CN102058431B - Operating device of medical instrument - Google Patents

Operating device of medical instrument Download PDF

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Publication number
CN102058431B
CN102058431B CN2010101122309A CN201010112230A CN102058431B CN 102058431 B CN102058431 B CN 102058431B CN 2010101122309 A CN2010101122309 A CN 2010101122309A CN 201010112230 A CN201010112230 A CN 201010112230A CN 102058431 B CN102058431 B CN 102058431B
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CN
China
Prior art keywords
slide block
guide rod
rib
groove
rotary steering
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Expired - Fee Related
Application number
CN2010101122309A
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Chinese (zh)
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CN102058431A (en
Inventor
辛卿珉
明炳喆
元容铉
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Taewoong Medical Co Ltd
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Taewoong Medical Co Ltd
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Publication date
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Publication of CN102058431A publication Critical patent/CN102058431A/en
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Publication of CN102058431B publication Critical patent/CN102058431B/en
Expired - Fee Related 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
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/295Forceps for use in minimally invasive surgery combined with cutting implements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2901Details of shaft
    • A61B2017/2905Details of shaft flexible
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • A61B2017/2912Handles transmission of forces to actuating rod or piston
    • A61B2017/2913Handles transmission of forces to actuating rod or piston cams or guiding means

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Ophthalmology & Optometry (AREA)
  • Heart & Thoracic Surgery (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

An operating device applied in medical instruments such as tweezers, snares, hemostatic clamps and stone baskets comprises a guide rod with a vertical groove, a handle integrally formed with the guide rod, a reciprocating slide block slidably and rotatingly equipped inside the guide rod to move along the axial direction and the circumferential direction, and a rotational guide member slidably equipped in the groove of the guide rod and combined with the reciprocating slide block so as to make the reciprocating slide block rotate relative to the rotational guide member. The operating device further comprises a metal wire unit which comprises an elastic wire sleeve with one end connected on the guide rod and an operating metal wire. One end of the operating metal wire which is equipped inside the elastic wire sleeve is fixed on the rotational guide member of the operating unit.

Description

The operating means that is used for medical apparatus and instruments
Technical field
The present invention relates to a kind of operating means for medical apparatus and instruments, particularly, relate to a kind of operating means for medical apparatus and instruments, it can make the operator easily operate medical apparatus and instruments, such as tweezers, snare, hemostatic clamp, stone basket (stone basket) etc.
Background technology
As medical apparatus and instruments, usually known having, be used at endoscopic surgery or the laparoscopic surgery tweezers from the damage location chorista, be used for removing the snare of the support that is positioned at damage location etc., and be used for obtaining and remove foreign substance as being present in the stone basket of stone in the human body etc.These medical apparatus and instruments are operated by the operator.
With reference to Figure 1A and Figure 1B tweezers are described, tweezers are representative instances of medical apparatus and instruments.As shown in the figure, tweezers comprise operating unit 1, metal wire unit 2 and work implement unit 3.Metal wire unit 2 and work implement unit 3 are inserted to the injury of human position.The operator can finish the mode operating operation unit 1 of expectation task by metal wire unit 2 and work implement unit 3.
The work implement unit 3 of tweezers is provided with for the cutting folder 4 of removing tissue from damage location.Snare (sanre) is provided with hook, and stone basket comprises broken string.
More specifically, operating unit 1 comprises main body 9, and it has the guide part 11 that is provided with groove 10 longitudinally and the handle 5 integrally formed with guide part 11; And be installed to slidably in the groove 10 of guide part 11 the reciprocal slide block 12 that moves with in direction back and forth.Elastica cover 30 is connected to the tip of guide part 11.
Back and forth slide block 12 is comprised of the two half-unit that combines by binding agent.Each half one have keep groove 21 be used for keeping being arranged in the elastica cover 30 operation metal wire 20 and with a pair of side channel 22 of guide part 11 combinations so that back and forth slide block 12 can be along guide part 11 gliding motilities.
Work implement unit 3 is connected to the most advanced and sophisticated of operation metal wire 20 and comprises a pair of chain connection in the cutting folder 4 at the tip of elastica cover 30, so that they can open and close along with the gliding motility of reciprocal slide block 12.
In operation, if back and forth slide block 12 slides forward or backward, operation metal wire 20 is together with back and forth slide block 12 motions.Therefore, chain connection opens or closes in the cutting folder 4 at the tip of elastica cover 30, thereby cuts and obtain the tissue of damage location.Thereby the tissue that separates takes out in the human body and is checked.
There are a lot of problems in the operating unit 1 of the traditional medical apparatus that the above describes in detail.A problem is that back and forth slide block 12 has cylindrical shape and therefore takies large space.Another problem is that the task of producing the two half-unit of reciprocal slide block 12 and utilizing binding agent to bond them together is difficult to realize.
When operator's thumb is inserted in the handle 5, and forefinger and middle finger are handled cutting folder 4 by the reciprocal slide block 12 of push-and-pull when clamping reciprocal slide block 12.
In this operating process, when forefinger and middle finger moved reciprocatingly with reciprocal slide block 12, thumb kept holding handle 5.Therefore, forefinger and middle finger need to repeat open and close, so the operator is tired soon.Owing to this reason, the operator is organizing the position of clamping that changes continually forefinger and middle finger when obtaining task.
As this solution of problem way, can buy medical apparatus and instruments and comprise the reciprocal slide block with non-circular cross-section.But this medical apparatus and instruments can not fully solve the problem that occurs in the operation.
Summary of the invention
Consider above-mentioned and background technology in other intrinsic problem, the object of the present invention is to provide a kind of operating means for medical apparatus and instruments, this medical apparatus and instruments uses easily and operates in reliable mode.
The invention provides a kind ofly for the operating means of medical apparatus and instruments such as tweezers, snare, hemostatic clamp and stone basket, comprising:
Operating unit, it comprises having the longitudinally guide rod of groove; The hands handle integrally formed with guide rod; Be assemblied in slidably and rotatably the reciprocal slide block to move at axial and circumferencial direction in the guide rod; And be assembled to slidably and cooperate in the groove of guide rod and with reciprocal slide block so that the reciprocal guiding member rotating that is rotated of the relative guiding member rotating of slide block; With
The metal wire unit, it comprises the elastica cover that at one end is connected on the guide rod, and is arranged in the elastica cover and at one end is fixed to operation metal wire on the guiding member rotating of operating unit.
Use the operating means for medical apparatus and instruments of the present invention, the operation metal wire that this reciprocal slide block can be independent of the metal wire unit moves back and forth and rotatablely moves.This make the operator needn't change forefinger and middle finger the position and easily the task of carry out desired become possibility.
The accompanying drawing summary
By reference to the accompanying drawings and according to the following explanation of preferred implementation, above and other objects of the present invention and characteristics will be more obvious, wherein:
Figure 1A is the decomposition diagram of having described a kind of routine operation device for medical apparatus and instruments, and Figure 1B is the perspective view of the operating means that is assembled together;
Fig. 2 is a kind of decomposition diagram of the operating means that is used for medical apparatus and instruments according to one embodiment of the invention;
Fig. 3 is the perspective view of the operating means shown in Fig. 2, and its component part partly is assembled together;
Fig. 4 is the perspective view of the operating means shown in Fig. 3, and its component part fully is assembled together;
Fig. 5 shows the guiding member rotating that is in decomposition and confined state;
Fig. 6 shows the guiding member rotating that is in reverse state;
Fig. 7 is the phantom of the operating means that shows among Fig. 4;
Fig. 8 is the phantom of operating means, reciprocal Slipper is shown is installed to the guiding combining unit;
Fig. 9 is that operating means is along the profile of A-A line among Fig. 8;
Figure 10 is the phantom of operating means, reciprocal slide block is shown from position shown in Figure 8 90-degree rotation;
Figure 11 is that operating means is along the profile of B-B line among Figure 10;
Figure 12 is the phantom of operating means, reciprocal slide block is shown fully is assembled in the guiding combining unit;
Figure 13 is that operating means is along the profile of C-C line among Figure 12;
Figure 14 is that operating means is along the profile of D-D line among Figure 12;
Figure 15 is the phantom of operating means, and wherein reciprocal slide block is from position shown in Figure 12 90-degree rotation;
Figure 16 is that operating means is along the profile of E-E line among Figure 15;
Figure 17 is that operating means is along the profile of F-F line among Figure 15;
Figure 18 is the cutaway view of operating means, reciprocal slide block is shown turns clockwise from Figure 16 and position shown in Figure 17;
Figure 19 is the cutaway view of operating means, reciprocal slide block is shown is rotated counterclockwise from Figure 16 and position shown in Figure 17; And
Figure 20 is the user mode figure of the operating means that is used for medical apparatus and instruments according to an embodiment of the present invention.
The specific embodiment
Hereinafter describe with reference to the accompanying drawings a preferred implementation of the present invention in detail.
At first arrive Fig. 7 with reference to Fig. 2, be used for the operating means of medical apparatus and instruments such as tweezers, snare, hemostatic clamp and stone basket, comprise operating unit 1, metal wire unit 2 and work implement unit 3.Operating unit 1 comprises main body 9, it has the guide rod 11 that is provided with groove 10 longitudinally and the handle 5 integrally formed with guide rod 11, and be assembled to slidably in the guide rod 11 with axially and the reciprocal slide block 12 that moves of circumferencial direction, and detachably and slidably be assembled to guiding member rotating 60 on the cannelure 10 of guide rod 11.Back and forth slide block 12 is assembled on the guide rod 11 so that it can slide and rotate under the guiding of guiding member rotating 60 along the direction of guide rod 11.
Metal wire unit 2 comprises the elastica cover 30 that at one end is connected on the guide rod 11 and the operation metal wires 20 that are arranged in the elastica cover 30.Work implement unit 3 comprises various work implements for tweezers, snare, hemostatic clamp and stone basket, and they are inserted into the interior task with carry out desired of human body.
The reciprocal slide block 12 of operating unit 1 is made forefinger that can the person of being operated and the shape that middle finger is clamped.Back and forth slide block 12 has the first circular hole 51, diameter is less than the second circular hole 52 of the first circular hole 51 diameters, the shoulder surface 50 of the first circular hole 51 and the second circular hole 52 intersections, in a pair of first projection 56 and 56 ' of the first circular hole 51 interior relative formation, and in the 51 interior relative formation of the first circular hole and a pair of the second projection 57 and 57 ' of forming with the first projection 56 and 56 ' axially spaced-apart.
The guiding member rotating 60 of operating unit 1 comprises that the first rotary steering parts 70 and the second rotary steering parts 80, the first rotary steering parts 70 and the second rotary steering parts 80 are assembled on the groove 10 of guide rod 11 and by binding agent or other fixed form that is fit to slidably and connects together.The first rotary steering parts 70 and the second rotary steering parts 80 comprise separately in the groove 10 that is inserted into guide rod 11 prolongation body 61 and at the front end that the prolongs body 61 semicircle wing 77 integrally formed with prolonging body 61.
The prolongation body 61 of the first rotary steering parts 70 has for the maintenance groove 21 of operation metal wire 20 1 ends of maintenance metal wire unit 2 and a pair of side channel 22 that cooperates with guide rod 11, so that the first rotary steering parts 70 and the second rotary steering parts 80 can be along groove 10 gliding motilities of guide rod 11.
The prolongation body 61 of the first rotary steering parts 70 has the slightly little thickness of width than the groove 10 of guide rod 11.Prolongation body 61 has the end of extending with the right angle and gives prominence to 71, the bending lid 73 that forms fit 72 apparent surfaces near the fit 72 that forms this end outstanding 71 and prolongation body 61.The semicircle wing 77 of the first rotary steering parts 70 comprises first rib 74, second rib 75 and the 3rd rib 76 in outer surface and and apart gap " t " outstanding from outer surface.First rib 74, second rib 75 and the 3rd rib 76 have and the essentially identical radius of curvature of the diameter of the first circular hole 51.
At place, the opposite end of first rib 74, be formed with opening, each opening has the circumferential width that substantially equates with a half width of each first projection 56 of reciprocal slide block 12 and 56 ' width.At the middle part of second rib 75, be formed with connecting groove 78, it has the circumferential width that substantially equates with the width of each second projection 57 of reciprocal slide block 12 and 57 '.The gap " t " between first rib 74, second rib 75 and the 3rd rib 76 be traditionally arranged to be with the first projection 56 and the 56 ' and second projection 57 and 57 ' between distance substantially equate or slightly large.
The prolongation body 61 of the first rotary steering parts 70 have for the maintenance groove 21 of operation metal wire 20 1 ends that keep metal wire unit 2 and with a pair of side channel 22 of guide rod 11 combinations so that the first rotary steering parts 70 and the second rotary steering parts 80 carry out gliding motility along the groove 10 of guide rod 11.
Similarly, the prolongation body 61 of the second rotary steering parts 80 has the slightly little thickness of width than the groove 10 of guide rod 11.The prolongation body 61 of the second rotary steering parts 80 is provided with the end engagement protrusion 81 that cooperates with the fit 72 of the first rotary steering parts 70, and prolongs on the body 61 at the bending lid 83 that forms with end engagement protrusion 81 apparent surfaces.The semicircle wing 77 of the second rotary steering parts 80 comprises first rib 84, second rib 85 and the 3rd rib 86 in outer surface and and apart gap " t " outstanding from outer surface.First rib 84, second rib 85 and the 3rd rib 86 have and the essentially identical radius of curvature of the diameter of the first circular hole 51.
At place, the opposite end of first rib 84, be formed with opening, wherein each has the circumferential width that substantially equates with a half width of each first projection 56 of reciprocal slide block 12 and 56 ' width.At the middle part of second rib 85, be formed with connecting groove 78, it has the circumferential width that substantially equates with the width of each second projection 57 of reciprocal slide block 12 and 57 '.Recessed Cao 95 of the first circumference and the second circumferential groove 96 are limited between first rib 84, second rib 85 and the 3rd rib 86.Such as optimum demonstration the among Fig. 6, the first obstruction projection 82 and second is blocked projection 89 and is had separately the inclined surface 97 that is formed on the first circumferential groove 95 and the second circumferential groove 96.Gap " t " between first rib 84, second rib 85 and the 3rd rib 86 be set to the first projection 56 and the 56 ' and second projection 57 and 57 ' between distance substantially equate or slightly large.
The operating unit 1 of foregoing description assembles in the following manner.At first, the guide rod 11 of main body 9 is inserted in first circular hole 51 and the second circular hole 52 of reciprocal slide block 12, and the second circular hole 52 is arranged at handle 5 sides by this way.
Then, the first rotary steering parts 70 and the second rotary steering parts 80 above slide bar and below be installed to the groove 10 of guide rod 11.At this moment, fit 72 combinations of the end engagement protrusion 81 of the second rotary steering parts 80 and the first rotary steering parts 70.Therefore, the semicircle wing 77 of the first rotary steering parts 70 and the second rotary steering parts 80 and crooked lid 73 and crooked lid 83 circumferential extensions along guide rod 11.Thereby the first rotary steering parts 70 and the second rotary steering parts 80 installed utilize binding agent to combine.
In case the first rotary steering parts 70 and the second rotary steering parts 80 combine, be used for and the opposite end of the first rib 84 of the semicircle wing 77 of the opposite end of the first rib 74 of the first projection 56 of reciprocal slide block 12 and the engagement groove 90 of 56 ' combination and the semicircle wing 77 that engagement groove 91 is limited to the first rotary steering parts 70 and the second rotary steering parts 80 between.Engagement groove 90 and engagement groove 91 are spent the circle spacing setting with 180.
The first rib 74 of the first rotary steering parts 70, second rib 75 and the 3rd rib 76 are accurately aimed at first rib 84, second rib 85 and the 3rd rib 86 of the second rotary steering parts 80 so that they can form three annulus of axially upper each interval.The first circumferential groove 95 and the second circumferential groove 96 are limited in the annulus by this way, with engagement groove 78, engagement groove 88, engagement groove 90 and engagement groove 91 combinations.
In this state, back and forth slide block 12 towards guiding member rotating 60 motions so that back and forth the second projection 57 of slide block 12 and 57 ' can be by engagement groove 90 and engagement groove 91 and can be in the first circumferential groove 95 that is limited between first rib 74 and first rib 84 and second rib 75 and the second rib 85.If reciprocal slide block 12 90-degree rotations, the second projection 57 and 57 ' can be aimed at engagement groove 78 and engagement groove 88, and the first projection 56 and 56 ' is aimed at engagement groove 90 and engagement groove 91 simultaneously.
If back and forth slide block travels forward under this state again, the second projection 57 and 57 ' enters into the second circumferential groove 96 by engagement groove 78 and engagement groove 88, and the first projection 56 and 56 ' enters into the first circumferential groove 95 by engagement groove 90 and engagement groove 91 simultaneously.
In above process, the prolongation body 61 of guiding member rotating 60 is inserted in the second circular hole 52 of reciprocal slide block 12.At this moment, the first rib 74 of the first rotary steering parts 70 and the second rotary steering parts 80 contacts with shoulder surface 50 with first rib 84, simultaneously, crooked lid 73 and crooked lid 74 in the rear end of reciprocal slide block 12 separately to stop guiding member rotating 60 from the without reason motion of slide block 12.
If back and forth slide block 12 rotates under this state, the first projection 56 and 56 ' is moved along the first circumferential groove 95, and simultaneously, the second projection 57 and 57 ' is moved along the second circumferential groove 96.Having separately first of inclined surface 97 blocks projection 82 and second and blocks projection 89 and allow slide blocks 12 to rotate in one direction but stop it to rotate in other direction.
By above-mentioned structure, operator's forefinger and middle finger are clamped reciprocal slide block 12 and are caused and rotatablely move and axially reciprocating.This does not need to change the position of forefinger and middle finger so that the operator easily moves reciprocal slide block 12 in any direction.This mainly is because back and forth slide block 12 is not the operation metal wire 20 that is directly connected to metal wire unit 2.
The operating means that should be used for medical apparatus and instruments can be applied to various medical apparatus and instruments such as tweezers, snare, hemostatic clamp, stone basket etc.
Although describe hereinbefore particular implementation of the present invention, the invention is not restricted to this.Those skilled in the art should know, do not break away from limit in the claim of the present invention scope can make a variety of changes and revise.

Claims (7)

1. operating means that is used for medical apparatus and instruments comprises:
Operating unit, it comprises having the longitudinally guide rod of groove; The hands handle integrally formed with guide rod; Slidably and rotatably be installed to the reciprocal slide block to move at axial and circumferencial direction in the guide rod; And be assembled to slidably in the groove of guide rod and with reciprocal slide block in conjunction with so that the reciprocal guiding member rotating of the relative guiding member rotating rotation of slide block; With
The metal wire unit, it comprises the elastica cover that at one end is connected on the guide rod, and is arranged in the elastica cover and at one end is fixed to operation metal wire on the guiding member rotating of operating unit.
2. the operating means that is used for as described in claim 1 medical apparatus and instruments, it is characterized in that, described reciprocal slide block has the first circular hole, diameter is less than the second circular hole of described the first Circularhole diameter, shoulder surface in described the first circular hole and described the second circular hole intersection, be formed on a pair of first projection that is oppositely arranged of described the first circular hole inside, and a pair of the second projection that is oppositely arranged and arranges with described the first projection axially spaced-apart that is formed on described the first circular hole inside.
3. the operating means that is used for as described in claim 2 medical apparatus and instruments, it is characterized in that, the described guiding member rotating of described operating unit comprises the first rotary steering parts and the second rotary steering parts in the groove that is assembled to slidably described guide rod, the first rotary steering parts and the second rotation guide parts comprise separately in the groove that is inserted into described guide rod the prolongation body and with prolonging body the integrally formed semicircle wing.
4. be used for as described in claim 3 the operating means of medical apparatus and instruments, it is characterized in that, described the first rotary steering parts and the second rotary steering parts prolongation body separately have the maintenance groove for operation metal wire one end that keeps the metal wire unit.
5. the operating means that is used for as described in claim 3 medical apparatus and instruments, it is characterized in that described the first rotary steering parts and described the second rotary steering parts described prolongation body separately are provided with crooked lid to stop described reciprocal slide block to break away from unintentionally from guiding member rotating.
6. be used for as described in claim 3 the operating means of medical apparatus and instruments, it is characterized in that, the described semicircle wing comprises outer surface and gives prominence to also in the axial direction first rib, second rib and the 3rd rib of each interval from described outer surface.
7. the operating means that is used for as described in claim 6 medical apparatus and instruments, it is characterized in that, the described semicircle wing has the first circumferential groove and the second circumferential groove that is limited between described first rib, second rib and the 3rd rib, and described first projection of described reciprocal slide block and described the second projection are separately positioned in described the first circumferential groove and described the second circumferential groove.
CN2010101122309A 2009-11-16 2010-02-08 Operating device of medical instrument Expired - Fee Related CN102058431B (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2009-0110340 2009-11-16
KR1020090110340A KR101109734B1 (en) 2009-11-16 2009-11-16 A Controll Device for the medical Instrument as a like the Forcep

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CN102058431A CN102058431A (en) 2011-05-18
CN102058431B true CN102058431B (en) 2013-02-20

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KR101494286B1 (en) 2013-11-14 2015-02-17 (주) 태웅메디칼 Device for Expending Lumen in Body
KR20160079989A (en) 2014-12-26 2016-07-07 주식회사 파인메딕스 A biopsy forceps
CN106215278A (en) * 2016-08-12 2016-12-14 王淑娟 Single use venoclysis needle
KR20200043807A (en) 2018-10-18 2020-04-28 김평옥 Biopsy forceps
KR102014087B1 (en) * 2019-01-04 2019-08-26 (주)메디컬에이드 Disposable biopsy forceps for endoscope
KR102571929B1 (en) 2021-06-18 2023-08-29 주식회사 파인메딕스 Forceps for Tissue Excision
CN116423196B (en) * 2023-03-23 2023-09-29 杭州圣石科技股份有限公司 Automatic assembly system of absorbable hemostatic ligature clamp

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KR101109734B1 (en) 2012-02-16
KR20110053695A (en) 2011-05-24

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