CN111248963B - Umbrella-shaped anastomat for laparoscope - Google Patents

Umbrella-shaped anastomat for laparoscope Download PDF

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Publication number
CN111248963B
CN111248963B CN202010066400.8A CN202010066400A CN111248963B CN 111248963 B CN111248963 B CN 111248963B CN 202010066400 A CN202010066400 A CN 202010066400A CN 111248963 B CN111248963 B CN 111248963B
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China
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rod
umbrella
electromagnet
shell
adjusting
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CN202010066400.8A
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CN111248963A (en
Inventor
罗天平
秦锡虎
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Changzhou TCM Hospital
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Changzhou TCM Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • A61B17/1155Circular staplers comprising a plurality of staples
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/1114Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus

Abstract

The invention discloses an umbrella-type anastomat for laparoscope, which comprises an adjusting mechanism, a first supporting mechanism, a second supporting mechanism and a fixed shell, wherein one end of the fixed shell is provided with the adjusting mechanism, one end of the fixed shell, which is far away from the adjusting mechanism, is provided with the first supporting mechanism and the second supporting mechanism, the adjusting mechanism consists of a fixed shell, an adjusting hand wheel, a cutting control handle, an interlocking rod, a control switch, an adjusting screw hole, a central rod, a limiting groove and a limiting block, the inside of the fixed shell is connected with the central rod in a sliding way, one end of the fixed shell is connected with the adjusting hand wheel in a rotating way, the structure of the laparoscope umbrella-type anastomat is compact, the straight line and the circular shape of the anastomat are converted by utilizing the umbrella rod of an umbrella surface structure, a laparoscope descending circular anastomosis method is completely the same, the abdominal wound is minimally invasive, the side injury of other anastomosis methods is avoided, the operation time is shortened, and the wound healing is facilitated.

Description

Umbrella-shaped anastomat for laparoscope
Technical Field
The invention relates to an anastomat, in particular to an umbrella-shaped anastomat for a laparoscope, and belongs to the technical field of anastomats.
Background
At present, laparoscopic techniques are generally developed, particularly laparoscopic digestive tract tumor resection, reconstruction of a digestive tract hollow organ is involved after tumor resection, for example, laparoscopic gastrectomy, the key problem is digestive tract reconstruction after gastrectomy, most surgeons select auxiliary incision operation, and most of the surgeons select a linear cutting closer for lateral anastomosis when the laparoscopic gastrectomy is performed.
The disadvantage of the circular anastomat for performing end-to-side anastomosis is that the anastomat main body cannot enter the abdominal cavity through a puncture hole of a laparoscopic surgery, the pneumoperitoneum needs to be closed, and an auxiliary small incision can be performed to place the anastomat main body, so that the smoothness of the surgery is reduced. In view of this, we propose an umbrella-type stapler for laparoscopy.
Disclosure of Invention
The invention aims to solve the problems in the prior art and provide an umbrella-type anastomat for laparoscope.
In order to solve the technical problems, the invention provides the following technical scheme:
the invention relates to an umbrella-type anastomat for a laparoscope, which comprises an adjusting mechanism, a first supporting mechanism, a second supporting mechanism and a fixed shell, wherein one end of the fixed shell is provided with the adjusting mechanism, one end of the fixed shell, which is far away from the adjusting mechanism, is provided with the first supporting mechanism and the second supporting mechanism, the adjusting mechanism consists of a fixed shell, an adjusting hand wheel, a cutting control handle, an interlocking rod, a control switch, an adjusting screw hole, a central rod, a limiting groove and a limiting block, the inner part of the fixed shell is connected with the central rod in a sliding way, one end of the fixed shell is rotationally connected with the adjusting hand wheel, the middle part of the adjusting hand wheel is provided with the adjusting screw hole in a chiseling way, one end of the central rod is provided with an external thread meshed with the adjusting screw hole, the central rod is inserted into the adjusting screw hole and is, one end of the bottom of the fixed shell, which is close to the adjusting hand wheel, is rotatably connected with a cutting control handle, one side of the cutting control handle, which is close to the fixed shell, is rotatably connected with an interlocking rod, and one end of the interlocking rod, which is far away from the cutting control handle, is clamped in a groove on the outer side of the fixed shell;
the first supporting mechanism consists of an outer shell, an inner shell, a first umbrella rod, a first magnet ring, an electromagnet, a compression spring, a nail bin, a nail pushing sheet, a cutter, a pushing seat, a fixing plate, a first reset spring and a second magnet ring, wherein one end of the fixing shell, which is far away from the adjusting hand wheel, is fixedly connected with the outer shell, one end of the outer shell is connected with a plurality of first umbrella rods in an equidistance manner, the inner shell is fixedly installed in the outer shell, the electromagnet is fixedly installed on the outer side of the inner shell, the magnet ring is connected on the outer side of the inner shell in a sliding manner, one side of the magnet ring is connected with the first umbrella rod in a rotating manner, the compression spring is fixedly installed between the magnet ring and the electromagnet, the nail bin is fixedly installed in the inner shell, the nail bin is connected with the nail pushing sheet in a sliding manner, and the cutter of an annular structure is fixedly, a pushing seat is fixedly arranged at one end, far away from the cutter, of the nail pushing sheet and is in sliding connection with the inner wall of the inner shell, fixing plates are symmetrically and fixedly arranged on the inner wall of the inner shell, and a first reset spring is fixedly connected between the fixing plates and the pushing seat;
the second supporting mechanism is composed of a cutting baffle, an auxiliary supporting rod, a second electromagnet, a second umbrella rod and a second reset spring, one end of the central rod penetrates through the ejector pin sheet and is fixedly provided with the second electromagnet, one side, close to the outer shell, of the second electromagnet is connected with a plurality of second umbrella rods in an equidistance rotating mode, the middle of each second umbrella rod is connected with the auxiliary supporting rod in a rotating mode, the cutting baffle is connected to the outer side of the central rod and located between the second electromagnet and the outer shell in a sliding mode, a second magnet ring is fixedly installed on one side, far away from the outer shell, of the cutting baffle, one end, far away from the second umbrella rod, of each auxiliary supporting rod is connected with the second magnet ring in a rotating mode, and the second reset spring is sleeved on the outer side of the central rod and located;
the inside of fixed casing and the below sliding connection who is located well core rod have the cutting push rod, the one end and the promotion seat fixed connection of cutting push rod, the one end that the promotion seat was kept away from to the cutting push rod is connected with cutting control handle.
Preferably, the outer side of the adjusting hand wheel is provided with anti-skid teeth at equal intervals.
Preferably, the first electromagnet has the same magnetic pole when energized as the first magnet ring.
Preferably, a limiting groove is formed in one end, close to the adjusting hand wheel, of the inner portion of the fixing shell, a limiting block is connected to the inner portion of the limiting groove in a sliding mode, and the bottom of the limiting block is fixedly connected with the central rod.
Preferably, the attraction force of the second electromagnet when being electrified is larger than the elastic force of the second return spring, and the repulsion force generated between the first electromagnet and the first magnet ring when being electrified is larger than the tension force of the compression spring.
The invention has the following beneficial effects: the laparoscope umbrella-type anastomat has a compact structure, the straight line and the circular shape of the anastomat are converted by the umbrella rod of the umbrella surface structure, the circular anastomosis method under the laparoscope is completely the same as the laparotomy operation, narrow and small spaces of puncture holes of the laparoscope are broken through, circular anastomosis under the laparoscope and minimally invasive abdominal wounds are realized, side injuries of other anastomosis methods are avoided, the operation time is shortened, and the wound healing is facilitated.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention and not to limit the invention. In the drawings:
FIG. 1 is a schematic diagram of the mechanism of the present invention;
FIG. 2 is a schematic view of the umbrella of the present invention when the umbrella shaft is spread;
FIG. 3 is a cross-sectional view taken along line C-C of FIG. 2 in accordance with the present invention;
FIG. 4 is a cross-sectional view of the present invention;
FIG. 5 is an assembly view of the outer housing of the present invention;
FIG. 6 is an enlarged view of the invention at A;
FIG. 7 is an enlarged view of the invention at B.
In the figure: 1-adjusting mechanism, 2-first supporting mechanism, 3-second supporting mechanism, 4-fixed shell, 5-adjusting hand wheel, 6-cutting control handle, 7-interlocking rod, 8-control switch, 9-adjusting screw hole, 10-central rod, 11-limiting groove, 12-limiting block, 13-outer shell, 14-inner shell, 15-first umbrella rod, 16-first magnet ring, 17-first electromagnet, 18-compression spring, 19-nail bin, 20-nail pushing sheet, 21-cutter, 22-pushing seat, 23-fixing plate, 24-first reset spring, 25-second magnet ring, 26-cutting baffle, 27-auxiliary supporting rod, 28-second electromagnet, 29-second umbrella rod, 30-second return spring, 31-cutting push rod.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Example (b): as shown in fig. 1-7, the umbrella-type anastomat for laparoscope of the present invention comprises an adjusting mechanism 1, a first supporting mechanism 2, a second supporting mechanism 3 and a fixed casing 4, wherein the adjusting mechanism 1 is arranged at one end of the fixed casing 4, the first supporting mechanism 2 and the second supporting mechanism 3 are arranged at one end of the fixed casing 4 away from the adjusting mechanism 1, the adjusting mechanism 1 comprises a fixed casing 4, an adjusting hand wheel 5, a cutting control handle 6, an interlocking rod 7, a control switch 8, an adjusting screw hole 9, a central rod 10, a limiting groove 11 and a limiting block 12, the inner portion of the fixed casing 4 is slidably connected with the central rod 10, one end of the fixed casing 4 is rotatably connected with the adjusting hand wheel 5, the middle portion of the adjusting hand wheel 5 is provided with an adjusting screw hole 9, one end of the central rod 10 is provided with an external thread engaged with the adjusting screw hole 9, the central rod 10 is inserted into the, the center rod 10 is in threaded connection with an adjusting screw hole 9, a control switch 8 is arranged at one end, close to the adjusting hand wheel 5, of the top of the fixed shell 4, a cutting control handle 6 is rotatably connected to one end, close to the adjusting hand wheel 5, of the bottom of the fixed shell 4, an interlocking rod 7 is rotatably connected to one side, close to the fixed shell 4, of the cutting control handle 6, and one end, far away from the cutting control handle 6, of the interlocking rod 7 is clamped in a groove in the outer side of the fixed shell 4;
the first supporting mechanism 2 comprises an outer shell 13, an inner shell 14, a first umbrella rod 15, a first magnet ring 16, a first electromagnet 17, a compression spring 18, a nail bin 19, a nail pushing sheet 20, a cutter 21, a pushing seat 22, a fixing plate 23, a reset spring 24 and a second magnet ring 25, the fixed shell 4 is far away from the one end fixedly connected with the outer shell 13 of the adjusting hand wheel 5, one end of the outer shell 13 is connected with the first umbrella rods 15 in an equidistance rotating manner, the inner shell 13 is fixedly installed with the inner shell 14, the outer side of the inner shell 14 is fixedly installed with the electromagnet 17, the outer side of the inner shell 14 is slidably connected with the first magnet ring 16, one side of the first magnet ring 16 is connected with the first umbrella rod 15 in a rotating manner, the compression spring 18 is fixedly installed between the first magnet ring 16 and the first electromagnet 17, the inner part of the inner shell 14 is fixedly installed with the nail bin 19, a nail pushing sheet 20 is connected to the inside of the nail bin 19 in a sliding manner, a cutting knife 21 with an annular structure is fixedly installed at one end of the nail pushing sheet 20, a pushing seat 22 is fixedly installed at one end, far away from the cutting knife 21, of the nail pushing sheet 20, the pushing seat 22 is connected with the inner wall of the inner shell 14 in a sliding manner, fixing plates 23 are symmetrically and fixedly installed on the inner wall of the inner shell 14, and a first reset spring 24 is fixedly connected between the fixing plates 23 and the pushing seat 22;
the second supporting mechanism 3 consists of a cutting baffle 26, an auxiliary supporting rod 27, a second electromagnet 28, a second umbrella rod 29 and a second return spring 30, one end of the center rod 10 penetrates through the ejector pin sheet 20 and is fixedly provided with a second electromagnet 28, a plurality of second umbrella rods 29 are connected to one side of the second electromagnet 28 close to the outer shell 13 in an equidistance rotating manner, the middle part of the second umbrella pole 29 is rotatably connected with an auxiliary supporting pole 27, the outer side of the central pole 10 and between the second electromagnet 28 and the outer shell 13 is slidably connected with a cutting baffle 26, a second magnet ring 25 is fixedly arranged on one side of the cutting baffle plate 26 far away from the outer shell 13, the end of the auxiliary strut 27 far away from the second umbrella rod 29 is rotationally connected with the second magnet ring 25, and a second return spring 30 is sleeved outside the central rod 10 and between the second magnet ring 25 and the second electromagnet 28.
Wherein, the inside of fixed casing 4 and the below sliding connection who is located well core rod 10 have cutting push rod 31, the one end and the promotion seat 22 fixed connection of cutting push rod 31, the one end that the promotion seat 22 was kept away from to cutting push rod 31 is connected with cutting control handle 6, is convenient for control cutter 21 work through cutting control handle 6.
Wherein, the outer side of the adjusting hand wheel 5 is equidistantly provided with the anti-skid teeth, so that the adjusting hand wheel 5 can be conveniently rotated.
The first electromagnet 17 has the same magnetic pole as the first magnet ring 16 when energized, so that the first umbrella rod 15 can be pushed to open through the mutual repulsion of the same magnetic poles, and the second electromagnet 28 has the opposite magnetic pole as the second magnet ring 25 when energized, so that the second umbrella rod 29 can be opened conveniently.
Wherein, the inside one end that is close to adjusting hand wheel 5 of fixed casing 4 is dug a spacing groove 11, the inside sliding connection of spacing groove 11 has stopper 12, stopper 12's bottom and well core rod 10 fixed connection are convenient for spacing well core rod 10, make it slide forward under the effort of screw thread.
When the second electromagnet 28 is electrified, the suction force is greater than the elastic force of the second return spring 30, so that the second umbrella stick 29 can be pushed to open, and when the first electromagnet 17 is electrified, the repulsion force generated between the first electromagnet 17 and the first magnet ring 16 is greater than the pulling force of the compression spring 18, so that the first umbrella stick 15 can be pushed to open.
Specifically, when the invention is used, the first supporting mechanism 2 and the second supporting mechanism 3 penetrate through the sewing position, the adjusting hand wheel 5 is screwed, the adjusting screw hole 9 in the adjusting hand wheel 5 is in threaded connection with the central rod 10, the central rod 10 slides forwards under the limiting action of the limiting block 12 and the limiting groove 11, so that the closed second umbrella rod 29 is plugged into one end of the position to be sewn, then the second electromagnet 28 is controlled to be electrified through the control switch 8, the magnetic pole of the second electromagnet 28 when being electrified is opposite to the magnetic pole of the second magnet ring 25, and the electricity of the second electromagnet 28 is greater than the elastic force of the suction return spring 30, so that the second magnet ring 25 slides to one side of the second electromagnet 28, under the action of the lever principle, the auxiliary supporting rod 27 props up the second umbrella rod 29, so that one end to be combined is propped up and fixed through the second umbrella rod 29, then the first electromagnet 17 is controlled to be electrified through the control switch 8, because the magnetic pole of the first electromagnet 17 is the same as the magnetic pole of the first magnet ring 16 when the first electromagnet 17 is electrified, and the repulsion force generated between the first electromagnet 17 and the first magnet ring 16 when the first electromagnet 17 is electrified is larger than the pulling force of the compression spring 18, the first magnet ring 16 slides forwards to push the bottom of the first umbrella rod 15 forwards, under the action of the lever principle, the first umbrella rod 15 expands outwards to be umbrella-shaped, the other end to be sewed is propped open by the first umbrella rod 15, then the adjusting hand wheel 5 is screwed reversely, because the central rod of the adjusting screw hole 9 in the adjusting hand wheel 5 is in threaded connection with the central rod 10, under the limiting action of the limiting block 12 and the limiting groove 11, the central rod 10 closes the second umbrella rod 29 and the first umbrella rod 15, then the cutting control handle 6 is pressed to push the cutting push rod 31, the cutting push rod 31 is pushed to the nail pushing sheet 20 by the pushing sheet 20 to push out the nails in the nail bin 19 and to nail the joint, then the cutting knife 21 at one side of the nail pushing sheet 20 cuts off the part of the joint, then the first electromagnet 17 and the second electromagnet 28 are controlled to be powered off, the second umbrella rod 29 and the first umbrella rod 15 are closed under the action of the second return spring 30 and the compression spring 18, and then the anastomat is taken out.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (6)

1. An umbrella-type anastomat for laparoscope comprises an adjusting mechanism (1), a first supporting mechanism (2), a second supporting mechanism (3) and a fixed shell (4), and is characterized in that the adjusting mechanism (1) is arranged at one end of the fixed shell (4), the first supporting mechanism (2) and the second supporting mechanism (3) are arranged at one end, away from the adjusting mechanism (1), of the fixed shell (4), the adjusting mechanism (1) is composed of the fixed shell (4), an adjusting hand wheel (5), a cutting control handle (6), an interlocking rod (7), a control switch (8), an adjusting screw hole (9), a central rod (10), a limiting groove (11) and a limiting block (12), the central rod (10) is connected to the inside of the fixed shell (4) in a sliding mode, the adjusting hand wheel (5) is connected to one end of the fixed shell (4) in a rotating mode, the adjusting screw hole (9) is formed in the middle of the adjusting hand wheel (5), one end of the central rod (10) is provided with an external thread meshed with the adjusting screw hole (9), the central rod (10) is inserted into the adjusting screw hole (9), the central rod (10) is in threaded connection with the adjusting screw hole (9), one end, close to the adjusting hand wheel (5), of the top of the fixed shell (4) is provided with a control switch (8), one end, close to the adjusting hand wheel (5), of the bottom of the fixed shell (4) is rotatably connected with a cutting control handle (6), one side, close to the fixed shell (4), of the cutting control handle (6) is rotatably connected with an interlocking rod (7), and one end, far away from the cutting control handle (6), of the interlocking rod (7) is clamped in a groove in the outer side of the fixed shell (4);
the first supporting mechanism (2) is composed of an outer shell (13), an inner shell (14), a first umbrella rod (15), a first magnet ring (16), a first electromagnet (17), a compression spring (18), a nail bin (19), a nail pushing sheet (20), a cutter (21), a pushing seat (22), a fixing plate (23), a first reset spring (24) and a second magnet ring (25), one end, far away from the adjusting hand wheel (5), of the fixing shell (4) is fixedly connected with the outer shell (13), one end of the outer shell (13) is connected with a plurality of first umbrella rods (15) in an equidistance rotating mode, the inner shell (14) is fixedly installed inside the outer shell (13), the first electromagnet (17) is fixedly installed outside the inner shell (14), the first magnet ring (16) is connected with the outer side of the inner shell (14) in a sliding mode, one side of the first magnet ring (16) is connected with the first umbrella rods (15) in a rotating mode, a compression spring (18) is fixedly installed between the first magnet ring (16) and the first electromagnet (17), a nail bin (19) is fixedly installed inside the inner shell (14), a nail pushing sheet (20) is connected inside the nail bin (19) in a sliding mode, a cutter (21) of an annular structure is fixedly installed at one end of the nail pushing sheet (20), a pushing seat (22) is fixedly installed at one end, far away from the cutter (21), of the nail pushing sheet (20), the pushing seat (22) is connected with the inner wall of the inner shell (14) in a sliding mode, a fixing plate (23) is symmetrically and fixedly installed on the inner wall of the inner shell (14), and a first reset spring (24) is fixedly connected between the fixing plate (23) and the pushing seat (22);
the second supporting mechanism (3) comprises a cutting baffle plate (26), an auxiliary supporting rod (27), a second electromagnet (28), a second umbrella rod (29) and a second reset spring (30), one end of the central rod (10) penetrates through the nail pushing sheet (20) and is fixedly provided with the second electromagnet (28), one side, close to the outer shell (13), of the second electromagnet (28) is connected with a plurality of second umbrella rods (29) in an equidistance rotating mode, the middle of each second umbrella rod (29) is connected with the auxiliary supporting rod (27) in a rotating mode, the outer side of the central rod (10) is located between the second electromagnet (28) and the outer shell (13) and is connected with the cutting baffle plate (26) in a sliding mode, one side, far away from the outer shell (13), of the cutting baffle plate (26) is fixedly provided with a second magnet ring (25), one end, far away from the second umbrella rod (29), of the auxiliary supporting rod (27) is connected with the second magnet ring (25, and a second reset spring (30) is sleeved on the outer side of the central rod (10) and positioned between the second magnet ring (25) and the second electromagnet (28).
2. The umbrella-type anastomat for the laparoscope is characterized in that a cutting push rod (31) is slidably connected inside the fixed shell (4) and below the central rod (10), one end of the cutting push rod (31) is fixedly connected with the pushing seat (22), and one end, far away from the pushing seat (22), of the cutting push rod (31) is connected with the cutting control handle (6).
3. The umbrella-type anastomat for the laparoscope is characterized in that the outer side of the adjusting hand wheel (5) is provided with equally-spaced anti-skid teeth.
4. The umbrella-type anastomat for laparoscope as recited in claim 1, wherein the first electromagnet (17) has the same magnetic pole when energized as the first magnet ring (16).
5. The umbrella-type anastomat for the laparoscope is characterized in that a limiting groove (11) is formed in one end, close to the adjusting hand wheel (5), of the inside of the fixing shell (4), a limiting block (12) is connected to the inside of the limiting groove (11) in a sliding mode, and the bottom of the limiting block (12) is fixedly connected with the center rod (10).
6. The umbrella-type anastomat for the laparoscope is characterized in that the attraction force of the electromagnet (28) is larger than the elastic force of the return spring (30) when the electromagnet is electrified, and the repulsion force generated between the electromagnet (17) and the magnet ring (16) when the electromagnet is electrified is larger than the pulling force of the compression spring (18).
CN202010066400.8A 2020-01-20 2020-01-20 Umbrella-shaped anastomat for laparoscope Active CN111248963B (en)

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Publication number Priority date Publication date Assignee Title
CN111904504A (en) * 2020-09-02 2020-11-10 常州安康医疗器械有限公司 Umbrella-shaped anastomat for laparoscope
CN112353447A (en) * 2020-11-03 2021-02-12 宝玛医疗科技(无锡)有限公司 Handheld type of being convenient for cutting anastomat suitable for minimal access surgery
CN112220517B (en) * 2020-11-09 2021-09-21 南通市第一人民医院 Laparoscope umbrella stapler

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CN203388963U (en) * 2010-08-12 2014-01-15 艾博特心血管系统公司 Device for supporting cardiac ischemic tissue and assembly for treating cardiac ischemic tissue

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