CN107080567A - Disposable anorectal selects the instruction safeties of Endo-GIA - Google Patents
Disposable anorectal selects the instruction safeties of Endo-GIA Download PDFInfo
- Publication number
- CN107080567A CN107080567A CN201710312031.4A CN201710312031A CN107080567A CN 107080567 A CN107080567 A CN 107080567A CN 201710312031 A CN201710312031 A CN 201710312031A CN 107080567 A CN107080567 A CN 107080567A
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- China
- Prior art keywords
- indicator
- pointer
- drag hook
- gia
- screw mandrel
- Prior art date
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- Pending
Links
- 238000009527 percussion Methods 0.000 claims abstract description 27
- 230000001105 regulatory effect Effects 0.000 claims abstract description 14
- 230000006835 compression Effects 0.000 claims abstract description 11
- 238000007906 compression Methods 0.000 claims abstract description 11
- 238000009434 installation Methods 0.000 claims abstract description 5
- 230000000694 effects Effects 0.000 claims 1
- 208000014617 hemorrhoid Diseases 0.000 abstract description 18
- 238000005520 cutting process Methods 0.000 abstract description 8
- 210000000936 intestine Anatomy 0.000 abstract description 8
- 239000003814 drug Substances 0.000 abstract description 2
- 210000000436 anus Anatomy 0.000 description 11
- 201000010099 disease Diseases 0.000 description 6
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 6
- 230000003872 anastomosis Effects 0.000 description 5
- 230000002980 postoperative effect Effects 0.000 description 5
- 238000002271 resection Methods 0.000 description 5
- 230000008520 organization Effects 0.000 description 3
- 230000001737 promoting effect Effects 0.000 description 3
- 238000011084 recovery Methods 0.000 description 3
- 208000015815 Rectal disease Diseases 0.000 description 2
- 210000001367 artery Anatomy 0.000 description 2
- 230000036770 blood supply Effects 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 239000000284 extract Substances 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000001575 pathological effect Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 238000003466 welding Methods 0.000 description 2
- 206010048946 Anal abscess Diseases 0.000 description 1
- 240000002853 Nelumbo nucifera Species 0.000 description 1
- 235000006508 Nelumbo nucifera Nutrition 0.000 description 1
- 235000006510 Nelumbo pentapetala Nutrition 0.000 description 1
- 235000008331 Pinus X rigitaeda Nutrition 0.000 description 1
- 235000011613 Pinus brutia Nutrition 0.000 description 1
- 241000018646 Pinus brutia Species 0.000 description 1
- 238000002679 ablation Methods 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 238000009826 distribution Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000004904 shortening Methods 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
- A61B17/11—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
-
- 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
- A61B17/3209—Incision instruments
-
- 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
- A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
-
- 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
- A61B2017/1142—Purse-string sutures
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 present invention relates to the instruction safeties that a kind of disposable anorectal selects Endo-GIA, supported the use for disposable anorectal selection Endo-GIA, belong to medicine equipment, be particularly suitable for use in the cutting of anal intestine hemorrhoid and coincide.Including form, indicator, pin pointer spring, regulating block, guider screw, compression spring, pointer drag hook and percussion insurance boss;Indicator and pointer spring are respectively mounted the indicator being fixed on fixed handle and installed in raised and pointer spring installation projection, and indicator profile is U-shaped, is passed through for screw mandrel, pointer drag hook rear end is provided with circular hole, it is sleeved on screw mandrel, front end is provided with drag hook, is hooked in indicator;Pointer drag hook front end is provided with escape groove, and form is arranged on the indicating window mounting hole of fixed handle, and the position of indicator can be observed by form;Compression spring is sleeved on the screw mandrel of pointer drag hook rear end, is had long waist shaped hole on regulating block, is fixed on by guider screw on screw mandrel, and long waist shaped hole can adjust the position of regulating block manually.
Description
Technical field
The present invention relates to the instruction safeties that a kind of disposable anorectal selects Endo-GIA, for disposable anus
Intestines selection Endo-GIA is supported the use, and belongs to medicine equipment, is particularly suitable for use in the cutting of anal intestine hemorrhoid and is coincide.
Background technology
Anal and bowel pile is commonly called as hemorrhoid, is the distinctive common disease of the mankind, frequently-occurring disease.Show according to relevant reconnaissance information, anus
The incidence of disease of recial disease is 59.1%, hemorrhoid account in all anorectal diseases 87.25%, it is and wherein most commonly seen with internal piles, account for
The 52.19% of all anorectal diseases.Men and women can fall ill, and the incidence of disease of women is 67%, and the incidence of disease of male is 53.9%, any
Age can all fall ill, and gradually be aggravated with the increase at age, therefore it is said that nine out ten suffer from hemorrhoids.General operative treatment includes ligation
The traditional operations such as method, Barron ligation, hemorrhoid excision.Troublesome poeration, requires high, behaviour in surgical procedure to the clinical experience of doctor
Make it is careless slightly will result in Massive Bleeding, increase patient's pain extends operating time, success rate of operation is low, incision is uneven
Whole smooth, wound suture is unsightly.Original disposable anus perianal abscess stapler front end used in operation is integrated, inseparable
From again the pocket hole that front end is measured without adjustable resection organization, cutting limitation is big, constrains what user operated in practical operation
Space, complex operation step increases operating time.
Current disposable anorectal Endo-GIA(PPH)Operation method is stapled propsectomy, during operation, by anal intestine
Whole section of resection and anastomosis of inner tissue together, causes the artery that arteria rectalis superiod supplies hemorrhoid to be cut off, postoperative identical tissue blood supply
Reduce, post-operative recovery time is long.
The content of the invention
The present invention seeks to provide the instruction guarantor that a kind of disposable anorectal selects Endo-GIA for above-mentioned weak point
Dangerous device, instruction safeties and the disposable anorectal of disposable anorectal selection Endo-GIA select that Endo-GIA is supporting to be made
With, in anal intestine hemorrhoid resection operation, selectable excision prolapsus internal piles, it is possible to retain and normally organize, prevent hemorrhoid artery quilt
Completely cut through, it is ensured that postoperative anal intestine tissue blood supply is unobstructed, and post-operative recovery time is short.
The instruction safeties of disposable anorectal selection Endo-GIA are realized using following technical scheme:
Disposable anorectal selection Endo-GIA instruction safeties include form, indicator, pin pointer spring, regulating block,
Guider screw, compression spring, pointer drag hook, percussion insurance boss.Indicator and pointer spring, which are respectively mounted, is fixed on fixed hand
Indicator on handle is installed raised and pointer spring and installed in projection, and indicator profile is U-shaped, is passed through for screw mandrel, and pointer is drawn
Hook rear end is provided with circular hole, is sleeved on screw mandrel, and front end is provided with drag hook, is hooked in indicator.Pointer drag hook front end is provided with escape groove,
Form is arranged on the indicating window mounting hole of fixed handle, and the position of indicator can be observed by form.Compression spring is sleeved on
On the screw mandrel of pointer drag hook rear end, regulating block takes the shape of the letter U, and has long waist shaped hole on regulating block, is fixed on by guider screw on screw mandrel.
Long waist shaped hole can adjust the position of regulating block manually.Rotating adjusting nut adjust resist-nailed seat and nail bin face apart from when, adjust spiral shell
Female front end promotes compression spring, then push pointer drag hook, reaches the position of regulation indicator, when resist-nailed seat and the distance in nail bin face
It is adapted to percussion, the percussion insurance boss of flexible handle front end can pass through the escape groove of pointer drag hook front end, complete percussion.When to nail
The distance in seat and nail bin face is not suitable for percussion, when indicator is located at red area, the percussion insurance boss meeting of flexible handle front end
Push up in pointer drag hook main body, it is impossible to complete percussion, play a part of an insurance.
Fixed handle component is formed by left and right two fixed handle Combination Weldings, and fixed handle inside front ends are provided with rotation
The installation of handle is raised, and fixed handle inside front ends are provided with rear end on the inside of the sliding groove of straight push rod, fixed handle and are provided with regulation spiral shell
Female mounting groove, mounting hole of the fixed handle middle inside provided with flexible handle, indicator install raised, pointer spring and install convex
Rise and straight push rod pin mounting hole, the mounting hole of indicating window is provided with the top of fixed handle.
Adjusting nut component includes screw mandrel, adjusting nut back-up ring, adjusting nut pin, adjusting nut, fine-tuning nut, regulation spiral shell
Female boring cover.Adjusting nut is provided with adjusting nut pin-and-hole, and adjusting nut pin is arranged in adjusting nut pin-and-hole, and outer cover is equipped with tune
Nut back-up ring is saved, prevents adjusting nut pin from releasing, fine pitch screw thread, adjusting nut rear end is provided with adjusting nut rear through hole
Screw mandrel fine setting internal thread is provided with portion hole, screw mandrel fine-tuning nut is arranged on adjusting nut rearward end, and adjusting nut rearward end has
Adjusting nut boring cover.Adjust screw mandrel rear portion to screw in adjusting nut, in adjusting nut pin insertion regulation wire rod thread groove, rotation is adjusted
Save nut driving regulation screw mandrel to move forward and backward, be easy to adjust the position of resist-nailed seat.
Operation principle
The instruction safeties of disposable anorectal selection Endo-GIA are supported the use with disposable anorectal selection Endo-GIA
When, support set is enclosed on anus beyond the Great Wall first, support set is imported into patient's anus, anus plug is extracted, then using the positioning of support set,
Regulation needs the position performed the operation, and then fixes support set.Pocket is played to the tissue for needing to cut, cutting will be needed with purse wire
Tissue hang, turn adjusting nut counterclockwise, by screw mandrel, pull bar releases resist-nailed seat, and the lotus of resection organization is needed by hanging
Envelope curve, the circular hole through in the middle of nail bin push jack, tightens up purse wire, adjusts the tissue for needing to cut off, turn clockwise regulation spiral shell
Mother, being fixed needs the tissue of excision, and by showing that window pointer enters green area, now doctor can press flexible handle,
Flexible handle promotes straight push rod, and straight push rod is by promoting push jack to promote panel seat, push jack pushing plate to promote push jack and endless knife, together
When promote anastomosis staple by tissue apposition, after tissue apposition, the tissue cut-out that will need to cut off of closed ring knife selectivity, pine
Flexible handle is opened, drives straight push rod, endless knife to reset by flexible handle spring, nail is supported in rotate counterclockwise adjusting nut, ejection
Seat, unclamps tissue, extracts disposable anorectal selection Endo-GIA out, completes anal intestine hemorrhoid selection cutting anastomosis operation.
The instruction safeties of disposable anorectal selection Endo-GIA are reasonable in design, rational in infrastructure, disposable anorectal choosing
The instruction safeties and disposable anorectal selection Endo-GIA for selecting Endo-GIA are supported the use conveniently, using what is do not closed
Arcuate cutting blade, nail bin, push jack, according to hemorrhoid distribution situation, selectively cutting coincide, and reduces wound.Its mechanism is to have followed
The Forming Mechanism of human body hemorrhoid, the physiological and pathological structure design according to hemorrhoid is formed.Sticked during treatment in the hemorrhoid of precise ablation prolapsed portion
Film, the pathologic, physiologic that both correct for hemorrhoid is sexually revised, and normal anus pad and mucosal bridge are remained again, maintains the normal work(of anus
Can, operation wound is reduced, post-operative recovery time is also greatly shortened.Doctor is easy to operate in operation, when the finger of observation window
Show pin in green area, the at this moment percussion of flexible handle front end is insured boss and is located at below the escape groove of pointer drag hook front end, presses
During dynamic flexible handle, the percussion insurance boss of flexible handle front end can pass through the escape groove of pointer drag hook front end, complete percussion,
Without as existing product, doctor will be also opened after insurance, can just be fired.In surgical procedure, indicator does not exist
Green area, if doctor's imprudence has pressed flexible handle, now, the percussion insurance boss directly top of flexible handle front end is arrived
In pointer drag hook main body, it is impossible to fire, it is to avoid mistakenly hit hair ensures that operation is normally carried out, indicate that safeties greatly reduce operation
Present in risk.Screw mandrel uses gaining twist, can accelerate the distance between regulation resist-nailed seat and nail bin, when shortening operation
Between, reduce the pain that operation is brought to patient.
Brief description of the drawings:
Below in conjunction with accompanying drawing, the invention will be further described:
Fig. 1 is disposable anorectal selection Endo-GIA structural representation.
Fig. 2 is the instruction safeties structural representation that disposable anorectal selects Endo-GIA.
Fig. 3 is the fixed handle modular construction schematic diagram that disposable anorectal selects Endo-GIA.
Fig. 4 is the adjusting nut modular construction schematic diagram that disposable anorectal selects Endo-GIA.
Embodiment:
Referring to the drawings 1-4, disposable anorectal selection Endo-GIA includes selective resist-nailed seat component 1, selective nail bin groupware
2nd, percussion drive device 3, instruction safeties 4, fixed handle component 5, rotary handle component 6 and adjusting nut component 7.
The instruction safeties 4 of disposable anorectal selection Endo-GIA include form 4-1, indicator 4-2, pin pointer bullet
Spring 4-3, regulating block 4-4, guider screw 4-5, compression spring 4-6, pointer drag hook 4-7, percussion insurance boss 3-9-3.Indicator
4-2 and pointer spring 4-3 are respectively mounted the indicator installation projection 5-5 being fixed on fixed handle 5 and pointer spring installs convex
Rise on 5-6, indicator 4-2 profiles are U-shaped, passed through for screw mandrel 7-1, pointer drag hook 4-7 rear ends are provided with circular hole 4-7-1, suit
On screw mandrel 7-1, front end is provided with drag hook 4-7-2, is hooked on indicator 4-2.Pointer drag hook 4-7 front ends are provided with escape groove 4-7-3,
Form 4-1 is arranged on the indicating window mounting hole 5-8 of fixed handle 5, and indicator 4-2 position can be observed by form 4-1.
Compression spring 4-6 is sleeved on the screw mandrel 7-1 of pointer drag hook 4-7 rear ends, and regulating block 4-4 takes the shape of the letter U, and has long waist on regulating block 4-4
Shape hole 4-4-1, is fixed on screw mandrel 7-1 by guider screw 4-5.Long waist shaped hole 4-4-1 can adjust regulating block 4-4's manually
Position.Rotating adjusting nut 7-4 adjust resist-nailed seat and nail bin face apart from when, adjusting nut 7-4 front ends promote compression spring 4-
6, then push pointer drag hook 4-7, regulation indicator 4-2 position is reached, it is living when the distance in resist-nailed seat and nail bin face is adapted to percussion
The percussion insurance boss 3-9-3 of fixed handle 3-9 front ends can pass through the escape groove 4-7-3 of pointer drag hook front end, complete percussion.When to
Nail seat and the distance in nail bin face are not suitable for percussion, when indicator 4-2 is located at red area, and the percussion insurance of flexible handle front end is convex
Platform 3-9-3 can be pushed up on pointer drag hook main body 4-7-4, it is impossible to complete percussion, play a part of an insurance.
Fixed handle component 5 is formed by left and right two fixed handle Combination Weldings, and the inside front ends of fixed handle 5 are provided with rotation
The installation projection 5-1 of handle 6 is changed hands, the inside front ends of fixed handle 5 are provided with straight push rod 3-5 sliding groove 5-2, the inner side of fixed handle 5
Rear end is provided with adjusting nut 7-4 mounting groove 5-3, mounting hole 5-4 of the middle inside of fixed handle 5 provided with flexible handle, instruction
Pin installs projection 5-5, pointer spring and installs projection 5-6 and straight push rod pin mounting hole 5-7, and fixed handle top is provided with indicating window
Mounting hole 5-8.
Adjusting nut component 7 includes screw mandrel 7-1, adjusting nut back-up ring 7-2, adjusting nut pin 7-3, adjusting nut 7-4, micro-
Adjust nut 7-5, adjusting nut boring cover 7-6.Adjusting nut 7-4 is provided with adjusting nut pin-and-hole 7-4-1, adjusting nut pin 7-3 peaces
In adjusting nut pin-and-hole 7-4-1, outer cover is equipped with adjusting nut back-up ring 7-2, prevents adjusting nut pin 7-3 from releasing, and adjusts
It is provided with nut 7-4 rear through hole in fine pitch screw thread 7-4-2, adjusting nut 7-4 rearward ends hole and is provided with screw mandrel 7-1 fine settings
Internal thread 7-4-3, screw mandrel fine-tuning nut 7-5 are arranged on adjusting nut 7-4 rearward ends, and adjusting nut 7-4 rearward ends have regulation spiral shell
Female boring cover 7-6.Adjust screw mandrel 7-1 rear portions to screw in adjusting nut 7-4, adjusting nut pin 7-3 insertion regulation wire rod thread grooves 7-
In 1-1, rotating adjusting nut 7-4 driving regulation screw mandrels 7-1 is moved forward and backward, and is easy to adjust the position of resist-nailed seat.
The instruction safeties 4 of disposable anorectal selection Endo-GIA and disposable anorectal selection Endo-GIA are supporting
In use, support set is enclosed on into anus beyond the Great Wall first, support set is imported into patient's anus, anus plug is extracted, then utilizes support set
Positioning, regulation needs the position performed the operation, and then fixes support set.Pocket is played to the tissue for needing to cut, need to purse wire
The tissue to be cut is hung, turn adjusting nut 7-4 counterclockwise, and by screw mandrel 7-1, pull bar releases resist-nailed seat, and will hang needs
The purse wire of resection organization, the circular hole through in the middle of nail bin push jack, tightens up purse wire, adjusts the tissue for needing to cut off, up time
Pin rotating adjusting nut 7-4, being fixed needs the tissue of excision, by showing that window 4-1 pointers 4-2 enters green area, now
Doctor can press flexible handle 3-9, and flexible handle 3-9 promotes straight push rod, and straight push rod is by promoting push jack to promote panel seat, push jack
Pushing plate promotes push jack and endless knife, while promoting anastomosis staple by tissue apposition, after tissue apposition, closed ring knife is not selected
Property the tissue cut-out that will need to cut off, unclamp flexible handle 3-9, drive straight push rod, endless knife multiple by flexible handle spring
Position, rotate counterclockwise adjusting nut 7-4 ejects resist-nailed seat, unclamps tissue, extracts disposable anorectal selection Endo-GIA out, complete
Into anal intestine hemorrhoid selection cutting anastomosis operation.
Claims (3)
1. a kind of disposable anorectal selects the instruction safeties of Endo-GIA, it is characterised in that:
It is convex including form, indicator, pin pointer spring, regulating block, guider screw, compression spring, pointer drag hook and percussion insurance
Platform;Indicator and pointer spring are respectively mounted the indicator being fixed on fixed handle and install raised and pointer spring installation projection
On, indicator profile is U-shaped, is passed through for screw mandrel, and pointer drag hook rear end is provided with circular hole, is sleeved on screw mandrel, and front end is provided with drawing
Hook, is hooked in indicator;Pointer drag hook front end is provided with escape groove, and form is arranged on the indicating window mounting hole of fixed handle, is led to
The position of indicator can be observed by crossing form;Compression spring is sleeved on the screw mandrel of pointer drag hook rear end, and regulating block takes the shape of the letter U, and is adjusted
There is long waist shaped hole in locking nub, be fixed on by guider screw on screw mandrel, long waist shaped hole can adjust the position of regulating block manually.
2. disposable anorectal according to claim 1 selects the instruction safeties of Endo-GIA, it is characterised in that:
Mounting hole of the fixed handle middle inside provided with flexible handle, indicator install raised, pointer spring and install raised and straight push rod
Sell the mounting hole that indicating window is provided with the top of mounting hole, fixed handle.
3. disposable anorectal according to claim 1 selects the instruction safeties of Endo-GIA, it is characterised in that:Rotation
Turn adjusting nut regulation resist-nailed seat and nail bin face apart from when, adjusting nut front end promotes compression spring, then push pointer drag hook,
The position of regulation indicator is reached, when the distance in resist-nailed seat and nail bin face is adapted to percussion, the percussion insurance of flexible handle front end is convex
Platform can pass through the escape groove of pointer drag hook front end, complete percussion;When the distance in resist-nailed seat and nail bin face is not suitable for percussion, indicator
During positioned at red area, the percussion insurance boss of flexible handle front end can be pushed up in pointer drag hook main body, it is impossible to completed percussion, risen
To the effect of an insurance.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201710312031.4A CN107080567A (en) | 2017-05-05 | 2017-05-05 | Disposable anorectal selects the instruction safeties of Endo-GIA |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201710312031.4A CN107080567A (en) | 2017-05-05 | 2017-05-05 | Disposable anorectal selects the instruction safeties of Endo-GIA |
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CN201710312031.4A Pending CN107080567A (en) | 2017-05-05 | 2017-05-05 | Disposable anorectal selects the instruction safeties of Endo-GIA |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107485430A (en) * | 2017-09-08 | 2017-12-19 | 江苏孜航精密五金有限公司 | The push jack transmission device of disposable foreskin Endo-GIA |
CN108992117A (en) * | 2018-08-26 | 2018-12-14 | 江苏孜航精密五金有限公司 | The instruction safety device of disposable rotation cast Endo-GIA |
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CN107485430A (en) * | 2017-09-08 | 2017-12-19 | 江苏孜航精密五金有限公司 | The push jack transmission device of disposable foreskin Endo-GIA |
CN107485430B (en) * | 2017-09-08 | 2023-09-26 | 江苏孜航精密五金有限公司 | Pushing piece transmission device of disposable foreskin cutting anastomat |
CN108992117A (en) * | 2018-08-26 | 2018-12-14 | 江苏孜航精密五金有限公司 | The instruction safety device of disposable rotation cast Endo-GIA |
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Application publication date: 20170822 |