CN106725665A - A kind of thorax cavity retractor - Google Patents

A kind of thorax cavity retractor Download PDF

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Publication number
CN106725665A
CN106725665A CN201710108532.0A CN201710108532A CN106725665A CN 106725665 A CN106725665 A CN 106725665A CN 201710108532 A CN201710108532 A CN 201710108532A CN 106725665 A CN106725665 A CN 106725665A
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CN
China
Prior art keywords
drag hook
frame
sliding shoe
shelf
hook
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Pending
Application number
CN201710108532.0A
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Chinese (zh)
Inventor
钱继波
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Individual
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Individual
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Priority to CN201710108532.0A priority Critical patent/CN106725665A/en
Publication of CN106725665A publication Critical patent/CN106725665A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0206Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with antagonistic arms as supports for retractor elements

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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)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

A kind of thorax cavity retractor, including rack frame(1), fixed drag hook shelf(2)With movable hook frame(3), fixed drag hook shelf(2)With rack frame(1)One end integrated connection, movable hook frame(3)One end be connected with sliding shoe(4), rack frame(1)It is installed on sliding shoe(4)In, shake the hand(5)Drive part(6)Positioned at sliding shoe(4)In, it is characterized in that described rack frame(1)On tooth form be the one kind in involute teeth, rake tooth or stepped tooth, drive part(6)It is connected with and rack frame(1)On the tooth involute gear, triangle gear or the trapezoidal gear that are meshed(7), in sliding shoe(4)On be also equipped with making it in rack frame(1)The detent mechanism of upper positioning(19);In fixed drag hook shelf(2)With movable hook frame(3)Cantilever end be respectively connected with drag hook(8).The present invention has reasonable in design, labour-saving advantage easy to use.

Description

A kind of thorax cavity retractor
Technical field
It is especially a kind of used for thoracic operation for opening chest the present invention relates to a kind of medicine equipment, improve operation The retractor in the visual field, specifically a kind of easy to operate thorax cavity retractor.
Background technology
It is well known that when thoracic surgery is carried out, in order to ensure surgical field of view, it is necessary to otch is pulled open.Conventional at present It is Medical operational retractor, Medical operational retractor needs to use manpower traction, not only consumes the substantial amounts of muscle power of medical personnel, and make With inconvenience, complex operation, strength is difficult to grasp, and Chinese patent 2008201596271 then solves this problem well, but Engaged with tooth bar because the sliding shoe driving of the patent uses two drive shafts 7, in order to realize self-locking, the tooth form on tooth bar Also arc-shaped gear is designed to mostly, and this is only a kind of type gear rack structure, it is simultaneously this although this structure positioning is reliable After drag hook stress, drive shaft is pressed in arc teeth groove structure, such as need to further drive movable hook frame(3)It is mobile, realize Further tense, then need very big strength to be shaken the hand to rotate, cannot even operate sometimes, the operation to doctor brings not Just.Must be improved.
The content of the invention
The purpose of the present invention is directed to existing thorax cavity retractor and there are problems that, unhandy, designs a kind of structure letter Single, easy to operate thorax cavity retractor.
The technical scheme is that:
A kind of thorax cavity retractor, including rack frame 1, fixed drag hook shelf 2 and movable hook frame 3, fixed drag hook shelf 2 and rack frame 1 One end integrated connection, one end of movable hook frame 3 is connected with sliding shoe 4, and rack frame 1 is installed in sliding shoe 4, shakes the hand 5 Drive part 6 is located in sliding shoe 4, it is characterized in that the tooth form on described rack frame 1 is involute teeth, rake tooth or stepped tooth In one kind, drive part 6 is connected with involute gear, triangle gear or the stepped tooth being meshed with the tooth on rack frame 1 Wheel 7, is also equipped with the detent mechanism 19 for making it be positioned on rack frame 1 on sliding shoe 4;Drawn in fixed drag hook shelf 2 and activity The cantilever end of hook housing 3 is respectively connected with drag hook 8.
Described detent mechanism 19 is made up of shell fragment 1901 and spring 1902, on one end of shell fragment 1901 and rack frame 1 Teeth groove offsets, and other end hinge offsets on sliding shoe 4 and with one end of spring 1902, and the other end of spring is fixed on sliding shoe On 4;Under the elastic force effect of spring 1902, one end of shell fragment 1901 is against in the teeth groove on tooth rest all the time, when sliding shoe band When dynamic movable hook frame is moved to the direction away from fixed drag hook shelf, shell fragment then shifts to another teeth groove, and energy from a teeth groove It is positioned when sliding shoe stops mobile, it is impossible to make the movement to the fixed direction of drag hook shelf 2;Make to solid when rocker piece 4 is needed Determine the direction of drag hook shelf 2 it is mobile when, only need to depress shell fragment and scratched the other end of shell fragment and depart from teeth groove near one end of spring, Drive gear 7 makes sliding shoe drive movable hook frame 3 to be moved freely on tooth bar.
Described detent mechanism 19 is elastic latch structure, depresses resilient key, in the teeth groove on resilient key insertion rack frame from And the movement of limit slippage frame 4, the positioning of movable hook frame is realized, depress or transfer to resilient key, resilient key to depart from teeth groove again, Drive gear 7 drives sliding shoe to be moved on rack frame.
The shape of described resilient key matches with the tooth form on rack frame 1, and its lower end is pointed structures.
Described fixed drag hook shelf 2 is identical with the cantilever end structure of movable hook frame 3, and they are by left 9 and right 10 Composition, leaves gap 11 between left 9 and right 10, drag hook 8 is inserted on the inserted sheet 12 on the both sides of left 9 and right 10.
The height of the slot 14 on the height and drag hook 8 of described inserted sheet 12 matches, and the overall width of the drag hook 8 is bigger In the width of the slot 14 of drag hook 8, the inserted sheet arc transition facilitated insertion into drag hook slot is provided with the insertion end of inserted sheet 12 Section 16, in the slot arc transition section 17 that the both sides of the slot 14 of drag hook 8 also are provided with being easy to inserted sheet 12 to enter.
Described shakes the hand 5 for stainless steel is shaken the hand, and its handle portion is connected with an afterbody 18 for upwarping.
Described fixed drag hook shelf 2 is identical with the cantilever end structure of movable hook frame 3, and they are integrally connected with drag hook 8.
Described fixed drag hook shelf 2 is identical with the cantilever end structure of movable hook frame 3, and they are integrally connected with drag hook 8, At least one hollow out window 13 is provided with drag hook 8.
Described fixed drag hook shelf 2 is identical with the cantilever end structure of movable hook frame 3, is fixed with least on the cantilever end One screw, drag hook 8 is connected with screw and can relatively rotate;Or elongated slot 20 is provided with described cantilever end, screw is installed In elongated slot 20 and movable within, lower end and the screw of drag hook 8 are fixedly linked, and are further provided with elongated slot 20 and supply screw The arc detent of entrance, is provided with two pieces of drag hooks 8 in each elongated slot.
Beneficial effects of the present invention:
The present invention can retract bilateral chest wall according to different operation needs, visual area is obtained more perfect exposure, exempt artificial Traction it is bitter while have easy to operate, can stop to live at an arbitrary position.
The present invention is simple and reasonable, safe and convenient to use, can be widely applied to thoracic surgery.Clinical Practice proves, It has advantage reasonable in design, easy to use, for the exposure thoracic surgery visual field, reduce operation wound, shorten operating time, Mitigating medical worker labour has obvious effect.
Brief description of the drawings
Fig. 1 is one of structural representation of the invention.
Fig. 2 is the sectional view of plug portion of the invention.
Fig. 3 is the cross section structure diagram of sliding shoe of the invention.
Fig. 4 is the section structure schematic diagram of drag hook of the invention.
Fig. 5 is the top view of Fig. 4.
Fig. 6 is the structural representation of drive part of the invention.
Fig. 7 is the two of structural representation of the invention.
Fig. 8 is the three of structural representation of the invention.
Fig. 9 is the four of structural representation of the invention.
Figure 10 is the five of structural representation of the invention.
Figure 11 is the six of structural representation of the invention.
Figure 12 is the seven of structural representation of the invention.
Specific embodiment
The present invention is further illustrated with reference to the accompanying drawings and examples.
Embodiment one.
As shown in figs. 1 to 6.
A kind of thorax cavity retractor, including rack frame 1, fixed drag hook shelf 2 and movable hook frame 3, fixed drag hook shelf 2 and tooth bar One end integrated connection of frame 1, one end of movable hook frame 3 is connected with sliding shoe 4, and rack frame 1 is installed in sliding shoe 4, shakes the hand 5 Drive part 6 be located in sliding shoe 4, tooth form on described rack frame 1 is involute teeth(Or rake tooth or stepped tooth In one kind), drive part 6 is connected with the involute gear being meshed with the tooth on rack frame 1(Or it is triangle gear, trapezoidal Gear 7), the detent mechanism 19 for making it be positioned on rack frame 1 is also equipped with sliding shoe 4;In fixed drag hook shelf 2 and activity Pluggable disposable drag hook 8 on the cantilever end of drag hook shelf 3.During specific implementation, described detent mechanism 19 is by the He of shell fragment 1901 Spring 1902 is constituted, and one end and the teeth groove on rack frame 1 of shell fragment 1901 offset, other end hinge on the sliding shoe 4 and with bullet One end of spring 1902 is offseted, and the other end of spring is fixed on sliding shoe 4;Under the elastic force effect of spring 1902, shell fragment 1901 One end be against all the time in the teeth groove on tooth rest, when sliding shoe drives movable hook frame to be moved to the direction away from fixed drag hook shelf When dynamic, shell fragment then shifts to another teeth groove from a teeth groove, and can position it when sliding shoe stops mobile, it is impossible to make to solid Determine the movement in the direction of drag hook shelf 2;When need rocker piece 4 make to the fixed direction of drag hook shelf 2 it is mobile when, need to only depress shell fragment and be close to One end of spring has scratched the other end of shell fragment and departs from teeth groove, and drive gear 7 makes sliding shoe drive movable hook frame 3 in tooth bar On move freely.The main part of thorax cavity retractor of the invention can be manufactured all using stainless steel material, and drag hook 8 can both be used Stainless manufacture, can also be manufactured using disposable material, the cantilever end grafting phase of drag hook 8 and fixation drag hook shelf 2 and movable hook frame 3 Even, as shown in figure 1, one end of rack frame 1(It is left end in Fig. 1, or right-hand member)Integrated connection has fixed drag hook shelf 2, activity One end of drag hook shelf 3 is connected with sliding shoe 4(Its internal structure is as shown in Figure 3), rack frame 1 is installed in sliding shoe 4, sliding shoe 4 can be moved left and right along rack frame 4, and 5 drive part 6 of shaking the hand is located in sliding shoe 4, the tooth bar phase of drive part 6 and rack frame 1 To being provided with involute gear 7 at position(Such as Fig. 6), shaking the hand, 5 afterbody of operation handle is connected with an afterbody for upwarping 18, to improve the comfortableness of operation;The knot of inserting drag hook 8 is equipped with the cantilever end of fixed drag hook shelf 2 and movable hook frame 3 Structure, the structure is constituted by left 9 and right 10, and gap 11 is left between left 9 and right 10, and the effect in the gap 11 is to make to hang Arm end has certain elasticity, and in order to the insertion of drag hook 8, the both sides of left 9 and right 10 are equipped with the middle of inserted sheet 12 and are formed Slotting platform 15, the width of slotting platform 15 matches with the A/F of the slot 14 of drag hook 8, as shown in Figure 2,4, the height of inserted sheet 12 with The height of the slot 14 on drag hook 8 matches, and the circular arc mistake facilitated insertion into drag hook slot 14 is provided with the insertion end of inserted sheet 12 Section 16 is crossed, in the arc transition section 17 that the both sides of the slot 14 of drag hook 13 also are provided with being easy to slotting platform 15 to enter.
Application method of the invention is:
Suitable drag hook 8 is selected first, and its slot 14 is directed at the cantilever end on fixed drag hook shelf 2 or movable hook frame 3, due to The setting of arc transition is easy to, by their end alignment, then firmly insert, because cantilever end is provided with elastic gap 11, Therefore, even if the overall width of cantilever end remains to easily insert drag hook 13 more than the width of the slot 14 on drag hook 8 Position, has certain attachment force without coming off naturally because the effect of the elastic force of cantilever end can make drag hook with plug.
Secondly, shaking the hand 5 makes the drag hook that movable hook frame 3 drives thereon be moved adjacent to fix the position of drag hook shelf 2 Place, drag hook 8 is inserted into chest incision, and opposite direction shakes the hand 5, so that between fixation drag hook shelf 2 or movable hook frame 3 Distance increase, movable hook frame 3 move while drive drag hook 8 will be pulled open at chest incision.
Shake the hand 5 drive pinion rotations, gear moved on tooth bar so as to drive sliding shoe 4 to move to make fix drag hook shelf 2 or The distance between movable hook frame 3 is increased, and in the process, a teeth groove of the shell fragment 1901 from rack frame 1 moves to another Individual teeth groove, even if now unclamp shaking the hand 5, due to the effect of shell fragment 1901, gear 7 also will not be because of the elastic force of torso model muscle And move, the position of release of shaking the hand can only be maintained at(Because the presence of backlash has micro movable, also belong to normal), this When, if still needing to increase the distance between fixed drag hook shelf 2 or movable hook frame 3, shake can be continued and shake the hand 5, drive and slide Block is continued to move to.When operation terminates or needs suitably to reduce fixed the distance between drag hook shelf 2 or movable hook frame 3, hand can be used Pressure shell fragment is left teeth groove by one end of spring thrust, the one end for making shell fragment insert in teeth groove, you can wheel loose ground pushes away sliding shoe Desired position is sent to, one end of pressing spring is unclamped, again insertable into teeth groove, realization is repositioned shell fragment or operation end takes Go out retractor of the invention.
Embodiment two.
As shown in Figure 7.
The present embodiment is that detent mechanism 19 uses elastic latch structure with the difference of embodiment(Driven similar to ball-point-pen core Structure), resilient key is depressed, so as to the movement of limit slippage frame 4 in the teeth groove on resilient key insertion rack frame, realize movable hook The positioning of frame, depresses or transfers to resilient key, resilient key to depart from teeth groove again, and drive gear 7 drives sliding shoe to be moved on rack frame It is dynamic.The shape of described resilient key matches with the tooth form on rack frame 1, and its lower end is pointed structures.
Embodiment three.
As shown in Figure 8.
The difference of the present embodiment and embodiment one, two is to fix the structure of drag hook shelf 2 or the cantilever end of movable hook frame 3 not Together, the structure that the present embodiment is integrally attached to using the cantilever end of drag hook 8.
Example IV.
As shown in Figure 9.
The present embodiment is that one or two hollow out windows are provided with described monoblock type drag hook with the difference of embodiment three 13。
Embodiment five.
As shown in Figure 10.
The present embodiment from implement three difference be drag hook 8 shape it is different.
Embodiment six.
As shown in figure 11.
The difference of the present embodiment and embodiment one, two be described in fixed drag hook shelf 2 and movable hook frame 3 cantilever end On be fixed with least one screw, drag hook 8 is connected with screw and can relatively rotate.
Embodiment seven.
As shown in figure 12.
The difference of the present embodiment and embodiment one, two be described in fixed drag hook shelf 2 and movable hook frame 3 cantilever end On be provided with elongated slot 20, screw is installed in elongated slot 20 and movable within, and lower end and the screw of drag hook 8 are fixedly linked, further Ground is provided with the arc detent entered for screw in elongated slot 20, and two pieces of drag hooks 8 are provided with each elongated slot.
Part that the present invention does not relate to is same as the prior art or can be realized using prior art.

Claims (10)

1. a kind of thorax cavity retractor, including rack frame(1), fixed drag hook shelf(2)With movable hook frame(3), fixed drag hook shelf(2) With rack frame(1)One end integrated connection, movable hook frame(3)One end be connected with sliding shoe(4), rack frame(1)It is installed on Sliding shoe(4)In, shake the hand(5)Drive part(6)Positioned at sliding shoe(4)In, it is characterized in that described rack frame(1)On tooth Shape is the one kind in involute teeth, rake tooth or stepped tooth, drive part(6)It is connected with and rack frame(1)On tooth be meshed Involute gear, triangle gear or trapezoidal gear(7), in sliding shoe(4)On be also equipped with making it in rack frame(1)It is upper fixed The detent mechanism of position(19);In fixed drag hook shelf(2)With movable hook frame(3)Cantilever end be respectively connected with drag hook(8).
2. thorax cavity retractor according to claim 1, it is characterized in that described detent mechanism(19)By shell fragment(1901)With Spring(1902)Composition, shell fragment(1901)One end and rack frame(1)On teeth groove offset, the other end hinge be mounted in sliding shoe(4) Upper and and spring(1902)One end offset, the other end of spring is fixed on sliding shoe(4)On;In spring(1902)Elastic force make Under, shell fragment(1901)One end be against all the time in the teeth groove on tooth rest, when sliding shoe drives movable hook frame to away from solid When the direction for determining drag hook shelf is moved, shell fragment then shifts to another teeth groove from a teeth groove, and can make when sliding shoe stops mobile Its positioning, it is impossible to make to fixed drag hook shelf(2)The movement in direction;When needing rocker piece(4)Make to fixed drag hook shelf(2)Direction When mobile, only need to depress shell fragment has scratched the other end of shell fragment and departs from teeth groove near one end of spring, drive gear(7)Make cunning Motion block drives movable hook frame(3)Moved freely on tooth bar.
3. thorax cavity retractor according to claim 1, it is characterized in that described detent mechanism(19)It is elastic latch structure, pressure Lower resilient key, so as to limit slippage frame in the teeth groove on resilient key insertion rack frame(4)Movement, realize determining for movable hook frame Position, depresses or transfers to resilient key, resilient key to depart from teeth groove, drive gear again(7)Sliding shoe is driven to be moved on rack frame.
4. thorax cavity retractor according to claim 3, it is characterized in that the shape and rack frame of described resilient key(1)On Tooth form matches, and its lower end is pointed structures.
5. thorax cavity retractor according to claim 1, it is characterized in that described fixed drag hook shelf(2)With movable hook frame (3)Cantilever end structure it is identical, they are by left(9)With right(10)Composition, left(9)With right(10)Between leave between Gap(11), drag hook(8)It is inserted into left(9)With right(10)Both sides inserted sheet(12)On.
6. thorax cavity retractor according to claim 5, it is characterized in that described inserted sheet(12)Height and drag hook(8)On Slot(14)Height match, the drag hook(8)Overall width be slightly larger than drag hook(8)Slot(14)Width, in inserted sheet (12)Insertion end be provided with facilitate insertion into drag hook slot inserted sheet arc transition section(16), in drag hook(8)Slot(14) Both sides also be provided with being easy to inserted sheet(12)The slot arc transition section of entrance(17).
7. according to claim 1 thorax cavity retractor, it is characterized in that described shakes the hand(5)For stainless steel is shaken the hand, its handle portion connects It is connected to an afterbody for upwarping(18).
8. thorax cavity retractor according to claim 1, it is characterized in that described fixed drag hook shelf(2)With movable hook frame (3)Cantilever end structure it is identical, they are integrally connected with drag hook(8).
9. thorax cavity retractor according to claim 1, it is characterized in that described fixed drag hook shelf(2)With movable hook frame (3)Cantilever end structure it is identical, they are integrally connected with drag hook(8), drag hook(8)On be provided with least one hollow out window (13).
10. thorax cavity retractor according to claim 1, it is characterized in that described fixed drag hook shelf(2)With movable hook frame (3)Cantilever end structure it is identical, at least one screw, drag hook are fixed with the cantilever end(8)It is connected with screw and can makees phase To rotating;Or it is provided with elongated slot on described cantilever end(20), screw is installed on elongated slot(20)In and movable within, drag hook (8)Lower end be fixedly linked with screw, further in elongated slot(20)In be provided with for screw enter arc detent, each length Two pieces of drag hooks are installed in groove(8).
CN201710108532.0A 2017-02-27 2017-02-27 A kind of thorax cavity retractor Pending CN106725665A (en)

Priority Applications (1)

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CN201710108532.0A CN106725665A (en) 2017-02-27 2017-02-27 A kind of thorax cavity retractor

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201710108532.0A CN106725665A (en) 2017-02-27 2017-02-27 A kind of thorax cavity retractor

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114027900A (en) * 2021-12-16 2022-02-11 王侃 Retractor for external chest clinic and use method thereof
CN116421239A (en) * 2023-06-09 2023-07-14 安徽医科大学第一附属医院 Thoracoscope mediastinal lymph node exposing device

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2910124Y (en) * 2006-03-30 2007-06-13 兰州锐欣医疗科技有限责任公司 Operating retractor for front and rear route of vertebrae, thoracie vertebrae and lumbar vertebrae
CN201101551Y (en) * 2007-09-12 2008-08-20 兰州兰飞医疗器械有限公司 Multifunctional surgical retractor
CN201279157Y (en) * 2008-11-06 2009-07-29 钱建民 Thorax cavity retractor
CN104367354A (en) * 2014-11-20 2015-02-25 纪勇 Rib opening closer
CN204655014U (en) * 2015-05-08 2015-09-23 张家港市三兴医疗器械有限公司 A kind of cervical vertebra retractor
CN207186646U (en) * 2017-02-27 2018-04-06 钱继波 A kind of thorax cavity retractor

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2910124Y (en) * 2006-03-30 2007-06-13 兰州锐欣医疗科技有限责任公司 Operating retractor for front and rear route of vertebrae, thoracie vertebrae and lumbar vertebrae
CN201101551Y (en) * 2007-09-12 2008-08-20 兰州兰飞医疗器械有限公司 Multifunctional surgical retractor
CN201279157Y (en) * 2008-11-06 2009-07-29 钱建民 Thorax cavity retractor
CN104367354A (en) * 2014-11-20 2015-02-25 纪勇 Rib opening closer
CN204655014U (en) * 2015-05-08 2015-09-23 张家港市三兴医疗器械有限公司 A kind of cervical vertebra retractor
CN207186646U (en) * 2017-02-27 2018-04-06 钱继波 A kind of thorax cavity retractor

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114027900A (en) * 2021-12-16 2022-02-11 王侃 Retractor for external chest clinic and use method thereof
CN116421239A (en) * 2023-06-09 2023-07-14 安徽医科大学第一附属医院 Thoracoscope mediastinal lymph node exposing device
CN116421239B (en) * 2023-06-09 2024-01-02 安徽医科大学第一附属医院 Thoracoscope mediastinal lymph node exposing device

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