CN108309400B - Ultrasonic surgical device - Google Patents

Abstract

The invention relates to an ultrasonic surgical device integrated with spray water mist and disinfection and infection prevention functions, which comprises an ultrasonic generating device, a transmission device, an end head structure and a water mist generating device, wherein the ultrasonic generating device is used for generating ultrasonic waves, is connected to the transmission device and can transmit the ultrasonic waves to the transmission device; the transmission device is connected to the end head structure and can transmit ultrasonic waves to the end head structure; the water mist generating device is used for applying water or mist to the end structure and/or the acting part of the end structure before the end structure acts and/or after the end structure acts. Can carry out the ultrasonic operation under various emergency and ensure that the operation position does not produce smog and smell to further can accomplish the disinfection and prevent the operation infection, simultaneously, can prevent smog, smell and avoid appearing the adhesion of tissue and tool bit when ultrasonic operation to this subdivision operation field of circumcision.

Description

An ultrasonic surgical device

Technical field

The invention relates to an ultrasonic surgical device, and in particular to an ultrasonic surgical device integrated with the functions of spraying water mist and disinfecting and preventing infection.

Background technique

Many common injuries that will be life-threatening if not rescued in time often occur in places where there are no conditions for surgery such as home, travel, and field operations. Especially when sudden disasters such as earthquakes occur, a large number of people suffer open injuries, requiring emergency incision on site. Treatment, hemostasis and coagulation. The existing first aid methods are almost non-existent except for rapid transportation to the hospital operating room for surgery, and many lives cannot be saved during transportation because of the inability to receive timely treatment or stop bleeding.

However, if surgical treatment is forced to be performed on site, the problem of bacterial and viral infections will be faced. With the development of modern medical technology, the requirements for sterility during surgery are more stringent, and the number of bacteria and microorganisms in the surrounding environment is related to a certain extent. Depending on the success or failure of the operation, how to effectively disinfect the surgical site and reduce surgical infections caused by contamination has always been a topic of concern. The power supply for air disinfection currently widely used in the market is usually the main AC power supply, but these are not considered The requirements for use under field surgery conditions cannot be applied to the first-line rapid treatment of batches of wounded during emergencies such as wartime, natural disasters, and serious accidents. The traditional surgical infection prevention/disinfection system also has the following shortcomings: it is bulky and inconvenient to move; the whole machine has high power, consumes a lot of power, requires 220V power supply, and cannot be used in harsh power environment; the whole machine is not shockproof and waterproof. It is dustproof and cannot be used normally in harsh medical environments.

Choosing ultrasonic scalpel during emergency surgery in the above harsh environment can solve some of the problems in terms of hemostasis and healing to a large extent. However, in actual operation, the current ultrasonic scalpel has certain shortcomings. Ultrasonic scalpel produces a certain amount of smoke or liquid droplets during surgery. , affecting the field of vision, and it is also impossible to complete disinfection and infection prevention simultaneously and accurately.

In addition, the inventor introduced ultrasound technology into the field of circumcision surgery for the first time on the same filing date. However, during the research and development process, it was discovered that although circumcision using ultrasound can complete the operation in seconds to minutes, the foreskin blood vessels are all completed. Healing, there is no risk of bleeding after surgery, but there are still problems with smoke and odor.

To sum up, there are the following problems in the existing technology:

(1) In a large number of environments where surgical conditions are not available, timely injury treatment cannot be performed;

(2) Disinfection and infection prevention cannot be completed simultaneously and accurately when performing surgery or other treatments in harsh environments;

(3) In addition, the existing technology in the field of circumcision still has the following problems that need to be solved: after the foreskin tissue is cut during the operation, the incision cannot heal in time; the structural limitations of the circumcision device cause the circumcision surface to be unsightly, which may cause A lifelong regret; there is a certain probability that the cut surface will not form a complete ring during the operation; the operation requires blade cutting or scissors to cut human tissue, causing psychological fear and physical pain to the patient; after the operation, nails or rings are required, which brings psychological and harm to the patient. Double physical pain; when using the staple method, it is easy to puncture the blood vessels due to the uncertain position of the staples, and the blood vessels are difficult to heal, resulting in postoperative bleeding; the process of attaching the staples after the operation needs to last for several days or even ten days, which is extremely inconvenient for the patient. , and once there is intense activity or external force, it is easy to cause the nail to fall off, causing danger; wearing the nail after surgery will always lead to bleeding or nail loss during the later physiological erection; the traditional surgical method will cause scarring or slow healing of the foreskin. Loss of original elasticity; traditional surgery requires several minutes or even half a day, long operation time leads to various risks; traditional surgery is prone to bleeding, leading to risks of infectious diseases, etc. When using ultrasound to perform circumcision to solve the above problems, it is easy to produce a certain amount of smoke and odor, which affects the field of vision and the surgical environment. At the same time, adhesion between the tissue and the blade may occur, causing surgical failure or bleeding.

Contents of the invention

In view of the above existing technical problems, the purpose of the present invention is to provide an ultrasonic surgical device that can perform ultrasonic surgery in various emergency situations and ensure that the surgical site does not generate smoke and odor, and can further complete disinfection to prevent surgical infection, and at the same time , for the subdivided surgical field of circumcision, it can prevent smoke, odor and adhesion between the tissue and the blade during ultrasound surgery. The specific technical solutions are as follows:

An ultrasonic surgical device, including an ultrasonic generating device, a transmission device, a terminal structure and a water mist generating device, wherein the ultrasonic generating device is used to generate ultrasonic waves, which is connected to the transmission device and can transmit the ultrasonic waves to the transmission device; The transmission device is connected to the end structure and can transmit ultrasonic waves to the end structure; the water mist generating device is used to generate water mist before the end structure operates, when the end structure operates and/or after the end structure operates. Water or mist is applied to the end structure and/or the area on which the end structure acts.

Further, the water mist generating device is arranged separately relative to the ultrasonic generating device, transmission device and end structure.

Further, part or all of the water mist generating device is integrated and provided on the ultrasonic generating device, transmission device or end structure.

Further, the water mist generating device includes a water storage device and a water outlet. The water storage device is provided on the transmission device and is used to store water or medicinal solution. The water outlet can be opened and closed and is located near the end of the water storage device. One end of the head structure is used to apply water or medicine stored in the water storage device to the head structure and/or the part on which the head structure acts. The water storage device can store water, alcohol, disinfectant and other liquids, and spray them from the water outlet through squeezing, pushing or ultrasonic vibration before circumcision, during circumcision and/or after circumcision. , forming a water mist-like environment near the first annular contact surface.

Further, the water storage device is an annular water storage device, which is arranged on the periphery of the transmission device; there are multiple water outlets, which are arranged along the annular end surface of one end of the annular water storage device close to the end structure.

Further, the water mist generating device includes a water storage device and a nozzle. The water storage device is provided on the transmission device and is used to store water or medicinal solution. The nozzle is provided at one end of the water storage device near the end structure and is used to store the water mist. The water or liquid medicine stored in the water storage device may be atomized and sprayed to the end structure and/or the part where the end structure acts.

Further, the water storage device includes a water storage structure and an atomization structure. The water storage structure is used to store water or liquid medicine, and the atomization structure is placed in the water storage structure and used to atomize the water or liquid medicine.

Furthermore, the water mist generating device also includes a water injection port, which is opened on the water storage device and used to add water or medicine into the water storage device.

Further, the water mist generating device is an ultrasonic water mist generating device.

Further, the ultrasonic generating device is connected to the water storage device and is used to send ultrasonic waves to the water storage device to atomize the stored water or medicine.

Further, a second ultrasonic generating device is also included, the second ultrasonic generating device is connected to the water storage device and is used to send ultrasonic waves to the water storage device to atomize the stored water or medicine.

Further, the end structure is an ultrasonic cutting head or a circumcision device.

Further, the circumcision device includes a first end and a second end, the first end is a foreskin fixed end, the second end is a squeezing or cutting or hemostasis or healing end, the foreskin fixed end and The squeezing or cutting or hemostasis or healing ends cooperate with each other to squeeze and/or cut the foreskin, and/or to stop bleeding and/or heal the wound.

Further, the fixed end of the foreskin is an inner ring, and the extrusion or cutting or hemostasis or healing end is an outer ring. The inner ring is used to be built inside the foreskin, and the outer ring is used to be placed outside the foreskin. The inner ring and the outer ring cooperate with each other to clamp the foreskin.

Further, the foreskin fixed end is a positioning cylinder configured to allow the glans to be partially inserted. A flange is formed radially outward at the distal end of the positioning cylinder, and facing the flange A first annular contact surface is formed on the surface of the proximal end, and the foreskin is supported on the first annular contact surface after crossing the flange; the extrusion or cutting or hemostasis or healing end is installed together with the positioning cylinder A cutting device is mounted on the same frame and can be driven to move toward the fixed end of the foreskin. The cutting device has a second annular contact surface.

Further, the fixed end of the foreskin is a positioning cylinder configured to be put on the glans penis, a first annular contact surface is formed at the proximal end of the positioning cylinder, and the foreskin is supported on the first annular contact surface. ; The squeezing or cutting or hemostasis or healing end is an excision device installed on the same frame as the positioning cylinder and can be driven to move toward the fixed end of the foreskin. The excision device has a second annular contact surface.

Compared with the current existing technology, the present invention can promptly treat injuries and stop bleeding in a large number of environments without surgical conditions; it can simultaneously and accurately complete disinfection and prevent infection when performing surgery or other treatments in the above-mentioned harsh environments. At the same time, during ultrasonic scalpel surgery, it not only avoids the generation of smoke or liquid mist that affects the field of vision, but also can complete disinfection and prevention of infection simultaneously and accurately. In addition, during circumcision, an ultrasonic generator is used to generate ultrasound and transmit it to the cutting end of the foreskin through a transmission device. The frictional heat caused by mechanical vibration coagulates the foreskin blood vessels and stops bleeding while incising the foreskin. This can be completed in a few minutes. Stop bleeding and get close to healing; use an ultrasonic generator to generate ultrasound and transmit it to the foreskin cutting end through a transmission device, making the foreskin tissue cut and circumferential surface beautiful; the ultrasonic waves cause the foreskin tissue in contact with the circumcision device to vaporize moisture in an instant, forming a complete ring ; The operation does not require blades or scissors for cutting, which greatly alleviates the patient's fear and physical pain; after the circumcision operation, the patient does not need to wear nails or rings on the penis; after a few minutes of the operation, the foreskin blood vessels have healed, and the operation There is no risk of bleeding after the operation; it changes the current situation of needing to wear a ring and a nail for 7 days or even ten days after circumcision, solving the problem of inconvenience for patients, and at the same time solving the problem of strenuous activities or external force. It solves the risk of bleeding or nail decirculation caused by physiological erection after circumcision; using the ultrasonic circumcision surgery of the present invention, the healing surface of the foreskin is smooth and natural, maintaining the original Some elasticity; using the ultrasonic circumcision operation of the present invention, it only takes a few seconds to complete; using the ultrasonic circumcision operation of the present invention, healing is done on the spot, bleeding during and after the operation is avoided, and infection is avoided The occurrence of diseases; the occurrence of eschar and smoke during surgery is avoided, and the circumferential surface heals smoothly.

Description of drawings

Figure 1 is a schematic diagram of the ultrasonic surgical device.

Figure 2 is a schematic diagram of the first form of the outer ring.

Figure 3 is a schematic diagram of the first form of the inner ring

Figure 4 is a top view of the inner ring.

Figure 5 is a schematic diagram of the second form of the outer ring

Figure 6 is a schematic diagram of the second form of the inner ring.

Figure 7 is a schematic diagram of the outer rubber ring of the inner ring.

Figure 8 is a front view of the circumcision device in the inverted ultrasonic foreskin extrusion, cutting, hemostasis and healing assembly of the present invention.

Figure 9 is a cross-sectional view of Figure 8

Figure 10 is a partial enlarged view of Figure 9

Figure 11 is a front view of the positioning cylinder in the circumcision device of Figure 8

Figure 12 is a front view of the circumcision device in another inverted ultrasonic foreskin extrusion, cutting, hemostasis and healing assembly of the present invention.

Figure 13 is a front view of the positioning cylinder in the circumcision device of Figure 12

Figure 14 is a front view of the circumcision device in the eversion-type ultrasonic foreskin extrusion, cutting, hemostasis and healing assembly of the present invention.

Figure 15 is a cross-sectional view of Figure 14

Figure 16 is a partial enlarged view of Figure 15

Figure 17 is a front view of the positioning cylinder in the circumcision device of Figure 8

In the picture: A. Ultrasonic generating device, B. Ultrasonic cutting/hemostasis head, 1. Ultrasonic generator, 2. Transducer, 3. Transmission device (main body), 4. Transmission device (front), 5. Solid Connecting device (external thread), 6. Ring-shaped water storage device, 7. Closable opening, 8. Connecting device/connecting cable, 9. Fixing device, 10. Internal thread, 11. Outer ring, 12. Locking device/ Locking bolt, 13. Locking device/locking screw hole, 14. Inner ring, 15. Outer ring locking device/locking buckle, 16. Anti-stick coating, 17. Rubber ring/anti-stick coating, 18. Protective structure, 19. Positioning cylinder, 20. Flange, 21. First annular contact surface, 22. Breathing channel, 23. Main frame, 24. Cutting device, 25. Second annular contact surface, 26. Drive Device, 27. Upper cover, 28. Lower cover, 29. Locking ring

Detailed ways

The present invention will be described in detail below based on the accompanying drawings, which is a preferred embodiment among various implementations of the present invention.

Referring to Figure 1, in this preferred embodiment, the ultrasonic surgical device includes an ultrasonic generating device A and an ultrasonic cutting/hemostasis head B as a terminal structure. The ultrasonic generating device A includes an ultrasonic generator 1 and a transducer 2. The ultrasonic generating device A includes an ultrasonic generator 1 and a transducer 2. The device 1 is connected to the transducer 2 through a connecting device or a connecting cable 8, and the ultrasonic generating device A is connected to the circumcision device through a transmission device. The transmission device includes a main body 3 of the transmission device and a front part 4 of the transmission device. The front part of the transmission device The end of the part 4 is provided with an external thread 5 for fixing the device. The end of the ultrasonic cutting/hemostatic cutter head B away from the cutting end is provided with an internal thread, which can be tightened with the external thread 5. One side of the front part 4 of the transmission device/ An annular water storage device 6 is provided on both sides or around the circumference, and an end of the annular water storage device 6 close to the circumcision device is provided with a closable opening 7 .

In order to avoid the generation of smoke and odor when using ultrasound for circumcision, which affects the field of vision and the surgical environment, the water mist generating device of the ultrasonic surgical device of the present invention can include a water mist generating device arranged on the main frame and located on the outer periphery of the cutting device or transmission device or The annular water storage device 6 on the inner periphery, and the water outlet or ejection port provided in the water storage device facing the ultrasonic cutting/hemostasis head B, can store water, alcohol, disinfectant and other liquids in the water storage device. By squeezing, pushing or ultrasonic vibration, it is ejected from the water outlet to form a water mist-like environment near the ultrasonic cutting/hemostatic blade B before, during and/or after circumcision. When using ultrasonic vibration, a second ultrasonic generating device is used. The second ultrasonic generating device is connected to the water storage device and is used to send ultrasonic waves to it to atomize the stored water or medicine and spray it from the water outlet. Ultrasonic The frequency is 1.7-1.9mhz.

When the ultrasonic cutting/hemostatic blade B is used, the ultrasonic frequency is 55.5kHz. When the circumcision device is used, the vibration frequency is 55.5kHz-166.5kHz, preferably 135kHz. The ultrasonic generating device includes an ultrasonic generator and an ultrasonic transducer. The ultrasonic generator is driven and connected to the ultrasonic transducer. The ultrasonic transducer is connected to a transmission device. The transmission device is an ultrasonic conductive rod. The ultrasonic generating device is connected to a control unit. The ultrasonic generating device includes a longitudinal ultrasonic driver and a transverse ultrasonic driver.

When the end structure adopts a circumciser, the ultrasonic foreskin extrusion, cutting, hemostasis, and healing components are used to apply ultrasound to the foreskin extrusion, cutting, hemostasis, and healing at the junction of internal and external tissues of the human body, including Ultrasound generating device A, transmission devices 3, 4 and a circumcision device. The ultrasonic generating device A is used to generate ultrasonic waves, which is connected to the transmission devices 3, 4 and can transmit the ultrasonic waves to the transmission devices 3, 4; the transmission devices 3, 4 It is connected to the circumcision device and can transmit ultrasonic waves to the circumcision device; the circumcision device is used to squeeze and/or cut the foreskin, and/or to stop bleeding and/or heal the wound.

The fixed end of the foreskin is connected to the transmission device 3, 4, and/or, the squeezing or cutting or hemostasis or healing end is connected to the transmission device 3, 4, and receives the ultrasonic waves transmitted by the transmission device 3, 4 and squeezes and/or the foreskin. or cutting, and/or, stopping bleeding and/or healing the wound. The transmission device 3, 4 is fixed to the foreskin fixed end and/or extrusion or cutting or hemostasis or healing end through internal and external threads 5, 10 or buckles.

The fixed end of the foreskin and the squeezing or cutting or hemostasis or healing end cooperate with the inner plate and the outer plate of the foreskin respectively to clamp the foreskin, and the clamping degree is 9%-87% of the thickness of the foreskin in its natural state.

The fixed end of the foreskin and the squeezing or cutting or hemostasis or healing end cooperate with the inner plate and the outer plate of the foreskin respectively to clamp the foreskin, and the clamping strength is 0.02-3.5N/mm.

Also included are water mist generating devices 6, 7, which are used to apply water and/or water mist to the circumcision device and/or the circumcision site before, during, and/or after circumcision. The water mist generating devices 6 and 7 are arranged separately with respect to the ultrasonic generating device A, the transmission devices 3 and 4 and the circumcision device; and/or the water mist generating devices 6 and 7 are partially or fully integrated in the ultrasonic generating device A, the transmission device On device 3, 4 or circumciser.

Also included is a protective device for protecting the penis, glans and/or foreskin to be retained before, during and/or after circumcision. The protective device is a protective structure 18 disposed on the circumcision device at a position where it contacts the penis, glans and/or the foreskin that needs to be retained.

The ultrasonic generating device includes an ultrasonic generator 1 and an ultrasonic transducer 2. The ultrasonic generator 1 is drivingly connected to the ultrasonic transducer 2, and the ultrasonic transducer 2 is connected to the transmission devices 3 and 4.

Referring to Figure 2, in this preferred embodiment, the outer ring 11 of the circumcision device has an opening, which can be closed by locking bolts 12 and locking screw holes 13. The outer ring 11 is provided with a fixing device 9, which is fixed The device 9 is provided with an internal thread 10. The internal thread 10 and the external thread 5 can be threaded and fixed. The inner side of the outer ring 11 is provided with an anti-stick coating 16.

The circumcision device includes a first end and a second end. The first end is a foreskin-fixed end, and the second end is a squeezing or cutting, hemostatic or healing end. The foreskin-fixed end and the squeezing or cutting, hemostatic or healing end cooperate with each other. Squeeze and/or cut the foreskin, and/or stop bleeding and/or heal the wound. The foreskin fixed end and the extrusion or cutting or hemostasis or healing end cooperate in such a way that the foreskin fixed end is used for placement on the inner or outer plate of the foreskin, and the extrusion or cutting or hemostasis or healing end is used for placement on the outer or inner plate of the foreskin. Place the plate at a position corresponding to the fixed end of the foreskin. The foreskin fixed end and the squeezing or cutting or hemostatic or healing end cooperate with the inner plate and the outer plate of the foreskin respectively to hold the foreskin, and are used to squeeze and/or cut the foreskin, and/or to stop bleeding and/or the wound. or healing. The fixed end of the foreskin has a first annular contact surface, and the extrusion or cutting or hemostasis or healing end has a second annular contact surface. The first annular contact surface cooperates with the second annular contact surface so that the foreskin is placed on the two contact surfaces. between. The first annular contact surface and the second annular contact surface are both closed circular contact surfaces.

The fixed end of the foreskin is the first ring, and the squeezing or cutting or bleeding or healing end is the second ring. The first ring and the second ring are arranged relative to the inside and outside of the foreskin, or the second ring and the first ring are arranged relative to the inside and outside of the foreskin. The first ring is the inner ring 14, which is used to be built inside the foreskin. The second ring is the outer ring 11, which is used to be placed outside the foreskin. The inner ring 14 and the outer ring 11 cooperate with each other to clamp the foreskin. The inner ring 14 is a closed circular ring, and the outer ring 11 has an opening, which can be closed by locking devices 12, 13.

Referring to Figure 3, in this preferred embodiment, it is a form of the inner ring 14, which is wider than the outer ring 11 and is provided with two parallel grooves, both of which can be clamped with the outer ring. See Figure 6, in In this preferred embodiment, it is a form of the inner ring 14, and its width is basically the same as that of the outer ring 11 and can be matched and clamped with the outer ring. Referring to Figure 4, the outer ring of the inner ring 14 is provided with a rubber ring/anti-adhesive coating 17, and the inner ring is provided with a protective structure 18.

See Figure 7, which shows a rubber ring or anti-stick coating 17 covering the inner ring and the outer ring.

Referring to Figure 5, in this preferred embodiment, the outer ring 11 of the circumcision device has an opening, and the opening can be closed by locking buckles 15. The outer ring 11 is provided with a fixing device 9, and the fixing device 9 is provided with a fixing device 9. The internal thread 10, the internal thread 10 and the external thread 5 can be threaded and fixed, and the inner side of the outer ring 11 is provided with an anti-stick coating 16.

During circumcision surgery, the following steps can be taken:

1. When the penis is not erect, use a soft ruler to measure the circumference of the penis 1cm below the glans to determine the size and model of the circumcision device; fully wipe the inner and outer skin of the penis with a sterilized cotton ball and pave the surgical hole. Towel, select the corresponding circumciser model;

2. Adults use 3-5ml 2% lidocaine anesthetic each time; children use 2-3ml 2% lidocaine anesthetic each time, and inject it circularly from the glans penis to 1/3 of the root;

3. After anesthesia, use a rubber band to tie the root of the penis to temporarily block blood circulation;

4. Place the inner ring on the glans foreskin and adjust the position of the inner ring;

5. Clamp the edge of the foreskin with a vascular clamp, evert the foreskin around the inner ring, and retain 1 cm of the frenulum;

6. Check whether the inner and outer panels are flat;

7. Tighten the external thread end of the ultrasonic transmission device and the internal thread on the outer ring fixing device, start the ultrasonic generator and test each position of the ultrasonic generator in the water tank before surgery, and turn off the ultrasonic generator after testing;

8. Press the outer ring into the excess foreskin on the inner ring, check that the sides of the inner and outer rings remain level, and close the outer ring: guide and close the outer ring through the joint of the outer ring, and use the locking device to initially fasten it; adjust the foreskin to satisfaction. , fully engaged with the locking device;

9. Start the ultrasonic generator and use the high-frequency cutting gear to cut the foreskin, and at the same time start the water mist generator to spray water mist towards the circumcision site;

10. After cutting for a corresponding time (usually 3-9 seconds) according to the actual condition of the foreskin, the cutting is completed and the side (blunt side) of the circumcision device is in contact with the wound. The low-frequency coagulation setting is used for coagulation until hemostasis is completed and initial healing;

11. Remove the outer ring;

12. Slowly withdraw the inner ring to the base of the penis;

13. Use sharp-nose scissors to cut the inner ring into two sections, and take out the inner ring to complete the operation.

Or preferably take the following optional steps:

1. Place the inner ring between the glans and the inner plate of the foreskin and roughly position it according to the circumcision length;

2. Tighten the external thread end of the ultrasonic transmission device and the internal thread on the outer ring fixing device, start the ultrasonic generator and test each position of the ultrasonic generator in the water tank before surgery, and turn off the ultrasonic generator after testing;

3. Close the outer ring after aligning the outer plate of the foreskin with the inner ring: guide the outer ring through the joint of the outer ring, and initially fasten it with the locking device; after adjusting the foreskin to satisfaction, use the locking device to fully fasten it ;

9. Start the ultrasonic generator and use the high-frequency cutting gear to cut the foreskin;

10. After the cutting time is continued according to the actual foreskin condition, the cutting is completed and the side (blunt side) of the circumcision device is in contact with the wound. Use the low-frequency coagulation setting to coagulate until hemostasis is completed and initial healing occurs;

11. Remove the outer ring;

12. Remove the inner ring and complete the surgery.

According to one embodiment of the present invention, an ultrasonic foreskin extrusion, cutting, hemostasis, and healing component is provided, including an ultrasonic generating device, a transmission device, and a circumcision device, wherein the ultrasonic generating device is used to generate ultrasonic waves, and is connected to to a transmission device and can transmit ultrasonic waves to the transmission device; the transmission device is connected to a circumcision device and can transmit ultrasonic waves to the circumcision device; the circumcision device is used to squeeze and/or cut the foreskin, and/or, to stop bleeding and/or heal the wound.

The circumcision device in this embodiment includes: a positioning cylinder configured so that the glans penis is partially inserted into the positioning cylinder, and at least one breathable channel can be provided on the positioning cylinder; in the positioning cylinder The distal end of the body protrudes radially outward to form a flange; a first annular contact surface is formed on the surface of the flange facing the proximal end, and the overly long foreskin is supported on the flange after crossing the flange. The first annular contact surface. In the above positioning cylinder, the angle between the first annular contact surface and the axis of the positioning cylinder may be a right angle or an acute angle. The acute angle may range from 30 to 60 degrees. In the above positioning cylinder, the breathable channel includes a groove extending in the axial direction outside the positioning cylinder. This groove maintains communication between the interior space and the exterior. Thereby, the pressure in the internal space is roughly balanced with the external pressure. In an alternative embodiment, the ventilation channel can also be a plurality of through holes formed on the positioning cylinder that penetrate the wall thickness of the positioning cylinder, for example, a circular hole. shapes, ovals, triangles, quadrilaterals and other geometric structures.

The circumcision device in this embodiment also includes: a main body frame, the positioning cylinder is installed in the main body frame; and a cutting device, which is installed on the main body frame and includes a second annular contact surface. The resection device can be configured to be driven to move toward the positioning cylinder until the second annular contact surface and the first annular contact surface squeeze, cut, stop bleeding, and heal the foreskin interposed therebetween.

According to another embodiment of the present invention, an ultrasonic foreskin extrusion, cutting, hemostasis, and healing component is provided, including an ultrasonic generating device, a transmission device, and a circumcision device, wherein the ultrasonic generating device is used to generate ultrasonic waves , which is connected to the transmission device and can transmit ultrasonic waves to the transmission device; the transmission device is connected to the circumcision device and can transmit ultrasonic waves to the circumcision device; the circumcision device is used to squeeze and/or squeeze the foreskin. or cutting, and/or, stopping bleeding and/or healing the wound.

The circumcision device in this embodiment includes: a positioning barrel configured to be put on the glans penis, and a first annular contact surface provided at the proximal end of the positioning barrel for supporting the overly long foreskin. on the positioning cylinder. In the above positioning cylinder, the angle between the first annular contact surface and the axis of the positioning cylinder may be a right angle or an acute angle. The acute angle may range from 30 to 60 degrees. The above-mentioned positioning cylinder also includes a clamping band, and the clamping band is arranged on the periphery of the positioning cylinder to clamp the foreskin that crosses the first annular contact surface to the outside of the positioning cylinder. The clamping band is provided with a plurality of ratchet teeth that allow the clamping band to be clamped in one direction.

The circumcision device in this embodiment also includes: a main body frame, the positioning cylinder is installed in the main body frame; and a cutting device, which is installed on the main body frame and includes a second annular contact surface. The resection device can be configured to be driven to move toward the positioning cylinder until the second annular contact surface and the first annular contact surface squeeze, cut, stop bleeding, and heal the foreskin interposed therebetween.

More preferably, according to one embodiment of the present invention, an inverted ultrasonic foreskin extrusion, cutting, hemostasis, and healing assembly is provided, including an ultrasonic generating device, a transmission device, and a circumcision device, wherein the ultrasonic generating device Used to generate ultrasonic waves, which is connected to a transmission device and can transmit ultrasonic waves to the transmission device; the transmission device is connected to a circumcision device and can transmit ultrasonic waves to the circumcision device; the circumcision device is used to perform on the foreskin Squeeze and/or cut, and/or, stop bleeding and/or heal the wound.

For ease of understanding, in this embodiment, the end of the circumcision device and its various components close to the human body (for example, the right end in Figure 8) during the circumcision operation is called the distal end, and the circumcision device and the end thereof are called the distal end. The end of each component that is away from the human body or close to the operator's operation (for example, the left end in Figure 8) is called the proximal end.

Referring to Figures 8-13, the circumcision device in this embodiment includes: a positioning cylinder 19 configured so that the glans penis is partially inserted into the positioning cylinder; radially at the distal end of the positioning cylinder A flange 20 is formed by protruding outward; a first annular contact surface 21 is formed on the proximal surface of the flange, and the overly long foreskin is supported on the first annular contact surface after crossing the flange 20 On the contact surface 21, a structure is formed in which the distal end of the positioning cylinder is located between the inner plate of the foreskin and the penis, which is called an inverted structure. In the above positioning cylinder, the angle between the first annular contact surface 21 and the axis of the positioning cylinder 19 may be a right angle or an acute angle. Referring to Figures 12-13, the angle range of the acute angle can be 30-60 degrees, thereby matching the shape of the coronal sulcus of the glans penis and facilitating more precise positioning. The above-mentioned positioning cylinder may be provided with at least one ventilation channel 22 in the middle, and the ventilation channel 22 includes a groove extending in the axial direction on the outside of the positioning cylinder. This groove maintains communication between the interior space and the exterior. Thus, the pressure in the internal space is roughly balanced with the external pressure. In an alternative embodiment, the ventilation channel can also be a plurality of through holes formed on the positioning cylinder that penetrate the wall thickness of the positioning cylinder. Refer to the accompanying drawings 11, for example, circles, ovals, triangles, quadrilaterals and other geometric structures.

The circumciser in this embodiment also includes: a main body frame 23, the positioning cylinder 19 is installed in the main body frame 23; and a cutting device 24, installed on the main body frame 23, and includes a second annular Contact surface 25. The cutting device 24 can be configured to be driven by the driving device 26 to move toward the positioning cylinder 19 until the second annular contact surface 25 and the first annular contact surface 21 squeeze, cut, and stop bleeding the foreskin therebetween. heal. The driving device can be a depressible handle provided on the main body frame, which relies on external force to press down to push the resection device to move within the main body frame, and relies on the rebound force of the spring to reset after the operation is completed.

Referring to Figures 9 and 11, a positioning connecting rod can be extended from the proximal end of the positioning cylinder 19 in this embodiment, and the positioning connection rod is positionally connected to the main frame through the positioning connecting rod.

The ultrasonic generating device in this embodiment includes an ultrasonic generator 1 and a transducer 2. The generated ultrasonic waves are transmitted to the circumcision device through the transmission device body 3 and the front part 4 of the transmission device. The front part of the transmission device can pass through the fixed device 5 Connected to the positioning barrel 19 and/or the cutting device 24 of the circumcision device, thereby transmitting ultrasonic waves to the first annular contact surface 21 and/or the second annular contact surface 25 . The fixing device 5 may be connected by internal and external threads, or may be designed to be connected by a buckle device.

In order to prevent adhesion between the foreskin and the circumcision device during surgery, resulting in re-tearing of the wound, the positioning cylinder and the part of the excision device that are in contact with the foreskin are provided with an anti-adhesive coating 16 (not shown in the figure), preferably on the positioning cylinder An anti-adhesive coating 16 is provided on the inside of the barrel and on the flange of the barrel and on the second annular contact surface of the cutting device.

In order to avoid the generation of smoke and odor when using ultrasound for circumcision, which affects the field of vision and the surgical environment, the circumcision device of the present invention is also equipped with a water mist generating device. Referring to Figure 10, the water mist generating device can include a An annular water storage device 6 on the main frame and located at the outer or inner periphery of the resection device, and a water outlet 7 (not shown in the figure) provided on the side of the water storage device facing the first annular contact surface 21 , the water storage device can store water, alcohol, disinfectant and other liquids, and spray them from the water outlet through squeezing, pushing or ultrasonic vibration, before circumcision, during circumcision and/or circumcision. Finally, a water mist-like environment is formed near the first annular contact surface 21 .

According to another embodiment of the present invention, an eversion-type ultrasonic foreskin extrusion, cutting, hemostasis, and healing assembly is provided, including an ultrasonic generating device, a transmission device, and a circumcision device, wherein the ultrasonic generating device is When generating ultrasonic waves, it is connected to a transmission device and can transmit ultrasonic waves to the transmission device; the transmission device is connected to a circumcision device and can transmit ultrasonic waves to the circumcision device; the circumcision device is used to squeeze the foreskin. Press and/or cut, and/or, stop bleeding and/or heal the wound.

For ease of understanding, in this embodiment, the end of the circumcision device and its various components close to the human body (for example, the right end in Figure 14) during the circumcision operation is called the distal end, and the circumcision device and the end thereof are called the distal end. The end of each component that is away from the human body or close to the operator's operation (for example, the left end in Figure 14) is called the proximal end.

The circumcision device in this embodiment includes: a positioning cylinder 19, which is configured to be put on the glans penis, and a first annular contact surface 21, which is provided at the proximal end of the positioning cylinder and is used to move the glans penis from the distal end. After passing through the positioning cylinder from the end to the proximal end, the overly long foreskin is turned up and supported on the proximal end of the positioning cylinder. The structure in which the entire positioning cylinder is located outside the outer plate of the foreskin is called an everted structure.

In the above positioning cylinder, the angle between the first annular contact surface and the axis of the positioning cylinder may be a right angle or an acute angle. The acute angle may range from 30 to 60 degrees. This matches the shape of the coronal sulcus of the glans penis and facilitates more precise positioning.

The above-mentioned positioning cylinder may also include a clamping belt (not shown in the figure). The clamping belt is arranged on the periphery of the positioning cylinder to clamp the foreskin crossing the first annular contact surface to the positioning cylinder. The outside of the positioning cylinder. The clamping belt is provided with a plurality of ratchet teeth (not shown in the figure) that allow the clamping belt to be clamped in one direction.

The circumciser in this embodiment also includes: a main frame 23 in which the positioning cylinder is installed; and a cutting device 24 installed on the main frame and including a second annular contact surface 25 . The cutting device 24 can be configured to be driven by the driving device 26 to move toward the positioning cylinder until the second annular contact surface and the first annular contact surface squeeze, cut, stop bleeding, and heal the foreskin between them. The driving device can be a depressible handle provided on the main body frame, which relies on external force to press down to push the resection device to move within the main body frame, and relies on the rebound force of the spring to reset after the operation is completed.

Referring to Figures 15 and 16, in this embodiment, the positioning cylinder can be fixed with the main frame through the matching structure of the upper cover 27, the lower cover 28 and the locking ring 29. The closing opening at the distal end of the upper cover forms a support for the distal end of the positioning cylinder. The proximal outer side of the upper cover is provided with external threads, the distal outer side of the lower cover is also provided with external threads, and the inner side of the locking ring is provided with internal threads. The three pass through Threaded connection achieves fixation.

The ultrasonic generating device in this embodiment includes an ultrasonic generator 1 and a transducer 2. The generated ultrasonic waves are transmitted to the circumcision device through the transmission device body 3 and the front part 4 of the transmission device. The front part of the transmission device can pass through the fixed device 5 and the positioning barrel 19 and/or the cutting device 24 of the circumciser, thereby transmitting ultrasonic waves to the first annular contact surface 21 and/or the second annular contact surface 25 . The fixing device 5 may be connected by internal and external threads, or may be designed to be connected by a buckle device.

In order to prevent adhesion between the foreskin and the circumcision device during surgery, resulting in re-tearing of the wound, the positioning cylinder and the part of the excision device that are in contact with the foreskin are provided with an anti-adhesive coating 16 (not shown in the figure), preferably on the positioning cylinder An anti-adhesive coating 16 is provided on the first annular contact surface of the barrel and the second annular contact surface of the cutting device.

In order to avoid the smoke and odor generated when using ultrasound for circumcision, which affects the field of vision and the surgical environment, the circumcision device of the present invention is also equipped with a water mist generating device. Referring to Figure 13, the water mist generating device can include a device arranged on An annular water storage device 6 on the main frame and located at the outer or inner periphery of the resection device, and a water outlet 7 (not shown in the figure) provided on the side of the water storage device facing the first annular contact surface 21 , the water storage device can store water, alcohol, disinfectant and other liquids, and spray them from the water outlet through squeezing, pushing or ultrasonic vibration, before circumcision, during circumcision and/or circumcision. Finally, a water mist-like environment is formed near the first annular contact surface 21 .

The present invention has been exemplarily described above in conjunction with the accompanying drawings. Obviously, the specific implementation of the present invention is not limited by the above-mentioned manner. As long as various improvements of the method, concept and technical solution of the present invention are adopted, or it can be directly applied to other applications without improvement. All situations are within the protection scope of the present invention.

Claims (17)

1. An ultrasonic operation device is characterized by comprising an ultrasonic generation device, a transmission device, an end head structure and a water mist generation device, wherein,

the ultrasonic generating device is used for generating ultrasonic waves, is connected to the transmission device and can transmit the ultrasonic waves to the transmission device;

the transmission device is connected to the end head structure and can transmit ultrasonic waves to the end head structure;

the water mist generating device is used for spraying water or mist to the end head structure and/or the acting part of the end head structure before the end head structure acts and/or after the end head structure acts;

the end head structure is a circumcision device; the circumcision device comprises a first end and a second end, wherein the first end is a foreskin fixed end, the second end is an extrusion or cutting or hemostasis or healing end, and the foreskin fixed end and the extrusion or cutting or hemostasis or healing end are matched with each other to extrude and/or cut the foreskin and/or to perform hemostasis and/or healing on a wound surface;

the ultrasonic generating device comprises an ultrasonic generator and a transducer, wherein the ultrasonic generator is connected to the transducer through a connecting cable.

2. The ultrasonic surgical device of claim 1, wherein the mist generating device is disposed separately from the ultrasonic generating device, the delivery device, and the tip structure.

3. The ultrasonic surgical device of claim 1, wherein the water mist generating device is disposed partially or entirely integrally on the ultrasonic generating device, the transmission device, or the tip structure.

4. An ultrasonic surgical device according to claim 3, wherein the water mist generating means comprises a water reservoir arranged on the delivery means for storing water or a liquid medicine, and a water outlet which is openable and closable and is arranged at an end of the water reservoir adjacent to the tip structure and is arranged to apply water or liquid medicine stored in the water reservoir to the tip structure and/or to the site on which the tip structure acts.

5. The ultrasonic surgical device of claim 4, wherein the water reservoir is an annular water reservoir disposed about the periphery of the delivery device; the water outlets are arranged along the annular end face of one end, close to the end head structure, of the annular water storage device.

6. The ultrasonic surgical device of claim 3, wherein the water mist generating device comprises a water storage device and a nozzle, the water storage device is arranged on the transmission device and is used for storing water or liquid medicine, and the nozzle is arranged at one end of the water storage device close to the end head structure and is used for spraying water or liquid medicine stored in the water storage device or atomizing the water or liquid medicine to the end head structure and/or a part acted by the end head structure.

7. The ultrasonic surgical device of claim 6, wherein the water reservoir comprises a water reservoir structure for storing water or a liquid drug and an atomizing structure disposed within the water reservoir structure for atomizing the water or liquid drug.

8. The ultrasonic surgical device of any one of claims 4-7, wherein the mist generating device further comprises a water filling port that is provided on the water reservoir and is configured to fill the water reservoir with water or a liquid medicine.

9. The ultrasonic surgical device of any one of claims 1-7, wherein the water mist generating device is an ultrasonic water mist generating device.

10. The ultrasonic surgical device of claim 9, wherein the ultrasonic generation device is coupled to the water reservoir and is configured to transmit ultrasonic waves thereto to atomize the stored water or medicinal liquid.

11. The ultrasonic surgical device of claim 9, further comprising a second ultrasonic generation device connected to the water reservoir and configured to transmit ultrasonic waves thereto to atomize the stored water or medicinal liquid.

12. The ultrasonic surgical device of any one of claims 1-7, wherein the foreskin fixed end is an inner ring, the extrusion or cutting or hemostasis or healing end is an outer ring, the inner ring is used for being embedded in the foreskin, the outer ring is used for being externally arranged outside the foreskin, and the inner ring and the outer ring are matched with each other to clamp the foreskin.

13. The ultrasonic surgical device of claim 11, wherein the foreskin fixed end is an inner ring, the extrusion or cutting or hemostasis or healing end is an outer ring, the inner ring is used for being embedded in the foreskin, the outer ring is used for being externally arranged outside the foreskin, and the inner ring and the outer ring are matched with each other to clamp the foreskin.

14. The ultrasonic surgical device of any one of claims 1-7, wherein the foreskin fixed end is a positioning cylinder configured to allow a glans to be partially inserted, a flange is formed by protruding radially outward at a distal end of the positioning cylinder, a first annular contact surface is formed on a proximally facing surface of the flange, and a foreskin is supported on the first annular contact surface after crossing the flange; the extrusion or cutting or hemostasis or healing end is a cutting device which is mounted on the same frame together with the positioning cylinder body and can be driven to move towards the foreskin fixed end, and the cutting device is provided with a second annular contact surface.

15. The ultrasonic surgical device of claim 11, wherein the foreskin fixed end is a positioning cylinder configured to allow a glans to be partially inserted, a flange is formed to protrude radially outward at a distal end of the positioning cylinder, a first annular contact surface is formed on a proximally facing surface of the flange, and a foreskin is supported on the first annular contact surface after crossing the flange; the extrusion or cutting or hemostasis or healing end is a cutting device which is mounted on the same frame together with the positioning cylinder body and can be driven to move towards the foreskin fixed end, and the cutting device is provided with a second annular contact surface.

16. The ultrasonic surgical device of any one of claims 1-7, wherein the foreskin fixed end is a positioning cylinder configured to fit over a glans, a first annular contact surface is formed at a proximal end of the positioning cylinder, and a foreskin is supported on the first annular contact surface; the extrusion or cutting or hemostasis or healing end is a cutting device which is mounted on the same frame together with the positioning cylinder body and can be driven to move towards the foreskin fixed end, and the cutting device is provided with a second annular contact surface.

17. The ultrasonic surgical device of claim 11, wherein the foreskin fixed end is a positioning cylinder configured to fit over a glans, a first annular contact surface is formed at a proximal end of the positioning cylinder, and the foreskin is supported on the first annular contact surface; the extrusion or cutting or hemostasis or healing end is a cutting device which is mounted on the same frame together with the positioning cylinder body and can be driven to move towards the foreskin fixed end, and the cutting device is provided with a second annular contact surface.