CN102895011B - Staple bin assembly and stapler using same - Google Patents

Staple bin assembly and stapler using same Download PDF

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Publication number
CN102895011B
CN102895011B CN201210441226.6A CN201210441226A CN102895011B CN 102895011 B CN102895011 B CN 102895011B CN 201210441226 A CN201210441226 A CN 201210441226A CN 102895011 B CN102895011 B CN 102895011B
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CN
China
Prior art keywords
nail
cutting knife
slide block
ejector pin
nail bin
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Active
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CN201210441226.6A
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Chinese (zh)
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CN102895011A (en
Inventor
李学军
刘青
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BJ ZHF Panther Medical Equipment Co Ltd
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BJ ZHF Panther Medical Equipment Co Ltd
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Priority to CN201210441226.6A priority Critical patent/CN102895011B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • A61B17/1155Circular staplers comprising a plurality of staples

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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)
  • Portable Nailing Machines And Staplers (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to a staple bin assembly and a stapler using the same. The staple bin assembly comprises a staple bin sleeve, a joint-cutting assembly, a driving assembly, a staple bin and a staple pushing plate, wherein the driving assembly comprises a driving seat and a driving gear; the driving seat can move in the staple bin sleeve in the up-down direction; a guiding column is arranged at the upper end of the driving seat; the driving gear is provided with a chute; the guiding column slides in the chute; the joint-cutting assembly comprises a cutter slider, a staple pushing slider and a cutter toothed ring; the lower part of the cutter slider is a barrel, and the upper end of the cutter slider is a cutting head; the staple pushing plate and the staple pushing slider can be slidably sleeved on the outer side of the barrel of the cutter slider in the up-down direction; the cutter toothed ring is arranged at the bottom of the staple pushing slider; and the lower end of the cutter toothed ring is meshed with the driving gear. A transmission assembly of the stapler can push the driving seat of the staple bin assembly under the action of a trigger. A stitching staple forming effect is good, tissues are cut smoothly, a surgical effect is good, the surgical efficiency is high, and the required triggering force is small; the staple bin assembly is safe and reliable; and the normal surgery can be guaranteed, so that the staple bin assembly and the stapler using the same are suitable to be popularized and used.

Description

A kind of nail bin groupware and the anastomat of applying this nail bin groupware
Technical field
The present invention relates to medical instruments field, the anastomat that particularly relates to a kind of nail bin groupware and apply this nail bin groupware.
Background technology
Anastomat is in surgical operation, to substitute the medical apparatus and instruments that Traditional Man is sewed up, and wherein, tube type anastomat is widely used in human body alimentary canal operation, such as being applied in the terminations such as esophagus in digestive tract, Stomach duodenum, small intestinal or end-to-side anastomosis operation.Especially, in short in operated interface portion bit comparison or the unclear situation in the visual field, just more need to adopt anastomat to realize the stitching of wound.In such as surgical operations such as reconstruction of digestive tract, adopt Medical stapler assist the edge of a knife to sew up, have advantages of simple to operate, sew up and rapidly, be substantially free from side effects and complication, and this type of apparatus can shorten operating time, improves the efficiency of performing the operation.Its concrete using method is: first nail supporting base is imbedded to a side pipe intracavity, anastomat device body inserts from opposite side tube chamber, again the jump ring pipe of nail supporting base is docked with the axis of guide of device body, regulate afterbody knob, nail supporting base is moved under the drive of the axis of guide, closed grip tissue, then percussion, during percussion, anastomosis staple is under the promotion of nail pushing device, through the interior molding of the nail groove that is organized in nail supporting base, the endless knife of simultaneously releasing is cut off unnecessary tissue and knife washer, the nail supporting base of finally outwarding winding again, from tube chamber, together with nail supporting base, withdraw from anastomat, complete operation.
The nail bin groupware of the tube type anastomat using clinically at present, stitching and cutting action synchronously carry out, it is identical that cut direction and staple go out to follow closely direction, and nail supporting base one side of nail bin groupware has knife washer, and the cutting knife of nail bin groupware must be cut knife washer just can complete cutting action, and the methods of anastomosis of this traditional nail bin groupware easily causes staple molding poor, staple is swung on one side, tissue can't cut equivalent risk, has increased patient's misery, affects surgical effect.
As can be seen here, in prior art there is obvious deficiency and defect in tube type anastomat in structure, method and use, urgently further improves.Therefore, how to found a kind of staple forming, organize and cut nail bin groupware and anastomat smoothly, real one of the current important research and development problem that belongs to.
Summary of the invention
The anastomat that the technical problem to be solved in the present invention is to provide a kind of nail bin groupware and applies this nail bin groupware, makes its staple forming, safe and reliable, tissue cutting smoothly, thereby overcomes the deficiencies in the prior art.
For solving the problems of the technologies described above, the invention provides a kind of nail bin groupware, comprise nail storehouse sleeve, joint-cutting assembly, driven unit, nail bin and pushing slice of nail, wherein: nail bin is fixed on nail storehouse sleeve upper end, pushing slice of nail, joint-cutting assembly, driven unit are installed in nail storehouse sleeve; Driven unit comprises drive seat and driven wheel, and drive seat can move up and down in nail storehouse sleeve, and is provided with lead in upper end, and the inwall of driven wheel is provided with skewed slot, and the lead of drive seat slides in the skewed slot of driven wheel; Joint-cutting assembly comprises cutting knife slide block, ejector pin slide block and cutting knife ring gear, cutting knife slide block bottom is cylindrical shell, and upper end is cutter head, and pushing slice of nail and ejector pin slide block can slide up and down and be sleeved on the cylindrical shell outside of cutting knife slide block, pushing slice of nail is positioned at ejector pin slide block top, and cutting knife ring gear is arranged on ejector pin slider bottom; Cutting knife ring gear lower end is meshed with driven wheel.
As a further improvement on the present invention, described ejector pin slide block outside is provided with detent and annular stop muscle, and described nail storehouse sleeve inwall is provided with and this detent, fin that annular stop muscle is corresponding.
Described cutting knife ring gear and driven wheel mesh by pawl.
Described nail storehouse sleeve inwall is provided with vertical guiding rib, and described driven wheel outside is provided with the gathering sill corresponding with the guiding rib of nail storehouse sleeve.
Described driven wheel outside is provided with Ka Tai, and described nail storehouse sleeve inwall is provided with the flexible block corresponding with the card platform of driven wheel.
The bottom of described cutting knife slide block is provided with two above vertical slots, in vertical slot, be provided with tabular fastener, ejector pin slide block is being provided with pin-and-hole with vertical slot corresponding position, cutting knife ring gear is being provided with vertical slot corresponding position the slotted hole that above-below direction slightly extends, cutting knife ring gear, ejector pin slide block and cutting knife slide block be by installing through the pin of slotted hole, pin-and-hole and vertical slot, and at the inner lug cap that forms screens with tabular fastener of installing of pin.
Described cutting knife slider bottom is provided with limited step, and is provided with the grab corresponding with this limited step in drive seat upper end.
The ejector pin projection that described ejector pin slide block comprises ring body and is positioned at ring body top, a side of described ejector pin projection is inclined-plane.
Described ejector pin slider bottom is provided with cannelure, and described cutting knife ring gear inserts in this cannelure, and between cutting knife ring gear and cannelure, leaf spring is installed.
In addition, the present invention also provides a kind of anastomat, comprises nail supporting base, trigger, transmission component and above-mentioned nail bin groupware, and described transmission component can promote the drive seat of nail bin groupware under trigger role.
Adopt after above design, staple forming of the present invention, tissue cutting are smoothly, good operation effect, high, the required percussion force of operation efficiency be little, safe and reliable, can guarantee that operation normally carries out, and are therefore more suitable for promoting the use of.
Below by drawings and Examples, technical scheme of the present invention is described in further detail.
Accompanying drawing explanation
Above-mentioned is only the general introduction of technical solution of the present invention, and in order to better understand the present invention, below in conjunction with accompanying drawing and the specific embodiment, the present invention is described in further detail.
Fig. 1 is the decomposition texture schematic diagram of nail bin groupware of the present invention.
Fig. 2 is the shaft section structural representation of nail bin groupware of the present invention.
Fig. 3 is partly cut-away's structural representation of nail bin groupware of the present invention.
Fig. 4 is the joint-cutting modular construction schematic diagram of nail bin groupware of the present invention.
Fig. 5 is the driven wheel structural representation of nail bin groupware of the present invention.
Fig. 6 is the drive seat structural representation of nail bin groupware of the present invention.
Fig. 7 is the structural representation of the cutting knife slide block of nail bin groupware of the present invention.
Fig. 8 is the shaft section structural representation of the cutting knife slide block of nail bin groupware of the present invention.
Fig. 9 is the ejector pin slide block structure schematic diagram of nail bin groupware of the present invention.
Figure 10 is the structural representation of the cutting knife ring gear of nail bin groupware of the present invention.
Figure 11 is the shaft section structural representation of the joint-cutting assembly of nail bin groupware of the present invention.
Figure 12 is the nail storehouse sleeve internal structure schematic diagram of nail bin groupware of the present invention.
The specific embodiment
Refer to shown in Fig. 1-3, a kind of nail bin groupware of the present invention, comprise nail storehouse sleeve 1, be fixed on nail storehouse sleeve 1 upper end nail bin 5 and be arranged on pushing slice of nail 4, joint-cutting assembly and the driven unit in nail storehouse sleeve 1.
All take orientation shown in Fig. 1 and be described as standard in the following stated upper and lower, left and right.
Wherein, shown in Fig. 4, joint-cutting assembly comprises cutting knife slide block 21, ejector pin slide block 22 and cutting knife ring gear 23.Cutting knife slide block 21 bottoms are cylindrical shell, and upper end is cutter head 211, and pushing slice of nail 4 and ejector pin slide block 22 can slide up and down and be sleeved on the cylindrical shell outside of cutting knife slide block 21, and pushing slice of nail 4 is positioned at ejector pin slide block 22 tops.Cutting knife ring gear 23 is arranged on the bottom of ejector pin slide block 22.
Shown in Fig. 5, Fig. 6, driven unit comprises driven wheel 31 and drive seat 32, drive seat 32 can move up and down in nail storehouse sleeve 1, and in upper end, be provided with lead 321, the inwall of driven wheel 31 is provided with skewed slot 311, and the lead 321 of drive seat can be in the interior slip of skewed slot 311 of driven wheel.Driven wheel 31 meshes with the lower end of cutting knife ring gear 23.
Preferably, in drive seat 32 upper ends, 4 leads 321 are set, 4 sections of corresponding skewed slots 311 are set on driven wheel 31, and in skewed slot 311 lower ends, one section of vertical draw-in groove 315 is set, be beneficial to the insertion of lead 321.Cutting knife ring gear 23 meshes by pawl with driven wheel 31, makes it can relatively rotating to a direction.
Furthermore, shown in Fig. 7-11, cutting knife slide block of the present invention 21 bottoms are provided with two above vertical slots 212, and vertical slot 212 inner sides are provided with tabular fastener 213, between tabular fastener 213 and the cylinder inboard wall of cutting knife slide block, have certain interval.Ejector pin slide block 22 is being provided with pin-and-hole with vertical slot 212 corresponding positions, and cutting knife ring gear 231 is being provided with vertical slot 212 corresponding positions the slotted hole that above-below direction slightly extends.Cutting knife ring gear 23, ejector pin slide block 22 and cutting knife slide block 21 are installed together by the pin 24 through slotted hole, pin-and-hole and vertical slot, and at the inner lug cap that forms screens with tabular fastener 213 of installing of pin 24.
The ejector pin projection 221 that ejector pin slide block 22 comprises ring body and is positioned at ring body top, a side of ejector pin projection 221 is inclined-plane, so that in rotation process, promote one by one the pushing slice of nail in nail bin 5 by inclined-plane, then releases staple.In addition, also cannelure 222 can be set in the bottom of ejector pin slide block 22, cutting knife ring gear 23 inserts in this cannelure 222, and between cutting knife ring gear 23 and cannelure 222, leaf spring 25 is installed.
In addition, also can be at arranged outside detent and the annular stop muscle 223 of ejector pin slide block 22, and at nail storehouse sleeve 1 inwall setting and this detent, fin that annular stop muscle is corresponding, with limit joint-cutting assembly on move scope and stop its reversing.
When joint-cutting assembly is installed, first need to fix 4 leaf springs 25 at the upper surface of cutting knife ring gear 23, again the cutting knife ring gear 23 that is fixed with leaf spring 25 is fit in the cannelure 222 of ejector pin slide block 22, then be socketed on cutting knife slide block 21,4 pin-and-holes that ejector pin slide block 22 is provided with, and set 4 slotted holes on cutting knife ring gear 23, and 212 alignment of 4 vertical slots on cutting knife slide block, insert pin 24, and at the pin ends mount pin head of a nail.
Pin 24 is fixed as one ejector pin slide block 22 and cutting knife ring gear 23, and its integral body can slide up and down by pin 24 in the vertical slot 212 of cutting knife slide block 21; Upper surface due to cutting knife ring gear 23 is fixed with leaf spring 25 simultaneously, presses cutting knife ring gear 23, by compression leaf spring 25, can make cutting knife ring gear 23 with respect to promoting slide block 22 upper and lower displacement occurs in slotted hole.
Pin 24, when initial position, in the gap of lug cap in cutting knife slide block 21 inwalls and tabular fastener 213, and offsets with the protruding lower surface on tabular fastener 213, makes cutting knife slide block 21, ejector pin slide block 22 and cutting knife ring gear 23 keep relative motionless.
Shown in Figure 12, the inwall of nail storehouse sleeve 1 also can be provided with two above guiding ribs that extend along the vertical direction, 4 symmetrical long guiding ribs 11 and 4 symmetrical short guiding ribs 12 are for example set, and in the lower end of long guiding rib 11, flexible block 13 is set, corresponding gathering sill 312,313 and Ka Tai 314 are set on the excircle of driven wheel 31.During original state, the card platform 314 of driven wheel is positioned at flexible block 13 belows, guiding rib in gathering sill 312,313 and nail storehouse sleeve 1 coordinates can guarantee that driven wheel 31 did not rotate in the starting stage, vertically move only, when driven wheel 31 moves upward, after card platform 314 moves on flexible block 13, under the effect of flexible block 13, driven wheel 31 can not be return downwards again.
Further, the present invention also can arrange in the bottom of cutting knife slide block 21 limited step 214, and in drive seat 32 upper ends, the grab 322 corresponding with this limited step 214 is set, and the size design of grab 322 is can not make its outer surface that leans out drive seat 32 be advisable.
During installation, first drive seat 32 and driven wheel 31 are coordinated to installation, specifically by the lead on driven wheel 31 321, by draw-in groove set on driven wheel 315, be fit in skewed slot 311.
Then the mounted drive seat 32 of cooperation and driven wheel 31 are arranged in nail storehouse sleeve 1, concrete, gathering sill 313 on driven wheel 31 and the short guiding rib 12 in nail storehouse sleeve 1 are slidably matched, and the gathering sill 312 on driven wheel 31 and the long guiding rib 11 in nail storehouse sleeve 1 are slidably matched.Finally, the joint-cutting assembly assembling before and pushing slice of nail 4, nail bin 5 are arranged in nail storehouse sleeve 1 successively.
In addition, the present invention also provides a kind of anastomat, be that the nail bin groupware of existing anastomat is replaced by the above-mentioned nail bin groupware of the present invention, wherein, the drive seat 32 of nail bin groupware of the present invention can move up and down by transmission component under trigger role, thereby coordinates nail supporting base to complete cutting, sew application.
Concretely, during original state, cutter head 211, lower than the surface of nail bin 5, is hidden in nail storehouse sleeve 1, and the lead 321 of drive seat is positioned at the upper end of skewed slot 311.
While holding trigger action for the first time, transmission component drives drive seat 32 to move up, under the promotion of drive seat 32, the gathering sill 312,313 on driven wheel 31 and long guiding rib 11, the short guiding rib 12 on nail storehouse sleeve 1 are slidably matched, and make ejector pin slide block 22 upwards do vertical motion.When the crest top land of driven wheel 31 pushes up the lower end of cutting knife ring gear 23, the engagement of tooth and tooth, and further promote ejector pin slide block 22 and move upward.Due to the screens effect of lug cap and tabular fastener 213, in the process moving upward at ejector pin slide block 22, also drive cutting knife slide block 21 together to move upward.
When trigger is held on earth completely, complete out cutter operation.Now, cutter head 211 leans out the surface of nail bin 5 and punctures tissue, and on ejector pin slide block 22, upper surface and the pushing slice of nail 4 of set ejector pin projection 221 contact simultaneously, have part staple to be completed the molding of B word by percussion.Annular guiding rib 223 tops of ejector pin slide block 22, to the annular ridge of nail storehouse sleeve 1 correspondence, cannot move upward again, and the card platform 314 of driven wheel 31 moves to 4 flexible block 13 tops of nail storehouse sleeve 1.
Unclamp for the first time trigger, drive seat 32 moves downward, because the flexible block 13 of nail storehouse sleeve 1 props up the card platform 314 of driven wheel 31, driven wheel 31 cannot move down thereupon, lead 321 in drive seat 32 relatively moves along the skewed slot 311 of driven wheel 31, make driven wheel 31 to anticlockwise (in this example, rotating approximately 90 degree).
Due to the anti-overturning of detent on ejector pin slide block 22, at driven wheel 31, left in rotary course, cutting knife ring gear 23 is upwards pushed away; After stopping the rotation, cutting knife ring gear 23 under the elastic force effect of leaf spring 25 to whereabouts, with the tooth interlock again of driven wheel 31.While being totally released trigger, the lead 321 in drive seat 32 is positioned at the lower end of driven wheel 31 skewed slots 311.
Hold for the second time trigger action, drive seat 32 moves up, and lead 321 promotes driven wheel 31 to right rotation along skewed slot 311, and driven wheel 31 promotes cutting knife ring gear 23 to right rotation simultaneously, and then make ejector pin slide block 22 and annular cutting knife 21 to right rotation, sew up and cutting action.
While holding for the second time on earth, the lead 321 in drive seat 32 is positioned at the upper end of skewed slot 311 on driven wheel 31, take that 4 sections of skewed slots 311 are set on driven wheel 31 is example, now, and cutter head 211 and ejector pin projection 221 1/4 circumference of advancing.
Unclamp for the second time after trigger, joint-cutting assembly is motionless, and drive seat 32 is return downwards, and lead 321, in getting back to the process of skewed slot 311 lower ends, promotes driven wheel 31 and rotates and get back to initial position left.
Repeat to hold trigger action, until complete cutting and sew application.Take that 4 sections of skewed slots 311 are set on driven wheel 31 is example, need to back and forth hold altogether trigger action and get final product complete operation 5 times, also can suitably adjust as required the number of times of holding trigger action.
When seaming and cutting complete, cutting knife slide block 21 rotates a circle, and the limited step 214 of bottom slips in the grab 322 of drive seat 32.When drive seat 32 rollback, ejector pin slide block 22 and cutting knife ring gear 23 keep motionless, and the grab 322 cooperation limited steps 214 of drive seat 32 haul cutting knife slide block 21 and move downward, and lug cap moves to the projection top of tabular fastener 213.When drive seat 32 return back to the end, cutter head 211 return back in nail storehouse sleeve 1 from nail bin 5 surfaces, and point of a knife does not expose, and completes whole cutting and stitching process.
The above; it is only preferred embodiment of the present invention; not the present invention is done to any pro forma restriction, those skilled in the art utilize the technology contents of above-mentioned announcement to make a little simple modification, equivalent variations or modification, all drop in protection scope of the present invention.

Claims (10)

1. a nail bin groupware, is characterized in that comprising nail storehouse sleeve, joint-cutting assembly, driven unit, nail bin and pushing slice of nail, wherein:
Nail bin is fixed on nail storehouse sleeve upper end, and pushing slice of nail, joint-cutting assembly, driven unit are installed in nail storehouse sleeve;
Driven unit comprises drive seat and driven wheel, and drive seat can move up and down in nail storehouse sleeve, and is provided with lead in upper end, and the inwall of driven wheel is provided with skewed slot, and the lead of drive seat slides in the skewed slot of driven wheel;
Joint-cutting assembly comprises cutting knife slide block, ejector pin slide block and cutting knife ring gear, cutting knife slide block bottom is cylindrical shell, and upper end is cutter head, and pushing slice of nail and ejector pin slide block can slide up and down and be sleeved on the cylindrical shell outside of cutting knife slide block, pushing slice of nail is positioned at ejector pin slide block top, and cutting knife ring gear is arranged on ejector pin slider bottom;
Cutting knife ring gear lower end is meshed with driven wheel.
2. nail bin groupware according to claim 1, is characterized in that: described ejector pin slide block outside is provided with detent and annular stop muscle, and described nail storehouse sleeve inwall is provided with and this detent, fin that annular stop muscle is corresponding.
3. nail bin groupware according to claim 1, is characterized in that: described cutting knife ring gear and driven wheel mesh by pawl.
4. nail bin groupware according to claim 1, is characterized in that: described nail storehouse sleeve inwall is provided with vertical guiding rib, and described driven wheel outside is provided with the gathering sill corresponding with the guiding rib of nail storehouse sleeve.
5. nail bin groupware according to claim 1, is characterized in that: described driven wheel outside is provided with Ka Tai, and described nail storehouse sleeve inwall is provided with the flexible block corresponding with the card platform of driven wheel.
6. nail bin groupware according to claim 1, it is characterized in that: the bottom of described cutting knife slide block is provided with two above vertical slots, in vertical slot, be provided with tabular fastener, ejector pin slide block is being provided with pin-and-hole with vertical slot corresponding position, cutting knife ring gear is being provided with vertical slot corresponding position the slotted hole that above-below direction slightly extends, cutting knife ring gear, ejector pin slide block and cutting knife slide block be by installing through the pin of slotted hole, pin-and-hole and vertical slot, and at the inner lug cap that forms screens with tabular fastener of installing of pin.
7. nail bin groupware according to claim 1, is characterized in that: described cutting knife slider bottom is provided with limited step, and is provided with the grab corresponding with this limited step in drive seat upper end.
8. nail bin groupware according to claim 1, is characterized in that: the ejector pin projection that described ejector pin slide block comprises ring body and is positioned at ring body top, a side of described ejector pin projection is inclined-plane.
9. nail bin groupware according to claim 1, is characterized in that: described ejector pin slider bottom is provided with cannelure, and described cutting knife ring gear inserts in this cannelure, and between cutting knife ring gear and cannelure, leaf spring is installed.
10. an anastomat, is characterized in that comprising the nail bin groupware described in any one in nail supporting base, trigger, transmission component and claim 1-9, and described transmission component can promote the drive seat of nail bin groupware under trigger role.
CN201210441226.6A 2012-11-07 2012-11-07 Staple bin assembly and stapler using same Active CN102895011B (en)

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CN102895011B true CN102895011B (en) 2014-12-03

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CN103815950A (en) * 2014-03-05 2014-05-28 江西源生狼和医疗器械有限公司 Nail cabin cover applied to circumcising stitching instrument
CN104490438B (en) * 2014-12-31 2016-09-14 苏州天臣国际医疗科技有限公司 Nail bin groupware and apply the Medical stapler of this nail bin groupware
CN105615934B (en) * 2016-03-14 2018-04-13 常州智康机械有限公司 A kind of tubular anastomat
CN106963441A (en) * 2017-04-14 2017-07-21 山东省立医院 A kind of enteron aisle cuts off special purpose device
CN110215249B (en) * 2019-07-08 2022-04-15 北华大学 Nail bin assembly for tubular anastomat
CN112716558B (en) * 2019-10-28 2022-03-18 苏州英途康医疗科技有限公司 Clamping device and surgical operation instrument

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CN101912285A (en) * 2009-03-31 2010-12-15 Tyco医疗健康集团 Surgical stapling apparatus
CN101987028A (en) * 2009-07-31 2011-03-23 苏州天臣国际医疗科技有限公司 Novel cutting suturing clamp
CN102204835A (en) * 2010-06-24 2011-10-05 北京中法派尔特医疗设备有限公司 Nail cartridge and stapler adopting same
CN202950700U (en) * 2012-11-07 2013-05-29 北京中法派尔特医疗设备有限公司 Nail bin assembly and anastomat with nail bin assembly

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