The present invention relates to surgical devices, particularly to a circumcision apparatus and more particularly to a C-type valgus circumcision stapler.
Refer to the C-type valgus circumcision stapler. The redundant prepuce or phimosis is one of the causes of male urinary system infections and sexually transmitted diseases. The redundant prepuce or phimosis can cause urinary tract infections, resulting in chronic prostatitis, with a series of symptoms, such as pains in back and waist, impotence and premature ejaculation. Therefore, the removal of the redundant prepuce is a good way to prevent these diseases.
Traditionally, surgical removal of the phimosis or redundant prepuce has the main technical points of removal of excess prepuce, hemostasis, and apposition suture of cut edges to skin. A postoperative patient cannot move around, suffers unbearable pain in each change of ointment and endures huge pain when stitches are taken out finally. In addition, incomplete ligating hemostasis will cause prepuce hematoma, thus requiring a surgical treatment again. Furthermore, since the prepuce removal and the hemostasis processes are performed separately, the surgery time is prolonged, and the patient's panic is exacerbated.
A therapeutic method of applying a laser and high-frequency electric surgical knife technology to circumcision has been developed at present. Although this therapeutic method substitutes for scissors cutting and makes a bleeding spot coagulated, the patient's tissues will be burnt and susceptible to infection.
Then, a circumcision device was developed in this field. In the circumcision device, a prepuce incision is sutured using a suturing nail in one step. However, during a surgery using a conventional built-in circumcision stapler in the prior art, a front prepuce and most of a penis are exposed outside, so that the prepuce and the penis are vulnerable to injury or infection. A portion above a prepuce clamping portion of the built-in circumcision stapler is located outside the circumcision stapler, while a U-nail suturing position is located at the top of the circumcision stapler. Once hemorrhage caused by instrument failure or misoperation occurs, a patient is likely to be infected to cause a surgical accident. The built-in circumcision stapler has a built-in circumcision knife, and thus carries out cutting inside and nailing at periphery. In case of a redundant prepuce or the like, the possibility of cutting of overlapped tissues is high, causing pain and risks. In addition, if circumcision and hemostasis with U-nails are performed as soon as appropriate clamping is realized only through cooperation between an upper cover (upper comprehensive cover) and a lower cover (lower comprehensive cover/connecting cover) as well as between an inner ring (prepuce fixing hoop) and an inner comprehensive cover (U-nail top ring and/or thimble guide block), a prepuce blood vessel cannot be accurately positioned as a built-in nail groove is not visible. As a result, the U-nail in the U-nail groove cannot accurately correspond to the prepuce blood vessel during the surgery, so that a hemostasis effect is poor. Even, the head of the U-nail may be just hammered into the blood vessels, resulting in a surgery risk as hemostasisis not punctual. Moreover, in the existing technology, as the U-nail is directly hammered into the prepuce, the U-nail is likely to adhere with the prepuce and even U-nail cannot peel off punctually as the U-nail deeply penetrates into the prepuce in a process of waiting for necrosis and defluvium of the prepuce and peeling off of the U-nail after the surgery, causing severe pain to the patient.
Refer to the C-type valgus circumcision stapler.
In view of the above technical problems in the prior art, an object of the present invention is to provide a valgus circumcision stapler. Through the structure of the valgus circumcision stapler, most of a front prepuce is accommodated in the circumcision stapler, and a clamping portion and a circumcision portion of the valgus circumcision stapler are both built-in, so that hemorrhage infection and the like are avoided. An external circumcision knife and a blood vessel docking device reduce a risk in a surgery, and a provided U-pin gasket avoids the failure of the peeling off of a U-nail later. The specific technical solutions are as follows.
A C-type valgus circumcision stapler comprises: an upper comprehensive cover, a lower comprehensive cover, a prepuce fixing hoop and a U-nail device, wherein
Further, the U-nail device comprises a U-nail top ring and a thimble guide block; the thimble guide block is configured to accommodate a suturing U-nail and/or to guide the movement of the suturing U-nail and/or to position and/or guide a thimble of the U-nail top ring; and the U-nail top ring is configured to cooperate with the thimble guide block to eject the U-nail in the thimble guide block.
Further, the C-type valgus circumcision stapler further comprises a U-nail gasket.
Further, the U-nail gasket further comprises a gasket positioning stage perpendicular to and/or at an angle to the plane of the U-nail gasket; and the gasket positioning stage is one or more protrusions and/or an integral annular protrusion arranged at the inner circumference and/or the outer circumference and/or the middle of the plane of the U-nail gasket.
Further, a first through hole is formed in the middle of the thimble guide block; the thimble guide block comprises an annular inner wall and/or an annular outer wall and/or a positioning stage accommodating groove; the annular inner wall is configured to cooperate with the one or more protrusions and/or integral annular protrusion arranged at the inner circumference of the plane of the U-nail gasket for positioning; and/or, the annular outer wall is configured to cooperate with the one or more protrusions and/or integral annular protrusion arranged at the outer circumference of the plane of the U-nail gasket for positioning; and/or, the positioning stage accommodating groove is formed at the top end of the thimble guide block, and is configured to accommodate the one or more protrusions and/or integral annular protrusion at the middle of the plane of the U-nail gasket.
Further, the thimble guide block is provided with a plurality of thimble guide grooves annularly formed in the annular thimble guide block; and the U-nail gasket partially or completely covers the thimble guide grooves.
Further, the lower end surface of the upper comprehensive cover is annular, a convex positioning stage and/or a concave positioning groove is formed along the annular lower end surface of the upper comprehensive cover, the upper end surface of the lower comprehensive cover is annular, a concave positioning groove and/or a convex positioning stage is arranged along the annular upper end surface of the lower comprehensive cover, and the positioning grove and the positioning stage cooperate with each other in a concave-convex manner to position the upper comprehensive cover and the lower comprehensive cover; or
Further, the upper end surface of the connecting cover is annular, and the convex positioning stage is arranged along the annular upper end surface of the connecting cover, and cooperates with the positioning groove formed on the lower end surface of the upper comprehensive cover for positioning; one or more hooks are arranged at the lower portion of the connecting cover; one or more hooks are arranged at the upper portion of the lower comprehensive cover; and the hooks of the connecting cover and the lower comprehensive cover cooperate with each other for positioning.
Further, the C-type valgus circumcision stapler further comprises a locking ring, wherein an internal thread is arranged on the inner ring surface of the locking ring; an external thread is formed on the outer surface of the lower end of the upper comprehensive cover, and/or is formed on the outer surface of the upper end of the connecting cover, and/or is formed on the outer surface of the upper end of the lower comprehensive cover; and the internal thread and the external thread cooperate with each other to position the upper comprehensive cover, the connecting cover, the lower comprehensive cover and/or the locking ring.
Further, a second through hole is formed in the middle of the upper comprehensive cover, the upper comprehensive cover is provided with an inner cavity for accommodating and/or positioning the prepuce fixing hoop, the prepuce fixing hoop is a ring having a third through hole in the middle, and the third through hole corresponds to the second through hole; and/or, one or more positioning grooves are formed in the inner cavity of the upper comprehensive cover, one or more positioning stages are arranged on the outer surface of the prepuce fixing hoop, and each positioning groove and the corresponding positioning stage cooperate with each other for positioning; and/or, the C-type valgus circumcision stapler further comprises a circumcision knife sleeving the thimble guide block and/or the U-nail top ring, and preferably, the circumcision knife is driven by the U-nail top ring to move; and/or, the C-type valgus circumcision stapler further comprises a blade gasket which is arranged on the lower end surface of the prepuce fixing hoop and which corresponds to the circumcision knife; and/or, a part of the U-nail device is placed in the lower comprehensive cover, and the other part of the U-nail device is placed in the connecting cover; and/or, the C-type valgus circumcision stapler further comprises a connecting block, the upper end of the connecting block being connected to the lower end of the lower comprehensive cover; and/or, the C-type valgus circumcision stapler further comprises a push rod, the upper end of the push rod being inserted into the lower end of the connecting block; and/or, the C-type valgus circumcision stapler further comprises a plug arranged at the lower end of the push rod; and/or, the C-type valgus circumcision stapler further comprises a handle which is drivingly connected to the connecting block and/or push rod, and which is configured to drive the push rod, and/or the connecting block, and/or an internal transmission member of the push rod and/or an internal transmission member of the connecting block so as to drive the U-nail top ring and/or the circumcision knife to move upward; and/or, a ring of a concave/convex structure for being docked with blood vessels is formed on the outer surface of the lower end of the prepuce fixing hoop.
Compared with the prior art, through the structure of the valgus circumcision stapler provided in the present invention, a front prepuce and most of a penis can be accommodated during a surgery, so that the prepuce and the penis are protected from injury or infection. With the structure including the inner ring (the prepuce fixing hoop) and the inner comprehensive cover (U-nail top ring and/or thimble guide block), a portion above a prepuce clamping portion of the circumcision stapler is located in the circumcision stapler. The U-nail grooves are annularly formed in a relatively lower portion inside the inner comprehensive cover (U-nail top ring and/or thimble guide block), so that a U-nail suturing position is located inside the circumcision stapler to avoid hemorrhage caused by instrument failure or misoperation, avoiding a surgical accident arising from infection. The C-type valgus circumcision stapler provided in the present invention has the external circumcision knife, and carries out cutting outside and nailing inside. In case of a redundant prepuce or the like, the pain and risk caused by cutting of overlapped tissues is avoided. Through the blood vessel docking device arranged on the inner ring (prepuce fixing hoop), when the upper cover (upper comprehensive cover) and the lower cover (lower comprehensive cover/connecting cover) cooperate with each other and the inner ring (prepuce fixing hoop) and the inner comprehensive cover (U-nail top ring and/or thimble guide block) cooperate with each other, whether a prepuce blood vessel corresponds to the U-nail can be accurately determined, so that the final positioning of the inner ring (prepuce fixing hoop) and the inner comprehensive cover (U-nail top ring and/or thimble guide block) as well as the upper cover (upper comprehensive cover) and the lower cover (lower comprehensive cover/connecting cover) can be carried out after the blood vessel is positioned accurately, thereby greatly improving the hemostasis effect in the surgery. Preferably, the blood vessel docking grooves can be flexibly arranged to be in one-to-one correspondence with cooperative relationships among the U-nail grooves, the U-nails in the U-nail grooves and the intervals among the U-nail grooves, widths of the U-nail grooves, the U-nails and the intervals among the U-nail grooves, etc., so as to meet requirements of different circumcision devices and surgeries. Thus, the main surface of the U-nail can close the blood vessel, so that the hemostasis effect is excellent during the surgery, and the prepuce necrosis is accelerated after the surgery. More preferably, with the U-nail gasket, when being hammered into the prepuce, the U-nail will not adhere with the prepuce, thereby avoiding the pain in the patient caused by failure of the peeling off of the U-nail later.
Refer to the C-type valgus circumcision stapler.
Refer to the C-type valgus circumcision stapler.
The present invention will be described in detail below with reference to the accompanying drawings. The followings show preferred embodiments in various embodiments of the present invention.
The U-nail device comprises the U-nail top ring 11 and the thimble guide block 14. The thimble guide block 14 is configured to accommodate a suturing U-nail 12, to guide the movement of the suturing U-nail 12, to position and guide the thimble of the U-nail top ring 11. The U-nail top ring 11 is configured to cooperate with the thimble guide block 14 to eject the U-nail 12 in the thimble guide block 14. The C-type valgus circumcision stapler further comprises the U-nail gasket 15 which is an annular gasket arranged at the top end of the thimble guide block 14. The U-nail gasket 15 further comprises a gasket positioning stage 15-1 perpendicular to the plane of the U-nail gasket 15. The gasket positioning stage 15-1 is an integral annular protrusion arranged at the inner circumference or the outer circumference or the middle of the plane of the U-nail gasket 15. A first through hole is formed in the middle of the thimble guide block 14. The thimble guide block 14 comprises an annular inner wall, an annular outer wall and a positioning stage accommodating groove. The annular inner wall is configured to cooperate with the annular protrusion arranged at the inner circumference of the plane of the U-nail gasket 15 for positioning. The annular outer wall is configured to cooperate with the annular protrusion arranged at the outer circumference of the plane of the U-nail gasket 15 for positioning. The positioning stage accommodating groove is formed at the top end of the thimble guide block 14, and is configured to accommodate the annular protrusion at the middle of the plane of the U-nail gasket 15. The thimble guide block 14 is provided with a plurality of thimble guide grooves 14-1 annularly formed in the annular thimble guide block 14. The U-nail gasket 15 completely covers the thimble guide grooves 14-1.
The C-type valgus circumcision stapler further comprises the connecting cover 10 arranged between the upper comprehensive cover 18 and the lower comprehensive cover 9. The upper comprehensive cover 18 is releasably connected to the lower comprehensive cover 9 in a matching manner through the connecting cover 10. The lower end surface of the upper comprehensive cover 18 is annular. A concave positioning groove is formed along the annular lower end surface of the upper comprehensive cover 18. The upper end surface of the connecting cover 10 is annular. A convex positioning stage 10-3 is arranged along the annular upper end surface of the connecting cover 10. The positioning groove and the convex positioning stage 10-3 cooperate with each other in a concave-convex manner to position the upper comprehensive cover 18 and the connecting cover 10. The upper end surface of the connecting cover 10 is annular. The convex positioning stage 10-3 is arranged along the annular upper end surface of the connecting cover 10, and cooperates with the positioning groove formed on the lower end surface of the upper comprehensive cover 18 for positioning. A plurality of hooks 10-1 is arranged at the lower portion of the connecting cover 10. A plurality of hooks 9-1 is arranged at the upper portion of the lower comprehensive cover 9. The hooks of the connecting cover 10 and the lower comprehensive cover 9 cooperate with each other for positioning.
The C-type valgus circumcision stapler further comprises the locking ring 8. The internal thread 8-1 and/or the clamping ring 8-2 are/is arranged on the inner ring surface of the locking ring 8. The external thread is arranged on the outer surface of the lower end of the upper comprehensive cover 18. The external thread or the clamping ring 10-2 is arranged on the outer surface of the upper end of the connecting cover 10. The internal thread 8-1 and the external thread cooperate with each other, and/or the clamping rings 8-2/10-2 cooperate with each other to position the upper comprehensive cover 18, the connecting cover 10, the lower comprehensive cover 9 and the locking ring 8.
A second through hole is formed in the middle of the upper comprehensive cover 18. The upper comprehensive cover 18 is provided with an inner cavity for accommodating and positioning the prepuce fixing hoop 17. The prepuce fixing hoop 17 is a ring having a third through hole in the middle, and the third through hole corresponds to the second through hole. A plurality of positioning grooves is formed in the inner cavity of the upper comprehensive cover 18. A plurality of positioning stages 17-2 is arranged on the outer surface of the prepuce fixing hoop 17, and each positioning groove 18-2 and the corresponding positioning stage 17-2 cooperate with each other for positioning. The C-type valgus circumcision stapler further comprises the circumcision knife 13 sleeving the thimble guide block 14 and the U-nail top ring 11, and the circumcision knife 13 is driven by the U-nail top ring 11 to move. The C-type valgus circumcision stapler further comprises the blade gasket 16 which is arranged on the lower end surface of the prepuce fixing hoop 17 and which corresponds to the circumcision knife 13. A part of the U-nail device is placed in the lower comprehensive cover 9, and the other part of the U-nail device is placed in the connecting cover 10. The C-type valgus circumcision stapler further comprises the connecting block 3, the upper end of the connecting block 3 being connected to the lower end of the lower comprehensive cover 9. The C-type valgus circumcision stapler further comprises a push rod, the upper end of the push rod being inserted into the lower end of the connecting block 3. The C-type valgus circumcision stapler further comprises a plug 1 arranged at the lower end of the push rod. The C-type valgus circumcision stapler further comprises a handle 6 which is drivingly connected to the connecting block 3 and the push rod 2, and which is configured to drive the push rod 2 and an internal transmission member of the connecting block so as to drive the U-nail top ring 11 and the circumcision knife 13 to move upward. A ring of a blood vessel docking groove 17-1 for being docked with blood vessels is formed on the outer surface of the lower end of the prepuce fixing hoop. The C-type valgus circumcision stapler further comprises the opening knob 4 which sleeves the connecting block 3 and which is configured to lock or unlock the handle and/or a component driven by the handle.
The above description of the present invention has been given by way of example with reference to the accompanying drawings. It is obvious that the specific implementation of the present invention is not limited to the above modes, and various improvements made using the method concepts and technical solutions of the present invention or directly applied to other occasions, are within the scope of the present invention.
Number | Date | Country | Kind |
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201710063339.X | Feb 2017 | CN | national |
201710063340.2 | Feb 2017 | CN | national |
201710065136.4 | Feb 2017 | CN | national |
201710065137.9 | Feb 2017 | CN | national |
201710065138.3 | Feb 2017 | CN | national |
201710065139.8 | Feb 2017 | CN | national |
201710065140.0 | Feb 2017 | CN | national |
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The present application is a Divisional Application of U.S. patent application Ser. No. 16/531,139 filed on Aug. 5, 2019, which is a Continuation Application of PCT Application No. PCT/CN2018/074988 filed on Feb. 1, 2018, which claims the benefit of Chinese patents application Ser. Nos. 20/171,0063339.X, 201710065146.8, 201710065140.0, 201710065139.8, 201710065138.3, 201710065150.4, 201710065149.1, 201710065148.7, 201710065147.2, 201710063340.2, 201710065137.9, 201710065136.4, 201720109034.3 filed on Feb. 4, 2017, Chinese patents application Ser. Nos. 20/171,0250780.9 and 201710250951.8 filed on Apr. 18, 2017, Chinese patents application Ser. Nos. 20/171,0254989.2, 201710255021.1, 201710255023.0 and 201710255025.X filed on Apr. 19, 2017, Chinese Patent Application Nos. 201710274426.X, 201710274400.5, 201710274399.6, 201710274398.1, 201710274397.7, 201710274396.2, 201710274309.3, 201710274308.9, 201710274307.4, 201710274306.X, 201710273895.X and 201710273894.5 filed on Apr. 24, 2017, and Chinese patent application Ser. No. 20/171,0709597.0 filed on Aug. 18, 2017. All the above are hereby incorporated by reference.
Number | Date | Country | |
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Parent | 16531139 | Aug 2019 | US |
Child | 18625234 | US |
Number | Date | Country | |
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Parent | PCT/CN2018/074988 | Feb 2018 | WO |
Child | 16531139 | US |