CN108433772A - Skin penetrating point staplers - Google Patents

Skin penetrating point staplers Download PDF

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Publication number
CN108433772A
CN108433772A CN201810543452.2A CN201810543452A CN108433772A CN 108433772 A CN108433772 A CN 108433772A CN 201810543452 A CN201810543452 A CN 201810543452A CN 108433772 A CN108433772 A CN 108433772A
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CN
China
Prior art keywords
nail
central shaft
frame
closed
ejector pin
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
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CN201810543452.2A
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Chinese (zh)
Inventor
吴淑英
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Individual
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Individual
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Publication date
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Priority to CN201810543452.2A priority Critical patent/CN108433772A/en
Publication of CN108433772A publication Critical patent/CN108433772A/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
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Urology & Nephrology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Vascular Medicine (AREA)
  • Public Health (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Reproductive Health (AREA)
  • Emergency Medicine (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of skin penetrating point staplers, with horizontal ejector pin portion and the hand-held part for being connected to ejector pin portion tail end, a piece horizontal central shaft is set in the interior lumen in ejector pin portion, central shaft one end is fixed on tube chamber bottom end, the other end connects one and sets nail frame, set the opening that nail frame is located at tube chamber, it is closed nail setting installation inside nail frame, central shaft is equipped with nail-pushing part, hand-held part is equipped with catch bar, catch bar controls nail-pushing part and is moved forward and backward along central shaft, sets nail frame and squeezes closure nail under the driving of nail-pushing part, closure nail is made to occur to collapse deformation.The present invention is closed nail setting inside nail frame installation, sets nail frame by nail-pushing part driving and squeezes and is closed nail, and closure nail is made to occur to collapse deformation.Such as same claw inwardly captures skin when in use, and the circumocular tissue in the point of puncture hole of skin is made to be crawled together.It can effectively realize point of puncture quick-make and hemostasis, simple operation, while solve the problems, such as to oppress over or under.

Description

Skin penetrating point staplers
Technical field
The present invention relates to medical equipment field, especially a kind of skin penetrating point nail for being closed skin penetrating point Clutch.
Background technology
Haemodialysis is the renal replacement therapies method of acute or chronic renal failure patient, and internal arteriovenous fistula is to be used for blood One of surgical operation of dialysis treatment.Arteriovenous internal fistula formation is that forearm is made one close to the artery of wrist and neighbouring vein Suture makes to flow arterial blood in the vein after coincideing, forms an internal arteriovenous fistula.In practical operation, dialysis needle can be worn Transdermal enters in subcutaneous access blood vessel, needs to extract this needle after haemodialysis, skin surface leaves a puncture hole Eye(Such as the hole eye of 2mm diameters), because the Glucose drift blood vessel of dialysis pin puncture is the Superficial veins connected with upper limb radial artery, Interior blood stream pressure will appear spray blood phenomenon, it is therefore desirable to take measures to be closed point of puncture close to arterial pressure after extracting dialysis needle Hole eye.The method hemostasis of generally use compression band compressing in the prior art, and compression band is usually unable to control elasticity, compressing Medical experience is leaned on entirely, if compressing tension can lead to dialyzing access acute occlusion, the danger such as complication occur, if compressing is insufficient It can lead to bleeding even subcutaneous hemorrhage, it is difficult to realize the therapeutic effect of healing wound.And compression band tie it is cumbersome, no It can be completed while extracting dialysis needle, increase the risk of spray blood.
Invention content
The applicant for the above-mentioned prior art present in compressing unreasonable cause dialyzing access acute occlusion and bleeding Phenomenon, it is cumbersome, risk is high the shortcomings of, a kind of skin penetrating point staplers reasonable for structure are provided, can effectively realize and wear Thorn point quick-make and hemostasis, simple operation, while solving the problems, such as that compressing is not easy to control.
The technical solution adopted in the present invention is as follows:
A kind of skin penetrating point staplers have horizontal ejector pin portion and are connected to the hand-held part of ejector pin portion tail end, ejector pin portion A piece horizontal central shaft is set in interior lumen, central shaft one end is fixed on tube chamber bottom end, and the other end connects one and sets nail frame, The opening that nail frame is located at tube chamber is set, is closed nail setting installation inside nail frame, central shaft is equipped with nail-pushing part, and hand-held part is equipped with Catch bar, catch bar control nail-pushing part and are moved forward and backward along central shaft, set nail frame and squeeze closure nail under the driving of nail-pushing part, make to close Dowel occurs to collapse deformation.
As a further improvement of the above technical scheme:
Being closed nail, there are several nail pins, nail pin to be integrally formed a coronal skeleton for being more than hemisphere.
The nail pin end for being closed nail is equipped with short thorn.
Setting nail frame, there are several stabilizer blades, stabilizer blade to be correspondingly arranged with the nail pin for being closed nail.
There are nail-pushing part several ejector pin feet, ejector pin foot to be correspondingly arranged with the stabilizer blade for setting nail frame.
The nail pin of closure nail, the stabilizer blade for setting nail frame are identical with the ejector pin foot quantity of nail-pushing part, are three, four or five It is a.
Ejector pin foot is connected on pushing block, and central shaft runs through the through-hole at pushing block center.
It is connected by spring between pushing block and the tube chamber bottom in ejector pin portion, spring string covers on center shaft.
The section of central shaft is round or polygon.
Catch bar is divided into two sections in obtuse angle, and the vertex at obtuse angle is hinged on hand-held part, and the upper end of catch bar, which is resisted against, to push away The end of nail piece is equipped with elastic clip between the lower end and hand-held part of catch bar.
Beneficial effects of the present invention are as follows:
The present invention is closed nail setting inside nail frame installation, sets nail frame by nail-pushing part driving and squeezes and is closed nail, and closure nail is made to occur Collapse deformation.Such as same claw inwardly captures skin when in use, and the circumocular tissue in the point of puncture hole of skin is made to be crawled Together.It can effectively realize point of puncture quick-make and hemostasis, simple operation, while solve to oppress over or under ask Topic.The present invention makes easy to operate by rational structure design, and one holds molding, is closed at once while extracting dialysis needle Closing operation effectively prevent that spray blood phenomenon occurs, improves safety and the working efficiency of medical care.The present invention is at the nail pin end for being closed nail Portion is equipped with short thorn, can effectively capture skin histology, prevents from being closed following closely and slide, ensure that the reliability for being closed point of puncture.
Description of the drawings
Fig. 1 is the schematic diagram before present invention work.
Schematic diagram when Fig. 2 is present invention work.
Fig. 3 is the schematic diagram after present invention work.
Fig. 4 is the stereogram for being closed nail.
Fig. 5 is the vertical view of Fig. 4.
In figure:1, ejector pin portion;2, hand-held part;3, it is closed nail;4, central shaft;5, nail frame is set;6, stabilizer blade;7, nail pin;8, it pushes away Nail piece;9, ejector pin foot;10, pushing block;11, spring;12, catch bar;13, elastic clip;14, short thorn.
Specific implementation mode
Below in conjunction with the accompanying drawings, illustrate the specific implementation mode of the present invention.
As shown in Figs. 1-3, skin penetrating point staplers of the present invention have horizontal ejector pin portion 1 and are connected to vertically The hand-held part 2 of 1 tail end of ejector pin portion, ejector pin portion 1 are tubular structure, and internal tube chamber is pushed away towards front opening, bottom end closure composition The tail end in nail portion 1.A piece horizontal central shaft 4 is set along its length in lumen center, the section of central shaft 4 can be round Shape, rectangular or other polygons.4 one end of central shaft is fixed on tube chamber bottom end, and the other end is free end, the end connection of free end One is set nail frame 5, sets the opening that nail frame 5 is located at tube chamber.Set the stabilizer blade 6 that there are nail frame 5 several to be exhaled from center, branch Foot 6 is integrally formed a coronal skeleton for being more than hemisphere.Stabilizer blade 6 is made of flexible elastic material, such as plastics or metal Deng.It is closed nail 3 setting installation inside nail frame 5, closure nail 3, which is slightly less than, sets nail frame 5.Being closed nail 3, there are several to be dissipated from center The nail pin 7 gone out, nail pin 7 are integrally formed a coronal skeleton for being more than hemisphere(See Fig. 4,5).7 end of nail pin for being closed nail 3 is set There is short thorn 14.It is closed nail 3 to be made of metal material, once flexural deformation if original shape will not do not restored if by external force automatically Shape.
A nail-pushing part 8 is arranged on central shaft 4, nail-pushing part 8 is free to slide before and after central shaft 4, and 8 front end of nail-pushing part is Several ejector pin feet 9, rear end are the pushing block 10 being connect with ejector pin foot 9, and ejector pin foot 9 is evenly distributed on around central shaft 4.It closes The nail pin 7 of dowel 3, the stabilizer blade 6 for setting nail frame 5 are identical with 9 quantity of ejector pin foot of nail-pushing part 8 and correspond, the front end of ejector pin foot 9 Forward against 6 outside of stabilizer blade for setting nail frame 5, the 6 inside package of stabilizer blade for setting nail frame 5 is closed the nail pin 7 of nail 3.In pushing block 10 The heart is equipped with through-hole, and central shaft 4 enables pushing block 10 to be moved forward and backward on central shaft 4 through through-hole.Pushing block 10 and ejector pin portion 1 It is connected by extension spring 11 between tube chamber bottom, the string of extension spring 11 is sleeved on central shaft 4.If 8 stress of nail-pushing part is to being pushed forward Dynamic, ejector pin foot 9 squeezes the stabilizer blade 6 for setting nail frame 5, makes stabilizer blade 6 that hettocyrtosis occur and inwardly collapse, while stabilizer blade 6 is squeezed and is closed Nail 3 makes the nail pin 7 of closure nail 3 that hettocyrtosis occur and inwardly collapse, and such as same claw inwardly captures skin, makes skin The circumocular tissue in point of puncture hole is crawled together, to make point of puncture be closed.After the thrust of nail-pushing part 8 removes, stretch Spring 11 pulls pushing block 10 to be restored to original position.The nail pin 7 for being closed nail 3 can be three, four or five etc., right The ejector pin foot 9 of the stabilizer blade 6 for setting nail frame 5 and nail-pushing part 8 answered is also three, four or five.The front end of ejector pin foot 9 and set nail Oblique angle or smooth dome may be used in the position that 6 outside of stabilizer blade of frame 5 is in contact.
A catch bar 12 is arranged on hand-held part 2, pushes away to follow closely the cavity of 3 directions opening towards closure for 2 inside of hand-held part Lever 12 is divided to for two sections in obtuse angle, and the vertex at obtuse angle is hinged on the cavity madial wall of hand-held part 2.It wears the upper end of catch bar 12 The downward opening in 1 rear end of ejector pin portion is crossed, is resisted against on pushing block 10.Elasticity is equipped between the lower end and hand-held part 2 of catch bar 12 Intermediate plate 13 makes 12 lower end of catch bar open certain angle relative to hand-held part 2, is held convenient for human hand and applies motive force.Catch bar 12 upper end is bifurcation structure, and central shaft 4 passes through swing of the bifurcation structure without influencing catch bar 12.
For the present invention when implementing, installation, which is closed, first on setting nail frame 5 follows closely 3, will be closed nail 3 and sets inside nail frame 5. It is slightly less than due to being closed nail 3 and sets nail frame 5, and set the whole radian of nail frame 5 and be more than semicircle, therefore is closed nail 3 and is fixed on and set nail frame 5 It is interior without falling off.Nail frame 5 is set in the front end of ejector pin foot 9 forward against 6 outside of stabilizer blade for setting nail frame 5 when original state The inside of stabilizer blade 6 package be closed the nail pin 7 of nail 3.
When work, user's right hand holds hand-held part 2 and catch bar 12, and left hand is held the backshank of dialysis needle and dialysed with fixed Needle.It determining after being closed the position of nail 3 on the skin, user's right hand will be closed 3 pushing of nail using certain dynamics and be adjacent to skin, Skin in compression is recessed to pull out bleeding after needle.It holds with a firm grip hand-held part 2 and catch bar 12, elastic clip 13 compresses, on catch bar 12 End pushes forward nail-pushing part 8, ejector pin foot 9 to squeeze the stabilizer blade 6 for setting nail frame 5, makes stabilizer blade 6 that hettocyrtosis occur and inwardly collapse, together When stabilizer blade 6 squeeze be closed nail 3, make closure nail 3 nail pin 7 occur hettocyrtosis and inwardly collapse, be closed nail 3 four nail pins 7 On short thorn 14 be pierced into skin and play fixed function, such as same claw inwardly captures skin, makes the point of puncture hole eye week of skin The tissue enclosed is crawled together, and then user's left hand pulls out rapidly needle, is oppressed on point of puncture, is worn because being closed nail 3 after pulling out needle Thorn point will not spray blood.Then, user's right hand holds catch bar 12 on earth, is similar to pressing camera shutter, keeps closure nail 3 complete Full bending forming, is fixed at the point of puncture of skin.Then unclamp catch bar 12, nail-pushing part 8 because extension spring 11 pulling force to After move, push foot to remove the extruding force of the stabilizer blade 6 of opposed nail frame 5, stabilizer blade 6 returns to original state.And nail 3 is closed due to hair Raw to collapse deformation, shape is less than the opening for setting nail frame 5 and is detached from from 5 inside of nail frame is set, is left on skin.Closer is removed, 3 sustainable reservations of nail are closed, is removed after when patient dialyses next time or after point of puncture healing, only need to use surgical operation Common nail device of tearing open can be completed.
Above description is explanation of the invention, is not the restriction to invention, without departing from the spirit of the invention, The present invention can make any type of modification.It, can also if the position relationship of ejector pin portion 1 and hand-held part 2 can be mutually perpendicular to Be form an angle it is connected.The improvement that comfort level and convenience based on operation are made, without departing from present invention master Purport, also within the scope of protection of this application.Compressed spring can also be set between the lower end and hand-held part 2 of catch bar 12, make to push away Certain angle is opened in 12 lower end of lever relative to hand-held part 2, is held convenient for human hand and applies motive force.

Claims (10)

1. a kind of skin penetrating point staplers, it is characterised in that:With horizontal ejector pin portion(1)Be connected to ejector pin portion(1)Tail The hand-held part at end(2), ejector pin portion(1)Interior lumen in be arranged a horizontal central shaft(4), central shaft(4)One end is fixed In tube chamber bottom end, the other end connects one and sets nail frame(5), set nail frame(5)Positioned at the opening of tube chamber, nail frame is being set(5)It is internal Installation is closed nail(3), central shaft(4)It is equipped with nail-pushing part(8), hand-held part(2)It is equipped with catch bar(12), catch bar(12)Control Nail-pushing part processed(8)Along central shaft(4)It is moved forward and backward, sets nail frame(5)In nail-pushing part(8)Driving under squeeze be closed nail(3), make to close Dowel(3)Occur to collapse deformation.
2. skin penetrating point staplers described in accordance with the claim 1, it is characterised in that:It is closed nail(3)With several nail pins (7), nail pin(7)One coronal skeleton for being more than hemisphere of overall structure.
3. skin penetrating point staplers according to claim 2, it is characterised in that:It is closed nail(3)Nail pin(7)End is set There is short thorn(14).
4. skin penetrating point staplers according to claim 2, it is characterised in that:Set nail frame(5)With several stabilizer blades (6), stabilizer blade(6)It is followed closely with being closed(3)Nail pin(7)It is correspondingly arranged.
5. skin penetrating point staplers according to claim 4, it is characterised in that:Nail-pushing part(8)With several ejector pins Foot(9), ejector pin foot(9)With set nail frame(5)Stabilizer blade(6)It is correspondingly arranged.
6. skin penetrating point staplers according to claim 5, it is characterised in that:It is closed nail(3)Nail pin(7), set nail Frame(5)Stabilizer blade(6)And nail-pushing part(8)Ejector pin foot(9)Quantity is identical, is three, four or five.
7. skin penetrating point staplers according to claim 5, it is characterised in that:Ejector pin foot(9)It is connected to pushing block (10)On, central shaft(4)Through pushing block(10)The through-hole at center.
8. skin penetrating point staplers according to claim 7, it is characterised in that:Pushing block(10)With ejector pin portion(1)'s Tube chamber passes through spring between bottom(11)Connection, spring(11)String is sleeved on central shaft(4)On.
9. skin penetrating point staplers described in accordance with the claim 1, it is characterised in that:Central shaft(4)Section be it is round or Polygon.
10. skin penetrating point staplers described in accordance with the claim 1, it is characterised in that:Catch bar(12)It is divided into obtuse angle Two sections, the vertex at obtuse angle is hinged on hand-held part(2)On, catch bar(12)Upper end be resisted against nail-pushing part(8)End, catch bar (12)Lower end and hand-held part(2)Between be equipped with elastic clip(13).
CN201810543452.2A 2018-05-31 2018-05-31 Skin penetrating point staplers Pending CN108433772A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112155673A (en) * 2020-10-13 2021-01-01 常州安康医疗器械有限公司 Fat-dissolving shaping high-energy focusing ultrasonic knife

Citations (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4485953A (en) * 1982-04-05 1984-12-04 Senco Products, Inc. Surgical stapling instrument and cartridge therefor
CN88101792A (en) * 1987-03-23 1988-10-05 伊西康公司 Improved anvil and ram assembly for surgical skin tacker
EP0419071A2 (en) * 1989-08-31 1991-03-27 TAYLOR, James Improvements in surgical stapling devices
EP0509513A1 (en) * 1991-04-17 1992-10-21 United States Surgical Corporation Fasciaclip and instrument
US20050274768A1 (en) * 2004-05-25 2005-12-15 Christy Cummins Surgical stapler
US20060111741A1 (en) * 2004-11-23 2006-05-25 Instrasurgical, Llc Wound closure device
US20060208028A1 (en) * 2000-09-01 2006-09-21 Glenn Kanner Wound site management and wound closure device
US20090254121A1 (en) * 2008-04-02 2009-10-08 Cardica, Inc. Vascular Closure with Multi-Pronged Clip
US20090264923A1 (en) * 2008-04-17 2009-10-22 Medtronic Vascular, Inc Vascular Puncture Stapling System
CN102458264A (en) * 2009-04-09 2012-05-16 心血管科技股份有限公司 Tissue closure devices, device and systems for delivery, kits and methods therefor
CN102988089A (en) * 2012-12-20 2013-03-27 常州安克医疗科技有限公司 Disposable skin stapler
CN103781444A (en) * 2011-03-29 2014-05-07 傲酷那提可覗股份有限公司 Fasteners, deployment systems, and methods for ophthalmic tissue closure and fixation of ophthalmic prostheses and other uses
CN105286933A (en) * 2014-11-27 2016-02-03 中国人民解放军第二军医大学 Tissue closing gun
CN107106182A (en) * 2014-11-03 2017-08-29 俄勒冈健康与科学大学 Fixture and applicator for tissue closure
CN208693366U (en) * 2018-05-31 2019-04-05 吴淑英 Skin penetrating point staplers

Patent Citations (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4485953A (en) * 1982-04-05 1984-12-04 Senco Products, Inc. Surgical stapling instrument and cartridge therefor
CN88101792A (en) * 1987-03-23 1988-10-05 伊西康公司 Improved anvil and ram assembly for surgical skin tacker
EP0419071A2 (en) * 1989-08-31 1991-03-27 TAYLOR, James Improvements in surgical stapling devices
EP0509513A1 (en) * 1991-04-17 1992-10-21 United States Surgical Corporation Fasciaclip and instrument
US20060208028A1 (en) * 2000-09-01 2006-09-21 Glenn Kanner Wound site management and wound closure device
US20050274768A1 (en) * 2004-05-25 2005-12-15 Christy Cummins Surgical stapler
US20060111741A1 (en) * 2004-11-23 2006-05-25 Instrasurgical, Llc Wound closure device
US20090254121A1 (en) * 2008-04-02 2009-10-08 Cardica, Inc. Vascular Closure with Multi-Pronged Clip
US20090264923A1 (en) * 2008-04-17 2009-10-22 Medtronic Vascular, Inc Vascular Puncture Stapling System
CN102458264A (en) * 2009-04-09 2012-05-16 心血管科技股份有限公司 Tissue closure devices, device and systems for delivery, kits and methods therefor
CN103781444A (en) * 2011-03-29 2014-05-07 傲酷那提可覗股份有限公司 Fasteners, deployment systems, and methods for ophthalmic tissue closure and fixation of ophthalmic prostheses and other uses
CN102988089A (en) * 2012-12-20 2013-03-27 常州安克医疗科技有限公司 Disposable skin stapler
CN107106182A (en) * 2014-11-03 2017-08-29 俄勒冈健康与科学大学 Fixture and applicator for tissue closure
CN105286933A (en) * 2014-11-27 2016-02-03 中国人民解放军第二军医大学 Tissue closing gun
CN208693366U (en) * 2018-05-31 2019-04-05 吴淑英 Skin penetrating point staplers

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112155673A (en) * 2020-10-13 2021-01-01 常州安康医疗器械有限公司 Fat-dissolving shaping high-energy focusing ultrasonic knife

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