CN108720900A - A kind of articulatio cricoary tenoidea reduction forceps - Google Patents
A kind of articulatio cricoary tenoidea reduction forceps Download PDFInfo
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- CN108720900A CN108720900A CN201810728737.3A CN201810728737A CN108720900A CN 108720900 A CN108720900 A CN 108720900A CN 201810728737 A CN201810728737 A CN 201810728737A CN 108720900 A CN108720900 A CN 108720900A
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- section
- vice body
- clamp
- linkage section
- ligation
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- 230000009467 reduction Effects 0.000 title claims abstract description 21
- 238000000338 in vitro Methods 0.000 claims abstract description 20
- 238000005452 bending Methods 0.000 claims abstract description 14
- 230000007246 mechanism Effects 0.000 claims abstract description 4
- 238000001727 in vivo Methods 0.000 claims description 2
- 230000000694 effects Effects 0.000 description 6
- 238000003756 stirring Methods 0.000 description 6
- 230000006378 damage Effects 0.000 description 5
- 230000009471 action Effects 0.000 description 4
- 230000001788 irregular Effects 0.000 description 4
- 210000001519 tissue Anatomy 0.000 description 4
- 206010002091 Anaesthesia Diseases 0.000 description 3
- 241001597062 Channa argus Species 0.000 description 3
- 230000037005 anaesthesia Effects 0.000 description 3
- 210000000080 chela (arthropods) Anatomy 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 210000000867 larynx Anatomy 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 210000001260 vocal cord Anatomy 0.000 description 3
- 229910000831 Steel Inorganic materials 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 210000000988 bone and bone Anatomy 0.000 description 2
- 210000000845 cartilage Anatomy 0.000 description 2
- 238000006243 chemical reaction Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 230000036407 pain Effects 0.000 description 2
- 210000004872 soft tissue Anatomy 0.000 description 2
- 239000010959 steel Substances 0.000 description 2
- 210000003437 trachea Anatomy 0.000 description 2
- 208000034656 Contusions Diseases 0.000 description 1
- 206010011224 Cough Diseases 0.000 description 1
- 241001653121 Glenoides Species 0.000 description 1
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 1
- 206010047700 Vomiting Diseases 0.000 description 1
- 206010052428 Wound Diseases 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 238000001949 anaesthesia Methods 0.000 description 1
- 230000003444 anaesthetic effect Effects 0.000 description 1
- 230000009519 contusion Effects 0.000 description 1
- 210000003685 cricoid cartilage Anatomy 0.000 description 1
- 125000004122 cyclic group Chemical group 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 210000004704 glottis Anatomy 0.000 description 1
- 230000000642 iatrogenic effect Effects 0.000 description 1
- 230000006698 induction Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000002045 lasting effect Effects 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000004202 respiratory function Effects 0.000 description 1
- 239000000741 silica gel Substances 0.000 description 1
- 229910002027 silica gel Inorganic materials 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8866—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Ophthalmology & Optometry (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of articulatio cricoary tenoidea reduction forceps, including upper vice body and lower vice body, the upper vice body includes clamp handle, linkage section and clamp section, the linkage section includes Ligation in vitro section and internal linkage section, there is linkage section bending angle clamp handle to be made to be located at direction downward in the Ligation in vitro section opposite bank, the tail end of the clamp handle and Ligation in vitro section is hinged, the clamp section and the front end of internal linkage section are hinged, and clamp section is that level bends right and left shape with respect to the plane where linkage section, the internal linkage section is equipped with close to one end of clamp section and upwarps section;The lower vice body is integrally formed design, and has clamp handle compatible with upper vice body, linkage section and clamp section;The upper vice body forms four-bar mechanism with lower vice body by hinged block so that drives upper vice body that can be opened and closed along the translation of lower vice body to make the clamp section of upper vice body be formed with the clamp section of lower vice body when stepping up clamp handle;It is additionally provided with slide block assembly between the upper vice body and the linkage section of lower vice body.
Description
Technical field
The invention belongs to medical instruments fields, more particularly to reset the articulatio cricoary tenoidea used through visual anesthesia articulatio cricoary tenoidea and answer
Position pincers.
Background technology
Articulatio cricoary tenoidea is that arytenoid is connect with the plane articulation that annular cartilage is formed in cavum laryngis, supports the movement of vocal cords.
Arytenoid on lamina of cricoid cartilage other than having the sliding of front and back, preceding outside to rear inside, it is also inclined across rotation to from inside to outside
Rotation is made, and opening and the closing function of glottis is executed, to realize the sounding of larynx, swallow protection and respiratory function.Articulatio cricoary tenoidea
Dislocation is mostly since throat's wound causes, including trachea cannula damage and throat's contusion injuries, wherein iatrogenic trachea cannula causer
It is most common.It is main to cause the reactions such as patient's sound is hoarse, swallow pain, cough of choking, patients ' life quality is seriously affected, can also be caused
Medical tangle hidden danger, often needs positive treatment.Articulatio cricoary tenoidea reset is main therapy, but special, reliable due to lacking
Reduction instrument, the repositioning method of Clinical practice is varied, and reset effect is mostly imprecise, thus can not form unified standard
, reliable repositioning method.Due to lacking special equipment, doctor generally selects larynx section foreign body forceps, stirs steel bar, even fiber larynx
Mirror, direct laryngoscope etc. are used for stirring for the arytenoid of Dislocation of cricoarytenoid joint, are unable to reach thoroughly clamping arytenoid, realize true
Positive embolia operation.And these operations can only carry out under local anaesthesia mostly, and patient has Nausea and vomiting reaction, pain
Greatly, therefore fitness is poor.There are articulatio cricoary tenoidea reduction forceps of the application to patent, but design structure is still the doctor of patient's end sitting position
Operation, and a degree of can only stir arytenoid, all with common foreign body forceps, stir steel bar etc. and there is no essential distinction, because
This, doctor is selected to use less.
Invention content
In view of the deficiencies in the prior art and technical problem, the present invention provides a kind of articulatio cricoary tenoidea reduction forceps, energy
Convenient stable holding accurately is carried out to the irregular left and right articulatio cricoary tenoidea of form, so as to realize precisely smoothly translation, rotation
Homing action.
In order to solve the above technical problems, present invention employs following technical schemes:A kind of articulatio cricoary tenoidea reduction forceps, including it is upper
Vice body and lower vice body, the upper vice body include clamp handle, linkage section and clamp section, and the linkage section includes Ligation in vitro section and in vivo
Linkage section, there is linkage section bending angle clamp handle to be made to be located at direction downward, the clamp handle and body in the Ligation in vitro section opposite bank
The tail end of outer linkage section is hinged, and the clamp section and the front end of internal linkage section are hinged, and clamp section is with respect to where linkage section
Plane is that level bends right and left shape, and the internal linkage section is equipped with close to one end of clamp section and upwarps section;The lower vice body is
It is integrally formed design, and there is clamp handle compatible with upper vice body, linkage section and clamp section;The upper vice body passes through with lower vice body
Hinged block forms four-bar mechanism so that drives upper vice body that can be translated along lower vice body to make the clamp of upper vice body when stepping up clamp handle
Section and the clamp section of lower vice body are formed and are opened and closed;It is additionally provided with slide block assembly between the upper vice body and the linkage section of lower vice body.
Preferably, the Ligation in vitro section of the linkage section of the upper vice body and lower vice body, internal linkage section and upwarp section it
Between for arc connect.
Preferably, the slide block assembly include the sliding block for being located at vice body linkage section, be located at lower vice body and with upper vice body
The corresponding empty window in slide position, the sliding block are fastened in sky window, and can be limited and be slided along empty window.
Preferably, the clamp section includes bending section and the binding clip of front end, the binding clip is ring-type, and binding clip is opposite
Sandwich serface is equipped with the flank of tooth, and due to using the cricoid binding clip of snakehead, when stepping up cartilaginous tissue, soft tissue can be packed in ring-type
Cartilaginous tissue is more effectively clamped in heart hole interior energy, while improving firm grip degree by the flank of tooth of smooth arc-shaped surface, improves and resets effect
Rate.
Preferably, the periphery of the upper vice body and lower vice body is cambered surface, to avoid clamp from damaging airway tissue.
Preferably, the bending angle between the Ligation in vitro section and internal linkage section is 110~135 °.
Preferably, the clamp section is 25~35 ° with respect to the horizontal curvature angle of linkage section.
Preferably, the angle for upwarping linkage section in section opposite bank is 120~160 °.
Preferably, the Ligation in vitro segment length is 2~4cm, the internal connection segment length is 8~12cm, described
It is 1~2cm to upwarp segment length, and the clamp segment length is 3~5cm.
Advantageous effect:Compared with the existing technology, the present invention under anesthesia induction for combining visible anesthetic laryngoscope to carry out ring spoon
Embolia art, linkage section and clamp section be flat at, and with the radian that mutually agrees with arytenoid, can grasp spoon without
Damaging mucosal and cartilage, left and right articulatio cricoary tenoidea can be accurately clamped by being not required in addition to configure the attaching materials such as silica gel sheath, and
These attaching materials are easy to fall off to cause the operations such as foreign body in airpassage unexpected.
Description of the drawings
Fig. 1 is the structural schematic diagram of articulatio cricoary tenoidea reduction forceps described in the use of the new type;
Fig. 2 is the structural schematic diagram of clamp section in articulatio cricoary tenoidea reduction forceps of the present invention;
Fig. 3 is the enlarged drawing at A in Fig. 1;
Fig. 4 is the enlarged drawing at B in Fig. 1;
Fig. 5 is the cross section structure schematic diagram of slide block assembly in the invention articulatio cricoary tenoidea reduction forceps.
Wherein, upper vice body 1, clamp handle 11, linkage section 12, Ligation in vitro section 121, internal linkage section 122, upwarp section 123, hinge
Connect block 124, sliding block 125, clamp section 13, bending section 131, binding clip 132, the flank of tooth 133, lower vice body 2, empty window 21.
Specific implementation mode
Below in conjunction with the accompanying drawings and with specific embodiment, the present invention is furture elucidated.It should be understood that these embodiments are only used for
It the bright present invention rather than limits the scope of the invention, after having read the present invention, those skilled in the art are to of the invention
The modification of various equivalent forms falls within the application range as defined in the appended claims.
Articulatio cricoary tenoidea is the flexible multiaxis synovial joint of an activity, and forms of motion is extremely complex.In vocal cord movement process
In, no matter vocal fold adduction or abduction, swing, sliding and the rotational action of arytenoid all link up, synchronously complete, and are not only
It is vertical, successively occur.So Dislocation of cricoarytenoid joint is typically also multiaxis, complicated dislocation when occurring, it is not single direction
Dislocation.In addition, articulatio cricoary tenoidea face is small, glenoid is shallow, and position cannot achieve deeply and accurately handle touch reset.
As shown in figures 1-4, the special reduction forceps of the application can effectively, to be held fixedly the irregular spoon shape of form soft
Bone, so as to realize precisely smoothly translation, rotational action.Include mainly upper vice body and lower vice body, wherein lower vice body is to fix
Portion, upper vice body are movable part;The two is for flat pattern, and periphery is placed using cambered surface and is inserted into bottleneck throat and damages software group
It knits.Wherein upper vice body includes clamp handle, linkage section and clamp section, and the linkage section includes Ligation in vitro section and internal linkage section, institute
Stating linkage section in Ligation in vitro section opposite bank, there is bending angle clamp handle to be made to be located at direction downward, the clamp handle and Ligation in vitro section
Tail end is hinged, and the clamp section and the front end of internal linkage section are hinged, and the internal linkage section is equipped with close to one end of clamp section
Section is upwarped, and clamp section is leftward or rightward bending with respect to the plane where linkage section.The lower vice body is integrally formed
Design, and there is clamp handle compatible with upper vice body, linkage section and clamp section;The upper vice body passes through hinged block group with lower vice body
At four-bar mechanism so that drive upper vice body that can translate the clamp section for making upper vice body and lower pincers along lower vice body when stepping up clamp handle
The clamp section of body forms folding.In order to make upper vice body along the smooth translation of lower vice body, the bending part of the linkage section of vice body everywhere uses
Arc-shaped transition connects.
In addition slide block assembly is set between the upper vice body and the linkage section of lower vice body, including is located at vice body linkage section
Sliding block, be located at lower vice body and empty window corresponding with upper vice body slide position, the sliding block are fastened in sky window, and can be along empty window
Limit sliding.
It is further improved, clamp section is made of the binding clip of bending section and front end, and bending section is to left or right with 30 ° or so
The binding clip of horizontal arc curvature, front end is cyclic annular using snakehead, and the smooth flank of tooth is arranged on opposite folding face.Due to adopting
With the cricoid binding clip of snakehead, when stepping up cartilaginous tissue, soft tissue can be packed in ring center hole interior energy be more effectively clamped it is soft
Bone tissue, while firm grip degree is improved by the flank of tooth of smooth arc-shaped surface, it improves and resets efficiency.
Preferably, the bending angle between the Ligation in vitro section and internal linkage section is 110~135 °.The clamp section
The horizontal curvature angle of opposite linkage section is 25~35 °.The angle for upwarping linkage section in section opposite bank is 120~160 °.
The Ligation in vitro segment length is 2~4cm, and the internal connection segment length is 8~12cm, it is described upwarp segment length for 1~
2cm, the clamp segment length are 3~5cm.
Existing articulatio cricoary tenoidea reset is mostly used instead by other surgical clamps, these surgical clamp ends are in smooth
Plane, coincideing with the arytenoid face of irregular shape, property is poor, these surgical clamps are when stirring to unstable, the hand of arytenoid force
Art, which clamps, to be easy to slip between end and arytenoid, seriously affects reset effect, and be easy to cause the damage of articulatio cricoary tenoidea surface mucous.
The object of the present invention is to provide a kind of more identical with arytenoid contact surface, contact more stable, articulatio cricoary tenoidea reset effect is more
Good, the articulatio cricoary tenoidea reset used time is shorter, and the articulatio cricoary tenoidea of damage will not be caused to stir pincers to articulatio cricoary tenoidea.
The present invention flat reduction forceps, can effectively, be held fixedly the irregular arytenoid of form, so as to realize
It precisely smoothly translates, rotational action.Whole body material selection alloy material, matter are unlikely to deform firmly, and using lasting, surface is using dark
Line designs, and not will produce reflective, influences surgical field of view.
Claims (9)
1. a kind of articulatio cricoary tenoidea reduction forceps, it is characterised in that:Including upper vice body and lower vice body, the upper vice body includes clamp handle, connects
Section and clamp section are connect, the linkage section includes Ligation in vitro section and internal linkage section, is connected in the Ligation in vitro section opposite bank
There is section bending angle clamp handle to be made to be located at direction downward, and the tail end of the clamp handle and Ligation in vitro section is hinged, the clamp Duan Yuti
The front end of interior linkage section is hinged, and clamp section bends right and left shape with respect to the plane where linkage section for level, described to connect in vivo
Connect section close to one end of clamp section be equipped with upwarp section;The lower vice body is integrally formed design, and with being adapted with upper vice body
Clamp handle, linkage section and clamp section;The upper vice body forms four-bar mechanism with lower vice body by hinged block so that steps up clamp handle
When drive upper vice body that can translate the clamp section of upper vice body be made to be formed with the clamp section of lower vice body along lower vice body to open and close;On described
It is additionally provided with slide block assembly between vice body and the linkage section of lower vice body.
2. articulatio cricoary tenoidea reduction forceps according to claim 1, it is characterised in that:The linkage section of the upper vice body and lower vice body
Ligation in vitro section, internal linkage section and upwarping is connected for arc between section.
3. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that:The slide block assembly includes being located at vice body company
The sliding block of section is connect, lower vice body is located at and empty window corresponding with upper vice body slide position, the sliding block are fastened in sky window, and can edge
Empty window limit sliding.
4. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that:The clamp section includes bending section and front end
Binding clip, the binding clip is ring-type, and the opposite sandwich serface of binding clip is equipped with the flank of tooth.
5. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that:The periphery of the upper vice body and lower vice body is equal
For cambered surface.
6. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that:The Ligation in vitro section and internal linkage section it
Between bending angle be 110~135 °.
7. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that:Horizontal curved of the clamp section with respect to linkage section
Bent angle is 25~35 °.
8. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that:The folder for upwarping linkage section in section opposite bank
Angle is 120~160 °.
9. articulatio cricoary tenoidea reduction forceps according to claim 2, it is characterised in that:The Ligation in vitro segment length is 2~4cm,
The internal connection segment length is 8~12cm, and the segment length that upwarps is 1~2cm, and the clamp segment length is 3~5cm.
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201810728737.3A CN108720900A (en) | 2018-07-05 | 2018-07-05 | A kind of articulatio cricoary tenoidea reduction forceps |
PCT/CN2018/113897 WO2020006949A1 (en) | 2018-07-05 | 2018-11-05 | Cricoarytenoid joint reduction forceps |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201810728737.3A CN108720900A (en) | 2018-07-05 | 2018-07-05 | A kind of articulatio cricoary tenoidea reduction forceps |
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Publication Number | Publication Date |
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CN108720900A true CN108720900A (en) | 2018-11-02 |
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ID=63926308
Family Applications (1)
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CN201810728737.3A Pending CN108720900A (en) | 2018-07-05 | 2018-07-05 | A kind of articulatio cricoary tenoidea reduction forceps |
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CN (1) | CN108720900A (en) |
WO (1) | WO2020006949A1 (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2020006949A1 (en) * | 2018-07-05 | 2020-01-09 | 于振坤 | Cricoarytenoid joint reduction forceps |
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US20060030880A1 (en) * | 2004-08-04 | 2006-02-09 | James Tylke | Anesthesia intubating forceps |
CN201389055Y (en) * | 2009-04-10 | 2010-01-27 | 上海市杨浦区中心医院 | Lengthening corner laryngeal forceps |
CN202086552U (en) * | 2011-06-01 | 2011-12-28 | 桐庐洲济医疗器械有限公司 | Throat forceps for taking out fishbone |
CN202960666U (en) * | 2012-12-29 | 2013-06-05 | 张家辉 | Thoracoscope oval forceps |
CN203953745U (en) * | 2014-07-12 | 2014-11-26 | 李桃根 | A kind of laryngeal forceps for the treatment of laryngopharyngeal diseases |
CN204049760U (en) * | 2014-07-08 | 2014-12-31 | 华中科技大学同济医学院附属同济医院 | Clamp forceps for tunnel behind liver |
CN205697935U (en) * | 2016-04-06 | 2016-11-23 | 李丽娟 | A kind of arc larynx tissue forceps |
CN206463039U (en) * | 2016-07-06 | 2017-09-05 | 曹隆和 | Articulatio cricoary tenoidea reduction forceps |
CN107773295A (en) * | 2017-12-04 | 2018-03-09 | 林志宏 | Articulatio cricoary tenoidea stirs pincers |
CN208974019U (en) * | 2018-07-05 | 2019-06-14 | 于振坤 | A kind of articulatio cricoary tenoidea reduction forceps |
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GB2465615A (en) * | 2008-11-19 | 2010-06-02 | Mid Essex Hospital Services Nhs Trust | Surgical device for grasping tissue |
CN108720900A (en) * | 2018-07-05 | 2018-11-02 | 于振坤 | A kind of articulatio cricoary tenoidea reduction forceps |
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2018
- 2018-07-05 CN CN201810728737.3A patent/CN108720900A/en active Pending
- 2018-11-05 WO PCT/CN2018/113897 patent/WO2020006949A1/en active Application Filing
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US20060030880A1 (en) * | 2004-08-04 | 2006-02-09 | James Tylke | Anesthesia intubating forceps |
CN201389055Y (en) * | 2009-04-10 | 2010-01-27 | 上海市杨浦区中心医院 | Lengthening corner laryngeal forceps |
CN202086552U (en) * | 2011-06-01 | 2011-12-28 | 桐庐洲济医疗器械有限公司 | Throat forceps for taking out fishbone |
CN202960666U (en) * | 2012-12-29 | 2013-06-05 | 张家辉 | Thoracoscope oval forceps |
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WO2020006949A1 (en) * | 2018-07-05 | 2020-01-09 | 于振坤 | Cricoarytenoid joint reduction forceps |
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Application publication date: 20181102 |