CN101785700A - Endoscope used for prostate operations - Google Patents

Endoscope used for prostate operations Download PDF

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Publication number
CN101785700A
CN101785700A CN201010110708A CN201010110708A CN101785700A CN 101785700 A CN101785700 A CN 101785700A CN 201010110708 A CN201010110708 A CN 201010110708A CN 201010110708 A CN201010110708 A CN 201010110708A CN 101785700 A CN101785700 A CN 101785700A
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Prior art keywords
endoscope
endoscope body
prostate
operations
bladder
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CN201010110708A
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Chinese (zh)
Inventor
林超
段孝敏
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Shanghai Xiangxiu Medical Technology Co Ltd
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Shanghai Xiangxiu Medical Technology Co Ltd
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Priority to CN201010110708A priority Critical patent/CN101785700A/en
Publication of CN101785700A publication Critical patent/CN101785700A/en
Priority to PCT/CN2011/000206 priority patent/WO2011097955A1/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/307Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the urinary organs, e.g. urethroscopes, cystoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/015Control of fluid supply or evacuation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00547Prostate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B2018/044Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid
    • A61B2018/048Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating the surgical action being effected by a circulating hot fluid in gaseous form

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Urology & Nephrology (AREA)
  • Endoscopes (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses an endoscope used for prostate operations, which comprises an endoscope body, wherein a light source port and an observation mirror are installed on the endoscope body. The endoscope is characterized in that the endoscope body is perpendicular to the observation mirror; a closer and an anti-reflux sealing cap are sequentially connected at the rear part of the endoscope body; a cavity on which changeable surgical instruments are put is arranged in the endoscope body; a treatment channel for the surgical instruments to pass through is connected at the front part of the endoscope body; and two carbon dioxide inlet valves are arranged at the front part of the endoscope body. The closer is provided with more than three pore canals for the surgical instruments to pass through for operation. The endoscope can be used in prostatectomy, resection of bladder tumors, vesical diverticulectomy, ureterocystostom and the like, and has the good effects that the endoscope can provide the doctor with a clear picture of the affected part before the operation, and with the endoscope, the doctor can operate with both hands to finish the highly difficult operations of resection, suture and the like, thus providing convenience for the doctor to conduct medical operations.

Description

A kind of endoscope used for prostate operations
Technical field
The present invention relates to a kind of Minimally Invasive Surgery medical device, be specifically related to a kind of operation on prostate endoscope.
Background technology
The less invasive techniques that all adopts per urethra to utilize the TURP ring cutting to remove both at home and abroad to tumor of bladder disease, prostatoplasia diseases over nearly 70 years.Claim the per urethra resectoscope.This mirror is to utilize the ring-type electric knife under spying on, resection organization one by one, and have electricity to coagulate effect.The observation in the visual field realizes by a large amount of perfusion 5% mannitol or 5% glucoses.Recent two decades comes domestic and international 95% to go to the hospital, and with " goldstandard " of this method as the treatment prostatic hyperplasia, has abandoned the method for open operation treatment prostatic hyperplasia substantially.
But this " goldstandard ", have following shortcoming such as present resectoscope operation: 1. needs use expensive irrigating solutions in a large number, and a resection of prostate operation needs ten thousand milliliters of 3-4 approximately; 2. intraoperative hemorrhage mixes with irrigating solution easily that to cause the visual field unclear, need frequently discharge water, pour water, and not only waste a large amount of water quality source, and a large amount of perfusion fluids makes intravesical pressure insist on height of continuing rising in the art, easy water intoxication threat to life; The perfusion of 3 liquid can not be controlled intravesical pressure, frequently makes bladder high pressure, low pressure, and systemic blood kinetics is had harmful effect; 4. exhausted water often contains virus, pathogenic bacteria in the art, overflows to operating room or flows into sewer to cause environmental pollution, even cause the medical worker to pollute.
And existing operation on prostate often needs to use the TURP ring, and the TURP ring is used and had following problem: 1 pair of prostatic hyperplasia excision, need excision one by one with the TURP ring, and a blood vessel needs repeatedly to cut hemostasis again; 2 need be with the operational motion that digs out because of the TURP ring, and capsula prostatica is thinner, wears capsula prostatica in order to prevent to cut, and is difficult to the outgrowth body of gland of complete excision with the TURP ring; 3 remaining bodies of gland are roots of long-term urinary system infection; 4 cut wear bladder neck, cutting severe complications such as wearing capsula prostatica damage rectum may.The many persons of residual prostate body of gland cause the postoperative dysuria.5 TURP ring cuttings remove tissue and are the position that strip postoperative pathology is difficult for differentiating pathological changes, and excising the screening of a large amount of rule histopathology section increases workload.
Tumor of bladder is excised; The 1 bladder different parts because of tumor growth is difficult to operation as TURP rings such as rear wall, front and rear wall intersections; 2 tumor resections are a slice a slice excisions, are difficult to thoroughly excise during because of the dark flesh layer of tumor criminals of soaking; Easily cut and wear bladder and change open operation; 3 more difficult thorough tumor resections when having obturator nerve reflection.Whether tumor resection is difficult to make a definite diagnosis the tumor substrate and excises complete on pathology; 4 present TURP rings can not make operation single in operations such as intravesical stitchings, can not use a kind of other disease of mechanotherapy intravesical.
Summary of the invention
Technical problem to be solved by this invention is: provide when operation the affected part image more clear, can insert multiple apparatus, make things convenient for the doctor to finish a kind of endoscope used for prostate operations of intravesical various diseases treatment operation.
In order to solve above technical problem, the technical scheme of employing is: a kind of endoscope used for prostate operations comprises: endoscope body is equipped with light source and sight glass on the described endoscope body; It is characterized in that: described endoscope body is vertical mutually with described sight glass position, and the rear portion of described endoscope body is connected with closer and anti back-flow sealing cap in turn, and described endoscope body inside is equipped with the cavity of placing replaceable operating theater instruments; The front portion of described endoscope body is connected with the treatment passage that can supply operating theater instruments to pass through, and is equipped with the carbon dioxide air intake valve.
Can place the American football shape hoe scaler in the described endoscope body cavity and electricity is cut with fixed attention.
Described anti back-flow sealing cap inside is equipped with unidirectional anti back-flow lobe, and described unidirectional anti back-flow lobe can be monolayer or double-decker.
Front end is equipped with the reverse 7 font devices of placing the silica gel sheet on the described closer, prevents back flow of gas, and closer has plural duct at least, supplies operating theater instruments by undergoing surgery.
Flexibly connect by the wedge shape slide unit between described sight glass and the endoscope body, described sight glass can axially move forward and backward along endoscope body.
Described endoscope used for prostate operations is used for the excision of prostate excision, tumor of bladder, diverticulum of bladder excision, Uretero-bladder and coincide.
Beneficial effect of the present invention is: when operation, can provide affected part image clearly, can finish excision by endoscope of the present invention bimanualness, and highly difficult operations such as stitching, and can treat multiple disease.Made things convenient for the doctor to undergo surgery.
Description of drawings
Fig. 1 is an endoscope used for prostate operations structural representation of the present invention;
Fig. 2 is the structural representation of double-deck unidirectional anti back-flow lobe;
Fig. 3 is the structural representation of the unidirectional anti back-flow lobe of monolayer.
The specific embodiment
Fig. 1 is an operation endoscope structural representation of the present invention, and following examples are example with operation in the bladder, and the invention will be further described in conjunction with the accompanying drawings.
A kind of endoscope used for prostate operations, comprise: endoscope body 8, light source interface 1 and sight glass 2 are installed on the described endoscope body 8, it is characterized in that: described endoscope body 8 is vertical mutually with described sight glass 2 positions, the rear portion of described endoscope body 8 is connected with closer 4 and anti back-flow sealing cap 3 in turn, described endoscope body 8 front portions are equipped with the smelting of passing through for operating theater instruments and treat passage 7 and carbon dioxide air intake valve 6, can place a plurality of replaceable apparatuses in described endoscope body 8 cavitys.
Placing replaceable apparatus in described endoscope body 8 cavitys is that American football shape hoe scaler and electricity are cut with fixed attention.
Anti back-flow sealing cap 3 inside are provided with unidirectional anti back-flow lobe, and described unidirectional anti back-flow lobe can be monolayer or double-decker.
Described closer 4 front ends are provided with the reverse 7 word devices of placing the silica gel sheet, prevent back flow of gas, and closer 4 has plural duct at least, supply operating theater instruments by undergoing surgery.
Flexibly connect by the wedge shape slide unit between described sight glass 2 and the endoscope body 8, described sight glass 2 can axially move forward and backward along endoscope body 8.
Described endoscope used for prostate operations is used for the excision of prostate excision, tumor of bladder, diverticulum of bladder excision, Uretero-bladder and coincide.Can also be applied to metroscope, arthroscope, various Minimally Invasive Surgerys such as peritoneoscope.
Be connected with gas gauge on described air intake valve 6 or the carbon dioxide air source.
If the present invention connects carbon dioxide air source, leakproof gas cap 3 then is installed on described endoscope body 8 back-connected closers 4, described leakproof gas cap 3 inside are provided with the unidirectional anti back-flow lobe towards endoscope body 8 one sides.If the present invention connects fluid supply, be equipped with on the then described closer 4 the anti-medicated cap 3 that leaks ', the inside of described leakproof gas cap 3 (the anti-medicated cap 3 that leaks ') is provided with the unidirectional anti back-flow lobe towards endoscope body 8 one sides, as Fig. 2, shown in Figure 3.Described unidirectional anti back-flow lobe can be monolayer or double-decker.Described sight glass 2 is connected to display, and will treat the image signal transmission that passage 7 transmits and show to display.
The present invention uses carbon dioxide gas as the perfusion medium.It has cheap advantage.And intraoperative hemorrhage does not mix with gas, remains to get a clear view.Utilize pneumoperitoneum apparatus air feed may command injection pressure.
Operation mirror is that sight glass 2 is placed on the endoscope body 8 in the bladder, and described endoscope body 8 is vertical mutually with described sight glass 2 positions.Reserving the working place can put into pliers simultaneously and mention tumor; Put into electric hook or electricity and cut complete tumor resection with fixed attention, even invade the tumor of dark flesh layer.Because of the perfusion carbon dioxide, (gas enters bladder week clearance pressure may command, can not enter in a large number can to cut the bladder holostrome.Carbon dioxide is easily discharged, and can not cause the severe infections complication as liquid.) can in the described cystoscope of the embodiment of the invention, sew up wall of urinary bladder.Present resectoscope is inaccessiable.To prostatic hyperplasia, can use the present invention, utilize the Fructus Canarii albi ball-type of invention to clamp complete dial-out prostate, utilize another invention prostate chopper, take out by scope of the present invention, reach complete excision effect.
Present resectoscope can only be done prostatoplasia diseases, show shallow tumor of bladder, and is more single.Adopt that operation mirror not only has a clear superiority in the above-mentioned two kinds of diseases of treatment in the bladder of the present invention, also can treat as diverticulum of bladder excision, Uretero-bladder other treatment of diseases of intravesical of coincideing again or the like.
Operation mirror air pressure may command in the described bladder of present embodiment does not need the punctio vesicae fistulation.Sight glass is observed in gas than observe the definition height in water.
The present invention preferably utilizes existing pneumoperitoneum apparatus, and the perfusion carbon dioxide replaces present Global Access to use liquid as the perfusion medium.The flow and the pressure of the air inlet of existing pneumoperitoneum apparatus may command.Operation mirror is located at the front end of handle to air valve 6,5 in the bladder, and the working place is strengthened.Sight glass 2 is placed on the mirror sheath body, reserves big transluminal operation space, and sight glass 2 can move forward and backward, and when the excision prostate, available mirror sheath is peeled off prostate, at this moment sight glass 2 can after move, make stripping process visual.And can protect sight glass 2 head end opticators.Operation mirror is square in the design of the lower end of sight glass 2 in the bladder, is convenient to the mirror body is passed through fixed mount, is fixed on the operation table.So that operation one man operation.The closer 4 of operation mirror tail end is provided with the anti-back flow of gas flap in first road in the bladder.For the difference operation needs, design has two kinds of closers 4.Two holes or three holes can be arranged on the closer 4.Hole on the described closer 4 can be for operating theater instruments by undergoing surgery.Operation mirror also can be used as single-hole laparoscopic in the bladder.Be applied to department of general surgery.Department of obstetrics and gynecology etc.
At the front end of closer 4 an anti-adverse current skin graft structure is arranged, when operating theater instruments when operation mirror rear end forward end deeply undergos surgery, skin graft is opened; Simultaneously when intravesical gas outwards moves, skin graft can the barrier gas adverse current, and this layer skin graft structure is used for as the anti-gas backflow device of ground floor.Above-mentioned silica gel water seal medicated cap design is the flap that an anti back-flow is arranged at the medicated cap intracavity.Direct motion can be passed through apparatus.Flap designed because of del when intracavity had pressure, played the effect of second layer anti back-flow.
The operation mirror intracavity can be operated following apparatus in the bladder:
Spoon formula pincers; The electricity of replaceable haircut is cut with fixed attention, and needle holder, suction pump, prostate chopper: the present invention can be applicable to operations such as metroscope, arthroscope simultaneously.
The above specific embodiment is used for disclosing best implementation method of the present invention, so that those of ordinary skill in the art can use numerous embodiments of the present invention and multiple alternative reaches purpose of the present invention.But the present invention is not limited to embodiment discussed above.Be to be understood that based on any conspicuous conversion of the present invention enlightenment or substitute, also should be considered to fall into protection scope of the present invention.

Claims (7)

1. endoscope used for prostate operations, comprise: endoscope body (8), light source interface (1) and sight glass (2) are installed on the described endoscope body (8), it is characterized in that: described endoscope body (8) is vertical mutually with described sight glass (2) position, the rear portion of described endoscope body (8) is connected with closer (4) and anti back-flow sealing cap (3) in turn, described endoscope body (8) front portion is equipped with the smelting of passing through for operating theater instruments and treats passage (7) and carbon dioxide air intake valve (6), can place replaceable apparatus in described endoscope body (8) cavity.
2. endoscope used for prostate operations as claimed in claim 1 is characterized in that, placing replaceable apparatus in described endoscope body (8) cavity is that American football shape hoe scaler and electricity are cut with fixed attention.
3. endoscope used for prostate operations as claimed in claim 1 is characterized in that, described anti back-flow sealing cap (3) inside is provided with unidirectional anti back-flow lobe, and described unidirectional anti back-flow lobe can be monolayer or double-decker.
4. endoscope used for prostate operations as claimed in claim 1 is characterized in that, described closer (4) front end is equipped with places the silica gel sheet, prevents the reverse 7 word devices of back flow of gas.
5. endoscope used for prostate operations as claimed in claim 1 is characterized in that, described closer (4) has two ducts at least, supplies operating theater instruments by undergoing surgery.
6. endoscope used for prostate operations as claimed in claim 1 is characterized in that, flexibly connects by the wedge shape slide unit between described sight glass (2) and the endoscope body (8), and described sight glass (2) can axially move forward and backward along endoscope body (8).
7. the described endoscope used for prostate operations of claim 1 is used for prostate excision, tumor of bladder excision, diverticulum of bladder excision, Uretero-bladder anastomosis operation again.
CN201010110708A 2010-01-04 2010-02-12 Endoscope used for prostate operations Pending CN101785700A (en)

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CN201010110708A CN101785700A (en) 2010-01-04 2010-02-12 Endoscope used for prostate operations
PCT/CN2011/000206 WO2011097955A1 (en) 2010-02-12 2011-02-09 Endoscope for prostate surgery

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN201010027204.6 2010-01-04
CN201010110708A CN101785700A (en) 2010-01-04 2010-02-12 Endoscope used for prostate operations

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Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2011097953A1 (en) * 2010-02-12 2011-08-18 上海祥秀医药科技有限公司 Prostatectomy device with carbon dioxide gas supply
WO2011097955A1 (en) * 2010-02-12 2011-08-18 上海祥秀医药科技有限公司 Endoscope for prostate surgery
CN103230295A (en) * 2012-12-13 2013-08-07 池永龙 Portable tissue scissors with micro visual structure
CN103393391A (en) * 2013-06-20 2013-11-20 中国科学院苏州生物医学工程技术研究所 Multifunctional medical instrument for alimentary canal endoscopic surgery
CN104254284A (en) * 2012-08-13 2014-12-31 奥林巴斯医疗株式会社 Treatment device for endoscope
CN106175655A (en) * 2016-09-28 2016-12-07 北京大学第医院 For cystoscopic perfusion equipment and cystoscope system
CN107349513A (en) * 2017-07-11 2017-11-17 广州优尼康通医疗科技有限公司 The insertion method for the prostate dilator for being open preposition
CN108354586A (en) * 2017-04-14 2018-08-03 深圳英美达医疗技术有限公司 Dismountable intravascular imaging catheter and diagnostic system
CN108403210A (en) * 2018-05-21 2018-08-17 上海英诺伟医疗器械有限公司 Enucleation of the prostate mirror
CN111345891A (en) * 2020-03-13 2020-06-30 复旦大学附属肿瘤医院 Novel hook-shaped structure transurethral bladder tumor electric cutting electrode

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CN1054892A (en) * 1991-04-17 1991-10-02 苏天安 Lasar prostate excision mirror
CN1220590A (en) * 1996-04-12 1999-06-23 诺瓦塞普特 Moisture transport system for contat electrocoagulation
US20070129724A1 (en) * 2005-12-02 2007-06-07 Olympus Winter & Ibe Gmbh Urological resectoscope fitted with an insulating element at its external stem

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2011097953A1 (en) * 2010-02-12 2011-08-18 上海祥秀医药科技有限公司 Prostatectomy device with carbon dioxide gas supply
WO2011097955A1 (en) * 2010-02-12 2011-08-18 上海祥秀医药科技有限公司 Endoscope for prostate surgery
CN104254284A (en) * 2012-08-13 2014-12-31 奥林巴斯医疗株式会社 Treatment device for endoscope
CN104254284B (en) * 2012-08-13 2016-06-29 奥林巴斯株式会社 Endoscope treatment tool
CN103230295A (en) * 2012-12-13 2013-08-07 池永龙 Portable tissue scissors with micro visual structure
CN103393391A (en) * 2013-06-20 2013-11-20 中国科学院苏州生物医学工程技术研究所 Multifunctional medical instrument for alimentary canal endoscopic surgery
CN106175655A (en) * 2016-09-28 2016-12-07 北京大学第医院 For cystoscopic perfusion equipment and cystoscope system
CN108354586A (en) * 2017-04-14 2018-08-03 深圳英美达医疗技术有限公司 Dismountable intravascular imaging catheter and diagnostic system
CN107349513A (en) * 2017-07-11 2017-11-17 广州优尼康通医疗科技有限公司 The insertion method for the prostate dilator for being open preposition
CN108403210A (en) * 2018-05-21 2018-08-17 上海英诺伟医疗器械有限公司 Enucleation of the prostate mirror
CN108403210B (en) * 2018-05-21 2018-11-02 上海英诺伟医疗器械有限公司 Enucleation of the prostate mirror
CN111345891A (en) * 2020-03-13 2020-06-30 复旦大学附属肿瘤医院 Novel hook-shaped structure transurethral bladder tumor electric cutting electrode

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Application publication date: 20100728