CN107233112A - A kind of liver and gall surgical department operation pulling device - Google Patents
A kind of liver and gall surgical department operation pulling device Download PDFInfo
- Publication number
- CN107233112A CN107233112A CN201710420114.5A CN201710420114A CN107233112A CN 107233112 A CN107233112 A CN 107233112A CN 201710420114 A CN201710420114 A CN 201710420114A CN 107233112 A CN107233112 A CN 107233112A
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- opening portion
- gear
- limiting plate
- annular
- backup pad
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0293—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with ring member to support 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)
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- Veterinary Medicine (AREA)
- Accommodation For Nursing Or Treatment Tables (AREA)
Abstract
The invention belongs to technical field of medical instruments, more particularly to a kind of liver and gall surgical department operation pulling device, including annular backup pad, the inside of annular backup pad sets annular accommodating chamber, the upper surface of annular backup pad sets the first opening portion and the second opening portion, annular accommodating chamber is connected with the first opening portion and the second opening portion, the first gear and second gear for setting transmission to coordinate in annular accommodating chamber, first gear upper surface sets multiple columns, the upper end of column stretches out the first opening portion and sets the first limiting plate, regulating bolt and the second limiting plate, regulating bolt internal thread connecting screw rod, one end of screw rod is through the first limiting plate and sets hook, the other end of screw rod runs through the second limiting plate, the upper end of second gear stretches out the second opening portion and sets handle.The present invention is adjusted by the way that hook is fixedly installed in first gear, and by second gear to the position of first gear and hook, realizes fine setting, improves the accuracy of operation.
Description
Technical field
The invention belongs to technical field of medical instruments, more particularly to a kind of liver and gall surgical department operation pulling device.
Background technology
Liver and gall surgical department's groundwork is research and treatment hepatocellular carcinoma, hepatic calculus, posthepatitic cirrhosis and heavy liver
Acute liver failure caused by inflammation etc. seriously threaten compatriots health major disease, hepatic calculus mean ductuli hepaticus communis bifurcated with
On bile duct in calculus.In the common disease of liver and gall surgical department, it usually needs needed when performing the operation, and performing the operation to region of interest
The tissue retractions such as the cortex at operative incision, ligament and muscle are made into exposure of surgical field, need to use hooking device in the process,
Not influence the visual field of the doctor in surgical procedure, traditional hooking device is using multiple hooks respectively from different directions to operation
Otch is outwards drawn, wherein hook one end be fixedly connected with operating table, the other end to operative incision progress hook make its to
Outer expansion, is due to need to control leading of being linked up with each direction although this method provides preferably operation vision
, there is operating process complexity, the technical problem of increase operating time in gravitation degree, further, since the fixed position of operating table is limited,
So there is fixed technical problem loosely.
Application publication number CN105054981A discloses a kind of liver and gall surgical department operation hooking device, liver and gall surgical department's hand
Art hooking device top is provided with crotch, and the liver and gall surgical department is set outside connect band, the liver and gall with operation hooking device top
Section is provided with fixed plate with operation hooking device top, and the liver and gall surgical department is provided with coupler body with operation hooking device top, institute
State liver and gall surgical department and operation hooking device right part is provided with hook.The structure is disadvantageous in that:The structure is using process
In need to be fixed on operating table by crotch, or by two crotches support the use mutually overlap joint be fixed, fixation procedure
In there are still the unsteady technical problem of tradition hook.
Application publication number CN106037839A provides a kind of liver and gall surgical department operation hooking device, including drag hook body, ring
Shape circle, slideway, described drag hook body include drag hook, hand lever, fix bar and screw, and described fix bar is through-hole structure,
Through hole spiral in fix bar is connected with hand lever, is hinged with hook structure in the front end of hand lever, described hand lever
Tail end is connected with nut structure, bolt structure is also equipped with fix bar, described installation of slide track is in annular ring, fix bar
In the slideway that annular ring is arranged on by bolt structure;But the structure is disadvantageous in that:Drag hook body needs to enter manually
Row rotation determines the angle opened, but manually operated Stability and veracity is not good, and the design of drag hook is cut to operation
Secondary damage is easily caused at mouthful, so as to influence postoperative recovery effects, the structure never records the fixation of hooking device in addition
Technical scheme.
The content of the invention
In view of this, the purpose of the present invention is to be pulled in view of the shortcomings of the prior art there is provided a kind of liver and gall surgical department with operation
Device, is carried out by the way that hook is fixedly installed in first gear, and by second gear to the position of first gear and hook
Adjustment, realizes fine setting, improves the accuracy of operation.
To reach above-mentioned purpose, the present invention uses following technical scheme:
A kind of liver and gall surgical department operation pulling device, including annular backup pad, the inside of the annular backup pad sets annular to hold
Receive chamber, the upper surface of the annular backup pad sets the first opening portion and the second opening portion, the annular accommodating chamber and described the
One opening portion is connected with the second opening portion, the first gear and second gear for setting transmission to coordinate in the annular accommodating chamber,
The first gear is loop configuration and its upper surface sets multiple columns for rotating connection, and the upper end of the column stretches out described
First opening portion simultaneously sets the first limiting plate, regulating bolt and the second limiting plate, the regulating bolt be located at the first limiting plate and
Between second limiting plate, the regulating bolt internal thread connecting screw rod, one end of the screw rod is run through the first limiting plate and set
Hook, the other end of the screw rod runs through the second limiting plate, and the upper end of the second gear is stretched out second opening portion and set
Put and handle hole is set under handle, the first opening portion of the annular backup pad;Driven gear, the ring are set with the column
The drive gear that shape supporting plate is rotated provided with driving driven gear, the rotating shaft of the drive gear is provided with rotating handles, institute
Regulating bolt is stated provided with ratchet spanner.
Further, first opening portion is loop configuration.
Further, first opening portion is multiple and is arcuate structure.
Further, the lower surface of the annular backup pad sets multiple suckers.
Further, the lower surface of the annular backup pad sets multiple support bars.
Further, annular lug is provided with the annular accommodating chamber, the first gear is rotatably arranged on annular lug
On.
The beneficial effects of the invention are as follows:
1. the present invention includes annular backup pad, the inside of annular backup pad sets annular accommodating chamber, the upper surface of annular backup pad
First opening portion and the second opening portion are set, and annular accommodating chamber is connected with the first opening portion and the second opening portion, annular is accommodated
Intracavitary sets the first gear and second gear that transmission coordinates, and wherein first gear is slided in annular accommodating chamber, first gear
For loop configuration and the multiple columns of its upper surface setting, the upper end of column stretches out first opening portion and setting first is spacing
Plate, regulating bolt and the second limiting plate, regulating bolt are located between the first limiting plate and the second limiting plate, regulating bolt internal thread
Connecting screw rod, one end of screw rod runs through the first limiting plate and sets hook, and the other end of screw rod runs through the second limiting plate, the second tooth
The upper end of wheel stretches out the second opening portion and sets handle;
This structure is when in use:The first step, is first fixed on operation by hanging apparatus or support meanss by annular backup pad and cuts
The top of mouth;Second step, according to the direction and position of operative incision, drives second gear to realize adjustment first gear by handle
With positioned at the position of first gear upper pillar stand, hook is set to be located at the position most preferably retracted, this structure can be real using gear drive
The fine setting of position is now linked up with, the accuracy during hook position adjustments is effectively improved;3rd step, spiral shell is driven by regulating bolt
Bar and hook are moved inward or outward, and the first limiting plate and the second limiting plate play position-limiting action to regulating bolt, prevent regulation
Bolt sideslip, is retracted to the tissue for incision of performing the operation, in the step, by screw rod transmission, can also be realized to hook position
Precise fine-adjustment;Pass through the present apparatus, it is possible to achieve accurate alignment and traction to surgical incision site;It is noted that second
Gear can be designed in the outside or inner side of first gear, and second gear can be designed as multiple, pass through multiple second gears
Adjustment is synchronized to first gear, transmission efficiency is improved.
Particularly, the screw rod in the present invention and annular backup pad are detachable connection, can be thoroughly to screw rod and hook
Cleaning and sterilizing is carried out, compared with prior art, is easy to the fast quick-detach of screw rod and hook, improves cleaning efficiency.
2. the lower surface of annular backup pad sets multiple suckers, by sucker suction be covered in the sweat shirt of operation or
Annular backup pad is fixed by designing sucker for operation edge of table, this structure design, effectively improves the structure of the present invention
Stability.
3. the lower surface of annular backup pad sets multiple support bars, this structure design can be used alone, can also be with suction
Disk collocation is used, and support bar can be fixed with operating table by bolt, further steady during raising use of the present invention
It is qualitative.
4. the inner face of hook sets air bag, this structure in use, selecting hook number as needed, remaining is used to hang
Hang the skin at the tissue of intracavitary, balloon contacts operative incision or hang intrathoracic tissue, prevent hook from being made to tissue
Into secondary damage, it need to be pointed out that air bag can be pasted onto on hook, two can also be set on hook by hole, air bag two
End is extended through by being interfixed behind hole by magic tape, and this structure design secures the air-bag to extension using Demountable
On hook, edge facilitates the dismounting and the cleaning to hook of air bag.
Brief description of the drawings
Fig. 1 is the structural representation of the embodiment of the present invention one;
Fig. 2 is the structural representation of the limiting plate of the embodiment of the present invention one first and the second limiting plate;
Fig. 3 is the structural representation of the sucker of the embodiment of the present invention one;
Fig. 4 is the structural representation of second ring supporting plate of the embodiment of the present invention;
Fig. 5 is the structural representation of the support bar of the embodiment of the present invention two;
Fig. 6 is the structural representation that the air bag of the embodiment of the present invention three is fixed on hook;
Fig. 7 is the structural representation that the air bag of the embodiment of the present invention three is removably mounted on hook;
Fig. 8 is the structural representation of the limiting plate of the embodiment of the present invention 4 first and the second limiting plate;
Fig. 9 is cross section structure diagram of the invention.
Embodiment
The invention will be further described with reference to the accompanying drawings and examples.
Embodiment one
As shown in Figures 1 to 9, the present invention includes annular backup pad 1, and the inside of annular backup pad 1 opens up annular accommodating chamber 2, ring
The upper surface of shape supporting plate 1 opens up the first opening portion 3 and the second opening portion 4, annular accommodating chamber 2 respectively with the first opening portion 3 and
Second opening portion 4 is connected, and the first opening portion 3 is that the first gear 5 that transmission coordinates is set in loop configuration, annular accommodating chamber 2
With second gear 6, first gear 5 is that the angle between four columns 23 of loop configuration and the setting of its upper surface, adjacent upright posts is
90 °, the upper end of column stretches out the first opening portion 3 and is fixedly connected with the first limiting plate 7, the limiting plate 9 of regulating bolt 8 and second,
Regulating bolt 8 is located between the first limiting plate 7 and the second limiting plate 9, the internal thread connecting screw rod 10 of regulating bolt 8, screw rod 10
One end is through the first limiting plate 7 and is fixedly connected with hook 11, and the other end of screw rod 10 runs through the second limiting plate 9, the second opening portion 4
It is three with second gear 6, the upper end of each second gear 6 stretches out the second opening portion 4 and is fixedly connected with handle 12, annular
Setting handle hole 21 under four suckers 13, the first opening portion of the annular backup pad is uniformly fixed in the lower surface of supporting plate 1;Institute
State and driven gear 27 is set with column, the drive gear 26 that the annular backup pad 1 is rotated provided with driving driven gear, institute
The rotating shaft for stating drive gear is provided with rotating handles 25.Annular lug is provided with the annular accommodating chamber, the first gear turns
It is dynamic to be arranged on annular lug 22.The first gear is provided with groove, the groove and is inlaid with bearing, and the column is fixed
In brearing bore, by rotating rotating handles adjusting post actively, so that the angle of adjusting screw rod, the hook leads to screw rod
Cross bearing and rotate connection, hook will not be driven to rotate;The transverse arm 28 of the hook is made up of flexible material.
Embodiment two
The present invention includes annular backup pad 1, and the inside of annular backup pad 1 opens up annular accommodating chamber 2, the upper end of annular backup pad 1
Face opens up the first opening portion 3 and the second opening portion 4, and annular accommodating chamber 2 is connected with the first opening portion 3 and the second opening portion 4 respectively
Logical, the first opening portion 3 is multiple and is arcuate structure, the tooth of first gear 5 and second for setting transmission to coordinate in annular accommodating chamber 2
Wheel 6, first gear 5 is loop configuration and its upper surface sets the angle between four columns, adjacent upright posts to be 90 °, column
Upper end stretches out the first opening portion 3 and is fixedly connected with the first limiting plate 7, the limiting plate 9 of regulating bolt 8 and second, regulating bolt 8
Between the first limiting plate 7 and the second limiting plate 9, the internal thread connecting screw rod 10 of regulating bolt 8, one end of screw rod 10 runs through first
Limiting plate 7 is simultaneously fixedly connected with hook 11, and the other end of screw rod 10 runs through the second limiting plate 9, the second opening portion 4 and second gear 6
It it is three, the upper end of each second gear 6 stretches out the second opening portion 4 and is fixedly connected with handle 12, under annular backup pad 1
End face uniformly fixes four suckers 13 and multiple support bars 14, and the lower end of support bar 14 sets fixing bolt 15, the annular brace
Handle hole 21 is set under first opening portion of plate;Driven gear 27 is set with the column, the annular backup pad 1 is provided with
The drive gear 26 for driving driven gear to rotate, the rotating shaft of the drive gear is provided with rotating handles 25.The annular is accommodated
Intracavitary is provided with annular lug, and the first gear is rotatably arranged on annular lug 22.The first gear is provided with groove, institute
State and bearing is inlaid with groove, the column is fixed in brearing bore, by rotating rotating handles adjusting post actively, so that
The angle of adjusting screw rod, the hook is rotated by bearing with screw rod and is connected, and hook will not be driven to rotate;The transverse arm of the hook
28 are made up of flexible material.
The present embodiment and the structure of embodiment one are essentially identical, unlike:As shown in Figure 4 and Figure 5, the first opening portion 3
To be multiple and be arcuate structure, the lower surface of annular backup pad 1 also sets up multiple support bars 14.
Embodiment three
The present invention includes annular backup pad 1, and the inside of annular backup pad 1 opens up annular accommodating chamber 2, the upper end of annular backup pad 1
Face opens up the first opening portion 3 and the second opening portion 4, and annular accommodating chamber 2 is connected with the first opening portion 3 and the second opening portion 4 respectively
Logical, the first opening portion 3 is that the first gear 5 and second gear 6 that transmission coordinates, first are set in loop configuration, annular accommodating chamber 2
Gear 5 is that loop configuration and its upper surface set the angle between 6 columns, adjacent upright posts to be 90 °, and the upper end of column stretches out the
One opening portion 3 is simultaneously fixedly connected with the first limiting plate 7, the limiting plate 9 of regulating bolt 8 and second, and it is spacing that regulating bolt 8 is located at first
Between the limiting plate 9 of plate 7 and second, the first limiting plate 7 is run through simultaneously in the internal thread connecting screw rod 10 of regulating bolt 8, one end of screw rod 10
Hook 11 is fixedly connected with, the inner face of hook 11 sets air bag 16, and the other end of screw rod 10 runs through the second limiting plate 9, and second opens
Oral area 4 and second gear 6 are three, and the upper end of each second gear 6 stretches out the second opening portion 4 and is fixedly connected with handle
12, the lower surface of annular backup pad 1, which is uniformly fixed, sets operation under four suckers 13, the first opening portion of the annular backup pad
Hole 21;Driven gear 27, the sliding tooth that the annular backup pad 1 is rotated provided with driving driven gear are set with the column
Wheel 26, the rotating shaft of the drive gear is provided with rotating handles 25.Annular lug, described first are provided with the annular accommodating chamber
Pinion rotation is arranged on annular lug 22.The first gear, which is provided with groove, the groove, is inlaid with bearing, described vertical
Post is fixed in brearing bore, by rotating rotating handles adjusting post actively, so that the angle of adjusting screw rod, the hook with
Screw rod is rotated by bearing and connected, and hook will not be driven to rotate;The transverse arm 28 of the hook is made up of flexible material.
The present embodiment and the structure of embodiment one are essentially identical, unlike:As shown in fig. 6, the inner face of hook 11 is set
Air bag 16 is put, air bag 16 can be pasted and fixed on hook 11, as shown in fig. 7, can also be fixed on by Demountable
On hook 12, specifically, set two on hook 12 by hole 17, the two ends of air bag 16 extend through by behind hole 17 by viscous
Cingulum interfixes.
Example IV
The present invention includes annular backup pad 1, and the inside of annular backup pad 1 opens up annular accommodating chamber 2, the upper end of annular backup pad 1
Face opens up the first opening portion 3 and the second opening portion 4, and annular accommodating chamber 2 is connected with the first opening portion 3 and the second opening portion 4 respectively
Logical, the first opening portion 3 is that the first gear 5 and second gear 6 that transmission coordinates, first are set in loop configuration, annular accommodating chamber 2
Gear 5 is loop configuration and its upper surface sets four columns 7, and the upper end of column 7 is stretched out the first opening portion 3 and is fixedly connected
First limiting plate 8, the limiting plate 10 of regulating bolt 9 and second, regulating bolt 9 be located at the first limiting plate 8 and the second limiting plate 10 it
Between, the internal thread connecting screw rod 11 of regulating bolt 9, one end of screw rod 11 runs through the first limiting plate 8 and is fixedly connected with hook 12, screw rod
11 other end runs through the second limiting plate 10, and the upper end of second gear 6 stretches out the second opening portion 4 and sets handle 13, annular branch
The lower surface of fagging 1, which is fixedly mounted under multiple suckers 14, the first opening portion of the annular backup pad, sets handle hole 21;It is described
Driven gear 27 is set with column, the drive gear 26 that the annular backup pad 1 is rotated provided with driving driven gear is described
The rotating shaft of drive gear is provided with rotating handles 25.Annular lug is provided with the annular accommodating chamber, the first gear is rotated
It is arranged on annular lug 22.The first gear is provided with groove, the groove and is inlaid with bearing, and the column is fixed on
In brearing bore, by rotating rotating handles adjusting post actively, so that the angle of adjusting screw rod, the hook passes through with screw rod
Bearing rotates connection, and hook will not be driven to rotate;The transverse arm 28 of the hook is made up of flexible material.
The present embodiment and the structure of embodiment one are essentially identical, unlike:As shown in figure 8, the first limiting plate 8 and second
The relative end face of limiting plate 10 sets groove 18, and the two ends of regulating bolt 9 are located in groove 18 respectively, and this structure design can be right
The position of regulating bolt 9 is further limited, and prevents the phenomenon that regulating bolt 9 is lost from occurring.
Finally illustrate, the above embodiments are merely illustrative of the technical solutions of the present invention and it is unrestricted, this area is common
Other modifications or equivalent substitution that technical staff is made to technical scheme, without departing from technical solution of the present invention
Spirit and scope, all should cover among scope of the presently claimed invention.
Claims (5)
1. a kind of liver and gall surgical department operation pulling device, including annular backup pad, it is characterised in that:The annular backup pad it is interior
Portion sets annular accommodating chamber, and the upper surface of the annular backup pad sets the first opening portion and the second opening portion, and the annular is held
Chamber of receiving is connected with first opening portion and the second opening portion, the first gear for setting transmission to coordinate in the annular accommodating chamber
And second gear, the first gear is loop configuration and its upper surface sets multiple columns, and institute is stretched out in the upper end of the column
State the first opening portion and the first limiting plate, regulating bolt and the second limiting plate are set, the regulating bolt is located at the first limiting plate
And second between limiting plate, the regulating bolt internal thread connecting screw rod, the screw rod one end is through the first limiting plate and sets
Hook is put, the other end of the screw rod runs through the second limiting plate, and second opening portion is stretched out simultaneously in the upper end of the second gear
Set and handle hole is set under handle, the first opening portion of the annular backup pad;Driven gear is set with the column, it is described
The drive gear that annular backup pad is rotated provided with driving driven gear, the rotating shaft of the drive gear is provided with rotating handles.
2. a kind of liver and gall surgical department according to claim 1 operation pulling device, it is characterised in that:First opening portion
For loop configuration.
3. a kind of liver and gall surgical department according to claim 1 operation pulling device, it is characterised in that:First opening portion
To be multiple and be arcuate structure.
4. a kind of liver and gall surgical department according to claim 1 operation pulling device, it is characterised in that:The annular backup pad
Lower surface multiple suckers are set.
5. a kind of liver and gall surgical department according to claim 1 operation pulling device, it is characterised in that:The annular backup pad
Lower surface multiple support bars are set.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201710420114.5A CN107233112A (en) | 2017-06-06 | 2017-06-06 | A kind of liver and gall surgical department operation pulling device |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201710420114.5A CN107233112A (en) | 2017-06-06 | 2017-06-06 | A kind of liver and gall surgical department operation pulling device |
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CN107233112A true CN107233112A (en) | 2017-10-10 |
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ID=59986037
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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CN201710420114.5A Pending CN107233112A (en) | 2017-06-06 | 2017-06-06 | A kind of liver and gall surgical department operation pulling device |
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CN (1) | CN107233112A (en) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109998612A (en) * | 2019-04-15 | 2019-07-12 | 遵义市红花岗区人民医院 | Cerebral surgery operation retractor |
CN115024772A (en) * | 2022-06-14 | 2022-09-09 | 青岛钰仁医疗科技有限公司 | Double-channel spinal minimally invasive surgery system, control method and channel tube device |
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CN204484196U (en) * | 2015-02-04 | 2015-07-22 | 尹志伊 | Retractor for thoracic operation |
CN205019101U (en) * | 2015-10-08 | 2016-02-10 | 无锡市人民医院 | Drag hook for cesarean deliery |
CN205988307U (en) * | 2016-07-03 | 2017-03-01 | 中日友好医院 | A kind of new guarantor's head boxlike osteotome |
CN205994532U (en) * | 2016-07-11 | 2017-03-08 | 南阳市第二人民医院 | A kind of buffering adjustable chest surgical operation take-up device |
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CN101015466A (en) * | 2007-03-01 | 2007-08-15 | 王俊 | Adjustable abdomen wall retractor |
US20140336471A1 (en) * | 2013-05-10 | 2014-11-13 | Spine Wave, Inc. | Kit of parts for use in retracting body tissue |
CN104546078A (en) * | 2014-12-27 | 2015-04-29 | 王才丰 | Clinical puncture guidance positioning and fixing device |
CN204484196U (en) * | 2015-02-04 | 2015-07-22 | 尹志伊 | Retractor for thoracic operation |
CN205019101U (en) * | 2015-10-08 | 2016-02-10 | 无锡市人民医院 | Drag hook for cesarean deliery |
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Publication number | Priority date | Publication date | Assignee | Title |
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CN109998612A (en) * | 2019-04-15 | 2019-07-12 | 遵义市红花岗区人民医院 | Cerebral surgery operation retractor |
CN109998612B (en) * | 2019-04-15 | 2020-07-14 | 遵义市红花岗区人民医院 | Retractor for brain surgery |
CN115024772A (en) * | 2022-06-14 | 2022-09-09 | 青岛钰仁医疗科技有限公司 | Double-channel spinal minimally invasive surgery system, control method and channel tube device |
CN115024772B (en) * | 2022-06-14 | 2023-03-10 | 青岛钰仁医疗科技有限公司 | Double-channel spine minimally invasive surgery system, control method and channel tube device |
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Application publication date: 20171010 |