CN109419542A - A kind of camber Endo-GIA - Google Patents

A kind of camber Endo-GIA Download PDF

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Publication number
CN109419542A
CN109419542A CN201710748376.4A CN201710748376A CN109419542A CN 109419542 A CN109419542 A CN 109419542A CN 201710748376 A CN201710748376 A CN 201710748376A CN 109419542 A CN109419542 A CN 109419542A
Authority
CN
China
Prior art keywords
nail
nail bin
handle
pin
cleat assembly
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201710748376.4A
Other languages
Chinese (zh)
Inventor
王春华
吴小平
叶春红
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Changzhou Ankang Medical Equipment Co ltd
Original Assignee
Changzhou Ankang Medical Equipment Co ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Changzhou Ankang Medical Equipment Co ltd filed Critical Changzhou Ankang Medical Equipment Co ltd
Priority to CN201710748376.4A priority Critical patent/CN109419542A/en
Publication of CN109419542A publication Critical patent/CN109419542A/en
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3209Incision instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07221Stapler heads curved
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07271Stapler heads characterised by its cartridge
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07285Stapler heads characterised by its cutter

Abstract

The present invention relates to a kind of camber Endo-GIAs, including staple cartridge tray, nail bin groupware, localization handspike guide pad, localization handspike, bracket component, navigation button, promote pole socket, promote bar drive block, handle body and anastomosis staple, the connection of the pad tool apron of the staple cartridge tray and nail bin groupware, in the cleat assembly slot of the nail bin groupware insertion bracket component, the hook piece of blade bearing and bracket component connects simultaneously, the cleat assembly can move axially in bracket component, the right end of bracket component is fixedly connected with handle body, the left end of localization handspike passes through localization handspike guide pad and is flexibly connected with positioning pin, right end is flexibly connected with navigation button, navigation button is mounted on handle body, navigation button is pushed to be manuallyd locate, clamping plate group can be made by pulling position fixing handle, nail bin groupware is synchronous with navigation button to be moved forward, it is automatically positioned and is pressed from both sides Tightly, reset button locks automatically under the action of the spring, and pulling firing handle makes push plate that blade bearing, cutter, nail pushing device and anastomosis staple be pushed to move forward, and is cut and is coincide.

Description

A kind of camber Endo-GIA
Technical field
The present invention relates to a kind of medical instrument, especially a kind of camber Endo-GIA.
Background technique
Existing camber Endo-GIA is when rectum low level surgical cut is kissed, usually manual operation positioning, monolever weight Multiple operation is clamped, cuts and coincide.There are certain disadvantages for this stapler: coincideing firstly, pulling hand for the first time to cutting Position necessary slow release handle after clamping, is pulled handle after handle reset for the second time again and is cut and coincide, if The release of operation back handle is too fast for the first time, and when reset can generate impact and vibration under the action of extension spring, causes to wound Adverse effect, high operation requirements, stability are poor;Secondly, only manualling locate, it is not automatically positioned, it is inconvenient for operation.
Summary of the invention
The object of the present invention is to provide one kind can not only manually locate, but also can be automatically positioned, and in positioning, cuts and coincide The arc-shaped cutting anastomat of impact and vibration is not generated in journey.
In order to achieve the above object, the technical scheme is that a kind of camber Endo-GIA, includes staple cartridge tray, nail Storehouse component, promote bar guide pad, localization handspike, bracket component, navigation button, promote pole socket, promote bar drive block, handle body and Anastomosis staple, the nail bin groupware include pad tool apron, resist-nailed seat connecting pin, resist-nailed seat, blade bearing, cutter, nail pushing device, nail bin, It is oriented to push rod positioning seat and positioning pin, the bracket component includes to hook piece, push plate, rivet I, cleat assembly, right support, left branch Frame, rivet II, extension spring I, brake plate, torsional spring pad tool apron connect with staple cartridge tray, nail bin mounted in cleat assembly slot in, pad Tool apron is connect with push plate component, and push plate component can move axially in cleat assembly, and push plate component can be in right support and left support Between move axially, the right end of bracket component is fixedly connected with handle body, and position fixing handle is connect by brake plate with push plate, positioning The left end of push rod passes through distribution bar guide pad and is flexibly connected with positioning pin, and the right end of localization handspike is fixedly connected with pole socket is promoted, The one end for promoting bar drive block is flexibly connected with handle body, and the pin promoted on bar drive block is flexibly connected with cleat assembly.
The middle position of the nail bin has the passable arc-shaped slot of cutter, the arc radius at notch center and cutting The arc radius at knife center is identical, and the arc radius at notch center is 25~40mm, is slidably matched between notch and blade, Each at least two enclose the equally distributed nail bin hole that is staggered in the isocentric circular arc of notch two sides, and the quantity in every circle nail bin hole is 8~18 pairs, And it is distributed on the circular arc that central angle is arc length corresponding to 68~88 °.In this way, can both reduce the close of anastomosis staple on individual pen circular arc Degree, improves the intensity of anastomotic position tissue, and can play good haemostatic effect.
The pad tool apron and resist-nailed seat connecting pin are one injection molding, and resist-nailed seat connecting pin is fixedly connected with resist-nailed seat.
The material of the anastomosis staple is titanium alloy, and shape is " u "-shaped, and bottom width is 2.5~3.8mm, highly for 3.5~ 5.5mm, the angle of two nail pins are 6~15 °, and respectively there are the inclined-plane for being convenient for staple formation, the angle on inclined-plane in two nail pin ends It is 60~90 °, anastomosis staple bottom and two sides nail pin are arc transition.
The invention has the advantages that a kind of camber stapler of the present invention was operated using positioning and percussion double handle Handle reset is not needed after form, positioning and compression, can directly be operated firing handle and be completed to cut and coincide, effectively avoid monolever Back handle is compressed when operation and resets generated impact and vibration, is reduced operating difficulty, is improved the stability of operation.Nail bin Hole is arranged in cutter two sides, and every side is at least two rows of, and is to be staggered to be evenly distributed on concentric circles, in this way, can both drop The density of anastomosis staple on low individual pen circular arc, improves the intensity of anastomotic position tissue, and can play good haemostatic effect.
Detailed description of the invention
Fig. 1 is a kind of structural schematic diagram of camber Endo-GIA of the present invention.
Fig. 2 is a kind of nail bin groupware structural schematic diagram of camber Endo-GIA of the present invention.
Fig. 3 is in Fig. 2 along the cross-sectional view in the direction A-A.
The top view of Fig. 4 Fig. 1.
Fig. 5 is a kind of bracket component structural schematic diagram of camber Endo-GIA of the present invention.
Fig. 6 is the top view of Fig. 5.
Fig. 7 is the structural schematic diagram of firing handle shell in Fig. 5.
Fig. 8 is in Fig. 7 along the cross-sectional view in the direction A-A.
Fig. 9 is firing handle rod structure schematic diagram in Fig. 5.
Figure 10 is a kind of anastomosis staple structural schematic diagram of camber Endo-GIA of the present invention.
Specific embodiment
Below in conjunction with the embodiment that attached drawing provides, the present invention is described in further detail.
As shown in Fig. 1~10, a kind of camber Endo-GIA, comprising staple cartridge tray 1, nail bin groupware 2, promote bar guide pad 3, Localization handspike 4, navigation button 6, promotes pole socket 7, promotes bar drive block 8, handle body 9 and anastomosis staple 10 bracket component 5, described Nail bin groupware 2 includes pad tool apron 2-1, resist-nailed seat connecting pin 2-2, resist-nailed seat 2-3, blade bearing 2-4, cutter 2-5, nail pushing device 2- 6, nail bin 2-7, guiding push rod positioning seat 2-8 and positioning pin 2-9, the bracket component include to hook piece 5-1, push plate 5-2, rivet I 5-3, cleat assembly 5-4, right support 5-5, left support 5-6, II 5-7 of rivet, I 5-8 of extension spring, brake plate 5-9, torsional spring 5- 10, reset button 5-11, II 5-12 of compressed spring, extension spring 5-13, position fixing handle 5-14 and firing handle 5-15, feature Are as follows: the pad tool apron 2-1 is connect with staple cartridge tray 1, and nail bin 2-7 is in the slot 5-4-1 of cleat assembly 5-4, while blade bearing 2-4 It being connect with piece 5-1 is hooked, hooks piece 5-1 and connect with push plate 5-2, the cleat assembly is riveted into one by I 5-3 rivet of rivet, II 5-7, On the push plate 5-2, cleat assembly 5-4 on right support 5-5 and left support 5-6 with the corresponding position of I 5-3 rivet of rivet, II 5-7 Setting respectively has two elongated slots, can move axially in cleat assembly 5-4 convenient for push plate 5-2, cleat assembly 5-4 can be in bracket component It is moved axially between 5 right support 5-5 and left support 5-6, the right end of the bracket component 5 is fixedly connected with handle body 9, described Position fixing handle 5-14 is flexibly connected by brake plate 5-9 with push plate 5-2, and the left end of the localization handspike 4, which passes through, promotes bar guiding Block 3 is flexibly connected with positioning pin 2-8, and the right end of localization handspike 2-8 is fixedly connected with pole socket 7 is promoted, and promotes the one of bar drive block 8 End is flexibly connected with handle body 9, and the pin promoted on bar drive block 8 is flexibly connected with cleat assembly 5-4, pushes navigation button 6, can It drives localization handspike 4, guiding push rod positioning seat 2-8, positioning pin 2-9 to Forward, is manuallyd locate, pull position fixing handle 5-14 It can make cleat assembly 5, nail bin groupware 2 are synchronous with navigation button 6 to move forward, be automatically positioned and clamped, reset button 8 is being pressed It is locked automatically under the action of contracting spring 5-12, operation firing handle 10 makes push plate 5-1 drive blade bearing 2-4, cutter 2-5, push away Nail device 2-6 and anastomosis staple 10 move forward, and are cut and are coincide, and when operation needs repeatedly to cut and is identical on the same stage, press multiple Position button 5-11, under the action of I 5-8 of extension spring, extension spring II 5-13 and torsional spring 5-10, nail bin groupware 2, position fixing handle 5- 14 and firing handle 5-15 is restored to initial position, replaces nail bin groupware 2, repeats aforesaid operations, can be completed repeatedly cutting and It coincide.
As shown in Figure 2 and Figure 3, in order to improve the tissue intensity and haemostatic effect of anastomotic position, the centre of institute art nail bin 2-7 Position has the passable arc-shaped slot 2-7-1 of cutter 2-5, the arc radius R phase at the center notch 2-7-1 and cutter 2-6 Together, the arc radius R at the center notch 2-7-1 is 25~40mm, is slidably matched between notch 2-7-1 and cutter 2-6, in slot At least two enclose the equally distributed nail bin hole 2-7-2 that is staggered, the number of every circle nail bin hole 2-7-2 in the isocentric circular arc of the two sides mouth 2-7-1 Amount is 8~18 pairs, and being distributed in central angle alpha is the circular arc R 1 of arc length corresponding to 68~88 °, on R2, R3 and R4.
As shown in Fig. 2, in order to simplify assembly technology, the pad tool apron 2-1 and resist-nailed seat connecting pin 2-2 be one injection at Type structure, resist-nailed seat connecting pin 2-2 are fixedly connected with resist-nailed seat 2-3.
As Fig. 1, shown in 5,7,8,9, in order to make firing handle have enough intensity, and there is good anufacturability, The firing handle 5-15 is separate structure, is made of firing handle shell 5-15-1, firing handle bar 5-15-2, firing handle shell There are straight line shape slot 5-15-1-1 and a pin hole 5-15-1-2, firing handle bar 5-15-2 and straight shape groove 5- on 5-15-1 15-1-1 is slidably installed in slot, on firing handle bar 5-15-2, has with firing handle shell 5-15-1 corresponding position Pin hole 5-15-2-1.
As shown in Figure 10, the material of the anastomosis staple 10 is titanium alloy, and shape is " u "-shaped, bottom width L is 2.5~ 3.8mm, height H are 3.5~5.5mm, and the angle γ of two nail pins is 6~15 °, two nail pin ends respectively have one convenient for anastomosis staple at The inclined-plane of type, the angle β on inclined-plane are 60~90 °, and anastomosis staple bottom and two sides nail pin are arc transition, and such structure type more has Conducive to it is identical when anastomosis staple molding effect, neither weigh tissue wounded, and play the role of hemostasis.
Particular embodiments described above has carried out further the purpose of the present invention, technical solution and beneficial effect It is described in detail, it is noted that the above is used for the purpose of specific embodiments of the present invention, is not intended to restrict the invention, right For those skilled in the art, under the premise of not departing from spirit and principles of the present invention, modification, improvement and the change made Type etc., should be included within the scope of the present invention.

Claims (5)

1. a kind of camber Endo-GIA comprising staple cartridge tray (1), nail bin groupware (2), promotes bar guide pad (3), localization handspike (4), bracket component (5), navigation button (6), distribution pole socket (7), distribution bar drive block (8), handle body (9) and anastomosis staple (10), the nail bin groupware (2) includes pad tool apron (2-1), resist-nailed seat connecting pin (2-2), resist-nailed seat (2-3), blade bearing (2- 4), cutter (2-5), nail pushing device (2-6), nail bin (2-7), guiding push rod positioning seat (2-8) and positioning pin (2-9), the branch Frame component includes to hook piece (5-1), push plate (5-2), rivet I (5-3), cleat assembly (5-4), right support (5-5), left support (5- 6), rivet II (5-7), extension spring I (5-8), brake plate (5-9), torsional spring (5-10), reset button (5-11), compressed spring II (5-12), extension spring (5-13), position fixing handle (5-14) and firing handle (5-15), it is characterized in that: the pad tool apron (2-1) It is connect with staple cartridge tray (1), nail bin (2-7) is in the slot (5-4-1) of cleat assembly (5-4), while blade bearing (2-4) and hook piece (5-1) connection, hook piece (5-1) connect with push plate (5-2), the cleat assembly by rivet I (5-3) rivet II (5-7) riveting at One, on the push plate (5-2), cleat assembly (5-4) on right support (5-5) and left support (5-6) with rivet I (5-3) riveting The corresponding position of II (5-7) of nail respectively has two elongated slots, can move axially in cleat assembly (5-4) convenient for push plate (5-2), folder Board group part (5-4) can move axially between the right support (5-5) and left support (5-6) of bracket component (5), the bracket component (5) right end is fixedly connected with handle body (9), and position fixing handle (5-14) is connected by brake plate (5-9) and push plate (5-2) activity It connects, the left end of localization handspike (4) passes through distribution bar guide pad (3) and is flexibly connected with positioning pin (2-8), localization handspike (2-8) Right end is fixedly connected with pole socket (7) are promoted, and the one end for promoting bar drive block (8) is flexibly connected with handle body (9), promotes bar transmission Pin on block (8) is flexibly connected with cleat assembly (5-4), is pushed navigation button (6), and localization handspike (4), guiding push rod can be driven Positioning seat (2-8), positioning pin (2-9) Xiang Qianyi, are manuallyd locate, pull position fixing handle (5-14) can make cleat assembly (5), Nail bin groupware (2) is synchronous with navigation button (6) to be moved forward, and is automatically positioned and is clamped, and reset button (5-11) is in compression bullet It is locked automatically under the action of spring (5-12), pulling firing handle (5-15) makes push plate (5-1) to drive blade bearing (2-4), cutter (2-5), nail pushing device (2-6) and anastomosis staple (10) move forward, and are cut and are coincide, and operation needs repeatedly cutting and kiss on the same stage When conjunction, reset button (5-11) is pressed, under the action of extension spring I (5-8), extension spring II (5-13) and torsional spring (5-10), Nail bin groupware (2) is restored to initial position, replaces nail bin groupware (2), repeats aforesaid operations, and repeatedly cutting and kiss can be completed It closes.
2. a kind of camber Endo-GIA according to claim 1, it is characterised in that: the interposition of the nail bin (2-7) It sets with cutter (2-5) passable arc-shaped slot (2-7-1), the arc radius R phase of notch and the center cutter (2-6) Together, the arc radius (R) at the center notch (2-7-1) is 25~40mm, is sliding between notch (2-7-1) and cutter (2-5) Cooperation, at least two enclose the equally distributed nail bin hole (2-7-2) that is staggered, every circle nail in the isocentric circular arc of the two sides notch (2-7-1) The quantity in storehouse hole (2-7-2) be 8~18 pairs, and be distributed in central angle (α) be 68~88 ° corresponding to arc length circular arc (R1), (R2), on (R3) and (R4).
3. a kind of camber Endo-GIA according to claim 1, it is characterised in that: the pad tool apron (2-1) and support nail Seat connecting pin (2-2) is one injection molding structure, and resist-nailed seat connecting pin (2-2) is fixedly connected with resist-nailed seat (2-3).
4. a kind of camber Endo-GIA according to claim 1, it is characterised in that: the firing handle (5-15) is point Body structure is made of firing handle shell (5-15-1), firing handle bar (5-15-2), has one on firing handle shell (5-15-1) Straight shape groove (5-15-1-1) and a pin hole (5-15-1-2), firing handle bar (5-15-2) and straight shape groove (5-15-1-1) It is slidably installed in slot, on firing handle bar (5-15-2), there is pin with firing handle shell (5-15-1) corresponding position Hole (5-15-2-1).
5. a kind of arc-shaped cutting anastomat according to claim 1, it is characterised in that: the material of the anastomosis staple (10) is Titanium alloy, shape are " u "-shaped, and bottom width (L) is 2.5~3.8mm, and height (H) is 3.5~5.5mm, the angle of two nail pins (γ) is 6~15 °, and respectively there are the inclined-plane for being convenient for staple formation in two nail pin ends, and the angle (β) on inclined-plane is 60~90 °, kiss Dowel bottom and two sides nail pin are arc transition.
CN201710748376.4A 2017-08-28 2017-08-28 A kind of camber Endo-GIA Pending CN109419542A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
CN201710748376.4A CN109419542A (en) 2017-08-28 2017-08-28 A kind of camber Endo-GIA

Publications (1)

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110464401A (en) * 2019-09-23 2019-11-19 常州安康医疗器械有限公司 A kind of minimally invasive hysteroscope Endo-GIA of interchangeable assembly type
CN112617928A (en) * 2020-12-04 2021-04-09 苏州法兰克曼医疗器械有限公司 Anastomat with cutter driving mechanism capable of cutting in arc shape
CN113303852A (en) * 2021-05-18 2021-08-27 常州安康医疗器械有限公司 Arc-shaped cutting anastomat with auxiliary medicine spraying function
CN113598859A (en) * 2021-09-14 2021-11-05 吴杲 Semicircular eversion anastomat and using method thereof

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CN1689530A (en) * 2003-12-30 2005-11-02 伊西康内外科公司 Cartridge retainer for a curved cutter stapler
CN101015468A (en) * 2006-02-07 2007-08-15 伊西康内外科公司 Apparatus for performing trans-anal resection
CN101912284A (en) * 2010-08-13 2010-12-15 李东瑞 Arc-shaped cutting anastomat
CN102579095A (en) * 2012-02-24 2012-07-18 常州市智业医疗仪器研究所有限公司 Surgical incision stitching instrument
CN102599954A (en) * 2012-03-31 2012-07-25 常州市康迪医用吻合器有限公司 Linear cutting anastomat with double security mechanisms
CN102835984A (en) * 2012-09-18 2012-12-26 常州市康迪医用吻合器有限公司 Cutting anastomat for surgical operation

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1689530A (en) * 2003-12-30 2005-11-02 伊西康内外科公司 Cartridge retainer for a curved cutter stapler
CN101015468A (en) * 2006-02-07 2007-08-15 伊西康内外科公司 Apparatus for performing trans-anal resection
CN101912284A (en) * 2010-08-13 2010-12-15 李东瑞 Arc-shaped cutting anastomat
CN102579095A (en) * 2012-02-24 2012-07-18 常州市智业医疗仪器研究所有限公司 Surgical incision stitching instrument
CN102599954A (en) * 2012-03-31 2012-07-25 常州市康迪医用吻合器有限公司 Linear cutting anastomat with double security mechanisms
CN102835984A (en) * 2012-09-18 2012-12-26 常州市康迪医用吻合器有限公司 Cutting anastomat for surgical operation

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110464401A (en) * 2019-09-23 2019-11-19 常州安康医疗器械有限公司 A kind of minimally invasive hysteroscope Endo-GIA of interchangeable assembly type
CN112617928A (en) * 2020-12-04 2021-04-09 苏州法兰克曼医疗器械有限公司 Anastomat with cutter driving mechanism capable of cutting in arc shape
CN113303852A (en) * 2021-05-18 2021-08-27 常州安康医疗器械有限公司 Arc-shaped cutting anastomat with auxiliary medicine spraying function
CN113598859A (en) * 2021-09-14 2021-11-05 吴杲 Semicircular eversion anastomat and using method thereof

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