CN105662544B - A kind of accurate seamless foreskin cutting assembly and accurate seamless foreskin cutting method - Google Patents
A kind of accurate seamless foreskin cutting assembly and accurate seamless foreskin cutting method Download PDFInfo
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- CN105662544B CN105662544B CN201610148205.3A CN201610148205A CN105662544B CN 105662544 B CN105662544 B CN 105662544B CN 201610148205 A CN201610148205 A CN 201610148205A CN 105662544 B CN105662544 B CN 105662544B
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- fixed sleeving
- foreskin
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- seamless
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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
- A61B17/32—Surgical cutting instruments
- A61B17/326—Circumcision apparatus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
A kind of accurate seamless foreskin cutting assembly and accurate seamless foreskin cutting method, the seamless foreskin cutting assembly of standard includes outer cutting cannula and interior fixed sleeving, outer cutting cannula is placed on interior fixed sleeving, and with interior fixed sleeving clamping, interior fixed sleeving lower end has the annular gear edge to stretch out, interior fixed sleeving upper end is provided with threaded portion, the outer cutting cannula includes outer tube, annular blade and annular nail bin, annular nail bin is fixed on the lower end of outer tube, and the connecting shaft is hinged through slide slot and with the lifting driving structure outside outer tube；Separately include a nut, when interior fixed sleeving stretches out out of outer cutting cannula, nut connects with threaded portion, and the present invention can cut off penis with the foreskin outside plate at scrotum and stomach wall so that the swelling of postoperative foreskin mitigates significantly；Next remains the inner panel around the quite extensive glans penis of Substance P, cuts off the scar at position and can be hidden in after pubes are longer in pubes, it is possible to is accomplished accurate seamless.
Description
Technical field
The present invention relates to medical instruments field, more particularly to a kind of accurate seamless foreskin cutting assembly and accurate seamless foreskin cutting
Method.
Background technology
Redundant prepuce, phimosis are high in Asian countries's incidence of disease, the harm of redundant prepuce：1st, foreskin encases tortoise for a long time
Head so that glans penis becomes very sensitive, and when sexual behaviour occurs, glans penis easily causes premature ejaculation due to very sensitive；2nd, man is easily caused
Property infertility, cause prostatitis because smegma infects, reduce motility of sperm and semen liquefied duration, infertility can be caused；3rd, wrap
When skin is long, it is also easy to produce " smegma ".Smegma appropriate bacterial grows, therefore can cause glans penis and foreskin inflammation；4th, redundant prepuce
It is the major source and key factor for causing the cross-infection repeatedly of men and women's reproductive disease；5th, the bacterium in long-term prepuce of penis,
The stimulation of the dirts such as virus, the epithelial cell to come off, can make the morbidity chance of carcinoma of penis increase.So Urology Surgery it is popular this
In short：This thing of foreskin, will cut sooner or later.
In the traditional circumcision in China, artificial operation has the disadvantage that：1st, short time consumption is grown, often in local anaesthesia medicine
It can not complete to perform the operation in action time, often after surgery half section, do second of anesthesia, the anesthesia of circumcision as everybody knows is phase
When pain, so bringing many pains to patient.2nd, amount of bleeding is more, and tradition, which is peritomized, to be needed in cut-out foreskin
Plate, inner panel contain substantial amounts of blood vessel and lymphatic vessel, and blutpunkte needs conventional silk thread hemostasis by ligation, can thus leave a large amount of the end of a thread
On the inner panel of foreskin, because silk thread can not absorb, this just brings many pains, therefore many doctors in the future to patient
It can select to be stopped blooding with electric knife, but the coagulation of electric knife can damage more capillary lymph ducts, understand especially severe in postoperative foreskin water,
Great pain is brought to patient.3rd, due to the suitable sensitivity of the foreskin at glans penis, so pain when taking out stitches is even above
Operation.Partial Hospitals can give local anaesthesia to mitigate patient pain when taking out stitches, thus many hospitals can use it is expensive
Absorbable thread.
Many staplers are appeared in clinical position in recent years, and are widely used in clinic, also to vast
Patient brings material benefit, and its advantage is：1st, operating time greatly shortens, and common circumcision probably needs 40-60 minutes, and
Using stapler, operating time shortens to 10-20 minutes, can save the time of more than half part；2nd, amount of bleeding is few, only several millis
Rise, or even most of blood loss volume during the operation is within 1 milliliter.3rd, patient pain is mitigated, operating time is short, and patient can strive in fiber crops
Either go home to rest to ward before liquor-saturated effect in the past.4th, need not take out stitches, the nail of titanium alloy can start for 1 week or so after surgery
Come off, come off within 2 weeks or so.
But even if still have disadvantages that needs go to improve so in clinic：1st, current stapler is being peritomized
In art, the inner panel of most of original wrapping penis can be cut off, this part inner panel is very sensitive, is the weight of pleasant sensation in male's sexual life
Source is wanted, cuts off this part inner panel, the pleasant sensation of male can be reduced；2nd, need the head end of foreskin to tie up solid when foreskin is cut
Determine on device, glans penis is enclosed in foreskin, does not see the position of foreskin and glans penis, is often not easy to hold the length of excision；3rd, art
All no small scar can be left in the foreskin beside glans penis as latter, although neat compared with traditional-handwork ring cutting scar, portion
Divide the postoperative meeting in the scar some time of patient swelling after erection or sexual life, or even subcutaneous fibrotic hyperblastosis, to vast
Patient brings no small pain；4th, be close to the portion strap of glans penis because stapler can be cut off, in frenulum blood supply enrich, especially
It is glans penis and foreskin junction, and often the main blutpunkte of the operation, often has the bleeding of activity；5th, cut-out
Inner prepuce, damaged portion capillary lymph duct cause obstruction of lymphatic return, and swelling is obvious.
The content of the invention
It is an object of the invention to provide a kind of accurate seamless foreskin cutting assembly and accurate seamless foreskin cutting method, it is thoroughly run
The modus operandi of circumcision in the past is covered, the inner panel of original glans penis exoperidium can be retained, the foreskin allowed at glans penis is kept
Ecosystem, and accomplish the accurate ring cutting effect without scar.
The technical scheme adopted by the invention to solve the technical problem is that：A kind of accurate seamless foreskin cutting assembly, including it is outer
Casing-Cutting and interior fixed sleeving, outer cutting cannula are placed on interior fixed sleeving, and with interior fixed sleeving clamping, interior fixed cover
Pipe lower end has the annular gear edge to stretch out, and annular gear is provided with blade pad along interior, and interior fixed sleeving upper end is provided with threaded portion, edge
The circumferencial direction of interior fixed sleeving outer wall is provided with one group of positioning convex, and the interior fixed sleeving is formed with close to the one end on annular gear edge
Around the binding groove of its outer wall circumferencial direction；
The outer cutting cannula includes outer tube, annular blade and annular nail bin, and annular nail bin is fixed under outer tube
End, along the uniform some ejector pin bars of its circumferencial direction on annular blade outer wall, the inwall of annular nail seat is provided with mutually to be slided with ejector pin bar
The dynamic nail bin coordinated, is additionally provided with the locating slot being engaged with positioning convex on the inwall of annular blade, on the outer wall of annular blade
Also fixed connecting shaft, connecting spring is provided between connecting shaft and ejector pin bar, slide slot, institute are offered in the side wall of outer tube
Connecting shaft is stated through slide slot and is connected with the lifting driving structure outside outer tube；
The seamless foreskin cutting assembly of standard also includes a nut, when interior fixed sleeving stretches out out of outer cutting cannula, spiral shell
Cap is connected with threaded portion.
As the preferred structure of the present invention, the lifting driving structure includes fixation handle and the lift being arranged on outside outer tube
Rise handle, one end downward bending of lifting handle is simultaneously flexibly connected by connecting plate with connecting shaft, the bending place of lifting handle and
The outer wall of outer tube is hinged.
Preferably, the front end of the lifting handle is also provided with opening up the drive division of deep-slotted chip breaker, the tail end of lifting handle
Provided with anti-skid bulge；Safety block is additionally provided between fixed handle and lifting handle.
Present invention also offers a kind of accurate seamless foreskin cutting method, comprise the following steps：
（1）, award perineum preserved skin first, sterilize, spread hole towel, radix penis part local infiltration anesthesia；
（2）, interior fixed sleeving is enclosed on to radix penis part, and the foreskin outside plate for folding of wrinkling when downward strip is risen surrounds annular gear
Along upper, the foreskin outside plate for folding of wrinkling is fixed into bundle on the binding groove with suture or wire bundling device；
（3）And then outer ring Casing-Cutting is enclosed on the interior fixed sleeving, the positioning convex matches with locating slot
Close, interior fixed sleeving and outer ring Casing-Cutting are fixed together with nut；
（4）, safety block unloaded, held lifting handle upwards, driven connecting plate, by connecting shaft promote annular blade to
Lower movement, when the annular blade contradicts with annular gear along interior blade pad, the prepuce tissues for folding of wrinkling are cut off, simultaneously fixed
Ejector pin bar on annular blade ejects the suturing nail in nail bin, and foreskin incision is sutured；
（5）, after 10-15S, back out nut, whole removing removes outer ring Casing-Cutting and interior fixed sleeving, sterile dressing.
The beneficial effects of the invention are as follows：
（1）Can be cut off positioned at radix penis part using the present invention, i.e. penis with the foreskin outside plate at scrotum and stomach wall, due to
The outside plate of foreskin is very poor, and few big blood vessels and nerve and capillary lymph duct, this causes the swelling of postoperative foreskin significantly
Mitigate；Next remains the inner panel around the quite extensive glans penis of Substance P so that and postoperative life quality is protected,
Cutting off the scar at position can be hidden in pubes after pubes are longer, it is possible to accomplish accurate seamless；In radix penis part penis
Frenulum divides a word with a hyphen at the end of a line into " scar " the line sample swelled in surface, and blood vessel, nerve will less much compared with glans penis lower end contained by its inside, art
Amount of bleeding is few afterwards.
（2）During operation, because interior fixed sleeving and outer cutting cannula are enclosed on penis, fixed cover in the stretching of penis head
Pipe, in fixed foreskin outside plate, it can intuitively observe the length for needing to cut off foreskin；It is safe.
Brief description of the drawings
Fig. 1 is the structural representation of outer cutting cannula in the present invention；
Fig. 2 is the structural representation of interior fixed sleeving in the present invention；
Fig. 3 is the schematic diagram of present invention lifting driving structure；
Fig. 4 is use state diagram of the present invention.In figure：
1st, threaded portion, 2. positioning convex, fixed sleeving in 3., 4. binding grooves, 5. annular gear edges, 6. connecting plates, 7. slide
Row groove, 8. fix handle, 9. lifting handles, 10. outer tubes, 11. connecting springs, 12. ejector pin bars, 13. annular blades, 14. nails
Storehouse, 15. annular nail seats, 16. blade pads, 19. foreskin outside plates, 20. penises, 21. safety blocks, 22. deep-slotted chip breakers, 23. anti-skid bulges.
Embodiment
The technical scheme of invention is further illustrated below by specific embodiment.
As Figure 1-3：A kind of accurate seamless foreskin cutting assembly, including outer cutting cannula and interior fixed sleeving 3, outer cutting
Sleeve pipe is placed on interior fixed sleeving 3, and has the annular to stretch out with the interior clamping of fixed sleeving 3, the interior lower end of fixed sleeving 3
Gear is along 5, and annular gear is provided with blade pad 16 along 5, and the interior upper end of fixed sleeving 3 is provided with threaded portion 1, along the interior outer wall of fixed sleeving 3
Circumferencial direction is provided with one group of positioning convex 2, and the interior fixed sleeving 3 is formed with close to annular gear along 5 one end to be justified around its outer wall
The binding groove 4 of circumferential direction；
The outer cutting cannula includes outer tube 10, annular blade 13 and annular nail seat 15, and annular nail seat 15 is fixed on outer
The lower end of sleeve pipe 10, along the uniform some ejector pin bars 12 of its circumferencial direction on the outer wall of annular blade 13, on the inwall of annular nail seat 15
Provided with the nail bin 14 being slidingly fitted with ejector pin bar 12, it is additionally provided with what is be engaged with positioning convex 2 on the inwall of annular blade 13
Locating slot, also fixed connecting shaft on the outer wall of annular blade 13, is provided with connecting spring 11 between connecting shaft and ejector pin bar 12,
Slide slot 7 is offered in the side wall of outer tube 10, the connecting shaft drives knot through slide slot 7 and with the lifting outside outer tube 10
Structure connects；
The seamless foreskin cutting assembly of standard also includes a nut, when interior fixed sleeving 3 stretches out out of outer cutting cannula, spiral shell
Cap is threadedly coupled with threaded portion 1.
The lifting driving structure includes the fixation handle 8 and lifting handle 9 being arranged on outside outer tube 10, lifting handle 9
One end downward bending and be flexibly connected by connecting plate 6 with connecting shaft, the bending place of lifting handle 9 and the outer wall of outer tube 10
It is hinged.
The front end of the lifting handle 9 is also provided with opening up the drive division of deep-slotted chip breaker 22, and the tail end of lifting handle 9 is provided with
Anti-skid bulge 23；Safety block 21 is additionally provided between fixed handle 8 and lifting handle 9.
As shown in figure 4, when carrying out accurate seamless foreskin cutting using accurate seamless foreskin cutting assembly,（1）, award meeting first
Private parts preserved skin, sterilization, spread hole towel, the root local infiltration anesthesia of penis 20；（2）, interior fixed sleeving 3 is enclosed on the root of penis 20,
And the foreskin outside plate 19 for folding of being wrinkled when downward strip is risen surrounds annular gear along 5, with suture or wire bundling device by outside the foreskin for folding of wrinkling
Plate 19, which is fixed, to be pricked on the binding groove 4；（3）And then outer ring Casing-Cutting is enclosed on the interior fixed sleeving 3, institute
State positioning convex 2 to be engaged with locating slot, prevent from subsequently twisting interior fixed sleeving 3 during nut and sidespin occurs, penis is caused to damage；
Then interior fixed sleeving 3 is fixed together with outer ring Casing-Cutting with nut；（4）, safety block 21 unloaded, held upwards
Lifting handle 9, connecting plate 6 is driven, promote annular blade 13 to move down by connecting shaft, when the annular blade 13 and annular
Gear along in 5 blade pad 16 contradict when, the prepuce tissues for folding of wrinkling are cut off, the ejector pin bar 12 being also secured on annular blade 13
Suturing nail in nail bin is ejected, and foreskin incision is sutured；（5）, after 10-15S, back out nut, whole removing removes outer ring
Casing-Cutting and interior fixed sleeving 3, sterile dressing；Wound healing is treated, suturing nail comes off, and hair length length, otch are hidden at perineum
In pubes, accurate seamless cutting can be accomplished.
It is those skilled in the art known technology described in specification outside technical characteristic.
Claims (4)
1. a kind of accurate seamless foreskin cutting assembly, including outer cutting cannula and interior fixed sleeving（3）, outer cutting cannula is placed on interior
Fixed sleeving（3）On, and with interior fixed sleeving（3）Clamping, it is characterised in that：Interior fixed sleeving（3）Lower end, which has, to stretch out
Annular gear edge（5）, annular gear edge（5）It is interior to be provided with blade pad（16）, interior fixed sleeving（3）Upper end is provided with threaded portion（1）, along interior
Fixed sleeving（3）The circumferencial direction of outer wall is provided with one group of positioning convex（2）, the interior fixed sleeving（3）Close to annular gear edge（5）
One end be formed with binding groove around its outer wall circumferencial direction（4）；
The outer cutting cannula includes outer tube（10）, annular blade（13）With annular nail seat（15）, annular nail seat（15）It is fixed
In outer tube（10）Lower end, annular blade（13）Along the uniform some ejector pin bars of its circumferencial direction on outer wall（12）, annular nail seat
（15）Inwall be provided with and ejector pin bar（12）The nail bin being slidingly fitted（14）, annular blade（13）Inwall on be additionally provided with
Positioning convex（2）The locating slot being engaged, annular blade（13）Outer wall on fixed connecting shaft, in connecting shaft and ejector pin bar（12）
Between be provided with connecting spring（11）, in outer tube（10）Side wall on offer slide slot（7）, the connecting shaft passes through slide slot
（7）And and outer tube（10）Outer lifting driving structure connection；
The seamless foreskin cutting assembly of standard also includes a nut, interior fixed sleeving（3）When being stretched out out of outer cutting cannula, nut
With threaded portion（1）Threaded connection.
2. the seamless foreskin cutting assembly of standard according to claim 1, it is characterised in that：The lifting driving structure includes setting
Put in outer tube（10）Outer fixation handle（8）With lifting handle（9）, lifting handle（9）One end downward bending and pass through company
Fishplate bar is flexibly connected with connecting shaft, lifting handle（9）Bending place and outer tube（10）Outer wall be hinged.
3. the seamless foreskin cutting assembly of standard according to claim 2, it is characterised in that：The lifting handle（9）Front end
Provided with deep-slotted chip breaker（22）Drive division, connecting shaft is located at deep-slotted chip breaker（22）It is interior, lifting handle（9）Tail end be provided with anti-skid bulge
（23）.
4. the seamless foreskin cutting assembly of standard according to claim 2, it is characterised in that：The fixed handle（8）With lifting
Handle（9）Between be additionally provided with safety block（21）.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610148205.3A CN105662544B (en) | 2016-03-16 | 2016-03-16 | A kind of accurate seamless foreskin cutting assembly and accurate seamless foreskin cutting method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610148205.3A CN105662544B (en) | 2016-03-16 | 2016-03-16 | A kind of accurate seamless foreskin cutting assembly and accurate seamless foreskin cutting method |
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| Publication Number | Publication Date |
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| CN105662544A CN105662544A (en) | 2016-06-15 |
| CN105662544B true CN105662544B (en) | 2018-01-30 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201610148205.3A Active CN105662544B (en) | 2016-03-16 | 2016-03-16 | A kind of accurate seamless foreskin cutting assembly and accurate seamless foreskin cutting method |
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| CN (1) | CN105662544B (en) |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108606821A (en) * | 2016-12-12 | 2018-10-02 | 创生医疗器械（中国）有限公司 | A kind of percutaneous opening device |
| CN110179531B (en) * | 2019-07-04 | 2022-05-10 | 河西学院附属张掖人民医院 | Auxiliary ring cutter for penis root prepuce operation |
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| JPS49105395A (en) * | 1973-02-12 | 1974-10-05 | ||
| CN201001746Y (en) * | 2006-12-29 | 2008-01-09 | 何育驹 | Circumcision stapler |
| WO2009114529A2 (en) * | 2008-03-11 | 2009-09-17 | Pa Knowledge Limited | Device for circumcision |
| CN201664329U (en) * | 2010-04-08 | 2010-12-08 | 陈谦 | Posthetomy suturing instrument |
| WO2011007358A2 (en) * | 2009-07-16 | 2011-01-20 | Circ Medtech Ltd. | Circumcision device and method for mass circumcision |
| WO2011017737A1 (en) * | 2009-08-13 | 2011-02-17 | Milad Melhem | A circumcision device |
| CN103767769A (en) * | 2014-01-08 | 2014-05-07 | 温州冠美医疗科技有限公司 | Prepuce loop line cutting and suturing instrument |
| CN104224284A (en) * | 2013-06-20 | 2014-12-24 | 商晶晶 | Positioning device, actuating device and circumcision device |
| CN104523323A (en) * | 2015-01-23 | 2015-04-22 | 王世游 | Prepuce suturing cutter |
| CN105078546A (en) * | 2015-09-14 | 2015-11-25 | 湖北博康医药科技有限公司 | Prepuce cutting and stitching instrument |
| CN205493960U (en) * | 2016-03-16 | 2016-08-24 | 程广东 | Standard does not have trace foreskin cutting assembly |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20060180157A1 (en) * | 2004-08-18 | 2006-08-17 | Williams James H | Foreskin prosthesis |
-
2016
- 2016-03-16 CN CN201610148205.3A patent/CN105662544B/en active Active
Patent Citations (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPS49105395A (en) * | 1973-02-12 | 1974-10-05 | ||
| CN201001746Y (en) * | 2006-12-29 | 2008-01-09 | 何育驹 | Circumcision stapler |
| WO2009114529A2 (en) * | 2008-03-11 | 2009-09-17 | Pa Knowledge Limited | Device for circumcision |
| WO2011007358A2 (en) * | 2009-07-16 | 2011-01-20 | Circ Medtech Ltd. | Circumcision device and method for mass circumcision |
| WO2011017737A1 (en) * | 2009-08-13 | 2011-02-17 | Milad Melhem | A circumcision device |
| CN201664329U (en) * | 2010-04-08 | 2010-12-08 | 陈谦 | Posthetomy suturing instrument |
| CN104224284A (en) * | 2013-06-20 | 2014-12-24 | 商晶晶 | Positioning device, actuating device and circumcision device |
| CN103767769A (en) * | 2014-01-08 | 2014-05-07 | 温州冠美医疗科技有限公司 | Prepuce loop line cutting and suturing instrument |
| CN104523323A (en) * | 2015-01-23 | 2015-04-22 | 王世游 | Prepuce suturing cutter |
| CN105078546A (en) * | 2015-09-14 | 2015-11-25 | 湖北博康医药科技有限公司 | Prepuce cutting and stitching instrument |
| CN205493960U (en) * | 2016-03-16 | 2016-08-24 | 程广东 | Standard does not have trace foreskin cutting assembly |
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| Publication number | Publication date |
|---|---|
| CN105662544A (en) | 2016-06-15 |
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Inventor after: Shen Minmin Inventor after: Cheng Guangdong Inventor before: Cheng Guangdong Inventor before: Shen Minmin |
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