US 2646046 A
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July 21 1953 Patented July 21, 1953 UNITED STATES PATENT 'QFF'ICE CIRCUMCISIQN CLAMP HarryO. Maryan, Chicago, Ill. 7 AppIication JanuaryB, 1952, Serial No. 264,701
This invention relates to improvements in may be readily applied in position for a circumcision operation and this in a manner providing ample room for use of the surgeons knife in removing the prepuce.
Another object of the invention is toprovide a clamp of this kind, wherein the clamping action upon the prepuce adjacent the cervix of the glans is imposed with a uniform pressure, thus affording a rapid glutination between the prepuce and its membranouslining, thereby reducing bleeding to a minimum and the suturing often necessary after surgery.
Also it is an object of the/invention to provide a clamp of this kind which has a wide range of use, from infants to adults. 1
Again it is an object of the invention to provide a clamp of this kind,v which does not require the holding by hand of anypart thereof when applied for a circumcision operation, thus leaving both hands of the surgeon free while performing, such operation.
The above mentioned objects of the invention, as well as others along with the advantages thereof will more fully appear as the specification proceeds.
In the drawing:
Fig. 1 is a perspective view of the parts forming the improved clamp arranged in the order, of their assembly;
Fig. 2 is a transverse vertical sectional view,
through a' part of the improved clamp, as taken on the line 2-2 of Fig. 1 with-the parts in operative position upon the male organ, ready for surgery in removing the prepuce.
Fig. 3 is a bottom view of the base plate of the clamp.
Fig. 4 is a view of one of a number'of glans receiving cups and stem therefor forming a part of the clamp.
In general the improved clamp includes a base rallty of stemmed cups, each sized in diameter for use in an associated opening the stemmed 2 Claims. (01. 128-346) 2 v cups being the same in length. Also associated with the base is an inverted U-shaped yoke that may be positioned for use with a base plate opening of the selected size and up through which the stem of each cup extends so that it may be actuated to impart a straight upward pull thereon, and whereby the cup, in connection with the flared opening in which it is engaged, coacts to uniformly clamp the prepuce and its membranous lining to afford a quick glutinate adhesion around the zone of clamping pressure and which reduces to a minimum, if not completely eliminating bleeding after the surgical removal of the prepuce. I
Referring now in detail to that embodiment of the invention illustrated in the drawings, the improved clamp includes among its parts a rigid base plateit? which as shown herein may be of an elongated shape with rounded ends. On the median line thereof are longitudinally spaced circular openings iI-l2 and i3 respectively of different diameters and each of which have downwardly and outwardly flaring pee ripheral walls i l [i and it respectively. Laterally spaced at each side of each opening ll, l2 and I3 respectively are pilot holes Hi. These pilot holes are arranged in the longitudinal margins of the base member, the pilot holes of each pair being spaced apart the same distance from the axis of the associated openings ll, [2 and I3 respectively.
The improved clamp also includes an inverted U-shaped yoke l5 that includes a pair of laterally spaced upright legs Iii-iii that are connected together at their top ends by a cross bar il. Centrally in said bar is an unthreaded hole 38. The legs are spaced apart the same distance as a transverse pair of pilot holes i l, the bottom end of each leg being formed with an elongated foot i9 from which depends a stud 29 that is adaptedto enter a pilot hole Hi. The yoke may be employed with any opening ii, l2 or it and its associated pair of pilot holes Hi. When so employed its studs 22! are engaged in said holes as in Fig. '2, portions of each foot then engaging upon parts of the top surface of the base member longitudinally at each side of the associated pilot hole.
' hole It in its cross bar I! arranged in axial aline-v ment with the selected hole Il-l2 or l3 with Which it is to be used.
Associated with the base plate and yoke above describedis a plurality of members 2|, one of which is shown in Fig. 4 in full lines, another by means of dotted lines and the third by means of dot and dash lines, and each of which includes a bell like cup 22 that is open at the bottom and is provided with a cylindrical stem 23 at the top. All of the cups are of the same length from top to bottom and employ the same diameter in the stem thereof, the upper end of which is threaded at 24. The diameter of the stem is such that it may pass through the opening in the cross bar ll of the yoke with a fairly snug fit as a sliding bearing. Each cup 22 has a flared bottom portion 25 which is complemental to the flared wall of the opening |2 or l3 with which the member is used. In the upper portion of each cup 22 is arvent opening 26. 2| differ primarily in the size of the cup member 22, each cup being designed to cooperate with only one of the openings I, i2, or l3.
When the selected member 2| is in operative relation to the base member In and yoke l5, the threaded upper portion of the stem 23 extends above the cross bar and a knob like nut 21 is applied thereto with a washer 28 disposed between the base of this nut and the cross bar. The diameter of the flared end 25 of each cup is so correlated with respect to the diameter of the upper end of its associated opening |2 or 23 that it cannot pass upwardly through the same.
In the use of the clamp device above described, the member 2| having the proper size of cup is of course first selected, according to the size of the penis P to be operated upon. After cleansing the penis, if the preputial orifice is too small two mosquito clamps are applied to the preputial ring and the same is put on stretch. A suitably anointed probe is then passed between the prepuce and the glans G to break existing adhesion and free the prepuce from further retraction. The prepuce Pr is then stretched forwardly and the orifice niched between the two clamps to provide a dorsal slit therein. The prepuce is then retracted or pushed back and the exposed glans again cleansed as with a saline sponge to remove smegma.
With the prepuce pushed back or retracted to the neck of the glans and back of the corona thereof, and after anointing the inside of the cup of the selected member 2|, it is placed over the glans, allowing parts of the mucous membrane of the prepuce to fit below the corona of the glans. In this fitting of the cone upon the glans, the air in advance of the latter escapes out through the vent 26 of the cup to insure a good complete fit between the glans and cup. The prepuce is now pulled forwardly and over upon the outer surface of the cup and at which time the flare of the cup is engaged at the junction of the prepuce and the gland adjacent the corona of the latter.
With the member 2| so applied, the stem 23 of the member 2| is then inserted through the associated selected opening [2 or I3 in the base plate from its flared bottom end. At this time the yoke I5 is applied to the base member [0 by inserting the studs thereof into the pilot holes I4 associated with the selected opening and also at this time, the stem 23 is passed through,
the hole IS in the cross bar ll of the yoke. Thereafter the washer 28 is dropped over the upper end of the stem (above the cross bar) and the nut 21 then applied to said end of the stem.
By turning the nut in the proper direction, an upward straight line axial lift is imparted to the stem while at the same time the yoke isforced downwardly upon the base member. In this up- Thus the various members ward movement of the stem, the flared bottom end of the cup approaches more closely to the fiared beveled wall of the opening so that the part of the prepuce disposed therebetween is subjected to a uniform clamping action entirely about its circumference. This places said clamped portion of the prepuce under heavy pressure which cuts off the supply of blood to the prepuce outwardly of the clamped part. The parts are permitted to remain in this relationship for about five minutes, which is SllfilClBl'lt to glutinate the prepuce and its mucous membrane and produce a blood free adhesion therebetween in the form of a band.
The excess of prepuce beyond said band is then ready for removal by the surgeon who, using a sharp knifelike instrument, makes an annular slit circumferentially about the base of the excess prepuce, following about the upper end of the selected opening and cutting clear through the prepuce against the outer surface of the cup about a line forming the junction of the flared end with the body of the cup.
Upon removal of the nut the clamp may be taken apart and the cup thereon withdrawn downwardly and outwardly through the opening it before occupied in the base member. Thereafter the cup is removed from the glans and proper dressings applied to the penis.
With the clamp made as described, it is to be noted that the clamping pull on the-member 2| is imposed thereon in a straight line axially of the stem of this member. This straight line action is important as it insures a uniform clamping action in a band like area entirely about the base of the'prepuce, insuring a complete substantially uniform blood stoppage so that the prepuce and its mucous membrance will glutinate uniformly with an adhesion insuring but the minimum, if any, of bleeding after the operation. Thus there is less danger of infection and healing quickly takes place without the usual soreness.
It is to be further noted that the parts may be readily cleansed and sterilized and that when said parts are in the applied assembled condition both hands of the surgeon performing the operation are free for that purpose.
It will also be observed that only one base, yoke, nut and washer are required for use in performing operations upon penises of different sizes, it being necessary only to have the members 2| of different sizes.
1. A circumcision clamp embodying therein, a base member having a downwardly flared opening therein, a glans receiving cup having a flared margin at its bottom end for coacting with the wall of said opening in clamping therebetween the base of the prepuce adjacent its junction with said glans, a stem extending from the top of said cup, a yoke-like member adapted for detachable engagement with said base member when arranged perpendicularly thereto and including laterally spaced legs and a part connecting said legs at the top, coacting means providing a stud and recess interengagement between the bottom ends of said legs and said base member respectively, permitting a separation and an engagement t'herebetween in the direction of the axis of the stem, and a member engaged with but separable from said leg connecting part of said yoke-like member and from the top end of said stem and operative when turned in one direction to impart an upward axial lift to the stem to move the margin of said cup into prepuce clamping cooperation with said wall of said opening and to move said yoke member toward and for holding the same in operative position upon said base member.
2. A circumcision clamp embodying therein, a base member having a downwardly flaring opening therein and a pair of recesses in the top surface thereof spaced outwardly from the periphery of said opening, a glans receiving cup having a flared margin at its bottom end for coacting with the wall of said opening in clamping therebetween the base of the prepuce adjacent its junction with said glans, a stem extending from the top of the cup, a yoke-like member adapted for detachable engagement with said base member when arranged perpendicularly thereto and including laterally spaced legs and a part connecting said legs at the top, studs on the bottom end of said legs for engagement in said recesses permitting a separation and an engagement therebetween in the direction of the axis of said stem, and a member engaged with and separable from said leg connecting part of the yoke-like member and from the top of the stem and operative when turned in one direction toimpart an upward axial lift to the stem to move the margin of the cup into prepuce clamping cooperation with said Wall of said opening and to move said yoke member toward and for holding the same in operative position upon said base member.
HARRY O. MARYAN.
References Cited in the file of this patent UNITED STATES PATENTS Number 7 Name Date 2,296,594 Blais Sept. 22, 1942 2,471,364 De Palo May 31, 1949