide grooves 69 are formed on the outer wall of one end of the mounting ring frame 2, so that the mounting ring frame 2 is coaxially inserted into the second mounting ring column 67 of the nail abutting seat 6 through the plurality of first guide ribs 2001 and the plurality of first guide grooves 69, and the mounting ring frame 2 can slide relative to the nail abutting seat 6; an external thread is formed on the outer wall of the inner thread sleeve 5, and an internal thread is formed on the inner wall of the mounting ring frame 2, so that the inner thread sleeve 5 is screwed in the mounting ring frame 2; a plurality of first positioning bosses 68 which are arranged in a protruding manner are formed on the second mounting ring column 67 at the other end of the nail abutting seat 6, and when the nail abutting seat 6 is inserted into the knob 4, the first positioning bosses 68 extend to the outside of the knob 4; a plurality of positioning holes 301 matched with the first positioning bosses 68 are formed in the retainer ring cover 3 along the circumferential direction, so that the retainer ring cover 3 is coaxially arranged at the other end of the nail abutting seat 6 and is attached to the outer surface of the knob 4, the other end of the mounting ring frame 2 extends to the outer parts of the retainer ring cover 3 and the knob 4, and the first positioning bosses 68 and the positioning holes 301 can be welded and fixed by high frequency, so that the stability and the reliability of assembly are ensured; a plurality of positioning ribs 101 are formed on the outer wall of one end of the adjusting handle 1 along the circumferential direction, a plurality of first positioning grooves 51 matched with the positioning ribs 101 are formed on the inner wall of the inner tooth sleeve 5 along the circumferential direction, and one end of the adjusting handle 1 can be inserted into the inner tooth sleeve 5 and drives the inner tooth sleeve 5 to rotate synchronously. Under retaining ring lid 3's is spacing, can prevent to support the axial motion of nail seat 6, ensure to support nail seat 6 and can only be circular motion in knob 4, and interior facing 5 can only be circular motion in fixed ring frame 2, because interior facing 5 connects for the screw is soon with fixed ring frame 2, turn into the axial rectilinear motion of fixed ring frame 2 with the screw rotary motion of interior facing 5, thereby make fixed ring frame 2 support nail seat 6 relatively along first guide way 69 and slide, thereby adapt to the penis of different length, make to support the nail seat subassembly and can fix on the penis.

A plurality of fixed blades 2003 are formed at the other end of the fixed ring frame 2, and the fixed blades 2003 are bound on the penis through a fixing piece; gaps are formed between every two adjacent fixed blades 2003, flanges 2004 are formed at the ends of the fixed blades 2003, the fixed blades 2003 can be made of materials with certain elasticity such as plastics and can be deformed to a certain degree, so that the fixed blades 2003 can be wound and bound on the penis by using fixing pieces (such as flexible materials such as medical adhesive tapes), the flanges 2004 can prevent the medical adhesive tapes from falling off the fixed blades 2003, and the nail seat assembly can be effectively prevented from moving with the penis in the operation process; meanwhile, the internal thread of the fixed ring frame 2 can further play a role in fixing.

Referring to fig. 18, a plurality of second limiting grooves 302 matched with the fixed blades 2003 are formed on the retainer ring cover 3, the plurality of fixed blades 2003 of the fixed ring frame 2 respectively and correspondingly penetrate through the plurality of second limiting grooves 302, a pressing edge 303 is formed between every two adjacent second limiting grooves 302 and covers the top of the inner toothed sleeve 5, so that the fixed ring frame 2 can slide along the axial direction, the circumferential rotation of the fixed ring frame 2 is limited by the second limiting grooves 302, and meanwhile, the movement of the inner toothed sleeve 5 is limited by the pressing edge 203, so that the inner toothed sleeve 5 can only rotate relative to the fixed ring frame 2 in the nail abutting seat 6, and is prevented from being separated from the nail abutting seat 6.

Referring to fig. 5, the glans penis sleeve assembly comprises a soft sleeve 10, a hard sleeve 11 and a negative pressure cover 12; an installation boss 111 is formed at the edge of one end of the hard sleeve 11, and a plurality of anti-falling holes 112 are formed on the installation boss 111 at intervals; one end of the soft sleeve 10 is sleeved on the mounting boss 111 through the anti-falling hole 112, the other end of the soft sleeve 10 is arranged in the hard sleeve 11, the soft sleeve 10 can be wrapped outside the glans penis, discomfort of the glans penis cannot be caused, and the glans penis can be better stabilized in an operation; an annular rib 121 is formed at the edge of one end of the negative pressure cover 12, and an annular groove 113 matched with the annular rib 121 is formed at the edge of the other end of the hard sleeve 11, so that the negative pressure cover 12 is sleeved at the other end of the hard sleeve 11 in a matching manner; the other end of the negative pressure cover 12 is provided with a negative pressure hole 122, and air can be pumped out from the negative pressure hole 122 by using an air pumping instrument, so that the glans penis can enter the glans penis sleeve assembly more easily. The soft sleeve 10 can be made of medical silica gel materials, the glans penis can be effectively protected from being touched by instruments through the hard sleeve 11 and the soft sleeve 10, and the mounting boss 111 can be formed at the edge of the end portion of the hard sleeve 11 in an over-molding mode.

Referring to fig. 10 and 12, a first connecting ring surface 194 is formed at an edge of one end of the magazine sleeve 19, and a plurality of second positioning grooves 193 are formed on the first connecting surface 194 along a circumferential direction; a second connection ring surface 142 is formed at one end edge of the perspective sleeve 14, a plurality of second positioning bosses 141 matched with the second positioning grooves 193 are formed on the second connection ring surface 142 at intervals along the circumferential direction, so that the nail bin sleeve 19 is coaxially sleeved in the perspective sleeve 14 and the push broach ring 18, the second connection ring surface 142 abuts against the first connection ring surface 194, and the plurality of second positioning bosses 141 are respectively and correspondingly fixed in the plurality of second positioning grooves 193. The second positioning boss 141 and the second positioning groove 193 may be fixed by high frequency welding, so as to ensure the installation stability and reliability between the cartridge sleeve 19 and the see-through sleeve 14.

Referring to fig. 7 and 10, an external thread is formed on an outer wall of the other end edge of the see-through sleeve 14, and a plurality of second guide grooves 145 are formed on an inner wall of the other end edge of the see-through sleeve 14 at intervals along the circumferential direction; an internal thread is formed on the inner wall of the knob 4, a plurality of second guide ribs 61 matched with the second guide grooves 145 are formed on the outer wall of the first mounting ring column 66 of the nail abutting seat 6 at intervals along the circumferential direction, so that the knob 4 can be screwed on the other end of the perspective sleeve 14 through matching of the internal thread and the external thread, and the nail abutting seat 6 is coaxially inserted in the knob 4 and the perspective sleeve 14. Through the mode that the screw thread connects soon and the direction muscle groove matches, can effectively improve the knob 4, support the reliability of being connected between nail seat 6 and the perspective sleeve 14, ensure the stability between knob 4, support nail seat 6 and the perspective sleeve 14 at the in-process that the operation was implemented.

The other end of the perspective sleeve 14 can be screwed with the protective cover 13 through internal and external threads, and the perspective sleeve 14 and the staple box 16 are closed by the protective cover 13 when not in use, so that the staples 15 are prevented from falling out of the staple box 16.

Referring to fig. 16, a blade holder 171 with an anti-slip groove is formed at an edge of one end of the annular blade 17, a blade holder boss 184 is formed at an edge of one end of the push-type broach ring 18, and the annular blade 17 is pre-installed on the blade holder boss 184 of the push-type broach ring 18 through the blade holder 171, so as to ensure the installation stability of the annular blade 17, and thus ensure accurate and stable cutting of the foreskin during the surgical operation.

The outer wall of the push broach ring 18 and the inner wall of the perspective sleeve 14 are polygonal columnar structures, and the outer wall of the push broach ring 18 is matched and attached to the inner wall of the perspective sleeve 14 and slides along the axial direction of the perspective sleeve 14. Through the limitation of the polygonal section shape, the push knife ring 18 can be prevented from doing circular motion in the perspective sleeve 14, the push knife ring 18 can be ensured to be pushed along the axial direction of the perspective sleeve 14, and the effect of accurately and reliably cutting the foreskin is achieved.

Referring to fig. 11, a third positioning boss 162 is formed on an outer wall of the staple cartridge 16, and a plurality of third positioning grooves 161 are formed on an outer wall of the third positioning boss 162 along a circumferential direction; a plurality of third guide ribs 198 matched with the third positioning grooves 161 are formed on the inner wall of the nail bin sleeve 19 along the circumferential direction, so that the nail bin 16 is fixedly inserted in the nail bin sleeve 19 through the third positioning grooves 161 via the third guide ribs 198, and the outer wall of the third positioning boss 162 is attached to the inner wall of the nail bin sleeve 19. The third positioning groove 161 and the third guiding rib 198 can be welded and fixed by high frequency, so as to ensure the installation stability of the nail bin 16 in the nail bin sleeve 19.

Referring to fig. 6, 10 to 15, the synchronous pushing assembly includes a nail pusher 20, a linkage pin 21, a hoop 22, a return spring 25, a pushing block 26, a middle sleeve 27 and a movable handle 28; the nail pusher 20, the nail bin sleeve 19 and the cutter pushing ring 18 are connected in a penetrating way through a linkage pin 21, and the nail pusher 20 and the cutter pushing ring 18 are locked; a plurality of third guide grooves 204 matched with the third guide ribs 198 of the nail bin sleeve 19 are formed on the outer wall of the nail pusher 20 at intervals along the circumferential direction, so that the nail pusher 20 is coaxially inserted into the nail bin sleeve 19 through the third guide grooves 204 via the third guide ribs 198, and the outer wall of the nail pusher 20 is in sliding fit with the inner wall of the nail bin sleeve 19; a plurality of nail pushing blocks 205 are convexly arranged at intervals along the circumferential direction at one end of the nail pusher 20, and when the nail pusher 20 slides towards the nail bin 16 in the nail bin sleeve 19, the plurality of nail pushing blocks 205 can be inserted into the nail bin groove 163 and push out the anastomotic nails 15; the other end of the nail pusher 20 is coaxially provided with a connecting rod 201, the middle part of the pushing block 26 is provided with a connecting hole 263, the end part of the connecting rod 201 is fixedly inserted in the pushing block 26 through the connecting hole 263, the return spring 25 is sleeved on the connecting rod 201, and the return spring 25 abuts between the pushing block 26 and the nail bin sleeve 19; sliding grooves 275 are formed on two sides of the middle sleeve 27, the connecting rod 201 is inserted into the middle sleeve 27 through the pushing block 26, and sliding pieces 262 on two sides of the pushing block 26 penetrate through the middle sleeve 27 through the sliding grooves 275, so that the connecting rod 201 can slide along the sliding grooves 275 relative to the middle sleeve 27; a connecting boss 274 is formed at one end of the middle sleeve 27, a connecting convex sleeve 192 is formed at one end of the nail bin sleeve 19, and the connecting boss 274 is inserted into the connecting convex sleeve 192 in a matching manner, so that one end of the middle sleeve 27 is inserted into one end of the nail bin sleeve 19 and is fixed through the hoop 22; one end of a pair of movable handles 28 is rotatably connected with the two ends of the connecting convex sleeve 192 at one end of the nail bin sleeve 19, and the middle parts of the pair of movable handles 28 are respectively rotatably connected with the sliding sheets 262 at the two sides of the pushing block 26 through handle connecting pieces 29. The movable handle 28 and the handle connecting piece 29 can be rotatably connected by pins through pin holes, the handle connecting piece 29 and the sliding piece 262 can be rotatably connected by pins through pin holes, and the movable handle 28 and the anchor ear 22 and the nail bin sleeve 29 can be rotatably connected by pins through pin holes.

Two sides of the nail bin sleeve 19 are respectively formed with elongated long grooves 196, please refer to fig. 17, two sides of the knife pushing ring 18 are respectively formed with first linkage pin holes 181 matched with the linkage pins 21, two sides of the nail pusher 20 are respectively formed with second linkage pin holes 203 matched with the linkage pins 21, the linkage pins 21 penetrate through the knife pushing ring 18, the nail bin sleeve 19 and the nail pusher 20 through the long grooves 196, the first linkage pin holes 181 and the second linkage pin holes 203, and the knife pushing ring 18 and the nail pusher 20 are locked by the linkage pins 21 through the first linkage pin holes 181 and the second linkage pin holes 203 and synchronously slide relative to the long grooves 196 of the nail bin sleeve 19. Because the length of the long-shaped groove 196 is larger than the diameter of the linkage pin 21, under the limit of the linkage pin 21, the synchronous sliding of the knife pushing ring 18 and the nail pusher 20 is ensured, the nail bin sleeve 19 is always fixed in the perspective sleeve 14, and the sliding amplitude of the knife pushing ring 18 and the nail pusher 20 can be limited by adjusting the length of the long-shaped groove 196, so that the prepuce cutting and anastomosis are synchronously carried out, and the resetting can be synchronously completed.

The end of the nail-pushing sheet 205 is formed with a nail-pushing groove 206, the staple 15 is in a U-shaped structure, and the bottom horizontal bar of the U-shaped structure is arranged in the nail-pushing groove 206 of the nail-pushing sheet 205. Staple 15 is restrained by staple pusher slot 206, ensuring that staple pusher sheet 205 can simultaneously push out a ring of staples 15 parallel to the axial direction of staple pusher 20.

The pair of the hoops 22 are vertically combined on the connecting convex sleeve 192, the clamping bosses 222 are formed on the inner wall of the hoops 22, the connecting convex sleeve 192 is formed with two first clamping holes 191 matched with the clamping bosses 222, and the connecting boss 274 is formed with two second clamping holes 273 matched with the clamping bosses 222, so that the pair of hoops 22, the connecting convex sleeve 192 and the connecting boss 274 are fixedly assembled. The insertion and the limitation between the clamping bosses 222 on the pair of hoops 22 and the two first clamping holes 191 and the two second clamping holes 273 can ensure that the hoops 22 can be stably connected with the middle sleeve 27 and the nail bin sleeve 19, and the middle sleeve 27 is prevented from being separated from the nail bin sleeve 19.

In addition, a pair of clamping columns 1910 can be arranged at one end of the nail bin sleeve 19, and the middle sleeve 27 and the return spring 25 are propped against through the pair of clamping columns 1910, so that the upper limiting effect is achieved, and the rebound resetting of the return spring 25 is facilitated. The sliding sheet 262 can be limited downwards by the end of the sliding groove 275, and the stopper 271 arranged at the end of the sliding groove 275 of the middle sleeve 27 can also be limited downwards to determine the sliding stroke of the sliding sheet 262, so that the sliding stroke of the annular knife 17 and the staple 15 can be controlled.

The tail end of the middle sleeve 27 is sleeved with a dustproof cover 31, so that the dustproof effect can be achieved, and dust is prevented from entering the synchronous pushing assembly from the middle sleeve.

The middle sleeve 27 is movably sleeved with a safety catch 24, the safety catch 24 is positioned between the connecting convex sleeve 192 of the nail bin sleeve 19 and the sliding sheet 262 of the pushing block 26, and the sliding of the sliding sheet 262 can be limited when the nail pusher is not used, so that the nail pusher 20 is prevented from being pushed out by mistake.

The utility model discloses a theory of operation is:

before the operation is started, the height position of the nail abutting seat 6 on the nail abutting seat assembly is adjusted according to the length of the penis, so that the nail abutting seat assembly can adapt to the length of the penis and is fixed on the penis. The specific operation steps are as follows: insert adjusting handle 1 in interior tooth sleeve 5 through location muscle 101 through first locating slot 51, rotate adjusting handle 1 and drive interior tooth sleeve 5 synchronous rotation, under the restriction of internal screw thread, make fixed ring frame 2 make axial rectilinear motion relative interior tooth sleeve 5 to make fixed ring frame 2 support nail seat 6 relatively and slide through the direction of first guide way 69 and first guide muscle 2001. Make when clockwise rotating adjustment handle 1 to support nail seat 6 and fixed ring frame 2 and do the slip back on the back, increase promptly and support the height of nail seat subassembly and adjusting part, anticlockwise rotating adjustment handle 1 often fixed ring frame 2 with support nail seat 6 and do the relative slip, reduce the height of supporting nail seat subassembly and adjusting part promptly to adapt to the penis of different length. After the adjusting handle is adjusted in place, the adjusting handle 1 is pulled out from the inner tooth sleeve 5, self-locking is realized by utilizing the threaded connection between the inner tooth sleeve 5 and the fixed ring frame 2, and the fixed ring frame 2 is ensured not to rotate accidentally after being adjusted in place.

During operation, a penis is inserted into the nail abutting seat assembly from the inner tooth sleeve 5, the glans penis extends out of the nail abutting seat 6, a foreskin needing to be cut is turned outwards, the foreskin bypasses the cutter backing ring 8 and the nail abutting body 9 during turning outwards, the position of the cutter backing ring 8 is a cutting position of the foreskin, and the position of the nail abutting body 9 is a suturing position after cutting; after the foreskin is everted, the foreskin is fixedly tied on the fixing groove 62 of the nail abutting seat 6 through the fixing ring 7. The eversion and fixing direction of the foreskin is opposite to the inserting direction of the penis, so that the foreskin is fixed, and the foreskin is prevented from slipping after being fixed, thereby ensuring the accuracy of the cutting position. The plurality of fixed blades 2003 of the fixed ring frame 2 locked in the nail abutting seat 6 are fixed on the penis through the binding of a medical adhesive tape, the plurality of fixed blades 2003 which are arranged at intervals and have certain elasticity are utilized to ensure the stable binding of the fixed ring frame 2 on the penis, and the relative displacement or torsion between the whole anastomat and the operation position in the operation process is ensured, so that the stability, safety and accuracy of the operation are ensured. The glans extending out of the nail seat 6 is inserted into the soft sleeve 10 in the hard sleeve 11, the glans can be effectively protected by the soft sleeve 10 and the hard sleeve 11, and the glans can more easily enter the soft sleeve 10 by pumping air through the negative pressure hole 122.

The protective cap 13 on the see-through sleeve 14 is unscrewed. The knob 4 is screwed on the perspective sleeve 14 through threads, and the nail seat 6, part of the penis and the glans are synchronously inserted into the perspective sleeve 14 along with the hard sleeve 11. The safety catch 24 is taken down, the pair of movable handles 28 are held by hands and closed, the movable handles 28 rotate around the pins on the connecting convex sleeves 192 of the nail bin sleeve 19, the middle parts of the pair of movable handles 28 press the handle connecting pieces 29 inwards, the handle connecting pieces 29 rotate around the pins and push the sliding pieces 262 towards the direction of the perspective sleeve 14, and the sliding pieces 262 drive the pushing blocks 26 to slide upwards synchronously along the sliding grooves 275 of the middle sleeve 27. Due to the connection of the connecting rod 201 between the nail pusher 20 and the pusher block 26, the nail pusher 20 is synchronously pushed, and with the through connection of the interlocking pin 21, the nail pusher 20 and the pusher ring 18 are synchronously pushed out, the interlocking pin 21 sliding along the elongated slot 196. The cross bar of the staple 15 is pushed against the staple pushing groove 206 of the staple pushing block 205, the two ends of the opening of the staple 15 are pushed out to the staple pushing body 9 under the pushing action of the staple pushing block 205 and prick through the foreskin, and the two ends of the staple 15 are bent inwards under the action of the staple pushing groove 92 and compact the blood vessel on the foreskin, so that the hemostatic effect is achieved. Meanwhile, the knife pushing ring 18 slides along the inner wall of the perspective sleeve 14 and moves the annular knife 17 mounted on the knife rest boss 184 to the knife backing ring 8, and when the annular knife 17 contacts the knife backing ring 8, a circle of foreskin outside the staple 15 is cut.

The above description is only for the purpose of illustrating the preferred embodiments of the present invention and should not be taken as limiting the scope of the present invention, therefore, any modifications, equivalents, improvements and the like made within the spirit and principles of the present invention should be included in the scope of the present invention.

Claims (10)

1. The utility model provides a visual anastomat of formula foreskin cutting turns up which characterized by: comprises a nail abutting seat component, a nail pusher component and a glans penis sleeve component;

the nail abutting seat assembly comprises a knob (4), a nail abutting seat (6), a fixing ring (7), a cutter backing ring (8) and a nail abutting body (9); the cutter backing ring (8) and the nail abutting body (9) are both in annular structures and are coaxially embedded at one end of the nail abutting seat (6), and the cutter backing ring (8) is positioned at the outer side of the nail abutting body (9); the adjusting component is movably inserted into the other end of the nail abutting seat (6) and can slide along the axial direction of the nail abutting seat (6); an inner concave type fixing groove (62) is formed on the outer wall of one end of the nail abutting seat (6); the penis penetrates through the adjusting assembly from the other end of the nail abutting seat (6), the adjusting assembly can be fixed on the penis, the foreskin can be everted to the fixing groove (62) and is bound and fixed on the fixing groove (62) through the fixing ring (7), the everted foreskin is attached to the surfaces of the knife backing ring (8) and the nail abutting body (9), and meanwhile, the glans penis is inserted into the glans penis sleeve assembly;

the nail pusher component comprises a perspective sleeve (14), a nail bin (16), an annular knife (17), a knife pushing ring (18), a nail bin sleeve (19) and a synchronous pushing component; the annular cutter (17) is embedded in the cutter pushing ring (18), and the cutter pushing ring (18) is coaxially embedded in the perspective sleeve (14) through the synchronous pushing assembly and can slide along the axial direction of the perspective sleeve (14); the nail bin (16) is installed in the perspective sleeve (14) through the nail bin sleeve (19), a plurality of anastomotic nails (15) are embedded in the nail bin (16), the synchronous pushing assembly can be coaxially inserted into the nail bin (16) and pushes the anastomotic nails (15) out of the nail bin (16), and the annular knife (17) is located on the outer side of the anastomotic nails (15);

the other end of the nail abutting seat (6) is inserted into the knob (4), the knob (4) is sleeved at one end of the perspective sleeve (14) in a matching mode, the nail abutting seat (6) and the glans penis sleeve assembly are synchronously inserted into the perspective sleeve (14), a plurality of anastomotic nails (15) can be correspondingly pressed on the nail abutting body (9) after being pushed out of the nail bin (16), and the annular knife (17) can be pressed on the knife backing ring (8) after sliding.

2. The everting foreskin cutting visual stapler of claim 1, wherein: the adjusting assembly comprises an adjusting handle (1), a mounting ring frame (2), a check ring cover (3) and an inner tooth sleeve (5); a plurality of first guide grooves (69) are formed in the inner wall of the nail abutting seat (6) along the axial direction of the nail abutting seat (6), a plurality of first guide ribs (2001) matched with the first guide grooves (69) are formed in the outer wall of one end of the mounting ring frame (2), the mounting ring frame (2) is coaxially inserted into the nail abutting seat (6) through the first guide ribs (2001) through the first guide grooves (69), and the mounting ring frame (2) can slide relative to the nail abutting seat (6); the inner thread sleeve (5) is screwed in the mounting ring frame (2) in a threaded manner; a plurality of first positioning bosses (68) which are arranged in a protruding manner are formed at the other end of the nail abutting seat (6), and when the nail abutting seat (6) is inserted into the knob (4), the first positioning bosses (68) extend to the outside of the knob (4); a plurality of positioning holes (301) matched with the first positioning bosses (68) are formed in the retainer ring cover (3) along the circumferential direction, so that the retainer ring cover (3) is coaxially arranged at the other end of the nail abutting seat (6) and attached to the outer surface of the knob (4), and the other end of the mounting ring frame (2) extends to the outer parts of the retainer ring cover (3) and the knob (4); a plurality of positioning ribs (101) are formed on the outer wall of the adjusting handle (1), and a plurality of first positioning grooves (51) matched with the positioning ribs (101) are formed on the inner wall of the inner tooth sleeve (5), so that the adjusting handle (1) can be inserted into the inner tooth sleeve (5) and drives the inner tooth sleeve (5) to synchronously rotate;

a plurality of fixed blades (2003) are formed at the other end of the fixed ring frame (2), and the fixed blades (2003) are bound on the penis through a fixing piece; gaps are arranged between adjacent fixed blades (2003), and flanges (2004) are formed at the ends of the fixed blades (2003); a plurality of second limiting grooves (302) matched with the fixed blades (2003) are formed in the retainer ring cover (3), the fixed blades (2003) of the fixed ring frame (2) correspondingly penetrate through the second limiting grooves (302), and a pressing edge (303) is formed between every two adjacent second limiting grooves (302) and covers the top of the inner tooth sleeve (5).

3. The everting foreskin cutting visual stapler of claim 1, wherein: a first mounting groove (64) is formed at one end of the nail abutting seat (6), and a plurality of limiting columns (65) are arranged in the first mounting groove (64) at intervals; a plurality of first limiting grooves (91) are formed on the nail abutting body (9) at intervals, the nail abutting body (9) is embedded in the first installation groove (64) in a matching mode, and a plurality of limiting columns (65) are embedded in the first limiting grooves (91) correspondingly; a second mounting groove (63) is formed in one end of the nail abutting seat (6), the second mounting groove (63) and the first mounting groove (64) are coaxially arranged, the second mounting groove (63) is located on the outer side of the first mounting groove (64), and the cutter gasket (8) is embedded in the second mounting groove (63) in a matching mode.

4. The everting foreskin cutting visual stapler of claim 1, wherein: a first mounting ring column (66) and a second mounting ring column (67) which are coaxially arranged are formed at the other end of the nail abutting seat (6), and the first mounting ring column (66) is sleeved outside the second mounting ring column (67); a first mounting ring hole (41) and a second mounting ring hole (42) are formed in the knob (4), the first mounting ring hole (41) and the second mounting ring hole (42) are coaxially arranged, and the first mounting ring hole (41) is positioned outside the second mounting ring hole (42); the nail abutting seat (6) is coaxially inserted into the knob (4), so that the first mounting ring column (66) is inserted into the first mounting ring hole (41) in a matching mode, and the second mounting ring column (67) is inserted into the second mounting ring hole (42) in a matching mode.

5. The everting foreskin cutting visual stapler of claim 1, wherein: the glans penis sleeve assembly comprises a soft sleeve (10), a hard sleeve (11) and a negative pressure cover (12); an installation boss (111) is formed at the edge of one end of the hard sleeve (11), and a plurality of anti-falling holes (112) are formed on the installation boss (111) at intervals; one end of the soft sleeve (10) is sleeved on the mounting boss (111) through the anti-falling hole (112), the other end of the soft sleeve (10) is arranged in the hard sleeve (11), and the soft sleeve (10) can be wrapped outside the glans penis; an annular rib (121) is formed at the edge of one end of the negative pressure cover (12), and an annular groove (113) matched with the annular rib (121) is formed at the edge of the other end of the hard sleeve (11), so that the negative pressure cover (12) is sleeved at the other end of the hard sleeve (11) in a matching manner; the other end of the negative pressure cover (12) is provided with a negative pressure hole (122).

6. The everting foreskin cutting visual stapler of claim 1, wherein: a third positioning boss (162) is formed on the outer wall of the nail bin (16), and a plurality of third positioning grooves (161) are formed on the outer wall of the third positioning boss (162) along the circumferential direction; a plurality of third guide ribs (198) matched with the third positioning grooves (161) are formed on the inner wall of the nail bin sleeve (19) along the circumferential direction, so that the nail bin (16) is fixedly inserted in the nail bin sleeve (19) through the third positioning grooves (161) through the third guide ribs (198), and the outer wall of the third positioning boss (162) is attached to the inner wall of the nail bin sleeve (19).

7. The everting foreskin cutting visual stapler of claim 1, wherein: an external thread is formed on the outer wall of the perspective sleeve (14), and a plurality of second guide grooves (145) are formed on the inner wall of the perspective sleeve (14) at intervals; an internal thread is formed on the inner wall of the knob (4), a plurality of second guide ribs (61) matched with the second guide grooves (145) are formed on the outer wall of the nail abutting seat (6) at intervals, so that the knob (4) can be matched and screwed on the other end of the perspective sleeve (14), and the nail abutting seat (6) is coaxially inserted into the knob (4) and the perspective sleeve (14); the perspective sleeve (14) can be movably screwed with a protective cover (13).

8. The everting foreskin cutting visual stapler of claim 1, wherein: the synchronous pushing assembly comprises a nail pusher (20), a linkage pin (21), a hoop (22), a return spring (25), a pushing block (26), a middle sleeve (27) and a movable handle (28);

two sides of the nail bin sleeve (19) are respectively provided with a long-strip-shaped long-shaped groove (196), two sides of the push broach ring (18) are respectively provided with a first linkage pin hole (181) matched with the linkage pin (21), two sides of the nail pusher (20) are respectively provided with a second linkage pin hole (203) matched with the linkage pin (21), the linkage pin (21) penetrates through the push broach ring (18), the nail bin sleeve (19) and the nail pusher (20) through the long-strip-shaped groove (196), the first linkage pin hole (181) and the second linkage pin hole (203), and the push broach ring (18) and the nail pusher (20) are locked through the linkage pin (21) and synchronously slide relative to the nail bin sleeve (19);

a plurality of third guide grooves (204) matched with the third guide ribs (198) of the nail bin sleeve (19) are formed on the outer wall of the nail pusher (20) at intervals, so that the nail pusher (20) is coaxially inserted into the nail bin sleeve (19) through the third guide grooves (204) and the third guide ribs (198), and the outer wall of the nail pusher (20) is in sliding fit with the inner wall of the nail bin sleeve (19); a plurality of nail pushing blocks (205) are convexly arranged at one end of the nail pusher (20) at intervals, and when the nail pusher (20) slides towards the nail bin (16) in the nail bin sleeve (19), the plurality of nail pushing blocks (205) can be inserted into the nail bin groove (163) and push out the anastomosis nails (15); the other end of the nail pusher (20) is coaxially provided with a connecting rod (201), the end part of the connecting rod (201) is fixedly inserted in the pushing block (26), a return spring (25) is sleeved on the connecting rod (201), and the return spring (25) abuts between the pushing block (26) and the nail bin sleeve (19); sliding grooves (275) are formed on two sides of the middle sleeve (27), the connecting rod (201) is inserted into the middle sleeve (27) through the pushing block (26), and sliding sheets (262) on two sides of the pushing block (26) penetrate through the middle sleeve (27) through the sliding grooves (275), so that the connecting rod (201) can slide relative to the middle sleeve (27) along the sliding grooves (275); one end of the middle sleeve (27) is inserted into the nail bin sleeve (19) and fixed through the hoop (22); one end of a pair of movable handles (28) is rotatably connected with the two ends of the nail bin sleeve (19), and the middle parts of the pair of movable handles (28) are respectively rotatably connected on the sliding sheets (262) at the two sides of the pushing block (26) through handle connecting pieces (29).

9. The everting foreskin cutting visual stapler of claim 8, wherein: the tail end of the middle sleeve (27) is sleeved with a dustproof cover (31).

10. The everting foreskin cutting visual stapler of claim 8, wherein: the middle sleeve (27) is movably sleeved with a safety catch (24), and the safety catch (24) is positioned between a connecting convex sleeve (192) of the nail bin sleeve (19) and a sliding sheet (262) of the pushing block (26).

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