CN104146738A - Multi-purpose knotting rope used in deep position and special knotting device used in deep position - Google Patents
Multi-purpose knotting rope used in deep position and special knotting device used in deep position Download PDFInfo
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- CN104146738A CN104146738A CN201410452048.6A CN201410452048A CN104146738A CN 104146738 A CN104146738 A CN 104146738A CN 201410452048 A CN201410452048 A CN 201410452048A CN 104146738 A CN104146738 A CN 104146738A
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- jig arm
- knotting
- button
- elastic threads
- locating part
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
- A61B2017/0474—Knot pushers
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- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention relates to a multi-purpose knotting rope used in a deep position. The multi-purpose knotting rope comprises a limiting piece, a buckle and an elastic rope body, the two ends of the elastic rope body are connected with the limiting part and the buckle respectively, the limiting part is provided with a limiting through hole, and the area of the cross section of the limiting through hole is smaller than the area of the largest cross section of the buckle. The multi-purpose knotting rope used in the deep position and a special knotting device used in the deep position are low in manufacturing cost, easy to operate and capable of quickly knotting blood vessels or other tissue in deep positions quickly and also can be used in an endoscopic surgery. The multi-purpose knotting rope used in the deep position and the special knotting device used in the deep position have the advantages that operations are easy to carry out, the blood vessels with little operation space in deep positions can be knotted, the knotting speed is high, knotting is firm and the tissue cannot be torn off; the structure is simple, manufacturing cost is low and operation expenses of a patient are reduced.
Description
Technical field
The present invention relates to a kind of knotting device for surgical operation, especially a kind of multipurpose deep part knotting rope and special deep knotting device.
Background technology
The knotting method of traditional surgery is divided into two kinds substantially, and a kind of is maneuver knotting, i.e. both hands knotting; Another kind of for holding pincers knotting.For deep part knotting, because operation technique narrow space, position are dark, that above-mentioned two kinds of traditional methods all can not only accomplish to tie a knot was solid, but also tear tissue not, and operation is got up very inconvenient, also there is very large technical difficulty, often all can not carry out smoothly because stitching thread knotting difficulty makes operation.There is on the market at present two kinds of novel operation deeps device of knotting fast, be respectively Titanium folder and bone folder.Titanium folder can not be absorbed by the body, and after knotting, Titanium folder can be stayed in human body always, follow-up while doing nuclear magnetic resonance check, easily Titanium folder is shaken off in thoracic cavity or abdominal cavity, unfavorable to health; The knot that adopts the knotting of bone folder to produce is larger, the follow-up operation technique of the rear easily impact of knotting.In addition Titanium folder and bone folder price are all comparatively expensive, are not suitable for promoting.
Summary of the invention
The object of the present invention is to provide a kind of cost low, simple to operate, multipurpose deep part knotting rope and the special deep knotting device of can be fast deep vessels or other tissue being tied a knot, it also can be used in endoscopic surgery.
Object of the present invention is achieved through the following technical solutions:
A kind of multipurpose deep part knotting rope, it comprises locating part, button and elastic threads, and elastic threads two ends connect respectively locating part and button, and described locating part is provided with limiting through hole, and the cross-sectional area of limiting through hole is less than the maximum cross-section area of button.
One and the matching used special deep knotting device of multipurpose deep part knotting rope, it comprises rod member and is located at the knotting device of rod member front end;
Described knotting device comprises alignment components, elastic threads fixture and yoke frame; Alignment components comprises the first jig arm and the second jig arm, and the tail end of described the first jig arm and the second jig arm is connected on rod member and the first jig arm and the second jig arm are hinged realizes mutual folding;
The medial surface of the first jig arm is provided with the block piece A for settling locating part, and it is upper that locating part is resisted against block piece A, and when elastic threads is stretched to rod member direction, locating part does not depart from block piece A; The medial surface of the second jig arm is provided with the block piece B corresponding with block piece A, and it is upper that button is resisted against block piece B, and when elastic threads is stretched to rod member direction, button does not depart from block piece B; In the first jig arm with locating part on limiting through hole corresponding section be provided with through hole; In the second jig arm, be provided with pushing tow through hole with button corresponding section;
Elastic threads fixture is located between the first jig arm and the second jig arm, and the rear end of elastic threads fixture is articulated with the front end of rod member by jointed shaft;
The rear end of yoke frame is articulated with on rod member and yoke frame is positioned at the lateral surface of the second jig arm, and the medial surface of yoke frame is provided with the propulsion arm matching with pushing tow through hole in the second jig arm.
Compared to prior art, the invention has the advantages that:
1. multipurpose deep part knotting rope provided by the present invention and special deep knotting device are simple to operate, can tie a knot by blood vessel narrow and small to working place, that position is dark, and knotting speed fast, tie a knot solid, tear tissue not again.
2. the present invention is simple in structure, and cost is low, has alleviated patient's surgery cost.
3. elastic threads is made up of absorbable thread, and locating part and button are made up of biological osseocolla, can be absorbed by the body, without taking out stitches after knotting.
Brief description of the drawings
Fig. 1 is the structural representation (state of not tiing a knot) of a kind of multipurpose deep part knotting of the present invention rope embodiment.
Fig. 2 is the structural representation (knotting state) of another state of multipurpose deep part knotting rope in Fig. 1.
Fig. 3 is the structural representation of special deep knotting device.
Fig. 4 is the perspective view (elastic threads fixture hooks elastic threads) of knotting device.
Fig. 5 is the perspective view (elastic threads fixture unclamps elastic threads) of another state of knotting device in Fig. 4.
Fig. 6 is the perspective view of another angle of Fig. 5.
Fig. 7 is the perspective view of the first jig arm.
Fig. 8 is the perspective view of the second jig arm.
Label declaration: 1 locating part, 2 buttons, 3 elastic threads, 4 limiting through hole, 5 first jig arm, 5-1 arc slot, 5-2 chute, 5-3 through hole, 6 second jig arm, 6-1 catch, 6-2 pushing tow through hole, the hemispherical notch of 6-3,7 hooks, 8 yoke frames, 8-1 propulsion arm, 9 open slots, 10 rod members.
Detailed description of the invention
Below in conjunction with Figure of description and embodiment, content of the present invention is elaborated:
Be the embodiment schematic diagram of a kind of multipurpose deep part knotting rope provided by the invention as illustrated in fig. 1 and 2, it comprises locating part 1, button 2 and elastic threads 3, elastic threads 3 two ends connect respectively locating part 1 and button 2, described locating part 1 is provided with limiting through hole 4, and the cross-sectional area of limiting through hole 4 is less than the maximum cross-section area of button 2.
When operation knotting, first elastic threads 3 is around in to the blood vessel or other tissue place that need knotting, then button 2 is pressed into the fixing fake of the interior formation of limiting through hole 4 on locating part 1, play the effect to blood vessel or the knotting of other tissue.The cross-sectional area of limiting through hole 4 is less than the maximum cross-section area of button 2, can ensure that button 2 must just can enter limiting through hole 4 under external force, and enter after limiting through hole 4, cannot automatic spring, and to realize knotting.
Described button 2 is chondritic, and described locating part 1 is circular ring, and locating part 1 upper limit through hole 4 diameters are less than button 2 diameters.
The part that is positioned at limiting through hole 4 peripheries on described locating part 1 is that elastomeric material is made, and/or button 2 is made for elastomeric material.
Cooperation between button 2 and limiting through hole 4 completes by one of them elastic deformation, can be that elasticity button 2 coordinates rigid limit through hole 4, between locating part 1, button 2 and elastic threads 3 threes, the elasticity maximum of elastic threads 3, next is button 2, and limiting through hole 4 outer peripheral portions on locating part 1 have certain rigidity;
Also can be that rigidity button 2 coordinates elastic spacing through hole 4, between locating part 1, button 2 and elastic threads 3 threes, the elasticity maximum of elastic threads 3, be secondly limiting through hole 4 outer peripheral portions on locating part 1, and 2 of buttons have certain rigidity.
Elastic threads 3 is made (absorbable thread as tall in common vetch) by absorbable thread, and locating part 1 and button 2 are made up of biological osseocolla.The length of elastic threads 3 can be selected according to the situation of operative site, in general, can configure the buttons 2 of different sizes and limiting through hole 4 and arrange in pairs or groups the elastic threads 3 of different length to meet different type of surgery.
The multipurpose deep part knotting rope made from above-mentioned material, can be absorbed by the body in three months, without taking out stitches.The knotting of bone folder is to adopt clamping structure, and folder itself needs certain volume just to have enough rigidity for clamping blood vessel, and the present invention adopts elastic threads structure, and volume is only ten point one of bone folder, has saved a large amount of raw materials, greatly reduces cost.
As Fig. 3 to 8 is depicted as one provided by the invention and the matching used special deep knotting device of multipurpose deep part knotting rope, it comprises rod member 10 and is located at the knotting device of rod member 10 front ends;
Described knotting device comprises alignment components, elastic threads fixture and yoke frame 8; Alignment components comprises the first jig arm 5 and the second jig arm 6, and the tail end of described the first jig arm 5 and the second jig arm 6 is connected on rod member 10 and the first jig arm 5 and the second jig arm 6 are hinged realizes mutual folding;
The medial surface of the first jig arm 5 is provided with the block piece A for settling locating part 1, and it is upper that locating part 1 is resisted against block piece A, and when elastic threads 3 is stretched to rod member 10 directions, locating part 1 does not depart from block piece A; The medial surface of the second jig arm 6 is provided with the block piece B corresponding with block piece A, and it is upper that button 2 is resisted against block piece B, and when elastic threads 3 is stretched to rod member 10 directions, button 2 does not depart from block piece B; In the first jig arm 5 with locating part 1 on limiting through hole 4 corresponding sections be provided with through hole 5-3; In the second jig arm 6, be provided with pushing tow through hole 6-2 with button 2 corresponding sections;
Elastic threads fixture is located between the first jig arm 5 and the second jig arm 6, and the rear end of elastic threads fixture is articulated with the front end of rod member 10 by jointed shaft;
The rear end of yoke frame 8 is articulated with on rod member 10 and yoke frame 8 is positioned at the lateral surface of the second jig arm 6, and the medial surface of yoke frame 8 is provided with the propulsion arm 8-1 matching with pushing tow through hole 6-2 in the second jig arm 6.
Described locating part 1 is placed in block piece A front end, and button 2 is placed in block piece B front end, and elastic threads 3 stage casings are fixed by the elastic threads fixture of being located at alignment components rear end.
The elastic deformation meeting of elastic threads 3 produces the pulling force to alignment components rear end, and locating part 1 rear end is tightly resisted against to block piece A front end, makes locating part 1 in the situation that of elastic threads 3 tensioning, is fixed on block piece A; In like manner, button 2 also will be fixed on block piece B in the situation that of elastic threads 3 tensioning.
Occupation mode of the present invention is, multipurpose deep part knotting rope is fixed on to the assigned address of special deep knotting device, knotting process is, alignment components is opened, its opening is aimed to the blood vessel place that will tie a knot, blood vessel should be between elastic threads fixture, block piece A and block piece B, and operation alignment components clamps; The corresponding setting in position of block piece A and block piece B, in the time of alignment components clamped closed, button 2 fixed thereon is just in time aligned in the limiting through hole 4 of locating part 1; The rear end of yoke frame 8 is hinged on rod member 10, in the time that alignment components is closed, then controls yoke frame 8 and clamps to the second jig arm 6, in yoke frame 8 clamping process, propulsion arm 8-1 on it, through the pushing tow hole 6-2 in the second jig arm 6, is pressed into button 2 in limiting through hole 4, forms fixing fake.Finally control elastic threads fixture, the elastic threads 3 that makes to be fixed on elastic threads fixture is unclamped again, and locating part 1 separates with block piece A in the situation that following the string rope 3 pulling force, completes knotting process.
As can be seen here, the present invention in use, need substep manipulation, first multipurpose deep part knotting rope is fixed on to the assigned address of special deep knotting device, alignment components closure, yoke frame 8, to the second jig arm 6 closures, finally unclamps elastic threads 3, and this embodiment can coordinate realization with the present invention according to existing structure.Concrete fit structure is as follows:
First kind of way, with reference to adopting the clamping driving mechanism of ultrasound knife cutter head and the clamping driving mechanism of the middle cutter head of ultrasound knife cutter head (patent No. is 201320350774.8), the mode of operation of the haircut in above-mentioned patent is equivalent to yoke frame 8, and it is connected and fixed mode and haircut, and to be connected and fixed mode consistent.The second jig arm 6, between yoke frame 8 and the first jig arm 5, arranges spring A between the first jig arm 5 and the second jig arm 6; Between the second jig arm 6 and yoke frame 8, spring B is set; The elastic force of spring A is less than spring B, pull and pull handle, because the elastic force of spring A is less than spring B, so the first jig arm 5 and the second jig arm 6 are first closed, after the first jig arm 5 and the second jig arm 6 are completely closed and when spring A is compressed to limit, spring B starts to shrink, and yoke frame 8 clamps to the second jig arm 5.
The second way, the first jig arm 5, the second jig arm 6, the first in command is extended to rod member 10 directions respectively in the rear of yoke frame 8, the second in command, the 3rd handle, between the first in command and the second in command, be provided with the first spring, between the second in command and the 3rd handle, be provided with the second spring, the elastic force of the first spring is less than the elastic force of the second spring, when making user hold the first in command and the 3rd handle the application of force, the first spring first shrinks, make the first jig arm 5, the second jig arm 6 is first closed, when the first jig arm 5, after the second jig arm 6 closures, the first spring continues to be contracted to ultimate attainment, this time second, spring started to shrink, yoke frame 8 is moved.
The third mode, the first jig arm 5 is fixedly connected on rod member 10 front ends, and described rod member 10 is hollow pipe, the second jig arm 6 hinged places, rear end are provided with by the press handle A that extends to hollow pipe rear end in hollow pipe, press down press handle A, the second jig arm 6 upwards clamps the first jig arm 5, completes alignment procedures; In like manner, yoke frame 8 hinged places, rear end are provided with by the press handle B that extends to hollow pipe rear end in hollow pipe, press down press handle B, and yoke frame 8 upwards clamps the second jig arm 6, and propulsion arm 8-1 is pressed into button 2 in through hole 5-3.
Through hole 5-3 is set, propulsion arm 8-1 can be pressed into button 2 in through hole 5-3, guarantee that button 2 is whole by limiting through hole 4.
As shown in Figure 4, block piece A is the arc slot 5-1 that arc opening coordinates towards the front extreme direction of the first jig arm 5 and with locating part 1, and arc slot 5-1 is provided with along the first jig arm 5 front and back end line directions and extends the open slot 9 passing for elastic threads 3.Limiting through hole 4 places of arc slot 5-1 on corresponding locating part 1 are provided with opening, prevent that arc slot 5-1 from blocking button 2, can not be pressed in limiting through hole 4 it.
Block piece B is catch 6-1, described catch 6-1 is curved-surface structure, and this curved-surface structure meets and is placed in that catch 6-1 goes up and elastic threads 3 while being stretched to elastic threads fixture when button 2, and button 2 can not depart from catch 6-1, when propulsion arm 8-1 promotes after button 2, button 2 departs from catch 6-1; Described catch 6-1 is provided with along the second jig arm 6 front and back end line directions and extends the open slot 9 passing for elastic threads 3.
More firm for what button 2 was fixed in the second jig arm 6, can in the second jig arm 6, with button 2 corresponding sections, hemispherical notch 6-3 be set, button 2 bottoms are placed on hemispherical notch 6-3.
As shown in Figure 7 and Figure 8, on described block piece A and block piece B, be equipped with the open slot 9 passing for elastic threads 3, the design of open slot 9 can make locating part 1 and the suffered pulling force of button 2 all the time towards elastic threads fixture direction, thereby makes locating part 1 and more stable being resisted against on block piece A and block piece B of button 2.
In the first jig arm 5, be provided with locating part 1 upper limit through hole 4 corresponding sections the chute 5-2 extending to the first jig arm 5 front ends.As shown in Figure 7, the setting of chute 5-2 is that the button 2 in order to make to be pressed in locating part 1 is unlikely to be stuck in arc slot 5-1 above, and locating part 1 and button 2 are separated with arc slot 5-1 more smoothly.
The jointed shaft of the jointed shaft of elastic threads fixture and the first jig arm 5 and the second jig arm 6 is perpendicular.
Elastic threads fixture is the hook 7 that crotch bends down or upward.
Fig. 4 and two kinds of working state schematic representations that Figure 5 shows that hook 7, knotting front hook 7 down hooks elastic threads 3, and when button 2 is pressed into after limiting through hole 4, hook 7 up lifts, and elastic threads 3 separates with hook 7.Link up with 7 front end backs pulling rope can be set, hook 7 original states are down to hook elastic threads 3, can make to link up with 7 upwards lift by dragline stay cord, separate with elastic threads 3.Elastic threads fixture can, by the driving lever or the pulling rope interlock that are connected with elastic threads fixture, be realized elastic threads fixture and separate with elastic threads 3.
On the first jig arm 5 and the second jig arm 6 medial surface and the propulsion arm 8-1 of yoke frame 8 be provided with on the whole some grooves for increasing frictional force.
Described special deep knotting device can also be connected in intelligent operation robot system.
Claims (9)
1. a multipurpose deep part knotting rope, it is characterized in that: it comprises locating part (1), button (2) and elastic threads (3), elastic threads (3) two ends connect respectively locating part (1) and button (2), described locating part (1) is provided with limiting through hole (4), and the cross-sectional area of limiting through hole (4) is less than the maximum cross-section area of button (2).
2. multipurpose deep part knotting rope according to claim 1, it is characterized in that: described button (2) is chondritic, described locating part (1) is circular ring, and locating part (1) upper limit through hole (4) diameter is less than button (2) diameter.
3. multipurpose deep part knotting rope according to claim 1 and 2, it is characterized in that: the part that is positioned at limiting through hole (4) periphery on described locating part (1) is that elastomeric material is made, and/or button (2) is made for elastomeric material.
4. multipurpose deep part knotting rope according to claim 3, is characterized in that: elastic threads (3) is made up of absorbable thread, locating part (1) and button (2) are made up of biological osseocolla.
5. with the matching used special deep knotting device of multipurpose deep part knotting rope, it is characterized in that: it comprises rod member (10) and is located at the knotting device of rod member (10) front end;
Described knotting device comprises alignment components, elastic threads fixture and yoke frame (8); Alignment components comprises the first jig arm (5) and the second jig arm (6), and the tail end of described the first jig arm (5) and the second jig arm (6) is connected in upper and the first jig arm (5) of rod member (10) and the second jig arm (6) and is hinged and realizes mutual folding;
The medial surface of the first jig arm (5) is provided with the block piece A for settling locating part (1), locating part (1) is resisted against on block piece A, when elastic threads (3) is stretched to rod member (10) direction, locating part (1) does not depart from block piece A; The medial surface of the second jig arm (6) is provided with the block piece B corresponding with block piece A, button (2) is resisted against on block piece B, when elastic threads (3) is stretched to rod member (10) direction, button (2) does not depart from block piece B; Limiting through hole (4) corresponding section of the first jig arm (5) above and on locating part (1) is provided with through hole (5-3); In the second jig arm (6) and button (2) corresponding section is provided with pushing tow through hole (6-2);
Elastic threads fixture is located between the first jig arm (5) and the second jig arm (6), and the rear end of elastic threads fixture is articulated with the front end of rod member (10) by jointed shaft;
The rear end of yoke frame (8) is articulated with the upper and yoke frame (8) of rod member (10) and is positioned at the lateral surface of the second jig arm (6), the propulsion arm (8-1) that the medial surface of yoke frame (8) is provided with and the upper pushing tow through hole (6-2) of the second jig arm (6) matches.
6. special deep knotting device according to claim 5, it is characterized in that: block piece A is the arc slot (5-1) that arc opening coordinates towards the front extreme direction of the first jig arm (5) and with locating part (1), arc slot (5-1) is provided with along the first jig arm (5) front and back end line direction and extends the open slot (9) passing for elastic threads (3); Block piece B is catch (6-1), described catch (6-1) is curved-surface structure, this curved-surface structure meets and is placed in that catch (6-1) is gone up and elastic threads (3) while being stretched to elastic threads fixture when button (2), button (2) can not depart from catch (6-1), when propulsion arm (8-1) promotes after button (2), button (2) departs from catch (6-1); Described catch (6-1) is provided with along the second jig arm (6) front and back end line direction and extends the open slot (9) passing for elastic threads (3).
7. special deep knotting device according to claim 5, is characterized in that: in the first jig arm (5) and locating part (1) upper limit through hole (4) corresponding section is provided with the chute (5-2) extending to the first jig arm (5) front end.
8. special deep knotting device according to claim 5, is characterized in that: the jointed shaft of the jointed shaft of elastic threads fixture and the first jig arm (5) and the second jig arm (6) is perpendicular.
9. special deep knotting device according to claim 5, is characterized in that: elastic threads fixture is the hook (7) that crotch bends down or upward.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410452048.6A CN104146738B (en) | 2014-09-05 | 2014-09-05 | Multipurpose deep part knotting rope and special deep knotting device |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410452048.6A CN104146738B (en) | 2014-09-05 | 2014-09-05 | Multipurpose deep part knotting rope and special deep knotting device |
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| Publication Number | Publication Date |
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| CN104146738A true CN104146738A (en) | 2014-11-19 |
| CN104146738B CN104146738B (en) | 2016-05-25 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201410452048.6A Expired - Fee Related CN104146738B (en) | 2014-09-05 | 2014-09-05 | Multipurpose deep part knotting rope and special deep knotting device |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104970842A (en) * | 2015-05-15 | 2015-10-14 | 上海交通大学 | Knotted rope line distraction device and application method thereof |
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|---|---|---|---|---|
| CN104970842A (en) * | 2015-05-15 | 2015-10-14 | 上海交通大学 | Knotted rope line distraction device and application method thereof |
| CN104970842B (en) * | 2015-05-15 | 2017-03-08 | 上海交通大学 | Knotting rope yarn device for spreading and its using method |
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| CN104146738B (en) | 2016-05-25 |
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