Ultrasonic circumcision assembly

Abstract

The present invention relates to an ultrasonic circumcision assembly, comprising an ultrasonic generator, a transmission device, a circumcision device and an operating unit, 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; wherein the operating unit is connected to the circumcision device and is used to operate the circumcision device, or the circumcision device includes the operating unit, and the operating unit is used to operate other structures of the circumcision device.

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 that uses elastic silk thread in combination with a 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 intervals. 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 may be uncertain, which may cause blood vessels to be punctured and blood vessels to be difficult to heal, leading to 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 assembly includes an ultrasonic generator, a transmission device, a circumcision device and an operating unit, 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; wherein the operating unit is connected to the circumcision device and is used to operate the circumcision device, or the circumcision device includes the operating unit, which is used to operate other structures of the circumcision device.

[0044] Furthermore, the circumcision device includes an inner ring and an outer ring, and the inner ring and the outer ring cooperate with each other; or other structures of the circumcision device include an inner ring and an outer ring, and the inner ring and the outer ring cooperate with each other.

[0045] Further, the operating part is detachably connected to the inner ring and / or the outer ring; or, the operating part is an integral structure with the inner ring and / or the outer ring or constitutes a part of the inner ring and / or the outer ring.

[0046] Furthermore, the inner ring is detachably connected to the transmission device or is integrally connected to the transmission device, and the operating portion is an integral structure with the outer ring or constitutes a part of the outer ring.

[0047] Furthermore, the operating part includes a handheld actuating part for an operator to hand-operate to perform the matching of the outer ring and the inner ring, and / or the circumcision process.

[0048] Furthermore, the operating part includes an operating end and a connecting end, the operating end is transmission-connected to the connecting end, the operating end is used for manual and / or mechanical operation, and the connecting end is used to be integrally or detachably connected to the outer ring to drive the outer ring to move and realize the opening and closing of the outer ring.

[0049] Furthermore, the inner ring and / or outer ring is integrally connected to the transmission device, or is detachably connected using a first fixing device, or the inner ring and outer ring are detachably connected to the transmission device using a first fixing device and a second fixing device respectively.

[0050] Furthermore, the plane where the ring shape of the inner ring and / or outer ring is located is on the same plane as the extension direction of the transmission device or is at a certain angle; and / or, the transmission device includes a first part and a second part, the first part is connected to the ultrasonic generating device, the second part is connected to the circumcision device, and the first part and the second part are detachably connected by a third fixing device.

[0051] Furthermore, it also includes a water mist generating device, which is used to spray liquid, mist and / or powder on the circumcision device and / or the circumcision site before, during and / or after circumcision.

[0052] Furthermore, it also includes a protective device, which is used to protect the glans penis and / or the foreskin that needs to be retained before, during and / or after circumcision.

[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 Cross-sectional view of a clamp-type ultrasonic single-vibration ring knife

[0090] Fig.19 Bottom view of the clamp-type ultrasonic single-vibration ring knife

[0091] Fig. 20 for Fig.18 A magnified view of part I of the clamp-type ultrasonic single-vibration ring knife

[0092] Fig.21 The first side view of the clamp-type ultrasonic single-vibration ring knife

[0093] Fig. 22 Top view of the clamp-type ultrasonic single-vibration ring knife

[0094] Fig.23 The second side view of the clamp-type ultrasonic single-vibration ring knife

[0095] Fig.24 A stereoscopic view of a clamp-type ultrasonic single-vibration ring knife

[0096] Fig.25 Top view of a clamp-type ultrasonic single vibrating ring knife

[0097] Fig.26 The first stereoscopic view of the clamp-type ultrasonic single-vibration ring knife

[0098] Fig. 27 The second stereoscopic view of the clamp-type ultrasonic single-vibration ring knife

[0099] Fig.28 The third stereoscopic view of the clamp-type ultrasonic single-vibration ring knife

[0100] Fig.29 Cross-sectional view of the clamp-type ultrasonic double-vibration ring knife

[0101] Fig.30 for Fig.29 A magnified view of part I of the clamp-type ultrasonic double-vibration ring knife

[0102] Fig.31 Top view of the forceps ultrasonic double vibrating ring knife

[0103] Fig.32 Top view of the clamp-type ultrasonic double-vibration ring knife

[0104] Fig.33 for Fig.32 Cross-sectional view of the clamp-type ultrasonic double-vibration ring knife FF

[0105] Fig.34 A stereoscopic view of a forceps-type ultrasonic double-vibration ring knife

[0106] Fig.35 Cross-sectional view of the direct vibration shear ring cutter system

[0107] Figure 36 (A / B / C) is Fig.35 Schematic diagram of partial replaceable method of straight vibration shear ring knife system IX (A-flat blade, B-triangular serrated blade, C-square serrated blade)

[0108] Figure 37 (A / B / C / D) is Fig.35 Schematic diagram of partial replaceable methods of direct vibration shear ring cutter system II-X (A-rigid connection vibration rod and outer ring cutter, B-threaded fasteners connecting vibration rod and outer ring cutter, C-hook fasteners connecting vibration rod and outer ring cutter, D-hook fasteners and threaded composite fasteners connecting vibration rod and outer ring cutter)

[0109] Fig.38 Top view of the straight shear ring system

[0110] Fig.39 Bottom view of the direct vibration shear ring system

[0111] Fig.40 Top view of the direct vibration shear ring cutter system

[0112] Fig.41 The first side view of the straight vibration shear ring cutter system

[0113] Fig.42 The second side view of the straight vibration shear ring system

[0114] Fig.43 The first stereoscopic view of the direct vibration shear ring cutter system

[0115] Fig.44 The second stereoscopic view of the straight vibration shear ring cutter system

[0116] Fig.45 Exploded view of ultrasonic vibration system with buckle / threaded connection between ultrasonic vibration rod and outer ring knife (with protection device / restraint protection belt)

[0117] Fig.46 Side cross-sectional view of an ultrasonic vibration system with a buckle / threaded connection between an ultrasonic vibration rod and an outer ring knife (with a protective device / restraint protection belt)

[0118] Fig.47Front cross-sectional view of an ultrasonic vibration system with a buckle / threaded connection between an ultrasonic vibration rod and an outer ring knife (with a protective device / restraint protection belt)

[0119] Figure 48 (A / B / C / D) is Fig.46 Schematic diagram of the replaceable connection modes of the ultrasonic vibration system II-X in which the ultrasonic vibrator and the outer ring knife (with a protective device / restraint protection belt) are connected by buckle / thread composite fasteners (A- buckle and thread composite fasteners connect the vibrator and the outer ring knife, B- rigid connection between the vibrator and the outer ring knife, C- threaded fasteners connect the vibrator and the outer ring knife, D- buckle fasteners connect the vibrator and the outer ring knife)

[0120] Fig.49 Schematic diagram of the ultrasonic vibration system cutter head with buckle / threaded connection between the ultrasonic vibration rod and the outer ring cutter (with a protective device / restraint protection belt)

[0121] Figure 50 (A / B / C) is Fig.49 Ultrasonic vibration rod and outer ring knife (with protective device / restraint protection belt) adopt buckle / threaded connection of ultrasonic vibration system IX Partial replaceable connection diagram (A-flat blade outer ring, B-triangular tooth outer ring, C-square tooth outer ring)

[0122] Fig.51 Top view of ultrasonic vibration system with buckle / threaded connection between ultrasonic vibration rod and outer ring knife (with protection device / restraint protection belt)

[0123] Fig.52 Bottom view of ultrasonic vibration system with buckle / threaded connection between ultrasonic vibration rod and outer ring knife (with protection device / restraint protection belt)

[0124] Fig.53 Side view of ultrasonic vibration system with buckle / threaded connection between ultrasonic vibration rod and outer ring knife (with protection device / restraint protection belt)

[0125] Fig.54 Top view of ultrasonic vibration system with buckle / threaded connection between ultrasonic vibration rod and outer ring knife (with protection device / restraint protection belt)

[0126] Fig.55 A stereoscopic diagram of an ultrasonic vibration system with a buckle / threaded connection between an ultrasonic vibration rod and an outer ring knife (with a protective device / restraint protection belt)

[0127] Fig.56 Ultrasonic vibration rod-outer ring cutter adopts threaded buckle composite connection ultrasonic vibration system exploded view

[0128] Fig.57 The ultrasonic vibration rod and the outer ring cutter are connected by a threaded buckle. The overall picture of the ultrasonic vibration system

[0129] Fig.58 The ultrasonic vibration system is a disassembled diagram of the ultrasonic vibration rod and the outer ring knife being vertically connected and rigidly or integrally connected.

[0130] Fig.59 A cross-sectional view of an ultrasonic vibration system in which the ultrasonic vibration rod and the outer ring knife are vertically connected and rigidly or integrally connected.

[0131] Fig.60 Schematic diagram of the ultrasonic vibration system cutter head with the ultrasonic vibration rod and the outer ring cutter vertically and rigidly or integrally connected

[0132] Figure 61 Fig.60 Schematic diagram of the replaceable methods of parts II-X (A-flat edge outer ring, B-triangular tooth outer ring, C-square tooth outer ring)

[0133] Figure 62 Fig.59 Schematic diagram of the replaceable modes of the circle portion pointed to by I (A-rigid connection of the vibrating rod and the outer ring knife, B-threaded fasteners connecting the vibrating rod and the outer ring knife, C-hook-on fasteners connecting the vibrating rod and the outer ring knife, D-hook-on, threaded composite fasteners connecting the vibrating rod and the outer ring knife)

[0134] Fig.63 The top view of the ultrasonic vibration system with a vertical and rigid or integral connection between the ultrasonic vibration rod and the outer ring knife

[0135] Fig.64 Bottom view of the ultrasonic vibration system with vertical and rigid or integral connection between the ultrasonic vibration rod and the outer ring knife

[0136] Fig.65 Bottom view of the ultrasonic vibration system with the ultrasonic vibration rod and the outer ring knife vertically connected and rigidly or integrally connected.

[0137] Fig.66 A side view of an ultrasonic vibration system in which the ultrasonic vibration rod and the outer ring knife are vertically connected and rigidly or integrally connected.

[0138] Fig.67 A top view of an ultrasonic vibration system in which the ultrasonic vibration rod and the outer ring knife are vertically connected and rigidly or integrally connected.

[0139] Fig.68 A three-dimensional diagram of an ultrasonic vibration system in which the ultrasonic vibration rod and the outer ring knife are vertically connected and rigidly or integrally connected.

[0140] 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. annular 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, a. spring, b. pin, c. Ring knife fixing frame, d. Inner ring support frame, e. Inner ring pad, f. Ring knife movable frame, g. Movable ring knife, h. Ultrasonic vibration device, i. Spray device, j. Vibrating ring knife, k. First scissor-type ring knife support, l. Second scissor-type ring knife support, m. Inner ring support frame, n. Inner ring pad, o. First ring knife, p. Second ring knife, q. First ultrasonic vibrator, r. Second ultrasonic vibrator, s. Movable scissor-type ring knife, t. Scissor-type ring knife with ultrasonic vibration, u. Inner ring support frame, v. Inner ring pad, A. First outer ring, B. Second outer ring, C. Inner ring frame, D. Inner ring wall, E. Ultrasonic vibration generating device-ring knife buckle thread composite fastener, F. Ultrasonic vibration device, G. Spray device, H. Restraint protection belt, I. First part of outer ring, J. Second part of outer ring, K. Inner ring support frame, L. Inner ring pad, M. Ultrasonic vibration device, N. Spray device. DETAILED DESCRIPTION

[0141] 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.

[0142] 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.

[0143] 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.

[0144] 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.

[0145] 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.

[0146] 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.

[0147] It also includes a water mist generating device 6, 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 6, 7 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 6, 7 is partially or completely integrated on the ultrasonic generating device Z, the transmission device 3, 4 or the circumcision device.

[0148] 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.

[0149] 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 .

[0150] See also Figure 2In 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.

[0151] 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.

[0152] 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.

[0153] 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.

[0154] See also Figure 7 , which is a rubber ring or anti-stick coating 17 provided on the inner and outer rings.

[0155] See also Figure 5In 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.

[0156] During circumcision surgery, the following steps may be taken:

[0157] 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;

[0158] 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;

[0159] 3. After anesthesia, use a rubber band to tie the base of the penis to temporarily block blood circulation;

[0160] 4. Place the inner ring on the foreskin of the glans penis and adjust the position of the inner ring;

[0161] 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;

[0162] 6. Check whether the inner and outer panels are flat;

[0163] 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;

[0164] 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;

[0165] 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;

[0166] 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.

[0167] 11. Remove the outer ring;

[0168] 12. Slowly withdraw the inner ring to the base of the penis;

[0169] 13. Use pointed scissors to cut the inner ring into two sections and remove the inner ring to complete the operation.

[0170] Or preferably adopt the following optional steps:

[0171] 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;

[0172] 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;

[0173] 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;

[0174] 9. Start the ultrasonic generator and use the high-frequency cutting gear to cut the foreskin;

[0175] 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.

[0176] 11. Remove the outer ring;

[0177] 12. Remove the inner ring and complete the operation.

[0178] 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.

[0179] 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 at least one air permeable channel may be provided on the positioning cylinder; 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 30-60 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.

[0180] 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.

[0181] 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.

[0182] 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 30-60 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.

[0183] 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.

[0184] 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.

[0185] 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.

[0186] 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 30-60 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.

[0187] 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.

[0188] 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.

[0189] 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.

[0190] 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.

[0191] 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 water storage device 6 arranged on the main frame and located at the outer periphery or inner periphery of the cutting device, and a water outlet 7 (not shown in the figure) provided on the side of the water storage device facing the first annular contact surface 21. The water storage device can store water, alcohol, disinfectant and other liquids, which are sprayed from the water outlet 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.

[0192] 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.

[0193] 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 by the surgeon (for example Fig.14 The left end of the ) is called the proximal end.

[0194] 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.

[0195] 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 30-60 degrees. Thus, it matches the shape of the coronal sulcus of the glans penis, facilitating more accurate positioning.

[0196] 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.

[0197] 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.

[0198] 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.

[0199] 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.

[0200] 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.

[0201] 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 water storage device 6 arranged on the main frame and located at the outer periphery or inner periphery of the cutting device, and a water outlet 7 (not shown in the figure) provided on the side of the water storage device facing the first annular contact surface 21. The water storage device can store water, alcohol, disinfectant and other liquids, which are sprayed from the water outlet 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.

[0202] See also Figure 18-25 , an ultrasonic vibration device h (which can be a transducer in actual application) is connected to the vibrating ring cutter j and can send ultrasound to the vibrating ring cutter j. The movable ring cutter g and the vibrating ring cutter j together constitute an outer ring cutter head. The ring cutter movable frame f is connected to the outer ring cutter head through a pin b and is connected to the ring cutter fixed frame c through a spring a and can be operated to open or close the outer ring cutter head. An inner ring support frame d and an inner ring pad e are provided on the inner edge of the outer ring cutter head to cooperate with the inner ring cutter head. Preferably, a spray device i is arranged on the ring cutter fixed frame c.

[0203] See also Figure 29-34The first ultrasonic vibrator q and the second ultrasonic vibrator r are respectively connected to the first ring knife o and the second ring knife p and transmit ultrasonic vibrations to them respectively. The first ring knife o and the second ring knife p together constitute an outer ring knife head. The inner edge of the outer ring knife head is provided with an inner ring support frame m and an inner ring pad n for matching the inner ring knife head. The first scissor-type ring knife support k and the second scissor-type ring knife support l support the first ring knife o and the second ring knife p respectively.

[0204] See also Figure 35-44 The movable scissor-type ring cutter s and the scissor-type ring cutter t with ultrasonic vibration together constitute an outer ring cutter head. The inner edge of the outer ring cutter head is provided with an inner ring support u and an inner ring gasket v for matching the inner ring cutter head.

[0205] See also Figure 45-55 The ultrasonic vibration device F (or its transducer) is connected to the ultrasonic vibration generating device - the ring cutter buckle thread composite fastener E through a transmission rod. The fastener E is connected to the outer ring cutter head composed of the first outer ring A and the second outer ring B. The inner edge of the outer ring cutter head is provided with an inner ring frame C and an inner ring wall D for matching the inner ring cutter head. Preferably, a spray device G is arranged on the ring cutter fixing frame or the transducer, and a protective device - a restraint protection belt H is arranged on the outer ring cutter head.

[0206] See also Figure 58-68 The ultrasonic vibration device M is connected to the outer ring cutter head composed of the outer ring first part I and the outer ring second part J. The inner edge of the outer ring cutter head is provided with an inner ring support K and an inner ring gasket L for matching the inner ring cutter head. The spray device N is arranged on the ultrasonic vibration device M.

[0207] In addition, the water mist generating device can also be transformed into a water mist and powder generating device, which includes a ring-shaped storage device arranged along the transmission device, which can store water, medicine or powder. The rear end can be connected to an ultrasonic generating device to atomize the water or medicine, and the front end of the storage device is provided with a closable spray port or opening.

[0208] In addition, a spray device and an atomizing water tank fixed to the conveying device can be provided.

[0209] The protective device / structure is preferably an ultrasonic insulation structure and / or a vibration reduction and energy dissipation structure, and is preferably arranged on a rubber ring inside the inner ring.

[0210] The portion of the circumcision device that contacts the foreskin tissue is coated with Teflon material or other non-sticky skin material.

[0211] The frequency of the ultrasonic generating device is adjustable.

[0212] A blade surface is provided between the inner and outer rings for cutting, and after cutting, the side surface, i.e. the blunt surface contacts the wound surface to complete blood coagulation.

[0213] Also included is a protective device for protecting the penis, glans penis and / or foreskin that needs to be retained before, during and / or after circumcision.

[0214] The protective device is an ultrasonic insulation structure and / or a vibration-reducing and energy-dissipating structure arranged at a position on the circumcision device that contacts the penis, the glans penis and / or the foreskin that needs to be retained.

[0215] The portion of the circumcision device that contacts the foreskin tissue is coated with Teflon material or other non-sticky skin material.

[0216] 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.

[0217] When the inner ring adopts an open ring structure, its closed state forms a circular smooth inner ring.

[0218] The inner / outer ring has an opening, and the closing device of the opening also constitutes a fixing device that can be detachably connected to the transmission device.

[0219] An angle-adjustable device is provided between the inner ring and / or the outer ring and the transmission device.

[0220] 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.

[0221] The transmission device is an ultrasonic transmission rod.

[0222] After the inner ring and the outer ring are clamped together, the circumferential pressure of the part where the outer edge of the inner ring contacts the inner edge of the outer ring is 0.1-3.5N / mm (the two ends have mutually matching upper and lower blade joints; the inner ring has at least one circle of grooves, and after the outer ring and the inner ring are closed, the circumferential pressure of the blade and the outer groove of the inner ring is 0.1-3.5N / mm).

[0223] The inner ring or the outer ring is made of elastic material.

[0224] The knife edge is arranged on the outer edge of the inner ring or the inner edge of the outer ring.

[0225] An elastic ring is arranged on the outer periphery of the inner ring.

[0226] The outer periphery and / or outer side wall of the outer ring are provided with an anti-slip structure.

[0227] It also comprises an independent blade, and the independent blade structure is movably mounted on the outer ring or the inner ring.

[0228] Also included is a soft pad, which is placed on the inner periphery of the inner ring and / or between the inner and outer rings.

[0229] The circumcision device is fixedly connected or detachably connected to the transmission device.

[0230] The circumcision device is a closed ring structure with a reducible caliber, which can receive ultrasound transmitted by a transmission device and perform ultrasonic cutting and / or coagulation.

[0231] The circumcision device comprises a first ring and a second ring, wherein the first ring and the second ring are arranged at intervals or inside and outside along the extension direction of the foreskin.

[0232] The first ring is connected to a transmission device and the second ring is connected to the first ring and / or the transmission device.

[0233] 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. The inner ring and the outer ring cooperate with each other to clamp the foreskin.

[0234] The outer ring has an opening which can be closed by a locking device.

[0235] The inner ring and / or the outer ring are connected to a transmission device.

[0236] It also includes a water mist generating device, which is used to spray water mist on the circumcision device and / or the circumcision site before, during and / or after circumcision.

[0237] The water mist generating device is independently arranged relative to the ultrasonic generating device, the transmission device and the circumcision device.

[0238] The water mist generating device is integrated with the ultrasonic generating device, the transmission device or the circumcision device.

[0239] The water mist generating device is an ultrasonic water mist generating device.

[0240] The water mist generating device comprises an atomizing water tank, and the ultrasonic generating device is connected to the atomizing water tank and is used for sending ultrasonic waves to the atomizing water tank to atomize the stored water.

[0241] It also includes a second ultrasonic generating device, which is connected to the atomizing water tank and is used to send ultrasonic waves to the atomizing water tank to atomize the stored water.

[0242] 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.

[0243] The protective device is a ring-shaped structure with a reducible diameter, which is used to tighten the foreskin close to the front of the glans penis.

[0244] The protective device is a baffle built into the foreskin and in front of the glans penis.

[0245] The protection device is an ultrasonic insulation structure and / or a vibration reduction and energy dissipation structure arranged on the inner periphery of the inner ring.

[0246] The distance between the protective device and the circumcision device is 1mm-20mm.

[0247] The protection device is connected or not connected to the circumcision device.

[0248] The protective device is connected to the circumcision device via an ultrasonic insulation structure and / or a vibration reduction and energy dissipation structure.

[0249] The circumcision device is a closed ring structure with a reducible caliber, which can receive ultrasound transmitted by a transmission device and perform ultrasonic cutting and / or coagulation.

[0250] The circumcision device includes a first ring and a second ring, which are arranged at intervals along the extension direction of the foreskin or relative to the inside and outside of the foreskin. The first ring is connected to the transmission device, and / or the second ring is connected to the first ring and / or the transmission device, and receives the ultrasonic waves transmitted by the transmission device and performs ultrasonic cutting and / or coagulation. 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.

[0251] The circumcision device is fixedly connected or detachably connected to the transmission device, and / or the transmission device is a detachable structure.

[0252] The angle between the plane where the inner ring or the outer ring is located and the extending direction of the transmission device is 45 degrees to 135 degrees.

[0253] The plane where the inner ring or the outer ring is located and the extending direction of the transmission device are perpendicular to each other.

[0254] The connection point where the inner ring or outer ring is integrally connected to the transmission device is located on the upper and / or lower side wall or on the outer edge or inner edge wall of the inner ring or outer ring.

[0255] The inner ring is a closed circular ring or an open ring that forms a circular smooth inner ring in a closed state; the outer ring has an opening that can be closed by a locking device.

[0256] The inner ring is used to be internally inserted into the foreskin, and the outer ring is used to be externally placed on the outside of 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 on the outside of the everted foreskin, and the inner ring and the outer ring cooperate with each other to clamp the foreskin.

[0257] The fixing device is an internal and external thread, or a concave-convex structure, or a snap-fit ​​structure, which are respectively arranged on the inner ring, the outer ring and / or the transmission device and cooperate with each other.

[0258] The inner ring is detachably connected to the transmission device via a first fixing device; the outer ring is detachably connected to the transmission device via a second fixing device.

[0259] The inner ring and the outer ring are both detachably connected to the transmission device via a fixing device.

[0260] The transmission device is composed of two sets, the first transmission device is connected to the outer ring, and the second transmission device is connected to the inner ring. The ultrasonic generating device includes a first ultrasonic generating device and a second ultrasonic generating device, the first ultrasonic generating device is connected to the first transmission device, and the second ultrasonic generating device is connected to the second transmission device.

[0261] In other optional embodiments: a water mist generating device is included, which is used to spray water mist on 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, the transmission device and the circumcision device; and / or, the water mist generating device is integrated on the ultrasonic generating device, the transmission device or the circumcision device. The water mist generating device includes an atomizing water tank; wherein the ultrasonic generating device is connected to the atomizing water tank and is used to send ultrasonic waves to the atomizing water tank to atomize the stored water, and / or, further includes a second ultrasonic generating device, which is connected to the atomizing water tank and is used to send ultrasonic waves to the atomizing water tank to atomize the stored water.

[0262] A protective device is included, which is used to protect the glans penis and / or the foreskin that needs to be retained before, during and / or after circumcision. The protective device is a ring-shaped structure with a reducible caliber, which is used to tighten the foreskin near the front of the glans penis; and / or, the protective device is a baffle built into the foreskin and in front of the glans penis; and / or, the protective device is an ultrasonic insulation structure and / or a vibration reduction and energy dissipation structure arranged on the inner periphery of the inner ring. The protective device is connected or not connected to the circumcision device. The protective device is connected to the circumcision device through an ultrasonic insulation structure and / or a vibration reduction and energy dissipation structure.

[0263] The circumcision device is a closed ring structure with a reducible caliber, which can receive ultrasound transmitted by a transmission device and perform ultrasonic cutting and / or coagulation.

[0264] The circumcision device includes a first ring and a second ring, which are arranged at intervals along the extension direction of the foreskin or relative to the inside and outside of the foreskin. The first ring is connected to the transmission device, and / or the second ring is connected to the first ring and / or the transmission device, and receives the ultrasonic waves transmitted by the transmission device and performs ultrasonic cutting and / or coagulation. 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.

[0265] The circumcision device is fixedly connected or detachably connected to the transmission device, and / or the transmission device is a detachable structure.

[0266] The angle between the plane where the inner ring or the outer ring is located and the extending direction of the transmission device is 45 degrees to 135 degrees.

[0267] The plane where the inner ring or the outer ring is located and the extending direction of the transmission device are perpendicular to each other.

[0268] The connection point where the inner ring or outer ring is integrally connected to the transmission device is located on the upper and / or lower side wall or on the outer edge or inner edge wall of the inner ring or outer ring.

[0269] The inner ring is a closed circular ring or an open ring that forms a circular smooth inner ring in a closed state; the outer ring has an opening that can be closed by a locking device.

[0270] The inner ring is used to be internally inserted into the foreskin, and the outer ring is used to be externally placed on the outside of 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 on the outside of the everted foreskin, and the inner ring and the outer ring cooperate with each other to clamp the foreskin.

[0271] The fixing device is an internal and external thread, or a concave-convex structure, or a snap-fit ​​structure, which are respectively arranged on the inner ring, the outer ring and / or the transmission device and cooperate with each other.

[0272] The inner ring is detachably connected to the transmission device via a first fixing device; the outer ring is detachably connected to the transmission device via a second fixing device.

[0273] The inner ring and the outer ring are both detachably connected to the transmission device via a fixing device.

[0274] The transmission device is composed of two sets, the first transmission device is connected to the outer ring, and the second transmission device is connected to the inner ring. The ultrasonic generating device includes a first ultrasonic generating device and a second ultrasonic generating device, the first ultrasonic generating device is connected to the first transmission device, and the second ultrasonic generating device is connected to the second transmission device.

[0275] The side wall of the ring in the present application refers to the upper and lower surfaces thereof when placed flat, the outer edge of the ring refers to the annular outer wall of the circular outer circumference, and the inner edge of the ring refers to the annular inner wall of the circular inner circumference.

[0276] 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 is applied for separately and will not be described here.

[0277] 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 assembly, characterized in that: It comprises an ultrasonic generator, a transmission device, a circumcision device and an operation unit, wherein the ultrasonic generator is used to generate ultrasonic waves, is connected to the transmission device and can transmit the ultrasonic waves to the transmission device; The transmission device is connected to the circumcision device and can transmit ultrasound waves to the circumcision device; The circumcision device comprises an inner ring and an outer ring, and the inner ring and the outer ring cooperate with each other; the operating part comprises a hand-held actuating part, which is used for an operator to hand-hold and operate so as to perform the cooperation between the outer ring and the inner ring and / or the circumcision process; 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; The protective device is a ring-shaped structure with a reducible caliber, which is used to tighten the foreskin near the front of the glans penis; the protective device is connected to the circumcision device through an ultrasonic insulation structure and / or a vibration reduction and energy dissipation structure; The operating portion is detachably connected to the inner ring and / or the outer ring, or the operating portion is an integral structure with the inner ring and / or the outer ring or constitutes a part of the inner ring and / or the outer ring.

2. The ultrasonic circumcision assembly according to claim 1, characterized in that The inner ring is detachably connected to the transmission device or is integrally connected to the transmission device, and the operating portion is an integral structure with the outer ring or constitutes a part of the outer ring.

3. The ultrasonic circumcision assembly according to claim 1 or 2, characterized in that: The operating part includes an operating end and a connecting end. The operating end is transmission-connected to the connecting end. The operating end is used for manual and / or mechanical operation. The connecting end is used to be integrally or detachably connected to the outer ring to drive the outer ring to move and realize the opening and closing of the outer ring.

4. The ultrasonic circumcision assembly according to claim 1 or 2, characterized in that: The inner ring and / or outer ring are integrally connected to the transmission device, or are detachably connected using a first fixing device, or the inner ring and outer ring are detachably connected to the transmission device using a first fixing device and a second fixing device respectively.

5. The ultrasonic circumcision assembly according to claim 1 or 2, characterized in that: The plane where the ring shape of the inner ring and / or outer ring is located is on the same plane as the extension direction of the transmission device or is at a certain angle; and / or, the transmission device includes a first part and a second part, the first part is connected to the ultrasonic generating device, the second part is connected to the circumcision device, and the first part and the second part are detachably connected by a third fixing device.

6. The ultrasonic circumcision assembly according to claim 1 or 2, characterized in that: It also includes a water mist generating device, which is used to spray water mist on the circumcision device and / or the circumcision site before, during and / or after circumcision.

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