CN106725672A - Abdomen wall sewing device and its application method - Google Patents
Abdomen wall sewing device and its application method Download PDFInfo
- Publication number
- CN106725672A CN106725672A CN201710068914.5A CN201710068914A CN106725672A CN 106725672 A CN106725672 A CN 106725672A CN 201710068914 A CN201710068914 A CN 201710068914A CN 106725672 A CN106725672 A CN 106725672A
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- Prior art keywords
- suture
- pushing block
- sewing device
- handle
- abdomen wall
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
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- 210000001015 abdomen Anatomy 0.000 title claims abstract description 46
- 238000009958 sewing Methods 0.000 title claims abstract description 43
- 238000000034 method Methods 0.000 title claims description 8
- 238000001467 acupuncture Methods 0.000 claims abstract description 13
- 238000002357 laparoscopic surgery Methods 0.000 claims abstract description 4
- 238000003780 insertion Methods 0.000 claims description 6
- 230000037431 insertion Effects 0.000 claims description 6
- 239000003550 marker Substances 0.000 claims description 4
- 235000019994 cava Nutrition 0.000 claims description 2
- 230000006870 function Effects 0.000 claims description 2
- 210000000080 chela (arthropods) Anatomy 0.000 claims 1
- 241000287107 Passer Species 0.000 description 7
- 206010019909 Hernia Diseases 0.000 description 3
- 210000003195 fascia Anatomy 0.000 description 3
- 230000002980 postoperative effect Effects 0.000 description 3
- 208000021970 Abdominal wall defect Diseases 0.000 description 2
- 241000826860 Trapezium Species 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 230000035876 healing Effects 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 210000001835 viscera Anatomy 0.000 description 2
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 206010061468 Postoperative wound complication Diseases 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000007912 intraperitoneal administration Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000001936 parietal effect Effects 0.000 description 1
- 230000000630 rising effect Effects 0.000 description 1
- 210000004003 subcutaneous fat Anatomy 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0482—Needle or suture guides
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0491—Sewing machines for surgery
Landscapes
- 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)
Abstract
The invention discloses a kind of abdomen wall sewing device, for drawing tissue, percutaneous suture in laparoscopic surgery, to close operative incision, including abdomen wall sewing device main body and suture hook line tweezer, and the abdomen wall sewing device main body hooks line tweezer and is detachably connected with suture;The abdomen wall sewing device main body includes shell, pushing block positioning component is provided with the shell, the pushing block positioning component is connected with connection sheet, the end of the connection sheet is provided with clamp groove, the connection sheet middle part is provided with rod member, the rod member is provided with the side plate being connected with clamp groove, and the side plate is provided with side wire clamp, spring leaf is provided between the shell and the connection sheet with the pushing block positioning component junction;The suture hooks line tweezer includes handle, pushes handle loaded on handle, and the suture hooks and is provided with line tweezer handle and pushes the back-moving spring that handle is connected, and the back-moving spring connects acupuncture tube assembly, and the acupuncture tube assembly end is provided with hook line component.
Description
Technical field
The invention belongs to medical instruments field, especially a kind of abdomen wall sewing device and its application method.
Background technology
The repairing of present most of puncture orifices and sticking patch to laparoscopic surgery remains what traditional suture was sutured,
Because patient's subcutaneous fat is thicker, puncturing hole is small and deep, and visual area is small, and suture needle radian is big, and suture is difficult, and cannot definitely suture abdomen
Film layer and fascia layer, thus abdominal-wall defect at puncture is easily caused, ultimately result in intraperitoneal easy hernia and enter wherein.Laparoscopic incision is small
And it is deep, the particularity of operation technique and apparatus, determines that its complication there is also certain particularity in addition.Wherein, laparoscope is worn
The complication of acanthopore mainly includes trocar puncture hole hemorrhage, puncturing hole hernia, puncturing hole poor healing and puncturing hole its hetero-organization plantation etc..
Whether the formation of puncturing hole hernia and puncturing hole size, position, puncturing hole are expanded, and it is multifactor relevant that whether manadesma sutures etc., for
The puncturing hole of more than 10mm, if otch is closed in definite suture, can to a certain extent reduce postoperative wound complication
Occur.
The content of the invention
The technical problems to be solved by the invention are the defects for overcoming prior art, there is provided a kind of abdomen wall sewing device and its
Application method, reduces the complication of postoperative patients, patient incision is healed good, and healing is fast.
The present invention solves the technical scheme that prior art problem is used:A kind of abdomen wall sewing device, for laparoscope hand
Draw tissue, percutaneous suture in art in, to close operative incision, including abdomen wall sewing device main body and suture hook line tweezer, the abdomen
Parietal suture clutch main body and suture hook line tweezer and are detachably connected;The abdomen wall sewing device main body includes shell, is provided with the shell
Pushing block positioning component, the pushing block positioning component is connected with connection sheet, and the end of the connection sheet is provided with clamp groove, the connection
Piece middle part is provided with rod member, and the rod member is provided with the side plate being connected with clamp groove, and the shell connects with the pushing block positioning component
The place of connecing is provided with side wire clamp, and spring leaf is provided between the shell and the connection sheet;Described and suture hooks line tweezer includes handle,
Handle is pushed loaded on handle, the suture hooks and is provided with line tweezer handle and pushes the back-moving spring that handle is connected, the reset
Spring connects acupuncture tube assembly, and hook line component is provided with the acupuncture tube assembly.
Further, the abdomen wall sewing device main body is provided with the puncturing hole that line tweezer insertion is hooked for suture, and the suture is hooked
Taken out from abdomen wall sewing device main body after the success of line tweezer threading.
Further, the pushing block positioning component includes the pushing block on shell, and the pushing block connects with the connection sheet
Connect, the pushing block is provided with two springs, the spring is provided with the pushing block handle that control pushing block is moved up and down.
Further, described connection sheet one end is fixedly connected by resilient key with the pushing block.
Further, the rod member is fixed in the connection sheet by resilient key, and the rod member inner side is provided with for suture
The inside groove that line is slided, so that suture is smooth, the rod member head is provided with the buckle with the cage connection, is easy to assembling.
Further, the side wire clamp is trapezium structure, and the side plate wire clamp is provided with for the interior of suture slip
Groove, it is ensured that the slip non-resistance of suture.
Further, the spring leaf is symmetrical arranged relative to connection sheet, and the spring leaf caves inward to form " { " shape
Shape, can control to move to relevant position when using by the sound of spring leaf or feel.
Further, the shell is provided with depth indicating marker and punctures the cue mark in direction.
Present invention also offers a kind of application method of abdomen wall sewing device of the present invention, it comprises the following steps:
The suture of a, selection appropriate length, bypasses clamp groove and two avris sidelines folder by abdomen wall sewing device main body
Shell upper end is fixed;
B, abdomen wall sewing device main body is inserted by otch to depth indicating marker position;
C, pressing pushing block handle lift pushing block upwards, and pushing block drives connection sheet to move up lifting clamp groove, side plate joint
Song rises and forms triangular support, until hear that connection sheet and the click sound of spring leaf screens stop lifting and unclamping pushing block handle,
Pushing block handle is pinned by spring return function and shell buckle;
D, the puncturing hole insertion suture hook line tweezer from shell, direct reach side plate interior sides;
E, line tweezer upper end hooked by suture push handle and pin, hook line component open catch on suture after presses suture again
Hook line tweezer upper end and push handle, hook in line component retraction acupuncture tube assembly;
F, pull out suture and hook line tweezer, pressure suture hooks line tweezer upper end and pushes handle and exposes hook line component, pulls out suture
One end of line;
G, the shell contralateral side repetition d-f steps from abdomen wall sewing device main body, pull out the other end of suture;
H, pressure pushing block handle are simultaneously pressed downward pushing block, and pushing block handle is unclamped after hearing click sound, and side plate resets to form straight section,
Then abdomen wall sewing device main body is pulled out outward;
I, knotted suture the external end of suture two is exposed.
Above-mentioned technical proposal is employed, the present invention has following beneficial effect:The present invention will penetrate the abdomen of suture
Wall stitching devices are pierced into through otch side fascia layer and break through peritonaeum, and stitching devices are extracted after suture is clamped and suture is taken out of
Line, knots, and will not injure internal organs due to being blocked by side plate from the tip of articulated lateral plate structure, suture passer, it is ensured that seam
Close and close otch, reduce the complication of postoperative otch.
Brief description of the drawings
The invention will be further described with reference to the accompanying drawings and examples.
Fig. 1 is stereogram of the invention;
Fig. 2 is the structural representation of abdomen wall sewing device main body of the invention;
Fig. 3 is the stereogram of abdomen wall sewing device main body (unassembled side plate) of the invention;
Fig. 4 is the structural representation of pushing block positioning component of the invention;
Fig. 5 is the stereogram of rod member of the invention;
Fig. 6 is the structural representation of side plate of the invention.
In figure:1st, shell, 2, pushing block positioning component, 2.1, pushing block, 2.2, spring, 2.3, pushing block handle, 3, connection sheet, 4,
Clamp groove, 5, rod member, 5.1, inside groove, 5.2, buckle, 6, side plate, 7, side wire clamp, 8, spring leaf, 9, handle, 10, push hand
Handle, 11, back-moving spring, 12, acupuncture tube assembly, 13, hook line component, 14, puncturing hole.
Specific embodiment
In order that present disclosure is easier to be clearly understood, it is right below according to specific embodiment and with reference to accompanying drawing
The present invention is described in further detail.
A kind of abdomen wall sewing device as shown in Figures 1 to 5, in laparoscopic surgery draw in tissue, percutaneous suture, with
Just operative incision is closed, including abdomen wall sewing device main body and suture hook line tweezer, the closure firmware is provided with and hooks line tweezer for suture
The puncturing hole 14 of insertion, the suture takes out after hooking the success of line tweezer threading from abdomen wall sewing device main body.The abdomen wall sewing device
Main body includes being provided with pushing block positioning component 2 in shell 1, the shell 1, and the pushing block positioning component 2 is included on shell 1
Pushing block 2.1, one end of the connection sheet 3 is fixedly connected by resilient key with the pushing block 2.1, and the pushing block 2.1 is provided with two
Spring 2.2, the spring 2.2 is provided with the pushing block handle 2.3 that control pushing block 2.1 is moved up and down.The end of the connection sheet 3 sets
There is clamp groove 4, the middle part of the connection sheet 3 is provided with rod member 5, and the rod member 5 is fixed in the connection sheet 3 by resilient key, institute
State the inner side of rod member 5 and be provided with the inside groove 5.1 slided for suture, the head of the rod member 5 is provided with the buckle being connected with the shell 1
5.2.The rod member 5 is provided with the side plate 6 being connected with clamp groove 4, and the shell 1 sets with the junction of pushing block positioning component 2
There is side wire clamp 7, the section of the side wire clamp 7 is trapezium structure, and the side plate wire clamp 7 is provided with for the interior of suture slip
Groove.Spring leaf 8 is provided between the shell 1 and the connection sheet 3.The spring leaf 8 is symmetrical arranged relative to connection sheet 3, institute
Spring leaf 8 is stated to cave inward to form " { " shape.The suture hooks line tweezer includes handle 9, pushes handle 10 and is loaded on handle 9, institute
State and be provided with and push the back-moving spring 11 that handle 10 is connected in suture hook line tweezer handle 9, the connection acupuncture pipe of the back-moving spring 11
Hook line component 13 is provided with component 12, the acupuncture tube assembly 12.The hook line component 13 is passed for 12 from acupuncture pipe group, is opened
Form the hook the end of a thread for catching on suture.
As shown in fig. 6, side plate of the invention 6 is overall structure, convenient for assembly and replacement.
Specifically, the shell 1 is provided with depth indicating marker and punctures the cue mark in direction, convenient operation.
Application method of the invention is as follows:Comprise the following steps:
The suture of a, selection appropriate length, bypasses clamp groove 4 and side wire clamp 7 by the shell 1 for closing firmware
End is fixed;
B, closure firmware is inserted by otch to appropriate location;
C, pressing pushing block handle 2.3 lift pushing block 2.1 upwards, and pushing block 2.1 drives connection sheet 3 to move up lifting clamp groove
4, bent the rising in the joint of side plate 6 forms triangular support, until hearing that connection sheet 3 and the click sound of the screens of spring leaf 8 stop lifting simultaneously
Pushing block handle 2.3 is unclamped, pushing block handle 2.3 is pinned by the return of spring 2.2 and the buckle of shell 1;
D, the puncturing hole insertion suture passer from shell 1, direct reach the inner side of side plate 6;
E, pressing suture passer upper end push handle 10 and pin, and hook line component 13 is opened after catching on suture to be pressed again
Suture passer upper end pushes handle 10, hooks in the retraction acupuncture tube assembly 12 of line component 13;
F, suture passer is pulled out, pressure suture passer upper end pushes handle 10 and exposes hook line component 13, pulls out
One end of suture;
G, the contralateral side of shell 1 from closure firmware repeat d-f steps, pull out the other end of suture;
H, pressure pushing block handle 2.3 are simultaneously pressed downward pushing block 2.1, and pushing block handle 2.3 is unclamped after hearing click sound, and side plate 6 is answered
Position forms straight section, and closure firmware is then pulled out outward;
I, knotted suture the external end of suture two is exposed.
The abdomen wall sewing device that the present invention will penetrate suture is pierced into through otch side fascia layer and breaks through peritonaeum, will stitch
Extracted after zygonema clamping and stitching devices and take suture out of, knotted, due to from articulated lateral plate structure, the point of suture passer
End is blocked to injure internal organs and do not easily cause abdominal-wall defect at puncture by side plate ensures that otch is closed in suture, reduces postoperative otch
Complication.
Particular embodiments described above, has been carried out further in detail to the purpose of the present invention, technical scheme and beneficial effect
Describe in detail bright, should be understood that and the foregoing is only specific embodiment of the invention, be not intended to limit the invention, it is all
Within the spirit and principles in the present invention, any modification, equivalent substitution and improvements done etc., should be included in guarantor of the invention
Within the scope of shield.
Claims (9)
1. a kind of abdomen wall sewing device, for drawing tissue, percutaneous suture in laparoscopic surgery in, to close operative incision, its
It is characterised by:Line tweezer is hooked including abdomen wall sewing device main body and suture, it is detachable that the abdomen wall sewing device main body and suture hook line tweezer
Connection;The abdomen wall sewing device main body includes being provided with pushing block positioning component (2), the pushing block in shell (1), the shell (1)
Positioning component (2) is connected with connection sheet (3), and the end of the connection sheet (3) is provided with clamp groove (4), connection sheet (3) middle part
Rod member (5) is provided with, the rod member (5) is provided with the side plate (6) being connected with clamp groove (4), and the shell (1) is fixed with the pushing block
Hyte part (2) junction is provided with side wire clamp (7), and spring leaf (8) is provided between the shell (1) and the connection sheet (3);Institute
Stating suture hook line tweezer includes handle (9), pushes handle (10) loaded on handle (9), and the suture is hooked and is provided with line tweezer handle (9)
The back-moving spring (11) being connected with push handle (10), the handle (9) is provided with connection acupuncture tube assembly (12), the acupuncture pipe
Hook line component (13) is provided with component (12).
2. abdomen wall sewing device according to claim 1, it is characterised in that:The abdomen wall sewing device main body is provided with for seam
Line hooks the puncturing hole (14) of line tweezer insertion, and the suture takes out after hooking the success of line tweezer threading from abdomen wall sewing device main body.
3. abdomen wall sewing device according to claim 1 and 2, it is characterised in that:The pushing block positioning component (2) is including setting
In the pushing block (2.1) on shell (1), the pushing block (2.1) is connected with the connection sheet (3), and the pushing block (2.1) is provided with two
Individual spring (2.2), the spring (2.2) is provided with the pushing block handle (2.3) that control pushing block (2.1) is moved up and down.
4. abdomen wall sewing device according to claim 3, it is characterised in that:Described connection sheet (3) one end passes through resilient key
It is fixedly connected with the pushing block (2.1).
5. abdomen wall sewing device according to claim 1, it is characterised in that:The rod member (5) is fixed on by resilient key
On the connection sheet (3), rod member (5) inner side is provided with the inside groove (5.1) slided for suture, and rod member (5) head sets
There is the buckle (5.2) being connected with the shell (1).
6. abdomen wall sewing device according to claim 1, it is characterised in that:The section of the side wire clamp (7) is trapezoidal
Structure, the side plate wire clamp (7) is provided with the inside groove slided for suture.
7. abdomen wall sewing device according to claim 1, it is characterised in that:The spring leaf (8) is relative to connection sheet (3)
It is symmetrical arranged, the spring leaf (8) caves inward to form " { " shape.
8. abdomen wall sewing device according to claim 1, it is characterised in that:The shell (1) is provided with depth indicateing arm
Note and the cue mark in puncture direction.
9. a kind of application method of abdomen wall sewing device, it is characterised in that:Comprise the following steps:
The suture of a, selection appropriate length, bypasses the shell that clamp groove and two avris sidelines folder pass through abdomen wall sewing device main body
Upper end is fixed;
B, abdomen wall sewing device main body is inserted by otch to depth indicating marker position;
C, pressing pushing block handle lift pushing block upwards, and pushing block drives connection sheet to move up lifting clamp groove, and side plate joint is bent to rise
Triangular support is formed, until hearing that connection sheet and the click sound of spring leaf screens stop lifting and unclamping pushing block handle, pushing block
Handle is pinned by spring return function and shell buckle;
D, the puncturing hole insertion suture hook line tweezer from shell, direct reach side plate interior sides;
E, line tweezer upper end is hooked by suture push handle and pin, hook line component and open to catch on and presses suture again after suture and hook line
Pincers upper end pushes handle, hooks in line component retraction acupuncture tube assembly;
F, pull out suture and hook line tweezer, pressure suture hooks line tweezer upper end and pushes handle and exposes hook line component, pulls out suture
One end;
G, the shell contralateral side repetition d-f steps from abdomen wall sewing device main body, pull out the other end of suture;
H, pressure pushing block handle are simultaneously pressed downward pushing block, and pushing block handle is unclamped after hearing click sound, and side plate resets to form straight section, then
Abdomen wall sewing device main body is pulled out outward;
I, knotted suture the external end of suture two is exposed.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201710068914.5A CN106725672A (en) | 2017-02-08 | 2017-02-08 | Abdomen wall sewing device and its application method |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201710068914.5A CN106725672A (en) | 2017-02-08 | 2017-02-08 | Abdomen wall sewing device and its application method |
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Publication Number | Publication Date |
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CN106725672A true CN106725672A (en) | 2017-05-31 |
Family
ID=58956297
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CN201710068914.5A Pending CN106725672A (en) | 2017-02-08 | 2017-02-08 | Abdomen wall sewing device and its application method |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107789020A (en) * | 2017-11-13 | 2018-03-13 | 宁波胜杰康生物科技有限公司 | A kind of stitching unstrument |
CN108814665A (en) * | 2018-04-09 | 2018-11-16 | 杭州威德医疗科技有限公司 | A kind of disposable stitching unstrument |
CN109717917A (en) * | 2019-03-10 | 2019-05-07 | 孙奇勋 | Suture with dual non-slip release mechanism, which declines, creates fascia stitching unstrument |
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CN204931753U (en) * | 2015-08-31 | 2016-01-06 | 缪仁武 | Stomach wall whole layer suture device |
CN105848591A (en) * | 2013-12-09 | 2016-08-10 | 泰利福医疗公司 | Laparoscopic fascial closure system |
CN105962979A (en) * | 2016-06-30 | 2016-09-28 | 鲍平云 | Minimally invasive fascia closer |
CN106214196A (en) * | 2016-07-20 | 2016-12-14 | 江苏三联星海医疗器械股份有限公司 | A kind of deep fascia stiching instrument |
CN206950195U (en) * | 2017-02-08 | 2018-02-02 | 常州安克医疗科技有限公司 | Abdomen wall sewing device |
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2017
- 2017-02-08 CN CN201710068914.5A patent/CN106725672A/en active Pending
Patent Citations (6)
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CN101564313A (en) * | 2007-10-31 | 2009-10-28 | 伊西康内外科公司 | Reloadable laparoscopic fastener deploying device for use in a gastric volume reduction procedure |
CN105848591A (en) * | 2013-12-09 | 2016-08-10 | 泰利福医疗公司 | Laparoscopic fascial closure system |
CN204931753U (en) * | 2015-08-31 | 2016-01-06 | 缪仁武 | Stomach wall whole layer suture device |
CN105962979A (en) * | 2016-06-30 | 2016-09-28 | 鲍平云 | Minimally invasive fascia closer |
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Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
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CN107789020A (en) * | 2017-11-13 | 2018-03-13 | 宁波胜杰康生物科技有限公司 | A kind of stitching unstrument |
CN107789020B (en) * | 2017-11-13 | 2024-03-15 | 宁波胜杰康生物科技有限公司 | Stitching instrument |
CN108814665A (en) * | 2018-04-09 | 2018-11-16 | 杭州威德医疗科技有限公司 | A kind of disposable stitching unstrument |
CN109717917A (en) * | 2019-03-10 | 2019-05-07 | 孙奇勋 | Suture with dual non-slip release mechanism, which declines, creates fascia stitching unstrument |
CN109717917B (en) * | 2019-03-10 | 2024-05-28 | 蔡陆兵 | Suture type minimally invasive fascia suture with dual anti-slip mechanism |
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Application publication date: 20170531 |