CN108245236B - Surgical instrument - Google Patents

Surgical instrument Download PDF

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Publication number
CN108245236B
CN108245236B CN201611236271.2A CN201611236271A CN108245236B CN 108245236 B CN108245236 B CN 108245236B CN 201611236271 A CN201611236271 A CN 201611236271A CN 108245236 B CN108245236 B CN 108245236B
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CN
China
Prior art keywords
handle assembly
assembly
surgical instrument
rod
handle
Prior art date
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Active
Application number
CN201611236271.2A
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Chinese (zh)
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CN108245236A (en
Inventor
叶道明
冯泽荣
张小荣
叶道龙
陈冬冬
韩阳
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Sunshine Medical Equipment Co ltd
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Sunshine Medical Equipment Co ltd
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Filing date
Publication date
Application filed by Sunshine Medical Equipment Co ltd filed Critical Sunshine Medical Equipment Co ltd
Priority to CN201611236271.2A priority Critical patent/CN108245236B/en
Publication of CN108245236A publication Critical patent/CN108245236A/en
Application granted granted Critical
Publication of CN108245236B publication Critical patent/CN108245236B/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00607Coagulation and cutting with the same instrument

Abstract

The invention belongs to the technical field of medical instruments, and particularly relates to a surgical instrument. The rotary wrench comprises a handle assembly and a wrench head assembly detachably connected with the handle assembly, wherein an installation seat is rotatably arranged in the handle assembly, a dial wheel is fixedly installed on the installation seat, a contact positioning disc parallel to the dial wheel is arranged on the installation seat, a plurality of contacts are concavely arranged on the end face of the contact positioning disc along the circumferential direction, and a wave bead contact assembly is fixedly arranged in the handle assembly; a central fixing piece is arranged in the handle assembly in a sliding manner, the central fixing piece is connected with a trigger, and a reset spring is arranged between the trigger and the handle assembly; switch briquetting is arranged in the handle assembly in a sliding manner, and switch circuit boards are correspondingly arranged on the front side and the rear side of the switch briquetting in the handle assembly. The clamp head is fast and convenient to detach, the clamp head is designed by adopting a contact, the rotating operation is convenient, and the coagulation and cutting effects are good.

Description

Surgical instrument
Technical Field
The invention belongs to the technical field of instruments, and particularly relates to a surgical instrument, in particular to a surgical instrument which can realize quick disassembly and assembly of a forceps head and has a double-control switch and contact design, and can be used for minimally invasive and open surgical operations.
Background
With the improvement of living standard of people and the development of medical appliances in recent years, people increasingly select minimally invasive surgery, electrosurgery becomes a main stream appliance in the minimally invasive surgery appliances with the unique advantages, products of the minimally invasive surgery comprise equipment such as a monopolar electrotome, a bipolar electrocoagulation device and a l igaure device, the configuration of the minimally invasive surgery is that a main machine is provided with a handle and a pedal, the pedal is stepped on during working, and the closed forceps head achieves the coagulation or cutting function.
However, the electrosurgical instruments currently on the market have the following drawbacks:
(1) The triggering of the working forceps head usually requires foot operation, cannot be manually controlled, is inconvenient to operate, and causes an increased surgical risk due to the fact that the surgical instrument is too large and heavy.
(2) Electrosurgical instrument handles mostly do not have a double-control switch, even if part of the handle has a double-control switch, the design of the existing double-control switch is easy to produce misoperation.
(3) The working clamp head is inconvenient to rotate and operate, cannot rotate at any angle, and is easy to break a circuit when rotating due to the fact that a wiring mode is adopted in the working clamp head, so that the working clamp head cannot work; in addition, the connection mode of the working clamp head is unreasonable, and in the use process, the inside of the clamp head is easy to cause short circuit due to the scraping of insulating skin and has no power output, so that the working clamp head cannot work.
(4) When the tissue is cut, the effect of the electrotome for condensing the tissue is poor, so that the bleeding amount of a patient is easily increased, and the smooth operation is not facilitated.
Disclosure of Invention
In order to solve the technical problems, the invention aims to provide a surgical instrument which is quick and convenient to detach, convenient to rotate and operate by adopting a contact design and good in coagulation and cutting effect.
In order to achieve the technical purpose, the invention adopts the following technical scheme:
a surgical instrument comprising a handle assembly and a binding clip assembly removably connected to the handle assembly, wherein:
an installation cavity is formed in the handle assembly, an installation seat is rotatably arranged in the installation cavity of the handle assembly, a poking wheel is fixedly arranged on the installation seat, a contact positioning disc parallel to the poking wheel is arranged on the installation seat, a plurality of contacts are concavely arranged on the end surface of the contact positioning disc, which is far away from the poking wheel, along the circumferential direction, and a wave bead contact assembly which is in elastic contact fit with the contact positioning disc is fixedly arranged in the handle assembly;
the handle assembly is internally provided with a central fixing piece in a sliding manner, the central fixing piece is connected with a trigger, the upper end of the trigger is hinged with the handle assembly, and a reset spring is arranged between the middle part of the trigger and the handle assembly;
a switch pressing block is arranged in the handle assembly in a sliding manner, and switch circuit boards are correspondingly arranged on the front side and the rear side of the switch pressing block in the handle assembly; and the handle assembly is provided with aviation plugs which are respectively and conductively connected with the two switch circuit boards.
Preferably, the clamp head assembly comprises:
the outer rod is coated with a heat shrinkage tube layer at the peripheral side, a lower jaw is arranged at the front end of the outer rod, and the rear end of the outer rod is in threaded connection with the mounting seat;
the inner rod is arranged in the outer rod in a sliding manner, a heat shrinkage pipe layer is coated on the peripheral side of the inner rod, a front pull rod is arranged at the front end of the inner rod, an upper jaw is arranged on the front pull rod, a rear pull rod is arranged at the rear end of the inner rod, the rear pull rod penetrates through the mounting seat to be connected with the central fixing piece, and a clamping structure is arranged between the rear pull rod and the central fixing piece;
the insulation connecting piece is arranged between the lower jaw and the upper jaw, the insulation connecting piece is fixedly connected with the lower jaw, and the upper jaw is hinged with the insulation connecting piece through a pin.
Preferably, the front end of the insulating connecting piece is connected with the lower jaw through a pin, and the rear end of the insulating connecting piece is fixedly connected with the lower jaw through a limiting circular groove on the lower jaw.
Preferably, the closing surface of the upper jaw is provided with a condensing belt in a protruding manner along the length direction of the clamp body.
Preferably, the clamping structure comprises a buckle arranged in the central fixing piece, and the rear pull rod is provided with a clamping groove matched with the buckle; the handle assembly is provided with a disassembly button which presses the buckle and enables the buckle to be separated from the clamping groove.
Preferably, the insulating connector is a groove-shaped insulating ceramic.
Preferably, the ball contact assembly comprises a steel ball and a shell, and a compression spring is arranged between the steel ball and the shell; the handle assembly is internally provided with a mounting groove, and the shell is in threaded connection with the mounting groove.
Preferably, the handle assembly comprises a left half handle and a right half handle, and the left half handle and the right half handle are integrated through ultrasonic welding.
Due to the adoption of the technical scheme, the surgical instrument has at least the following beneficial effects:
(1) Through adopting contact, around trigger switch and aviation plug's mode of connection, rotatory binding clip that can be free during messenger's operation is convenient for the cutting and the congealing of light accurate control binding clip, can make things convenient for nurse disinfection and depositing simultaneously more, and it is more convenient when changing the binding clip in the operation, has very high practicality.
(2) The novel insulating ceramic fixing mode adopted by the clamp head part reduces the possibility of clamp head faults, and simultaneously the design of the coagulation belt enhances the coagulation effect of the electrotome, so that the bleeding amount of a patient in operation is greatly reduced.
Drawings
The following drawings are only for purposes of illustration and explanation of the present invention and are not intended to limit the scope of the invention. Wherein:
FIG. 1 is a schematic view of the external appearance structure of an embodiment of the present invention;
FIG. 2 is a schematic view of the internal structure of a handle assembly according to an embodiment of the present invention;
FIG. 3 is a schematic view of a partial cross-sectional structure of an embodiment of the present invention;
FIG. 4 is a schematic view of a partial enlarged structure at I in FIG. 1;
FIG. 5 is a schematic structural view of the mount;
FIG. 6 is a schematic view of the cross-sectional structure in the direction A-A in FIG. 5;
FIG. 7 is a schematic diagram of a wheel construction;
FIG. 8 is a schematic view of the structure of the upper jaw;
FIG. 9 is a schematic view of the structure of the lower jaw;
FIG. 10 is a partial perspective view of a jaw assembly;
FIG. 11 is a partially exploded view of the jaw assembly;
fig. 12 is a schematic structural view of a wave bead contact assembly.
In the figure: 100-a handle assembly; 200-clamp head assembly; 210-an outer rod; 211-a heat-shrinkable tube layer; 220-lower jaw; 221-limiting round grooves; 230-an inner rod; 240-front pull rod; 250-upper jaw; 251-gel zone; 260-a rear pull rod; 270-a buckle; 280-disassembling and assembling a button; 290-insulating connection; 291-pin; 310-mounting base; 311-keyway; 312-touching the positioning disk; 313-contacts; 320-thumb wheel; 321-bond; 330-compression nut; 400-wave bead contact assembly; 410-steel balls; 420-a housing; 430-compressing the spring; 440-mounting slots; 510-a central mount; 520-trigger; 530-a return spring; 610-switching a press block; 621-a first switch circuit board; 622-a second switching circuit board; 630-aviation plug.
Detailed Description
The invention is further illustrated in the following, in conjunction with the accompanying drawings and examples. In the following detailed description, certain exemplary embodiments of the present invention are described by way of illustration only. It is needless to say that the person skilled in the art realizes that the described embodiments may be modified in various different ways without departing from the spirit and scope of the invention. Accordingly, the drawings and description are to be regarded as illustrative in nature and not as restrictive in scope.
As shown in fig. 1 to 12, the surgical instrument includes a handle assembly 100 and a forceps head assembly 200 detachably connected to the handle assembly 100, wherein the handle assembly 100 includes a left half handle and a right half handle, and the left half handle and the right half handle are integrally welded by ultrasonic waves.
Referring to fig. 2 and 3, an installation cavity is formed in the handle assembly 100, an installation seat 310 is rotatably provided in the installation cavity of the handle assembly 100, a thumb wheel 320 is fixedly installed on the installation seat 310, and in this embodiment, the thumb wheel 320 is fixedly installed through a compression nut 330 after being connected with a key slot 311 provided on the installation seat 310 through a key 321; the mounting base 310 is provided with a contact positioning disc 312 parallel to the dial wheel 320, a plurality of contacts 313 are concavely arranged on the end surface of the contact positioning disc 312 far away from the dial wheel 320 along the circumferential direction, and a wave bead contact assembly 400 which is elastically contacted and matched with the contact positioning disc 312 is fixedly arranged in the handle assembly 100.
Referring to fig. 12, the ball contact assembly 400 includes a steel ball 410 and a housing 420, and a compression spring 430 is disposed between the steel ball 410 and the housing 420; a mounting groove 440 is formed in the handle assembly 100, and the housing 420 is in threaded connection with the mounting groove 440; in this way, the ball contact assembly elastically contacts with the contact positioning disk 312 on the mounting seat 310 through the steel ball 410, and the contact positioning disk 312 is provided with the concave contact 313 which is matched with the steel ball 410 so as to increase conductivity; when the thumb wheel 320 is rotated, the thumb wheel 320 drives the mounting seat 310 to rotate, and the mounting seat is fully contacted with the concave contact 313 on the end face of the contact positioning disc 312 through the steel balls 410, so that the contact area is increased, meanwhile, the mounting seat can not rotate due to the fixation of the steel balls when the pliers head is operated, and any angle rotation of the pliers head part can be realized through rotating the thumb wheel, so that the electric knife is more convenient to operate, and the operation is simpler and more convenient.
Referring to fig. 2 again, a central fixing member 510 is slidably disposed in the handle assembly 100, the central fixing member 510 is connected with a trigger 520 through a clamping groove, the upper end of the trigger 520 is hinged with the handle assembly 100, and a return spring 530 is disposed between the middle of the trigger 520 and the handle assembly 100; the handle assembly 100 is slidably provided with a switch pressing block 610, and in this embodiment, the switch pressing block 610 is clamped between the left half handle and the right half handle and can slide back and forth; a first switch circuit board 621 and a second switch circuit board 622 are correspondingly disposed on the front and rear sides of the switch pressing block 610 in the handle assembly 100; the first switch circuit board and the second switch circuit board respectively control the coagulation and cutting functions of the electric knife; when the switch pressing block 610 is pressed backwards, the second switch circuit board 622 is triggered to send a signal to the host computer through a wire, a cutting mode is started, at the moment, the trigger 520 is triggered to smoothly cut off tissues, and the coagulation and cutting functions are completed; when the switch pressing block 610 is pushed forward, the first switch circuit board 621 is triggered, the main coagulation mode is started, the trigger 520 is pulled to clamp the tissue, the tissue is coagulated, and the coagulation and cutting functions are completed. Through bulldozing the switch briquetting from front to back, its advantage lies in that the front and back of same finger slightly withholds and can realize congealing and cut the function, replaces pedal effect, makes operation and equipment all simple easy grasp, withholds simultaneously front and back and can not appear pressing the maloperation of two switches simultaneously, makes the risk of operation lower.
The bottom of the handle assembly 100 is provided with an aviation plug 630 electrically connected with the first switch circuit board and the second switch circuit board respectively; thus, the handle component and the host plug part can be separated so as to be convenient for a hospital to sterilize and store the handle, and meanwhile, the host plug part can be universal, so that repeated purchase of the host plug can be avoided, and the cost is saved.
Referring to fig. 4 and 10, the binding clip assembly 200 includes an outer rod 210, an inner rod 230 slidably disposed within the outer rod 210, and an insulating connector 290 disposed between the lower jaw and the upper jaw, the insulating connector 290 preferably being a slot-like insulating ceramic; the periphery of the outer rod 210 is coated with a heat shrinkage tube layer 211, a lower jaw 220 is mounted at the front end of the outer rod 210, and the rear end of the outer rod 210 is in threaded connection with the mounting seat 310; the periphery of the inner rod 230 is also covered with a heat shrinkage tube layer, the front end of the inner rod 230 is provided with a front pull rod 240, the front pull rod 240 is provided with an upper jaw 250, the rear end of the inner rod 230 is provided with a rear pull rod 260, the rear pull rod 260 passes through the mounting seat 310 to be connected with the center fixing piece 510, and a clamping structure is arranged between the rear pull rod 260 and the center fixing piece 510;
referring to fig. 3, the clamping structure includes a buckle 270 disposed in the central fixing member 510, and the rear pull rod 260 is provided with a clamping groove adapted to the buckle 270; the handle assembly 100 is provided with a disassembly button 280 for pressing the buckle 270 and separating the buckle 270 from the clamping groove; when the clamp head is disassembled, the disassembly button 280 is pressed, the disassembly button 280 presses the buckle 270, so that the buckle 270 is separated from the clamping groove, the rear pull rod 260 is disconnected with the center fixing piece 510, the outer rod 210 is rotated at the moment, the outer rod threads are separated from the mounting seat 310, and then the clamp head assembly is pulled out of the handle to be disassembled; similarly, when the disassembly button 280 is pressed during installation, the outer rod 210 is fixed by the inner thread of the installation seat 310, and after the threads are screwed into place, the disassembly button 280 is loosened, at this time, the rear pull rod 260 is clamped by the buckle 270, and the installation is finished.
Referring to fig. 10 and 11, the front end of the insulating connector 290 is connected to the lower jaw 220 by a pin 291, and the rear end of the insulating connector 290 is fixedly connected to the lower jaw 220 by a limit circular groove 221 on the lower jaw 220, and the rear end is fixed by the limit circular groove 221 without a pin, so that the problem of clip failure caused by the pin breaking the inner heat shrink tube can be avoided; the upper jaw 250 is hinged to the insulating connector 290 by a pin and is simultaneously riveted to the rear pull rod 260, and when the rear pull rod 260 is pulled, the upper jaw 250 is pivoted closed about the pin. The closing surface of the upper jaw 250 is provided with a condensing belt 251 along the length direction of the forceps body, and the closing belt 251 is beneficial to forming a closing belt around the incised tissue to prevent bleeding and can generate better condensing effect when condensing the tissue.
The invention not described in detail can be realized by common means known in the prior art. The foregoing is illustrative of the present invention and is not to be construed as limiting the scope of the invention. Any equivalent changes and modifications can be made by those skilled in the art without departing from the spirit and principles of this invention, and are intended to be within the scope of this invention.

Claims (7)

1. Surgical instrument comprising a handle assembly (100) and a binding clip assembly (200) detachably connected to said handle assembly, characterized in that:
an installation cavity is formed in the handle assembly (100), an installation seat (310) is rotatably arranged in the installation cavity of the handle assembly (100), a poking wheel (320) is fixedly arranged on the installation seat (310), a contact positioning disc (312) parallel to the poking wheel is arranged on the installation seat (310), a plurality of contacts (313) are concavely arranged on the end surface, far away from the poking wheel, of the contact positioning disc along the circumferential direction, and a wave bead contact assembly (400) in elastic contact fit with the contact positioning disc (312) is fixedly arranged in the handle assembly (100);
a central fixing piece (510) is arranged in the handle assembly (100) in a sliding mode, the central fixing piece (510) is connected with a trigger (520), the upper end of the trigger (520) is hinged with the handle assembly (100), and a reset spring (530) is arranged between the middle part of the trigger (520) and the handle assembly (100);
a switch pressing block (610) is arranged in the handle assembly (100) in a sliding manner, and switch circuit boards are correspondingly arranged on the front side and the rear side of the switch pressing block (610) in the handle assembly; aviation plugs (630) which are respectively and electrically connected with the two switch circuit boards are arranged on the handle assembly (100);
the clamp head assembly (200) comprises an outer rod (210), an inner rod (230) and an insulating connecting piece (290), wherein a heat shrinkage tube layer (211) is coated on the periphery side of the outer rod, a lower jaw (220) is arranged at the front end of the outer rod, and the rear end of the outer rod is in threaded connection with the mounting seat (310); the inner rod (230) is arranged in the outer rod (210) in a sliding manner, a heat shrinkage pipe layer is also coated on the peripheral side of the inner rod, a front pull rod (240) is arranged at the front end of the inner rod, an upper jaw (250) is arranged on the front pull rod, a rear pull rod (260) is arranged at the rear end of the inner rod, the rear pull rod passes through the mounting seat (310) and is connected with the central fixing piece (510), and a clamping structure is arranged between the rear pull rod and the central fixing piece (510); the insulating connecting piece (290) is arranged between the lower jaw (220) and the upper jaw (250), the insulating connecting piece (290) is fixedly connected with the lower jaw (220), and the upper jaw (250) is hinged with the insulating connecting piece through a pin.
2. The surgical instrument of claim 1, wherein: the front end of the insulating connecting piece (290) is connected with the lower jaw (220) through a pin (291), and the rear end of the insulating connecting piece is fixedly connected with the lower jaw through a limiting circular groove (221) on the lower jaw (220).
3. The surgical instrument of claim 1, wherein: and a condensing belt (251) is arranged on the closing surface of the upper jaw (250) in a protruding manner along the length direction of the clamp body.
4. The surgical instrument of claim 1, wherein: the clamping structure comprises a buckle (270) arranged in the central fixing piece (510), and a clamping groove matched with the buckle (270) is formed in the rear pull rod (260); the handle assembly (100) is provided with a disassembly button (280) which presses the buckle and enables the buckle to be separated from the clamping groove.
5. The surgical instrument of claim 1, wherein: the insulating connector (290) is made of insulating ceramics in a groove shape.
6. The surgical instrument of claim 1, wherein: the wave bead contact assembly (400) comprises a steel ball (410) and a shell (420), and a compression spring (430) is arranged between the steel ball (410) and the shell (420); a mounting groove (440) is formed in the handle assembly, and the shell (420) is in threaded connection with the mounting groove (440).
7. The surgical instrument of any one of claims 1 to 6, wherein: the handle assembly (100) comprises a left half handle and a right half handle, which are integrally welded by ultrasonic waves.
CN201611236271.2A 2016-12-28 2016-12-28 Surgical instrument Active CN108245236B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201611236271.2A CN108245236B (en) 2016-12-28 2016-12-28 Surgical instrument

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201611236271.2A CN108245236B (en) 2016-12-28 2016-12-28 Surgical instrument

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CN108245236A CN108245236A (en) 2018-07-06
CN108245236B true CN108245236B (en) 2024-04-09

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Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109481009A (en) * 2018-12-17 2019-03-19 锐志微创医疗科技(常州)有限公司 A kind of detachable structure tissue closure cutting electrode
CN109481008A (en) * 2018-12-17 2019-03-19 锐志微创医疗科技(常州)有限公司 A kind of detachable structure tissue closure cutting electrode routing device

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5573534A (en) * 1993-05-06 1996-11-12 United States Surgical Corporation Bipolar electrosurgical instruments
CN104382648A (en) * 2014-12-11 2015-03-04 南京艾力芬医疗器械有限公司 Closing and cutting electrode for electrosurgery and using method thereof
CN204500940U (en) * 2015-01-23 2015-07-29 蔡秀军 Multifunction laser operative dissector
CN105496550A (en) * 2015-12-25 2016-04-20 珠海市司迈科技有限公司 Bipolar coagulation electric knife
CN206729973U (en) * 2016-12-28 2017-12-12 南京森盛医疗设备有限公司 Surgery device

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5573534A (en) * 1993-05-06 1996-11-12 United States Surgical Corporation Bipolar electrosurgical instruments
CN104382648A (en) * 2014-12-11 2015-03-04 南京艾力芬医疗器械有限公司 Closing and cutting electrode for electrosurgery and using method thereof
CN204500940U (en) * 2015-01-23 2015-07-29 蔡秀军 Multifunction laser operative dissector
CN105496550A (en) * 2015-12-25 2016-04-20 珠海市司迈科技有限公司 Bipolar coagulation electric knife
CN206729973U (en) * 2016-12-28 2017-12-12 南京森盛医疗设备有限公司 Surgery device

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