CN105212977B - Servicing unit for stapler, stapler and surgical operating instrument using the servicing unit - Google Patents

Servicing unit for stapler, stapler and surgical operating instrument using the servicing unit Download PDF

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Publication number
CN105212977B
CN105212977B CN201410510192.0A CN201410510192A CN105212977B CN 105212977 B CN105212977 B CN 105212977B CN 201410510192 A CN201410510192 A CN 201410510192A CN 105212977 B CN105212977 B CN 105212977B
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China
Prior art keywords
stapler
servicing unit
nail bin
unit according
jaw
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CN201410510192.0A
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Chinese (zh)
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CN105212977A (en
Inventor
姚建清
邢建硕
赵宇
史金虎
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Beijing Panther Medical Technology Co Ltd
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Beijing Panther Medical Technology Co Ltd
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Abstract

Provided by the present invention for the servicing unit of stapler, including servicing unit body, the connector for being arranged on the servicing unit body interior and being connected with its near-end and stapler body, pushing meanss be connected with connector distal end, distally it is connected with the pushing meanss and closeable moving jaw and regular jaw, the nail bin die trial that is arranged between the moving jaw and the regular jaw, and the moving jaw feeds back material by compression and is made.The servicing unit can precisely assess the thickness for treating surgical tissue in the preoperative, to select to follow closely high nail bin with suitable staple.

Description

Servicing unit for stapler, stapler and surgery hand using the servicing unit Art apparatus
Technical field
The present invention relates to technical field of medical instruments, more particularly to a kind of servicing unit for stapler, one is further related to Kind is using this for the stapler of the servicing unit of stapler and the surgical operation device using the servicing unit for being used for stapler Tool, and the method for application servicing unit progress suture operation.
Background technology
In medical surgery operation, since first staple class product occurs in the 1960s, Medical stapler is As aid in scalpel suture a kind of essential medicine equipment.With the development of medical science and the research and development of new product, get over Carry out more staple class products applications in clinic.The scope of application have been directed to gastrointestinal surgery, liver and gall surgical department, thoracic surgery, outside uropoiesis The every field such as section, gynemetrics, turn into one of essential instrument of doctor.Sutured, had using stapler and staple Intraoperative hemorrhage is few, operating time is short, with apparatus replace by hand can reduce due to manual operations and caused by error, reduce infect Many advantages, such as rate, fast post-operative recovery.
When using hysteroscope stapler in ESS, doctor is generally difficult to determine the tissue that they will suture Thickness, and the thickness organized determines required nail bin size (i.e. staple nail is high), so as to precise seal previous anastomotic.Generally, cure Life need to determine thickness according to the organization factorses shown on monitor.Chinese patent CN101273879B discloses a kind of laparoscope Tissue thickness and clamp load servicing unit, induction installation can be set on two jaws of clamp, so as to right before surgery Tissue thickness is prejudged, but in hysteroscope menisectomy, and tissue is after two jaws of stapler carry out pressure bundle, then is carried out Staple fires, and the tissue thickness now pricked by pressure, jaw obviously can not accurately judge, so as to nail bin size (the i.e. staple of selection Nail is high) it is still not accurate enough.
Therefore, how precisely to determine that the thickness of tissue is high suitably with corresponding staple nail to select before stapler suture Nail bin, be that those skilled in the art need to solve the problems, such as.
The content of the invention
It is an object of the invention to provide a kind of servicing unit for stapler, and the servicing unit for being used for stapler can essence Quasi- anticipation treats the thickness of surgical tissue to select suitable nail bin, and further, it would be desirable to provide a kind of auxiliary dress for being used for stapler comprising this The stapler put and the surgical operating instrument with the servicing unit for being used for stapler, and stitched using the servicing unit The method for closing operation.
To achieve these goals, the invention provides a kind of servicing unit for stapler, including servicing unit sheet Body, the connector for being arranged on the servicing unit body interior and being connected with its near-end with stapler body and the connector The pushing meanss of distal end connection, with the pushing meanss distally it is connected and closeable moving jaw and regular jaw, is arranged on Nail bin die trial between the moving jaw and the regular jaw, and the moving jaw is made up of compression feedback material.
Preferably, the feedback material that is pressurized is fragile material.
Preferably, the elastomeric material that feedback material is flexible aftereffect property that is pressurized.
Preferably, the feedback material that is pressurized is plastic material.
Preferably, in addition to for assessing the thick plates of closed-gap between the moving jaw and the nail bin die trial.
Preferably, the nail bin die trial is removably arranged on the regular jaw, and various sizes of nail bin die trial Nail bin corresponding to corresponding size and corresponding to the thick plates for representing corresponding size nail bin.
Preferably, what the nail bin die trial was fixed is arranged on the regular jaw, and the thick plates is at least one Side is the nail bin that stepped, different ladder height corresponds to corresponding size.
Preferably, what the nail bin die trial was fixed is arranged on the regular jaw, and the thick plates is at least one Side is ramped shaped, and different ramp heights corresponds to the nail bin of corresponding size.
Preferably, the pushing meanss include push pedal, pressing plate and the spring being connected between the push pedal and the pressing plate.
Preferably, the maximum compressibility of the spring is more than the range of the connector.
Preferably, the pushing meanss also include the flexible cable being connected between the push pedal and the pressing plate.
Preferably, the flexible cable is hawser.
Preferably, at least one sensor, the sensor and processing unit and display are provided with the nail bin die trial Device connects.
Preferably, the sensor is pressure sensor or tissue thickness's sensor.
Preferably, the connection is wireless connection or wired connection.
Present invention also offers a kind of stapler, including stapler body, firing lock, propulsive mechanism, resetting-mechanism, can Actuating station, in addition to the servicing unit for stapler described in any of the above-described are dismantled, the auxiliary for stapler fills Put and dismountable be connected with the stapler body.
Present invention also offers a kind of surgical operating instrument, including:Surgical operating instrument body and with surgical operation device The servicing unit for stapler described in any of the above-described of tool body connection.
The invention provides a kind of servicing unit for stapler, including servicing unit body, it is arranged on the auxiliary The connector being connected with its near-end inside device body and with stapler body, the promotion being connected with connector distal end fill Put, be connected with pushing meanss distal end and closeable moving jaw and regular jaw, be arranged on the moving jaw and institute The nail bin die trial between regular jaw is stated, and the moving jaw is made up of compression feedback material.Operation consent is being carried out to tissue, The connector of servicing unit is connected with stapler body, the moving jaw of servicing unit is opened relative to regular jaw, is pressed from both sides Tight tissue, flexible handle on stapler body is then held, moving jaw closes and applies pressure to tissue, and the pressure can make Surgical tissue thickness distribution is treated more uniformly to suture, while moving jaw is made up of compression feedback material, in the anti-of tissue Fracture or deformation can be produced under active force, now extracts apparatus out, observes moving jaw situation or with thick plates activity of assessment and test jaw Gap between regular jaw can assess tissue thickness, thus can precisely evaluate and test tissue thickness in the preoperative, and it is suitable to have with selection The high nail bin groupware of staple nail, which is installed on stapler body, is performed the operation, and substantially increases success rate of operation.
Brief description of the drawings
Fig. 1 is the structural representation of stapler body;
Fig. 2 is the structural representation according to the servicing unit for stapler of the embodiment of the present invention;
Fig. 3 is the explosive view for the servicing unit for being used for stapler shown in Fig. 2;
Fig. 4 is the front view of the moving jaw open mode for the servicing unit for being used for stapler shown in Fig. 2;
Fig. 5 is to be used for the servicing unit of stapler shown in Fig. 2 to the unchanged state of moving jaw after relatively thin tissue closure Front view;
Fig. 6 be Fig. 2 shown in for stapler servicing unit to moving jaw breaking state after being closed compared with thick tissue just View;
Fig. 7 be Fig. 2 shown in for stapler servicing unit to moving jaw deformation state after being closed compared with thick tissue just View;
Fig. 8 is schematic diagram when the shown servicing units for stapler of Fig. 2 are used cooperatively with thick plates;
Fig. 9 is when the servicing unit shown in Fig. 2 for stapler is used cooperatively with the thick plates with stepped inclined-plane Schematic diagram.
Embodiment
The core of the present invention is to provide a kind of servicing unit for stapler, and the servicing unit for being used for stapler can be with For assessing tissue thickness to be stapled to select suitable nail bin.It is used for the auxiliary of stapler with this further, it would be desirable to provide a kind of The stapler of device and the surgical operating instrument with the servicing unit for being used for stapler are helped, and is entered using the servicing unit The method of row suture operation.
In order that those skilled in the art more fully understand technical scheme, it is below in conjunction with accompanying drawing and specifically real Applying example, the present invention is described in further detail.
Referring to Fig. 1 to Fig. 9, according to one embodiment of present invention, there is provided a kind of servicing unit for stapler, bag The connector 5 that include servicing unit body 1, is arranged on the inside of the servicing unit body 1 and is connected with its near-end with stapler body, The pushing meanss that are distally connected with the connector 5, be connected with pushing meanss distal end and closeable moving jaw 10 and fixation Jaw 12, in addition to the nail bin die trial 11 being arranged between moving jaw 10 and regular jaw 12, and the moving jaw 10 by The feedback that is pressurized material is made.Nail bin die trial 11 can be removably arranged between moving jaw 10 and regular jaw 12.In hand Before art, first the servicing unit body 1 is docked with stapler body, will the servicing unit connector 5 (can also be connect The attachment means such as extension bar) it is connected with stapler body, the specifically trigger shaft 18 with being arranged in the stock 19 of stapler body Connection;Secondly, treat surgical tissue and carry out precompressed bundle in order to suture afterwards, but excessive pressure is not pricked to prevent tissue damage, Specifically the moving jaw 10 of servicing unit is opened relative to regular jaw 12, grip tissue, held on stapler body Flexible handle 17, moving jaw 10 close and apply pressure to tissue and continue for some time that (preferably, jaw 10 closes with 12 Conjunction is continued above 5 seconds), precompressed, which is pricked, can make the thickness of tissue evenly in order to suturing;Then, the thickness for treating surgical tissue is assessed Degree is adapted to thick to select to have suitable staple to follow closely the size of high nail bin, such as the staple a height of 4.8mm of nail in green nail bin Organize (such as lung), the staple in blue nail bin to follow closely a height of 3.5mm, be adapted to thicker tissue (such as stomach), the staple in white nail bin A height of 2.5mm is followed closely, is adapted to relatively thin tissue (such as blood vessel), and the nail bin of each color both corresponds to the nail bin of identical size Die trial 11 and corresponding thick plates 15, and the material for making nail bin die trial 11 is identical with the material for making nail bin, is specifically clamping While mouth 10 and jaw 12 carry out precompressed bundle to tissue, fed back by the pressure-bearing of moving jaw 10 (i.e. to anti-caused by tissue The feedback of active force) judge tissue thickness's situation to select suitable nail bin, first placed from the nail bin die trial 11 estimated Between moving jaw 10 and regular jaw 12, preferably it is fixedly mounted on jaw 12 and (when such as being performed the operation to stomach, can be selected The blue nail bin die trial of size identical with blue nail bin is arranged on regular jaw 12), referring to Fig. 5, if tissue thickness is suitable, Small reaction force will not cause moving jaw 10 to produce any feedback change, and (i.e. relatively thin tissue will not cause jaw 10 disconnected Split or deform), the nail bin that now the nail bin die trial 11 can be replaced by into corresponding color is installed on regular jaw 12 again to tissue Carry out suture operation;If tissue thickness is blocked up, fed back on moving jaw 10 due to larger reaction force caused by tissue and Moving jaw 10 is made up of compression feedback material, then now can judge the choosing of nail bin by the feedback change of moving jaw 10 Select, be fragile material (such as the material such as cast iron, ceramics, in the case where stretching or the external force effect such as impacting in feedback material referring to Fig. 6 Fracture will be destroyed by only producing the deformation of very little) in the case of, the larger reaction force acted on moving jaw 10 can make work Movable clamp port 10 is broken (as shown in the A in Fig. 6), extracts the servicing unit of the stapler out from patient's body, and operator passes through meat Eye can observes that the compression feedback of moving jaw 10 (is broken) situation, then may determine that and nail bin die trial used herein Nail bin is not suitable for corresponding to 11, then the nail bin die trial 11 again from other sizes re-starts assessment;Further, lived in manufacture In the case that the feedback material of movable clamp port 10 is the material (for example, rubber) of flexible aftereffect property, due to by thicker In the case of the reaction force of tissue, moving jaw 10 deforms, and after servicing unit is extracted out from patient's body, moving jaw 10 Deformation will not recover immediately but need a period of time after could gradually restore to the original state, thus selection have enough recover when Between elastic after effect material (e.g., deformation recovery time is in the range of 0.5s-600s) carry out creative activity jaw 10, then from patient's body Whether the nail bin that doctor has enough time to observe the situation of moving jaw 10 to judge to estimate after the interior device for taking out deformation closes Fit so as to the nail bin die trial 11 for deciding whether more to renew;Further, feedback material be plastic material (for example, it may be steel, The plastic deformation such as copper, aluminium alloy material or nonmetallic plastic material) in the case of, the grip tissue number of jaw 10 and 12 After second, moving jaw 10 is opened, servicing unit is taken out, is then closed again moving jaw, attempts with corresponding with nail bin die trial 11 The gap location that inserts between moving jaw 10 and regular jaw 12 of thick plates 15, if thick plates 15 can not insert gap, Illustrate that nail bin corresponding to the nail bin die trial 11 meets the condition for suturing the thickness tissue, then the now nail bin of replaceable respective color Actual suture is carried out to tissue, if moving jaw 10 deforms larger, thick plates 15 may be inserted into gap, then illustrates the tissue too Thickness, and the 11 corresponding nail bin of nail bin die trial is improper is used for the tissue, now needs to change the nail bin die trial 11 of other sizes Again tissue thickness is assessed.It is used for the servicing unit of stapler by using this, can precisely judges before actual operation It is adapted to the nail bin of tissue thickness, the medical-risk being directly likely to occur with nail bin suture tissue is avoided, such as in the nail bin of selection Staple height it is inadequate, so as to can not well suture tissue even result in oozing of blood or previous anastomotic cracking etc..According to the present invention's Another embodiment, above-mentioned moving jaw 10 are rigid material, nail bin die trial 11 by fragile material or elastic after effect material or Plastic material manufactures, and corresponding nail bin by rigid material, can also reach same assessment effect respectively with nail bin die trial 11 Fruit.
Further, nail bin die trial 11 (such as surface or inside) is provided with least one sensor, and sensor fills with processing Put and connected with display device, this connection can be wireless connection or wired connection, and sensor can be pressure sensing Device, tissue thickness's sensor etc..When assessing tissue thickness, by hitting for the connector of servicing unit and stapler body Hair bar 18 is connected, and the moving jaw 10 of servicing unit is opened relative to regular jaw 12, clamps tissue, is then held and is coincide Flexible handle 17 on device body, moving jaw 10 closes and applies pressure to tissue, due to being provided with biography in nail bin die trial 11 Sensor, when holding firing handle and closing moving jaw 10 gradually, it can be measured according to sensor and shown on the display apparatus Relevant parameter (such as pressure, tissue thickness), more precisely determine applicable nail bin.Preferably, set multiple sensors can be with Make measurement result more accurate.
Further, referring to Fig. 2 to Fig. 4, under the original state for the servicing unit of stapler, due to stage clip 8 Effect, moving jaw 10 and jaw cover 9 are in open configuration, and servicing unit body 1 is connected through device 5 and stapler body Trigger shaft 18 connects, and holds firing handle 17, and the trigger shaft 18 in the stock 19 of stapler body promotes connector 5, even Connect device 5 and promote connected pushing meanss.Pushing meanss include push pedal 2, pressing plate 6, are connected in an embodiment of the present invention Spring 3 between push pedal 2 and pressing plate 6, further also include the flexible cable 4 being connected between push pedal 2 and pressing plate 6, and spring 3 Maximum compressibility be more than the range of connector 5, namely the range more than trigger shaft 18.Push pedal 2 by spring 3 come Pressing plate 6 is promoted, the now bending of flexible cable 4 does not stress, and because the bottom of pressing plate 6 abuts with spacer 13, determines so pressing plate 6 promotes Bit slice 13, to the distal movement of regular jaw 12, and has the He of supply plate pin 7 in the moving jaw 10 simultaneously in its stroke groove The passage that pressing plate 6 moves, so with pressing plate 6 and the distal movement of spacer 13, can innervate jaw 10 and regular jaw 12 closures, nail bin die trial 11 are arranged on regular jaw 12, and the tissue 14 between moving jaw 10 and nail bin die trial 11 is squeezed. When tissue thickness is relatively thin, spacer 13 can move to distalmost end in its stroke groove, and now moving jaw 10 does not change; When tissue thickness is thicker, if being to be rigidly connected between push pedal 2 and pressing plate 6, when percussion force is excessive or mistakenly hit is sent out, then can Spacer 13 is caused to continue to be promoted and deformed by force when moving to distalmost end in its stroke groove, but in the implementation of the present invention In example, connected between push pedal 2 and pressing plate 6 by spring 3, because the maximum compressibility of spring 3 is more than the range of trigger shaft 18 Amount, so when spacer 13 is pulled to its stroke groove distalmost end (now spacer 13 is propped up by stroke groove edge), it is excessive Percussion force can be only applied on spring 3, and spring 3 is compressed in compressible scope, will not promote pressing plate 6 by force and will not be by force Spacer 13 is promoted to continue to move, so as to avoid the parts such as pushing meanss from being destroyed, or even when organizing very thick, spacer 13 is also Do not move to its stroke groove distalmost end to be just stuck, now excessive motive force still can be applied on spring 3, will not be by force Pressing plate 6 and spacer 13 are promoted, so as to avoid tissue by excessive compression so that impaired.After percussion, reset button is pulled 16 drive trigger shafts 18 are withdrawn, and band movement connector 5, push pedal 2 immediately is withdrawn, and push pedal 2 is by flexible cable 4 (in this exemplary implementation Be hawser or other flexible cables for having certain toughness in example, such as plastic optical fibre rope or rope made of hemp rope) with dynamic pressure plate 6 And the proximal movement of spacer 13, pressure plate stud 7 move to initial position, moving jaw 10 opens again under the effect of stage clip 8, It will be taken out for the servicing unit of stapler from internal, feedback conditions of the observable moving jaw 10 to tissue reaction.
According to another embodiment of the present invention, the nail bin die trial for the servicing unit of stapler can be that size is fixed Standard test mode, now thick plates are that at least one side is stair-stepping standard thickness plate, as shown in figure 9, the thickness of each ladder Degree is all different, and different step-thickness indicates different colors, and is represented respectively with corresponding nail from thinnest part to thickness High nail bin, i.e., the color from thinnest part to thickness mark white, blueness, green, black etc., i.e., corresponded to respectively respectively High nail bin is followed closely with corresponding staple.After clamping tissue with the servicing unit with standard test mode and firing flexible handle 17, The gap inserted with standard thickness plate between standard test mode and moving jaw 10, as standard thickness plate rests on a certain color ladder When can not continue through, this antialiased color is the nail bin of corresponding respective color, and now the nail bin of replaceable respective color carries out hand Art.Gap is all passed through such as whole standard thickness plate, then illustrates that tissue is blocked up, it is impossible to, need to be with other using this tool operation Operating theater instruments is performed the operation.According to still another embodiment of the invention, at least one side of standard thickness plate can have one The smooth ramp of grade, the slope height of diverse location represent different staple nail height, standard test mode and adjustable clamp are inserted at it Gap between mouth 10, until when can not continue through, corresponding slope higher position is corresponding with the nail bin for accordingly following closely high staple, now may be used Corresponding nail bin is changed to be performed the operation.
In another embodiment of the present invention, there is provided a kind of stapler, including stapler body, firing lock, propulsion Mechanism, resetting-mechanism, detachable actuating station, in addition to the above-mentioned servicing unit for stapler, the auxiliary for stapler Device is removably connected with stapler body.
In another embodiment of the invention, there is provided a kind of surgical operating instrument, including surgical operating instrument body with And the above-mentioned servicing unit for stapler being connected with surgical operating instrument body.
Near-end herein, limited according to industry practice, that is, from the nearly person of doctor be near-end when performing the operation, opposite one Hold as distal end.
The servicing unit provided by the present invention for stapler is described in detail above.Tool used herein Body example is set forth to the principle and embodiment of the present invention, but the explanation of above example is only intended to help and understands this The principle and its core concept of invention, not limiting the scope of the present invention.It should be pointed out that for the general of the art For logical technical staff, under the premise without departing from the principles of the invention, some improvement and modification can also be carried out to the present invention, this A little improvement and modification are also fallen into the protection domain of the claims in the present invention.

Claims (17)

1. a kind of servicing unit for stapler, it is characterised in that including servicing unit body (1), be arranged on the auxiliary Device body (1) it is internal and be connected with its near-end with stapler body connector (5), be distally connected with the connector (5) Pushing meanss, be connected with pushing meanss distal end and closeable moving jaw (10) and regular jaw (12), be arranged on Nail bin die trial (11) between the moving jaw (10) and the regular jaw (12), and the moving jaw (10) is by being pressurized Feedback material is made.
2. the servicing unit according to claim 1 for stapler, it is characterised in that the feedback material that is pressurized is crisp Property material.
3. the servicing unit according to claim 1 for stapler, it is characterised in that the feedback material that is pressurized is tool The elastomeric material of flexible aftereffect property.
4. the servicing unit according to claim 1 for stapler, it is characterised in that the feedback material that is pressurized is modeling Property material.
5. the servicing unit according to claim 1 for stapler, it is characterised in that also include being used to assess the work The thick plates (15) of closed-gap between movable clamp port (10) and the nail bin die trial (11).
6. the servicing unit according to claim 5 for stapler, it is characterised in that the nail bin die trial (11) is removable That unloads is arranged on the regular jaw (12), and various sizes of nail bin die trial (11) correspond to corresponding size nail bin and Corresponding to the thick plates (15) for representing corresponding size nail bin.
7. the servicing unit according to claim 5 for stapler, it is characterised in that the nail bin die trial (11) is fixed Be arranged on the regular jaw (12), and at least one side of the thick plates (15) is stepped, different ladder Highly correspond to the nail bin of corresponding size.
8. the servicing unit according to claim 5 for stapler, it is characterised in that the nail bin die trial (11) is fixed Be arranged on the regular jaw (12), and at least one side of the thick plates (15) is ramped shaped, different slopes Highly correspond to the nail bin of corresponding size.
9. the servicing unit according to any one of claim 1 to 8 for stapler, it is characterised in that the promotion Device includes push pedal (2), pressing plate (6) and the spring (3) being connected between the push pedal (2) and the pressing plate (6).
10. the servicing unit according to claim 9 for stapler, it is characterised in that the maximum pressure of the spring (3) Contracting amount is more than the range of the connector (5).
11. the servicing unit according to claim 10 for stapler, it is characterised in that the pushing meanss also include The flexible cable (4) being connected between the push pedal (2) and the pressing plate (6).
12. the servicing unit according to claim 11 for stapler, it is characterised in that the flexible cable (4) is steel Silk rope.
13. the servicing unit according to claim 12 for stapler, it is characterised in that the nail bin die trial (11) sets At least one sensor is equipped with, the sensor is connected with processing unit and display device.
14. the servicing unit according to claim 13 for stapler, it is characterised in that the sensor passes for pressure Sensor or tissue thickness's sensor.
15. the servicing unit according to claim 14 for stapler, it is characterised in that the connection is wireless connection Or wired connection.
16. a kind of stapler, including stapler body, firing lock, propulsive mechanism, resetting-mechanism, detachable actuating station, it is special Sign is that the servicing unit for stapler can also including the servicing unit as claimed in claim 15 for being used for stapler Dismounting is connected with the stapler body.
A kind of 17. surgical operating instrument, it is characterised in that including:Surgical operating instrument body and with the surgical operating instrument The servicing unit as claimed in claim 15 for being used for stapler that body is detachably connected.
CN201410510192.0A 2014-09-29 2014-09-29 Servicing unit for stapler, stapler and surgical operating instrument using the servicing unit Active CN105212977B (en)

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CN105212977B true CN105212977B (en) 2018-04-03

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CN113995457B (en) * 2021-12-10 2024-01-16 苏州法兰克曼医疗器械有限公司 Electric skin anastomat with high stability

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CN103083054A (en) * 2011-10-27 2013-05-08 柯惠Lp公司 System And Method Of Using Simulation Reload To Optimize Staple Formation
CN103987329A (en) * 2011-12-07 2014-08-13 伊西康内外科公司 Reusable linear stapler cartridge device for tissue thickness measurement

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US5533521A (en) * 1994-07-15 1996-07-09 United States Surgical Corporation Interchangeable tissue measuring device
CN101273879A (en) * 2007-03-28 2008-10-01 伊西康内外科公司 Laparoscopic tissue thickness and clamp load measuring devices
CN101530340A (en) * 2008-02-14 2009-09-16 伊西康内外科公司 Interchangeable tools for surgical instruments
CN102665575A (en) * 2009-12-24 2012-09-12 伊西康内外科公司 Surgical cutting instrument that analyzes tissue thickness
CN103083054A (en) * 2011-10-27 2013-05-08 柯惠Lp公司 System And Method Of Using Simulation Reload To Optimize Staple Formation
CN103987329A (en) * 2011-12-07 2014-08-13 伊西康内外科公司 Reusable linear stapler cartridge device for tissue thickness measurement

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