CN106344112A - Auxiliary device for removing biliary calculi through negative pressure suction - Google Patents
Auxiliary device for removing biliary calculi through negative pressure suction Download PDFInfo
- Publication number
- CN106344112A CN106344112A CN201610884483.5A CN201610884483A CN106344112A CN 106344112 A CN106344112 A CN 106344112A CN 201610884483 A CN201610884483 A CN 201610884483A CN 106344112 A CN106344112 A CN 106344112A
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- auxiliary device
- fixed seat
- stone
- calculi
- biliary tract
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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
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
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- A61M1/0023—
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- A61M1/0058—
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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
- A61B2017/00238—Type of minimally invasive operation
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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
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
- A61B2017/22034—Gripping instruments, e.g. forceps, for removing or smashing calculi for gripping the obstruction or the tissue part from inside
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
- A61B2017/22035—Gripping instruments, e.g. forceps, for removing or smashing calculi for retrieving or repositioning foreign objects
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22079—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with suction of debris
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/06—Solids
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (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 an auxiliary device for removing biliary calculi through negative pressure suction. The auxiliary device for removing the calculi comprises a calculi wrapping device, a fixed seat and a stabilizing device. The alculus wrapping device is located at the near-end of the fixed seat, and the stabilizing device is reflexed on the peripheral surface of the far-end of the fixed seat. The calculi wrapping device is formed by latex and is in a skirt hemline shape. The fixed seat is made into a cylindrical transparent cap by utilizing soft or hard transparent silica gel or a rubber conduit. The stabilizing device forms an annular columnar sleeve by utilizing latex. The auxiliary device has the advantages that compared with a conventional choledochoscope calculi removing net basket, the auxiliary device genuinely achieves effects of being visible and being capable of being taken; by applying the device for removing the calculi through negative pressure suction, the biliary tract inner wall is not damaged easily, and the device is more minimally invasive; against some calculi which is difficult to take or is incarcerated, by the matching of the use of the conventional net basket, the calculi is taken more easily, and more time is saved; a disposable negative pressure suction rubber tube is combined with a conventional choledochoscope, and the auxiliary device is simple, economic, practical and easy to popularize and can be widely applied to the calculi surgery against, e.g., biliary calculi and urinary calculi.
Description
Technical field
The present invention relates to technical field of medical instruments, specifically, it is a kind of vacuum suction biliary tract stone extraction auxiliary device.
Background technology
Biliary Calculi is the common disease in surgery, and the calculus in common bile duct can cause obstruction of biliary tract secondary jaundice, gallbladder
The scorching even pancreatitiss threat to life of pipe.Operation is the unique method treating this disease.Choledochoscope takes stone to be that current surgery is conventional and controls
Treat a kind of method of Biliary Calculi, in the process, generally place fiber endoscopy along biliary tract cutting section, after finding calculus, use
Lithotomy net extracts calculus.But the method has the following disadvantages and defect.
1. choledochoscope finds calculus, easily occurs operation scenario to disappear, support with lithotomy net indigo plant when being extracted with lithotomy net indigo plant
And when calculus or biliary tract wall, counteracting force makes camera lens retreat, and causes operation scenario to disappear, often needs repeatedly to adjust;
2., when inserting lithotomy net indigo plant, apopore flow velocity is slack-off, and the visual field is unclear often;
3., when biliary tract caliber is thinner (for example: calculus of intrahepatic duct), basket with netting on top release is difficult, is difficult to entangle calculus, time-consuming and
Easily failure;
4. repeatable operation damages biliary tract inwall;
5. blue placement of lithotomy net acquires a certain degree of difficulty in actual clinical work with successfully taking stone, and skilled grasp needs certain time
Learning curve.
Chinese patent literature cn201220180407.3, applying date 2012.04.26, patent name is: a kind of novel biliary tract
Take stone sacculus, disclose a kind of novel biliary tract and take stone sacculus.Including conical nose, sacculus, pipe shaft, strengthen steel wire, connector.Its
In, sacculus is fixed on distal end of catheter position, using being front in deflated state.Sacculus overall structure is fast-swap, and sacculus is near
There is a fluid-through chamber opening at end, and pipe shaft includes reinforcement supporting steel wire, integrally pushes performance to improve conduit.Conduit hardness proximally arrives
Far-end presents decline trend, contributes to the conduction of push power.
Above-mentioned patent documentation mainly utilizes the dilatancy of sacculus, and calculus can take off along biliary tract under power effect in withdrawing of sacculus
Separate out.But with regard to combining with traditional fibre mirror, realize visible and desirable simple, convenient, safe stone taking device then
Not open.
In sum, need a kind of traditional fibre mirror badly to combine, realize visible and desirable simple, convenient, safe taking
Stone auxiliary device.And take stone auxiliary device to yet there are no report with regard to this.
Content of the invention
The purpose of the present invention is for deficiency of the prior art, provides a kind of traditional fibre mirror to combine, realizes visible
And desirable simple, convenient, safe take stone auxiliary device.
For achieving the above object, the present invention adopts the technical scheme that:
A kind of stone auxiliary device that takes described in vacuum suction biliary tract stone extraction auxiliary device includes wrapping up in stone implement, fixed seat, stablizes
Device;Described wraps up in the near-end that stone implement is located at fixed seat, and stabilising arrangement opisthotonos are on the outer peripheral face of fixed seat far-end;Described wraps up in
Stone implement is made up of ultra-thin latex, and wrapping up in stone implement is train of dress shape, and gradually outwards expands in 30 ° of contentions with the axis of fixed seat;Described
Fixed seat makes cylindrical transparent cap by soft or hard transparent silica gel or rubber catheter;Described stabilising arrangement constitutes circular cylindrical by latex
Sleeve pipe, and peristome is thickened.
Preferably, the described shirt rim length wrapping up in stone implement includes 1mm, 2mm, 3mm, 4mm tetra- type.
Preferably, length wraps up in a diameter of 9.6mm of collar extension after the scattering of the shirt rim of stone implement for 4mm.
Preferably, described wrap up in stone implement circular in cross-section, shirt rim initial part internal orifice diameter 4.9mm, join for one with fixed seat
Body.
Preferably, described stone implement of wrapping up in is connected with fixed seat foundation through connecting portion, and described connecting portion material is latex.
Preferably, the pipe thickness of described fixed seat is less than 0.5mm, and length is 7mm, and the section of cylindrical fixed seat is straight
Footpath is 4.9mm, and matches with choledochoscope cross section.
Preferably, a length of 10mm of described stabilising arrangement, under relaxed state, internal diameter is 4mm.
Preferably, described fixed seat inwall at leading portion 2mm has 3 projections, and 3 projections are uniformly distributed in same plane
On.
Preferably, three projections are in mutually 120 degree of angles.
The invention has the advantages that:
1st, a kind of vacuum suction biliary tract stone extraction auxiliary device of the present invention, compared to traditional choledochoscope stone extraction basket, really
Reach " visible and desirable ";
2nd, take stone not easy damaged biliary tract inwall with this device vacuum suction, more minimally invasive;
3rd, some difficulties are taken or calculous obstruction, the use of traditional basket can be coordinated, be more easy to exhaust calculus, more save time;
4th, to combine traditional choledochoscope simple for disposable vacuum suction sebific duct, economical and practical it is easy to promote, can extensively answer
For calculus surgery, for example: Biliary Calculi, urinary system calculus etc.;
5th, be provided with train of dress shape latex composition wraps up in stone implement, and when choledochoscope drips state, surrounding is wrapped up in stone implement and outwards dissipated in skirt
Pendulum, after choledochoscope negative pressure is opened, wraps up in stone implement contraction and is adsorbed on cholelithiasiss, produce a subnormal ambient, play different size of
The purpose that calculus of bile duct all can be drawn;
What the 6th, train of dress shape latex was constituted wraps up in stone implement, shirt rim length 1mm, 2mm, 3mm, 4mm tetra- type;Convenient is different gallbladder
Road internal diameter and different cholelithiasiss size are chosen, and compared with prior art using basket with netting on top, basket with netting on top release is difficult, is difficult to entangle calculus,
Time-consuming and easy failure;
7th, fixed seat makes cylindrical transparent cap by neither too hard, nor too soft transparent silicon (rubber) glue conduit, just with choledochoscope cross section
It is consistent, can smoothly be connected on choledochoscope, rise and be fixed on choledochoscope header functionality so that operation scenario is stable;
8th, stabilising arrangement constitutes circular cylindrical sleeve pipe by latex, is conducive to reinforcing, stablizes fixed seat;In vacuum suction/drag
When dragging calculus, in case device comes off;Ultra-thin latex tube wall does not interfere with the rotation of biliary tract camera lens part.
Brief description
Accompanying drawing 1 is a kind of vacuum suction biliary tract stone extraction assistant apparatus structure schematic diagram of the present invention.
Accompanying drawing 2 is to take stone auxiliary device to split schematic diagram.
Accompanying drawing 3 is to take stone auxiliary device assembling schematic diagram.
Accompanying drawing 4 is choledochoscope cross-sectional view.
Accompanying drawing 5 is fixed seat cross-sectional view.
Specific embodiment
The specific embodiment below in conjunction with the accompanying drawings present invention being provided elaborates.
The reference being related in accompanying drawing and ingredient are as follows:
1. wrap up in stone implement 2. fixed seat
21. raised 3. stabilising arrangements
4. choledochoscope
Refer to Fig. 1, Fig. 1 is a kind of vacuum suction biliary tract stone extraction assistant apparatus structure schematic diagram of the present invention.A kind of negative
Pressure attracts biliary tract stone extraction auxiliary device, and the described stone auxiliary device that takes includes wrapping up in stone implement 1, fixed seat 2, stabilising arrangement 3;Described
Wrap up in the near-end that stone implement 1 is located at fixed seat 2, stabilising arrangement 3 opisthotonos are on the outer peripheral face of fixed seat 2 far-end.
Refer to Fig. 2 and Fig. 3, Fig. 2 is to take stone auxiliary device to split schematic diagram.Fig. 3 is to take the assembling of stone auxiliary device to illustrate
Figure.Described stone implement 1 of wrapping up in is made up of ultra-thin latex, and wrapping up in stone implement 1 is train of dress shape, and contends gradually in 30 ° with the axis of fixed seat 2
Outwards expand, the shirt rim length wrapping up in stone implement 1 includes 1mm, 2mm, 3mm, 4mm tetra- type;Convenient is different biliary tract internal diameters and not
Choose with cholelithiasiss size;Taking shirt rim length 4mm wrapping up in stone implement 1 as a example, a diameter of 9.6mm of collar extension after scattering;In addition, in this enforcement
Other relative dimensions be all according to the size wrapped up in designed by the shirt rim length 4mm type of stone implement 1, this be only a kind of preferably
Embodiment, the size designed by other types is all within the protection domain of the present embodiment.
Wrap up in stone implement 1 circular in cross-section, shirt rim initial part internal orifice diameter 4.9mm, combine as a whole with fixed seat 2, wrap up in stone implement 1
Set up with fixed seat 2 through connecting portion and be connected, described connecting portion material is had so that wrapping up in stone implement 1 and being connected with fixed seat 2 for latex
Good sealing property, when choledochoscope 4 drips state, surrounding is wrapped up in stone implement 1 and is outwards dissipated in train of dress shape, when choledochoscope 4 negative pressure is opened
Qi Hou, wraps up in stone implement 1 contraction and is adsorbed on cholelithiasiss, produce a subnormal ambient, play what different size of calculus of bile duct all can be drawn
Purpose.
Described fixed seat 2 makes cylindrical transparent cap by neither too hard, nor too soft transparent silicon (rubber) glue conduit, and pipe thickness is less than
0.5mm, length is 7mm, and the diameter of section of cylindrical fixed seat 2 is 4.9mm;Just match (see figure with choledochoscope 4 cross section
4), can smoothly be connected on choledochoscope 4.Rise and be fixed on choledochoscope 4 header functionality.
Described stabilising arrangement 3 is made up of circular cylindrical sleeve pipe (similar to condom) latex, and a length of 10mm, under relaxed state
Internal diameter 4mm, peristome latex slightly thickens, after choledochoscope 4 is connected with fixed seat 2, turnover lifting fixed seat 2, length can be prolonged
Extend 15mm, and be fixed on choledochoscope 4 shank.Be conducive to reinforcing, stablize fixed seat 2;2. in vacuum suction/dragging calculus,
In case device comes off;3. ultra-thin latex tube wall does not interfere with the rotation of choledochoscope 4 head.
Refer to Fig. 5, Fig. 5 is fixed seat 2 cross-sectional view.Described fixed seat 2 inwall at leading portion 2mm have 3 convex
Play 21,3 projections 21 to be uniformly distributed on same plane, preferably three projections 21 are in mutually 120 degree of angles, exercise buckle work(
Can, too deep to prevent fixed seat 2 rear end to be inserted in when connecting choledochoscope 4.
When operating with, according to bile duct diameter and calculus size, that chooses suitable types takes stone auxiliary device;Using biliary tract
Irrigation channel in mirror 4, wash open device front end the ultra-thin latex of train of dress sample wrap up in stone implement 1, find, positioning calculus, the supporting of fixed seat 2
Nearly calculus;Using vacuum suction passage another in choledochoscope 4, negative pressure absorbing, train of dress sample latex glue are wrapped up in stone implement 1 and are wrapped tightly biliary tract knot
Stone;Keep exiting choledochoscope 4 under negative pressure state, device " wraps tightly " calculus, dragging when exiting with choledochoscope 4, calculus removes.This
Operation can be repeated, until exhausting calculus;When finding Incarcerated stone, can use cooperatively with lithotomy net indigo plant, first use lithotomy net blue
Loosening calculus, then with this device " suction is wrapped up in ", remove calculus.
A kind of Biliary Calculi stone taking device of the present invention is to pack after Aseptic sterilisation, preoperative takes packaging apart by nurse.Specifically
Using method is as follows: according to bile duct diameter and calculus size, that chooses suitable types takes stone auxiliary device, takes packaging apart, will take
Stone auxiliary device is fixed on choledochoscope 4 head end.Biliary tract stone extraction operation is carried out with this.
A kind of vacuum suction biliary tract stone extraction auxiliary device of the present invention, compared to traditional choledochoscope 4 stone extraction basket, really reaches
Arrive " visible and desirable ";Take stone not easy damaged biliary tract inwall with this device vacuum suction, more minimally invasive.Some difficulties are taken or embedding
Calculus, can coordinate the use of traditional basket, be more easy to exhaust calculus, more save time;Disposable vacuum suction sebific duct combines traditional gallbladder
Road mirror 4 is simple, economical and practical it is easy to promote, can be widely applied to calculus surgery, for example: Biliary Calculi, urinary system calculus
Deng;Be provided with train of dress shape latex composition wraps up in stone implement 1, and when choledochoscope 4 drips state, surrounding is wrapped up in stone implement 1 and outwards dissipated in train of dress
Shape, after choledochoscope 4 negative pressure is opened, wraps up in stone implement 1 contraction and is adsorbed on cholelithiasiss, produce a subnormal ambient, play different size of
The purpose that calculus of bile duct all can be drawn;What train of dress shape latex was constituted wraps up in stone implement 1, shirt rim length 1mm, 2mm, 3mm, 4mm tetra- species
Type;Convenient is different biliary tract internal diameters and different cholelithiasiss size is chosen, and compared with prior art using basket with netting on top, basket with netting on top release is tired
Difficulty, is difficult to entangle calculus, time-consuming and easy failure;Fixed seat 2 makes cylindrical transparent by neither too hard, nor too soft transparent silicon (rubber) glue conduit
Cap, is just consistent with choledochoscope 4 cross section, can smoothly be connected on choledochoscope 4, rise be fixed on choledochoscope 4 header functionality so that
Operation scenario is stable;Described stabilising arrangement 3 constitutes circular cylindrical sleeve pipe by latex, is conducive to reinforcing, stablizes fixed seat 2;Negative
When pressure attracts/pull calculus, in case device comes off;Ultra-thin latex tube wall does not interfere with the rotation of choledochoscope 4 head.
The above is only the preferred embodiment of the present invention it is noted that ordinary skill people for the art
Member, on the premise of without departing from the inventive method, can also make some improvement and supplement, these improve and supplement also should be regarded as
Protection scope of the present invention.
Claims (9)
1. a kind of vacuum suction biliary tract stone extraction auxiliary device is it is characterised in that the described stone auxiliary device that takes includes wrapping up in stone implement, consolidates
Reservation, stabilising arrangement;Described wraps up in the near-end that stone implement is located at fixed seat, and stabilising arrangement opisthotonos are in the outer peripheral face of fixed seat far-end
On;Described stone implement of wrapping up in is made up of latex, and wrapping up in stone implement is train of dress shape, and gradually outwards expands in 30 ° of contentions with the axis of fixed seat;
Described fixed seat makes cylindrical transparent cap by soft or hard transparent silica gel or rubber catheter;Described stabilising arrangement constitutes annular by latex
Column pipe, and peristome is thickened.
2. biliary tract stone extraction auxiliary device according to claim 1 is it is characterised in that the described shirt rim length bag wrapping up in stone implement
Include 1mm, 2mm, 3mm, 4mm tetra- type.
3. biliary tract stone extraction auxiliary device according to claim 1 is it is characterised in that length wraps up in the shirt rim of stone implement for 4mm
The a diameter of 9.6mm of collar extension after scattering.
4. according to the arbitrary described biliary tract stone extraction auxiliary device of claim 1-3 it is characterised in that described stone implement cross section of wrapping up in is in
Circle, shirt rim initial part internal orifice diameter 4.9mm, combine as a whole with fixed seat.
5. biliary tract stone extraction auxiliary device according to claim 4 is it is characterised in that described stone implement of wrapping up in is through connecting portion and fixation
Seat is set up and is connected, and described connecting portion material is latex.
6. biliary tract stone extraction auxiliary device according to claim 1 is not it is characterised in that the pipe thickness of described fixed seat surpasses
Cross 0.5mm, length is 7mm, the diameter of section of cylindrical fixed seat is 4.9mm, and matches with choledochoscope cross section.
7. biliary tract stone extraction auxiliary device according to claim 1 is it is characterised in that a length of 10mm of described stabilising arrangement,
Under relaxed state, internal diameter is 4mm.
8. biliary tract stone extraction auxiliary device according to claim 1 it is characterised in that described fixed seat at leading portion 2mm in
Wall has 3 projections, and 3 projections are uniformly distributed on same plane.
9. biliary tract stone extraction auxiliary device according to claim 8 is it is characterised in that three projections are in mutually 120 degree of angles.
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CN201610884483.5A CN106344112B (en) | 2016-10-10 | 2016-10-10 | A kind of vacuum suction biliary tract stone extraction auxiliary device |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113316410A (en) * | 2019-01-17 | 2021-08-27 | 逸吉恩哆股份公司 | Basket device for endoscope |
CN113662625A (en) * | 2021-08-24 | 2021-11-19 | 张继军 | Stone extractor for residual bile duct stones after ERCP (endoscopic retrograde cholangiopancreatography) operation |
CN116458958A (en) * | 2023-03-16 | 2023-07-21 | 常州市第一人民医院 | Open-type adjustable stone suction device based on deformation induction and control method |
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CN105636528A (en) * | 2013-10-17 | 2016-06-01 | 柯惠有限合伙公司 | Mechanical thrombectomy with proximal occlusion |
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Publication number | Priority date | Publication date | Assignee | Title |
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CN113316410A (en) * | 2019-01-17 | 2021-08-27 | 逸吉恩哆股份公司 | Basket device for endoscope |
CN113662625A (en) * | 2021-08-24 | 2021-11-19 | 张继军 | Stone extractor for residual bile duct stones after ERCP (endoscopic retrograde cholangiopancreatography) operation |
CN116458958A (en) * | 2023-03-16 | 2023-07-21 | 常州市第一人民医院 | Open-type adjustable stone suction device based on deformation induction and control method |
CN116458958B (en) * | 2023-03-16 | 2023-11-03 | 常州市第一人民医院 | Open-type adjustable stone suction device based on deformation induction and control method |
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