CN107536635B - Thoracoscope blood vessel closing guide forceps - Google Patents
Thoracoscope blood vessel closing guide forceps Download PDFInfo
- Publication number
- CN107536635B CN107536635B CN201610497422.3A CN201610497422A CN107536635B CN 107536635 B CN107536635 B CN 107536635B CN 201610497422 A CN201610497422 A CN 201610497422A CN 107536635 B CN107536635 B CN 107536635B
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- Prior art keywords
- forceps
- guide
- clamp
- open slot
- length
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- 210000004204 blood vessel Anatomy 0.000 title claims abstract description 27
- 239000000463 material Substances 0.000 claims description 3
- 229910001220 stainless steel Inorganic materials 0.000 claims description 3
- 239000010935 stainless steel Substances 0.000 claims description 3
- 238000000034 method Methods 0.000 abstract description 7
- 238000001356 surgical procedure Methods 0.000 abstract description 7
- 238000002324 minimally invasive surgery Methods 0.000 abstract description 2
- 210000001847 jaw Anatomy 0.000 description 30
- 210000000080 chela (arthropods) Anatomy 0.000 description 14
- 230000006378 damage Effects 0.000 description 6
- 238000010586 diagram Methods 0.000 description 4
- 210000001519 tissue Anatomy 0.000 description 4
- 210000000115 thoracic cavity Anatomy 0.000 description 3
- 208000032843 Hemorrhage Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 230000023597 hemostasis Effects 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 210000000038 chest Anatomy 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000001147 pulmonary artery Anatomy 0.000 description 1
- 210000003492 pulmonary vein Anatomy 0.000 description 1
- 210000003781 tooth socket Anatomy 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
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Abstract
The invention provides a thoracoscope blood vessel closing guide clamp which comprises a first clamp body and a second clamp body, wherein the first clamp body and the second clamp body sequentially comprise clamp mouths, hinged parts and clamp handles, the first clamp body and the second clamp body are connected together in a hinged mode, teeth are arranged on the inner side surfaces of the clamp mouths of the first clamp body and the second clamp body, and at least one of the clamp mouths of the first clamp body and the second clamp body is provided with an open slot. The guide forceps provided by the invention enable an operator to operate more conveniently and quickly in the process of treating large blood vessels through minimally invasive surgery, save the surgery time and enable the surgery process to be safer due to the fact that the blood vessels and surrounding tissues are not easy to be damaged.
Description
Technical Field
The invention relates to medical instruments for surgical operations, in particular to a thoracoscope blood vessel closing guide clamp.
Background
The treatment of large blood vessels in minimally invasive thoracic surgery, especially in minimally invasive lung surgery, is of great importance, and serious consequences can be caused by carelessness, and the placement of mechanical vessel closers is most dangerous in the process of treating the large blood vessels. The blood vessels such as pulmonary artery or vein can be injured and torn without paying attention to the patient, serious hemorrhage is caused, the hemostasis is very difficult under the condition of minimally invasive surgery, great trouble is brought to an operator, the chest surgery needs to be transferred frequently, the wound of the patient is increased, and the life of the patient is seriously threatened even.
Therefore, a thoracoscope blood vessel closing guide clamp which is more convenient and quicker to operate and is not easy to damage blood vessels and surrounding tissues in the process of treating large blood vessels in a minimally invasive thoracic surgery is urgently needed.
Disclosure of Invention
The invention aims to provide a thoracoscope blood vessel closing guide clamp which is more convenient and quicker to operate and is not easy to damage blood vessels and surrounding tissues in the process of treating large blood vessels in a minimally invasive thoracic surgery.
In order to achieve the purpose, the invention provides a thoracoscope blood vessel closing guide clamp which comprises a first clamp body and a second clamp body, wherein the first clamp body and the second clamp body sequentially comprise a clamp mouth, a hinge part and a clamp handle, and the first clamp body and the second clamp body are connected together in a hinge mode, teeth are arranged on the inner side surfaces of the clamp mouth of the first clamp body and the clamp mouth of the second clamp body, and at least one of the clamp mouth of the first clamp body and the clamp mouth of the second clamp body is provided with an open slot.
In one embodiment, the teeth have smooth surfaces.
In one embodiment, the open slot is located on the upper surface of the forceps mouth and penetrates inwards to the inner side of the forceps mouth.
In one embodiment, the open slot penetrates through the head of the forceps mouth along the length direction of the forceps mouth.
In one embodiment, one end of the open slot, which is close to the forceps mouth head, is away from the forceps mouth head by a predetermined length Lr, and Lr is 3-4 mm.
Preferably, the predetermined length Lr is 2 to 3 mm.
In one embodiment, the open slot is located inside the forceps mouth and penetrates through the middle position of the tooth inwards along the width direction of the forceps mouth.
In one embodiment, the pincer tip comprises a front section and a rear section, the front section is of an arc-shaped structure, and the front section and the rear section form a predetermined angle α, and the predetermined angle α is 145-175 degrees.
Preferably, the predetermined angle α is 150 to 170 degrees.
Most preferably, the predetermined angle α is 160 to 165 degrees.
In one embodiment, the opening groove has a predetermined width W, and W is 1.5-3 mm.
Preferably, the predetermined width W of the opening slot is 1.5-2 mm.
In one embodiment, the open slot has a predetermined length, including a length L in the front section1And a length L in said rear section2And said L is1Is 4-7 cm, L23-4 cm;
preferably, said L1Is 5-6 cm, L2Is 2-3 cm.
It should be understood that the open slot may extend from the jaw to the hinge.
In one embodiment, the open slot has a predetermined depth H, and H is 1.5mm to 4 mm.
Preferably, the predetermined depth H of the open slot is 1.2 mm-3 mm.
Most preferably, the predetermined depth H of the open groove is 1mm to 3 mm.
In one embodiment, the head surface of the forceps mouth is smooth.
In one embodiment, the periphery of the cross section of the forceps mouth is semicircular, and the diameter of the periphery of the cross section of the forceps mouth is 4-7 mm.
Preferably, the diameter of the periphery of the cross section of the forceps mouth is 5-6 mm.
In one embodiment, the total length L of the guide clamp from the head of the clamp mouth to the extreme end of the clamp handleTIs 20-32 cm.
Preferably, the total length LTIs 25-30 cm.
In one embodiment, each surface of the open slot is smooth.
In one embodiment, the side surface of the open slot along the length direction of the pincer nozzle is perpendicular to the side surface along the width direction of the pincer nozzle.
In one embodiment, the side surface of the open slot along the length direction of the pincer nozzle and the side surface along the width direction of the pincer nozzle form an arc surface.
In one embodiment, each side surface of the open slot and the bottom surface of the open slot form a circular arc surface.
In one embodiment, the outer end edge of each side of the open slot is rounded.
It should be understood that the side of the open slot along the width direction of the pincer mouth can be a bevel.
In one embodiment, the jaw, the hinge portion and the jaw handle are integrally formed.
In one embodiment, the guide clamp is made of stainless steel material.
The invention has the beneficial effects that:
the thoracoscope blood vessel closing guide forceps adopted in the invention have smooth head surface, slender forceps body, certain radian forceps mouths, teeth with smooth non-damage surfaces on the inner sides of the two forceps mouths and open slots on the forceps mouths, so that the thoracoscope blood vessel closing guide forceps can pass through a blood vessel in a limited space more conveniently and more quickly and are not easy to cause blood vessel damage. Meanwhile, when the blood vessel closer is placed, the blood vessel can smoothly pass through the blood vessel along the open slot of the guide clamp which has previously passed through the blood vessel, the blood vessel and surrounding tissues can not be damaged due to the error of the advancing direction of the closer, great convenience is brought to an operator, the operation time is shortened, unnecessary injuries of patients are further reduced, and the minimally invasive operation is more minimally invasive.
Drawings
Fig. 1 is a structural schematic diagram of one embodiment of a thoracoscopic vessel closure guiding forceps.
Fig. 2 is an enlarged partial view of the jaw of the guide clamp shown in fig. 1.
Figure 3 is a cross-sectional view a-a of the guide clamp shown in figure 1.
Figure 4 is a cross-sectional view B-B of the guide clamp shown in figure 1.
Fig. 5 is a schematic structural diagram of another embodiment of a thoracoscopic vessel closure guiding forceps.
Fig. 6 is an enlarged partial view of the jaw of the guide clamp shown in fig. 5.
Figure 7 is a cross-sectional view C-C of the guide clamp shown in figure 5.
Figure 8 is a cross-sectional view D-D of the guide clamp shown in figure 5.
Detailed Description
The preferred embodiments of the present invention will be described in detail below with reference to the accompanying drawings so that the objects, features and advantages of the invention can be more clearly understood. It should be understood that the embodiments shown in the drawings are not intended to limit the scope of the present invention, but are merely intended to illustrate the spirit of the technical solution of the present invention.
Fig. 1 is a structural schematic diagram of one embodiment of a thoracoscopic vessel closure guiding forceps. As shown in fig. 1, the guide forceps 100 includes a forceps body 1 and a forceps body 2. The pliers body 1 sequentially comprises a pliers mouth 3, a hinge portion 4 and a pliers handle 5, and the pliers mouth 3, the hinge portion 4 and the pliers handle 5 are integrally manufactured. The forceps body 2 sequentially comprises a forceps mouth 6, a hinge part 7 and a forceps handle 8, and the forceps mouth 6, the hinge part 7 and the forceps handle 8 are integrally manufactured. The forceps bodies 1 and 2 are hinged together through the hinge parts 4 and 7.
In one embodiment, the guide clamp may be made of stainless steel material.
The specific components of the pliers 1 and the pliers body 2 are described in detail below:
in the forceps body 1 shown in fig. 1, the forceps nose 3 includes a front section 13 and a rear section 14. The front section 13 is circular arc-shaped and has a circular arc radius R (as shown in FIG. 2), preferably, R is 15-32 cm. The front section 13 and the rear section 14 form a preset angle alpha, and the alpha is 145-175 degrees; preferably, the predetermined angle α is 150 to 170 degrees; most preferably, the predetermined angle α is 160 to 165 degrees. The head surface of the plier mouth 3 is smooth. The plier mouth 3 is provided with an open slot 10, and the open slot 10 is positioned on the upper surface of the plier mouth 3 and penetrates inwards to the inner side of the plier mouth 3. One side of the open slot 10 close to the head of the clamp mouth 3 is away from the head of the clamp mouth 3 by a preset length Lr, and Lr is 3-4 mm; preferably, Lr is 2 to 3 mm. The open slot 10 is formed with a predetermined width W (shown in figures 3 and 4) along the width direction of the pincer mouth 3 from the inner side of the pincer mouth 3, and W is 1.5-3 mm; preferably, the predetermined width W of the opening slot is 1.5-2 mm. Meanwhile, the open slot 10 extends along the length direction of the forceps mouth 3 for a predetermined length L, and the predetermined length L comprises two parts: a slot length L1 in the front section 13 and a slot length L2 in the rear section. Wherein L is1By the formula: l is1Calculating by R multiplied by alpha-Lr, wherein the size of the obtained product is 4-7 cm; preferably, L1Is 5-6 cm. L is2A size of 2-3 cm, preferably, L2Is 2-3 cm. As shown in fig. 3, the open groove 10 has a predetermined depth H, and a size of 1.5mm to 4 mm; preferably, the predetermined groove depth H is 1.2mm to 3 mm; most preferably, the predetermined groove depth H is 1mm to 3 mm. The surface of the inside of the forceps mouth 3 from the head of the forceps mouth to the end of the open groove 10 on the side close to the hinge portion 4 is smooth. Teeth 9 are arranged on the inner side of the forceps mouth 3 from the end part of the open slot 10 close to one side of the hinge part 4 to the joint part of the hinge part 4. The teeth 9 are fine, the tooth socket is shallow, the surface is smooth, the damage to the tissue is light, and the structure is not damaged. While the respective surfaces of the open groove 10 are smooth. As shown in fig. 2, the side of the open groove 10 along the length of the jaw 3 is perpendicular to the side along the width of the jaw 3. It will be understood that the sides of the slot 10 along the length of the jaw 3 and the sides along the width of the jaw 3A cambered surface may be formed. The outer end edges of each side of the open groove 10 are rounded. It should be understood that the side of the open slot 10 along the width direction of the pincer mouth 3 may be a slope. As shown in fig. 1, the forceps handle 5 includes a forceps handle body 17, locking teeth 18, and a finger ring 19 in this order. The locking teeth 18 are provided with a plurality of teeth, and the number of teeth to be fastened in the operation is determined according to the operation property, for example, one or two teeth can be fastened when hemostasis is performed. When in use, whether the lock is out of order is checked to prevent the forceps handle from automatically loosening to cause bleeding.
As shown in fig. 1, in the forceps body 2, the forceps mouth 6 includes a front section 15 and a rear section 16, and the front section 15 and the rear section 16 are the same in size as the front section 13 and the rear section 14 in the forceps mouth 3, respectively. The surface of the head of the pincer mouth 6 is smooth. The jaw 6 is provided with an open slot 12, and the open slot 12 is positioned on the upper surface of the jaw 6 and penetrates inwards to the inner side of the jaw 6. The end of the open slot 12 near the head of the jaw 6 is at the same predetermined length Lr from the head of the jaw 6 as the predetermined length Lr in the jaw 3, and the length of the open slot 12 is the same as the length of the open slot 10 (as shown in FIG. 1). As can be seen from fig. 3 and 4, the width and depth of the open groove 12 are the same as the width W and depth H of the open groove 10, respectively. The surface of the inner side of the jaw 6 from the head of the jaw to the end of the opening groove 12 on the side close to the hinge 7 is smooth. Teeth 11 are arranged on the inner side of the forceps mouth 6 from the end part of the open slot 12 close to one side of the hinge part 7 to the joint part of the hinge part 7. The teeth 11 are fine, the tooth space is shallow and the surface is also a smooth atraumatic structure. The surfaces of the open slot 12 are also smooth and the relationship of the sides of the open slot 12 is the same as that of the open slot 10. as shown in fig. 1, the forceps handle 8 comprises a forceps handle body 20, a locking tooth 21 and a finger ring 22 in sequence. Wherein, the locking tooth buckle 21 is matched with the locking tooth 18 for use, and plays a role in locking the forceps handle 5 and the forceps handle 8 in the operation process.
As shown in fig. 3 and 4, the cross sections of the clamp mouth 3 and the clamp mouth 6 are semicircular and have symmetrical structures, and the radius R of the outer periphery of the cross sections of the clamp mouth 3 and the clamp mouth 61And R2All are 2-3.5 mm. Preferably, the radius R of the cross section of the jaw 3 and the jaw 61And R2All are 2.5-3 mm.
In another embodiment, the opening slot can penetrate through the head of the forceps mouth along the length direction of the forceps mouthNow that the effect of the present invention is present, Lr is not present, and L1=R×α。
In another embodiment, the open slot extends all the way to the hinge portion to achieve the effect of the present invention.
Fig. 5 is a schematic structural diagram of another embodiment of a thoracoscopic vessel closure guiding forceps. The guide forceps 200 shown in fig. 5 has the same main structure as the guide forceps 100 shown in fig. 1, except for the jaw portion. Specifically, the jaw 3a of the guiding forceps 200 includes a front section 13a and a rear section 14a, the front section 13a is circular arc-shaped and has a radius R, and the front section 13a and the rear section 14a form a predetermined angle β, which is in the same range as the predetermined angle α. The head surface of the forceps mouth 3a is smooth and is provided with teeth 9a on the inner side. The teeth 9 are fine, smooth surfaced atraumatic structures. An open groove 10a is provided inside the jaw 3a, and the open groove 10a penetrates the middle of the teeth 9a inward in the width direction of the jaw. While the open slot 10a extends from the end of the jaw 3a to the hinge 4 in the lengthwise direction of the jaw 3 a. As shown in FIG. 6, the open groove 10a has a predetermined width W in the width direction of the jaw 3a2A predetermined depth H in a direction perpendicular to the width of the jaw 3a2. Wherein, W2Has the same range as W, H2Having the same range as the depth H described above. The length of the open slot 10a includes two parts: the groove length L in the front section 13a of the jaw 3a1aAnd the length L of the groove in the rear section 14a of the jaw 3a2a. As can be seen from FIG. 6, L1a=R×β,L1aIn the range of (1) and the above-mentioned L1In the same range of (1), L2aIn the range of (1) and the above-mentioned L2The ranges of (a) and (b) are the same. It will be appreciated that the open slot 10a may extend through the hinge 4 to the inside of the jaw handle 5, in which case L2aIs the length from the junction of the distal end of the anterior segment 13a and the posterior segment 14a to the hinge 4. As can be seen from FIGS. 5, 6, 7 and 8, in this embodiment, the pincer mouth 6a and the pincer mouth 3a have a symmetrical structure, and the width of the slot of the cross section of the two pincer mouths is W2The groove depth is H, and the rest of the structure of the pincer mouth 6a is not described here. It will be appreciated that there is a depth H2The groove bottom can be an arc surface.
In another embodiment, the same function of the two embodiments can be achieved when only one of the forceps bodies 1 and 2 is provided with an open slot.
It will be appreciated that the embodiment of fig. 1 and the embodiment of fig. 5 can perform the same function, but in comparison, the guiding forceps of the embodiment of fig. 1 are simpler in manufacturing process and more convenient to operate when placing the vessel closer than the embodiment of fig. 5, and therefore the embodiment of fig. 1 is better than the embodiment of fig. 5.
The guide forceps of the invention can save 5-10 minutes in the operation process compared with the prior guide forceps because the forceps mouth part is provided with the open slot, and more importantly, the guide forceps of the invention enhances the safety when a mechanical vascular closer is used for closing a large blood vessel.
While the preferred embodiments of the present invention have been illustrated and described in detail, it should be understood that various changes and modifications of the invention can be effected therein by those skilled in the art after reading the above teachings of the invention. Such equivalents are intended to fall within the scope of the claims appended hereto.
Claims (23)
1. A thoracoscope blood vessel closing guide clamp comprises a first clamp body and a second clamp body, wherein the first clamp body and the second clamp body sequentially comprise clamp mouths, hinged portions and clamp handles, and the first clamp body and the second clamp body are connected together in a hinged mode;
the forceps mouth comprises a front section and a rear section, the front section is of an arc-shaped structure, a preset angle alpha is formed between the front section and the rear section, and the preset angle alpha is 145-175 degrees;
the open slot has a predetermined length including a length L in the front section1And a length L in said rear section2And said L is1Is 4-7 cm, L23-4 cm;
the side surface of the open slot along the length direction of the forceps mouth and the side surface along the width direction of the forceps mouth form an arc surface.
2. Guide forceps according to claim 1, characterized in that the surface of the teeth is smooth.
3. The guide clamp of claim 1, wherein an end of the open slot near the jaw head is a predetermined length Lr from the jaw head, and Lr is 3-4 mm.
4. The guide clamp of claim 1, wherein an end of the open slot near the jaw head is a predetermined length Lr from the jaw head, and Lr is 2-3 mm.
5. The guide forceps of claim 1, wherein the forceps tip includes a front section and a rear section, the front section is of an arc-shaped configuration, and the front section and the rear section form a predetermined angle a, and the predetermined angle a is 150-170 degrees.
6. The guide forceps of claim 1, wherein the forceps tip includes a front section and a rear section, the front section is of an arc-shaped configuration, and the front section and the rear section form a predetermined angle a, the predetermined angle a being 160-165 degrees.
7. The guide clamp of claim 1, wherein the open slot has a predetermined width W, and W is 1.5-3 mm.
8. The guide clamp of claim 1, wherein the open slot has a predetermined width W, and W is 1.5-2 mm.
9. Guide clamp according to claim 1, which isCharacterized in that said open slot has a predetermined length, said predetermined length comprising a length L in said front section1And a length L in said rear section2And said L is1Is 5-6 cm, L2Is 2-3 cm.
10. Guide clamp according to claim 1, characterized in that the open slot has a predetermined depth H, and H is between 1.5mm and 4 mm.
11. Guide clamp according to claim 1, characterized in that the open slot has a predetermined depth H, and H is between 1.2mm and 3 mm.
12. Guide clamp according to claim 1, characterized in that the open slot has a predetermined depth H, and H is between 1mm and 3 mm.
13. Guide forceps according to claim 1, characterized in that the head surface of the forceps jaws is smooth.
14. Guide forceps according to claim 1, characterized in that the outer circumference of the cross-section of the forceps jaws is semicircular and the diameter of the outer circumference of the cross-section of the forceps jaws is 4-7 mm.
15. Guide forceps according to claim 1, characterized in that the outer circumference of the cross-section of the forceps jaws is semicircular and the diameter of the outer circumference of the cross-section of the forceps jaws is 5-6 mm.
16. The guide forceps of claim 1, wherein the guide forceps has a total length L from a head of the jaw to an extreme end of the handleTIs 20-32 cm.
17. The guide forceps of claim 1, wherein the guide forceps has a total length L from a head of the jaw to an extreme end of the handleTIs 25-30 cm.
18. Guide clamp according to claim 1, characterized in that each surface of the open slot is smooth.
19. The guide forceps according to claim 1, wherein the open slot has sides along a length of the jaw perpendicular to sides along a width of the jaw.
20. The guide clamp of claim 1, wherein each side of the slot forms a circular arc with the bottom of the slot.
21. Guide clamp according to claim 1, characterized in that the outer end edge of each side of the slot is rounded.
22. Guide forceps according to claim 1, wherein the jaw, the hinge and the handle are integrally formed.
23. Guide forceps according to claim 1, characterized in that the guide forceps are made of stainless steel material.
Priority Applications (1)
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CN201610497422.3A CN107536635B (en) | 2016-06-29 | 2016-06-29 | Thoracoscope blood vessel closing guide forceps |
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CN201610497422.3A CN107536635B (en) | 2016-06-29 | 2016-06-29 | Thoracoscope blood vessel closing guide forceps |
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CN107536635B true CN107536635B (en) | 2022-02-25 |
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Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6099539A (en) * | 1998-07-27 | 2000-08-08 | Thomas J. Fogarty | Surgical clamp pad with interdigitating teeth |
JP3255885B2 (en) * | 1999-01-25 | 2002-02-12 | オリンパス光学工業株式会社 | Medical treatment tools |
CN204033429U (en) * | 2014-07-21 | 2014-12-24 | 中国人民解放军第四军医大学 | For the separate type guiding pincers of anterior mediastinum Minimally Invasive Surgery |
CN204049737U (en) * | 2014-08-27 | 2014-12-31 | 张杨杨 | A kind of vascular forceps wearing cuff |
CN204336983U (en) * | 2014-12-22 | 2015-05-20 | 袁星堂 | It is a kind of that internal medicine is clinical uses telescopic mosquito forceps |
CN105395233A (en) * | 2015-12-17 | 2016-03-16 | 蔡建强 | Vessel forceps |
-
2016
- 2016-06-29 CN CN201610497422.3A patent/CN107536635B/en not_active Expired - Fee Related
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6099539A (en) * | 1998-07-27 | 2000-08-08 | Thomas J. Fogarty | Surgical clamp pad with interdigitating teeth |
JP3255885B2 (en) * | 1999-01-25 | 2002-02-12 | オリンパス光学工業株式会社 | Medical treatment tools |
CN204033429U (en) * | 2014-07-21 | 2014-12-24 | 中国人民解放军第四军医大学 | For the separate type guiding pincers of anterior mediastinum Minimally Invasive Surgery |
CN204049737U (en) * | 2014-08-27 | 2014-12-31 | 张杨杨 | A kind of vascular forceps wearing cuff |
CN204336983U (en) * | 2014-12-22 | 2015-05-20 | 袁星堂 | It is a kind of that internal medicine is clinical uses telescopic mosquito forceps |
CN105395233A (en) * | 2015-12-17 | 2016-03-16 | 蔡建强 | Vessel forceps |
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