Year nail dish structure of prepuce cutting stitching instrument
Technical field
The invention belongs to medical surgical instrument technical field, what be specifically related to a kind of prepuce cutting stitching instrument carries nail dish structure.
Background technology
Within aforesaid year, nail dish also can be described as screw position, for carrying the suturing nail sewed up foreskin.Technical information about prepuce cutting stitching instrument can be seen in disclosed Chinese patent literature, " prepuce cutting stitching instrument " that " prepuce cutting stitching instrument " and CN102217969B typically as invention patent mandate notification number CN101884559B recommendation provide, these two patent formula all have by cutting foreskin with sew up foreskin function and hold concurrently and improve the strong point of operation progress in one, specifically can be see: the description the 33rd section of CN101884559B and the description the 38th section of CN102217969B.
Aforesaid year nail dish is requisite parts in prepuce cutting stitching instrument, be arranged between the push broach dish of prepuce cutting stitching instrument and clubfoot dish in a state of use, the disk body carrying nail dish offers quantity and stitching nail that position corresponding equal with the quantity pushing away foot of push broach dish with space state, in stitching nail, suturing nail is set, the shape U-shaped in general of suturing nail, the shape of the staple of the stapler namely in stationery.Can see the description the 35th section of the description of aforementioned CN101884559B the 28th section and CN102217969B to this, even can see the description of application for a patent for invention publication No. CN103340671A the 9th section.
The nail dish that carries being not limited to the prepuce cutting stitching instrument exemplified above is lost rationally due to structure and there is following technical problem in the use of reality: one is de-nail trouble after wound healing; Two is due in wound healing process, and the skin of wound site there will be combines even by situation that suturing nail entirety wrap up integrally obstinate with suturing nail, so with tearing the pain of aggravating patient when pincers tears nail open open, even cause bleeding infection.
Aforementioned technical problem can be illustrated by Fig. 7, this Fig. 7 illustrates suturing nail 1 and is in stitching state to wound skin 2, in the process that wound skin 2 heals, wound skin 2 occurs with the obstinate adhesion of suturing nail 1 even by phenomenon that suturing nail 1 wraps up, so using the wound skin 2 torn open and certainly can damage when pincers tears nail open and originally heal, causing hemorrhage and even infecting.If in order to alleviate the degree of injury to wound skin 2 as far as possible, what so medical worker expended tear the nail time open certainly will be tediously long, and the operation intensity of medical worker increases.
For above-mentioned prior art, be necessary to be improved, the applicant has done useful design for this reason, finally defines technical scheme described below.
Summary of the invention
Task of the present invention is to provide a kind of wound skin helping avoid foreskin cutting operation receiveing person even suturing nail entirety wrap up with suturing nail adhesion in agglutination and uses and improves tearing open when removing suturing nail and follow closely efficiency and the manipulation strength alleviating medical worker uses year nail dish structure preventing wound healing position from causing the prepuce cutting stitching instrument of infection with being conducive to avoiding when removing suturing nail tearing open the jaw position of pincers and the direct skin contact at wound healing position.
Task of the present invention has been come like this, a kind of year nail dish structure of prepuce cutting stitching instrument, comprise one year nail dish body in torus shape, a year nail chamber is configured with space state on this year nail dish body and around the circumferencial direction of year nail dish body, carry nail chamber self-contained nail dish body towards upper side through to towards under side, and accommodate a suturing nail at a year nail intracavity, suturing nail has a pair suturing nail foot, this a pair suturing nail foot is towards upper, feature is: also include suturing nail nail pad, this suturing nail nail pad correspond to suturing nail position be embedded in described carry nail dish body towards on side.
In a specific embodiment of the present invention, the structure of described suturing nail nail pad be one by one independently and the quantity suturing nail equal with the quantity of follow closely chamber for described year follow closely pad cushion block be configured to that annular suturing nail follows closely in pad washer any one, and when the structure of suturing nail nail pad is suturing nail nail pad cushion block, then suturing nail nail pad cushion block correspond to described year nail dish body towards on side position with carry the accent position scarf following closely chamber; And when the structure of suturing nail nail pad is suturing nail nail pad washer, then described year nail dish body towards on side and be arranged with a gasket groove around the circumferencial direction carrying nail dish body corresponding to a position of carrying nail chamber, suturing nail nail pad washer is embedded in this gasket groove.
In another specific embodiment of the present invention, when the structure of described suturing nail nail pad is described suturing nail nail pad cushion block, then the length of this suturing nail nail pad cushion block adapts with the length of follow closely chamber for described year, and width and width that year to follow closely chamber adapt.
In another specific embodiment of the present invention, when the structure of described suturing nail nail pad is described suturing nail nail pad washer, then this suturing nail nail width of pad washer and the width of described gasket groove adapt, and the suturing nail nail thickness of pad washer and the degree of depth of gasket groove adapt.
In another specific embodiment of the present invention, described suturing nail nail pad is nonmetallic conformable material.
Also have in a specific embodiment of the present invention, described nonmetallic conformable material is plastics or rubber.
More of the present invention and in a specific embodiment, described plastics are medical poisonless level plastics, described rubber is medical grade rubber.
In an of the present invention and then specific embodiment, the chamber wall of the side in described year nail chamber is configured with push broach dish guide groove, and on the chamber wall of opposite side, is configured with push broach dish promotes foot guide groove, push broach dish guide groove and push broach dish push broach foot guide groove correspond to each other.
Of the present invention again more and in a specific embodiment, described push broach dish guide groove and push broach dish push broach foot guide groove are all corresponding to the middle position of the length direction in described year nail chamber.
In an again of the present invention and then specific embodiment, the outer wall of described year nail dish body is configured with around the circumferencial direction carrying nail dish body the locating flange being raised in the outer wall surface of carrying nail dish body with space state.
Technical scheme provided by the invention owing to being embedded suturing nail nail pad on year nail dish body and in the position corresponding to suturing nail, thus when suturing nail is to wound skin closure, suturing nail nail pad is sewn nail and nails and enter the nail intracavity of suturing nail, follow closely pad by suturing nail and the rivet nut of suturing nail and wound skin are in isolation, in wound skin healing process, wound skin there will not be with suturing nail obstinate adhesion even by phenomenon that suturing nail wraps up, not only conveniently can tear nail open and improve the efficiency of removing suturing nail, and significantly can alleviate the manipulation strength of medical worker.When removing suturing nail, because the jaw of tearing pincers open is between the rivet nut of suturing nail and suturing nail follow closelys and pad, thus can not directly with wound contact skin, healed though stop damage but still be in the wound skin of fragile state and even the situation generation of initiation infection.
Accompanying drawing explanation
Fig. 1 is first embodiment of the present invention structure chart.
Fig. 2 is second embodiment of the present invention structure chart.
Fig. 3 is application examples schematic diagram of the present invention.
Fig. 4 is the mated condition figure of suturing nail, wound skin and suturing nail nail pad three after excising foreskin under to the operation of prepuce cutting stitching instrument.
Fig. 5 is the schematic diagram in wound skin healing process.
Fig. 6 be by means of tear open pincers remove suturing nail time schematic diagram.
Fig. 7 is that the suturing nail in prior art is in by the schematic diagram of the wound skin package status in agglutination.
Detailed description of the invention
In order to enable the auditor of Patent Office especially the public clearly understand technical spirit of the present invention and beneficial effect, applicant will elaborate below by way of example, but be not all the restriction to the present invention program to the description of embodiment, any conceive according to the present invention done be only pro forma but not substantial equivalent transformation and all should be considered as technical scheme category of the present invention.
Every concept relating to the directivity (i.e. directionality) of upper and lower, left and right and so on is all for the location status residing for the accompanying drawing be described in the following description, object is to facilitate public understanding technical spirit of the present invention, thus can not be understood as the specific restriction to the present invention program.
Embodiment 1:
Refer to Fig. 1, give one year nail dish body 3, the shape of the global shape of this year nail dish body 3 body in the form of a ring, and preferably adopt the type of being molded out of plastic, a year nail chamber 31 is configured with space state on year nail dish body 3 and around the circumferencial direction of year nail dish body 3, carry nail chamber 31 self-contained nail dish body 3 towards upper side through to towards under side, that is, the side (upside of location status shown in Fig. 1) of the short transverse of self-contained nail dish body 3 is through to opposite side (downside of location status shown in Fig. 1), and in year nail chamber 31, accommodate suturing nail 1 to insert embedding mode, suturing nail 1 has a pair suturing nail foot 11, for the location status shown in Fig. 1, a pair suturing nail foot 11 is towards upper.From the signal of Fig. 1, the global shape of suturing nail 1 is U-shaped, and aforesaid a pair suturing nail foot 11 lays respectively at the two ends of rivet nut, is namely respectively configured with a suturing nail foot 11 with same degree bending in one end of the rivet nut of suturing nail 1 and the other end.
Applicant it should be noted that: in FIG, although the quantity that applicant illustrates aforementioned year nail chamber 31 is 18, the quantity of suturing nail 11 also should have 18 pieces mutually, but because this quantity according to increasing and decreasing, thus can not be interpreted as being particularly limited to content of the present invention by the quantity of carrying nail chamber 31.
As the technical essential of technical scheme provided by the invention, within aforesaid year, nail dish structure also comprises a suturing nail nail pad 4, this suturing nail nail pad 4 also can be called suturing nail liner, correspond to the position of suturing nail 1 be embedded in aforementioned year nail dish body 3 towards on side.When under the effect at prepuce cutting stitching instrument, when suturing nail 1 is shifted out from a year nail chamber 31, suturing nail nail pad 4 is just sewn nail 1 and keeps, namely suturing nail nail pad 4 enters the nail chamber (specifically can see Fig. 4 and Fig. 6) of suturing nail 1, here alleged nail chamber refers to the U-shaped chamber of suturing nail 1, because as aforementioned, whole suturing nail 1 is in U-shaped, and the rivet nut of suturing nail 1 certainly refers to the part of the bottom in U-shaped chamber, the part namely between a pair suturing nail foot 11.
In the present embodiment, aforesaid suturing nail nail pad 4 be one by one independently and the suturing nail of quantity equal with the quantity of follow closely chamber 31 for aforementioned year (the present embodiment is 18) follow closely and pad cushion block, this suturing nail nail pad cushion block corresponding to year to follow closely chamber 3 towards on side position and year to follow closely the accent position scarf in chamber 31.As preferred scheme, carrying each recessed suturing nail foot slot to make way 313 in corresponding both sides of the length direction following closely chamber 31, aforesaid a pair suturing nail foot 11 corresponds in suturing nail foot slot to make way 313, and suturing nail nail pad 4 towards under side namely form a rivet nut caulking groove 41 towards the side of aforesaid rivet nut, when make under the effect at prepuce cutting stitching instrument suturing nail 1 suddenly follow suturing nail foot slot to make way 313 from carry nail a chamber 31 shift out time, the rivet nut of suturing nail 1 just matches with this rivet nut caulking groove 41, and whole suturing nail nail pad 4 enters in the nail chamber (U-shaped chamber) of suturing nail 1, by suturing nail 1, suturing nail is followed closely pad 4 to nail.
In the present embodiment, structural expression due to suturing nail nail pad 4 is suturing nail nail pad cushion block, thus suturing nail nail pad cushion block length with carry the length of following closely chamber 31 and adapt, and width with carry width follow closely chamber 31 and adapt, more particularly follow closely pad 4 to carrying the accent closed (Fig. 1 illustrate this situation) of a nail chamber 31 towards upper side by suturing nail.
In the present embodiment, aforesaid suturing nail nail pad 4 is nonmetallic conformable material, specifically adopts plastics or rubber, when select use plastics time, should select with medical poisonless level plastics, such as ABS, PE or PC etc., when select use rubber time, should select with medical grade rubber such as medical grade silicon rubber.Certainly also can adopt and serve as suturing nail with other similar material of plastics or rubber equivalence and follow closely pad 4, that is, if use the similar material beyond plastics or rubber to make suturing nail nail pad 4 as silicone rubber etc., technology contents category disclosed by the invention so should be considered as.
Please continue to refer to Fig. 1, the chamber wall of the side (side towards interior) in aforesaid year nail chamber 31 is configured with push broach dish guide groove 311, and on the chamber wall of opposite side (side toward the outside), be configured with push broach dish push broach foot guide groove 312, push broach dish guide groove 311 and push broach dish push broach foot guide groove 312 correspond to each other and correspond to the middle position of length direction of carrying nail chamber 31, namely follow closely chamber 31 and form criss-cross position relationship with carrying.
In addition, the locating flange 33 being raised in the outer wall surface of carrying nail dish body 3 is configured with space state on the outer wall carrying nail dish body 3 and around the circumferencial direction of year nail dish body 3, the function of locating flange 33 shows with cutter shell 5(Fig. 3 of prepuce cutting stitching instrument) match, locate with the cutter shell 5 of prepuce cutting stitching instrument to make carrying nail dish body 3.Because the matching relationship between locating flange 33 and cutter shell 5 belongs to prior art, such as can see the description the 35th section of invention patent mandate notification number CN102217969B, thus applicant repeats no more.
Embodiment 2:
Refer to Fig. 2, this Fig. 2 shows the another kind of version of aforementioned suturing nail nail pad 4, and specifically, the structure of suturing nail nail pad 4 is the suturing nail nail pad washer of annular.Due to the suturing nail nail pad washer that suturing nail nail pad 4 is annular, thus aforementioned year nail dish body 3 towards on side (location status for shown in Fig. 2) and be arranged with a gasket groove 32 around the circumferencial direction carrying nail dish body 3 corresponding to a position of carrying nail chamber 31, suturing nail nail pad washer is embedded in this gasket groove 32.
In the present embodiment, the aforesaid suturing nail nail width of pad washer and the width of gasket groove 32 adapt, and thickness then adapts with the degree of depth of gasket groove 32, the width of such as gasket groove 32 is 3 ㎜, the degree of depth is 1 ㎜, and so the width of suturing nail nail pad washer is similarly 3 ㎜, and thickness is 1 ㎜.All the other are all with the description to embodiment 1.
Application examples:
Refer to Fig. 3, Fig. 4 and Fig. 5, illustrate the cutter shell 5 of prepuce cutting stitching instrument in figure 3, push broach dish 6, bell-type cutter 7 and glans penis cap 8, within of the present invention year, nail dish body 3 matches with cutter shell 5 with suturing nail 1 and suturing nail nail pad 4, that is match of the present invention year nail dish structure with cutter shell 5 (by carrying coordinating of locating flange 33 on nail dish body 3 and the locating flange accommodation hole on cutter shell 5), in the annular concave path 81 of glans penis cap 8 and the bottom being positioned at annular concave path 81 is embedded the cutter anvil 812 that a material is preferably rubber, and insert a suturing nail clubfoot dish 811, specifically the stack limit of suturing nail clubfoot dish 811 is inserted in annular concave path 81, namely clubfoot pit 8111 is set around the circumferencial direction interval of suturing nail clubfoot dish 811 in the surrounding of the card of suturing nail clubfoot dish 811, the shape of clubfoot pit 8111 is just as belonging to the clubfoot hole of the stapler of stationery category seen by daily, its effect is that a pair suturing nail foot 11 of the suturing nail 1 that Fig. 1 and Fig. 2 is illustrated bends.The shape of the cavity volume 813 of glans penis cap 8 and the glans penis 9 of male genital organ suitable.Because the concrete function of cutter shell 5, push broach dish 6, bell-type cutter 7 and glans penis cap 8 and matching relationship each other etc. all belong to known technology, such as can emphasis see the description of aforementioned CN102217969B and CN101884559B, thus applicant no longer launches to describe to it.
When foreskin cutting operation will be implemented to redundant prepuce patient, the glans penis 9 of operation receiveing person is corresponded in the cavity volume 813 of glans penis cap 8, and the foreskin 91 of redundancy is renovated (covering) on glans penis cap 8.Then under the operation of doctor, make push broach dish 6 follow (with location status shown in Fig. 3) movement to the right of aforesaid push broach dish guide groove 312, just bell-type cutter 7 are driven by it when push broach dish 6 moves right, until make the cutting edge 71 of bell-type cutter 7 be cut off by foreskin 91, in the moment of cutting foreskin 91, push broach dish push broach foot 61 on push broach dish 6 follows aforementioned push broach dish push broach foot guide groove 312 and moves right and act on suturing nail 1, make clubfoot (bending) under the effect of the clubfoot pit 8111 of suturing nail 1 on suturing nail clubfoot dish 811 and be incorporated into the wound site of operation receiveing person, wound skin 2 is sewed up.
Because the present invention has set up suturing nail nail pad 4 on year nail dish body 1, thus under being in the state that wound skin 2 is sewed up at suturing nail 1, follow closely pad 4 by suturing nail between the rivet nut of suturing nail 1 and wound skin 2 to isolate, namely form the thickness degree insulating space that suturing nail follows closely pad 4 between the rivet nut of suturing nail 1 and wound skin 2, specifically illustrated by Fig. 4.Known technology is belonged to equally and can see aforementioned CN102217969B and CN101884559B, thus applicant unnecessary it to be repeated due to this process.
Refer to Fig. 6 and composition graphs 5, in the process that wound skin 2 heals, wound skin 2 there will not be the phenomenon with the rivet nut phase adhesion of suturing nail 1, and the phenomenon that more there will not be rivet nut to be wrapped up by wound skin 2, is specifically illustrated by Fig. 6.When removing the suturing nail 1 on the wound skin 2 after healing, by operative doctor hands hold illustrated by Fig. 5 and Fig. 6 tear pincers 10(open and also can claim to tear nail open and take the photograph son) and the jaw 101 tearing pincers 10 open followed closely between pad 4 from the rivet nut of suturing nail 1 and suturing nail insert, suturing nail 1 is picked from wound skin 2.In this process, because jaw 101 does not contact with wound skin 2, be still in the wound skin 2 of relatively fragile state though thus can not undermine to have healed, not only tear the manipulation strength that nail fast can alleviate medical worker open, and can stop to undermine wound skin 2, avoid causing postoperative infection.
Applicant it should be noted that: within provided by the invention year, nail dish structure can be applied to the prepuce cutting stitching instrument of any version; that is the prepuce cutting stitching instrument of aforementioned CN102217969B and CN101884559B version is not limited to; as long as arrange suturing nail nail pad 4 on year nail dish body 3, protection category of the present invention so all should be considered as.