Ultrasonic circumcision surgery device

Abstract

The present invention relates to an ultrasonic circumcision surgical device, comprising 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 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 comprises a positioning cylinder and a cutting device; the positioning cylinder and the cutting device respectively have a first annular contact surface and a second annular contact surface, and the two cooperate with each other.

Description

Technical Field

[0001] The invention relates to an ultrasonic surgical medical device, in particular to a circumcision device, in particular to an ultrasonic foreskin squeezing, cutting, hemostasis and healing component. Background Art

[0002] Phimosis or foreskin is one of the root causes of male urinary tract infection and sexually transmitted diseases. Phimosis or foreskin can cause urinary tract infection and lead to chronic prostatitis, which can cause a series of symptoms such as back pain, impotence and premature ejaculation. Therefore, removing the foreskin is one of the best measures to prevent these diseases. The methods of removing the foreskin have undergone a long period of continuous evolution and development, including:

[0003] (a) Before the 1990s, surgical procedures were used to remove phimosis or excessive foreskin. The key technical points were to remove the excess foreskin, stop bleeding, and suture the skin at the incision edge. After the operation, the patient could not walk, and the pain was unbearable every time the dressing was changed. In addition, the ligation and hemostasis were not thorough, which caused foreskin hematoma and required another surgery. In addition, since the foreskin removal and hemostasis processes were performed separately, the operation time was prolonged and the patient's panic was aggravated.

[0004] (b) Since the 1990s, although some surgical procedures such as dorsal circumcision and sleeve circumcision have been developed, they still have many inconveniences, such as asymmetric foreskin retention after surgery, knot reaction of ligature thread ends, and the need to remove sutures after surgery, which can easily cause bleeding and infection.

[0005] (c) Subsequently, countries, mainly South Korea, developed a circumcision method using elastic silk thread and foreskin removal ring. However, pain, bleeding and infection risks are unavoidable during the operation, and oral analgesics and anti-infection drugs are required after the operation. The wound needs to be cleaned every day. Circumcision can only be performed 2-4 days after the operation, and then the ring and suture removal are performed at an interval. The operation is extremely long and cumbersome, leading to more risks and uncertainties.

[0006] (d) In order to solve the existing problems, the prior art has developed a treatment method that uses laser and high-frequency electric knife technology to treat circumcision. Although this treatment method replaces scissor cutting and can coagulate bleeding points, it will burn the patient's skin tissue and is prone to infection.

[0007] (e) Subsequently, a circumcision device was developed in the art, which uses the suture staples in the foreskin suture instrument to suture the foreskin incision at one time, such as the invention patent application "Circumcision Instrument" with application number CN201210497584.9. The method shown in the invention requires that multiple U-staples be nailed into human tissue during surgery, which is likely to cause bleeding and infection during surgery and bring great psychological and physical pain to the patient. After the operation, the patient needs to wear the staples for a long time, which is inconvenient to move and is prone to the risk of staples coming off.

[0008] (f) The latest technology in this field is a device that uses an inner and outer ring to perform circumcision. However, in some modified embodiments, such as the invention patent application "Circumcision Stapler" with application number CN201310024391.6, the "frenulum protection part" provided in it makes it impossible for the inner and outer rings to form a tight fit when clamping, that is, it is impossible to completely block the corresponding blood vessels of the foreskin, so that the excess foreskin cannot be smoothly necrotic and fall off.

[0009] Following the technical route of the past decades in this field, it can be found that the existing technology in the field of circumcision still has the following problems to be solved:

[0010] (1) After the foreskin tissue is cut during the operation, the incision cannot heal in time;

[0011] (2) The limitations of the circumcision device structure result in an unsightly circumcision surface, which may cause lifelong regrets;

[0012] (3) There is a certain probability that the incision surface will not form a complete ring during surgery;

[0013] (4) Surgery requires cutting with a blade or shearing with scissors, which causes psychological fear and physical pain to the patient;

[0014] (5) Patients need to wear nails or rings after surgery, which causes both psychological and physical pain to patients;

[0015] (6) When using suture staples, the position of the suture staples is uncertain, which may cause blood vessels to be punctured and blood vessels to be difficult to heal, resulting in postoperative bleeding;

[0016] (7) The process of wearing nails after surgery needs to last for several days or even more than ten days, which greatly inconveniences the patient's life. Moreover, once there is strenuous activity or external force, the nails may easily fall out, causing danger;

[0017] (8) After surgery, nails are worn, which may cause bleeding or nail removal during late physiological erections;

[0018] (9) Traditional surgical methods cause scabs or slow healing on the cut surface, which causes the foreskin to lose its original elasticity;

[0019] (10) Traditional surgical methods take several minutes or even half a day, and the long operation time leads to various risks;

[0020] (11) Traditional surgical methods are prone to bleeding and lead to the risk of infectious diseases;

[0021] (12) Laser cutting of the foreskin produces eschar and a pungent odor. Summary of the invention

[0022] In view of the above problems, the purpose of the present invention is to provide an ultrasonic foreskin squeezing, cutting, hemostasis and healing component. The circumcision operation can be completed in just a few seconds and healed on the spot, avoiding bleeding during and after the operation, avoiding the occurrence of infectious diseases, and solving the risk of bleeding or nail and ring removal caused by physiological erection of patients after circumcision. The specific technical solution is as follows:

[0023] An ultrasonic foreskin squeezing, cutting, hemostasis and healing component applies ultrasound to the foreskin squeezing, cutting, hemostasis and healing component at the junction of internal and external tissues of the human body's extremities, including an ultrasonic generator, a transmission device and a circumcision device, wherein the ultrasonic generator 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 cut the foreskin, and / or, to stop bleeding and / or heal the wound surface.

[0024] Furthermore, the circumcision device includes a first end and a second end, the first end is a foreskin fixing end, and the second end is a squeezing or cutting or hemostatic or healing end, and the foreskin fixing end and the squeezing or cutting or hemostatic or healing end cooperate with each other to squeeze and / or cut the foreskin, and / or, to stop bleeding and / or heal the wound surface.

[0025] Furthermore, the foreskin fixing end and the squeezing or cutting or hemostatic or healing end are coordinated in such a way that the foreskin fixing end is used to be placed on the inner plate or outer plate of the foreskin, and the squeezing or cutting or hemostatic or healing end is used to be placed on the outer plate or inner plate of the foreskin at a position corresponding to the foreskin fixing end.

[0026] Furthermore, the foreskin fixing end and the squeezing or cutting or hemostatic or healing end respectively cooperate with the inner plate and outer plate of the foreskin to clamp the foreskin, and are used to squeeze and / or cut the foreskin, and / or, to stop bleeding and / or heal the wound surface.

[0027] Furthermore, the foreskin fixing end has a first annular contact surface, and the squeezing or cutting or hemostatic or healing end has a second annular contact surface, and the first annular contact surface cooperates with the second annular contact surface so that the foreskin is placed between the two contact surfaces.

[0028] Furthermore, the first annular contact surface and the second annular contact surface are both closed circular contact surfaces.

[0029] Furthermore, the foreskin fixing end is a first ring, and the squeezing or cutting or hemostasis or healing end is a second ring.

[0030] Furthermore, 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.

[0031] Furthermore, the first ring is an inner ring, which is used to be built inside the foreskin, and the second ring is an outer ring, which is used to be placed outside the foreskin, and the inner ring and the outer ring cooperate with each other to clamp the foreskin.

[0032] Furthermore, the inner ring is a closed circular ring, and the outer ring has an opening, which can be closed by a locking device.

[0033] Furthermore, the foreskin fixing end is a positioning cylinder configured to allow the glans penis to be partially inserted, and a flange is radially protruded outward at the distal end of the positioning cylinder, and a first annular contact surface is formed on the proximal surface of the flange, 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 a cutting device that is installed on the same frame as the positioning cylinder and can be driven to move toward the foreskin fixing end, and the cutting device has a second annular contact surface.

[0034] Furthermore, the foreskin fixing end is constructed to be a positioning cylinder that can be sleeved on the glans, and a first annular contact surface is formed at the proximal end of the positioning cylinder, and the foreskin is supported on the first surface; the squeezing or cutting or hemostasis or healing end is a cutting device that is installed on the same frame as the positioning cylinder and can be driven to move toward the foreskin fixing end, and the cutting device has a second annular contact surface.

[0035] Furthermore, the angle between the first annular contact surface and the axis of the positioning cylinder is an acute angle.

[0036] Furthermore, the foreskin fixing end is connected to the transmission device, and / or the squeezing or cutting or hemostasis or healing end is connected to the transmission device, and receives the ultrasonic wave transmitted by the transmission device and squeezes and / or cuts the foreskin, and / or stops bleeding and / or heals the wound surface.

[0037] Furthermore, the transmission device is fixedly connected to the foreskin fixing end and / or the squeezing or cutting or hemostasis or healing end via internal and external threads or buckles.

[0038] Furthermore, the foreskin fixing end and the squeezing or cutting or hemostatic or healing end respectively cooperate with the inner plate and the outer plate of the foreskin to clamp the foreskin, and the clamping degree is 9%-87% of the thickness of the foreskin in its natural state.

[0039] Furthermore, the foreskin fixing end and the squeezing or cutting or hemostatic or healing end respectively cooperate with the inner plate and the outer plate of the foreskin to clamp the foreskin, and the clamping force is 0.02-3.5N / mm.

[0040] Furthermore, it also includes a water mist generating device, which is used to apply powder, water and / or water mist to the circumcision device and / or the circumcision site before, during and / or after circumcision.

[0041] Furthermore, the water mist generating device is separately arranged relative to the ultrasonic generating device, the transmission device and the circumcision device; and / or, the water mist generating device is partially or completely integrated on the ultrasonic generating device, the transmission device or the circumcision device.

[0042] In a more preferred solution, the following solution can be adopted:

[0043] An ultrasonic circumcision surgical device, characterized in that it includes an ultrasonic generator, a transmission device, a circumcision device and a water mist / powder generator, wherein the ultrasonic generator is used to generate ultrasonic waves, 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 includes a positioning cylinder and a cutting device; the positioning cylinder and the cutting device respectively have a first annular contact surface and a second annular contact surface, and the two cooperate with each other; the water mist / powder generator is used to apply liquid, and / or mist, and / or powder to the circumcision device and / or the site of action of the circumcision device before the circumcision device is actuated, when the circumcision device is actuated and / or after the circumcision device is actuated.

[0044] Furthermore, the positioning cylinder is configured to be sleeved on the glans penis, forming a first annular contact surface at the proximal end of the positioning cylinder, and the foreskin is supported on the first annular contact surface after being everted.

[0045] Furthermore, the angle between the first annular contact surface and the axis of the positioning cylinder is a right angle or an acute angle, and the first annular contact surface is covered with an annular first protective film.

[0046] Furthermore, the circumcision device also includes a main frame, and the positioning cylinder and the cutting device are jointly installed on the main frame. The cutting device is constructed to be manually driven and / or electrically 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 therebetween.

[0047] Furthermore, the water mist / powder generating device is fully integrated on the circumcision device, including a storage device and an application device. The storage device is arranged on the main frame, and is an annular storage device or an arc-shaped storage device, which is arranged on the periphery of the cutting device; and is used to store liquid and / or powder. The application device is a plurality of outlets, which can be opened and closed, and is arranged on the annular end surface of one end of the storage device close to the first annular contact surface, and is used to apply the liquid and / or powder stored in the storage device to the part where the circumcision device acts.

[0048] Furthermore, the cutting device includes an actuating mechanism and an annular cutter, which are mounted on the main frame and are configured such that when the actuating mechanism moves toward the positioning cylinder, the actuating mechanism squeezes and / or pushes the storage device so that the liquid and / or powder stored therein is applied to the site of action of the circumcision device, and then the second annular contact surface on the annular cutter interacts with the first annular contact surface of the positioning cylinder to squeeze, cut, and stop bleeding the foreskin therebetween.

[0049] Furthermore, it also includes an operating part, which is connected to the circumcision device and is used to operate the circumcision device, or the circumcision device includes the operating part, which is used to operate other structures of the circumcision device.

[0050] Furthermore, the operating part includes a pressure rod connected to the main frame, a connecting rod and a spring arranged in the main frame and in contact with the cutting device. The operator manually presses down the pressure rod, and the spring is squeezed through the connecting rod, thereby using the elastic force of the spring to drive the cutting device to move toward the positioning cylinder.

[0051] Furthermore, the ultrasonic generating device includes an ultrasonic generator and a transducer, the ultrasonic generator and the transducer are integrally connected or detachably connected via a first fixing device, the transducer is separately arranged relative to the transmission device and the circumcision device, or is integrated on the circumcision device, the transducer is integrally connected to the resection device and / or the positioning cylinder via the transmission device, or is detachably connected to the resection device and / or the positioning cylinder via a second fixing device.

[0052] Furthermore, it also includes a protective device, which is used to protect the glans and / or the foreskin that needs to be retained before, during and / or after circumcision. Preferably, the protective device is a ring structure with a reducible diameter, which is used to tighten the foreskin near the front of the glans; and / or, the protective device is a baffle built into the foreskin and in front of the glans; and / or, the protective device is an ultrasonic insulation structure and / or a vibration-damping and energy-dissipating structure arranged on the inner periphery of the positioning cylinder.

[0053] In a more preferred embodiment, the following features may be adopted: the inner ring is used to be internally inserted into the foreskin, the outer ring is used to be externally placed outside the foreskin, and the inner ring and the outer ring cooperate with each other to clamp the foreskin; or, the inner ring is used to be sleeved on the outside of the foreskin on the penis and is placed inside the everted foreskin when the foreskin is everted, and the outer ring is used to be externally placed outside the everted foreskin, and the inner ring and the outer ring cooperate with each other to clamp the foreskin.

[0054] The vibration frequency of the circumcision device can be selected according to specific needs, and can squeeze, cut, stop bleeding and heal human tissue (including but not limited to foreskin tissue).

[0055] The ultrasonic generating device comprises an ultrasonic generator and an ultrasonic transducer, wherein the ultrasonic generator is driven and connected to the ultrasonic transducer, and the ultrasonic transducer is connected to a transmission device.

[0056] The transmission device is an ultrasonic transmission rod.

[0057] The ultrasonic generating device is connected to a control unit, and the ultrasonic generating device comprises a longitudinal ultrasonic driver and a transverse ultrasonic driver.

[0058] Compared with the current existing technology, the present invention is a revolutionary innovation in the field of circumcision, and has made comprehensive improvements in the following aspects:

[0059] (1) An ultrasonic generator is used to generate ultrasound and transmit it to the cut end of the foreskin through a transmission device. The friction heat caused by the mechanical vibration coagulates the foreskin blood vessels while cutting the foreskin. The hemostasis is completed in a few minutes and the foreskin begins to heal slowly.

[0060] (2) using an ultrasonic generator to generate ultrasound and transmitting it to the foreskin cutting end through a transmission device, so that the foreskin tissue cutting ring section is beautiful;

[0061] (3) Ultrasonic waves instantly vaporize the moisture in the foreskin tissue that is in contact with the circumcision device, forming a complete ring;

[0062] (4) The surgery does not require blades or scissors for cutting, which greatly alleviates the patient's fear and physical pain;

[0063] (5) After circumcision, the patient does not need to wear a nail or ring on the penis;

[0064] (6) After the operation is completed within a few minutes, the foreskin blood vessels have healed and there is no risk of bleeding during or after the operation;

[0065] (7) It changes the existing situation that patients need to wear a ring and nails for 7 days or even more than 10 days after circumcision, solves the problem of inconvenience in patients' lives, and solves the risk of nails and rings coming off due to strenuous activities or external forces;

[0066] (8) It solves the risk of bleeding or nail and ring removal caused by physiological erection after circumcision;

[0067] (9) With the ultrasonic circumcision surgery of the present invention, the healed surface of the foreskin cut is smooth and natural, and the original elasticity is maintained;

[0068] (10) The ultrasonic circumcision surgery of the present invention can be completed in just a few seconds;

[0069] (11) The ultrasonic circumcision surgery of the present invention heals on the spot, avoiding bleeding during and after the surgery and the occurrence of infectious diseases;

[0070] (12) It avoids the formation of eschar and smoke during laser surgery, and the annular cut surface heals smoothly.

[0071] The inventors have creatively solved many problems that have existed in this field for many years, and their technical effects have achieved breakthrough progress compared with various existing technologies. In order to continue research and improvement in this research direction and to avoid malicious infringement and imitation, all possible variants are initially protected through this first batch of patent layouts, and protection will continue to be applied for through subsequent patent layouts in subsequent research. BRIEF DESCRIPTION OF THE DRAWINGS

[0072] Figure 1 Schematic diagram of ultrasound generation and transmission device

[0073] Figure 2 Schematic diagram of the first form of the outer ring

[0074] Figure 3 Schematic diagram of the first form of the inner ring

[0075] Figure 4 Schematic diagram of the top view of the inner ring

[0076] Figure 5 Schematic diagram of the second form of the outer ring

[0077] Figure 6 Schematic diagram of the second form of the inner ring

[0078] Figure 7 Schematic diagram of the outer rubber ring of the inner ring

[0079] Figure 8 A front view of a circumcision device in an inverted ultrasonic foreskin squeezing, cutting, hemostasis and healing assembly of the present invention

[0080] Fig. 9 for Figure 8 Sectional view

[0081] Fig.10 for Fig. 9 A partial enlarged view of

[0082] Fig.11 for Figure 8 Front view of the positioning cylinder in the circumcision device

[0083] Fig.12 A front view of another inverted ultrasonic foreskin squeezing, cutting, hemostasis and healing assembly of the present invention

[0084] Fig.13 for Fig.12 Front view of the positioning cylinder in the circumcision device

[0085] Fig.14 A front view of a circumcision device in an external eversion ultrasonic foreskin squeezing, cutting, hemostasis and healing assembly of the present invention

[0086] Fig.15 for Fig.14 Sectional view

[0087] Fig.16 for Fig.15 A partial enlarged view of

[0088] Fig.17 for Figure 8 Front view of the positioning cylinder in the circumcision device

[0089] Fig.18 A front view of a circumcision device in an inverted ultrasonic foreskin squeezing, cutting, hemostasis and healing assembly of the present invention

[0090] Fig.19 Schematic diagram of the explosion of a circumcision device in an inversion type ultrasonic foreskin squeezing, cutting, hemostasis and healing assembly of the present invention

[0091] Fig. 20 A top view of a circumcision device in an inverted ultrasonic foreskin squeezing, cutting, hemostasis and healing assembly of the present invention

[0092] Fig.21 for Fig. 20 FF cross-sectional view

[0093] Fig. 22 for Fig.21 A partial enlarged view of

[0094] Fig.23 A partial enlarged schematic diagram of another inverted ultrasonic foreskin squeezing, cutting, hemostasis and healing assembly of the present invention

[0095] Fig.24A partially enlarged schematic diagram of a circumcision device in an eversion-type ultrasonic foreskin squeezing, cutting, hemostasis and healing assembly of the present invention

[0096] In the figure: Z. Ultrasonic generating device, 1. Ultrasonic generator, 2. Transducer, 3. Transmission device (main body), 4. Transmission device (front), 5. Fixing device (external thread), 6. Ring 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. Air permeable channel, 23. Main frame, 24. Cutting device, 25. Second annular contact surface, 26. Driving device, 27. Upper cover, 28. Lower cover, 29. Locking ring, 30. First protective film, 31. Front support sleeve, 32. Rear support sleeve, 33. Transition sleeve, 34. Annular knife, 35. Pressure rod, 36. Connecting rod, 37. Annular knife support, 38. Annular extruder, 39. Tightening piece, 40. Connecting sleeve, 41. Protective sleeve DETAILED DESCRIPTION

[0097] The present invention is described in detail below with reference to the accompanying drawings, which is a preferred embodiment of the various implementation modes of the present invention.

[0098] See also Figure 1 In this preferred embodiment, the ultrasonic generating device Z includes an ultrasonic generator 1 and a transducer 2. The ultrasonic generator 1 is connected to the transducer 2 via a connecting device or a connecting cable 8. The ultrasonic generating device Z is connected to the circumcision device via a transmission device. The transmission device includes a transmission device body 3 and a front part 4 of the transmission device. The end of the front part 4 of the transmission device is provided with an external thread 5 of a fixing device. An annular storage device 6 is provided on one side / both sides or the circumference of the front part 4 of the transmission device. The annular storage device 6 is provided with a closable opening 7 at one end close to the circumcision device.

[0099] The ultrasonic foreskin squeezing, cutting, hemostasis and healing component applies ultrasound to the foreskin squeezing, cutting, hemostasis and healing at the junction of the internal and external tissues of the human body's extremities, and includes an ultrasonic generator Z, transmission devices 3, 4 and a circumcision device. The ultrasonic generator Z is used to generate ultrasonic waves, which is connected to the transmission devices 3, 4 and can transmit ultrasonic waves to the transmission devices 3, 4; the transmission devices 3, 4 are 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 surface.

[0100] The foreskin fixing end is connected to the transmission device 3, 4, and / or the extrusion 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 cuts the foreskin, and / or stops bleeding and / or heals the wound surface. The transmission device 3, 4 is fixedly connected to the foreskin fixing end and / or the extrusion or cutting or hemostasis or healing end by internal and external threads 5, 10, or buckles.

[0101] The foreskin fixing end and the squeezing or cutting or hemostatic or healing end respectively cooperate with the inner plate and the outer plate of the foreskin to clamp the foreskin, and the clamping degree is 9%-87% of the thickness of the foreskin in its natural state.

[0102] The foreskin fixing end 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 force is 0.02-3.5N / mm.

[0103] It also includes a water mist generating device (annular storage device 6, closable opening 7), which is 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 device is separately arranged relative to the ultrasonic generating device Z, the transmission device 3, 4 and the circumcision device; and / or, the water mist generating device is partially or completely integrated on the ultrasonic generating device Z, the transmission device 3, 4 or the circumcision device.

[0104] The device also includes a protective device for protecting the penis, glans penis and / or the foreskin to be retained before, during and / or after circumcision. The protective device is a protective structure 18 disposed on the circumcision device and contacting the penis, glans penis and / or the foreskin to be retained.

[0105] The ultrasonic generating device comprises an ultrasonic generator 1 and an ultrasonic transducer 2 . The ultrasonic generator 1 is driven and connected to the ultrasonic transducer 2 , and the ultrasonic transducer 2 is connected to transmission devices 3 , 4 .

[0106] See also Figure 2 In this preferred embodiment, the outer ring 11 of the circumcision device has an opening, which can be closed by the locking bolt 12 and the locking screw hole 13. The outer ring 11 is provided with a fixing device 9, and the fixing device 9 is provided with an internal thread 10. The internal thread 10 and the external thread 5 can be threadedly matched and fixed, and the inner side of the outer ring 11 is provided with an anti-stick coating 16.

[0107] The circumcision device includes a first end and a second end, the first end is a foreskin fixing end, and the second end is a squeezing or cutting or hemostatic or healing end, the foreskin fixing end and the squeezing or cutting or hemostatic or healing end cooperate with each other to squeeze and / or cut the foreskin, and / or, stop bleeding and / or heal the wound surface. The foreskin fixing end and the squeezing or cutting or hemostatic or healing end cooperate in such a way that the foreskin fixing end is used to be placed on the inner plate or outer plate of the foreskin, and the squeezing or cutting or hemostatic or healing end is used to be placed on the outer plate or inner plate of the foreskin at a position corresponding to the foreskin fixing end. The foreskin fixing end and the squeezing or cutting or hemostatic or healing end cooperate with the inner plate and outer plate of the foreskin to clamp the foreskin, and are used to squeeze and / or cut the foreskin, and / or, stop bleeding and / or heal the wound surface. The foreskin fixing end has a first annular contact surface, and the extrusion or cutting or hemostasis or healing end has a second annular contact surface, and the first annular contact surface cooperates with the second annular contact surface so that the foreskin is placed between the two contact surfaces. Both the first annular contact surface and the second annular contact surface are closed circular contact surfaces.

[0108] The foreskin fixing end is the first ring, and the squeezing or cutting or hemostasis 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, and 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.

[0109] See also 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 this preferred embodiment, it is a form of the inner ring 14, whose width is substantially the same as that of the outer ring 11 and can be clamped with the outer ring. Figure 4 The outer ring of the inner ring 14 is provided with a rubber ring / anti-stick coating 17, and the inner ring is provided with a protective structure 18.

[0110] See also Figure 7 , which is a rubber ring or anti-stick coating 17 provided on the inner and outer rings.

[0111] See also Figure 5 In this preferred embodiment, the outer ring 11 of the circumcision device has an opening, which can be closed by a locking buckle 15. The outer ring 11 is provided with a fixing device 9, and the fixing device 9 is provided with an internal thread 10. The internal thread 10 and the external thread 5 can be threadedly matched and fixedly connected. The inner side of the outer ring 11 is provided with an anti-stick coating 16.

[0112] During circumcision surgery, the following steps may be taken:

[0113] 1. When the penis is not erect, use a soft ruler to measure the circumference of the penis 1 cm below the glans to determine the specifications and models of the circumcision device; use a sterilized cotton ball to fully wipe the inner and outer skin of the penis, lay the surgical drape, and select the corresponding circumcision device model;

[0114] 2. For adults, use 3-5 ml of 2% lidocaine anesthetic each time; for children, use 2-3 ml of 2% lidocaine anesthetic each time, and inject it in a circular manner from the glans to 1 / 3 of the base of the penis;

[0115] 3. After anesthesia, use a rubber band to tie the base of the penis to temporarily block blood circulation;

[0116] 4. Place the inner ring on the foreskin of the glans penis and adjust the position of the inner ring;

[0117] 5. Clamp the edge of the foreskin with a vascular clamp, turn the foreskin outward to cover the inner ring, and leave 1 cm of the frenulum;

[0118] 6. Check whether the inner and outer panels are flat;

[0119] 7. Tighten the external thread end of the ultrasonic transmission device and the internal thread on the outer ring fixing device, start the ultrasonic generating device and perform a pre-operative ultrasonic generating device position test in a water tank, and then turn off the ultrasonic generating device after the test;

[0120] 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 the closed outer ring through the joint of the outer ring and initially fasten it with the locking device; after adjusting the foreskin to your satisfaction, completely fasten it with the locking device;

[0121] 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 to the circumcision site;

[0122] 10. After the cutting time (usually 3-9 seconds) is continued according to the actual foreskin condition, the cutting is completed. The side (blunt side) of the circumcision device in contact with the wound is used for coagulation at a low frequency until hemostasis is completed and initial healing is achieved.

[0123] 11. Remove the outer ring;

[0124] 12. Slowly withdraw the inner ring to the base of the penis;

[0125] 13. Use pointed scissors to cut the inner ring into two sections and remove the inner ring to complete the operation.

[0126] Or preferably adopt the following optional steps:

[0127] 1. Insert the inner ring between the glans penis and the inner layer of the foreskin and position it roughly according to the circumcision length;

[0128] 2. Tighten the external thread end of the ultrasonic transmission device and the internal thread on the outer ring fixing device, start the ultrasonic generating device and perform a pre-operative ultrasonic generating device position test in a water tank, and then turn off the ultrasonic generating device after the test;

[0129] 3. Close the outer ring after aligning the outer ring with the inner ring from the outer plate of the foreskin: guide the closed outer ring through the joint of the outer ring and use the locking device to initially buckle it; after adjusting the foreskin to a satisfactory level, use the locking device to completely buckle it;

[0130] 9. Start the ultrasonic generator and use the high-frequency cutting gear to cut the foreskin;

[0131] 10. After the cutting time is continued according to the actual foreskin condition, the cutting is completed. The side (blunt side) of the circumcision device in contact with the wound is used. The low-frequency coagulation gear is used for coagulation until the hemostasis is completed and the wound is initially healed.

[0132] 11. Remove the outer ring;

[0133] 12. Remove the inner ring and complete the operation.

[0134] According to one embodiment of the present invention, there is provided an ultrasonic foreskin squeezing, cutting, hemostasis and healing component, comprising an ultrasonic generator, a transmission device and a circumcision device, wherein the ultrasonic generator is used to generate ultrasonic waves, 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 cut the foreskin, and / or, to stop bleeding and / or heal the wound surface.

[0135] The circumcision device in this embodiment includes: a positioning cylinder, which is configured so that the glans penis is partially inserted into the positioning cylinder, and the positioning cylinder may be provided with at least one air permeable channel; a flange is radially protruded outward at the distal end of the positioning cylinder to form a flange; a first annular contact surface is formed on the surface of the flange facing the proximal end, and the excessively long foreskin is supported on the first annular contact surface after crossing the flange. In the above-mentioned positioning cylinder, the angle between the first annular contact surface and the axis of the positioning cylinder can be a right angle or an acute angle. The angle range of the acute angle can be 20-70 degrees. In the above-mentioned positioning cylinder, the air permeable channel includes a groove extending in the axial direction outside the positioning cylinder. The groove keeps the internal space connected to the outside. Thereby, the pressure in the internal space is roughly balanced with the external pressure. In an alternative embodiment, the air permeable 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, elliptical, triangular, quadrilateral and other geometric structures.

[0136] The circumcision device in this embodiment further comprises: a main frame, in which the positioning cylinder is mounted; and a cutting device mounted on the main frame and comprising a second annular contact surface. The cutting 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 therebetween.

[0137] According to another embodiment of the present invention, there is provided an ultrasonic foreskin squeezing, cutting, hemostasis and healing component, comprising an ultrasonic generator, a transmission device and a circumcision device, wherein the ultrasonic generator is used to generate ultrasonic waves, 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 cut the foreskin, and / or, to stop bleeding and / or heal the wound surface.

[0138] The circumcision device in this embodiment includes: a positioning cylinder, which is configured to be sleeved on the glans penis, and a first annular contact surface, which is arranged at the proximal end of the positioning cylinder and is used to support the excessively long foreskin on the positioning cylinder. In the above-mentioned positioning cylinder, the angle between the first annular contact surface and the axis of the positioning cylinder can be a right angle or an acute angle. The angle range of the acute angle can be 20-70 degrees. The above-mentioned positioning cylinder also includes a clamping belt, which is arranged on the periphery of the positioning cylinder to clamp the foreskin that passes over the first annular contact surface to the outside of the positioning cylinder. The clamping belt is provided with a plurality of ratchets that allow the clamping belt to clamp in one direction.

[0139] The circumcision device in this embodiment further comprises: a main frame, in which the positioning cylinder is mounted; and a cutting device mounted on the main frame and comprising a second annular contact surface. The cutting 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 therebetween.

[0140] More preferably, according to one embodiment of the present invention, there is provided an inversion type ultrasonic foreskin squeezing, cutting, hemostasis and healing component, comprising an ultrasonic generator, a transmission device and a circumcision device, wherein the ultrasonic generator is used to generate ultrasonic waves, 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 cut the foreskin, and / or, to stop bleeding and / or heal the wound surface.

[0141] For ease of understanding, in this embodiment, the end of the circumcision device and its various components close to the human body (e.g. Figure 8 The right end of the circumcision device is called the distal end, and the end of the circumcision device and its components away from the human body or close to the end of the operation staff (for example Figure 8 The left end of the ) is called the proximal end.

[0142] Reference Figure 8-13 The circumcision device in this embodiment includes: a positioning cylinder 19, which is configured to allow the glans penis to be partially inserted into the positioning cylinder; a flange 20 is radially protruded outward at the distal end of the positioning cylinder; a first annular contact surface 21 is formed on the surface of the flange facing the proximal end, and the excessively long foreskin is supported on the first annular contact surface 21 after crossing the flange 20, forming a structure 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-mentioned positioning cylinder, the angle between the first annular contact surface 21 and the axis of the positioning cylinder 19 can be a right angle or an acute angle. Refer to the attached Figure 12-13 , the angle range of the acute angle can be 20-70 degrees, so as to match the shape of the coronal sulcus of the glans penis, which is convenient for more precise positioning. At least one air permeable channel 22 may be provided in the above-mentioned positioning cylinder, and the air permeable channel 22 includes a groove extending in the axial direction on the outside of the positioning cylinder. The groove keeps the internal space connected with the outside. Thereby, the pressure in the internal space is roughly balanced with the external pressure. In an alternative embodiment, the air permeable channel can also be a plurality of through holes formed on the positioning cylinder and penetrating the wall thickness of the positioning cylinder. See attached Fig.11 , for example, circle, ellipse, triangle, quadrilateral and other geometric structures or irregular shapes.

[0143] The circumcision device in this embodiment also includes: a main frame 23, in which the positioning cylinder 19 is installed; and a cutting device 24, which is installed on the main 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, stop bleeding, and heal the foreskin therebetween. The driving device can be a depressible handle set on the main frame, which relies on external force to push down to push the cutting device to move in the main frame, and resets by the rebound force of the spring after the operation is completed.

[0144] refer to Fig. 9 , 11, the positioning cylinder 19 in this embodiment can extend a positioning connecting rod from the proximal end, and is positioned and connected to the main frame through the positioning connecting rod.

[0145] The ultrasonic generator in this embodiment includes an ultrasonic generator 1 and a transducer 2. The generated ultrasonic wave is transmitted to the circumcision device through the transmission device body 3 and the transmission device front part 4. The transmission device front part can be connected to the positioning cylinder 19 and / or the cutting device 24 of the circumcision device through the fixing device 5, so as to transmit the ultrasonic wave to the first annular contact surface 21 and / or the second annular contact surface 25. The fixing device 5 can be connected by internal and external threads, or can be designed to be connected by a snap-fit ​​device.

[0146] In order to prevent adhesion between the foreskin and the circumcision device during surgery, which would result in re-tearing of the wound, the parts of the positioning cylinder and the cutting device that are in contact with the foreskin are provided with an anti-stick coating 16 (not shown in the figure). Preferably, an anti-stick coating 16 is provided inside the cylinder and on the flange of the positioning cylinder and on the second annular contact surface of the cutting device.

[0147] In order to avoid the generation of smoke and odor when using ultrasound for circumcision, which affects the visual field and the surgical environment, the circumcision device of the present invention is also provided with a water mist generating device, as shown in the attached Fig.10 The water mist generating device may include an annular storage device 6 arranged on the main frame and located at the outer periphery or inner periphery of the cutting device, and a closable opening 7 (not shown in the figure) provided on the side of the annular storage device 6 facing the first annular contact surface 21. The annular storage device 6 may store liquids such as water, alcohol, disinfectants, etc., which are sprayed from the closable opening by squeezing, pushing or ultrasonic vibration, so as to form a water mist environment near the first annular contact surface 21 before, during and / or after circumcision.

[0148] According to another embodiment of the present invention, there is provided an externally-turned ultrasonic foreskin squeezing, cutting, hemostasis and healing component, comprising an ultrasonic generator, a transmission device and a circumcision device, wherein the ultrasonic generator is used to generate ultrasonic waves, 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 cut the foreskin, and / or, to stop bleeding and / or heal the wound surface.

[0149] For ease of understanding, in this embodiment, the end of the circumcision device and its various components close to the human body (e.g. Fig.14 The right end of the circumcision device is called the distal end, and the end of the circumcision device and its components away from the human body or close to the end of the operation staff (for example Fig.14 The left end of the ) is called the proximal end.

[0150] The circumcision device in this embodiment includes: a positioning cylinder 19, which is configured to be sleeved on the glans penis, and a first annular contact surface 21, which is arranged at the proximal end of the positioning cylinder, and is used to turn up the excessively long foreskin and support it on the proximal end of the positioning cylinder after the glans penis passes through the positioning cylinder from the distal end to the proximal end. The structure in which the positioning cylinder is located outside the outer plate of the foreskin is called an external eversion structure.

[0151] In the above positioning cylinder, the angle between the first annular contact surface and the axis of the positioning cylinder can be a right angle or an acute angle. The angle range of the acute angle can be 20-70 degrees. Thus, it matches the shape of the coronal sulcus of the glans penis, facilitating more accurate positioning.

[0152] The positioning cylinder may further include a clamping belt (not shown in the figure), which is arranged at the periphery of the positioning cylinder to clamp the foreskin that passes over the first annular contact surface to the outside of the positioning cylinder. The clamping belt is provided with a plurality of ratchets (not shown in the figure) that allow the clamping belt to clamp in one direction.

[0153] The circumcision device in this embodiment also includes: a main frame 23, in which the positioning cylinder is installed; and a cutting device 24, which is installed on the main frame and includes a second annular contact surface 25. The cutting device 24 can be configured to be driven by a 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 therebetween. The driving device can be a depressible handle set on the main frame, which is pressed down by external force to push the cutting device to move in the main frame, and reset by the rebound force of the spring after the operation is completed.

[0154] refer to Fig.15 , 16, In this embodiment, the positioning cylinder can be fixed to the main frame through the matching structure of the upper cover 27, the lower cover 28 and the locking ring 29. The closing of the distal end of the upper cover supports the distal end of the positioning cylinder, the proximal outer side of the upper cover is provided with an external thread, the distal outer side of the lower cover is also provided with an external thread, and the inner side of the locking ring is provided with an internal thread, and the three are fixed by threaded connection.

[0155] The ultrasonic generator in this embodiment includes an ultrasonic generator 1 and a transducer 2. The generated ultrasonic wave is transmitted to the circumcision device through the transmission device body 3 and the transmission device front part 4. The transmission device front part can be connected to the positioning cylinder 19 and / or the cutting device 24 of the circumcision device through the fixing device 5, thereby transmitting the ultrasonic wave to the first annular contact surface 21 and / or the second annular contact surface 25. The fixing device 5 can be connected by internal and external threads, or can be designed to be connected by a snap-fit ​​device.

[0156] In order to prevent adhesion between the foreskin and the circumcision device during surgery, which would lead to re-tearing of the wound, the parts of the positioning cylinder and the cutting device that are in contact with the foreskin are provided with an anti-stick coating 16 (not shown in the figure). Preferably, the anti-stick coating 16 is provided on the first annular contact surface of the positioning cylinder and the second annular contact surface of the cutting device.

[0157] In order to avoid the generation of smoke and odor when using ultrasound for circumcision, which affects the visual field and the surgical environment, the circumcision device of the present invention is also provided with a water mist generating device, as shown in the attached Fig.13 The water mist generating device may include an annular storage device 6 arranged on the main frame and located at the outer periphery or inner periphery of the cutting device, and a closable opening 7 (not shown in the figure) provided on the side of the annular storage device 6 facing the first annular contact surface 21. The annular storage device 6 may store liquids such as water, alcohol, disinfectants, etc., which are sprayed from the closable opening by squeezing, pushing or ultrasonic vibration, so as to form a water mist environment near the first annular contact surface 21 before, during and / or after circumcision.

[0158] According to another embodiment of the present invention, there is provided an inverted ultrasonic foreskin squeezing, cutting, hemostasis and healing component, comprising an ultrasonic generator, a transmission device and a circumcision device, wherein the ultrasonic generator is used to generate ultrasonic waves, 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 cut the foreskin, and / or, to stop bleeding and / or heal the wound surface.

[0159] For ease of understanding, in this embodiment, the end of the circumcision device and its various components close to the human body (e.g. Fig.14 The right end of the circumcision device is called the distal end, and the end of the circumcision device and its components away from the human body or close to the end of the operation staff (for example Fig.14 The left end of the ) is called the proximal end.

[0160] Reference Figure 18-23The circumcision device in this embodiment includes: a positioning cylinder 19, which is configured to allow the glans penis to be partially inserted into the positioning cylinder; a flange 20 is radially protruded outward at the distal end of the positioning cylinder; a first annular contact surface 21 is formed on the surface of the flange facing the proximal end, and the first annular contact surface 21 is covered with an annular first protective film 30. After the excessively long foreskin crosses the flange 20, it is supported on the first protective film 30 on the first annular contact surface 21, forming a structure 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-mentioned positioning cylinder, the angle between the first annular contact surface 21 and the axis of the positioning cylinder 19 can be a right angle or an acute angle. Refer to the attached Fig.23 The acute angle may be in the range of 20-70 degrees, so as to match the shape of the coronal sulcus of the glans penis, and facilitate more accurate positioning. The positioning cylinder may be provided with at least one air-permeable channel 22, which is a plurality of through holes formed on the positioning cylinder and penetrating the wall thickness of the positioning cylinder. Figure 21-22 , for example, circle, ellipse, triangle, quadrilateral and other geometric structures or irregular shapes.

[0161] The circumcision device in this embodiment also includes a main frame, as shown in the attached Fig.21 The main frame includes a front support sleeve 31, a rear support sleeve 32 and a transition sleeve 33, and the positioning cylinder 19 is installed in the rear support sleeve 32 of the main frame through a tightening member 39; and a cutting device, the cutting device includes an annular knife 34 and an annular knife support frame 37, and a second annular contact surface 25 formed by the end surface of the annular knife. The annular knife 34 and the annular knife support frame 37 are fixedly connected and installed on the outside of the positioning cylinder and the inside of the front support sleeve 31 of the main frame. The cutting device is configured to be driven by a driving device to move toward the positioning cylinder 19 until the second annular contact surface 25 contacts the first annular protective film 30 on the first annular contact surface 21, and the foreskin therebetween is squeezed, cut, hemostatic, and healed. The driving device includes a pressable pressure rod 35 arranged on the main frame, one end of which is movably connected to the front support sleeve 31 through a pin, the middle part is connected to one end of the connecting rod 36 through a pin, and the other end of the connecting rod 36 is movably connected to the rear support sleeve 32 through a pin. The resection device is pushed downward by external force to overcome the elastic force of the spring and move in the main frame, and is reset by the rebound force of the spring after the operation is completed.

[0162] The ultrasonic generating device in this embodiment transmits the ultrasonic wave generated by the ultrasonic generator 1 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 be connected to the positioning cylinder 19 and / or the cutting device 24 of the circumcision device through the transducer 2, thereby transmitting the ultrasonic wave to the first annular contact surface 21 and / or the second annular contact surface 25.

[0163] In order to avoid the generation of smoke and odor when using ultrasound for circumcision, which affects the visual field and the surgical environment, the circumcision device of the present invention is also provided with a water mist generating device, as shown in the attached Figure 21-23 The water mist generating device may include an annular storage device 6 disposed on the front support sleeve 31 and located at the outer periphery of the annular knife 34, and a closable opening 7 (not shown in the figure) disposed on the side of the storage device facing the first annular contact surface 21. The storage device may store liquids such as water, alcohol, and disinfectants. At the same time, an actuating mechanism, such as an annular squeezer 38, is also constructed on the annular knife support frame 37. The annular squeezer 38 is configured so that when an external force is used to press the pressing rod 35 to push the cutting device to move toward the positioning cylinder in the main frame, before the second annular contact surface 25 on the annular knife contacts the annular first protective film 30 on the first annular contact surface 21, the annular squeezer 38 first contacts and squeezes the annular storage device 6, so that the liquids such as water, alcohol, or disinfectants in the storage device are sprayed out from the closable opening 7 to form water mist.

[0164] According to another embodiment of the present invention, there is provided an externally-turned ultrasonic foreskin squeezing, cutting, hemostasis and healing component, comprising an ultrasonic generator, a transmission device and a circumcision device, wherein the ultrasonic generator is used to generate ultrasonic waves, 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 cut the foreskin, and / or, to stop bleeding and / or heal the wound surface.

[0165] For ease of understanding, in this embodiment, the end of the circumcision device and its various components close to the human body (e.g. Fig.24 The right end of the circumcision device is called the distal end, and the end of the circumcision device and its components away from the human body or close to the end of the operation staff (for example Fig.24 The left end of the ) is called the proximal end.

[0166] Reference Fig.21 , 2324. The circumcision device in this embodiment includes: a positioning cylinder 19, which is configured to be sleeved on the glans penis, and a first annular contact surface 21, which is arranged at the proximal end of the positioning cylinder. The first annular contact surface 21 is covered with an annular first protective film 30, which is used to turn up the excessively long foreskin and support it on the proximal end of the positioning cylinder after the glans penis passes through the positioning cylinder from the distal end to the proximal end. The structure in which the positioning cylinder is located outside the outer plate of the foreskin as a whole is called an eversion structure. In the above-mentioned positioning cylinder, the angle between the first annular contact surface and the axis of the positioning cylinder can be a right angle or an acute angle. The angle range of the acute angle can be 20-70 degrees. Thereby matching the shape of the coronal sulcus of the glans penis, it is convenient for more accurate positioning.

[0167] The above-mentioned circumcision device also includes a protective sleeve 41, which is configured to allow the glans penis to be partially inserted into the protective sleeve to position and protect it; in the above-mentioned protective sleeve, the angle between the end surface that the remaining glans penis contacts and the axis of the protective sleeve can be a right angle or an acute angle. The angle range of the acute angle can be 20-70 degrees. Thereby matching the shape of the coronal sulcus of the glans penis, it is convenient for more precise positioning. At least one air permeable channel 22 can be provided on the protective sleeve, and the air permeable channel 22 is a plurality of through holes formed on the positioning cylinder and penetrating the wall thickness of the positioning cylinder, refer to the attached Figure 21-22 , for example, circle, ellipse, triangle, quadrilateral and other geometric structures or irregular shapes.

[0168] The circumcision device in this embodiment also includes: a main frame 23, in which the positioning cylinder is installed by a tightening member 39; and a cutting device 24, which is installed on the main frame and includes a second annular contact surface 25. The cutting device 24 can be configured to be driven by a 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 therebetween. The driving device can be a depressible handle set on the main frame, which is pressed down by an external force to push the cutting device to move in the main frame, and reset by the rebound force of the spring after the operation is completed.

[0169] refer to Fig.21 , 24, in this embodiment, the positioning cylinder can be fixed together with the front support sleeve 31 through the connecting sleeve 40. The proximal outer side of the positioning cylinder is provided with an external thread, the distal outer side of the front support sleeve is also provided with an external thread, and the inner side of the connecting sleeve is provided with an internal thread, and the three are fixed by threaded connection.

[0170] The main frame of the circumcision device in this embodiment is shown in the attached Fig.17The main frame includes a front support sleeve 31, a rear support sleeve 32 and a transition sleeve 33, and the positioning cylinder 19 is installed in the rear support sleeve 32 of the main frame; and a cutting device, the cutting device includes an annular knife 34 and an annular knife support frame 37, and a second annular contact surface 25 formed by the end surface of the annular knife. The annular knife 34 and the annular knife support frame 37 are fixedly connected and installed on the outside of the positioning cylinder and the inside of the front support sleeve 31 of the main frame. The cutting device is configured to be driven by a driving device to move toward the positioning cylinder 19 until the second annular contact surface 25 contacts the first annular protective film 30 on the first annular contact surface 21, and the foreskin therebetween is squeezed, cut, hemostatic, and healed. The driving device includes a pressable pressure rod 35 arranged on the main frame, one end of which is movably connected to the front support sleeve 31 through a pin, the middle part is connected to one end of the connecting rod 36 through a pin, and the other end of the connecting rod 36 is movably connected to the rear support sleeve 32 through a pin. The resection device is pushed downward by external force to overcome the elastic force of the spring and move in the main frame, and is reset by the rebound force of the spring after the operation is completed.

[0171] The ultrasonic generating device in this embodiment transmits the ultrasonic wave generated by the ultrasonic generator 1 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 be connected to the positioning cylinder 19 and / or the cutting device 24 of the circumcision device through the transducer 2, thereby transmitting the ultrasonic wave to the first annular contact surface 21 and / or the second annular contact surface 25.

[0172] In order to avoid the generation of smoke and odor when using ultrasound for circumcision, which affects the visual field and the surgical environment, the circumcision device of the present invention is also provided with a water mist generating device, as shown in the attached Fig.21 The water mist generating device may include an annular storage device 6 disposed on the front support sleeve 31 and located at the outer periphery of the annular knife 34, and a closable opening 7 (not shown in the figure) disposed on the side of the storage device facing the first annular contact surface 21. The storage device may store liquids such as water, alcohol, and disinfectants. At the same time, an actuating mechanism, such as an annular squeezer 38, is also constructed on the annular knife support frame 37. The annular squeezer 38 is configured so that when an external force is used to press the pressing rod 35 to push the cutting device to move toward the positioning cylinder in the main frame, before the second annular contact surface 25 on the annular knife contacts the annular first protective film 30 on the first annular contact surface 21, the annular squeezer 38 first contacts and squeezes the annular storage device 6, so that the liquids such as water, alcohol, or disinfectants in the storage device are sprayed out from the closable opening 7 to form water mist.

[0173] In the experiment, the corresponding effect can be achieved by using an ordinary humidifier or dipping in water. However, in clinical practice, a specially designed adjustable water mist generating device can achieve better results. The above structure has been applied for separately and will not be described here.

[0174] The present invention is described above by way of example in conjunction with the accompanying drawings. It is obvious that the specific implementation of the present invention is not limited to the above-mentioned method. As long as various improvements are made using the method concept and technical solution of the present invention, or are directly applied to other occasions without improvement, they are all within the protection scope of the present invention.

Claims

1. An ultrasonic circumcision surgery device, characterized in that: It comprises an ultrasonic generator, a transmission device, a circumcision device and a water mist / powder generator, wherein the ultrasonic generator is used to generate ultrasonic waves, 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 ultrasound waves to the circumcision device; The circumcision device comprises a positioning cylinder and a cutting device; The positioning cylinder and the cutting device respectively have a first annular contact surface and a second annular contact surface, which cooperate with each other; The water mist / powder generating device is used to apply liquid, and / or mist, and / or powder to the circumcision device and / or the site of action of the circumcision device before the circumcision device is actuated, when the circumcision device is actuated, and / or after the circumcision device is actuated; the positioning cylinder is configured to be sleeved on the glans penis, and 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 after being everted; The circumcision device also includes a main frame, a positioning cylinder and a cutting device are installed on the main frame together, and the cutting device is configured to be manually driven and / or electrically 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 therebetween; The water mist / powder generating device is fully integrated and arranged on the circumcision device, including a storage device and an application device; the storage device is arranged on the main frame, and is an annular storage device or an arc-shaped storage device, which is arranged on the periphery of the cutting device and is used to store liquid and / or powder; the application device is a plurality of outlets, which can be opened and closed, and is arranged on the annular end surface of one end of the storage device close to the first annular contact surface, and is used to apply the liquid and / or powder stored in the storage device to the acting part of the circumcision device; The cutting device includes an annular squeezer and an annular cutter, which are installed on the main frame and are configured so that when the annular squeezer moves toward the positioning cylinder, the annular squeezer squeezes and / or pushes the storage device so that the liquid and / or powder stored in it is applied to the part where the circumcision device acts, and then the second annular contact surface on the annular cutter interacts with the first annular contact surface of the positioning cylinder to squeeze, cut and stop bleeding the foreskin therebetween.

2. The ultrasonic circumcision surgery device according to claim 1, characterized in that: The angle between the first annular contact surface and the axis of the positioning cylinder is a right angle or an acute angle, and the first annular contact surface is covered with an annular first protective film.

3. The ultrasonic circumcision surgery device according to claim 1, characterized in that It also includes an operating part, which is connected to the circumcision device and is used to operate the circumcision device, or the circumcision device includes the operating part, which is used to operate other structures of the circumcision device.

4. The ultrasonic circumcision surgery device according to claim 3, characterized in that The operating part includes a pressure rod connected to the main frame, a connecting rod and a spring arranged in the main frame and in contact with the cutting device. The operator manually presses down the pressure rod, and the connecting rod transmits the compression spring, thereby using the elastic force of the spring to drive the cutting device to move toward the positioning cylinder.

5. The ultrasonic circumcision surgery device according to any one of claims 1 to 4, characterized in that: The ultrasonic generating device includes an ultrasonic generator and a transducer, which are integrally connected to each other or detachably connected via a first fixing device. The transducer is separately arranged relative to the transmission device and the circumcision device, or is integrated on the circumcision device. The transducer is integrally connected to the cutting device and / or the positioning cylinder via the transmission device, or is detachably connected to the cutting device and / or the positioning cylinder via a second fixing device.

6. The ultrasonic circumcision surgery device according to any one of claims 1 to 4, characterized in that: Also included is a protective device for protecting the glans penis and / or the foreskin that needs to be retained before, during and / or after circumcision.

7. The ultrasonic circumcision surgery device according to claim 6, characterized in that: The protective device is a ring-shaped structure with a reducible diameter, which is used to tighten the foreskin near the front of the glans; and / or, the protective device is a baffle built into the foreskin and in front of the glans; and / or, the protective device is an ultrasonic insulation structure and / or a vibration-damping and energy-dissipating structure arranged on the inner periphery of the positioning cylinder.

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