CN109199550A - A kind of hernia minimal invasive operation needle - Google Patents

A kind of hernia minimal invasive operation needle Download PDF

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Publication number
CN109199550A
CN109199550A CN201811213138.4A CN201811213138A CN109199550A CN 109199550 A CN109199550 A CN 109199550A CN 201811213138 A CN201811213138 A CN 201811213138A CN 109199550 A CN109199550 A CN 109199550A
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China
Prior art keywords
needle
outer tube
crochet hook
hernia
ejection
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Granted
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CN201811213138.4A
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Chinese (zh)
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CN109199550B (en
Inventor
颜斌
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Guangzhou Women and Childrens Medical Center
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Individual
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3415Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3478Endoscopic needles, e.g. for infusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3494Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3454Details of tips
    • 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
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention relates to a kind for the treatment of hernia apparatus, more particularly to a kind of hernia minimal invasive operation needle, including outer needle, outer tube, inner core and inner core control unit, the outer needle and outer tube are hollow form, outer needle is connected to outer tube front end, inner core penetrates in outer needle, the inner core includes the crochet hook portion of front end, it is connected to the ejection portion of crochet hook portion rear end and is connected to the stretching control unit of ejection portion rear end, compared with prior art, the beneficial effects of the present invention are: inner core includes three foot crochet hooks of front end, line is caught on by the crochet hook of three feet, rear crochet hook is caught on to be retracted into outer needle, at this time, suture follows crochet hook to enter inside outer needle and blocks, only needle need to integrally be pulled out, without holding, improve the outer stability drawn, be conducive to the therapeutic effect of operation.

Description

A kind of hernia minimal invasive operation needle
Technical field
The present invention relates to a kind for the treatment of hernia apparatus, and in particular to a kind of hernia minimal invasive operation needle.
Background technique
Laparoscopic surgery has the characteristics that wound is small, it is fast to restore, scar is small, Minimally Invasive Surgery is outer compared with traditional operation The general trend and pursue a goal that section develops.In general, the operation of most of general surgery, laparoscopic surgery can be completed.Mesh Before, it is also that pediatric laparoscopic indirect inguinal hernia hernical sac high position knot is being carried out using laparoscopic surgery when treating children inguinal hernia When art of pricking the hand, need to use hernia needle.
Currently, existing treating hernia needle generally comprises outer needle, inner core and inner core control unit, the tip of inner core and outer needle End is hinged, so that the tip of inner core and outer needle end part is opened or is closed by control unit, to make needle body that wire clamp is lived and be drawn Out, but the shortcomings that this mode, is: needing inner core and outer needle to be in closed state always after clamping line, therefore, it is necessary to hands one Straight control unit of holding with a firm grip, then pull out, it is higher to the hand stability requirement of curer, it holds with a firm grip for a long time when hand and causes nothing It when power, is easy that line is made to drop out clamping end, to find again and clamp suture, influences surgical effect.
Therefore, a kind of new hernia minimal invasive operation needle is developed, not only there is urgent researching value, it may have good Economic benefit and commercial application potentiality, where this power exactly of the invention being accomplished and basis.
Summary of the invention
In order to overcome the defect of the prior art as indicated above, the present inventor has made intensive studies this, is paying After a large amount of creative works, so as to complete the present invention.
Specifically, the technical problems to be solved by the present invention are: a kind of hernia minimal invasive operation needle is provided, to solve Existing treating hernia needle is time-consuming and laborious and needs the technical issues of holding always.
To achieve the above object, the invention provides the following technical scheme:
A kind of hernia minimal invasive operation needle, including outer needle, outer tube, inner core and inner core control unit, the outer needle and Outer tube is hollow form, and outer needle is connected to outer tube front end, and inner core penetrates in outer needle, and the inner core includes the crochet hook of front end Portion, the ejection portion for being connected to crochet hook portion rear end and the stretching control unit for being connected to ejection portion rear end, the crochet hook portion is by surrounding shape It is formed at three foot crochet hooks of handgrip, the crochet hook is located in outer needle, and the crochet hook is the open configuration being inclined outwardly, the ejection Portion is located in outer tube, and the ejection portion is matched with stretching control unit stretches out crochet hook from the opening of outer needle outer end.
In the present invention, as an improvement, the ejection portion includes that the spring launched on the outside of pipe is managed and is sleeved in ejection, The inner end of the ejection pipe is connected with crochet hook, and the ejection pipe in axial direction moves in outer tube, the spring one end limit It is scheduled on outer sleeve inner wall, the other end of the spring is defined at the flange of prominent ejection pipe setting.
In the present invention, as an improvement, the control unit that stretches out includes contradicting the transfer for being connected to ejection pipe outer end It axis and is connected in the pressing axis of middle shaft outer end, the outer end of the pressing axis extends on the outside of outer tube, the outer tube Inner wall be equipped with middle shaft rotary driving part, the driving portion around middle shaft be arranged, the middle shaft outer wall be equipped with edge The registration arm of its axis protrusion setting, middle shaft is extended in the end of the registration arm, and registration arm end is set to rotation driving In portion.
In the present invention, as an improvement, the rotary driving part protrudes from the inner wall setting of outer tube, the rotation It include so that registration arm is reached the groove of first position and limiting the serrated slot that registration arm is located at the second position in driving portion, it is described recessed Slot extends along the axis direction of outer tube and groove is multiple around being arranged.
In the present invention, as an improvement, scale is equipped with along axis on the outer wall of the pressing axis and outer needle.
In the present invention, as an improvement, the inner end end wall of the middle shaft is equipped with for being inserted into inserting for ejection pipe Tankage.
In the present invention, as an improvement, on the pressing axis outer wall along its axis be arranged raised line, the raised line with press The walking trough on outer sleeve inner wall at last item inserting matches.
Compared with prior art, the beneficial effects of the present invention are:
(1) inner core includes three foot crochet hooks of front end, is caught on line by the crochet hook of three feet, catches on rear crochet hook and is retracted into outside In needle, at this point, suture follows crochet hook to enter inside outer needle and blocks, only needle need to integrally be pulled out, without holding, improve outer draw Stability, be conducive to operation therapeutic effect.
(2) successively it is connected with crochet hook inside needle body using ejection portion and stretching control unit, pass through ejection portion and stretches out control Portion drives crochet hook overhanging and inside contracts, so that crochet hook be made to catch on suture.
(3) it is respectively provided with scale in the outer needle and pressing axis, the distance that outer needle and crochet hook protrude into can be learnt by scale, from And it being capable of collar extension diameter in rough measure hernical sac.
Detailed description of the invention
It, below will be to specific in order to illustrate more clearly of the specific embodiment of the invention or technical solution in the prior art Embodiment or attached drawing needed to be used in the description of the prior art are briefly described.In all the appended drawings, similar element Or part is generally identified by similar appended drawing reference.In attached drawing, each element or part might not be drawn according to actual ratio.
Fig. 1 is the structural diagram of the present invention;
Fig. 2 is structure sectional view of the invention;
Fig. 3 is rotary driving part of the present invention and the structural schematic diagram that registration arm matches;
In figure: 1, outer needle, 2, outer tube, 3, ejection pipe, 4, crochet hook, 5, spring, 6, middle shaft, 7, pressing axis, 8, positioning Arm, 9, groove, 10, serrated slot, 11, raised line.
Specific embodiment
It is described in detail below in conjunction with embodiment of the attached drawing to technical solution of the present invention.Following embodiment is only used for Clearly illustrate technical solution of the present invention, therefore be only used as example, and cannot be used as a limitation and limit protection model of the invention It encloses.
As shown in Figure 1-Figure 3, a kind of hernia minimal invasive operation needle, including outer needle 1, outer tube 2, inner core and inner core control Component, the outer needle 1 are cored steel tubulose, and the outer tube 2 is medical silica-gel material, and medical silica-gel material is with the following method It is prepared: taking 39ml silica gel, 0.31ml silane coupling agent and 0.3ml silver base inorganic antibacterial agent, sequentially import three mouthfuls of 100ml It in bottle, and is heated in 57 DEG C of electric-heated thermostatic water bath, while carrying out 120 revs/min of stirring clockwise, continued anti- It answers 4 hours, then pours into obtained lotion in mold, be shaped to outer tube 2.The inner cavity of outer tube 2 is connected with outer 1 inner cavity of needle Logical, outer needle 1 is connected to 2 front end of outer tube, and the front end of the outer needle 1 and the rear end of outer tube 2 are open shape, and the inner core is worn Enter in outer needle 1 and outer tube 2, the inner core includes the crochet hook portion of front end, the ejection portion for being connected to crochet hook portion rear end and is connected to The stretching control unit of ejection portion rear end, by forming around the three foot crochet hooks 4 for forming handgrip, the crochet hook 4 is located in the crochet hook portion In outer needle 1, the crochet hook 4 is the open configuration being inclined outwardly, and three crochet hooks 4 extend out to form handgrip shape, relative to bipod crochet hook Grip is more uniform and secured, and crochet hook 4 is elastic material, and crochet hook 4 is gathered when retracting in outer needle 1, suture is firmly grasped, the bullet It penetrates portion to be located in outer tube 2, the ejection portion is matched with stretching control unit stretches out crochet hook 4 from the opening of outer 1 outer end of needle.
The ejection portion includes the spring 5 for launching pipe 3 and being sleeved on 3 outside of ejection pipe, and the ejection pipe 3 is coaxially mounted to In outer tube 2, the inner end of the ejection pipe 3 is connected with crochet hook 4, and the ejection pipe 3 in axial direction moves in outer tube 2, Described 5 one end of spring is limited on 2 inner wall of outer tube, and the other end of the spring 5 is defined in the flange that prominent ejection pipe 3 is arranged Place, ejection pipe 3 is outer under the drive for stretching out control unit to be moved, and crochet hook 4 is pushed to lean out outer needle 1, and spring 5 compresses at this time, after catching on line, It unclamps and stretches out control unit under the elastic force effect of spring 5, ejection pipe 3 drives crochet hook 4 to retract in outer needle 1, at this point, suture is detained Inside outer needle 1, consequently facilitating suture pulls out.The control unit that stretches out includes contradicting the transfer for being connected to ejection 3 outer end of pipe It axis 6 and is connected in the pressing axis 7 of middle 6 outer end of shaft, the pressing axis 7 is set in the walking chamber in outer tube 2, pressing Axis 7 is in axial direction advanced in outer tube 2, and the outer end of the pressing axis 7 extends to 2 outside of outer tube, the outer tube 2 Inner wall is equipped with middle 6 rotary driving part of shaft, and the rotary driving part is bonded with middle shaft 6 and is arranged around middle shaft 6, described Middle 6 outer wall of shaft is equipped with the registration arm 8 along the protrusion setting of its axis, and the registration arm 8 is arranged along middle 6 axis direction of shaft, Middle shaft 6 is extended in the end of registration arm 8 towards the pressing axis 7, and 8 end of registration arm for extending middle shaft 6 is set to rotation Turn in driving portion, by the interaction of rotary driving part and registration arm 8, change position of the registration arm 8 in rotary driving part, To position of the shaft 6 on 2 inner axis direction of outer tube in control, the middle driving of shaft 6 launches pipe 3 and is connected with ejection pipe 3 Crochet hook 4, so that crochet hook 4 is leant out or is retracted.
The rotary driving part protrudes from the inner wall setting of outer tube 2, includes arriving registration arm 8 in the rotary driving part It is located at the serrated slot 10 of the second position up to the groove 9 and restriction registration arm 8 of first position, as shown in figure 3, the serrated slot 10 In rotary driving part close to one end of middle shaft 6, the groove 9 extends along 2 axis direction of outer tube, and 9 depth of groove is greater than Serrated slot 10, the groove 9 and serrated slot 10 are depressed in rotary driving part setting, the bottom of groove 9 and serrated slot 10 and outer The inner wall of casing 2 is concordant, and the groove 9 extends along the axis direction of outer tube 2 and groove 9 is around multiple, the positioning of setting Arm 8 matches with groove 9.
Pressing axis 7 is pressed, shaft 6 is mobile towards ejection pipe 3 in drive, unclamps pressing axis 7, and registration arm 8 is located at serrated slot At 10, the oblique side wall of 8 end of registration arm is stuck in serrated slot 10, and since serrated slot 10 is close to middle shaft 6, registration arm 8 is driven The middle pressing of shaft 6 ejection pipe 3, spring-compressed repeat above-mentioned crochet hook 4 and lean out process, press pressing axis 7, middle 6 direction of shaft again It is mobile to launch pipe 3, the oblique side wall ends of registration arm 8 leave serrated slot 10, and into groove 9, middle shaft 6 is no longer pressed at this time Pipe 3 is launched, under the action of spring 5, ejection pipe 3 drives crochet hook 4 to retract in outer needle 1, and line movement is grabbed in completion.
It is equipped with scale along axis on the outer wall of the pressing axis 7 and outer needle 1, so that the diameter to collar extension in hernical sac carries out Measurement, former inventor substantially estimate when orifice sizes in surveying, if hernia needle tip is with a scale, that can be more Collar extension diameter in accurately measuring, but inventor is in practice, it has been found that with a scale at hernia needle tip merely, in operation Be inconvenient to read, therefore set scale in pressing axis 7, the built-in length of hernia needle point is read by the scale, to realize to hernia The rough measure of intracapsular collar extension diameter.It is worth noting that, in hernical sac collar extension diameter and be not necessarily to precise measurement, using outer tube, Scale in pressing axis 7, general comparison go out a discreet value.The inner end end wall of the middle shaft 6 is equipped with for inserting Enter to launch the inserting groove of pipe 3.
Raised line 11, the raised line 11 and the outer tube at 7 inserting of pressing axis are set along its axis on 7 outer wall of pressing axis Walking trough on 2 inner walls matches, the track route of the raised line 11 and walking trough cooperation restriction pressing axis 7.
Use embodiment of the invention is as follows:
Record the time: 2018-10-11
Preoperative diagnosis: the right side hydrocele of tunica vaginalis
Post operative diagnosis: the right side hydrocele of tunica vaginalis, left side indirect hernia
Operation names: laparoscope bilateral inner ring ligation
Operator's operating doctor :-I helps :-II helps: nothing
Anesthesia: trachea cannula intravenous anesthesia anesthesia person :-anesthetist
Discovery and intraoperative compliaction situation in operation process, art: it notch: sees below
Surgical instrument: hernia minimal invasive operation needle of the invention
Infant anesthesia takes the low high dorsal position of foot after reaching, routine disinfection drape, and navel hits exactly longitudinal incision 0.5cm into abdomen, The lower merging 5mmTrocar of direct-view establishes pneumoperitoneum, into sem observation abdominal cavity without Accessory injury, sees that bilateral inner ring is open.In right side inner ring body Merging hernia needle is punctured at table projection, peritonaeum outer inner ring outer rim moves under water, and separates and across penetrating abdomen after spermatic cord blood vessel and vas deferens Chamber, merging 4# silk thread is stand-by, is pierced by after moving under water on the inside of the inner ring of right side with method from former Peritoneal Stomata, presses pressing axis, read simultaneously Taking the interior collar extension diameter is about 1.5cm, and hernia needle grasping silk thread is taken out of outside abdomen, and inner ring is closed in knotting after squeezing hernical sac, checks bilateral Vas deferens natural shape is in angle without drawing.The hydrocele of tunica vaginalis on the right side of syringe pumpback.Pneumoperitoneum is removed, umbilical notch cut is closed, art journey is suitable Benefit, intraoperative hemorrhage about 1ml.
Intraoperative blood loss amount: 1ml
Postoperative complication: nothing
Specimen transfer in art: _ √ has without
Medication and amount infused when operation: see anesthesia note
Implantation material: √ has without _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Finally, it should be noted that the above embodiments are only used to illustrate the technical solution of the present invention., rather than its limitations;To the greatest extent Pipe present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that: its according to So be possible to modify the technical solutions described in the foregoing embodiments, or to some or all of the technical features into Row equivalent replacement;And these are modified or replaceed, various embodiments of the present invention technology that it does not separate the essence of the corresponding technical solution The range of scheme should all cover within the scope of the claims and the description of the invention.

Claims (7)

1. a kind of hernia minimal invasive operation needle, including outer needle (1), outer tube (2), inner core and inner core control unit, described outer Needle (1) and outer tube (2) are hollow form, and outer needle (1) is connected to outer tube (2) front end, and inner core penetrates in outer needle (1), special Sign is: the inner core includes the crochet hook portion of front end, the ejection portion for being connected to crochet hook portion rear end and is connected to ejection portion rear end Control unit is stretched out, by forming around the three foot crochet hooks (4) for forming handgrip, the crochet hook (4) is located at outer needle (1) in the crochet hook portion Interior, the crochet hook (4) is the open configuration being inclined outwardly, and the ejection portion is located in outer tube (2), the ejection portion and stretching Control unit, which is matched, stretches out crochet hook (4) from the opening of outer needle (1) outer end.
2. a kind of hernia minimal invasive operation needle according to claim 1, it is characterised in that: the ejection portion includes ejection The inner end of pipe (3) and the spring (5) being sleeved on the outside of ejection pipe (3), the ejection pipe (3) is connected with crochet hook (4), the ejection Pipe (3) in axial direction moves in outer tube (2), and described spring (5) one end is limited on outer tube (2) inner wall, the bullet The other end of spring (5) is defined at the flange of prominent ejection pipe (3) setting.
3. a kind of hernia minimal invasive operation needle according to claim 2, it is characterised in that: the stretching control unit includes Conflict is connected to the middle shaft (6) of ejection pipe (3) outer end and is connected in the pressing axis (7) of middle shaft (6) outer end, described to press The outer end of last item (7) extends on the outside of outer tube (2), and the inner wall of the outer tube (2) is equipped with middle shaft (6) rotation driving Portion, the driving portion are arranged around middle shaft (6), and middle shaft (6) outer wall is equipped with the positioning along the protrusion setting of its axis The end of arm (8), the registration arm (8) is extended middle shaft (6), and registration arm (8) end is set in rotary driving part.
4. a kind of hernia minimal invasive operation needle according to claim 3, it is characterised in that: the rotary driving part protrusion Be arranged in the inner wall of outer tube (2), include in the rotary driving part make registration arm (8) reach first position groove (9) and Limit registration arm (8) and be located at the serrated slot (10) of the second position, the groove (9) along outer tube (2) axis direction extension and Groove (9) is multiple around being arranged.
5. a kind of hernia minimal invasive operation needle according to claim 4, it is characterised in that: the pressing axis (7) and outer Scale is equipped with along axis on the outer wall of needle (1).
6. a kind of hernia minimal invasive operation needle according to claim 1, it is characterised in that: the middle shaft (6) it is interior End end wall is equipped with the inserting groove for being inserted into ejection pipe (3).
7. a kind of hernia minimal invasive operation needle according to claim 6, it is characterised in that: pressing axis (7) outer wall On along its axis, raised line (11) are set, the walking trough on outer tube (2) inner wall at the raised line (11) and pressing axis (7) inserting Match.
CN201811213138.4A 2018-10-18 2018-10-18 Hernia minimally invasive surgery treatment needle Active CN109199550B (en)

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CN109199550B CN109199550B (en) 2023-08-18

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CN209301249U (en) * 2018-10-18 2019-08-27 颜斌 A kind of hernia minimal invasive operation needle

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CA2836232A1 (en) * 2011-05-18 2012-11-22 Becton, Dickinson And Company Single-use injector of low cost
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CN204016436U (en) * 2014-08-14 2014-12-17 王谦 A kind of lung lesser tubercle puncture localization needle
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CN104720874A (en) * 2015-03-06 2015-06-24 上海市第一人民医院 Ejection type bone puncture biopsy surgical instrument assembly
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CN108378904A (en) * 2018-01-11 2018-08-10 恩脉(上海)医疗科技有限公司 Interventional therapy device
CN108420463A (en) * 2018-03-20 2018-08-21 温州市中心医院 A kind of hematology's marrow puncture needle
CN209301249U (en) * 2018-10-18 2019-08-27 颜斌 A kind of hernia minimal invasive operation needle

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