CN103690207B - Stepless adjustable skin stiching instrument - Google Patents

Stepless adjustable skin stiching instrument Download PDF

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Publication number
CN103690207B
CN103690207B CN201410006670.4A CN201410006670A CN103690207B CN 103690207 B CN103690207 B CN 103690207B CN 201410006670 A CN201410006670 A CN 201410006670A CN 103690207 B CN103690207 B CN 103690207B
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China
Prior art keywords
wound
skin
minor
pulling buckle
major
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CN201410006670.4A
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CN103690207A (en
Inventor
许浩然
丁晨玮
孙炳伟
史志刚
曹松梅
李银映
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Zhenjiang Hengsheng Juanen Medical Appliance Co Ltd
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Zhenjiang Hengsheng Juanen Medical Appliance Co Ltd
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Priority to CN201410006670.4A priority Critical patent/CN103690207B/en
Publication of CN103690207A publication Critical patent/CN103690207A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B17/085Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound with adhesive layer
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B17/085Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound with adhesive layer
    • A61B2017/086Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound with adhesive layer having flexible threads, filaments, laces or wires, e.g. parallel threads, extending laterally from a strip, e.g. for tying to opposing threads extending from a similar strip

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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

Stepless adjustable skin stiching instrument.Belong to surgery instrument.Comprise block shape two-sided tape, it is characterized in that also comprising flexible wire, major and minor pulling buckle, be linked in the VELCRO of flexible wire end, fix or throw off the piece of cloth block of VELCRO, release paper; Described major and minor pulling buckle is by major and minor adhesive sheet, and major and minor pulling buckle post forms; Described end connection has the other end of the flexible wire of VELCRO to be fixed on secondary pulling buckle cervical region.Through on probation: not only can be applicable to the needs again opening wound after sewing up, and achieve the continuous fine adjustment of wound suture power, thus tighten up when avoiding stitching excessively, the unbalance stress etc. of the different parts of the dislocation of wound both sides skin and non-linear wound has a strong impact on the hidden danger of wound healing; Improve wound skin blood microcirculation, accelerate the healing of wound, wound healing time shortens to 8-9 days in 11-12 days from prior art, close to the wound healing time of traditional medical needle suturing with thread management.

Description

Stepless adjustable skin stiching instrument
Technical field
The invention belongs to the surgery instrument of armarium, especially for operating stepless adjustable skin stiching instrument.
Background technology
The wound of skin wound particularly surgical site infections is common is linear wound, usually adopts medical needle suturing with thread management.This just not only needs longer suture time, and strengthen the operation risk of patient, and also need again to take out stitches after wound healing, wound healing place can leave " Scolopendra " sample cicatrix.For overcoming the problems referred to above and deficiency, there is the skin needleless suture operation equipment that can not use medical needle suturing with thread management.
Prior art document 1ZL03117364.0 discloses a kind of skin wound closure device, the technical scheme adopted is: " a kind of skin wound closure device; comprise two bar shaped retinaculums and base band arranged along skin wound both sides respectively; base band is arranged on the retinacular upper surface of bar shaped; it is characterized in that: described base band is provided with many secondary locking devices connecting base band, many secondary locking devices are arranged along the retinacular length direction interval of bar shaped; Locking device is made up of sour jujube bar and snap close, is provided with detent in the lockhole on snap close, and sour jujube bar passes the lockhole on snap close and blocks ratchet by detent." achieve and do not use the skin needleless of medical needle suturing with thread management to sew up.But skin wound closure device disclosed in above-mentioned prior art document 1, in clinical practice operation uses, there are the following problems and deficiency:
1, the needs of wound are again opened after stitching cannot being applicable to.When clinical practice only needs provisional wound closure, because this locking device can only one direction be locked, can not loosen, its whole piece can only be torn when again opening wound and abandon it, the skin wound closure device again more renewed.This not only adds trouble unnecessary in operation, and causes the waste of resource.
Tighten up excessive or adjacent locking device when 2, there is stitching and cause the skin dislocation of wound both sides, have a strong impact on the hidden danger of wound healing quality.Because this locking device can only increase can not reduce the adjustment of wound suture power, therefore use Shi doctor to be especially careful in actual clinical, once tighten up excessively, whole skin wound closure device can only be scrapped; If use can cause the skin dislocation of wound both sides reluctantly, will have a strong impact on the healing quality of wound: slight closing force is excessive, will affect the flatness of wound skin edge, after causing healing, cicatrix increases; Moderate closing force is excessive, can oppress wound skin edge, affect wound blood supply, postpones wound healing; Severe closing force is excessive, and skin adhesive face may be made stressed excessive and Tension Vesicle occurs.
Prior art document 2CN101112326A discloses a kind of skin wound stitching instrument, the technical scheme adopted is: " skin wound stitching instrument establishes bar shaped base cloth in the both sides of skin wound, Ji Bu is connected with many secondary locking devices, locking device is by support bar, snap close and tension band composition, support bar upper surface interval arranges snap close, support bar lower surface is connected with base cloth, snap close is made up of upper snap close and lower snap close, the upper surface of lower snap close and the lower surface of upper snap close arrange the tongue and groove that cooperatively interact respectively, tension band passes between the snap close of wound both sides, by the locking action of upper and lower snap close, regulate and fixing tension band, form Skin sewing needle.Ji Bu is ventilative medical proof fabric, and the design of base cloth is in strip or establishes outside base cloth the bar shaped of V-notch.To be a support bar or some short support bars connect into a complete support bar by flexible connecting member for the support bar of wound both sides.Upper snap close and lower snap close for being horizontally disposed with, or are that axle rotates 0 ~ 90 degree with tension band: the cooperation between upper and lower snap close, spacing and the tongue that locks and groove cross section are the triangle, circle, the arc or trapezoidal that cooperatively interact; Or snap close one end is integrated by flexibly connecting to form up and down, forms upper and lower snap close in the place's of flexibly connecting doubling." achieve equally and do not use the skin needleless of medical needle suturing with thread management to sew up.But skin wound stitching instrument disclosed in above-mentioned prior art document 2, in clinical practice operation uses, there are the following problems and deficiency:
1, the same with skin wound closure device disclosed in prior art document 1, cannot realize the continuous fine adjustment of wound suture power to meet clinical requirement the best being sewed up to power.Be the triangle cooperatively interacted because this skin wound stitching instrument locking device is cross section, circular, the snap close up and down of arc or trapezoidal shape structure, form the same with the locking device of skin wound closure device disclosed in prior art document 1 by sour jujube bar and snap close to the adjustment of wound suture power, all can only step increments or successively decrease, this just may appear at previous sawtooth, triangle, circular, power of sewing up when arc or trapezoidal shape structure place are fixed shows slightly not enough, and be tightened to next sawtooth further, triangle, circular, power situation slightly large is again sewed up when arc or trapezoidal shape structure place are fixed, cannot realize the continuous fine adjustment of wound suture power to meet clinical requirement the best being sewed up to power.
2, the unbalance stress of the different parts of non-linear wound can be caused, thus affect wound healing quality.Skin wound stitching instrument disclosed in prior art document 2, with skin wound closure device disclosed in prior art document 1 " comprise two bar shaped retinaculums and base band arranged along skin wound both sides respectively, base band is arranged on the retinacular upper surface of bar shaped, it is characterized in that: described base band is provided with many secondary locking devices connecting base band, many secondary locking devices are along bar shaped retinacular length direction interval layout, " the same, it " establishes bar shaped base cloth in the both sides of skin wound, Ji Bu is connected with many secondary locking devices, locking device is by support bar, snap close and tension band composition, support bar upper surface interval arranges snap close, support bar lower surface is connected with base cloth " " design of base cloth is in strip or outside base cloth, establishes the bar shaped of V-notch ", this belt structure, be difficult to be used in and sew up non-linear wound, particularly cannot be used in and sew up irregular wound, during inadequate use, as arc line shaped sew up situation time, the stressing conditions of the different parts of arc line shaped or irregular wound can be caused significantly inconsistent, thus affect the healing quality of wound, cause the roughness descent of wound, residual cicatrix increases.
3, wound both sides skin is by bar shaped base cloth, or the covering of bar shaped retinaculum and base band in prior art document 1, skin by adhesive tape cover part cannot ingress of air, the microcirculation that wound both sides are capped skin must be affected, thus delayed the time of wound healing, compared with traditional medical needle suturing with thread management, extended to 11-12 days from 7-8 days.
Disclosed in prior art document 1,2, skin wound lock, stiching instrument are when tightening up wound both sides skin, the inflexibility wire rod being from usually adopting medical needle suturing with thread management to perform the operation different all adopted, but hard sour jujube bar, tension band.In use, surgeon just practises using medical needle suturing with thread management from practice, and skin wound lock, stiching instrument disclosed in prior art document 1,2 carry out operating is tighten up hard sour jujube bar, tension band, this not only allows operator be like a fish out of water difficulty, and best stitching power cannot be reached with feel, reach optimum state to make the skin on wound both sides and sew up state.
As can be seen here, study and design a kind of can be applicable to sew up after again open the needs of wound and achieve the continuous fine adjustment of wound suture power, tighten up when avoiding stitching excessively and the unbalance stress of the different parts of non-linear wound have a strong impact on wound healing hidden danger, improve wound skin blood microcirculation, the stepless adjustable skin stiching instrument shortening the time of wound healing is necessary.
Summary of the invention
The object of the invention is to overcome the deficiencies in the prior art, design a kind of can be applicable to sew up after again open the needs of wound and achieve the continuous fine adjustment of wound suture power, tighten up when avoiding stitching excessively and the unbalance stress of the different parts of non-linear wound have a strong impact on wound healing hidden danger, improve wound skin blood microcirculation, shorten the stepless adjustable skin stiching instrument of the time of wound healing.
The object of the present invention is achieved like this:
A kind of stepless adjustable skin stiching instrument, comprise for being pasted onto the block shape two-sided tape needed on the skin of sew up wound both sides respectively, it is characterized in that also comprising for straining and the flexible wire of sew up wound both sides skin, the major and minor pulling buckle on the skin of wound both sides is pasted on respectively through two-sided tape, be linked in the VELCRO of flexible wire end, fix or throw off the piece of cloth block of VELCRO, for the protection of two-sided tape bottom surface and the fixing release paper forming each parts of whole stepless adjustable skin stiching instrument; Described major and minor pulling buckle, by for the major and minor adhesive sheet between being fixed on above piece of cloth block bottom surface and two-sided tape, is positioned at the major and minor pulling buckle post composition of major and minor adhesive sheet end; Described end connection has the other end of the flexible wire of VELCRO to be fixed on secondary pulling buckle cervical region.
Lock with skin wound disclosed in prior art document 1,2 in technique scheme, stiching instrument main difference part be:
1, whole stepless adjustable skin stiching instrument is made up of the bulk of 2 mutual corresponding one-tenth, one group of major and minor pulling buckle comprised, instead of belt structure, easily single bulk reasonably can be arranged in the both sides of the wound of various shape in using;
2, for strain and sew up wound both sides skin be flexible wire, instead of hard sour jujube bar, tension band; Namely be wire rod, instead of band, in using not only easily according to operative doctor finger feel reach the transfer that opposite joint makes a concerted effort, and be without stepped stepless transfer;
3, strain and make use of the VELCRO being linked in flexible wire end dexterously in sewing process, throw off from piece of cloth block is convenient, coordinate the other end of the flexible wire be linked in corresponding secondary pulling buckle, walk around the button wire casing transfer of corresponding main pulling buckle cervical region after best stitching power, recycling VELCRO is reliably fixed on the piece of cloth block after main pulling buckle, compared with transfer hard sour jujube bar, tension band, seem that operation is reliably simple and easy.
It should be noted that block shape two-sided tape which includes medical dual-side adhesive tape, consider not direct and Wound contact, the block shape two-sided tape of more economical rationality can be adopted; Flexible wire which includes suture, considers not direct and Wound contact, can adopt the sutural flexible wire of the non-medical of more economical rationality; Piece of cloth block which includes medical adhesive-bonded fabric, consider not direct and Wound contact, the piece of cloth block of the non-medical non-woven fabrics of more economical rationality can be adopted, fabric refers to the flat film block thing be made up of by intersecting, around knot or bonding tiny soft and long thing, comprise machine yarn fabric, knit goods, adhesive-bonded fabric etc.; VELCRO, title is converted by U.S.'s Roc jail Products English name " VELCRO ", has another name called magic tape, is that one conventional on clothes connects adjuvant.
Described major and minor adhesive sheet is designed with the through hole of multiple ordered arrangement.
Described major and minor pulling buckle necking portion is designed with for the button wire casing around button flexible wire.
Described major and minor pulling buckle is that macromolecular material or metal material are made through corresponding common process.
Shown in composition graphs 1,2,4, use step of the present invention is described as follows:
The release paper 7 of the stepless adjustable skin stiching instrument 1, the invention process obtained is torn, and then major and minor pulling buckle 3,4 is pasted on respectively one by one accordingly the wound both sides needing to sew up through block shape two-sided tape;
2, throw off VELCRO 5 and the flexible wire 2 of end connection in VELCRO from the piece of cloth block 6 of main pulling buckle 3 side accordingly one by one, the flexible wire other end has been linked in the secondary pulling buckle necking portion of corresponding secondary pulling buckle 4 in finished product manufacture process.
3, flexible wire is walked around one by one accordingly the button wire casing 312 of main pulling buckle cervical region, strain the flexible wire be linked in VELCRO gradually, drive major and minor pulling buckle close, wound both sides skin is shunk to closing direction, finally closed together, now be fixed on piece of cloth block by the flexible wire one end VELCRO bonding tightened, operator tightens up degree according to feel appropriateness grasp flexible wire, reaches optimum state sew up state to make the skin on wound both sides;
4, the shape of sew up wound as required, the particularly special requirement of non-linear wound, repeat step 1-3, stepless adjustable skin stiching instrument the invention process obtained is pasted onto on the skin on wound both sides appropriately one by one, sews up with the best completing whole piece wound;
5, the tightening force excessively or too pine when finding that indivedual stepless adjustable skin stiching instrument uses, when causing wound suture bad, for this stepless adjustable skin stiching instrument, can repeat step 2,3, to reach best stitching state.
The stepless adjustable skin stiching instrument that the invention process obtains, through on probation, compared with prior art shows following beneficial effect:
1, the needs of wound are again opened after being not only applicable to stitching, and achieve the continuous fine adjustment of wound suture power, thus tighten up when avoiding stitching excessively, the unbalance stress etc. of the different parts of the dislocation of wound both sides skin and non-linear wound has a strong impact on the hidden danger of wound healing.Compared with again opening a kind of skin wound closure device of the prior art document 1 that wound needs after cannot being applicable to sew up, when wound opened again by needs, only need loosen the flexible wire between major and minor pulling buckle, allow operator reopen wound easily, owing to make use of the VELCRO being linked in flexible wire end dexterously, what sew up dependence is flexible wire in addition, instead of the hard zigzag sour jujube bar of prior art document 1 skin wound closure device macromolecular material, the triangle cooperatively interacted neither be relied on by prior art document 2, circular, the tension band that the tongue of arc or trapezium structure and groove are fixed, the stitching elasticity of wound both sides skin is that the ways customary relying on surgeon to carry out operating with regard to practising used flexible wire from practice realizes, must easily according to the sensation of operation Chinese and foreign department doctor finger, reach the stepless continuous transfer that opposite joint is made a concerted effort, easily meet the clinical requirement to the best stitching power of wound, the tightening force excessively or too pine when finding that indivedual stepless adjustable skin stiching instrument uses, cause wound suture bad, when even causing the skin dislocation of wound both sides, can for this stepless adjustable skin stiching instrument, repeat above-mentioned use step 2, 3, to reach best stitching state, and a kind of skin wound closure device of no matter prior art document 1, or a kind of skin wound stitching instrument of prior art document 2, because their locking mechanism part is in a row fixed on bar shaped retinaculum continuously, or on support bar, all can not adjusts locking mechanism individually.
2, improve wound skin blood microcirculation, accelerate the healing of wound, shorten healing time.The locking device of a kind of skin wound closure device of prior art document 1 is fixed on bar shaped retinaculum, the locking mechanism of a kind of skin wound stitching instrument of prior art document 2 is fixed on bar shaped base cloth, during use all can only strip all standing on the skin of wound both sides, the skin slivering of wound both sides is zonally capped and cannot ingress of air, and block-by-block bulk is pasted on the present invention on the skin of wound both sides when using, use the middle length according to wound, shape, can be pasted on the skin of wound both sides with compartment of terrain, optimum position easily, Fig. 4 shows situation about sewing up when arc wound uses, Fig. 5 shows situation about sewing up when shaped form wound uses, owing to being that compartment of terrain is pasted on the skin of wound both sides, with prior art document 1, 2 compare, when the present invention uses, wound both sides skin exposes considerable part and does not paste, its blood microcirculation must be more much better than the part skin being subject to pasting compressing, add master, secondary adhesive sheet is also designed with the through hole of multiple ordered arrangement to improve the breathability of capped partial skin, have again, as mentioned above, the present invention can need continuous stepless transfer to sew up power according to operation easily, easily meet the clinical requirement to the best stitching power of wound, there will not be during stitching tightens up excessively, the skin dislocation of wound both sides and non-linear wound have a strong impact on the situation of wound healing because of the unbalance stress of different parts, practical probation result shows, not only accomplish Sutureless cutting wound, need not take out stitches, wound is open to be sewed up, and with prior art document 1, 2 compare, wound healing time shortens to 8-9 days in 11-12 days from prior art, close to the wound healing time of traditional medical needle suturing with thread management.
Accompanying drawing explanation
Fig. 1 is the schematic diagram meeting present subject matter structure; Fig. 2 is the exploded perspective view meeting present subject matter structure; Fig. 3 is partial structurtes enlarged diagram in Fig. 1; Fig. 4 is that the present invention is for sewing up use schematic diagram during arc wound; Fig. 5 is that the present invention is for sewing up use schematic diagram during shaped form wound.
Detailed description of the invention
Below in conjunction with accompanying drawing, implementation detail of the present invention is described as follows:
As Fig. 1, 2, 3, 4, shown in 5, a kind of stepless adjustable skin stiching instrument, comprise for being pasted onto the block shape two-sided tape 1 needed on the skin of sew up wound both sides respectively, it is characterized in that also comprising and be respectively used to strain and the flexible wire 2 of sew up wound both sides skin, the master on the skin of wound both sides is pasted on respectively through two-sided tape, secondary pulling buckle 3, 4, be linked in the VELCRO 5 of flexible wire end, fix or throw off VELCRO and coordinate two-sided tape fixing main, the piece of cloth block 6 of secondary pulling buckle, for the protection of two-sided tape bottom surface and the fixing release paper 7 forming each parts of whole stepless adjustable skin stiching instrument, described major and minor pulling buckle is by for the major and minor adhesive sheet 31,41 between being fixed on above piece of cloth block bottom surface and two-sided tape, and the major and minor pulling buckle post 32,42 being positioned at major and minor adhesive sheet end forms, described end connection has the other end of the flexible wire of VELCRO to be fixed on secondary pulling buckle cervical region.
As shown in Figure 3, described major and minor adhesive sheet 31,41 is designed with the through hole 311,411 of multiple ordered arrangement.
As shown in Figure 3, described major and minor pulling buckle post 32,42 neck portion design have for around button with the button wire casing 312,412 of fixing flexible wire rod 2.
As shown in Fig. 1,2,3,4,5, described major and minor pulling buckle 3,4 is made through corresponding common process for macromolecular material or metal material.

Claims (4)

1. a stepless adjustable skin stiching instrument, comprise for being pasted onto the block shape two-sided tape (1) needed on the skin of sew up wound both sides respectively, it is characterized in that also comprising for straining and the flexible wire (2) of sew up wound both sides skin, the master on the skin of wound both sides is pasted on respectively through two-sided tape, secondary pulling buckle (3, 4), be linked in the VELCRO (5) of flexible wire end, fix or throw off the piece of cloth block (6) of VELCRO, for the protection of two-sided tape bottom surface and the fixing release paper (7) forming each parts of whole stepless adjustable skin stiching instrument, described major and minor pulling buckle, by for the major and minor adhesive sheet (31,41) between being fixed on above piece of cloth block bottom surface and two-sided tape, is positioned at major and minor pulling buckle post (32, the 42) composition of major and minor adhesive sheet end, described end connection has the other end of the flexible wire of VELCRO to be fixed on secondary pulling buckle cervical region.
2. stepless adjustable skin stiching instrument according to claim 1, is characterized in that the through hole (311,411) described major and minor adhesive sheet (31,41) being designed with multiple ordered arrangement.
3. stepless adjustable skin stiching instrument according to claim 1, it is characterized in that described major and minor pulling buckle post (32,42) neck portion design have for around button with the button wire casing of fixing flexible wire rod (2) (312,412).
4. stepless adjustable skin stiching instrument according to claim 1, is characterized in that described major and minor pulling buckle (3,4) is made through corresponding common process for macromolecular material or metal material.
CN201410006670.4A 2014-01-07 2014-01-07 Stepless adjustable skin stiching instrument Active CN103690207B (en)

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CN107252331A (en) * 2017-06-11 2017-10-17 周臣 A kind of fine-tuning Skin sewing needle
CN108210001A (en) * 2018-03-02 2018-06-29 麦递途医疗科技(上海)有限公司 A kind of skin drawing system
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CN110141284A (en) * 2019-06-05 2019-08-20 青岛市黄岛区中心医院 A kind of wound suture auxiliary device
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CN112336400B (en) * 2020-11-03 2022-10-21 河南洁利康医疗用品有限公司 Suture-free healing promoting device for operation wound
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CN112869813B (en) * 2021-01-06 2022-03-08 四川大学华西医院 Four-limb skin scar tension adjusting combined system and method
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CN203647402U (en) * 2014-01-07 2014-06-18 镇江恒生涓恩医疗器械有限公司 Stepless adjustable skin stitching device

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Publication number Priority date Publication date Assignee Title
US3971384A (en) * 1971-03-12 1976-07-27 Hasson Harrith M Surgical closure
CN201847720U (en) * 2010-10-21 2011-06-01 平荧 Skin relaxation device
CN102599949A (en) * 2012-02-29 2012-07-25 陈政 Adjustable skin incision anastomat
CN203647402U (en) * 2014-01-07 2014-06-18 镇江恒生涓恩医疗器械有限公司 Stepless adjustable skin stitching device

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