CN107334514A - De- nail ring on anastomat for circumcision - Google Patents
De- nail ring on anastomat for circumcision Download PDFInfo
- Publication number
- CN107334514A CN107334514A CN201710711523.0A CN201710711523A CN107334514A CN 107334514 A CN107334514 A CN 107334514A CN 201710711523 A CN201710711523 A CN 201710711523A CN 107334514 A CN107334514 A CN 107334514A
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- China
- Prior art keywords
- nail
- ring
- circumcision
- anastomat
- sheet
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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
- A61B17/32—Surgical cutting instruments
- A61B17/326—Circumcision apparatus
-
- 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
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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)
- Surgical Instruments (AREA)
Abstract
A kind of de- nail ring on anastomat for circumcision, it includes cylindrical for the cartridge of the cylindric blade front end for being inserted into anastomat for circumcision coaxially matched, in the cartridge a coaxial plane ring is provided with being inserted into radial convex on the outer tube wall of the other end corresponding in the cylindric blade, the overall diameter of the plane ring matches with the drive end bearing bracket overall diameter of the anastomat for circumcision, the plane ring is made up of several de- nail sheet splits, the quantity of some de- nail sheets and position correspond with the quantity of the nail bin slotted eye on the drive end bearing bracket and position respectively, and sheet is integrally formed is connected in the cartridge for the every de- nail, the every de- radial width for following closely sheet and circumferential lengths are all higher than the width and length of the nail bin slotted eye.
Description
Technical field
The present invention relates to be used to peritomize with the matching used field of components of anastomat for circumcision, more particularly to one kind
De- nail ring on stapler.
Background technology
To solve the problems, such as that part male is perplexed by redundant prepuce, people start out circumcision.Current hand of peritomizing
Art mainly uses following three kinds of modes:
First, traditional open surgery, long foreskin, art mouth are cut off with scissors and blade and other routine operation apparatuses
Being sutured with suture, operating time length, working doctor amount is big, the positioning of art mouth is nonstandard, operating time is long, amount of bleeding is big,
The art mouth scar of healing is big, postoperative painful, postoperative often hemotoncus, art mouth occur least smooth, it is difficult to which standardization is carried out;
2nd, card for a long time is carried out to long foreskin using various clamp-press type anastomat for circumcision to press, causes card splenium
Position ischemic necrosis and come off, operating time is shorter than traditional operation, convenient and swift, bleeding is few, but postoperative edema is serious, pain degree
High, art mouth healing is most slowly, institute must all be returned by suffering from takes ring, takes ring painful, child even wants to remove ring under secondary anesthesia, taken
Art schistostoma opens probability height after ring, and because oedema is serious, larger scar is also left after the healing of art mouth, and occurs glans penis necrosis disease
Example;
3rd, performed the operation using anastomat for circumcision, such as number of patent application:201210475409.X and patent application
Number:Circumcision suturing device disclosed in 201610537384.X, this operation make the best use of the advantages keeping away to first two operation substantially
It is short, optimal circumcision mode is increasingly becoming, and suturing nail is used and stitched with identical in conventional gastrointestinal stapler
Dowel, this suturing nail manufacturing process is relatively easy, and production cost is low.
Suturing nail as described above is in " Contraband " type, the suture that this Post operation is made up of the suturing nail in some " Contraband " shapes
On the inside of art mouth edge, and two nail pins of each suturing nail are such as the clamping foreskin that bent inwards after staple-shaped puncture foreskin
Art mouth edge forms local suture, and the suture that this Post operation is made up of the suturing nail in some " Contraband " shapes, directly nail is in skin
On skin tissue, during skin healing, the granulation tissue newly grown can wrap up suturing nail, and then be not easy postoperative automatic de-
Fall.
The content of the invention
It is an object of the invention to provide a kind of de- nail ring on anastomat for circumcision, its technology to be solved
Problem is:Existing anastomat for circumcision is after the suturing nail general using gastrointestinal stapler carries out operation stitching, art mouth
In agglutination, because the rivet nut of general suturing nail is very thin, therefore granulation newborn on art mouth can wrap up suturing nail
Come, cause suturing nail to be difficult to self falling, both added the distress level of patient, also increase the later stage work amount of doctor.
In order to solve the above technical problems, the present invention provides a kind of de- nail ring on anastomat for circumcision, it includes
It is cylindrical for the cartridge of the cylindric blade front end for being inserted into anastomat for circumcision coaxially matched, the cartridge
It is upper to be provided with a coaxial plane ring with being inserted into radial convex on the outer tube wall of the other end corresponding in the cylindric blade,
The overall diameter of the plane ring matches with the drive end bearing bracket overall diameter of the anastomat for circumcision, if the plane ring by
Dry de- nail sheet split composition, the quantity of some de- nail sheets and position respectively with the nail bin slotted eye on the drive end bearing bracket
Quantity and position correspond, and sheet is integrally formed is connected in the cartridge for the every de- nail, every institute
State the radial width of de- nail sheet and circumferential lengths are all higher than the width and length of the nail bin slotted eye.
It is preferable over:It is some it is described it is de- nail sheets by some central point circular arrays around the plane ring radial direction
Otch splits the plane ring to be formed.
It is preferable over:The length of the radial slot is identical with the anchor ring radial width of the plane ring, some described de-
Follow closely sheet difference it is relatively independent, it is some it is described it is de- nail sheets on four angles or corresponding to radial outside on the plane ring
Two angles are provided with rounding corner structure.
It is preferable over:The length of the radial slot is less than the anchor ring radial width of the plane ring, and the radial cut
One end of radially inner side is corresponded on mouth against the outer tube wall of the cartridge, per between two circumferentially-adjacent de- nail sheets
There is dowel corresponding to the radial outside of the plane ring.
It is preferable over:The corresponding width radially of the dowel is no more than the thickness of the de- nail sheet.
It is preferable over:Two angles for corresponding to radially inner side on the plane ring in the de- nail sheet are provided with rounding
Corner structure.
It is preferable over:It is some it is described it is de- nail sheets by some central point circular arrays around the plane ring otch
Group splits the plane ring to be formed.
It is preferable over:Each otch group forms by two symmetrical sigmoid curve otch, in the otch group
Against the outer tube wall of the cartridge, the other end is close to the outside of the plane ring for one end of two sigmoid curve otch,
Some otch groups of circular array are partitioned into two layers of diametrically mutual dislocation in a ring on the plane ring
The de- nail sheet of array, per circumferentially-adjacent and against curved phase in described cartridge one end in the otch group of circular array
The de- nail sheet positioned at radially inner layer is partitioned between two sigmoid curve otch corresponding to mutually, circular array
Interior curved mutually corresponding two S-shapeds in the otch group per lateral ends circumferentially-adjacent and close to the plane ring
The de- nail sheet positioned at radial outer is partitioned between curvilinear cut.
It is preferable over:Two nail pin positions that suturing nail is corresponded in the de- nail sheet are respectively arranged with nail pin and pass through hole.
Compared with prior art, the technique effect that technical scheme provided by the present invention is brought is:
First, all de- nail sheets connections are not combined into an entirety by used time cartridge --- plane ring, during operation, and circle
The cartridge is punched by tubular blade together with foreskin, after the de- nail sheet of suturing nail puncture pierces through art mouth edge tissues again
Pin sutures operation mouth, and into the de- nail sheet of some small pieces, this takes off nail sheet to keep off plane ring automatic classifying now
Between suturing nail and skin, prevent suturing nail from by organization embedding, reaching Healing by chronic compressing stereotomy mouth edge,
So as to which suturing nail be separated from art mouth;Plane ring after binding resolves into some de- nail sheets of strip, overcomes
The defects of glans penis seat is difficult to take out from plane ring, overall plane ring, which is strangled, when also eliminating telotism pinches a penis and makes
Into hydrophallus and pain, eliminate sense of discomfort of the suturing nail successively when coming off in succession;
2nd, plane ring is dividing in into radially mutual dislocation by the otch group of some groups of annular arrays two layers be in
The de- nail sheet of annular array, so as to the anastomat for circumcision followed closely with the use of radial direction two-layered suture, realizing will be in the past
The anastomat for circumcision (using what two-layered suture was followed closely) that can not be used in clinic is applied to Wrapping annulus cuts operation;
3rd, the nail pin that the nail pin of suturing nail passes through is reserved in every piece of de- nail sheet and passes through hole, when being advantageous to work
Suturing nail passes through de- nail sheet, so as to which manufacture material is extended into the material ranges that suturing nail is difficult to pierce through.
Brief description of the drawings
Fig. 1 is the dimensional structure diagram of embodiments of the invention one.
Fig. 2 is one another structural representation of embodiments of the invention.
Fig. 3 is the use state dimensional structure diagram of embodiments of the invention one.
Fig. 4 is the dimensional structure diagram of embodiments of the invention two.
Fig. 5 is two another structural representation of embodiments of the invention.
Fig. 6 is the use state dimensional structure diagram of embodiments of the invention two.
Fig. 7 is the overall structure diagram of embodiments of the invention three.
Fig. 8 is the use state dimensional structure diagram of embodiments of the invention three.
Fig. 9 is that the nail pin of the embodiment of the present invention one passes through pore structure schematic diagram.
Figure 10 is that the nail pin of the embodiment of the present invention one passes through hole use state diagram.
Figure 11 is that the nail pin of the embodiment of the present invention two passes through pore structure schematic diagram.
Figure 12 is that the nail pin of the embodiment of the present invention two passes through hole use state diagram.
Figure 13 is that the nail pin of the embodiment of the present invention three passes through pore structure schematic diagram.
Figure 14 is that the nail pin of the embodiment of the present invention three passes through hole use state diagram.
Embodiment
Anastomat for circumcision is used for one kind proposed by the present invention below with reference to accompanying drawing 1-14 and preferred embodiment
On de- nail ring be described in greater detail.
As represented in figures 1 through 14, the present invention provides a kind of de- nail ring on anastomat for circumcision, and it includes being in cylinder
Shape is used for the cartridge 1 of the cylindric blade front end being inserted on anastomat for circumcision coaxially matched, in the cartridge 1
A coaxial plane ring 2 is provided with being inserted into radial convex on the outer tube wall of the other end corresponding in the cylindric blade,
The overall diameter of the plane ring 2 matches with the drive end bearing bracket overall diameter of the anastomat for circumcision, the plane ring 2 by
Several de- nail sheet 21 splits compositions, the quantity of some de- nail sheets 21 and position respectively with the nail on the drive end bearing bracket
The quantity of storehouse slotted eye and position correspond, and sheet 21 is integrally formed is connected to the cartridge 1 for the every de- nail
On, the every de- radial width for following closely sheet 21 and circumferential lengths are all higher than the width and length of the nail bin slotted eye.
The present invention in the specific implementation, the cartridge 1 can by itself fix be inserted into the cylindric blade before
Hold inner bobbin in, it is some it is described it is de- nail sheets 21 be then just covered in correspondingly on some nail bin slotted eyes, therefore, without
When, some de- nail sheets 21 can prevent suture 3 from being dropped out from nail bin slotted eye, in working condition, the cylindric blade
It can then be moved axially forwards and be punched the cartridge 1 together with foreskin, and some de- nail sheet 21 split compositions is flat
Face ring circle 2 is then sewn 3 bindings and enclosed in art oral area position one, and the rivet nut for suturing 3 is not bearing directly against skin surface, the de- nail piece
Plate 21 is kept off between the rivet nut of suturing nail 3 and skin, prevents suturing nail 3 by organization embedding, therefore suturing nail 3 will not be by the meat of new life
Bud tissue encapsulation, be advantageous to the suture 3 after the healing of art mouth and come off, the pain of sufferer is decreased, further, due to the plane
Ring 2 is made up of some relatively independent de- splits of nail sheet 21, therefore the seam on the position successively healed on circular technique mouth
Close 3 and can be inconjunction with individually de- nail sheet and come off together, will not be an entirety because of plane ring 2 and cause successively to heal
Produce and involve between different parts, reduce further the pain in operation receiveing person's agglutination.
Embodiment one:As shown in Figure 1, 2, it is some it is described it is de- nail sheets 21 by some around the center of the plane ring 2
The radial slot 22 of point circular array splits the plane ring 2 to be formed, and the length of the radial slot 22 is put down with described
The anchor ring radial width of face ring circle 2 is identical, it is some it is described it is de- nail sheets 21 distinguish it is relatively independent, it is some it is described it is de- nail sheets 21 on
Four angles or be provided with rounding corner structure, rounding corner structure energy corresponding to two angles of radial outside on the plane ring
Enough avoid the wedge angle puncture skin histology in de- nail sheet 21;It is described after the cartridge 1 is punched by cylindric blade
Suture 3 is with some de- states for following closely the bindings of sheet 21 on art mouth as shown in figure 3, each suturing nail 3 is described de- by one respectively
The binding of sheet 21 is followed closely in local art mouth.
Embodiment two:As shown in Figure 4,5, the length of the radial slot 22 is less than the anchor ring of the plane ring 2 radially
Width, and one end of radially inner side is corresponded on the radial slot 22 against the outer tube wall of the cartridge 1, per circumferentially-adjacent
The radial outside for corresponding to the plane ring 2 between two de- nail sheets 21 has dowel 23, and the dowel
23 corresponding width radially are no more than the thickness of the de- nail sheet 21, and then on the basis of embodiment one so that in institute
State after cartridge 1 is punched by cylindric blade, some de- nail sheets 21 can also keep complete annular, also can
Reach and easily snap the dowel 23 and resolve into separate fritter, the suturing nail 3 fills with some de- nail sheets 21
The state followed closely on art mouth is as shown in Figure 6.
Further, as shown in Figure 5,6, two of radially inner side on the plane ring 2 is corresponded in the de- nail sheet 21
Individual angle is provided with rounding corner structure, and rounding corner structure can avoid the wedge angle puncture skin histology in de- nail sheet 21.
Embodiment three:As Figure 7-8, it is some it is described it is de- nail sheets 21 by some around the center of the plane ring 2
The otch group of point circular array splits the plane ring 2 to be formed.
Further, each otch group forms by two symmetrical sigmoid curve otch 24, in the otch group
Two sigmoid curve otch 24 one end against the outer tube wall of the cartridge 1, the other end is close to the plane ring 2
Outer ledge, some otch groups of circular array are partitioned into diametrically mutual dislocation on the plane ring 2
Two layers of circular array de- nail sheet 21, per circumferentially-adjacent and against the inserting in the otch group of circular array
The de- nail positioned at radially inner layer is partitioned between interior curved mutually corresponding two sigmoid curve otch 24 of 1 one end of cylinder
Sheet 21, per outer ledge one end circumferentially-adjacent and close to the plane ring 2 in the otch group of circular array
The de- nail sheet 21 positioned at radial outer is partitioned between interior curved mutually corresponding two sigmoid curve otch 24, this
The de- nail ring of embodiment can be exclusively used in suture (kiss) clutch of peritomizing followed closely using two-layered suture, further promote use
The preputial ring joint-cutting (kiss) and a kind of device (improved bag as disclosed in number of patent application 201710086045.9 of two-layered suture nail
Shown in the embodiment seven of skin circumcision stapler) application in circumcision, if without the present embodiment, use two-layered suture
Preputial ring joint-cutting (kiss) clutch of nail can not realize clinical practice, because seam general in single common gastrointestinal stapler
Dowel is difficult to voluntarily come off from art mouth, and the special-shaped suturing nail of wide face nailing body radially can not be arranged on nail bin groove two layers with the time-division
In hole.
Embodiment one to three in summary, it is described it is de- nail sheet 21 on correspond to suturing nail 3 two nail pin positions distinguish
It is provided with nail pin and passes through hole 25, as shown in Fig. 9-14, the nail pin of suturing nail 3 is passed through per a piece of de- when being advantageous to sewing work
Sheet 21 is followed closely, so as to expand the selection of the manufacture present invention, the nail pin of some suturing nails is difficult to the material that runs through can also be into
For the candidate materials of manufacture.
Described in synthesis, technical scheme can be with sufficiently effective completion foregoing invention purpose, and the present invention
Structural principle and the principle of work and power have all sufficiently been verified in embodiment, and can reach the effect of expected and purpose, and
Embodiments of the invention can also enter line translation according to these principles, and therefore, the present invention includes all in claim
All replacement contents in the range of being previously mentioned.Any equivalence changes made in scope of the present invention patent, all belong to this case
Within the scope of the claims of application.
Claims (10)
1. a kind of de- nail ring on anastomat for circumcision, it includes cylindrical being inserted into foreskin for what is coaxially matched
The cartridge of the cylindric blade front end of circumcision stapler, in the cartridge be inserted into it is corresponding in the cylindric blade
The other end outer tube wall on radial convex be provided with a coaxial plane ring, overall diameter and the preputial ring of the plane ring
The drive end bearing bracket overall diameter for cutting stapler matches, it is characterised in that:The plane ring is made up of several de- nail sheet splits,
The quantity of some de- nail sheets and position correspond with the quantity of the nail bin slotted eye on the drive end bearing bracket and position respectively,
And sheet is integrally formed is connected in the cartridge for the every de- nail, the radial width of every de- nail sheet and
Circumferential lengths are all higher than the width and length of the nail bin slotted eye.
2. as claimed in claim 1 for the de- nail ring on anastomat for circumcision, it is characterised in that:Some de- nail pieces
Plate, which is split the plane ring by the radial slot of some central point circular arrays around the plane ring, to be formed.
3. as claimed in claim 2 for the de- nail ring on anastomat for circumcision, it is characterised in that:The radial slot
Length is identical with the anchor ring radial width of the plane ring, and some de- nail sheet difference are relatively independent.
4. as claimed in claim 3 for the de- nail ring on anastomat for circumcision, it is characterised in that:Some de- nail pieces
Four angles on plate are provided with rounding corner structure corresponding to two angles of radial outside on the plane ring.
5. as claimed in claim 2 for the de- nail ring on anastomat for circumcision, it is characterised in that:The radial slot
Length is less than the anchor ring radial width of the plane ring, and one end of radially inner side is corresponded on the radial slot against described
The outer tube wall of cartridge, have per the radial outside for corresponding to the plane ring between two circumferentially-adjacent de- nail sheets
There is dowel.
6. as claimed in claim 5 for the de- nail ring on anastomat for circumcision, it is characterised in that:In the de- nail sheet
Rounding corner structure is provided with corresponding to two angles of radially inner side on the plane ring.
7. as claimed in claim 6 for the de- nail ring on anastomat for circumcision, it is characterised in that:The dowel is corresponding
Width radially is no more than the thickness of the de- nail sheet.
8. as claimed in claim 1 for the de- nail ring on anastomat for circumcision, it is characterised in that:Some de- nail pieces
Plate, which is split the plane ring by the otch group of some central point circular arrays around the plane ring, to be formed.
9. as claimed in claim 8 for the de- nail ring on anastomat for circumcision, it is characterised in that:Each otch group
Formed by two symmetrical sigmoid curve otch, one end of two sigmoid curve otch in the otch group is against institute
The outer tube wall of cartridge is stated, the other end is close to the outside of the plane ring, and some otch groups of circular array exist
The de- nail sheet of two layers of circular array of diametrically mutual dislocation, the institute of circular array are partitioned on the plane ring
State in otch group per it is circumferentially-adjacent and against in described cartridge one end it is curved mutually corresponding to two sigmoid curve otch it
Between be partitioned into the de- nail sheet positioned at radially inner layer, per circumferentially-adjacent and close to institute in the otch group of circular array
State the lateral ends of plane ring it is interior it is curved mutually corresponding to be partitioned into positioned at radial outer between two sigmoid curve otch
The de- nail sheet.
10. as in one of claimed in any of claims 1 to 9 for the de- nail ring on anastomat for circumcision, it is characterised in that:
Two nail pin positions that suturing nail is corresponded in the de- nail sheet are respectively arranged with nail pin and pass through hole.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201710711523.0A CN107334514B (en) | 2017-08-18 | 2017-08-18 | De-nailing ring for circumcision anastomat |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201710711523.0A CN107334514B (en) | 2017-08-18 | 2017-08-18 | De-nailing ring for circumcision anastomat |
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Publication Number | Publication Date |
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CN107334514A true CN107334514A (en) | 2017-11-10 |
CN107334514B CN107334514B (en) | 2023-06-20 |
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CN201710711523.0A Active CN107334514B (en) | 2017-08-18 | 2017-08-18 | De-nailing ring for circumcision anastomat |
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US20120078265A1 (en) * | 2010-01-19 | 2012-03-29 | Tyco Healthcare Group Lp | Disposable Circumcision Device |
CN103767763A (en) * | 2014-01-08 | 2014-05-07 | 温州冠美医疗科技有限公司 | Nail pushing device of prepuce loop cutting suturing device |
CN103976777A (en) * | 2014-06-04 | 2014-08-13 | 江西源生狼和医疗器械有限公司 | Needle separating ring special for circumcision stitching instrument |
CN203873816U (en) * | 2014-06-04 | 2014-10-15 | 温州冠美医疗科技有限公司 | Suturing nail of prepuce cutter |
CN205903280U (en) * | 2016-05-24 | 2017-01-25 | 温州冠美医疗科技有限公司 | Nail is sewed up to unilateral gasket of foreskin cutterbar |
CN205988301U (en) * | 2016-05-24 | 2017-03-01 | 温州冠美医疗科技有限公司 | A kind of monolateral pad combination type suturing nail of circumcision apparatus |
CN106691547A (en) * | 2017-02-17 | 2017-05-24 | 江西罡龙医疗器械有限公司 | Improved prepuce circumcision stapler |
CN208404764U (en) * | 2017-08-18 | 2019-01-22 | 江西罡龙医疗器械有限公司 | De- nail ring on anastomat for circumcision |
-
2017
- 2017-08-18 CN CN201710711523.0A patent/CN107334514B/en active Active
Patent Citations (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20120078265A1 (en) * | 2010-01-19 | 2012-03-29 | Tyco Healthcare Group Lp | Disposable Circumcision Device |
CN103767763A (en) * | 2014-01-08 | 2014-05-07 | 温州冠美医疗科技有限公司 | Nail pushing device of prepuce loop cutting suturing device |
CN103976777A (en) * | 2014-06-04 | 2014-08-13 | 江西源生狼和医疗器械有限公司 | Needle separating ring special for circumcision stitching instrument |
CN203873816U (en) * | 2014-06-04 | 2014-10-15 | 温州冠美医疗科技有限公司 | Suturing nail of prepuce cutter |
CN205903280U (en) * | 2016-05-24 | 2017-01-25 | 温州冠美医疗科技有限公司 | Nail is sewed up to unilateral gasket of foreskin cutterbar |
CN205988301U (en) * | 2016-05-24 | 2017-03-01 | 温州冠美医疗科技有限公司 | A kind of monolateral pad combination type suturing nail of circumcision apparatus |
CN106691547A (en) * | 2017-02-17 | 2017-05-24 | 江西罡龙医疗器械有限公司 | Improved prepuce circumcision stapler |
CN208404764U (en) * | 2017-08-18 | 2019-01-22 | 江西罡龙医疗器械有限公司 | De- nail ring on anastomat for circumcision |
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