CN104783872A - Multifunctional visible cup type uterine manipulator - Google Patents
Multifunctional visible cup type uterine manipulator Download PDFInfo
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- CN104783872A CN104783872A CN201510240305.4A CN201510240305A CN104783872A CN 104783872 A CN104783872 A CN 104783872A CN 201510240305 A CN201510240305 A CN 201510240305A CN 104783872 A CN104783872 A CN 104783872A
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- draw bar
- cup type
- jackscrew
- electrical outlet
- pin joint
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/303—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the vagina, i.e. vaginoscopes
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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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
- A61B17/4241—Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
- A61B2017/4216—Operations on uterus, e.g. endometrium
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
- A61B2017/4233—Operations on Fallopian tubes, e.g. sterilization
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Gynecology & Obstetrics (AREA)
- Reproductive Health (AREA)
- Pregnancy & Childbirth (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Optics & Photonics (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Surgical Instruments (AREA)
Abstract
The invention relates to a multifunctional cup type uterine manipulator which is convenient to use. The multifunctional cup type uterine manipulator comprises an inner rod, an adjustment sleeve, a uterus lifting cup and a visible device, wherein the inner rod is inserted in the adjustment sleeve, the front end of the adjustment sleeve is connected with the uterus lifting cup in a threaded mode, the inner rod is of a hollow structure, a U-shaped clamping groove is formed in the front end of the inner rod, and a pair of telescopic claw forceps is arranged in the clamping groove; a draw bar is inserted in the inner rod; the rear end of the draw bar stretches out from the rear portion of the inner rod; sealing rings allowing the draw bar to pass through are arranged at the front end and the rear end of the inner rod respectively; the visual device comprises an LED lamp, a minitype camera, a displayer, a storage battery, a connecting handle, a first electric socket and a second electric socket. According to the multifunctional visible cup type uterine manipulator, the uterus can be lifted up, pressed down, rotated and the like by stretching the telescopic claw forceps during an operation; the operation process can be monitored in real time during the operation through the visible device, in this way, operation of gynecological minimally invasive surgery is made more convenient, and both time and labor are saved.
Description
Technical field
The present invention relates to a kind of new-type uterus raising device, particularly relate to a kind of visual cup type uterus lifter easy to use, belong to medical instruments field.
Background technology
The operative treatment of the diseases such as gynecological uterus, ovary and adnexa, comprise open surgery and Minimally Invasive Surgery, open surgery is out that abdomen is treated, and operation risk is large, and the large healing of patient trauma is slow, brings misery, therefore select fewer and feweri to patient; And gynecological's Minimally Invasive Surgery is compared with open operation, there is the advantages such as wound is little, cicatrix is little, misery is light, post-operative recovery is fast, progressively obtain the accreditation of extensive patients and operative doctor.
Gynecological's Minimally Invasive Surgery applies laparoscopic surgery technology and special operating theater instruments, and uterus raising device is exactly that laparoscopic surgery commonly uses operating theater instruments.Kind and the model of uterus raising device are various, and practical at present have jaw type and cup type two kinds.Wherein, cup type uterus lifter needs to select different models according to patient's cervix uteri size and vagina elasticity.Be placed on intravaginal cup type uterus lifter and both fully can expose fornix vaginae, CO when can prevent from again cutting vagina
2the leakage of gas, makes the more convenient operation of hysterectomy.But, existing cup type uterus lifter effect is more single, only can carry out simple on choose, press down, the action such as swing, and need to coordinate other laparoscopic surgical instruments together to use, complicated operation in operation process, is difficult to ensure desirable operation treatment effect.
And operation also needs uterus to do suitable, counterclockwise twisting action time a lot, the muscular tumor of be convenient to hysterectomize rear wall and sidewall, is convenient to process the tissues such as the ligament of both sides, uterus.Also have some fleshy polyps, or some volumes larger not only outstanding outside but also charge into the hysteromyoma of uterine cavity, then need first with hysteroscopy or under hysteroscope monitors (both palace-combined laparoscopic operation) carry out laparoscopic surgery.Existing cup type uterus lifter cannot complete above-mentioned action.
Summary of the invention
The present invention is directed to the deficiencies in the prior art, provide a kind of easy to use, diverse in function, is applied to gynecological's Minimally Invasive Surgery, can realize uterus being chosen, pressing down, swing and the multifunctional visible cup type uterus lifter of the various motion such as torsion.
The technical scheme that the present invention solves the problems of the technologies described above is as follows: a kind of multi-functional cup type uterus lifter, comprises interior bar 1, regulating sleeve 2 and act palace cup 3; Described interior bar 1 is inserted in regulating sleeve 2, and interior bar 1 is fixed with the jackscrew 21 of regulating sleeve 2 by regulating sleeve rear portion; Described regulating sleeve 2 front end is threaded with described act palace cup 3, described interior bar 1 is hollow-core construction, interior bar front end is provided with U-shaped clip slot 11, retractable pawl pincers 12 are provided with in clip slot 11, described retractable pawl pincers 12 comprise the first pawl arm 121, second pawl arm 122, first connecting rod 123 and second connecting rod 124, be fitted with draw bar 13 in described interior bar 1; The rear portion X-shaped of described first pawl arm 121 and the second pawl arm 122 intersects afterwards and clip slot 11 is hinged to the first pin joint 126 jointly; Described first hinged second connecting rod front end, pawl arm rear end also forms the second pin joint 127, described second hinged first connecting rod front end, pawl arm rear end also forms the 3rd pin joint 128, described first connecting rod rear end, second connecting rod rear end and described draw bar front end hinged formation the 4th pin joint 129 altogether; The line of the first pin joint 126 and the 4th pin joint 129 is perpendicular to the line of the second pin joint 127 and the 3rd pin joint 128; Draw bar 13 rear end is stretched out by interior bar 1 rear portion, and described draw bar 13 is fixed by the traction lever lock 14 being positioned at bar rear portion with interior bar 1; Described interior bar 1 front and back end is respectively equipped with the sealing ring 15 that can pass through for draw bar 13; Described visual device comprises LED 41, minisize pick-up head 42, display 44, accumulator 45, connecting handle 46, first electrical outlet 43 and the second electrical outlet 47; Described first pawl arm or described second pawl arm are provided with described LED 41 and minisize pick-up head 42, described draw bar 13 rear portion is provided with the first electrical outlet 43, and described LED 41 and described minisize pick-up head 42 are electrically connected with described first electrical outlet 43 respectively by circuit; Described display 44 is rotatably connected with the upper end of described connecting handle 46; It is inner that described accumulator 45 is positioned at described connecting handle 46, and the lower end of described connecting handle 46 is rotatably connected by bayonet socket 48 and described interior bar 1; Described second electrical outlet 47 is positioned at outside connecting handle 46; Described accumulator 45 is electrically connected with described second electrical outlet 47; Described first electrical outlet 43 is connected with described second electrical outlet 47 wire.
When the multi-functional cup type uterus lifter of the present invention uses, first draw bar is pushed away forward, thus the first pawl arm making retractable pawl clamp and the second pawl arm front end are opened, be fixed by draw bar lock after first pawl arm and the second pawl arm open, the retractable pawl pincers opened can prop up uterus inwall, make uterus raising device can carry out on choose, to press down, and the action such as torsion; Then pull back draw bar, then the first pawl arm of retractable pawl pincers and the front end of the second pawl arm close, and the retractable pawl pincers after closed can easily stretch into or pull out uterus.The installation of LED and minisize pick-up head can make multi-functional cup type uterus lifter of the present invention use more convenient, can directly observe in operation process, the enforcement of better guided operation.Display and connecting handle can 360 degree be rotatably connected, conveniently to observe.
On the basis of technique scheme, the present invention can also do following improvement.
Further, described draw bar 13 rear end is provided with traction pole cap 16.
Further, described interior thick stick and described regulating sleeve are fixed by jackscrew 21, described jackscrew 21 comprises grip part 22, jackscrew cover 23 and jackscrew core 24, described grip part 22 and described jackscrew cover 23 are located on the same line, and described grip part 22 and described jackscrew cover 23 vertical with described regulating sleeve 2 respectively, three is integrally formed the decussate texture of molding, and described jackscrew core 24 is inserted in described jackscrew cover 23.
Further, the width after described retractable pawl pincers open is 3 ~ 6cm, and the width after described retractable pawl icarceration conjunction is less than or equal to 0.5cm.This design meets the anatomical features of cavity of uterus, cavity of uterus be about 7cm up and down, the wide about 5cm in left and right, and the flat about 3cm in front and back.
Further, described draw bar 13 rear end is provided with 2 ~ 6 grooves 17 that can embed for traction lever lock 14 front end.
The design of draw bar upper groove can carry out gear control to the opening angle of retractable pawl pincers, arranges the closed shelves of pawl pincers, and basic, normal, high etc. gear.If coordinate the scale be printed on draw bar, more convenient use, the open width of accurate locating detent pincers.
The invention has the beneficial effects as follows: existing uterus raising device function singleness, and often need when carrying out gynecological's Minimally Invasive Surgery to process the tissue of uterus periphery, also may need in operation process to reverse uterus.Multi-functional cup type uterus lifter of the present invention not only can select the act palace cup of different model according to patient's cervix uteri size and vagina elasticity, and is positioned over intravaginal uterus raising device and fully can also exposes fornix vagina, CO when can prevent from cutting vagina
2the leakage of gas, uterus raising device of the present invention can also by retractable pawl clamp open and realize operation time uterus carried out on choose, press down and the action such as torsion; Further, can also, by visual device Real-Time Monitoring procedure in operation, make the operation of gynecological's Minimally Invasive Surgery more convenient, time saving and energy saving.
Accompanying drawing explanation
Fig. 1 is multifunctional visible cup type uterus lifter structural representation;
Fig. 2 is that structural representation is cutd open in the side of thick stick in multifunctional visible cup type uterus lifter;
Fig. 3 is that structural representation (pushing away before draw bar) is cutd open in the side of thick stick in multifunctional visible cup type uterus lifter;
Fig. 4 is that structural representation (draw bar post-tensioning) is cutd open in the side of thick stick in multifunctional visible cup type uterus lifter;
Fig. 5 is that in the multifunctional visible cup type uterus lifter that improves, structural representation is cutd open in the side of thick stick.
Icon annotates: 1. bar in, 2. regulating sleeve, 3. lift palace cup, 4. visual device, 11. clip slots, 12. retractable pawl pincers, 13. draw bars, 14. traction lever locks, 15. sealing rings, 16. traction pole caps, 17. grooves, 121. first pawl arms, 122. second pawls, 123. first connecting rod, 124. second connecting rod, 126. first pin joints, 127. second pin joints, 128. the 3rd pin joints, 129. the 4th pin joints, 21. jackscrews, 22. grip parts, 23. jackscrew covers, 24. jackscrew cores, 41.LED lamp, 42. photographic head, 43. first electrical outlet, 44. display, 45. accumulator, 46. connecting handles, 47. second electrical outlet, 48. bayonet sockets.
Detailed description of the invention
Be described principle of the present invention and feature below in conjunction with accompanying drawing 1-5, example, only for explaining the present invention, is not intended to limit scope of the present invention.
Multi-functional cup type uterus lifter as shown in Figure 1-2, comprises interior bar 1, regulating sleeve 2 and act palace cup 3; Described interior bar 1 is inserted in regulating sleeve 2, and interior bar 1 is fixed with the jackscrew 21 of regulating sleeve 2 by regulating sleeve rear portion; Described regulating sleeve 2 front end is threaded with described act palace cup 3, described interior bar 1 is hollow-core construction, interior bar front end is provided with U-shaped clip slot 11, retractable pawl pincers 12 are provided with in clip slot 11, described retractable pawl pincers 12 comprise the first pawl arm 121, second pawl arm 122, first connecting rod 123 and second connecting rod 124, be fitted with draw bar 13 in described interior bar 1; The rear portion X-shaped of described first pawl arm 121 and the second pawl arm 122 intersects afterwards and clip slot 11 is hinged to the first pin joint 126 jointly; Described first hinged second connecting rod front end, pawl arm rear end also forms the second pin joint 127, described second hinged first connecting rod front end, pawl arm rear end also forms the 3rd pin joint 128, described first connecting rod rear end, second connecting rod rear end and described draw bar front end hinged formation the 4th pin joint 129 altogether; The line of the first pin joint 126 and the 4th pin joint 129 is perpendicular to the line of the second pin joint 127 and the 3rd pin joint 128; Draw bar 13 rear end is stretched out by interior bar 1 rear portion, and described draw bar 13 is fixed by the traction lever lock 14 being positioned at bar rear portion with interior bar 1; Described interior bar 1 front and back end is respectively equipped with the sealing ring 15 that can pass through for draw bar 13; Described visual device comprises LED 41, minisize pick-up head 42, display 44, accumulator 45, connecting handle 46, first electrical outlet 43 and the second electrical outlet 47; Described first pawl arm or described second pawl arm are provided with described LED 41 and minisize pick-up head 42, described draw bar 13 rear portion is provided with the first electrical outlet 43, and described LED 41 and described minisize pick-up head 42 are electrically connected with described first electrical outlet 43 respectively by circuit; Described display 44 is rotatably connected with the upper end of described connecting handle 46; It is inner that described accumulator 45 is positioned at described connecting handle 46, and the lower end of described connecting handle 46 is rotatably connected by bayonet socket 48 and described interior bar 1; Described second electrical outlet 47 is positioned at outside connecting handle 46; Described accumulator 45 is electrically connected with described second electrical outlet 47; Described first electrical outlet 43 is connected with described second electrical outlet 47 wire.
When the multi-functional cup type uterus lifter of the present invention uses, first draw bar (Fig. 3) is pushed away forward, then the first pawl arm of retractable pawl pincers and the front end of the second pawl arm are opened, be fixed by draw bar lock after first pawl arm and the second pawl arm open, the retractable pawl pincers opened can prop up uterus inwall, make uterus raising device can carry out on choose, to press down, and the action such as torsion.Next pulls back draw bar (Fig. 4), then the first pawl arm of retractable pawl pincers and the front end of the second pawl arm close, and the retractable pawl pincers after closed can easily stretch into or pull out uterus.
Multi-functional cup type uterus lifter of the present invention can also as shown in Figure 5, and described draw bar 13 rear end is provided with traction pole cap 16.Width after retractable pawl pincers open is 6cm, and the width after the conjunction of retractable pawl icarceration equals 0.5cm.Draw bar 13 rear end is provided with three grooves 17 that can embed for traction lever lock 14 front end, is set to the closed shelves, middle-grade of retractable pawl pincers, and top grade.
The foregoing is only preferred embodiment of the present invention, not in order to limit the present invention, within the spirit and principles in the present invention all, any amendment done, equivalent replacement, improvement etc., all should be included within protection scope of the present invention.
Claims (5)
1. a visible multifunctional cup type uterus lifter, comprises interior bar (1), regulating sleeve (2), lifts palace cup (3), and visual device (4); Described interior bar (1) is inserted in regulating sleeve (2), and interior bar (1) is fixed with the jackscrew (21) of regulating sleeve (2) by regulating sleeve rear portion; Described regulating sleeve (2) front end is threaded with described act palace cup (3), it is characterized in that, described interior bar (1) is hollow-core construction, interior bar front end is provided with U-shaped clip slot (11), retractable pawl pincers (12) is provided with in clip slot (11), described retractable pawl pincers (12) comprises the first pawl arm (121), second pawl arm (122), first connecting rod (123) and second connecting rod (124), be fitted with draw bar (13) in described interior bar (1); The rear portion X-shaped of described first pawl arm (121) and the second pawl arm (122) intersects afterwards and clip slot (11) is hinged to the first pin joint (126) jointly; Described first hinged second connecting rod front end, pawl arm rear end also forms the second pin joint (127), described second hinged first connecting rod front end, pawl arm rear end also forms the 3rd pin joint (128), described first connecting rod rear end, second connecting rod rear end and the hinged formation the 4th pin joint (129) altogether of described draw bar front end; The line of the first pin joint (126) and the 4th pin joint (129) is perpendicular to the line of the second pin joint (127) and the 3rd pin joint (128); Draw bar (13) rear end is stretched out by interior bar (1) rear portion, and described draw bar (13) is fixed by the traction lever lock (14) being positioned at bar rear portion with interior bar (1); Described interior bar (1) front and back end is respectively equipped with the sealing ring (15) that draw bar (13) can be supplied to pass through; Described visual device comprises LED (41), minisize pick-up head (42), display (44), accumulator (45), connecting handle (46), the first electrical outlet (43) and the second electrical outlet (47); Described first pawl arm or described second pawl arm are provided with described LED (41) and minisize pick-up head (42), described draw bar (13) rear portion is provided with the first electrical outlet (43), and described LED (41) and described minisize pick-up head (42) are electrically connected with described first electrical outlet (43) respectively by circuit; Described display (44) is rotatably connected with the upper end of described connecting handle (46); It is inner that described accumulator (45) is positioned at described connecting handle (46), and the lower end of described connecting handle (46) is rotatably connected by bayonet socket (48) and described interior bar (1); Described second electrical outlet (47) is positioned at connecting handle (46) outside; Described accumulator (45) is electrically connected with described second electrical outlet (47); Described first electrical outlet (43) is connected with described second electrical outlet (47) wire.
2. visible multifunctional cup type uterus lifter according to claim 1, is characterized in that, described draw bar (13) rear end is provided with traction pole cap (16).
3. visible multifunctional cup type uterus lifter according to claim 1, it is characterized in that, described interior thick stick and described regulating sleeve are fixed by jackscrew (21), described jackscrew (21) comprises grip part (22), jackscrew cover (23) and jackscrew core (24), described grip part (22) and described jackscrew cover (23) are located on the same line, and described grip part (22) and described jackscrew cover (23) are vertical with described regulating sleeve (2) respectively, three is integrally formed the decussate texture of molding, described jackscrew core (24) is inserted in described jackscrew cover (23).
4. visible multifunctional cup type uterus lifter according to claim 1, is characterized in that, the width after described retractable pawl pincers open is 3 ~ 6cm, and the width after described retractable pawl icarceration conjunction is less than or equal to 0.5cm.
5. visible multifunctional cup type uterus lifter according to claim 1, is characterized in that, described draw bar (13) rear end is provided with 2 ~ 6 grooves (17) that can embed for traction lever lock (14) front end.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510240305.4A CN104783872A (en) | 2015-05-12 | 2015-05-12 | Multifunctional visible cup type uterine manipulator |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510240305.4A CN104783872A (en) | 2015-05-12 | 2015-05-12 | Multifunctional visible cup type uterine manipulator |
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| Publication Number | Publication Date |
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| CN104783872A true CN104783872A (en) | 2015-07-22 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510240305.4A Pending CN104783872A (en) | 2015-05-12 | 2015-05-12 | Multifunctional visible cup type uterine manipulator |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105877818A (en) * | 2016-06-29 | 2016-08-24 | 南京森盛医疗设备有限公司 | Controllable light display uterine manipulator |
| CN107638211A (en) * | 2017-10-31 | 2018-01-30 | 王中显 | A kind of act palace cup with electric knife |
| CN109833067A (en) * | 2017-11-28 | 2019-06-04 | 中国科学院沈阳自动化研究所 | A kind of balloon instrument and its application method |
| CN110141331A (en) * | 2019-06-03 | 2019-08-20 | 西安交通大学医学院第一附属医院 | It is a kind of to lift the uterus raising device of palace cup cover with passing through magnetic pressure and squeeze anti-send out |
-
2015
- 2015-05-12 CN CN201510240305.4A patent/CN104783872A/en active Pending
Cited By (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105877818A (en) * | 2016-06-29 | 2016-08-24 | 南京森盛医疗设备有限公司 | Controllable light display uterine manipulator |
| CN105877818B (en) * | 2016-06-29 | 2018-11-02 | 南京森盛医疗设备有限公司 | Controllable type light shows uterus raising device |
| CN107638211A (en) * | 2017-10-31 | 2018-01-30 | 王中显 | A kind of act palace cup with electric knife |
| CN107638211B (en) * | 2017-10-31 | 2023-11-14 | 王中显 | Uterus lifting cup with electric knife |
| CN109833067A (en) * | 2017-11-28 | 2019-06-04 | 中国科学院沈阳自动化研究所 | A kind of balloon instrument and its application method |
| CN109833067B (en) * | 2017-11-28 | 2021-08-31 | 中国科学院沈阳自动化研究所 | Balloon instrument and using method thereof |
| CN110141331A (en) * | 2019-06-03 | 2019-08-20 | 西安交通大学医学院第一附属医院 | It is a kind of to lift the uterus raising device of palace cup cover with passing through magnetic pressure and squeeze anti-send out |
| CN110141331B (en) * | 2019-06-03 | 2024-06-11 | 西安交通大学医学院第一附属医院 | Uterine manipulator with uterine cup cover capable of preventing scattering by magnetic squeezing |
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Application publication date: 20150722 |
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