CN108577932B - Multi-functional operating forceps of orthopedics - Google Patents

Multi-functional operating forceps of orthopedics Download PDF

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Publication number
CN108577932B
CN108577932B CN201810488770.3A CN201810488770A CN108577932B CN 108577932 B CN108577932 B CN 108577932B CN 201810488770 A CN201810488770 A CN 201810488770A CN 108577932 B CN108577932 B CN 108577932B
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jaw
shaft
handle
coupling
groove
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CN108577932A (en
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王国伟
窦洪磊
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/285Surgical forceps combined with cutting implements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/14Surgical saws ; Accessories therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection
    • A61B17/2816Pivots
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection
    • A61B17/282Jaws

Abstract

The invention discloses a pair of orthopedic multifunctional surgical forceps, which mainly comprises a first grip, a second grip, a first jaw, a second jaw and a coupling, wherein the first grip and the second grip are identical in structure and are symmetrical about the center of the coupling; the left connecting shaft in the coupling is used for being connected with the first groove in the first jaw, so that the coupling is connected with the first jaw; the groove I in the jaw II is connected with the right connecting shaft, so that the jaw II is connected with the connecting shaft; the left auxiliary connecting shaft in the connecting shaft is used for being connected with the second groove in the first handle, so that the connecting shaft is connected with the first handle, and the second groove in the second handle is connected with the right auxiliary connecting shaft, so that the second handle is connected with the connecting shaft. The invention has novel structure, rich functions, simple operation, lower cost and suitability for batch production and wide popularization, and can reduce the workload of medical care personnel and the working time of orthopedic surgery.

Description

Multi-functional operating forceps of orthopedics
Technical Field
The invention relates to the technical field of medical instruments, in particular to an orthopedic multifunctional operating forceps.
Background
Osteology is also known as orthopedics. With the development and progress of science and technology, bone science has been greatly developed in diagnosis and treatment. With the change of times and society, the orthopedic injury spectrum also has obvious changes, for example, the diseases such as osteoarticular tuberculosis, osteomyelitis, poliomyelitis and the like are obviously reduced, the wounds caused by traffic accidents are obviously increased, the population is aged, the fracture and osteoscientific arthropathy caused by senile osteoporosis are increased, the influence of environmental factors is increased, bone tumors and rheumatoid arthritis are correspondingly increased, and the like. The change of the orthopedics wound spectrum requires that the key point of orthopedics research and the key point of prevention and treatment must be adapted to the change, which also determines the future development direction of orthopedics. The development of modern science not only needs to have fine disciplines, but also emphasizes the cooperation of multiple disciplines, and the development of orthopedics is the same, so that the future development of orthopedics requires more attention to the combination with the basic medicine, and also pays more attention to the full utilization of advanced scientific and technical achievements, for example, the further improvement of the function of the artificial joint must rely on the development of material science, and the new achievements of the material science are applied to the clinical orthopedics in time, so that the diagnosis and treatment level of the orthopedics can be improved to a new height.
Scissors, bone saws and forceps are also basic medical instruments commonly used in orthopedics, and are used for bone grafting and bone extraction in orthopedics, or for cutting and sawing bone warts, callus, osteoma, chondroma and the like. At present, scissors commonly used in clinic are composed of a cutting edge and a handle, when in bone grafting and bone taking operation in orthopaedics or cutting calcifications, poroma, verruca ossis and osteoma of human tissues, the scissors and a bone saw need to be repeatedly replaced, which is very inconvenient, wastes time and labor, increases the labor intensity of medical staff on one hand, prolongs the operation time on the other hand, and increases the pain of patients.
Disclosure of Invention
Aiming at the technical problems, the invention discloses an orthopedic multifunctional surgical forceps which can combine scissors, a bone saw and forceps into a whole and can freely change the movement direction of the jaws of the forceps.
The technical scheme of the invention is as follows: a multifunctional orthopedic surgical forceps mainly comprises a first grip, a second grip, a first jaw, a second jaw and a coupling. The first handle and the second handle are identical in structure, only the first handle is explained at present, the first handle comprises a sliding block, a lower buckle, a lower sliding groove, a connecting block and a second groove, the lower sliding groove is located at the top of the inner front end face of the first handle, the lower buckle is uniformly arranged on the left side and the right side in the lower sliding groove, the connecting block is arranged between the lower buckles, the sliding block is arranged at the top of the front end face of the connecting block, and the second groove is located at the top of the inner rear end face of the first handle; the structure of the top of the inner side of the first jaw is different from that of the top of the inner side of the second jaw, the rest structures are completely the same, only the first jaw is explained, the first jaw comprises a first groove, an upper chute and an upper buckle, the upper chute is arranged at the bottom of the inner front end surface of the first jaw, the upper buckle is uniformly arranged at the left side and the right side of the inner front end surface of the upper chute, and the first groove is positioned at the position, close to the bottom, of the rear end; the coupling comprises a left coupling shaft, a right coupling shaft, a main shaft, an auxiliary shaft, a lower coupling shaft, a right auxiliary coupling shaft and a left auxiliary coupling shaft, the left coupling shaft is arranged on the left side of the main shaft, the right coupling shaft is arranged on the right side of the main shaft, the lower coupling shaft is arranged at the bottom of the main shaft, a groove is formed in the top of the auxiliary shaft, the main shaft is connected with the groove in the auxiliary shaft through the lower coupling shaft, the right auxiliary coupling shaft is positioned on the right side of the auxiliary shaft, and the left auxiliary coupling shaft is positioned on the left side of; the left connecting shaft in the coupling is used for being connected with the first groove in the first jaw, so that the coupling is connected with the first jaw; the groove I in the jaw II is connected with the right connecting shaft, so that the jaw II is connected with the connecting shaft; the left auxiliary connecting shaft in the coupling is used for being connected with the second groove in the first grip to enable the coupling to be connected with the first grip, and the second groove in the second grip is connected with the right auxiliary connecting shaft to enable the second grip to be connected with the coupling; the connecting block is embedded and installed between the lower buckle and the upper buckle and can move along a track formed by the lower buckle and the upper buckle.
Furthermore, the saw teeth are arranged at the top of the inner side of the jaw, and the cutting edges are arranged at the top of the inner side of the jaw, so that the device has the functions of shearing and sawing, can be used for bone grafting and bone harvesting in orthopedics department, or removing calcifications, poroma, verruca and bone tumor of human tissues, and the like, saves time and labor, shortens the operation time, reduces the labor intensity of medical staff, and relieves the pain of patients.
Furthermore, the two ends of the connecting shaft of the left connecting shaft, the right connecting shaft, the lower connecting shaft, the right auxiliary connecting shaft and the left auxiliary connecting shaft are all in a hemispherical structure, so that the connecting shafts can freely rotate in the corresponding grooves, and the device is more flexible.
Furthermore, the first handle, the second handle, the first jaw, the second jaw and the coupling are connected in an embedded manner and can be freely detached; on the one hand, the service life of the device is prolonged, and on the other hand, more comprehensive disinfection and cleaning are performed on the device by medical personnel.
Furthermore, rubber gloves are arranged at the bottoms of the first grip and the second grip, and three finger grooves are formed in the outer sides of the rubber gloves; on one hand, the grip is increased, and when the medical staff is used, the finger grooves are matched with the palm structure of a human body, so that the medical staff is more comfortable when the medical staff is used.
Further, lower buckle and last buckle adopt the arc body buckle that the specification size is unanimous for medical personnel can come whether control connecting block gets into in the spout through promoting the slider from top to bottom.
The working method of the invention comprises the following steps: medical staff firstly slide the connecting block out of the lower sliding groove through the sliding block, then rotate the first jaw and the second jaw through the lower connecting shaft between the main shaft and the auxiliary shaft, align the lower sliding groove in the first handle with the upper sliding groove in the first jaw, then push the connecting block into the upper sliding groove through the sliding block, so that the first handle is connected with the first jaw and the second handle is connected with the second jaw, and then the distance between the first handle and the second handle is reduced by tightly holding the first handle and the second handle, so that the first jaw and the second jaw are clamped; when the two pairs of target positions of the first jaw and the second jaw are required to be expanded, medical staff firstly slide out the connecting block from the lower sliding groove through the sliding block, then rotate the first jaw and the second jaw through the lower connecting shaft between the main shaft and the auxiliary shaft, align the lower sliding groove in the first handle with the sliding groove in the second jaw, slide the connecting block into the sliding groove, enable the first handle to be connected with the second jaw, enable the second handle to be connected with the first jaw, and enable the medical staff to tightly hold the first handle and the second handle, so that the distance between the first handle and the second handle is reduced, and the first jaw and the second jaw are opened, thereby realizing the expansion function; and the cutting and sawing functions of the orthopedic patients during the operation are realized through the sawteeth and the cutting edges arranged at the top parts in the first jaw and the second jaw.
Compared with the prior art, the invention has the beneficial effects that:
1. the invention can combine the scissors, the bone saw and the pliers into a whole, thereby avoiding the repeated replacement of the scissors and the bone saw in the orthopedic surgery and reducing the labor intensity of medical care personnel.
2. The invention can change the movement direction of the jaw through the replacement connection of the grip and the jaw, and the jaw can clamp or expand the target according to the operation requirement after the medical care personnel clenches the grip.
3. The connecting pieces are connected with each other in a rotating mode, so that the connecting parts of the device can rotate freely, the connecting mode can be changed freely, and the device can be fixed through the extension and contraction of the connecting pieces.
4. The invention has novel structure, rich functions, simple operation, lower cost and suitability for batch production and wide popularization, and can reduce the workload of medical care personnel and the working time of orthopedic surgery.
Drawings
FIG. 1 is a schematic external view of the present invention;
FIG. 2 is a front view of the present invention;
FIG. 3 is a bottom view of the present invention;
FIG. 4 is a schematic view of the connection between the grip and the jaw of the present invention;
FIG. 5 is a schematic view of a coupling connection of the present invention;
FIG. 6 is a schematic view of the connection between the handle and the jaw of the present invention;
FIG. 7 is a front view of the grip and jaw of the present invention;
FIG. 8 is a schematic view of the connection between the grip and the jaw of the present invention;
FIG. 9 is a schematic view of the coupling structure of the present invention;
FIG. 10 is a perspective view of the coupling of the present invention;
wherein, 1-grip one, 2-grip two, 3-grip one, 4-grip two, 5-shaft coupling, 11-slide block, 12-lower buckle, 13-lower chute, 14-connecting block, 15-groove two, 31-groove one, 32-upper chute, 33-upper buckle, 51-left connecting shaft, 52-right connecting shaft, 53-main shaft, 54-auxiliary shaft, 55-lower connecting shaft, 56-right auxiliary connecting shaft, 57-left auxiliary connecting shaft.
Detailed Description
For the understanding of the technical solutions of the present invention, the following description will be further explained by taking the drawings and the specific embodiments as examples.
Example 1:
as shown in fig. 1 and 2, a pair of orthopedic multifunctional surgical forceps mainly comprises a first handle 1, a second handle 2, a first jaw 3, a second jaw 4 and a coupling 5, wherein the first handle 1 and the second handle 2 have the same structure, only the first handle 1 is explained at present, as shown in fig. 3, 5, 6, 7 and 8, the first handle 1 comprises a sliding block 11, a lower buckle 12, a lower chute 13, a connecting block 14 and a second groove 15, the lower chute 13 is positioned at the top of the front end surface in the first handle 1, the lower buckle 12 is uniformly arranged at the left side and the right side in the lower chute 13, the connecting block 14 is arranged between the lower buckle 12, the sliding block 11 is arranged at the top of the front end surface of the connecting block 14, and the second groove 15 is positioned at the top of; the top structures of the inner sides of the first jaw 3 and the second jaw 4 are different, the rest structures are completely the same, only the first jaw 3 is explained, the first jaw 3 comprises a first groove 31, an upper chute 32 and an upper buckle 33, the upper chute 32 is installed at the bottom of the front end face in the first jaw 3, the upper buckle 33 is evenly installed at the left side and the right side in the upper chute 32, and the first groove 31 is located at the position, close to the bottom, of the rear end face of the first jaw 3; as shown in fig. 5, 9 and 10, the coupling 5 includes a left coupling shaft 51, a right coupling shaft 52, a main shaft 53, a secondary shaft 54, a lower coupling shaft 55, a right secondary coupling shaft 56 and a left secondary coupling shaft 57, the left coupling shaft 51 is installed at the left side of the main shaft 53, the right coupling shaft 52 is installed at the right side of the main shaft 53, the lower coupling shaft 55 is installed at the bottom of the main shaft 53, a groove is formed at the top of the secondary shaft 54, the main shaft 53 is connected with the groove in the secondary shaft 54 through the lower coupling shaft 55, the right secondary coupling shaft 56 is located at the right side of the secondary shaft 54, and the left secondary coupling shaft; the left connecting shaft 51 in the coupling 5 is used for connecting with the groove one 31 in the jaw one 3, so that the coupling 5 is connected with the jaw one 3; the groove I31 in the jaw II 4 is connected with the right connecting shaft 52, so that the jaw II 4 is connected with the connecting shaft 5; the left auxiliary connecting shaft 57 in the coupling 5 is used for being connected with the second groove 15 in the first handle 1, so that the coupling 5 is connected with the first handle 1, and the second groove 15 in the second handle 2 is connected with the right auxiliary connecting shaft 56, so that the second handle 2 is connected with the coupling 5; the connecting block 14 is mounted between the lower buckle 12 and the upper buckle 33 in an embedded manner and can move along the track formed by the lower buckle 12 and the upper buckle 33.
Wherein, the top of the inner side of the jaw I3 is provided with sawteeth, and the top of the inner side of the jaw II 4 is provided with a shear blade; the device has the functions of shearing and sawing, can be used for bone grafting and bone extraction in orthopedics department or for cutting calcified focus, poroma, bone wart, bone tumor and the like of human tissues, saves time and labor, shortens the operation time, reduces the labor intensity of medical staff and relieves the pain of patients; the two ends of the connecting shaft of the left connecting shaft 51, the right connecting shaft 52, the lower connecting shaft 55, the right auxiliary connecting shaft 56 and the left auxiliary connecting shaft 57 are all in a hemispherical structure; the connecting shaft can freely rotate in the corresponding groove, so that the device is more flexible; the first handle 1, the second handle 2, the first jaw 3, the second jaw 4 and the coupling 5 are connected in an embedded manner and can be freely detached; on one hand, the service life of the device is prolonged, and on the other hand, the device is convenient for medical personnel to more comprehensively disinfect and clean; rubber gloves are arranged at the bottoms of the first handle 1 and the second handle 2, and three finger grooves are formed in the outer sides of the rubber gloves; on one hand, the grip is enlarged when the medical staff use, and on the other hand, the finger grooves are provided with structures which are matched with the palm of the human body, so that the medical staff feel more comfortable when the medical staff use; the lower buckle 12 and the upper buckle 33 are buckled by arc bodies with the same specification and size; so that the medical staff can control whether the connecting block 14 enters the upper chute 32 by pushing the slide block 11 up and down.
The working method of the invention comprises the following steps: firstly, the medical staff slides out the connecting block 14 from the lower chute 13 through the sliding block 11, then rotates the first jaw 3 and the second jaw 4 through the lower connecting shaft 55 between the main shaft 53 and the auxiliary shaft 54 to align the lower chute 13 in the first handle 1 with the upper chute 32 in the first jaw 3, then pushes the connecting block 14 into the upper chute 32 through the sliding block 11 to connect the first handle 1 with the first jaw 3 and connect the second handle 2 with the second jaw 4, and then reduces the distance between the first handle 1 and the second handle 2 to clamp the first jaw 3 with the second jaw 4 by tightly holding the first handle 1 and the second handle 2; when the first jaw 3 and the second jaw 4 are required to expand the target position, the medical staff firstly slides out the connecting block from the lower chute 13 through the sliding block 11, then rotates the first jaw 3 and the second jaw 4 through the lower connecting shaft 55 between the main shaft 53 and the auxiliary shaft 54, aligns the lower chute 13 in the first handle 1 with the upper chute 32 in the second jaw 4, slides the connecting block 14 into the upper chute 32, connects the first handle 1 with the second jaw 4, connects the second handle 2 with the first jaw 3, and tightly grips the first handle 1 and the second handle 2, so that the distance between the first handle 1 and the second handle 2 is reduced, the first jaw 3 and the second jaw 4 are opened, and the expansion function is realized; and the cutting and sawing functions of the orthopedic patient during the operation are realized through the sawteeth and the cutting edges arranged at the top parts in the jaw I3 and the jaw II 4.
The experimental data of the surgical clamp in clinical use are as follows:
the patients who need skeletal orthopedic surgery in the three-level orthopedic surgery are counted and divided into a control group and an experimental group according to a random method, wherein each group comprises 100 patients, the experimental group is used for surgery by using the surgical forceps of the invention, the control group is used for surgery by using the traditional surgical forceps, and the curative effect pair is shown in the following table 1:
table 1: comparison table of average operation time of experimental group and control group and evaluation of operating forceps used by main doctor
Figure GDA0002571431320000061
As can be seen from the data in Table 1, the satisfaction degree of the surgical forceps for a main surgeon in the orthopedic surgery process is obviously greater than that of the traditional surgical forceps, which shows that the surgical forceps are more popular with the main surgeon, are convenient to popularize and have better operation hand feeling; the average operation time of the operation forceps is far shorter than that of the traditional operation forceps, which shows that the operation forceps of the invention are more convenient to operate, the labor capacity of medical personnel is effectively reduced, and the working efficiency of the medical personnel is improved.
Finally, it should be noted that: the above examples are only intended to illustrate the technical solution of the present invention, but not to limit it; although the present invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some technical features may be equivalently replaced; and such modifications or substitutions do not depart from the spirit and scope of the corresponding technical solutions of the embodiments of the present invention.

Claims (5)

1. The multifunctional orthopedic surgical forceps are characterized by mainly comprising a first handle (1), a second handle (2), a first jaw (3), a second jaw (4) and a coupling (5), wherein the first handle (1) and the second handle (2) have the same structure, only the first handle (1) is explained at present, the first handle (1) comprises a sliding block (11), a lower buckle (12), a lower sliding groove (13), a connecting block (14) and a second groove (15), the lower sliding groove (13) is positioned at the top of the front end surface in the first handle (1), the lower buckle (12) is uniformly arranged at the left side and the right side in the lower sliding groove (13), the connecting block (14) is arranged between the lower buckles (12), the sliding block (11) is arranged at the top of the front end surface of the connecting block (14), and the second groove (15) is positioned at the top of the rear end surface in the first handle (1); the structure of the top of the inner side of the first jaw (3) is different from that of the top of the inner side of the second jaw (4), the rest structures are completely the same, only the first jaw (3) is explained, the first jaw (3) comprises a first groove (31), an upper sliding groove (32) and an upper buckle (33), the upper sliding groove (32) is installed at the bottom of the front end face in the first jaw (3), the upper buckle (33) is evenly installed at the left side and the right side in the upper sliding groove (32), and the first groove (31) is located at the position, close to the bottom, of the rear end face of the first jaw (3); the coupling (5) comprises a left coupling shaft (51), a right coupling shaft (52), a main shaft (53), an auxiliary shaft (54), a lower coupling shaft (55), a right auxiliary coupling shaft (56) and a left auxiliary coupling shaft (57), the left coupling shaft (51) is installed on the left side of the main shaft (53), the right coupling shaft (52) is installed on the right side of the main shaft (53), the lower coupling shaft (55) is installed at the bottom of the main shaft (53), a groove is formed in the top of the auxiliary shaft (54), the main shaft (53) is connected with the groove in the auxiliary shaft (54) through the lower coupling shaft (55), the right auxiliary coupling shaft (56) is located on the right side of the auxiliary shaft (54), and the left auxiliary coupling shaft (57) is located on the left side of the auxiliary shaft (54); a left connecting shaft (51) in the coupling (5) is used for being connected with a groove I (31) in the jaw I (3), so that the coupling (5) is connected with the jaw I (3); a groove I (31) in the jaw II (4) is connected with a right connecting shaft (52), so that the jaw II (4) is connected with the connecting shaft (5); the left auxiliary connecting shaft (57) in the coupling (5) is used for being connected with the second groove (15) in the first handle (1) to enable the coupling (5) to be connected with the first handle (1), and the second groove (15) in the second handle (2) is connected with the right auxiliary connecting shaft (56) to enable the second handle (2) to be connected with the coupling (5); the connecting block (14) is mounted between the lower buckle (12) and the upper buckle (33) in an embedding manner and can move along a track formed by the lower buckle (12) and the upper buckle (33);
the top of the inner side of the jaw I (3) is provided with sawteeth, and the top of the inner side of the jaw II (4) is provided with a shearing edge.
2. The multifunctional orthopedic forceps according to claim 1, wherein the two ends of the left connecting shaft (51), the right connecting shaft (52), the lower connecting shaft (55), the right auxiliary connecting shaft (56) and the left auxiliary connecting shaft (57) are all in a hemispherical structure.
3. The multifunctional orthopedic forceps according to claim 1, wherein the first handle (1), the second handle (2), the first jaw (3), the second jaw (4) and the coupling (5) are connected in an embedded manner and can be freely detached.
4. The multifunctional orthopedic forceps according to claim 1, wherein rubber gloves are arranged at the bottoms of the first grip (1) and the second grip (2), and three finger grooves are arranged on the outer sides of the rubber gloves.
5. The multifunctional orthopedic forceps according to claim 1, characterized in that the lower clip (12) and the upper clip (33) are arc clips with the same size.
CN201810488770.3A 2018-05-21 2018-05-21 Multi-functional operating forceps of orthopedics Active CN108577932B (en)

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5254129A (en) * 1991-11-22 1993-10-19 Alexander Chris B Arthroscopic resector
US20050186536A1 (en) * 2004-02-19 2005-08-25 Helmut Zepf Dental pliers
CN2928011Y (en) * 2006-04-21 2007-08-01 张志忠 Medical multifunction hole cutting forceps
CN202942195U (en) * 2012-12-18 2013-05-22 张勇 Multi-joint type rongeur
CN103702625A (en) * 2012-04-19 2014-04-02 德鲁有限责任公司 Disassemblable surgical forceps
CN205988308U (en) * 2016-11-22 2017-03-01 肖岩 A kind of Multifunctional operation nursing pincers

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5254129A (en) * 1991-11-22 1993-10-19 Alexander Chris B Arthroscopic resector
US20050186536A1 (en) * 2004-02-19 2005-08-25 Helmut Zepf Dental pliers
CN2928011Y (en) * 2006-04-21 2007-08-01 张志忠 Medical multifunction hole cutting forceps
CN103702625A (en) * 2012-04-19 2014-04-02 德鲁有限责任公司 Disassemblable surgical forceps
CN202942195U (en) * 2012-12-18 2013-05-22 张勇 Multi-joint type rongeur
CN205988308U (en) * 2016-11-22 2017-03-01 肖岩 A kind of Multifunctional operation nursing pincers

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