CN108542495A - A kind of fallopian tubal Plastic recovery pincers - Google Patents

A kind of fallopian tubal Plastic recovery pincers Download PDF

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Publication number
CN108542495A
CN108542495A CN201810446165.XA CN201810446165A CN108542495A CN 108542495 A CN108542495 A CN 108542495A CN 201810446165 A CN201810446165 A CN 201810446165A CN 108542495 A CN108542495 A CN 108542495A
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China
Prior art keywords
hollow pole
plastic recovery
fallopian tubal
pincers
fallopian
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Application number
CN201810446165.XA
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Chinese (zh)
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CN108542495B (en
Inventor
杨昊
官雨佳
田清
刘川容
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West China Second University Hospital of Sichuan University
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West China Second University Hospital of Sichuan University
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Priority to CN201810446165.XA priority Critical patent/CN108542495B/en
Publication of CN108542495A publication Critical patent/CN108542495A/en
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    • 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
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • 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
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • 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
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00559Female reproductive organs
    • 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
    • A61B2018/00589Coagulation
    • 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
    • A61B2018/1452Probes having pivoting end effectors, e.g. forceps including means for cutting
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02WCLIMATE CHANGE MITIGATION TECHNOLOGIES RELATED TO WASTEWATER TREATMENT OR WASTE MANAGEMENT
    • Y02W30/00Technologies for solid waste management
    • Y02W30/50Reuse, recycling or recovery technologies
    • Y02W30/62Plastics recycling; Rubber recycling

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physics & Mathematics (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of fallopian tubal Plastic recovery pincers, belong to surgical operation medical instruments field.A kind of fallopian tubal Plastic recovery pincers, flexible handle, clamp block and the claw beam in clamp block including fixed handle, with fixed handle rotation connection, the claw beam includes hollow pole, the pull rod in hollow pole and the locking claw assembly mounted on hollow pole front end, it includes center prongs, surrounding pawl and driving member to be latched claw assembly, described pull rod one end is connected with center prongs, the other end is hinged with flexible handle, and block ring and its control assembly are equipped on hollow pole.The present invention may make tissue openings to be stapled that can effectively expose, and can fully fix the outer rim of tissue to be stapled, reduces and leads to not the fixed situation of suture due to turning over for outer rim tissue, breaks traditional Plastic recovery art, effectively promote procedure efficiency.

Description

A kind of fallopian tubal Plastic recovery pincers
Technical field
The present invention relates to surgical operation medical instruments fields, and in particular to a kind of fallopian tubal Plastic recovery pincers.
Background technology
Fimbriated extremity of fallopian adhesion package is primarily due to the infiltration of fallopian tubal long-term chronic inflammation, makes to fall off, the cell of necrosis Aggregation causes tubal occlusion, umbrella end Adhesion formation hydrops to change, and the viscous operation of fimbriated extremity of fallopian point usually need first to carry out it is defeated Oviduct neostomy, then carry out fallopian tubal Plastic recovery art, i.e., by fimbriated extremity of fallopian package tissue part removal after, by umbrella end its Stripping tissue is sutured or is fixed with fallopian tubal after opening exposure by the stripping downwards of remaining tissue.And traditional surgical instrument It is not easy to peel away in tissue to be stapled.
If number of patent application is " CN201420124662.5 ", publication date is on 07 30th, 2014, a kind of entitled " basin The utility model patent of chamber tumour stripping operation auxiliary forceps ", technical solution are:A kind of tumor of pelvis stripping operation auxiliary forceps, Belong to the field of medical instrument technology.The auxiliary forceps include clamp handle and tong arm, and tong arm is arc body, and centre bore is provided on tong arm, in Strut kong is provided on the tong arm on heart hole top, the outer surface of tong arm is respectively arranged with slide opening, and slide opening outer end is provided with subring, Compression bar is installed, compression bar end is provided with connector, and connector is fixedly connected with subring in the centre bore of tong arm.
Above-mentioned utility model patent mainly has the disadvantages that:First, position of the subring on tong arm can not be according to reality Border needs to accurately control, this results in that deformation and damage may be caused to tissue in practical operation so that operation cannot It is smoothed out;Second is that electric coagulation hemostasis cannot be used during operation, amount of bleeding cannot be efficiently reduced.
Invention content
Present invention seek to address that surgical instrument needs to fix in the operation for carrying out Plastic recovery to tissue in the prior art Existing above problem when suture, it is proposed that it is a kind of facilitate stripping and fixing organization, it is smaller to tissue damage, can be by coagulation and seam Close the fallopian tubal Plastic recovery pincers being carried out at the same time.
In order to achieve the above-mentioned object of the invention, technical scheme is as follows:
A kind of fallopian tubal Plastic recovery pincers, including fixed handle, flexible handle, clamp block and installation with fixed handle rotation connection Claw beam in clamp block, it is characterised in that:The claw beam include hollow pole, the pull rod in hollow pole and be mounted on hollow pole The locking claw assembly of front end, locking claw assembly includes center prongs, surrounding pawl and driving member, described pull rod one end and center prongs phase Even, the other end is hinged with flexible handle, and block ring and its control assembly are equipped on hollow pole.
Further, the surrounding pawl is mounted on hollow pole outer wall, and center prongs pass through driving member center and consolidate with driving member It is fixed to be connected.
Further, the center prongs are vertical rod-shaped, and the pawl end of center prongs and surrounding pawl is all spherical shape.
Further, the clamp block edge is equipped with metal end, and the metal end is connected with electric knife.
Further, the block ring is the split ring being sleeved on hollow pole.
Further, the control assembly includes controlling the casing and control locking that block ring moves back and forth on hollow pole The adjuster of ring size, the adjuster are located at below casing.
Further, the adjuster includes knob and the opposite lead screw of two head threads, and adjuster passes through hinge with block ring The crossbar being connected together is connected.
Further, the crossbar one is connect with the both ends of split ring, and it is opposite that other end is separately fixed at lead screw On screw thread.
Beneficial effects of the present invention:
(1)The design that the present invention is latched pawl can be such that fimbriae tubae end opening effectively exposes, and the design of block ring can fill Point fixed fimbriated extremity of fallopian outer rim tissue reduces turning over and lead to not suture fixed due to fimbriated extremity of fallopian outer rim tissue Situation;
(2)The present invention, which is latched the center prongs of pawl, can effectively enhance the grip of fallopian tubal with the design of surrounding pawl, and reduction is capturing The probability that fallopian tubal process median oviduct is fallen, tip ball design can also effectively reduce during operation clamp because of Multiple caused damage of the incorrect clamp to fallopian tubal;
(3)The present invention can in separation coagulation, stop blooding in time to bleeding sites, effectively reduce intraoperative blood loss, can be with Side joining edge is fixed, and traditional fallopian tubal Plastic recovery art is broken, and effectively promotes procedure efficiency, optimizes traditional fallopian tubal Plastic recovery The operating procedure of art shortens operating time.
Description of the drawings
Fig. 1 is the overall structure diagram of the present invention;
Fig. 2 is block ring and its control assembly structural schematic diagram;
Fig. 3 is the structural schematic diagram for being latched pawl and fixing fimbriated extremity of fallopian tissue;
Wherein,
1, fixed handle;2, flexible handle;3, clamp block;4, hollow pole;5, pull rod;6, it is latched claw assembly;600, center prongs; 601, surrounding pawl;7, block ring;8, casing;9, knob;10, lead screw;11, crossbar;12, adjuster;13, fimbriated extremity of fallopian is opened Mouth end;14, fimbriated extremity of fallopian outer rim tissue.
Specific implementation mode
The present invention is described in further detail with reference to embodiment, embodiments of the present invention are not limited thereto.
Embodiment 1
Such as Fig. 1 and Fig. 3, a kind of fallopian tubal Plastic recovery pincers, including fixed handle 1, the movable hand with the rotation connection of fixed handle 1 Handle 2, clamp block 3 and the claw beam in clamp block 3, the claw beam include hollow pole 4, the pull rod 5 in hollow pole 4 and installation Locking claw assembly 6 in 4 front end of hollow pole, locking claw assembly 6 include center prongs 600, surrounding pawl 601 and driving member, the drawing 5 one end of bar is connected with center prongs 600, and the other end is hinged with flexible handle 2, and block ring 7 and its control group are equipped on hollow pole 4 Part.
Working principle of the present invention is as follows:
A) fimbriated extremity of fallopian stoma, is completed to fimbriated extremity of fallopian adhesion end;
B), operation clip firceps make the center prongs 600 of locking pawl enter fimbriae tubae end opening, and subsequent operant activity handle 2 makes to close The surrounding pawl 601 of lock claw is closed, and catches the outer wall of fimbriae tubae end opening;
The size of block ring 7 is adjusted to suitable size by c), operation and control component, with i.e. by control assembly along hollow pole 4 to being pushed forward It moves, keeps block ring 7 downward along 13 wall of fimbriated extremity of fallopian open end from fimbriated extremity of fallopian open end 13 under the drive of control assembly It is mobile, to push fallopian tubal outer rim tissue to move down;
D) after, being moved to suitable position, fimbriated extremity of fallopian open end 13 is able to suitable exposure, at this time the sliding of push handle Lock, makes the position of block ring 7 fix, to also temporarily fix the position of fimbriated extremity of fallopian outer rim tissue 14.
The present invention may make fimbriae tubae end opening that can effectively expose, and can fully fix fimbriated extremity of fallopian outer rim tissue 14, it reduces and leads to not the fixed situation of suture due to turning over for fimbriated extremity of fallopian outer rim tissue 14;It can be with the electricity in separation It is solidifying, stop blooding in time to bleeding sites, effectively reduces intraoperative blood loss;It can also be fixed in suture, break the defeated ovum of tradition Pipe Plastic recovery art effectively promotes procedure efficiency, optimizes the operating procedure of traditional fallopian tubal Plastic recovery art, when shortening operation Between.
Embodiment 2
Such as Fig. 1 ~ 3, a kind of fallopian tubal Plastic recovery pincers, including fixed handle 1, the flexible handle with the rotation connection of fixed handle 1 2, clamp block 3 and the claw beam in clamp block 3, it is characterised in that:The claw beam includes hollow pole 4, the drawing in hollow pole 4 Bar 5 and locking claw assembly 6 mounted on 4 front end of hollow pole, locking claw assembly 6 include center prongs 600, surrounding pawl 601 and transmission Part, 5 one end of the pull rod are connected with center prongs 600, and the other end is hinged with flexible handle 2, and block ring 7 is equipped on hollow pole 4 And its control assembly.
The surrounding pawl 601 is mounted on 4 outer wall of hollow pole, and center prongs 600 pass through driving member center and fixed with driving member It is connected.Driving member described in the present embodiment is that connection each point of pawl of gripper makes it complete to open or be closed in the prior art Drive mechanism.
The center prongs 600 are vertical rod-shaped, and the pawl end of center prongs 600 and surrounding pawl 601 is all spherical shape.The present embodiment The ball design at median claw end can be further reduced the damage to fallopian tubal in the process of grasping.
3 edge of the clamp block is equipped with metal end, and the metal end is connected with electric knife.
The block ring 7 is the split ring being sleeved on hollow pole 4, and control assembly includes control block ring 7 on hollow pole 4 The adjuster 12 of the casing 8 and control 7 size of block ring that move back and forth, the adjuster 12 are located at 8 lower section of casing.
The adjuster 12 includes the opposite lead screw 10 of knob 9 and two head threads, and adjuster 12 passes through hinged with block ring 7 Crossbar 11 together is connected.
The crossbar 11 1 is connect with the both ends of split ring, and other end is separately fixed at the opposite screw thread of lead screw 10 On.
The size control principle of block ring 7 is:When toward a direction adjusting knob 9, due to the screw thread at 10 both ends of lead screw On the contrary, the both ends of crossbar 11 1 can be simultaneously toward mobile among lead screw 10 or simultaneously toward the movement of 10 both ends of lead screw, similar to cutting The motion principle of knife;When intersecting the movement among lead screw 10 simultaneously of pole both ends, block ring 7 reduces, and it is past simultaneously to intersect pole both ends When 10 both ends of lead screw are moved, block ring 7 amplifies.
Working principle of the present invention is as follows:
A) fimbriated extremity of fallopian stoma, is completed to fimbriated extremity of fallopian adhesion end;
B), operation clip firceps make the center prongs 600 of locking pawl enter fimbriae tubae end opening, and subsequent operant activity handle 2 drives Being moved after pull rod 5 makes the surrounding pawl 601 of locking pawl be closed, and catches the outer wall of fimbriae tubae end opening;
The size of block ring 7 is adjusted to suitable size by c), adjusting knob 9, is operated casing 8 at this time and is elapsed forward along hollow pole 4, Block ring 7 is set to be moved down from fimbriated extremity of fallopian open end 13 along 13 wall of fimbriated extremity of fallopian open end, to push outside fallopian tubal Edge tissue moves down, as shown in figure 3, arrow indicates the moving direction of block ring;
D) after, being moved to suitable position, fimbriated extremity of fallopian open end 13 is able to suitable exposure, at this time the sliding of push handle Lock, makes the position of block ring 7 fix, to also temporarily fix the position of fimbriated extremity of fallopian outer rim tissue 14;
E), at this point it is possible to select as needed:
1. fimbriated extremity of fallopian outer rim tissue 14 is fixed in suture;
Or:
2. the metal end that fallopian tubal Plastic recovery is clamped connects electric knife, and slight enlargement block ring 7, in fallopian tubal outer rim group It knits temporarily fixed position and carries out coagulation, to reach the fixation of fallopian tubal outer rim tissue location.
It equally first can also 2. be operated 1. to be operated again and reach dual fixed purpose, reinforce fixed effect.
The present invention is separated into most preferably scheme for fimbriated extremity of fallopian adhesion organization, can be used for other similar tissues In the fixed operation of separation.
The above is only presently preferred embodiments of the present invention, not does limitation in any form to the present invention, it is every according to According to the technical spirit of the present invention to any simple modification, equivalent variations made by above example, the protection of the present invention is each fallen within Within the scope of.

Claims (8)

1. a kind of fallopian tubal Plastic recovery pincers, including fixed handle(1)With fixed handle(1)The flexible handle of rotation connection (2), clamp block(3)With mounted on clamp block(3)On claw beam, it is characterised in that:The claw beam includes hollow pole(4), be located at it is hollow Pole(4)Interior pull rod(5)With mounted on hollow pole(4)The locking claw assembly of front end(6), it is latched claw assembly(6)Including center prongs (600), surrounding pawl(601)And driving member, the pull rod(5)One end and center prongs(600)It is connected, the other end and flexible handle (2)It is hinged, hollow pole(4)On block ring is installed(7)And its control assembly.
2. a kind of fallopian tubal Plastic recovery pincers according to claim 1, it is characterised in that:The surrounding pawl(601)Installation In hollow pole(4)Outer wall, center prongs(600)It is fixedly linked across driving member center and with driving member.
3. a kind of fallopian tubal Plastic recovery pincers according to claim 1 or 2, it is characterised in that:The center prongs(600)For Vertical rod-shaped, center prongs(600)With surrounding pawl(601)Pawl end all be spherical shape.
4. a kind of fallopian tubal Plastic recovery pincers according to claim 1, it is characterised in that:The clamp block(3)It is set on edge There are metal end, the metal end to be connected with electric knife.
5. a kind of fallopian tubal Plastic recovery pincers according to claim 1, it is characterised in that:The block ring(7)To be sleeved on Hollow pole(4)On split ring.
6. a kind of fallopian tubal Plastic recovery pincers according to claim 1, it is characterised in that:The control assembly includes control Block ring(7)In hollow pole(4)On the casing that moves back and forth(8)With control block ring(7)The adjuster of size(12), the tune Save device(12)Positioned at casing(8)Lower section.
7. a kind of fallopian tubal Plastic recovery pincers according to claim 6, it is characterised in that:The adjuster(12)Including rotation Button(9)The lead screw opposite with two head threads(10), adjuster(12)With block ring(7)Pass through hinged crossbar(11) It is connected.
8. a kind of fallopian tubal Plastic recovery pincers according to claim 7, it is characterised in that:The crossbar(11)One with The both ends of split ring connect, and other end is separately fixed at lead screw(10)On opposite screw thread.
CN201810446165.XA 2018-05-11 2018-05-11 Oviduct restoration plastic forceps Active CN108542495B (en)

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Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4809695A (en) * 1981-10-21 1989-03-07 Owen M. Gwathmey Suturing assembly and method
US5397325A (en) * 1993-11-09 1995-03-14 Badiaco, Inc. Laparoscopic suturing device
JP2001190564A (en) * 2000-01-12 2001-07-17 Olympus Optical Co Ltd Medical treatment instrument
US20050033312A1 (en) * 2003-07-02 2005-02-10 Olympus Corporation Ligation apparatus
JP2007125264A (en) * 2005-11-07 2007-05-24 Pentax Corp Clip removal instrument for endoscope
JP2008119526A (en) * 2001-02-05 2008-05-29 Olympus Corp Apparatus for ligating living tissues
JP2008284214A (en) * 2007-05-18 2008-11-27 Olympus Corp Intracavitary insertion implement fixture
US20090105728A1 (en) * 2007-10-23 2009-04-23 Minos Medical Devices and methods for securing tissue
JP2011078592A (en) * 2009-10-07 2011-04-21 Sumitomo Bakelite Co Ltd Clip, clip unit and clip device
US20110152888A1 (en) * 2009-10-30 2011-06-23 Ovesco Endoscopy Ag Medical Instrument for Setting Tissue Clips
CN202027665U (en) * 2011-03-30 2011-11-09 申屠增军 Open type surgical suture forceps
CN103519861A (en) * 2013-10-12 2014-01-22 中国人民解放军第二军医大学 Self-locking type half kidney loop ligature for minimally invasive surgery
CN106419986A (en) * 2016-10-28 2017-02-22 何文武 Eversion type circular stapler
CN107981904A (en) * 2018-01-23 2018-05-04 四川大学华西第二医院 A kind of fallopian tubal stitching clamp

Patent Citations (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4809695A (en) * 1981-10-21 1989-03-07 Owen M. Gwathmey Suturing assembly and method
US5397325A (en) * 1993-11-09 1995-03-14 Badiaco, Inc. Laparoscopic suturing device
JP2001190564A (en) * 2000-01-12 2001-07-17 Olympus Optical Co Ltd Medical treatment instrument
JP2008119526A (en) * 2001-02-05 2008-05-29 Olympus Corp Apparatus for ligating living tissues
US20050033312A1 (en) * 2003-07-02 2005-02-10 Olympus Corporation Ligation apparatus
JP2007125264A (en) * 2005-11-07 2007-05-24 Pentax Corp Clip removal instrument for endoscope
JP2008284214A (en) * 2007-05-18 2008-11-27 Olympus Corp Intracavitary insertion implement fixture
US20090105728A1 (en) * 2007-10-23 2009-04-23 Minos Medical Devices and methods for securing tissue
JP2011078592A (en) * 2009-10-07 2011-04-21 Sumitomo Bakelite Co Ltd Clip, clip unit and clip device
US20110152888A1 (en) * 2009-10-30 2011-06-23 Ovesco Endoscopy Ag Medical Instrument for Setting Tissue Clips
CN202027665U (en) * 2011-03-30 2011-11-09 申屠增军 Open type surgical suture forceps
CN103519861A (en) * 2013-10-12 2014-01-22 中国人民解放军第二军医大学 Self-locking type half kidney loop ligature for minimally invasive surgery
CN106419986A (en) * 2016-10-28 2017-02-22 何文武 Eversion type circular stapler
CN107981904A (en) * 2018-01-23 2018-05-04 四川大学华西第二医院 A kind of fallopian tubal stitching clamp

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