CN116269578B - Nail bin type bladder urethra anastomat - Google Patents
Nail bin type bladder urethra anastomat Download PDFInfo
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- CN116269578B CN116269578B CN202310134311.6A CN202310134311A CN116269578B CN 116269578 B CN116269578 B CN 116269578B CN 202310134311 A CN202310134311 A CN 202310134311A CN 116269578 B CN116269578 B CN 116269578B
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- 210000003708 urethra Anatomy 0.000 title claims abstract description 58
- 239000000523 sample Substances 0.000 claims abstract description 32
- 238000005520 cutting process Methods 0.000 claims abstract description 21
- 230000003872 anastomosis Effects 0.000 claims description 32
- 238000009527 percussion Methods 0.000 claims description 19
- 238000000926 separation method Methods 0.000 claims description 14
- 239000000463 material Substances 0.000 claims description 9
- 238000010304 firing Methods 0.000 claims description 7
- 238000005452 bending Methods 0.000 claims description 6
- 210000003932 urinary bladder Anatomy 0.000 claims 6
- 230000000694 effects Effects 0.000 abstract description 14
- 230000000638 stimulation Effects 0.000 abstract description 5
- 210000001519 tissue Anatomy 0.000 description 17
- 238000000034 method Methods 0.000 description 15
- 238000011084 recovery Methods 0.000 description 7
- 230000002349 favourable effect Effects 0.000 description 6
- 210000001503 joint Anatomy 0.000 description 6
- 238000003825 pressing Methods 0.000 description 6
- 230000008569 process Effects 0.000 description 6
- 230000009471 action Effects 0.000 description 5
- 239000012634 fragment Substances 0.000 description 4
- 230000000903 blocking effect Effects 0.000 description 3
- 238000009826 distribution Methods 0.000 description 3
- 230000029142 excretion Effects 0.000 description 3
- 230000036541 health Effects 0.000 description 3
- 238000009434 installation Methods 0.000 description 3
- 238000005259 measurement Methods 0.000 description 3
- 238000011471 prostatectomy Methods 0.000 description 3
- 241000587161 Gomphocarpus Species 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 206010016717 Fistula Diseases 0.000 description 1
- 206010060862 Prostate cancer Diseases 0.000 description 1
- 208000000236 Prostatic Neoplasms Diseases 0.000 description 1
- 208000005561 Urinary fistula Diseases 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000013016 damping Methods 0.000 description 1
- 230000003890 fistula Effects 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000001105 regulatory effect Effects 0.000 description 1
- 238000003860 storage Methods 0.000 description 1
- 230000002485 urinary effect Effects 0.000 description 1
- 210000002700 urine Anatomy 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07257—Stapler heads characterised by its anvil
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07278—Stapler heads characterised by its sled or its staple holder
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change
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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 provides a nail bin type bladder urethra anastomat, belonging to the technical field of medical appliances; the automatic urethra control device comprises a positioning body and a limiting sleeve which are mutually matched to position a urethra broken end and a bladder broken end, and further comprises a urethra probe used for conveying the positioning body to the bladder broken end and a nail gun used for conveying the limiting sleeve to the urethra broken end, wherein the nail gun and the urethra probe are respectively provided with a first adjusting part. According to the invention, the anastomotic nail is arranged, the buckling limit of the fractured end is completed through the coordination of the bent and deformed double-headed nail and the clamping seat, the cutting component is driven by the second adjusting component to cut redundant tissues in the fractured end anastomotic site, the operation is simple and convenient, after the fractured end anastomotic operation is completed, the anastomotic nail remained in the patient body is relatively fixed with the fractured end of the bladder, the stimulation to the inner wall of the bladder can not be caused due to the activity of the patient, and meanwhile, the anastomotic nail can be automatically decomposed and discharged from the patient body after a certain time, so that the discomfort to the patient is reduced.
Description
Technical Field
The invention relates to the technical field of medical appliances, in particular to a nail bin type bladder urethra anastomat.
Background
At present, the method for treating the prostate cancer mainly comprises prostatectomy and the like, and the key of the prostatectomy is anastomosis of the bladder and the urethra after operation, and the anastomosis of the bladder and the urethra can directly influence recovery and life of a patient.
Most of the traditional modes of anastomosis between the bladder and the urethra in prostatectomy are residual suture, due to factors such as large suture difficulty, narrow suture operation space and the like, anastomoses are often caused to be narrow, the anastomoses are poor in effect, complications such as urinary fistula and the like can be caused, and the postoperative recovery is slow, the urinary catheter is required to be used for catheterization during the recovery period (at least 2 weeks), great pain is brought to a patient, great inconvenience is brought to the life of the patient, the operation treatment effect is improved, the occurrence probability of the operation complications is reduced, an anastomat for anastomosis between the urethra and the bladder has been developed in the prior art, such as the bladder urethra sheathing anastomat disclosed in Chinese patent with the publication number of CN210019491U, the anastomosis between the connecting ends of the bladder urethra is realized through the cooperation of the inner sleeve pipe and the outer sleeve pipe, the problems of the anastomoses and the urine are avoided, but in the actual use fistula, the bladder connecting part arranged in the patient has stimulation to the inner wall of the bladder when the patient is active, the discomfort of the patient is caused, and the physical recovery of the patient is influenced, and therefore, the nail bin type bladder anastomat is provided to meet the requirements of the patient.
Disclosure of Invention
The invention aims to solve the technical problem of providing a nail bin type bladder urethra anastomat so as to solve the problem that a bladder connecting part arranged in the bladder of a patient can stimulate the inner wall of the bladder when the patient moves in the actual use process of the traditional bladder urethra anastomat, so that discomfort of the patient is caused and physical rehabilitation of the patient is influenced.
In order to solve the technical problems, the invention provides the following technical scheme:
the nail bin type bladder-urethra anastomat comprises a positioning body and a limiting sleeve which are mutually matched to realize positioning of a urethra broken end and a bladder broken end, and further comprises a urethra probe used for conveying the positioning body to the bladder broken end, and a nail gun used for conveying the limiting sleeve to the urethra broken end, wherein the nail gun and the urethra probe are respectively provided with a first adjusting part used for adjusting the stretching length of the positioning body, the first adjusting parts on the urethra probe are used for adjusting the stretching length of the limiting sleeve, and a plurality of anastomoses used for anastomosing the bladder broken end and the urethra broken end through deformation and cutting parts used for cutting redundant tissues formed on the inner wall of the broken end after anastomosis are also arranged on the nail gun; the urethra probe is also provided with a nail propping seat, the nail gun is provided with a percussion part for percussion the anastomotic nail to anastomose the bladder broken end and the urethra broken end under the interference of the nail propping seat, and a second adjusting part for driving the cutting part to cut redundant tissues formed on the inner wall of the broken end after anastomosis; the positioning body is matched with the limiting sleeve, and purse string grooves for limiting broken end purse string are formed in the positioning body and the limiting sleeve; the anastomat comprises a plurality of clamping seats, double-head nails are arranged on the clamping seats, separation angles are arranged at two ends of the double-head nails, and the clamping seats, the double-head nails and the separation angles are made of decomposable materials.
Preferably, the nail gun comprises a second tube body, the urethral probe comprises a first tube body, the first adjusting part comprises a sliding sleeve sleeved on the first tube body or the second tube body in a sliding manner, one end of the sliding sleeve is provided with an adjusting rod through threads, the adjusting rod is close to one end of the sliding sleeve and sleeved on the sliding sleeve, the adjusting rod is rotatably sleeved on the first tube body or the second tube body, a first connecting rod is rotatably connected to the sliding sleeve in the first tube body, one end of the first connecting rod, far away from the sliding sleeve, is fixedly connected with a second connecting rod, one end of the second connecting rod, far away from the first connecting rod, is fixedly connected with a positioning body, the first connecting rod penetrates through the first tube body, one end of the first tube body is fixedly connected with a second connecting sleeve, a nail abutting seat is fixedly sleeved on the second connecting sleeve, one end of the first tube body is fixedly connected with a spring sleeved on the second connecting rod, one end of the first tube body is fixedly connected with a second connecting rod, and the first tube body is far away from the positioning seat in a abutting manner.
Preferably, the first connecting sleeve has been cup jointed to the one end of second body, first connecting sleeve keeps away from the one end of second body has been fixedly cup jointed the nail storehouse, spacing sleeve cover is established in the nail storehouse, in the second body fixedly connected with third connecting rod on the slip sleeve, the third connecting rod runs through first connecting sleeve the second body, the third connecting rod keep away from slip sleeve's one end with spacing sleeve fixed connection.
Preferably, the firing component comprises a handle rotationally connected to the second pipe body, the handle penetrates through the second pipe body and extends to the outside of the second pipe body, two fourth connecting rods are fixedly connected to the handle, each fourth connecting rod penetrates through the first connecting sleeve and the second pipe body, one end of each fourth connecting rod, far away from the handle, is fixedly connected with a first connecting arm, a containing groove is formed in one end, far away from the first connecting sleeve, of each nail bin, a limiting ring is sleeved in the containing groove in a sliding mode, one end, far away from the fourth connecting rod, of each first connecting arm penetrates through the corresponding nail bin and is fixedly connected with the corresponding limiting ring, one side, far away from the corresponding first connecting arm, of each limiting ring is fixedly connected with a plurality of groups of clamping blocks, each clamping block comprises two clamping blocks, and the distance between the two clamping blocks in the same group is smaller than the width of the clamping seat.
Preferably, the second adjusting part comprises a push button which is sleeved on the second pipe body in a sliding manner, the push button penetrates through the second pipe body and extends out of the second pipe body, a fifth connecting rod is fixedly connected to the push button, the cutting part comprises a barrel which is fixedly connected to one end of the fifth connecting rod away from the push button, a blade is arranged at one end of the barrel away from the fifth connecting rod, and the barrel is sleeved on the limiting sleeve.
Preferably, a window is formed in the second pipe body, scales are arranged on the window, an indication ring is fixedly sleeved on the sliding sleeve in the second pipe body, and one end, close to the handle, of the fourth connecting rod is fixedly connected with an indication strip extending to the position of the window.
Preferably, the second connecting rod, the third connecting rod, the fourth connecting rod and the fifth connecting rod are elastic rods, the first connecting sleeve is made of flexible materials, a separation sleeve is fixedly sleeved in the second pipe body, and the third connecting rod, the fourth connecting rod and the fifth connecting rod are in sliding sleeve connection with the separation sleeve.
Preferably, the second pipe body is fixedly sleeved with a first rotating sleeve, one end of the first connecting sleeve, which is far away from the second pipe body, is rotationally connected with a second rotating sleeve, the second rotating sleeve is fixedly sleeved with the nail bin, the first connecting sleeve is sleeved on the first rotating sleeve and the second rotating sleeve, and the third connecting rod, the fourth connecting rod and the fifth connecting rod penetrate through the first rotating sleeve and the second rotating sleeve.
Preferably, the second pipe body is fixedly connected with an elastic sheet, one end of the elastic sheet, which is far away from the second pipe body, is fixedly connected with the handle, the handle is fixedly connected with two limiting blocks, and the second pipe body is rotatably connected with a safety pin which is clamped with the handle.
Preferably, the first pipe body is provided with a bending part, and the second pipe body is made of flexible and bendable materials.
Compared with the prior art, the invention has at least the following beneficial effects:
according to the scheme, the broken end anastomosis is completed through the buckling limitation of the bent deformed double-headed nails matched with the clamping seat, the cutting part is driven by the second adjusting part to cut redundant tissues inside the broken end anastomosis, the operation is simple and convenient, after the broken end anastomosis operation is completed, the staples in the patient body are relatively fixed with the broken end of the bladder, the stimulation to the inner wall of the bladder cannot be caused due to the activity of the patient, and meanwhile, the staples can be automatically decomposed and discharged from the patient body after a certain time, so that discomfort caused to the patient is reduced, and the physical rehabilitation efficiency of the patient is guaranteed.
Through setting up the anastomat, the quantity and the distance distribution of anastomat can be according to patient's broken end size by oneself set up, improves its suitability, and the anastomotic stoma through the anastomat is fixed is neat, tight, is favorable to the quick recovery of patient's health.
The specific steps of adjusting the positioning body through the first adjusting component are as follows: the adjusting rod is rotated, the sliding sleeve is pushed to move along the inner wall of the first pipe body under the action of the threads by the adjusting rod, and the positioning body is driven to move outside the first pipe body through the first connecting rod and the second connecting rod; the specific steps of adjusting the limiting sleeve through the first adjusting part are the same as above, but in the process, the sliding sleeve drives the limiting sleeve to move outside the second pipe body through the third connecting rod, and the structure is simple and the operation is convenient.
Through setting up first rotation sleeve, second rotation sleeve for the supporter, limit sleeve are in the butt joint in-process, and the tip position of second body can further crooked, improves limit sleeve's movable range, and the quick butt joint of limit sleeve realization and supporter is passed through the angle modulation to the limit sleeve of being convenient for, simple structure, simple operation.
Through setting up the percussion part, the specific step of percussion staple through percussion part does: pressing the handle, the handle drives the spacing ring, the fixture block through fourth connecting rod, first linking arm and drives the cassette motion to realize the percussion of anastomotic nail, simple structure, the simple operation is to realizing the relative fixation of spacing ring and cassette under the effect of the frictional force between fixture block and cassette through the interference fit of fixture block and cassette, improves the installation convenience of cassette, is convenient for adjust the quantity and the position of cassette.
The specific steps of driving the cutting component through the second adjusting component are as follows: pushing the push button, the push button drives the cylinder to move through the fifth connecting rod, and redundant tissues at the broken end are cut through the moving cylinder, so that blocking of the anastomotic site caused by redundant tissues inside the broken end after anastomosis is avoided, normal excretion of a patient is affected, and the push button is simple in structure and convenient to operate.
Through setting up indicating ring, indicator strip, before pressing the handle, the relative position of accessible window observation indicating ring, indicator strip to improve the measurement accuracy through the scale, thereby calculate the relative position of limit sleeve, limit ring and second body tip, and then ensure behind operating handle percussion anastomotic nail, the anastomotic nail is stable to the spacing of the identical position department of broken end, avoids the skew that makes limit sleeve produce influence the spacing stability of identical position department because of rotating the regulation pole in the second body in the operation, simple structure is favorable to improving the security and the operating efficiency of operation.
Drawings
The accompanying drawings, which are incorporated herein and form a part of the specification, illustrate embodiments of the present disclosure and, together with the description, further serve to explain the principles of the disclosure and to enable a person skilled in the pertinent art to make and use the disclosure.
FIG. 1 is a schematic perspective view of a cartridge bladder-urethra stapler;
fig. 2 is a partially cut-away schematic perspective view of a urethral sound;
FIG. 3 is a partially cut-away enlarged schematic view of the nail gun;
FIG. 4 is an enlarged schematic view of the structure of FIG. 3A;
FIG. 5 is an enlarged schematic view of the structure of FIG. 3B;
FIG. 6 is a schematic view of an enlarged perspective view of an assembly of staples and stop collars;
FIG. 7 is a schematic view of a three-dimensional enlarged structure of a limiting ring;
FIG. 8 is a schematic view of a three-dimensional enlarged structure of a cylinder;
fig. 9 is a schematic view of a three-dimensional enlarged structure of the staple.
[ reference numerals ]
1. Nailing gun; 2. a urethral sound; 3. a positioning body; 4. a limit sleeve; 5. a staple; 6. a cutting member; 7. a first adjusting member; 8. a firing member; 9. a second adjusting member; 10. purse string grooves; 11. a first tube body; 12. a sliding sleeve; 13. an adjusting rod; 14. a first connecting sleeve; 15. a first connecting rod; 16. a second connecting rod; 17. a nail supporting seat; 18. a spring; 19. a second tube body; 20. a staple cartridge; 21. a third connecting rod; 22. a handle; 23. a fourth connecting rod; 24. a first connecting arm; 25. a limiting ring; 26. a clamping block; 27. a clamping seat; 28. a double-headed nail; 29. a separation angle; 30. a push button; 31. a fifth connecting rod; 32. a cylinder; 33. a receiving groove; 34. a spring plate; 35. a limiting block; 36. a safety pin; 37. a window; 38. a scale; 39. an indicator ring; 40. an indicator bar; 41. a separation sleeve; 42. a second connecting sleeve; 43. a first rotating sleeve; 44. the second rotating sleeve.
While particular structures and devices are shown in the drawings to enable a clear implementation of embodiments of the invention, this is for illustrative purposes only and is not intended to limit the invention to the particular structures, devices and environments, which may be modified or adapted by those of ordinary skill in the art, as desired, and which remain within the scope of the appended claims.
Detailed Description
The invention provides a nail bin type bladder urethra anastomat which is described in detail below with reference to the attached drawings and the specific embodiments. While the invention has been described herein in terms of the preferred and preferred embodiments, the following embodiments are intended to be more illustrative, and may be implemented in many alternative ways as will occur to those of skill in the art; and the accompanying drawings are only for the purpose of describing the embodiments more specifically and are not intended to limit the invention specifically.
It should be noted that references in the specification to "one embodiment," "an example embodiment," "some embodiments," etc., indicate that the embodiment described may include a particular feature, structure, or characteristic, but every embodiment may not necessarily include the particular feature, structure, or characteristic. Further, when a particular feature, structure, or characteristic is described in connection with an embodiment, it is submitted that it is within the knowledge of one skilled in the relevant art to effect such feature, structure, or characteristic in connection with other embodiments whether or not explicitly described.
Generally, the terminology may be understood, at least in part, from the use of context. For example, the term "one or more" as used herein may be used to describe any feature, structure, or characteristic in a singular sense, or may be used to describe a combination of features, structures, or characteristics in a plural sense, depending at least in part on the context. In addition, the term "based on" may be understood as not necessarily intended to convey an exclusive set of factors, but may instead, depending at least in part on the context, allow for other factors that are not necessarily explicitly described.
It will be understood that the meanings of "on … …", "over … …" and "over … …" in this disclosure should be interpreted in the broadest sense so that "on … …" means not only "directly on" but also includes meaning "directly on" something with intervening features or layers therebetween, and "over … …" or "over … …" means not only "on" or "over" something, but also may include its meaning "on" or "over" something without intervening features or layers therebetween.
Furthermore, spatially relative terms such as "under …," "under …," "lower," "above …," "upper," and the like may be used herein for ease of description to describe one element or feature's relationship to another element or feature as illustrated in the figures. Spatially relative terms are intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the figures. The device may be otherwise oriented and the spatially relative descriptors used herein may similarly be interpreted accordingly.
As shown in fig. 1-4 and 6, the embodiment of the invention provides a nail bin type bladder urethra anastomat, which comprises a positioning body 3 and a limiting sleeve 4 which are mutually matched to realize the positioning of a urethra broken end and a bladder broken end, and further comprises a urethra probe 2 for conveying the positioning body 3 to the bladder broken end and a nail gun 1 for conveying the limiting sleeve 4 to the urethra broken end, wherein the nail gun 1 and the urethra probe 2 are provided with a first adjusting part 7, the first adjusting part 7 on the nail gun 1 is used for adjusting the extending length of the positioning body 3, the first adjusting part 7 on the urethra probe 2 is used for adjusting the extending length of the limiting sleeve 4, the nail gun 1 is also provided with a plurality of anastomotic nails 5 for anastomosing the bladder broken end and the urethra broken end through deformation, and a cutting part 6 for cutting redundant tissues formed on the inner wall of the broken end after anastomosis; the urethra probe 2 is also provided with a nail supporting seat 17, the nail gun 1 is provided with a triggering part 8 for triggering the anastomat 5 to ensure that the anastomat 5 performs anastomosis on the bladder broken end and the urethra broken end under the interference of the nail supporting seat 17, and a second adjusting part 9 for driving the cutting part 6 to cut redundant tissues formed on the inner wall of the broken end after anastomosis; the positioning body 3 is matched with the limiting sleeve 4, and the positioning body 3 and the limiting sleeve 4 are provided with purse string grooves 10 for limiting broken end purse string; the anastomat 5 comprises a plurality of clamping seats 27, double-headed nails 28 are arranged on the clamping seats 27, separation angles 29 are arranged at two ends of the double-headed nails 28, and the clamping seats 27, the double-headed nails 28 and the separation angles 29 are made of decomposable materials.
By arranging the nailing gun 1, the urethral probe 2, the positioning body 3 and the limiting sleeve 4, when performing bladder urethral anastomosis, firstly, the urethral broken end is compared with a size meter, the proper nailing gun 1 and the urethral probe 2 are selected, the bladder orifice is rebuilt to adapt to the size of the anastomat, the bladder front wall is punched with a hole, the nailing gun 1 is inserted, the limiting sleeve 4 is extended by adjusting the first adjusting part 7 on the nailing gun 1, the bladder broken end tissue purse string suture is fixed at the position of the purse string groove 10 on the limiting sleeve 4, the urethral probe 2 is inserted along the urethra, the positioning body 3 is extended by adjusting the first adjusting part 7 on the urethral probe 2, the urethral broken end purse string suture is arranged at the position of the purse string groove 10 on the positioning body 3, the positioning body 3 of the urethral broken end is inserted into the limiting sleeve 4 of the bladder broken end, the first adjusting part 7 on the nail gun 1 and the urethral probe 2 is adjusted to enable the end parts of the nail gun 1 and the urethral probe 2 to be abutted against through the tissue at the broken end, the percussion part 8 is used for percussion of the anastomat 5, under the abutting action of the purse string groove 10 and the separating action of the separating angle 29, the two nail heads of the double-headed nail 28 penetrate through the broken end of the urethra and the broken end of the bladder and are far away from each other, the buckling limit of the broken end is matched with the clamping seat 27 through the double-headed nail 28 which is bent and deformed to complete the broken end anastomosis, the second adjusting part 9 is used for driving the cutting part 6 to cut the superfluous tissue in the anastomotic part of the broken end, the nail gun 1 and the urethral probe 2 are withdrawn from a patient, the nail gun 1 and the urethral probe 2 are used, the advantages of the setting are that the operation is simple and convenient are achieved, after the broken end anastomosis operation is completed, the anastomat 5 and the broken end of the bladder are relatively fixed, the stimulation is not generated to the inner wall of the bladder due to the activity of the patient, meanwhile, the anastomat 5 can be automatically decomposed and discharged from the body of the patient after a certain time, so that discomfort to the patient is reduced, and the physical rehabilitation efficiency of the patient is ensured.
Through setting up the anastomat 5, the quantity and the distance distribution of anastomat 5 can set up by oneself according to patient's broken end size, improves its suitability, and the anastomotic stoma that fixes through the anastomat 5 is neat, tight, is favorable to the quick recovery of patient's health.
As shown in fig. 2-4, in this embodiment, the nail gun 1 includes a second tube 19, the urethral probe 2 includes a first tube 11, the first adjusting component 7 includes a sliding sleeve 12 slidably sleeved in the first tube 11 or the second tube 19, one end of the sliding sleeve 12 is connected with an adjusting rod 13 through threads, one end of the adjusting rod 13 close to the sliding sleeve 12 is sleeved in the sliding sleeve 12, the adjusting rod 13 is rotatably sleeved with the first tube 11 or the second tube 19, a first connecting rod 15 is rotatably connected to the sliding sleeve 12 in the first tube 11, one end of the first connecting rod 15 far away from the sliding sleeve 12 is fixedly connected with a second connecting rod 16, one end of the second connecting rod 16 far away from the first connecting rod 15 is fixedly connected with a positioning body 3, the first connecting rod 15 and the second connecting rod 16 penetrate through the first tube 11, one end of the first tube 11 is fixedly connected with a second connecting sleeve 42, a nail abutting seat 17 is fixedly sleeved on the second connecting sleeve 42, one end of the first tube 11 is fixedly connected with a spring 18 sleeved on the second connecting rod 16, one end of the first connecting rod 18 is rotatably sleeved with the first connecting rod 16, one end of the first connecting rod 18 is far away from the first connecting rod 19 is fixedly connected with the first connecting rod 19, one end of the first connecting rod 21 is fixedly sleeved with the third connecting rod 19 far from the first connecting rod 19, and the first connecting rod 21 is fixedly connected with the third connecting rod 19, and the first end of the first connecting rod 21 is fixedly sleeved with the first connecting rod 19 is far away from the first connecting rod 19, and the first connecting rod 21 is fixedly connected with the first connecting rod 12, and the first connecting rod 21 is far away from the first connecting rod 12 is fixedly connected with the first connecting rod 12, and the first connecting rod 21 is far away from the first connecting rod and the first connecting rod is sleeved.
The specific steps of adjusting the positioning body 3 by the first adjusting part 7 are as follows: the adjusting rod 13 is rotated, the sliding sleeve 12 is pushed by the adjusting rod 13 to move along the inner wall of the first pipe body 11 under the action of threads, and the positioning body 3 is driven to move outside the first pipe body 11 by the first connecting rod 15 and the second connecting rod 16; the specific steps of adjusting the limit sleeve 4 through the first adjusting part 7 are the same as above, but in the process, the sliding sleeve 12 drives the limit sleeve 4 to move out of the second pipe body 19 through the third connecting rod 21, so that the structure is simple, and the operation is convenient.
As shown in fig. 3, in this embodiment, the end of the second tube 19 fixedly sleeved with the first connecting sleeve 14 is fixedly sleeved with the first rotating sleeve 43, the end of the first rotating sleeve 43 away from the second tube 19 is rotatably connected with the second rotating sleeve 44, the second rotating sleeve 44 is fixedly sleeved with the nail bin 20, the first connecting sleeve 14 is sleeved on the first rotating sleeve 43 and the second rotating sleeve 44, and the connecting positions of the first rotating sleeve 43 and the second rotating sleeve 44 realize instant positioning through damping.
Through setting up first rotation sleeve 43, second rotation sleeve 44 for supporter 3, spacing sleeve 4 are in the butt joint in-process, and the tip position of second body 19 can further be crooked, improves spacing sleeve 4's home range, and spacing sleeve 4 of being convenient for realizes the quick butt joint with supporter 3 through the angle modulation, simple structure, simple operation.
As shown in fig. 4-6, in this embodiment, the firing component 8 includes a handle 22 rotatably connected to the second tube 19, the handle 22 penetrates through the second tube 19 and extends out of the second tube 19, two fourth connecting rods 23 are fixedly connected to the handle 22, the fourth connecting rods 23 penetrate through the first connecting sleeve 14 and the second tube 19, one end of the fourth connecting rods 23 away from the handle 22 is fixedly connected with a first connecting arm 24, one end of the nail bin 20 away from the first connecting sleeve 14 is provided with a containing groove 33, a limiting ring 25 is sleeved in the containing groove 33 in a sliding manner, one end of the first connecting arm 24 away from the fourth connecting rods 23 penetrates through the nail bin 20 and is fixedly connected with the limiting ring 25, one side of the limiting ring 25 away from the first connecting arm 24 is fixedly connected with a plurality of groups of clamping blocks 26, each group of clamping blocks 26 includes two clamping blocks 26, and a distance between the two clamping blocks 26 in the same group is smaller than a width of the clamping seat 27.
By arranging the firing component 8, the specific steps of firing the staples 5 by the firing component 8 are as follows: pressing handle 22, handle 22 drives spacing ring 25, fixture block 26 through fourth connecting rod 23, first linking arm 24 and drives cassette 27 motion to realize the percussion of anastomotic nail 5, simple structure, the simple operation is through the interference fit of fixture block 26 and cassette 27 and to realizing spacing ring 25 and cassette 27's relative fixation under the effect of the frictional force between fixture block 26 and cassette 27, improves cassette 27's installation convenience, is convenient for adjust the quantity and the position of cassette 27.
As shown in fig. 4-6, in this embodiment, the second adjusting component 9 includes a push button 30 slidably sleeved on the second pipe body 19, the push button 30 penetrates through the second pipe body 19 and extends out of the second pipe body 19, a fifth connecting rod 31 is fixedly connected to the push button 30, the cutting component 6 includes a barrel 32 fixedly connected to one end of the fifth connecting rod 31 far away from the push button 30, a blade is provided at one end of the barrel 32 far away from the fifth connecting rod 31, and the barrel 32 is sleeved on the limiting sleeve 4.
The specific steps of driving the cutting member 6 by the second regulating member 9 are: pushing the push button 30, the push button 30 drives the cylinder 32 to move through the fifth connecting rod 31, redundant tissues at the broken end are cut through the moving cylinder 32, and the blocking of the anastomotic site caused by the redundant tissues inside the broken end after anastomosis is avoided, so that normal excretion of a patient is affected, and the push button is simple in structure and convenient to operate.
In this embodiment, as shown in fig. 1 and 5, a window 37 is formed on the second tube 19, a scale 38 is provided on the window 37, an indicator ring 39 is fixedly sleeved on the sliding sleeve 12 in the second tube 19, and an indicator strip 40 extending to the position of the window 37 is fixedly connected to one end of one fourth connecting rod 23 close to the handle 22.
Through setting up the pilot ring 39, the pilot strip 40, before pressing handle 22, the relative position of pilot ring 39, the pilot strip 40 is observed to accessible window 37 to improve the measurement accuracy through scale 38, thereby calculate spacing sleeve 4, spacing ring 25 and the relative position of second body 19 tip, and then ensure after operating handle 22 fires anastomotic nail 5, the spacing of anastomotic nail 5 to the anastomotic position department of broken end is stable, avoid influencing the spacing stability of anastomotic position department because of the skew that rotates the regulation pole 13 in the second body 19 that makes spacing sleeve 4 produce, simple structure is favorable to improving the security and the operating efficiency of operation.
As shown in fig. 5 and 6, in this embodiment, the second connecting rod 16, the third connecting rod 21, the fourth connecting rod 23 and the fifth connecting rod 31 are all elastic rods, the first connecting sleeve 14 is made of flexible materials, the third connecting rod 21, the fourth connecting rod 23 and the fifth connecting rod 31 all penetrate through the first rotating sleeve 43 and the second rotating sleeve 44, the second pipe body 19 is fixedly sleeved with the separating sleeve 41, the third connecting rod 21, the fourth connecting rod 23 and the fifth connecting rod 31 are slidingly sleeved with the separating sleeve 41, the second pipe body 19 is fixedly connected with the elastic sheet 34, one end of the elastic sheet 34 far away from the second pipe body 19 is fixedly connected with the handle 22, the handle 22 is fixedly connected with the two limiting blocks 35, and the second pipe body 19 is rotatably connected with the safety pin 36 clamped with the handle 22.
Through setting up shell fragment 34, handle 22 of being convenient for resets after using, improves handle 22's operation convenience, through setting up safety pin 36, through the pulling force effect of shell fragment 34 for safety pin 36 and stopper 35 joint under the normality realize spacing to handle 22, avoid nail rifle 1 at the maloperation of operation in-process, improve the safety in utilization of this device.
As shown in fig. 1-3, in this embodiment, the first tube 11 is provided with a bending portion, the second tube 19 is made of a flexible and bendable material, and the second tube 19 and the bending portion on the first tube 11 are made to deform under stress, so that the first tube 11 and the second tube 19 are more fit with the physiological structure of the human body in the use process, and the suitability of the first tube 11 and the second tube 19 for bladder-urethra anastomosis is improved.
The technical proposal provided by the invention is that when performing bladder urethra anastomosis, the broken ends of the urethra are compared with a size meter, a proper nailing gun and a proper urethral probe are selected, the bladder orifice is rebuilt to adapt to the size of the anastomat, the front wall of the bladder is punched with a hole and inserted into the nailing gun, the limiting sleeve is extended by adjusting a first adjusting part on the nailing gun, the broken end tissue of the bladder is sewed and fixed at the position of a purse string groove on the limiting sleeve, the urethral probe is inserted along the urethra, the positioning body is extended by adjusting a first adjusting part on the urethral probe, the broken end purse string of the urethra is sewed at the position of the purse string groove on the positioning body, the positioning body of the broken end of the urethra is inserted into the limiting sleeve of the broken end of the bladder, and the ends of the nailing gun and the urethral probe are propped against the broken end tissue by adjusting a first adjusting part on the nailing gun and the urethral probe, the percussion part is used for percussion of the anastomat, under the contradiction effect of the purse string groove and the separation effect of the separation angle, the two nail heads of the double-headed nail penetrate through the urethra broken end and the bladder broken end and are far away from each other, the buckling limit of the broken end is matched with the clamping seat through bending deformation to complete the broken end anastomosis, the second adjusting part is used for driving the cutting part to cut redundant tissues in the anastomotic part of the broken end, the nail gun and the urethra probe are withdrawn from the patient, the nail gun and the urethra probe are used, the operation is simple and convenient, after the anastomotic operation of the broken end is completed, the anastomat and the bladder broken end remained in the patient are relatively fixed, the stimulation to the bladder inner wall is not caused by the activity of the patient, the anastomat can be automatically decomposed and discharged from the patient after a certain time, the discomfort caused to the patient is reduced, the physical rehabilitation efficiency of the patient is ensured.
Through setting up the anastomat, the quantity and the distance distribution of anastomat can be according to patient's broken end size by oneself set up, improves its suitability, and the anastomotic stoma through the anastomat is fixed is neat, tight, is favorable to the quick recovery of patient's health.
The specific steps of adjusting the positioning body through the first adjusting component are as follows: the adjusting rod is rotated, the sliding sleeve is pushed to move along the inner wall of the first pipe body under the action of the threads by the adjusting rod, and the positioning body is driven to move outside the first pipe body through the first connecting rod and the second connecting rod; the specific steps of adjusting the limiting sleeve through the first adjusting part are the same as above, but in the process, the sliding sleeve drives the limiting sleeve to move outside the second pipe body through the third connecting rod, and the structure is simple and the operation is convenient.
Through setting up first rotation sleeve, second rotation sleeve for the supporter, limit sleeve are in the butt joint in-process, and the tip position of second body can further crooked, improves limit sleeve's movable range, and the quick butt joint of limit sleeve realization and supporter is passed through the angle modulation to the limit sleeve of being convenient for, simple structure, simple operation.
Through setting up the percussion part, the specific step of percussion staple through percussion part does: pressing the handle, the handle drives the spacing ring, the fixture block through fourth connecting rod, first linking arm and drives the cassette motion to realize the percussion of anastomotic nail, simple structure, the simple operation is to realizing the relative fixation of spacing ring and cassette under the effect of the frictional force between fixture block and cassette through the interference fit of fixture block and cassette, improves the installation convenience of cassette, is convenient for adjust the quantity and the position of cassette.
The specific steps of driving the cutting component through the second adjusting component are as follows: pushing the push button, the push button drives the cylinder to move through the fifth connecting rod, and redundant tissues at the broken end are cut through the moving cylinder, so that blocking of the anastomotic site caused by redundant tissues inside the broken end after anastomosis is avoided, normal excretion of a patient is affected, and the push button is simple in structure and convenient to operate.
Through setting up indicating ring, indicator strip, before pressing the handle, the relative position of accessible window observation indicating ring, indicator strip to improve the measurement accuracy through the scale, thereby calculate the relative position of limit sleeve, limit ring and second body tip, and then ensure behind operating handle percussion anastomotic nail, the anastomotic nail is stable to the spacing of the identical position department of broken end, avoids the skew that makes limit sleeve produce influence the spacing stability of identical position department because of rotating the regulation pole in the second body in the operation, simple structure is favorable to improving the security and the operating efficiency of operation.
Through setting up the shell fragment, the handle of being convenient for resets after using, improves the operating convenience of handle, through setting up the insurance round pin, through the pulling force effect of shell fragment for the insurance round pin is under the normality with stopper joint, realizes the spacing to the handle, avoids the nail rifle at the maloperation of operation in-process, improves the safety in utilization of this device.
The second tube body capable of being deformed due to stress and the bending part on the first tube body are arranged, so that the first tube body and the second tube body are more fit with the physiological structure of a human body in the use process, and the suitability of the bladder-urethra anastomosis is improved.
The invention is intended to cover any alternatives, modifications, equivalents, and variations that fall within the spirit and scope of the invention. In the following description of preferred embodiments of the invention, specific details are set forth in order to provide a thorough understanding of the invention, and the invention will be fully understood to those skilled in the art without such details. In other instances, well-known methods, procedures, flows, components, circuits, and the like have not been described in detail so as not to unnecessarily obscure aspects of the present invention.
Those of ordinary skill in the art will appreciate that all or a portion of the steps in implementing the methods of the embodiments described above may be implemented by a program that instructs associated hardware, and the program may be stored on a computer readable storage medium, such as: ROM/RAM, magnetic disks, optical disks, etc.
The foregoing is merely a preferred embodiment of the present invention and it should be noted that modifications and adaptations to those skilled in the art may be made without departing from the principles of the present invention, which are intended to be comprehended within the scope of the present invention.
Claims (4)
1. A cartridge bladder-urethra stapler, comprising: the automatic urethra cutting device comprises a urethra broken end, a positioning body for positioning the urethra broken end and the bladder broken end, a limiting sleeve, a urethra probe for conveying the positioning body to the urethra broken end, and a nail gun for conveying the limiting sleeve to the urethra broken end, wherein the nail gun and the urethra probe are respectively provided with a first adjusting part, the first adjusting parts on the nail gun are used for adjusting the stretching length of the positioning body, the first adjusting parts on the urethra probe are used for adjusting the stretching length of the limiting sleeve, and the nail gun is also provided with a plurality of anastomoses for anastomosing the bladder broken end and the urethra broken end through deformation and cutting parts for cutting redundant tissues formed on the inner wall of the broken end after anastomosis;
the urethra probe is also provided with a nail propping seat, the nail gun is provided with a percussion part for percussion the anastomotic nail to anastomose the bladder broken end and the urethra broken end under the interference of the nail propping seat, and a second adjusting part for driving the cutting part to cut redundant tissues formed on the inner wall of the broken end after anastomosis;
the positioning body is matched with the limiting sleeve, and purse string grooves for limiting broken end purse string are formed in the positioning body and the limiting sleeve;
the anastomotic nail comprises a plurality of clamping seats, double-head nails are arranged on the clamping seats, separation angles are arranged at two ends of the double-head nails, and the clamping seats, the double-head nails and the separation angles are made of decomposable materials;
the urethral probe comprises a second pipe body, the first adjusting part comprises a sliding sleeve which is sleeved in the first pipe body or the second pipe body in a sliding way, one end of the sliding sleeve is connected with an adjusting rod through threads, one end of the adjusting rod, which is close to the sliding sleeve, is sleeved in the sliding sleeve, the adjusting rod is rotatably sleeved with the first pipe body or the second pipe body, a first connecting rod is rotatably connected to the sliding sleeve in the first pipe body, one end of the first connecting rod, which is far away from the sliding sleeve, is fixedly connected with a second connecting rod, one end of the second connecting rod, which is far away from the first connecting rod, is fixedly connected with the positioning body, the first connecting rod and the second connecting rod penetrate through the first pipe body, one end of the first pipe body is fixedly connected with a second connecting sleeve, the nail abutting seat is fixedly sleeved on the second connecting sleeve, one end of the first pipe body is fixedly connected with a spring sleeved on the second connecting rod, and the first pipe body is far away from the first pipe body and is abutted against the positioning seat;
a first connecting sleeve is fixedly sleeved at one end of the second pipe body, a nail bin is fixedly sleeved at one end of the first connecting sleeve, which is far away from the second pipe body, a limit sleeve is sleeved in the nail bin, a third connecting rod is fixedly connected to the sliding sleeve in the second pipe body, the third connecting rod penetrates through the first connecting sleeve and the second pipe body, and one end of the third connecting rod, which is far away from the sliding sleeve, is fixedly connected with the limit sleeve;
the firing part comprises a handle which is rotationally connected to the second pipe body, the handle penetrates through the second pipe body and extends out of the second pipe body, two fourth connecting rods are fixedly connected to the handle, each fourth connecting rod penetrates through the first connecting sleeve and the second pipe body, one end, far away from the handle, of each fourth connecting rod is fixedly connected with a first connecting arm, a containing groove is formed in one end, far away from the first connecting sleeve, of each nail bin, a limiting ring is sleeved in the containing groove in a sliding mode, one end, far away from the fourth connecting rod, of each first connecting arm penetrates through the nail bin and is fixedly connected with the limiting ring, one side, far away from the first connecting arm, of each limiting ring is fixedly connected with a plurality of groups of clamping blocks, each group of clamping blocks comprises two clamping blocks, and the distance between the two clamping blocks in the same group is smaller than the width of the clamping seat;
the second adjusting part comprises a push button which is sleeved on the second pipe body in a sliding manner, the push button penetrates through the second pipe body and extends out of the second pipe body, a fifth connecting rod is fixedly connected to the push button, the cutting part comprises a barrel fixedly connected to one end, far away from the push button, of the fifth connecting rod, a blade is arranged at one end, far away from the fifth connecting rod, of the barrel, and the barrel is sleeved on the limiting sleeve;
the second connecting rod, the third connecting rod, the fourth connecting rod and the fifth connecting rod are elastic rods, the first connecting sleeve is made of flexible materials, a separation sleeve is fixedly sleeved in the second pipe body, and the third connecting rod, the fourth connecting rod and the fifth connecting rod are in sliding sleeve connection with the separation sleeve;
the second body is fixedly sleeved with a first rotating sleeve fixedly sleeved with one end of the first connecting sleeve, one end, far away from the second body, of the first rotating sleeve is rotationally connected with a second rotating sleeve, the second rotating sleeve is fixedly sleeved with the nail bin, the first connecting sleeve is sleeved with the first rotating sleeve and the second rotating sleeve, and the third connecting rod, the fourth connecting rod and the fifth connecting rod penetrate through the first rotating sleeve and the second rotating sleeve.
2. The nail-bin bladder urethra anastomat according to claim 1, wherein a window is formed in the second tube body, scales are arranged on the window, an indication ring is fixedly sleeved on the sliding sleeve in the second tube body, and one end, close to the handle, of one fourth connecting rod is fixedly connected with an indication strip extending to the position of the window.
3. The nail-bin bladder urethra anastomat according to claim 1, wherein an elastic sheet is fixedly connected to the second tube body, one end of the elastic sheet, which is far away from the second tube body, is fixedly connected with the handle, two limiting blocks are fixedly connected to the handle, and a safety pin which is clamped with the handle is rotatably connected to the second tube body.
4. The cartridge urinary bladder anastomat according to claim 1, wherein the first tube body is provided with a bending part, and the second tube body is made of flexible and bendable materials.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202310134311.6A CN116269578B (en) | 2023-02-20 | 2023-02-20 | Nail bin type bladder urethra anastomat |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202310134311.6A CN116269578B (en) | 2023-02-20 | 2023-02-20 | Nail bin type bladder urethra anastomat |
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| Publication Number | Publication Date |
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| CN116269578A CN116269578A (en) | 2023-06-23 |
| CN116269578B true CN116269578B (en) | 2024-02-13 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202310134311.6A Active CN116269578B (en) | 2023-02-20 | 2023-02-20 | Nail bin type bladder urethra anastomat |
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Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201356591Y (en) * | 2009-03-05 | 2009-12-09 | 山东省立医院 | Stapler for bladder and urethra |
| CN203379169U (en) * | 2013-06-27 | 2014-01-08 | 北京大学第三医院 | Urethral probe |
| CN109820559A (en) * | 2019-02-21 | 2019-05-31 | 刘忠臣 | Vesicourethral sleeve type stapler |
| CN112022257A (en) * | 2020-09-11 | 2020-12-04 | 中国人民解放军第二军医大学 | Anastomat |
Family Cites Families (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7934631B2 (en) * | 2008-11-10 | 2011-05-03 | Barosense, Inc. | Multi-fire stapling systems and methods for delivering arrays of staples |
| US20150127029A1 (en) * | 2010-11-05 | 2015-05-07 | The Trustees Of Columbia In The City Of New York | Device and method for anastomosis |
-
2023
- 2023-02-20 CN CN202310134311.6A patent/CN116269578B/en active Active
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201356591Y (en) * | 2009-03-05 | 2009-12-09 | 山东省立医院 | Stapler for bladder and urethra |
| CN203379169U (en) * | 2013-06-27 | 2014-01-08 | 北京大学第三医院 | Urethral probe |
| CN109820559A (en) * | 2019-02-21 | 2019-05-31 | 刘忠臣 | Vesicourethral sleeve type stapler |
| CN112022257A (en) * | 2020-09-11 | 2020-12-04 | 中国人民解放军第二军医大学 | Anastomat |
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| CN116269578A (en) | 2023-06-23 |
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