CN109259844B - Surgical suture device - Google Patents

Surgical suture device Download PDF

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Publication number
CN109259844B
CN109259844B CN201811317504.0A CN201811317504A CN109259844B CN 109259844 B CN109259844 B CN 109259844B CN 201811317504 A CN201811317504 A CN 201811317504A CN 109259844 B CN109259844 B CN 109259844B
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China
Prior art keywords
suture
fixing
thread
hole
line
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Active
Application number
CN201811317504.0A
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Chinese (zh)
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CN109259844A (en
Inventor
岑道卷
李德浩
李桂存
吴居肖
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Guangzhou Kehuize Biotechnology Co ltd
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Guangzhou Kehuize Biotechnology Co ltd
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Priority to CN201811317504.0A priority Critical patent/CN109259844B/en
Publication of CN109259844A publication Critical patent/CN109259844A/en
Priority to PCT/CN2019/115936 priority patent/WO2020094046A1/en
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Publication of CN109259844B publication Critical patent/CN109259844B/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/82Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
    • A61B17/823Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage for the sternum

Abstract

The invention relates to a surgical suture device, which comprises a suture thread, a suture needle and a buckle, wherein a first end of the suture thread is connected with the suture needle, a second end of the suture thread is connected with the buckle, the buckle is provided with a first fixing part and a second fixing part, the second end of the suture thread is fixedly connected with the second fixing part, the first fixing part is used for fixing a free end of the suture thread after the suture needle is cut off, and one or more flattening parts are arranged between two ends of the suture thread; the surgical stapling device is less traumatic and risky to the human body.

Description

Surgical suture device
Technical Field
The invention relates to the technical field of medical instruments, in particular to a surgical suture device.
Background
At present, the conventional chest opening operation of cardiac surgery adopts a chest cardiovascular operation after a chest is longitudinally cut, the fracture ends at two sides of the chest are fixed after the chest cardiovascular operation is finished, and at present, the chest fracture ends are fixed by adopting a metal suture loop to tie and close the chest cut so as to restore the integrity of the chest wall. The metal suture line comprises a suture needle and a metal suture line which is connected with the suture needle in a biting way, when a doctor closes a sternal incision after cardiovascular operation, the suture line is pulled by the suture needle to penetrate through sternal tissue or is tightly clung to the surface of the sternum through intercostal soft tissue to fix the sternum by ring binding and twisting. The existing suture line is generally a metal line with a circular cross section, the direct contact area between the metal line and the surface of the sternum is very small when the sternum is pricked in a ring, and is close to a line, so that the pressure applied to the sternum by the metal line in unit area is increased, the respiratory movement, limb movement, cough and the like of a human body are easy to cause the chest muscle group to form separation tendency and micro movement on the sternum petals on the left side and the right side, the metal line is easy to form fret-saw-like fracture on the cortical bone on the left side and the right side of the sternum, the suture line is particularly obvious for the elderly with osteoporosis, and internal fixation loosening, local infection, even complications such as failure of chest fixation and the like are easy to cause, and the life of a patient is threatened. In the prior art, a mode of twisting and fixing two ends of a cerclage metal wire is generally adopted, when the twisting is operated by bare hands, the twisting tightness of the metal wire is different, and the problem that the twisting causes broken wires at the binding part and the wire is required to be re-routed and fixed again is possibly caused, so that the risk of secondary injury to a human body exists.
Disclosure of Invention
In view of this, the present invention provides a surgical suture apparatus that is less harmful to the human body.
The technical scheme includes that the surgical suture device comprises a suture line, a suture needle and a buckle, wherein a first end of the suture line is connected with the suture needle, a second end of the suture line is connected with the buckle, the buckle is provided with a first fixing part and a second fixing part, the second end of the suture line is fixedly connected with the second fixing part, the first fixing part is used for fixing a free end of the suture line after the suture needle is cut off, and one or more flattening parts are arranged between two ends of the suture line.
As a further improvement of the above embodiment, the first fixing portion is provided with a first fixing hole for inserting the free end of the suture after cutting the suture needle.
As a further improvement of the above embodiment, the second fixing portion is provided with a second fixing hole, the second end of the suture is inserted into the second fixing hole and fixed, and the first fixing hole and the second fixing hole are coaxial or axially parallel.
As a further improvement of the above embodiment, the first fixing portion and the second fixing portion are connected by a connecting plate, and a gap is provided between the first fixing portion and the second fixing portion, the first fixing hole is a through hole, the second end of the first fixing hole faces the gap between the first fixing portion and the second fixing portion, and a surface of the second fixing portion opposite to the second end of the first fixing hole is a guiding surface inclined outwards relative to the axial direction of the first fixing hole.
As a further improvement of the above embodiment, the guide surface is inclined upward with respect to the connection plate.
As a further improvement of the above embodiment, the suture thread, the suture needle and the clasp are all made of metallic materials.
As a further improvement of the above embodiment, the first end and/or the second end of the suture is circular in cross section.
As a further improvement of the above embodiment, the suture needle includes a main body portion, one end of which is a needle tip portion, and the other end of which is a mounting portion having a mounting hole therein; the first end of the suture is installed in the installation hole, and the first end of the suture is in running fit with the installation hole and can rotate around the central axis of the first end of the suture.
As a further improvement of the above embodiment, the inner wall of the mounting hole is provided with a convex portion protruding toward the central axis of the mounting hole, the outer peripheral wall surface of the first end of the suture line is provided with a limit groove, and the convex portion is clamped into the limit groove.
As a further improvement of the above embodiment, the first end of the suture line is a round line, the middle part of the suture line is a flat line, the round line and the flat line are connected by a transition line, the line width of the transition line gradually decreases from the flat line to the round line direction, and the ratio of the length of the transition line to the diameter of the round line is greater than 3.
According to the surgical suture device, one or more flattening parts are arranged between the two ends of the suture, and the flattening parts are in contact with the sternum, so that the contact area between the suture and the sternum is increased, the force born by the sternum in unit area is reduced, and the damage of the suture to the sternum is effectively reduced; because the second end of the suture thread is also connected with the buckle, the buckle can fix the first end of the suture thread, and the buckle is used for fixing the two ends of the suture thread, thereby replacing the traditional twisting fixation, and avoiding risks and injuries caused by the twisting fixation.
Drawings
The foregoing and other objects, features and advantages of the invention will be apparent from the following more particular description of preferred embodiments of the invention, as illustrated in the accompanying drawings. Like reference numerals refer to like parts throughout the drawings, and the drawings are not intentionally drawn to scale on actual size or the like, with emphasis on illustrating the principles of the invention.
FIG. 1 is a partially schematic illustration of a perspective exploded construction of a surgical stapling apparatus in accordance with a preferred embodiment of the present invention;
FIG. 2 is a partial schematic view of a three-dimensional assembled structure of a surgical stapling apparatus in accordance with a preferred embodiment of the present invention;
FIG. 3 is an enlarged view of portion b of FIG. 2;
FIG. 4 is a cross-sectional view of the surgical stapling apparatus of FIG. 2;
FIG. 5 is an enlarged view of part a of FIG. 4;
FIG. 6 is a perspective view of another embodiment of a surgical stapling apparatus of the present invention;
FIG. 7 is a schematic view showing the structure of the suture of the present invention in a state where the suture is fixed to the sternum;
FIG. 8 is an overall construction view of a surgical stapling apparatus according to a preferred embodiment of the present invention;
fig. 9 is an enlarged view of the portion a in fig. 8.
Detailed Description
In order that the invention may be understood more fully, the invention will be described with reference to the accompanying drawings.
It will be understood that when an element is referred to as being "connected" to another element, it can be directly connected to and integrated with the other element or intervening elements may also be present. The terms "mounted," "one end," "the other end," and the like are used herein for illustrative purposes only.
Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. The terminology used in the description herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. The term "and/or" as used herein includes any and all combinations of one or more of the associated listed items.
Referring to fig. 1 and 2, the preferred embodiment of the present invention provides a surgical suturing device comprising a suture 1, a suture needle 2 and a clasp 3, a first end 11 of the suture 1 being connected to the suture needle 2 and a second end 13 of the suture 1 being connected to the clasp 3. The buckle 3 can prevent the second end 13 of the suture thread 1 from penetrating human tissue, the buckle 3 is not arranged in the prior art, an operator is likely to have overlarge force, the second end 13 of the suture thread 1 is pulled through the human tissue, the situation occurs, the suture needs to be restarted, the operation time can be prolonged, and the wound on the human body is large. Referring to fig. 3, the buckle 3 has a first fixing portion 31 and a second fixing portion 32, the second end 13 of the suture thread 1 is connected with the second fixing portion 32, the first fixing portion 31 is used for fixing the free end of the suture thread 1 after the suture needle 2 is cut off, and the fixing work of the suture thread 1 is completed after the first end 11 and the second end 13 of the suture thread 1 are fixedly connected with the buckle 3. In the prior art, a mode of twisting and fixing two ends of the suture line 1 is generally adopted, when twisting is operated by bare hands, the twisting tightness of the metal wire is different, and the wire breakage at the bundling part caused by twisting can possibly occur, so that the wire is required to be re-routed and fixed, and secondary injury is caused to a human body. In addition, the knots formed by twisting fixation are more prominent, the smoothness is not well controlled, other tissues on the peripheral side of the sternum can be damaged, and the situation that the above is effectively avoided by using the buckle 3 for fixation instead of twisting fixation, and unnecessary injuries are avoided. Between the ends of the suture 1 are one or more folds 12. In the prior art, a suture thread with a circular cross section is generally used, the contact area between the suture thread and the sternum is small, the contact surface between the suture thread and the sternum is almost a line, the sternum is damaged, the contact area between the flattened part 12 and the sternum is large, the situation can be effectively avoided, and the damage to human bodies is further reduced.
Referring to fig. 5, in a further preferred embodiment, the first fixing portion 31 is provided with a first fixing hole 311 for inserting a free end of the suture 1 after cutting out the first end. Referring to fig. 7, in the thoracic cavity suture closing operation, the suture needle 2 pulls the suture thread 1 through thoracic cavity tissue through the wound surface of thoracic cavity tissue, the suture thread 1 bypasses the bone surfaces of the left sternal valve 100 and the right sternal valve 200 under the traction of the suture needle 2, the first end 11 of the suture thread 1 winds to the front bone surface of the sternum and passes through, the free end of the suture thread 1 is tightened, and then the first fixing portion 31 of the buckle 3 is pressed by a tool, so that the buckle 3 fixes the free end 11 of the suture thread 1, that is, the bundling work is completed, the use is convenient, and the injury to the human body is less.
Referring to fig. 3, in a further preferred embodiment, the second fixing portion 32 is provided with a second fixing hole 321, and the second end 13 of the suture 1 is inserted into the second fixing hole 321 and fixed, i.e., the suture 1 is fixed with the buckle 3. The first fixing hole 311 and the second fixing hole 321 are coaxial or axially parallel, so that the stress of the fixed suture 1 is more uniform. Further, the edges and corners of the buckle 3 are all arc chamfer shapes, and the damage of the edges and corners to human bodies is reduced.
In a further preferred embodiment, a connecting plate 33 is provided between the first fixing portion 31 and the second fixing portion 32, the first fixing portion 31 and the second fixing portion 32 are connected by the connecting plate 33, and the first fixing portion 31, the second fixing portion 32 and the connecting portion 33 are integrally formed. A gap is provided between the first fixing portion 31 and the second fixing portion 32. The first fixing hole 311 is a through hole, and the second end of the first fixing hole 311 faces the gap between the first fixing portion 31 and the second fixing portion 32, so that the first end 11 of the suture thread 1 can conveniently pass through the first fixing portion 31. The surface of the second fixing portion 32 opposite to the second end of the first fixing hole 311 is a guide surface 322 inclined outwardly with respect to the axial direction of the first fixing hole 311; further, the guide surface 322 is inclined upward with respect to the connection plate 33 (i.e., the guide surface 322 is inclined gradually from the bottom to the top in a direction away from the first fixing portion 31), or the guide surface 322 is inclined to one side; the first end 11 of the suture 1 is conveniently extended from the guide surface 322.
In a further preferred embodiment, the end surface of the mounting portion 23 is provided with a mounting hole 231, the first end 11 is inserted into the mounting hole 231, and the suture thread 1 is mounted on the suture needle 2 by inserting the first end 11 into the mounting hole 231, so that the connection structure of the suture thread 1 and the suture needle 2 is simplified, and the suture needle 2 and the suture thread 1 are mounted simply and quickly.
Referring to fig. 1 and 2, in a further preferred embodiment, the suture needle 2 includes a main body 21, one end of the main body 21 is a needle tip 22, the other end of the main body 21 is a mounting portion 23, and the mounting portion 23 has a mounting hole 231 therein. The first end 11 of the suture 1 is mounted in the mounting hole 231, and the first end 11 of the suture 1 is rotatably fitted in the mounting hole 231, rotatable about the central axis of the first end 11 of the suture 1. Because the first end 11 of the suture thread 1 is rotatable relative to the mounting hole 231 of the suture needle 2, when the suture thread 1 is twisted during the thoracic cavity suture closing operation, the suture thread 1 can rotate in the opposite direction to the twisting direction to straighten the twisted part, i.e. restore the twisted part of the suture thread 1 to the original state, which is beneficial to reducing the friction damage of the suture tissue and the risk of the postoperative suture thread being stretched out, and is also beneficial to the smooth performance of the thoracic cavity suture closing operation.
Referring to fig. 5, in a further preferred embodiment, first end 11 of suture 1 is in clearance fit with mounting portion 23 such that first end 11 is rotatable relative to mounting portion 23 and the twisted portion of suture 1 is restored without rotating needle 2.
In a further preferred embodiment, the inner wall of the mounting hole 231 is provided with a protruding portion 2311 protruding toward the central axis of the mounting hole 321, the outer peripheral wall of the first end 11 of the suture thread 1 is provided with a limit groove 111, the protruding portion 2311 is snapped into the limit groove 111, and the protruding portion 2311 and the limit groove 111 are in a ring shape or a plurality of arc shapes. The protruding portion 2311 provided on the inner wall of the mounting hole 231 is engaged with the limit groove 111 of the first end 11, so that the first end 11 of the suture thread 1 is stably connected with the mounting portion 23 of the suture needle 2, and the suture thread 1 is prevented from being separated from the suture needle 2. In a preferred embodiment, the mounting hole 231 having a cylindrical shape may be formed on the end surface of the mounting portion 23 of the suture needle 2 by turning, etc., then the limit groove 111 may be formed on the outer peripheral wall surface of the first end 11 of the suture thread 1 by turning, etc., the first end 11 of the suture thread 1 may be inserted into the mounting hole 231, and finally the mounting portion 23 may be recessed in the radial direction of the mounting hole 231 by applying pressure on the outer surface of the mounting portion 23 at a position corresponding to the limit groove 111, the inner wall of the mounting hole 231 may be formed with the convex portion 2311 protruding toward the central axis of the mounting hole, and the convex portion 2311 may be engaged into the limit groove 111.
Referring to fig. 8 and 9, in a preferred embodiment, the first end 11 of the suture 1 is a round wire, the middle of the suture 1 is a flat wire (i.e., the flattened portion 12), the round wire and the flat wire are connected by a transition wire 14, and the round wire, the transition wire 14 and the flat wire are integrally formed. The line width of the transition line 14 gradually decreases from the flat line to the round line, so that the round line and the flat line are in smooth transition, the trauma to the human body is small, and the use is more convenient; further, the ratio of the length of the transition line to the diameter of the round line is more than 3, the transition line is longer, the width change of the transition line in unit length is smaller, and when the suture is used, the blocking force of the suture is smaller, so that the suture is more convenient to use.
In a further preferred embodiment, the first end 11 and/or the second end 13 of the suture 1 is circular in cross section. The mounting hole 231 has a circular cross section, and the rotational axis of the first end 11 of the suture is parallel to the central axis of the mounting portion 23. Preferably, the mounting hole 231 is cylindrical, the rotation axis of the first end 11 coincides with the central axis of the mounting hole 231, and the first end 11 rotates relative to the cylindrical mounting hole 231. The second end 13 of the suture 1 is connected to the second fixing hole 321 of the clasp 3 in the same manner as the first end 11 of the suture is connected to the mounting hole 231 of the suture needle 2.
In a further preferred embodiment, the first end 11 is rotated 360 ° relative to the mounting portion 23. Since the first end 11 of the suture 1 can be rotated 360 ° relative to the mounting portion 23 of the needle 2, the suture 1 can be rotated in either direction, which is beneficial to the surgeon in straightening out the torsionally deformed suture 1 when performing chest suture closure procedures.
Referring to fig. 6, in a further preferred embodiment, the flattened portion 12 has a planar surface 121, the planar surface 121 may be conformed to both side edges of the sternum, e.g., the planar surface 121 may be conformed to the left and right edges of the sternum.
In a further preferred embodiment, the suture 1, the suture needle 2 and the catch 3 are all made of a metallic material. The suture thread 1 is preferably a wire having a circular cross section, and is flattened by applying pressure to the wire, and has substantially flat upper and lower surfaces to form a flattened portion 12. Suture 1 may be provided with one length of flattened portion 12, may be provided with two lengths of flattened portion 12, or may be provided with multiple lengths of flattened portion 12. The flattened part 12 is arranged on the suture thread 1, and the flattened part 12 can increase the bearing area of the bone surface of the sternum, so that the risk of cutting the sternum by the metal suture thread is effectively solved.
In a further preferred embodiment, as shown in fig. 1 and 5, the flattened section 12 is flattened by a suture 1. The flattened portion 12 is flattened and formed on the suture thread 1, so that the process for forming the flattened portion 12 can be simplified, and the production materials of the suture thread 1 can be saved.
In a further preferred embodiment, as shown in fig. 6, the suture 2 is a monofilament or a double-filament, wherein two ends are fixedly connected between the first end 11 and the second end 13, respectively, and the connection can be performed by welding.
In a further preferred embodiment, as shown in fig. 3 and 4, the suture needle 2 is arc-shaped or U-shaped, the needle tip 22 of the suture needle 2 is further provided with a blunt flat tip (not shown), and the suture needle 2 with the blunt flat tip is effective to reduce the damage to soft tissues and nearby blood vessels and lymph tissues caused by the suture needle 2 penetrating through intercostal soft tissues.
According to the surgical suture device, one or more flattening parts are arranged between the two ends of the suture, and the flattening parts are in contact with the sternum, so that the contact area between the suture and the sternum is increased, the force born by the sternum in unit area is reduced, and the damage of the suture to the sternum is effectively reduced; because the second end of the suture thread is also connected with the buckle, the buckle can fix the first end of the suture thread, and the buckle is used for fixing the two ends of the suture thread, thereby replacing the traditional twisting fixation, and avoiding risks and injuries caused by the twisting fixation.
The technical features of the above-described embodiments may be arbitrarily combined, and all possible combinations of the technical features in the above-described embodiments are not described for brevity of description, however, as long as there is no contradiction between the combinations of the technical features, they should be considered as the scope of the description.
The above examples merely represent specific embodiments of the invention, which are described in more detail and are not to be construed as limiting the scope of the invention. It should be noted that it will be apparent to those skilled in the art that several variations and modifications can be made without departing from the spirit of the invention, which are all within the scope of the invention. Accordingly, the scope of protection of the present invention is to be determined by the appended claims.

Claims (5)

1. The surgical suture device is characterized by comprising a suture line, a suture needle and a buckle, wherein the suture line, the suture needle and the buckle are made of metal materials, a first end of the suture line is connected with the suture needle, a second end of the suture line is connected with the buckle, the buckle is provided with a first fixing part and a second fixing part, the second end of the suture line is fixedly connected with the second fixing part, the first fixing part is used for fixing a free end of the suture line after the suture needle is cut off, one or more flattening parts are arranged between two ends of the suture line, a first fixing hole for inserting the free end of the suture line after the suture needle is cut off is arranged on the first fixing part, a second fixing hole is arranged on the second fixing part, the second end of the suture line is inserted into the second fixing hole and is fixed, and the first fixing hole and the second fixing hole are coaxial or axially parallel;
the first fixing portion and the second fixing portion are connected through the connecting plate, a gap is reserved between the first fixing portion and the second fixing portion, the first fixing hole is a through hole, the second end of the first fixing hole faces the gap between the first fixing portion and the second fixing portion, a surface, opposite to the second end of the first fixing hole, of the second fixing portion is a guide surface inclined outwards relative to the axial direction of the first fixing hole, and the guide surface is inclined upwards relative to the connecting plate.
2. The surgical stapling device of claim 1 wherein the first and/or second ends of the suture are circular in cross-section.
3. The surgical stapling device of claim 1 wherein said stapling needle comprises a main body portion having a needle tip at one end and a mounting portion at the other end, said mounting portion having a mounting hole therein; the first end of the suture is installed in the installation hole, and the first end of the suture is in running fit with the installation hole and can rotate around the central axis of the first end of the suture.
4. The surgical suture apparatus according to claim 3, wherein the mounting hole inner wall is provided with a convex portion protruding toward the mounting hole center axis, a limit groove is provided on an outer peripheral wall surface of the first end of the suture thread, and the convex portion is caught in the limit groove.
5. The surgical stapling device according to claim 1, wherein the first end of the suture thread is a round thread, the middle part of the suture thread is a flat thread, the round thread and the flat thread are connected by a transition thread, the line width of the transition thread gradually decreases from the flat thread to the round thread, and the ratio of the length of the transition thread to the diameter of the round thread is greater than 3.
CN201811317504.0A 2018-11-07 2018-11-07 Surgical suture device Active CN109259844B (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN201811317504.0A CN109259844B (en) 2018-11-07 2018-11-07 Surgical suture device
PCT/CN2019/115936 WO2020094046A1 (en) 2018-11-07 2019-11-06 Surgical suture device

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Application Number Priority Date Filing Date Title
CN201811317504.0A CN109259844B (en) 2018-11-07 2018-11-07 Surgical suture device

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CN109259844A CN109259844A (en) 2019-01-25
CN109259844B true CN109259844B (en) 2024-02-06

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CN109259844B (en) * 2018-11-07 2024-02-06 广州科荟泽生物科技有限公司 Surgical suture device
CN110025345A (en) * 2019-05-17 2019-07-19 邦尼医疗科技(常州)有限公司 A kind of sewing needle

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JPH09266911A (en) * 1996-04-01 1997-10-14 Shizuka Kaseda Forceps
CN1365265A (en) * 1999-07-26 2002-08-21 贝斯以色列护理医疗中心 Suture system
EP1080693A1 (en) * 1999-09-02 2001-03-07 Heinz Robert Dr. med. Zurbrügg Haemostatic and/or reinforcing surgical suture system for sternal cerclages
CN205391146U (en) * 2015-12-28 2016-07-27 南国新 Operation incision intradermal suture needle and line
CN209153942U (en) * 2018-11-07 2019-07-26 广州科荟泽生物科技有限公司 A kind of operation stitching device

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CN109259844A (en) 2019-01-25

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