CN108814709B - Hemostat for hepatobiliary surgery - Google Patents
Hemostat for hepatobiliary surgery Download PDFInfo
- Publication number
- CN108814709B CN108814709B CN201810348616.6A CN201810348616A CN108814709B CN 108814709 B CN108814709 B CN 108814709B CN 201810348616 A CN201810348616 A CN 201810348616A CN 108814709 B CN108814709 B CN 108814709B
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- handle
- probe
- hemostasis
- head
- hemostat
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00529—Liver
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00589—Coagulation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00964—Features of probes
- A61B2018/0097—Cleaning probe surfaces
- A61B2018/00976—Cleaning probe surfaces with scraping means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/002—Irrigation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/007—Aspiration
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/007—Aspiration
- A61B2218/008—Aspiration for smoke evacuation
Abstract
The invention discloses a hemostat for hepatobiliary surgery, which comprises a handle, an end cover, an electrocoagulation hemostatic probe, a heating head, a suction head and a spray head, wherein the interior of the handle is divided into two chambers by a partition plate; the hemostat for hepatobiliary surgery is used by matching the heating head with the electric coagulation hemostasis probe, so that the hemostasis method applicable to different operation fields can be quickly replaced according to different operation fields in the operation process.
Description
Technical Field
The invention relates to a hemostat, in particular to a hemostat for hepatobiliary surgery, and relates to the technical field of hepatobiliary surgery instruments.
Background
When a hepatobiliary surgery is performed on a patient clinically, the wound needs to be immediately stopped after an operation knife is used for cutting a section, the conventional stopping method is electrocoagulation stopping, when the operation visual field is large, the electrocoagulation stopping has the advantages of simplicity in operation, time saving, economy and the like, but the electrocoagulation stopping can generate a large amount of smoke in the operation, the operation visual field is blurred due to the smoke when the operation visual field is small, the operation time is prolonged, and the conventional hemostat for the hepatobiliary surgery cannot be quickly replaced and applied to the stopping method of different operation visual fields according to different operation visual fields. In addition, when the electric coagulation hemostasis probe is adopted, a plurality of scabs are often adhered to the electric coagulation hemostasis probe, the hemostat in the prior art has no scab erasing structure, the use is inconvenient, and the hemostasis effect of the electric coagulation hemostasis probe can be influenced by the adhesion of the scabs on the electric coagulation hemostasis probe.
Disclosure of Invention
The invention aims to solve the technical problems that the existing electrocoagulation hemostat can not quickly change the hemostasis method suitable for different operation fields according to different operation fields and the blood scab adhered on an electrocoagulation hemostasis probe can influence the hemostasis effect, and provides a hemostat for hepatobiliary surgery, thereby solving the problems.
In order to achieve the purpose, the invention provides the following technical scheme: a haemostat for hepatobiliary surgery comprises a handle, end covers, an electric coagulation hemostasis probe, a heating head, a suction head and a spray head, wherein sweat absorbing blocks are arranged on two sides of the handle, one side, away from the handle, of each sweat absorbing block is of a cambered surface structure, the handle is of a hollow structure, two cavities are separated into inside the handle through a partition plate, the end covers are arranged at one ends of the handle, the inside of each end cover is separated into two parts corresponding to the two cavities inside the handle through a baffle plate, two wiping heads capable of wiping scabs are arranged at one ends, close to the electric coagulation hemostasis probe, of the inside of each end cover, the side, in contact with the electric coagulation hemostasis probe, of each wiping head is semicircular, the inner diameter of each wiping head is equal to the outer diameter of the electric coagulation hemostasis probe, one side, away from the electric coagulation hemostasis probe, of each wiping head is fixed on the inner wall of the end, the electric coagulation hemostasis probe penetrates through the interior of the handle, the electric coagulation hemostasis probe is fixedly connected with the electric coagulation hemostasis rod through a connecting piece, a first fixing piece is fixedly arranged on the electric coagulation hemostasis rod, one end of the first fixing piece penetrates through the outer side of the handle and is fixedly connected with an electric coagulation hemostasis sliding block, the heating head is composed of a heat conducting block and a heating wire, the heat conducting block is of a hollow structure, the heating wire is arranged inside the heat conducting block, hemostasis gauze is wrapped on the outer side of the heat conducting block, one end of the heating head is fixedly connected with a connecting rod, the connecting rod penetrates through the interior of the handle, a second fixing piece is arranged on the connecting rod, the second fixing piece penetrates through the outer side of the handle and is fixedly connected with the heating hemostasis sliding block, a sliding groove for the first fixing piece and the second fixing piece to slide is formed in the handle, the suction head is communicated with a liquid suction pipe, and the liquid, and the tail end of the liquid suction pipe is connected with a negative pressure air bag through an air guide pipe, the air guide pipe is provided with an air suction one-way valve, the spray head is communicated with the liquid conveying pipe, and the liquid conveying pipe penetrates through the handle and is communicated with the liquid storage bottle through a connecting pipe.
As a preferable technical scheme of the invention, the end cover is provided with a probe through hole for the electric coagulation hemostasis probe to pass through and a heating head through hole for the heating head to pass through.
As a preferable technical scheme of the invention, the heat conducting block is made of metal or alloy with good heat conducting property.
In a preferred embodiment of the present invention, the upper end of the heating tip has a triangular pyramid structure.
As a preferred embodiment of the present invention, the spring is always in a compressed state.
As a preferable technical solution of the present invention, the liquid storage bottle stores therein physiological saline.
In a preferred embodiment of the present invention, the sweat-absorbent block is filled with sweat-absorbent cotton.
Compared with the prior art, the invention has the beneficial effects that: the hemostat for hepatobiliary surgery is characterized in that biological tissues or blood vessels are dehydrated and solidified by utilizing the heat effect generated by a heating wire through the arrangement of a heating head, the aim of hemostasis is achieved, the heating head and an electric coagulation hemostasis probe are matched for use, so that the hemostasis method applicable to different operation visual fields can be quickly replaced according to different operation visual fields in the operation process, the operation efficiency is favorably improved, the electric coagulation hemostasis probe can be adopted to stop bleeding at the position with large operation visual field, the hemostat is simple and convenient, the heating head can be adopted to heat and stop bleeding at the position with small operation visual field, a large amount of smoke generated in the electric coagulation hemostasis process is prevented, the operation visual field is prevented from being fuzzy, the operation efficiency is influenced, the operation time is prolonged, the blood scab on the electric coagulation hemostasis probe can be conveniently and quickly wiped through the wiping arrangement of the wiping head, the hemostasis effect of the hemostasis probe, when the amount of bleeding is more, can utilize the negative pressure gasbag extrusion to produce the negative pressure to inhale the collection liquid bottle with blood, so that improve the hemostasis efficiency of electricity congeals hemostasis probe or heating head, through the setting of shower nozzle, can disinfect to the wound through the leading-in normal saline of transfer line, avoid taking place the wound infection, through the setting of sweat-absorbing piece, can absorb the intracardiac sweat of doctor's hand effectively, avoid long-time operation and lead to the heart of the hand sweat too much and increase the operation degree of difficulty.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention and not to limit the invention. In the drawings:
FIG. 1 is a schematic structural view of a hemostat for hepatobiliary surgery according to the present invention;
FIG. 2 is a top view of a hemostat for hepatobiliary surgery according to the present invention;
FIG. 3 is a schematic cross-sectional view of a hemostat A-A for hepatobiliary surgery according to the present invention;
FIG. 4 is a schematic structural view of a heating head of the hemostat for hepatobiliary surgery according to the present invention;
in the figure: 1. a handle; 2. an end cap; 3. an electrocoagulation hemostasis probe; 4. a heating head; 5. a suction head; 6. a spray head; 7. a partition plate; 8. a connecting rod; 9. a connecting member; 10. an electrocoagulation hemostatic rod; 11. wiping the head; 12. a spring; 13. a first fixing member; 14. an electrocoagulation hemostasis slide block; 15. a second fixing member; 16. heating the hemostatic slide block; 17. a liquid pumping pipe; 18. a transfusion tube; 19. a probe through hole; 20. a heater head through hole; 21. a sweat absorbing block; 22. a negative pressure air bag; 23. an air duct; 24. a liquid collecting bottle; 25. an air suction check valve; 26. a liquid storage bottle; 27. a power line; 28. a heat conducting block; 29. an electric heating wire; 30. hemostatic gauze.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all embodiments, and all other embodiments obtained by a person of ordinary skill in the art without creative efforts based on the embodiments of the present invention belong to the protection scope of the present invention.
Referring to fig. 1-4, the present invention provides a technical solution: a haemostat for hepatobiliary surgery comprises a handle 1, an end cover 2, an electric coagulation hemostasis probe 3, a heating head 4, a suction head 5 and a spray head 6, wherein sweat absorbing blocks 21 are arranged on two sides of the handle 1, one side, far away from the handle 1, of each sweat absorbing block 21 is of a cambered surface structure, the handle 1 is of a hollow structure, the interior of the handle 1 is divided into two chambers through a partition plate 7, the end cover 2 is arranged at one end of the handle 1, the interior of the end cover 2 is divided into two parts corresponding to the two chambers in the handle 1 through a baffle plate, two wiping heads 11 capable of wiping scabs are arranged at one end, close to the electric coagulation hemostasis probe 3, in the end cover 2, the wiping heads 11 are in a semicircular shape, the inner diameter of each wiping head 11 is equal to the outer diameter of the electric coagulation hemostasis probe 3, one side, far away from the electric coagulation hemostasis probe 3, of each wiping head 11 is fixed on the inner wall of the end cover 2 through, the electrocoagulation hemostasis probe 3 penetrates into the handle 1, the electrocoagulation hemostasis probe 3 is fixedly connected with an electrocoagulation hemostasis rod 10 through a connecting piece 9, a first fixing piece 13 is fixedly arranged on the electrocoagulation hemostasis rod 10, one end of the first fixing piece 13 penetrates out of the handle 1 and is fixedly connected with an electrocoagulation hemostasis sliding block 14, the heating head 4 consists of a heat conduction block 28 and a heating wire 29, the heat conduction block 28 is of a hollow structure, the heating wire 29 is arranged inside the heat conduction block 28, hemostatic gauze 30 wraps the outer side of the heat conduction block 28, one end of the heating head 4 is fixedly connected with a connecting rod 8, the connecting rod 8 penetrates into the handle 1, a second fixing piece 15 is arranged on the connecting rod 8, the second fixing piece 15 penetrates out of the handle 1 and is fixedly connected with a heating hemostasis sliding block 16, a sliding groove for the first fixing piece 13 and the second fixing piece 15 to slide is arranged on the handle 1, and the suction head 5, the liquid suction pipe 17 penetrates through the handle 1 and is communicated with the liquid collection bottle 24 through a connecting pipe, the tail end of the liquid suction pipe 17 is connected with the negative pressure air bag 22 through the air guide pipe 23, the air guide pipe 23 is provided with an air suction one-way valve 25, the spray head 6 is communicated with the liquid conveying pipe 18, and the liquid conveying pipe 18 penetrates through the handle 1 and is communicated with the liquid storage bottle 26 through a connecting pipe.
The end cover 2 is provided with a probe through hole 19 for the coagulation hemostasis probe 3 to pass through and a heating head through hole 20 for the heating head 4 to pass through, the heat conducting block 28 is made of metal or alloy with good heat conducting property, the upper end of the heating head 4 is of a triangular pyramid structure, the spring 12 is always in a compressed state, physiological saline is stored in the liquid storage bottle 26, and the sweat absorbing block 21 is filled with sweat absorbing cotton.
The specific principle is as follows: when the electric coagulation hemostatic probe is used, before hemostasis, physiological saline is led in through the infusion tube 18 to disinfect a wound, so that wound infection is avoided, when the surgical visual field is large, the electric coagulation hemostatic probe 3 can be pushed to extend out of the end cover 2 through the electric coagulation hemostatic slide block 14, the electric coagulation hemostatic probe 3 is used for hemostasis of the wound, after blood scabs are adhered to the surface of the electric coagulation hemostatic probe 3 after the electric coagulation hemostatic probe 3 is used for a period of time, the electric coagulation hemostatic probe 3 slides into the handle 1 through the electric coagulation hemostatic slide block 14, when the electric coagulation hemostatic probe 3 passes through the wiping head 11 in the end cover 2, due to the arrangement of the spring 12, the wiping head 11 is pressed towards the electric coagulation hemostatic probe 3 through the spring 12, so that the wiping head 11 can wipe the blood scabs on the surface of the electric coagulation hemostatic probe 3 completely, the influence of excessive blood scabs on the hemostatic effect is avoided, when the surgical visual field is small, the heating head 4 extends out of the end cover, and wrap up in hemostatic gauze 30 on heating head 4 surface, utilize heating head 4 to heat hemostasis simultaneously, prevent to congeal that hemostasis in-process produces a large amount of smog and make the operation field of vision fuzzy, thereby influence operation efficiency, when the amount of bleeding is more, can utilize negative pressure gasbag 22 extrusion to produce the negative pressure, thereby in the liquid collecting bottle 24 is absorbed to blood, so that improve the hemostasis efficiency of electricity congealing hemostasis probe 3 or heating head 4.
The hemostat for hepatobiliary surgery is characterized in that biological tissues or blood vessels are dehydrated and solidified by utilizing the heat effect generated by a heating wire through the arrangement of a heating head, the aim of hemostasis is achieved, the heating head and an electric coagulation hemostasis probe are matched for use, so that the hemostasis method applicable to different operation visual fields can be quickly replaced according to different operation visual fields in the operation process, the operation efficiency is favorably improved, the electric coagulation hemostasis probe can be adopted to stop bleeding at the position with large operation visual field, the hemostat is simple and convenient, the heating head can be adopted to heat and stop bleeding at the position with small operation visual field, a large amount of smoke generated in the electric coagulation hemostasis process is prevented, the operation visual field is prevented from being fuzzy, the operation efficiency is influenced, the operation time is prolonged, the blood scab on the electric coagulation hemostasis probe can be conveniently and quickly wiped through the wiping arrangement of the wiping head, the hemostasis effect of the hemostasis probe, when the amount of bleeding is more, can utilize the negative pressure gasbag extrusion to produce the negative pressure to inhale the collection liquid bottle with blood, so that improve the hemostasis efficiency of electricity congeals hemostasis probe or heating head, through the setting of shower nozzle, can disinfect to the wound through the leading-in normal saline of transfer line, avoid taking place the wound infection, through the setting of sweat-absorbing piece, can absorb the intracardiac sweat of doctor's hand effectively, avoid long-time operation and lead to the heart of the hand sweat too much and increase the operation degree of difficulty.
Finally, it should be noted that: although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that modifications may be made to the embodiments or portions thereof without departing from the spirit and scope of the invention.
Claims (7)
1. The hemostat for hepatobiliary surgery comprises a handle (1), an end cover (2), an electrocoagulation hemostatic probe (3), a heating head (4), a suction head (5) and a spray head (6), and is characterized in that sweat absorbing blocks (21) are arranged on two sides of the handle (1), one side, away from the handle (1), of each sweat absorbing block (21) is of a cambered surface structure, the handle (1) is of a hollow structure, the interior of the handle (1) is divided into two chambers through a partition board (7), the end cover (2) is arranged at one end of the handle (1), the interior of the end cover (2) is divided into two parts corresponding to the two chambers inside the handle (1) through a baffle plate, two wiping heads (11) capable of wiping blood scabs are arranged at one end, close to the electrocoagulation hemostatic probe (3), of the interior of the end cover (2), the wiping heads (11) are in a semicircular shape on one side in contact with the electrocoagulation hemostatic probe (3), the inner diameter of the wiping head (11) is equal to the outer diameter of the electrocoagulation hemostasis probe (3), one side, far away from the electrocoagulation hemostasis probe (3), of the wiping head (11) is fixed on the inner wall of the end cover (2) through a spring (12), the heating head (4) and the electrocoagulation hemostasis probe (3) are both connected with a power line (27), the electrocoagulation hemostasis probe (3) penetrates through the interior of the handle (1), the electrocoagulation hemostasis probe (3) is fixedly connected with the electrocoagulation hemostasis rod (10) through a connecting piece (9), a first fixing piece (13) is fixedly arranged on the electrocoagulation hemostasis rod (10), one end of the first fixing piece (13) penetrates through the outer side of the handle (1) and is fixedly connected with a heat conduction block (14), the heating head (4) is composed of a heat conduction block (28) and an electric heating wire (29), the heat conduction block (28) is of a hollow structure, and the electric heating wire (29) is arranged inside the heat conduction block (28), the parcel of heat conduction piece (28) outside has hemostasis gauze (30), heating head (4) one end and connecting rod (8) fixed connection, connecting rod (8) run through to handle (1) inside, just be provided with second mounting (15) on connecting rod (8), second mounting (15) run through to the handle (1) outside and with heating hemostasis slider (16) fixed connection, be provided with on handle (1) and supply first mounting (13) and the gliding spout of second mounting (15), suction head (5) and liquid suction pipe (17) intercommunication, liquid suction pipe (17) run through handle (1) and communicate through connecting pipe and liquid collection bottle (24), just liquid suction pipe (17) end is connected with negative pressure gasbag (22) through air duct (23), be provided with check valve (25) of breathing in on air duct (23), shower nozzle (6) and transfer line (18) intercommunication, the infusion tube (18) penetrates through the handle (1) and is communicated with the liquid storage bottle (26) through a connecting tube.
2. The hemostat for hepatobiliary surgery according to claim 1, wherein the end cap (2) is provided with a probe through hole (19) for passing the electric coagulation hemostatic probe (3) and a heating tip through hole (20) for passing the heating tip (4).
3. The hemostat for hepatobiliary surgery according to claim 1, wherein the heat conducting block (28) is made of metal or alloy with good heat conductivity.
4. The hemostat for hepatobiliary surgery according to claim 1, wherein the upper end of the heating tip (4) is of a triangular pyramid structure.
5. Hemostat for hepatobiliary surgery according to claim 1, characterized in that the spring (12) is always in compression.
6. The hemostat for hepatobiliary surgery according to claim 1, wherein the liquid storage bottle (26) stores therein a physiological saline.
7. The hemostat for hepatobiliary surgery according to claim 1, wherein the sweat-absorbing block (21) is filled with sweat-absorbing cotton.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810348616.6A CN108814709B (en) | 2018-04-18 | 2018-04-18 | Hemostat for hepatobiliary surgery |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810348616.6A CN108814709B (en) | 2018-04-18 | 2018-04-18 | Hemostat for hepatobiliary surgery |
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| CN108814709A CN108814709A (en) | 2018-11-16 |
| CN108814709B true CN108814709B (en) | 2021-03-26 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201810348616.6A Active CN108814709B (en) | 2018-04-18 | 2018-04-18 | Hemostat for hepatobiliary surgery |
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Families Citing this family (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109431551B (en) * | 2018-12-14 | 2024-02-09 | 中山大学孙逸仙纪念医院 | Tissue sample sampling device |
| CN110301987A (en) * | 2019-06-17 | 2019-10-08 | 兰杰 | A kind of medical surgery surgical instrument |
| CN110507375B (en) * | 2019-08-30 | 2020-10-30 | 中国人民解放军陆军军医大学第一附属医院 | Planter for hair transplantation |
| CN110960316B (en) * | 2019-12-19 | 2020-10-20 | 江志杰 | Rapid hemostasis device for hepatobiliary surgery |
| CN111407399A (en) * | 2020-03-27 | 2020-07-14 | 南充市中心医院 | Scalable automatically cleaning electrotome pen |
| CN112957120B (en) * | 2021-02-06 | 2022-02-18 | 河南科技大学第一附属医院 | Electric coagulation hemostat for scab scraping electric coagulation head and hepatobiliary surgery |
| CN113520587B (en) * | 2021-07-21 | 2022-08-30 | 南通市第一人民医院 | Deformable electric coagulator |
| CN114569239A (en) * | 2022-03-02 | 2022-06-03 | 中国人民解放军陆军军医大学第二附属医院 | Rapid hemostasis device for hepatobiliary surgery |
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| US20160038219A1 (en) * | 2014-08-11 | 2016-02-11 | Medtronic Advanced Energy Llc | Multipurpose electrosurgical device |
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| US6126653A (en) * | 1994-06-03 | 2000-10-03 | Hajjar; John H. | Laser therapy system and method of cutting and vaporizing a tissue body |
| CN202113164U (en) * | 2011-06-10 | 2012-01-18 | 陈曦 | Bipolar electrotome |
| CN204306896U (en) * | 2014-03-02 | 2015-05-06 | 潘慧玲 | The adjustable electrocoagulator high frequency electric knife combination of single twin-stage |
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| CN108814709A (en) | 2018-11-16 |
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