CN107898483A - Endoscope-assistant surgery stitching devices - Google Patents

Endoscope-assistant surgery stitching devices Download PDF

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Publication number
CN107898483A
CN107898483A CN201711382388.6A CN201711382388A CN107898483A CN 107898483 A CN107898483 A CN 107898483A CN 201711382388 A CN201711382388 A CN 201711382388A CN 107898483 A CN107898483 A CN 107898483A
Authority
CN
China
Prior art keywords
push rod
arc
loop bar
send
endoscope
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201711382388.6A
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Chinese (zh)
Inventor
凌颢
李政
王国慧
孙许龙
朱晒红
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Third Xiangya Hospital of Central South University
Original Assignee
Third Xiangya Hospital of Central South University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Third Xiangya Hospital of Central South University filed Critical Third Xiangya Hospital of Central South University
Priority to CN201711382388.6A priority Critical patent/CN107898483A/en
Publication of CN107898483A publication Critical patent/CN107898483A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0482Needle or suture guides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0491Sewing machines for surgery

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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

The invention discloses a kind of endoscope-assistant surgery stitching devices, including driving handle, connect loop bar and two arc stylophores, driving handle is connected to one end of connection loop bar, two arc stylophores are in the another end for being symmetrically connected to connection loop bar, suture looper is movably installed with any arc stylophore, two arc stylophores, which are further sleeved with to extend in connection loop bar, back and forth send pin device, two reciprocal to send and is equipped with the secondary push rod in connection loop bar between pin device, the primary push rod being equipped between driving handle and secondary push rod in connection loop bar, during blocked operation driving handle, primary push rod drives secondary push rod alternately back and forth to send pin device to form connection with two respectively, two are back and forth sent the alternate pushing tow suture looper of pin device to drive it to be moved back and forth between two arc stylophores.The stitching devices have the advantages that it is compact-sized, easy to operate it is comfortable, safe, suture time can be shortened.

Description

Endoscope-assistant surgery stitching devices
Technical field
The invention mainly relates to the suture instruments of Minimally Invasive Surgery application, more particularly to a kind of endoscope-assistant surgery stitching devices.
Background technology
Micro-wound surgical operation receives clinical doctor in recent years because of its superperformance that damage is small, bleeding is few, post-operative recovery is fast Teacher and the common attention of patient, are used widely in clinic.Intraperitoneal biologic soft tissue area is big, structure is changeable, and surface is wet Slide and with flexibility.Endoscope-assistant surgery suture is a kind of technological challenge for endoscope-assistant surgery doctor.It is usually required using limited Step carries out suture knotting to tissue.Endoscope-assistant surgery suture challenge mainly it is following some:1st, patient is under a three dimensions Operated, but vision can only see the operation under two-dimensional space.2nd, since patient is operated using elongated rigid axial rod, Most challenge be by organize for capture sewing needle and positioning lack wrist activity;What is more, after it has been gathered How to beat suitable knot, how by tiny hysteroscope passage in the security for organizing suitable position to ensure knot.
Existing endoscope-assistant surgery suture instruments carries out manual suture or using stapler to tissue generally by looper Stapling is carried out, there is the problems such as suture inefficiency, operation is time-consuming and laborious.If can be on the premise of tissue apposition region be ensured It only can continuously be sutured by one hand realization, will greatly simplify doctor's operating process, raising sutures efficiency, it is extensive to be conducive to patient It is multiple, while lift suture quality and accuracy.
The content of the invention
It is a kind of compact-sized, easy to operate the technical problem to be solved in the present invention is overcoming the deficiencies of the prior art and provide Comfortably, endoscope-assistant surgery stitching devices safe, that suture time can be shortened.
In order to solve the above technical problems, the present invention uses following technical scheme:
A kind of endoscope-assistant surgery stitching devices, including driving handle, connection loop bar and two arc stylophores, the driving handle connection In one end of connection loop bar, two arc stylophores are in the another end for being symmetrically connected to connection loop bar, movable sleeve in any arc stylophore Equipped with suture looper, two arc stylophores, which are further sleeved with to extend in connection loop bar, back and forth send pin device, and two are back and forth sent pin device Between be equipped with the secondary push rod in connection loop bar, the master being equipped between the driving handle and secondary push rod in connection loop bar Push rod, during blocked operation driving handle, primary push rod drive secondary push rod alternately respectively with two it is reciprocal send pin device to form connection, two Root back and forth send the alternate pushing tow suture looper of pin device to drive it to be moved back and forth between two arc stylophores.
Further as above-mentioned technical proposal is improved:
The primary push rod is disposed with multiple voussoirs and pushing block along the circumferentially-spaced of pushing end, and the pair push rod is along by the circumferential direction for pushing away end Arranged for interval have it is multiple respectively with the rotation that voussoir and pushing block match by pushing block and straight trip by pushing block, when driving handle drives When the rotation of voussoir pushing tow is by pushing block, the pair push rod send pin device to be connected with the reciprocal of pin to be sent, when driving handle drives pushing block top When pushing away straight trip by pushing block, the pair push rod drives the reciprocal of pin to be sent to send the straight trip of pin device to send pin.
It is described back and forth to send pin device to include sending shank and resetting spring, it is described to send shank one end to extend in corresponding arc stylophore, The other end replaces connection with secondary push rod, and the resetting spring, which is sleeved on, to be sent on shank.
Described to send shank to be opened up in connecting pin fluted, and the pair push rod is equipped with convex block in pushing end, and voussoir pushing tow rotates During by pushing block, the convex block rotation is simultaneously coupled with corresponding groove, and when the straight trip of pushing block pushing tow is by pushing block, convex block pushing tow groove drives Secondary push rod straight trip.
It is described to send shank to be arranged to rubber card division in stretching into the part in arc stylophore.
The end face for sending shank to be engaged with rubber card division is arranged to magnetic face.
The driving handle includes fixed handle and press handle, and the fixed handle is packed in connector sleeve boom end, the pressing Handle is movably hinged with fixed handle and is connected with primary push rod.
Reduction torsion spring is equiped between the fixed handle and press handle.
Compared with prior art, the advantage of the invention is that:
The endoscope-assistant surgery stitching devices of the present invention, during operation, one hand pressing driving handle once, driving handle pushing tow primary push rod, Primary push rod drives the reciprocal of secondary push rod and pin to be sent to send pin device be connected, then when pressing one time, primary push rod drives secondary push rod straight trip to be pushed up Push away this and back and forth send pin device so that it is reciprocal to send pin device to send out the arc stylophore by looper is sutured, while suture looper and treated through operation Suture site simultaneously enters another arc stylophore, and when pressed once, primary push rod drives secondary push rod and waits to send with another The reciprocal of pin send pin device to connect, and then presses primary push rod again and drives secondary push rod straight trip pushing tow this back and forth send pin device, and will suture curved Pin sends out the arc stylophore and returns to former arc stylophore, is acted as once complete suture, according to this action reciprocating operation Until complete suture operation.For more traditional manual suture or use stapler, the stitching devices are using automatic reciprocating Connected structure realizes the automatic suture of threading a needle to tissue, one-hand operation controllable with angle, so that patient's the other hand is liberated, Various Tissues organ is adapted to, operation is more precisely safe.The stitching devices of the present invention are compact-sized, avoid turning round during patient's suture needle It is tired caused by wrist inconvenience, it is simple to operate, patient's operation comfort and convenience are improved, shortens effective suture time, And then help to shorten corrective surgery time raising medical safety.
Brief description of the drawings
Fig. 1 is the dimensional structure diagram of the present invention.
Fig. 2 is the partial structural diagram of the present invention(Send pin end).
Fig. 3 is the broken section structure diagram of the present invention.
Fig. 4 is the sectional perspective structure diagram of the present invention.
Fig. 5 is the partial structural diagram of the present invention(Operating side).
Each label represents in figure:
1st, driving handle;11st, fixed handle;12nd, press handle;13rd, reduction torsion spring;2nd, loop bar is connected;3rd, arc stylophore;4th, suture curved Pin;5th, back and forth pin device is sent;51st, shank is sent;511st, groove;512nd, rubber card division;52nd, resetting spring;6th, secondary push rod;61st, rotate By pushing block;62nd, straight trip is by pushing block;63rd, convex block;7th, primary push rod;71st, voussoir;72nd, pushing block.
Embodiment
The present invention is described in further details below with reference to Figure of description and specific embodiment.
Fig. 1 to Fig. 5 shows a kind of embodiment of endoscope-assistant surgery stitching devices of the present invention, including driving handle 1, connector sleeve Bar 2 and two arc stylophores 3, driving handle 1 are connected to one end of connection loop bar 2, and two arc stylophores 3 are in the company of being symmetrically connected to The another end of connecting sleeve lever 2, suture looper 4 is movably installed with any arc stylophore 3, and two arc stylophores 3 are further sleeved with and extend to Reciprocal in connection loop bar 2 send pin device 5, and two reciprocal to send and be equipped with the secondary push rod 6 in connection loop bar 2, driving between pin device 5 The primary push rod 7 being equipped between handle 1 and secondary push rod 6 in connection loop bar 2, during blocked operation driving handle 1, primary push rod 7 drives Make secondary push rod 6 is alternate back and forth to send pin device 5 to form connection with two respectively, two are back and forth sent the suture of 5 alternate pushing tow of pin device curved Pin 4 drives it to be moved back and forth between two arc stylophores 3.During operation, one hand presses driving handle 1 once, 1 pushing tow of driving handle Primary push rod 7, primary push rod 7 drive the reciprocal of secondary push rod 6 and pin to be sent to send pin device 5 to be connected, then when pressing one time, primary push rod 7 drives Secondary push rod 6 keep straight on pushing tow this back and forth send pin device 5 so that it is reciprocal to send pin device 5 that suture looper 4 is sent out the arc stylophore 3, stitch at the same time Looper 4 is closed through operation position to be stapled and enters another arc stylophore 3, when pressed once, primary push rod 7 drives pair to push away Bar 6 send pin device 5 to be connected with the reciprocal of another pin to be sent again, then presses primary push rod 7 again and drives the secondary straight trip of push rod 6 pushing tow should It is reciprocal to send pin device 5, and suture looper 4 is sent out into the arc stylophore 3 and returns to former arc stylophore 3, as once complete seam Conjunction acts, according to this action reciprocating operation until completing suture operation.More traditional manual suture or using stapler and Speech, which realizes the automatic suture of threading a needle to tissue using automatic reciprocating connected structure, controllable with angle, can be singlehanded Operation, so as to liberate patient's the other hand, adapts to Various Tissues organ, operation is more precisely safe.The stitching devices structure of the present invention It is compact, avoid turning round tired caused by wrist inconvenience, simple to operate, raising patient's operation comfort and side during patient's suture needle Just property, shortens effective suture time, and then helps to shorten corrective surgery time raising medical safety.
In the present embodiment, primary push rod 7 is disposed with multiple voussoirs 71 and pushing block 72, secondary push rod 6 along the circumferentially-spaced of pushing end Along by push away end it is circumferentially-spaced be disposed with it is multiple respectively with the rotation that voussoir 71 and pushing block 72 match by pushing block 61 and straight trip By pushing block 62, when driving handle 1 drives the rotation of 71 pushing tow of voussoir by pushing block 61, secondary push rod 6 send pin device 5 with the reciprocal of pin to be sent Connection, when driving handle 1 drives the straight trip of 72 pushing tow of pushing block by pushing block 62, secondary push rod 6 drives the reciprocal of pin to be sent to send pin device 5 straight Row send pin.In the structure, voussoir 71 and pushing block 72 are alternately contacted with corresponding rotation by pushing block 61 and straight trip by pushing block 62 Effect so that secondary push rod 6 is produced and circumferentially rotated, and is just back and forth sent pin device 5 to connect from different when often rotating 180 degree, is formed connection Afterwards, secondary push rod 6, which can drive, back and forth send the straight trip of pin device 5 to complete once to send pin to act, successively alternately, so as to fulfill suture looper 4 sweeping action between two arc stylophores 3, its is simple and compact for structure, ingenious in design.
In the present embodiment, back and forth send pin device 5 to include sending shank 51 and resetting spring 52, send 51 one end of shank to extend corresponding arc In shape stylophore 3, the other end replaces connection with secondary push rod 6, and resetting spring 52, which is sleeved on, to be sent on shank 51.In the structure, shank is sent 51, which play the role of pushing tow, send pin, and resetting spring 52 then realize it is corresponding send the compound of shank 51 and secondary push rod 6, so as to next time Formed and connected with secondary push rod 6.
In the present embodiment, shank 51 is sent to open up fluted 511 in connecting pin, secondary push rod 6 is equipped with convex block 63, wedge in pushing end When the rotation of 71 pushing tow of block is by pushing block 61, convex block 63 is rotated and is coupled with corresponding groove 511, and 72 pushing tow of pushing block is kept straight on by pushing block 62 When, 63 pushing tow groove 511 of convex block drives secondary push rod 6 to be kept straight on.In the structure, by the effect of voussoir 71, secondary push rod 6 drives convex block 63 Circumferentially rotate, rotate 180 degree every time, to realize and respectively send the groove 511 on shank 51 to be coupled, then made after connection by pushing block 72 With 63 pushing tow groove 511 of convex block drives secondary push rod 6 to be kept straight on, its is simple and practical in structure.
In the present embodiment, shank 51 is sent to be arranged to rubber card division 512 in stretching into the part in arc stylophore 3.The rubber card On the one hand the setting in portion 512 can produce deformation, suitable for being moved in arc stylophore 3, on the other hand when suture looper 4 is admitted to When, rubber card division 512 can form certain clamping force to suture looper 4, ensure stabilization of the suture looper 4 in arc stylophore 3 Property.
In the present embodiment, the end face that shank 51 is engaged with rubber card division 512 is sent to be arranged to magnetic face.In this way, so that Magnetism face can produce it certain suction when suture looper 4 is admitted to, and further increase suture looper 4 in arc stylophore 3 In stability.
In the present embodiment, driving handle 1 includes fixed handle 11 and press handle 12, and fixed handle 11 is packed in 2 end of connection loop bar Portion, press handle 12 are movably hinged with fixed handle 11 and are connected with primary push rod 7.In the structure, fixed handle 11 and press handle 12 are formed Similar scissor construction, press handle 12 can drive primary push rod 7 to move forward pushing tow pair push rod 6 when pushing, when press handle 12 resets, then band Dynamic primary push rod 7 departs from secondary push rod 6.
In the present embodiment, reduction torsion spring 13 is equiped between fixed handle 11 and press handle 12.The setting of the reduction torsion spring 13 It ensure that automatically reseting for press handle 12, it is not necessary to which manual operation, substantially increases the convenience used.
Although the present invention is disclosed as above with preferred embodiment, but is not limited to the present invention.It is any to be familiar with ability The technical staff in domain, in the case where not departing from technical solution of the present invention scope, all using the technology contents pair of the disclosure above Technical solution of the present invention makes many possible changes and modifications, or is revised as the equivalent embodiment of equivalent variations.Therefore, it is every Without departing from the content of technical solution of the present invention, according to the technology of the present invention essence to any simple modification made for any of the above embodiments, Equivalent variations and modification, should all fall in the range of technical solution of the present invention protection.

Claims (8)

  1. A kind of 1. endoscope-assistant surgery stitching devices, it is characterised in that:Including driving handle(1), connection loop bar(2)With two arc pins Sheath(3), the driving handle(1)It is connected to connection loop bar(2)One end, two arc stylophores(3)In being symmetrically connected to connect Loop bar(2)Another end, any arc stylophore(3)Inside it is movably installed with suture looper(4), two arc stylophores(3)It is further sleeved with Extend to connection loop bar(2)Interior back and forth send pin device(5), two are back and forth sent pin device(5)Between be equipped with positioned at connection loop bar(2)It is interior Secondary push rod(6), the driving handle(1)With secondary push rod(6)Between be equipped with positioned at connection loop bar(2)Interior primary push rod(7), hand over For operation driving handle(1)When, primary push rod(7)Drive secondary push rod(6)Alternately back and forth pin device is sent with two respectively(5)The company of being formed Connect, two are back and forth sent pin device(5)Alternate pushing tow suture looper(4)It is driven in two arc stylophores(3)Between move back and forth.
  2. 2. endoscope-assistant surgery stitching devices according to claim 1, it is characterised in that:The primary push rod(7)Along pushing end It is circumferentially-spaced to be disposed with multiple voussoirs(71)And pushing block(72), the pair push rod(6)Along by push away end it is circumferentially-spaced be disposed with it is more It is a respectively with voussoir(71)And pushing block(72)The rotation to match is by pushing block(61)With straight trip by pushing block(62), work as driving handle (1)Drive voussoir(71)Pushing tow is rotated by pushing block(61)When, the pair push rod(6)Reciprocal with pin to be sent send pin device(5)Connection, Work as driving handle(1)Drive pushing block(72)Pushing tow is kept straight on by pushing block(62)When, the pair push rod(6)The reciprocal of pin to be sent is driven to send Pin device(5)Pin is sent in straight trip.
  3. 3. endoscope-assistant surgery stitching devices according to claim 2, it is characterised in that:It is described back and forth to send pin device(5)Including sending Shank(51)And resetting spring(52), it is described to send shank(51)One end extends corresponding arc stylophore(3)It is interior, the other end and secondary push rod (6)Alternately connect, the resetting spring(52)It is sleeved on and send shank(51)On.
  4. 4. endoscope-assistant surgery stitching devices according to claim 3, it is characterised in that:It is described to send shank(51)Opened in connecting pin Equipped with groove(511), the pair push rod(6)Convex block is equipped with pushing end(63), voussoir(71)Pushing tow is rotated by pushing block(61)When, The convex block(63)Rotate and with corresponding groove(511)Mating, pushing block(72)Pushing tow is kept straight on by pushing block(62)When, convex block(63) Pushing tow groove(511)Drive secondary push rod(6)Straight trip.
  5. 5. endoscope-assistant surgery stitching devices according to claim 4, it is characterised in that:It is described to send shank(51)In stretching into arc Stylophore(3)Interior part is arranged to rubber card division(512).
  6. 6. endoscope-assistant surgery stitching devices according to claim 5, it is characterised in that:It is described to send shank(51)With rubber card division (512)The end face of engagement is arranged to magnetic face.
  7. 7. the endoscope-assistant surgery stitching devices according to any one of claim 2 to 6, it is characterised in that:The driving handle (1)Including fixed handle(11)And press handle(12), the fixed handle(11)It is packed in connection loop bar(2)End, the press handle (12)With fixed handle(11)Living hinge and and primary push rod(7)Connection.
  8. 8. endoscope-assistant surgery stitching devices according to claim 7, it is characterised in that:The fixed handle(11)And press handle (12)Between be equiped with reduction torsion spring(13).
CN201711382388.6A 2017-12-20 2017-12-20 Endoscope-assistant surgery stitching devices Pending CN107898483A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201711382388.6A CN107898483A (en) 2017-12-20 2017-12-20 Endoscope-assistant surgery stitching devices

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201711382388.6A CN107898483A (en) 2017-12-20 2017-12-20 Endoscope-assistant surgery stitching devices

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111134745A (en) * 2020-02-27 2020-05-12 连云港市第一人民医院 Blood vessel stitching instrument
CN111481247A (en) * 2020-04-20 2020-08-04 黄宗声 Stitching instrument for gastrointestinal endoscope and operation method thereof

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5814054A (en) * 1996-09-23 1998-09-29 Symbiosis Corporation Automatic needle-passer suturing instrument
US20100185218A1 (en) * 2009-01-16 2010-07-22 Rhaphis Medical, Inc. Surgical Suturing Latch
CN202699243U (en) * 2012-03-22 2013-01-30 甘伟 Spring type percutaneous renal puncture needle
CN103431883A (en) * 2013-08-24 2013-12-11 杭州慧泉医药科技有限公司 Minimally-invasive suture knot-tying device
CN106073837A (en) * 2016-06-21 2016-11-09 上海雷珍医疗科技有限公司 Finger cot type surgical stapler
KR101711305B1 (en) * 2015-12-28 2017-03-06 한국기술교육대학교 산학협력단 Suturing device
CN107405207A (en) * 2015-01-29 2017-11-28 因特脉管有限公司 Delivery apparatus and delivering method
CN208973953U (en) * 2017-12-20 2019-06-14 中南大学湘雅三医院 Endoscope-assistant surgery stitching devices

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5814054A (en) * 1996-09-23 1998-09-29 Symbiosis Corporation Automatic needle-passer suturing instrument
US20100185218A1 (en) * 2009-01-16 2010-07-22 Rhaphis Medical, Inc. Surgical Suturing Latch
CN202699243U (en) * 2012-03-22 2013-01-30 甘伟 Spring type percutaneous renal puncture needle
CN103431883A (en) * 2013-08-24 2013-12-11 杭州慧泉医药科技有限公司 Minimally-invasive suture knot-tying device
CN107405207A (en) * 2015-01-29 2017-11-28 因特脉管有限公司 Delivery apparatus and delivering method
KR101711305B1 (en) * 2015-12-28 2017-03-06 한국기술교육대학교 산학협력단 Suturing device
CN106073837A (en) * 2016-06-21 2016-11-09 上海雷珍医疗科技有限公司 Finger cot type surgical stapler
CN208973953U (en) * 2017-12-20 2019-06-14 中南大学湘雅三医院 Endoscope-assistant surgery stitching devices

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111134745A (en) * 2020-02-27 2020-05-12 连云港市第一人民医院 Blood vessel stitching instrument
CN111481247A (en) * 2020-04-20 2020-08-04 黄宗声 Stitching instrument for gastrointestinal endoscope and operation method thereof
CN111481247B (en) * 2020-04-20 2021-04-06 广西壮族自治区人民医院 Stitching instrument for gastrointestinal endoscope and operation method thereof

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