CN115300021A - Anastomat used in large vessel operation - Google Patents

Anastomat used in large vessel operation Download PDF

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Publication number
CN115300021A
CN115300021A CN202111082688.9A CN202111082688A CN115300021A CN 115300021 A CN115300021 A CN 115300021A CN 202111082688 A CN202111082688 A CN 202111082688A CN 115300021 A CN115300021 A CN 115300021A
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CN
China
Prior art keywords
splint
driving
anastomat
anastomosis
large vessel
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Pending
Application number
CN202111082688.9A
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Chinese (zh)
Inventor
李晓勇
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Wuhan Chuangeryanzhi Technology Development Co ltd
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Wuhan Chuangeryanzhi Technology Development Co ltd
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Priority to CN202111082688.9A priority Critical patent/CN115300021A/en
Publication of CN115300021A publication Critical patent/CN115300021A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/0682Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00778Operations on blood vessels

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to the technical field of medical instruments, in particular to an intraoperative anastomat for a large blood vessel operation, which comprises an anastomosis clamping plate, a driving device, a fixing device and a main body, wherein the driving device is positioned in the main body, a pipeline is arranged at the front end of the main body, the anastomosis clamping plate and the driving clamping plate are positioned at the front end of the pipeline, the fixing device is positioned at the back of the main body, the driving device pushes a lug in the anastomosis clamping plate to enable the lug to penetrate through a felt strip, a blood vessel wall and an artificial blood vessel wall to abut against a positioning plate, a U-shaped titanium nail is deformed and closed inwards to suture the blood vessel, the manual suture process is avoided, the suture time is shortened, the two-way suture is performed by using the symmetrical titanium nail, the felt strip is added at the suture position, the bleeding amount of the suture position can be effectively reduced, the use and the operation of medical workers are facilitated, and the operation risk and the cost are reduced.

Description

Anastomat used in large vessel operation
Technical Field
The invention relates to the technical field of medical instruments, in particular to an intraoperative anastomat for a large blood vessel operation.
Background
The artificial blood vessel is a substitute of a plurality of severely-stenotic or occlusive blood vessels, is mainly manufactured by synthetic materials such as nylon, dacron (Dacron), polytetrafluoroethylene (PTFE) and the like, is suitable for blood vessel circumfluence of all parts of the whole body, and has satisfactory effect when being applied to clinic;
at present, the great vessel operation is that the chest is opened to cut off the diseased aorta of a patient and replace the diseased aorta with an artificial blood vessel, wherein the anastomosis of the artificial blood vessel and the normal blood vessel is related, and the major operation is performed by hand sewing; at present, no related anastomosis assisting device available on the market is retrieved, the linear cutting anastomat with the double-safety mechanism and the application number of CN201210091071.8 is based on the anastomat principle and experience of gastrointestinal surgery, the suturing work of the device is single-thread suturing, the problem of bleeding at the suturing part can be caused in the suturing process, the defects of manual suturing adopted by the existing large blood vessel suturing are long in time, and the bleeding problem exists after suturing, because human tissues and an artificial blood vessel made of woven cloth are sutured together, the fitness is poor, the arterial blood pressure is high, and the bleeding is the main defect.
Disclosure of Invention
In order to solve the problems in the prior art, an intraoperative anastomat for a large vessel operation is provided.
The specific technical scheme is as follows:
designing an intraoperative stapler for a large vessel surgery, comprising: the titanium nail is arranged inside the anastomosis clamping plate, a felt strip is arranged at the top of the anastomosis clamping plate, and the felt strip is positioned at the top end of the titanium nail; the driving device is used for pushing the titanium nails to move out of the interior of the anastomosis clamping plate so that the titanium nails abut against the driving clamping plate to be deformed and complete closing; the fixing device is used for pushing the driving clamping plate to rotate and keep parallel to the driving device; the main part, drive arrangement is located the inside of main part, the front end of main part is equipped with the pipeline, coincide splint, drive splint are located the front end of pipeline, fixing device is located the back of main part.
Preferably, the top of the driving device is connected with the driving rod through a driving shaft, the back of the driving rod is fixedly connected with the elastic resetting piece, the driving rod is far away from one end of the elastic resetting piece, the linkage shaft is connected with the push rod, a limiting shaft is arranged outside the driving device and is connected with the limiting rod in an embedded mode, and two ends of the limiting rod are fixedly connected with the main body.
Preferably, the fixing device is fixedly connected with a transmission rod, the transmission rod penetrates through the limiting block to be connected with a fixed shaft, the transmission rod is connected with a rotating shaft through the fixed shaft, and the rotating shaft and the driving clamping plate are integrally formed.
Preferably, a slide rail is arranged inside the anastomosis splint, the top of the slide rail is connected with the convex block in an embedding mode, the back of the convex block is fixedly connected with the push rod, an elastic storage plate is arranged inside the anastomosis splint, the titanium nail is arranged inside the elastic storage plate, an installation groove is formed in the top of the anastomosis splint, and the felt strip is located inside the installation groove.
Preferably, a movable handle is arranged below the main body and fixedly connected with the driving device.
Preferably, the front end of the main body is provided with a muzzle, and the muzzle is connected with the pipeline in an embedded mode.
Preferably, the elastic storage plate and the titanium nails are symmetrically distributed.
Preferably, a spring property shaft is arranged at the bottom of the fixing device and fixedly connected with a supporting rod, and an anti-skid block is fixedly connected to the top of the supporting rod.
Preferably, a positioning plate is arranged at the top of the inosculating clamping plate and is positioned on one side of the felt strip.
Preferably, the bottom of the main body is provided with a handle, and the handle is positioned at the back of the movable handle.
The technical scheme has the following advantages or beneficial effects:
1. the titanium nail is arranged in the anastomosis clamping plate, a felt strip is arranged at the top of the anastomosis clamping plate and is positioned at the top end of the titanium nail, the driving device is used for pushing the titanium nail to move out of the anastomosis clamping plate, so that the titanium nail is propped against the driving clamping plate to deform and complete closing, the fixing device is used for pushing the driving clamping plate to rotate and keep parallel with the driving device, the driving device is positioned in the main body, the front end of the main body is provided with a pipeline, the anastomosis clamping plate is positioned at the front end of the pipeline, the fixing device is positioned at the back of the main body, the fixing device is used for rotationally driving the clamping plate, a blood vessel and an artificial blood vessel are clamped between the anastomosis clamping plate and the driving clamping plate, a movable handle is pressed, a convex block in the anastomosis clamping plate is pushed through the driving device, the convex block penetrates through the felt strip, the blood vessel wall and the artificial blood vessel wall are propped against the positioning plate, the U-shaped titanium nail deforms and is closed inwards, the blood vessel is sutured, the artificial blood vessel is avoided, the process of manual suturing, the blood vessel wall is not only, the suturing time is shortened, but also the two-way suturing by using the symmetrical titanium nail, the felt strip is added in the suturing place, the bleeding amount of the suturing place can be effectively reduced, the operation of medical personnel, and the operation cost of the operation and the risk of the operation is reduced.
2. The inside through the splint that coincide is equipped with the titanium nail, and the top of the splint that coincide is equipped with the felt strip, and the felt strip is located the top of titanium nail, has added the felt strip at the top of titanium nail, can be at the in-process of squeezing into the titanium nail, and the titanium nail passes and carries the felt strip to sew up the both ends blood vessel for the felt strip supports the department of sewing up, can effectually reduce blood vessel department of sewing up bleeding volume, has embodied the convenience that this device used and has shown hemostatic effect.
3. Drive shaft connection push rod is passed through at top through drive arrangement, the back fixed connection elastic component that resets of push rod, drive arrangement's outside is equipped with spacing axle, spacing axle is connected the gag lever post through the mode of gomphosis, gag lever post both ends fixed connection main part, push down movable handle, can promote actuating lever lateral shifting through drive arrangement, drive power for the lug provides the removal, embodied this device and pressed movable handle and can accomplish titanium nail sewing work, the medical personnel operation of being convenient for uses, the automation and the quality of sewing up of great vessel have been sewed up to this device has been increased.
Drawings
Embodiments of the present invention will now be described more fully hereinafter with reference to the accompanying drawings. The drawings, however, are for illustration and description only and are not to be construed as limiting the scope of the invention.
FIG. 1 is a schematic structural diagram of an intraoperative anastomat for a great vessel surgery according to the present invention;
FIG. 2 is a schematic structural diagram of the interior of an intra-operative anastomat for a large vessel surgery according to the present invention;
FIG. 3 is a schematic structural diagram of the inside of a pipe of an intra-operative anastomat for a large vessel surgery according to the present invention;
FIG. 4 is a schematic structural diagram of the inside of an anastomosis splint of an anastomat for a large vessel operation according to the present invention;
FIG. 5 is a schematic structural diagram illustrating the operation of an intraoperative anastomat anastomosis splint for a great vessel surgery according to the present invention;
FIG. 6 is a schematic structural view of an intraoperative anastomat elastic storage plate for a large blood vessel operation, which is provided by the invention;
FIG. 7 is a schematic structural view of the top of an anastomosis splint of an intraoperative anastomat for a great vessel surgery according to the present invention;
fig. 8 is a structural side view of an intraoperative anastomat fixing device for a large vessel surgery, which is provided by the invention.
The above-mentioned reference numerals denote: the elastic storage plate comprises a main body 1, a handle 2, a movable handle 3, a gun mouth 4, a pipeline 5, an anastomosis clamp plate 6, a driving clamp plate 7, a driving device 8, a limiting shaft 81, a limiting rod 82, a resetting elastic piece 83, a driving shaft 84, a driving rod 85, a linkage shaft 851, a push rod 852, a lug 853, a fixing device 9, a driving rod 91, a limiting block 92, a fixing shaft 93, a rotating shaft 94, a spring property shaft 10, a supporting rod 11, an anti-skid block 12, a slide rail 13, a titanium nail 14, an elastic storage plate 15, a felt strip 16 and a positioning plate 17.
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.
It should be noted that the embodiments and features of the embodiments may be combined with each other without conflict.
The invention is further described with reference to the following drawings and specific examples, which are not intended to be limiting.
Referring to fig. 1 to 8, an intra-operative anastomat for a large blood vessel surgery includes: the titanium nail-free anastomosis splint comprises an anastomosis splint 6, a titanium nail 14 is arranged inside the anastomosis splint 6, a felt strip 16 is arranged at the top of the anastomosis splint 6, and the felt strip 16 is positioned at the top end of the titanium nail 14; a driving device 8 for pushing the titanium nail 14 to move out of the interior of the anastomosis splint 6, so that the titanium nail 14 deforms against the driving splint 7 to complete the closure; the fixing device 9 is used for pushing the driving clamping plate 7 to rotate and keep parallel to the driving device 8; main part 1, drive arrangement 8 is located the inside of main part 1, the front end of main part 1 is equipped with pipeline 5, coincide splint 6, drive splint 7 is located the front end of pipeline 5, fixing device 9 is located the back of main part 1, use fixing device 9 rotary drive splint 7, make blood vessel and artificial blood vessel by the centre gripping between coincide splint 6 and drive splint 7, press movable handle 3, promote the inside lug 853 of the splint 6 that coincide through drive arrangement 8, make lug 853 pass felt strip 16, vascular wall and artificial blood vessel wall, support locating plate 17, titanium nail 14 of U type takes place deformation inside closure, sew up the blood vessel, the process of artifical sutural has been avoided, not only brief sewing time has been shortened, and use symmetrical titanium nail 14 to carry out two-way suture, and felt strip 16 has been added in the department of sewing up, can effectually reduce the amount of bleeding of department of sewing up, be convenient for medical personnel use and operation, reduce operation risk and cost.
Drive arrangement 8's top is passed through drive shaft 84 and is connected actuating lever 85, the back fixed connection elastic component 83 that resets of actuating lever 85, actuating lever 85 is kept away from the one end that resets elastic component 83 and is passed through universal driving shaft 851 connection push rod 852, drive arrangement 8's outside is equipped with spacing axle 81, spacing axle 81 is connected gag lever post 82 through the mode of gomphosis, gag lever post 82 both ends fixed connection main part 1, push down movable handle 3, can promote actuating lever 85 lateral shifting through drive arrangement 8, provide the drive power of removal for lug 853, embodied this device and pressed movable handle 3 and can accomplish titanium nail 14 and sew up the work, be convenient for medical personnel to operate and use, the automation and the seam quality of this device sewing up the great vessel have been increased.
The fixing device 9 is fixedly connected with a transmission rod 91, the transmission rod 91 penetrates through the limiting block to be connected with a fixed shaft 93, the transmission rod 91 is connected with a rotating shaft 94 through the fixed shaft 93, the rotating shaft 94 and the driving clamping plate 7 are integrally formed, and the fixing device 9 is transversely pulled to drive the rotating shaft 94 to rotate, so that the angle of the driving clamping plate 7 can be adjusted.
The inside of the splint 6 that coincide is equipped with slide rail 13, lug 853 is connected through the mode of gomphosis at the top of slide rail 13, lug 853's back fixed connection push rod 852, the inside of the splint 6 that coincide is equipped with elasticity storing board 15, the inside of elasticity storing board 15 is equipped with titanium nail 14, the mounting groove has been seted up at the top of the splint 6 that coincide, felt strip 16 is located the inside of mounting groove, felt strip 16 has been added at the top of titanium nail 14, can be at the in-process of squeezing into titanium nail 14, titanium nail 14 passes and takes felt strip 16 to sew up the both ends blood vessel, make felt strip 16 support the suture department, can effectually reduce blood vessel suture department bleeding volume, it is showing with hemostatic effect to have embodied the convenience that this device used.
The movable handle 3 is arranged below the main body 1, and the movable handle 3 is fixedly connected with the driving device 8, so that medical personnel can directly pinch the movable handle 3 to carry out the upper nail sewing work.
The front end of main part 1 is equipped with muzzle 4, and muzzle 4 is through the mode connecting tube 5 of embedding, and the effect of muzzle 4 is fixed pipeline 5 for it provides the balance.
The elastic storage plate 15 and the titanium nails 14 are symmetrically distributed, and the symmetrical titanium nails 14 and the felt strips 16 are also arranged in the driving splint 7, so that double-layer sewing is achieved, and the bleeding amount is reduced.
The bottom of the fixing device 9 is provided with a spring shaft 10, the spring shaft 10 is fixedly connected with a support rod 11, the top of the support rod 11 is fixedly connected with an anti-slip block 12, and an elastic element is arranged inside the spring shaft 10 and can drive the support rod 11 to reset.
The top of the inosculating splint 6 is provided with a positioning plate 17, the positioning plate 17 is positioned at one side of the felt strip 16, and the positioning plate 17 is used for providing a deformation point for the titanium nail 14.
The bottom of the main body 1 is provided with a handle 2, the handle 2 is positioned at the back of the movable handle 3, the handle 2 is arc-shaped, which accords with human engineering and improves the tightness and skid resistance of holding the handle 2.
The working principle is as follows: the first embodiment is as follows: firstly aligning an artificial blood vessel and a large blood vessel, then placing an anastomosis splint 6 at the bottom of the anastomosis splint, then pushing a fixing device 9, wherein the fixing device 9 pushes a transmission rod 91, the transmission rod 91 pushes a rotating shaft 94 through a fixing shaft 93, the rotating shaft 94 is stressed to rotate anticlockwise to drive a driving splint 7 to extrude and clamp the blood vessel, then pulling a support rod 11, the support rod 11 rotates anticlockwise by ninety degrees with a printing shaft 10 as the center to enable an anti-skid block 12 to abut against a main body 1, carrying out limit support on the fixing device 9 and enabling the driving splint 7 to be stable, holding a handle 2, pressing down a movable handle 3, driving the driving device 8 to rotate anticlockwise through a driving shaft 84, the driving device 8 drives the driving rod 85 to transversely move towards a pipeline 5 through a push rod 852 to push a lug 853 through a push rod 852, the lug 853 can push the titanium nail 14 upwards in the moving process, the titanium nail 14 is stressed to move upwards and penetrate through the blood vessel positioning plate 17, the extrusion force of the lug 853 is continuously increased, the U-shaped titanium nail 14 is deformed and is rolled inwards to suture two sections of the blood vessels, after the two sections of blood vessels are punctured, the movable handle 3 is loosened, the movable handle 3, the movable handle is pulled, the fixing splint 6 is pulled, and the fixing splint 7 is opened, and the fixing device to drive the fixing device to complete the suture;
while the invention has been described with reference to a preferred embodiment, it will be understood by those skilled in the art that various changes in form and detail may be made therein without departing from the spirit and scope of the invention.

Claims (10)

1. An intraoperative anastomat for a large vessel operation is characterized in that: the method comprises the following steps:
the titanium nail-free anastomosis splint comprises an anastomosis splint (6), wherein a titanium nail (14) is arranged inside the anastomosis splint (6), a felt strip (16) is arranged at the top of the anastomosis splint (6), and the felt strip (16) is positioned at the top end of the titanium nail (14);
the driving device (8) is used for pushing the titanium nails (14) to move out of the interior of the anastomosis clamping plate (6) so as to enable the titanium nails (14) to deform against the driving clamping plate (7) to complete closing;
the fixing device (9) is used for pushing the driving clamping plate (7) to rotate and keep parallel to the driving device (8);
main part (1), drive arrangement (8) are located the inside of main part (1), the front end of main part (1) is equipped with pipeline (5), coincide splint (6), drive splint (7) are located the front end of pipeline (5), fixing device (9) are located the back of main part (1).
2. The anastomat for large vessel surgery according to claim 1, wherein: the top of the driving device (8) is connected with a driving rod (85) through a driving shaft (84), the back of the driving rod (85) is fixedly connected with a reset elastic part (83), one end, far away from the reset elastic part (83), of the driving rod (85) is connected with a push rod (852) through a linkage shaft (851), a limiting shaft (81) is arranged outside the driving device (8), the limiting shaft (81) is connected with a limiting rod (82) in a jogged mode, and two ends of the limiting rod (82) are fixedly connected with the main body (1).
3. The anastomat for large vessel surgery according to claim 1, wherein: the fixing device (9) is fixedly connected with the transmission rod (91), the transmission rod (91) penetrates through the limiting block to be connected with the fixed shaft (93), the transmission rod (91) is connected with the rotating shaft (94) through the fixed shaft (93), and the rotating shaft (94) and the driving clamping plate (7) are of an integrally formed structure.
4. The anastomat for large vessel surgery according to claim 1, wherein: the inside of splint (6) coincide is equipped with slide rail (13), lug (853) are connected through the mode of gomphosis in the top of slide rail (13), the back fixed connection of lug (853) push rod (852), the inside of splint (6) coincide is equipped with elasticity storing board (15), the inside of elasticity storing board (15) is equipped with titanium nail (14), the mounting groove has been seted up at the top of splint (6) coincide, felt strip (16) are located the inside of mounting groove.
5. The anastomat for large vessel surgery according to claim 1, wherein: the lower part of the main body (1) is provided with a movable handle (3), and the movable handle (3) is fixedly connected with the driving device (8).
6. The anastomat for large vessel surgery according to claim 1, wherein: the front end of the main body (1) is provided with a muzzle (4), and the muzzle (4) is connected with a pipeline (5) in an embedded mode.
7. The anastomat for large vessel surgery according to claim 1, wherein: the elastic storage plate (15) and the titanium nails (14) are symmetrically distributed.
8. The stapler for large vessel surgery according to claim 1, wherein: the bottom of the fixing device (9) is provided with a spring shaft (10), the spring shaft (10) is fixedly connected with a supporting rod (11), and the top of the supporting rod (11) is fixedly connected with an anti-skid block (12).
9. The anastomat for large vessel surgery according to claim 1, wherein: the top of the inosculating splint (6) is provided with a positioning plate (17), and the positioning plate (17) is positioned at one side of the felt strip (16).
10. The anastomat for large vessel surgery according to claim 1, wherein: the bottom of the main body (1) is provided with a handle (2), and the handle (2) is positioned at the back of the movable handle (3).
CN202111082688.9A 2021-09-15 2021-09-15 Anastomat used in large vessel operation Pending CN115300021A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202111082688.9A CN115300021A (en) 2021-09-15 2021-09-15 Anastomat used in large vessel operation

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Application Number Priority Date Filing Date Title
CN202111082688.9A CN115300021A (en) 2021-09-15 2021-09-15 Anastomat used in large vessel operation

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Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4608981A (en) * 1984-10-19 1986-09-02 Senmed, Inc. Surgical stapling instrument with staple height adjusting mechanism
EP0484677A1 (en) * 1990-10-05 1992-05-13 United States Surgical Corporation Apparatus for placing staples in laparoscopic or endoscopic procedures
US5397324A (en) * 1993-03-10 1995-03-14 Carroll; Brendan J. Surgical stapler instrument and method for vascular hemostasis
JP2002085415A (en) * 2000-09-19 2002-03-26 Inprest Co Ltd Surgical stapler
US20050127131A1 (en) * 1995-08-28 2005-06-16 Mastri Dominick L. Surgical stapler
CN105342653A (en) * 2015-11-13 2016-02-24 无锡贝恩外科器械有限公司 Disposable endoscopic linear cutting anastomat
CN106037847A (en) * 2016-05-16 2016-10-26 江苏冠创医疗科技有限公司 Anastomotic mechanism capable of being regulated by single hand for endoscope anastomat
CN107693066A (en) * 2017-10-27 2018-02-16 无锡贝恩外科器械有限公司 A kind of disposable hysteroscope linear cutting anastomat
CN208426157U (en) * 2017-10-23 2019-01-25 程纪伟 A kind of hysteroscope straight cuts closer with vessel closure structure

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4608981A (en) * 1984-10-19 1986-09-02 Senmed, Inc. Surgical stapling instrument with staple height adjusting mechanism
EP0484677A1 (en) * 1990-10-05 1992-05-13 United States Surgical Corporation Apparatus for placing staples in laparoscopic or endoscopic procedures
US5397324A (en) * 1993-03-10 1995-03-14 Carroll; Brendan J. Surgical stapler instrument and method for vascular hemostasis
US20050127131A1 (en) * 1995-08-28 2005-06-16 Mastri Dominick L. Surgical stapler
JP2002085415A (en) * 2000-09-19 2002-03-26 Inprest Co Ltd Surgical stapler
CN105342653A (en) * 2015-11-13 2016-02-24 无锡贝恩外科器械有限公司 Disposable endoscopic linear cutting anastomat
CN106037847A (en) * 2016-05-16 2016-10-26 江苏冠创医疗科技有限公司 Anastomotic mechanism capable of being regulated by single hand for endoscope anastomat
CN208426157U (en) * 2017-10-23 2019-01-25 程纪伟 A kind of hysteroscope straight cuts closer with vessel closure structure
CN107693066A (en) * 2017-10-27 2018-02-16 无锡贝恩外科器械有限公司 A kind of disposable hysteroscope linear cutting anastomat

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Application publication date: 20221108

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