CN109528252A - Backbone endoscopic surgery hemostasis device - Google Patents

Backbone endoscopic surgery hemostasis device Download PDF

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Publication number
CN109528252A
CN109528252A CN201910032082.0A CN201910032082A CN109528252A CN 109528252 A CN109528252 A CN 109528252A CN 201910032082 A CN201910032082 A CN 201910032082A CN 109528252 A CN109528252 A CN 109528252A
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CN
China
Prior art keywords
sleeve
rotating bar
bar
spring
endoscopic surgery
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Granted
Application number
CN201910032082.0A
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Chinese (zh)
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CN109528252B (en
Inventor
周程沛
高浩然
钱济先
钱澍
袁方
袁一方
高全有
薛为高
郭时空
孙嗣国
廖博
宋杨
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Fourth Military Medical University FMMU
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Fourth Military Medical University FMMU
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Priority to CN201910032082.0A priority Critical patent/CN109528252B/en
Publication of CN109528252A publication Critical patent/CN109528252A/en
Application granted granted Critical
Publication of CN109528252B publication Critical patent/CN109528252B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/02Bones

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

Abstract

The invention discloses backbone endoscopic surgery hemostasis devices, including sleeve, pilot hole, rotating bar, inflator pump, first spring, slide bar, second spring, compression bar, sliding pin, connecting rod, rack gear, connecting pin, hollow sphere, relief hole, mounting plate, hose, gear, the backbone endoscopic surgery hemostasis device, clever structure, it is powerful, it is easy to operate, by using the device, hemostatic material extruding is applied to bone face convenient for medical staff, reach good hemostasis purpose, while not increasing operative incision, realize the purpose that bone face is directly stopped blooding, effectively raise the haemostatic effect in bone face.

Description

Backbone endoscopic surgery hemostasis device
Technical field
The present invention relates to hemostasis device more particularly to backbone endoscopic surgery hemostasis devices.
Background technique
With the development of technology, percutaneous backbone scope is widely used in cervical spondylosis, thoracic spinal stenosis, waist at present The treatment of the various spinal diseases such as the protrusion of the intervertebral disc, lumbar spinal stenosis, idicatio are constantly expanded, and especially nearly one Nian Lai, the simple decompression treatment of neck Thoracolumbar disk spinal canal stenosis under Percutaneous endoscopic, or decompression fusion treatment is from taboo traditionally Avoid disease and is changed into indication.But these are performed the operation, be both needed to using the special tool(s) prominent, vertebral plate that includes abrasive drilling, trepan etc. to joint of vertebral column, After the bony structures such as spinous process are abraded, and just can have enough spaces to be operated, but cortex bone abrades in art, cancellous bone Bone face oozing of blood, often will lead to that the visual field is fuzzy to be difficult to complete to perform the operation or waste the plenty of time and carry out hemostasis operation, increase operation and Anesthesia duration increases patients surgery risk;If the nutrient artery bleeding of bone face, then it may be unable to complete operation, need transfer open Operation, causes medical tangle hidden danger.Hemostasis at present is extra large frequently with hydraulic pressure hemostasis by compression, bipolar radio frequency electric coagulation hemostasis and gelatin is improved The methods of continuous hemostasis with packs can play certain anastalsis to bone face oozing of blood, but improve hydraulic pressure and may cause class spinal cord high pressure Syndrome risk increases, and causes severe complication;Bipolar radio frequency electric coagulation hemostasis is limited for the cauterization effect of bone tissue, and burns Vascular recoil afterwards can not play good anastalsis;The principle of gelfoam hemostasis with packs is equally hemostasis by compression, but its And can not directly clog to stopping blooding in cancellous bone, it is only capable of stopping blooding by increasing pressure closing on bone face position, effect It is limited.In view of disadvantages described above, it is really necessary to design backbone endoscopic surgery hemostasis device.
Summary of the invention
Technical problem to be solved by the present invention lies in: backbone endoscopic surgery hemostasis device is provided, to solve background skill The problem of art proposes.
In order to solve the above technical problems, the technical scheme is that backbone endoscopic surgery hemostasis device, including set Cylinder, pilot hole, rotating bar, inflator pump, the first spring, slide bar, second spring, compression bar, sliding pin, connecting rod, rack gear, connecting pin, Hollow sphere, relief hole, mounting plate, hose, gear, the pilot hole are located at sleeve inner lower end, and the pilot hole is logical Hole, the rotating bar are located at sleeve inner top, and the rotating bar is rotatedly connected with sleeve, and the inflator pump, which is located at, to be turned Lever inner upper end, the inflator pump are connected with rotating bar screw thread, and it is left that first spring is located at rotating bar inner upper end Right two sides, first spring are connected with rotating bar adhesive, and the slide bar is located at the first spring bottom, the slide bar It is connected with the first spring adhesive, and the slide bar is connected with rotating bar sliding, the second spring is located at sleeve inner Left side, the second spring are connected with sleeve adhesive, and for the compression bar on the left of sleeve, the compression bar and sleeve are sliding It is dynamic to be connected, and the compression bar is connected with second spring adhesive, the sliding pin is located at lower end on the right side of compression bar, the sliding pin It is connected with compression bar screw thread, the connecting rod is located at sliding pin bottom, and the connecting rod is connected with sliding pin screw thread, the rack gear Positioned at connecting rod bottom, the rack gear is connected with connecting rod screw thread, and the connecting pin runs through sleeve lower end, the connection Pin is rotatedly connected with sleeve, and through connecting pin, the hollow sphere is connected the hollow sphere with connecting pin adhesive, described Discharge hole number be several, the relief hole is uniformly surrounded on hollow ball inside, and the relief hole is through-hole, described Mounting plate be located at sleeve inner lower end, the mounting plate is connected with bush whorl, and the hose is through in mounting plate End, described hose one end are connected with installation board adhesive, and the hose other end is through hollow sphere top and hollow sphere Adhesive is connected, and the gear is through connecting pin rear end, and the gear is connected with connecting pin adhesive, and the tooth Wheel and rack gear teeth meshing is connected.
Further, the rotating bar inner tip is additionally provided with relief hole, and the relief hole is integrally connected with rotating bar.
Further, exhaust pipe has been also extended through on the right side of the rotating bar, the exhaust pipe is connected with rotating bar adhesive.
Further, the exhaust tube wall is additionally provided with air valve, and the air valve is connected with exhaust pipe screw thread.
Further, the rotating bar inside left is additionally provided with lithium battery, and the lithium battery is connected with rotating bar screw thread.
Further, lower end is additionally provided with recessing groove on the left of the sleeve inner, and the recessing groove is integrally connected with sleeve.
Further, it being additionally provided with sealing plate on the right side of the sleeve inner, the sealing plate lower end is rotatedly connected with sleeve, And the sealing plate upper end is connected with sleeve buckle.
Further, the rotating bar inner upper end is additionally provided with gas vent, and the gas vent is integrally connected with rotating bar.
Compared with prior art, backbone endoscopic surgery hemostasis device, before use, medical staff first strikes out sealing with the hand Plate, then the solidifiables hemostatic material such as bone wax or fluid gelatin is injected in sleeve, i.e. hemostatic material be in slide bar and mounting plate it Between, after injection, medical staff closes sealing plate with hand, in use, medical staff's left hand holds rotation under endoscopic surgery Bar, then the pilot hole at sleeve is moved at the bone face position of hemostasis needed for patient, according to actual use situation, medical staff can With right hand turnbarrel, sleeve is allowed to carry out angular adjustment by the center of circle of rotating bar at the position in bone face together with pilot hole using this, In addition, medical staff can also the right hand pressing or pull compression bar, with this allow compression bar drive sliding pin be connected bar together with rack gear along The direction of sleeve moves up and down, synchronous, and second spring is in the state of deformation, passes through the work of rack and pinion gear teeth meshing With so that rack drives gear makes rotating motion together with connecting pin and hollow sphere, i.e., hollow sphere is done suitable using connecting pin as the center of circle Hour hands or counter-clockwise rotary motion, its purpose is to which relief hole is carried out angular adjustment processing, when pilot hole and relief hole Angular adjustment to the demand of medical staff after, medical staff with left hand open inflator pump, at this point, inflator pump generate inflating air Body is discharged into rotating bar interior lower end by gas vent, and the charge air conditioning for being discharged into rotating bar interior lower end carries out thrust to slide bar, with this Allow slide bar that the hemostatic material in sleeve is pushed to be discharged into hollow ball inside by hose, synchronous, the first spring is in the state of deformation, will Close to the bone face of oozing of blood, the hemostatic material that rotational sleeve rotation hollow sphere is discharged into hollow ball inside is passed through by relief hole hollow sphere again It crosses pilot hole to be applied at the bone face position of patient, hemostatic treatment is carried out to patient with this, after hemostatic material is smeared, doctor Shield personnel first close inflator pump with hand, then strike out air valve with the hand, allow the charge air conditioning of rotating bar interior lower end by being vented with this Pipe discharge is extraneous, at this point, pass through the effect of the first recoil of spring power, so that slide bar resets, and backbone endoscopic surgery hemostasis dress It sets, clever structure is powerful, and it is easy to operate, by using the device, hemostatic material extruding is applied to convenient for medical staff Bone face reaches good hemostasis purpose, while not increasing operative incision, realizes the purpose that bone face is directly stopped blooding, effectively The haemostatic effect for improving bone face, meanwhile, recessing groove is the working space in order to concede sliding pin, and relief hole is to concede and fill The working space of air pump, lithium battery are to provide energy supply to the device, and the lithium battery is connected with inflator pump conducting wire, Second spring is to allow compression bar Rapid reset, and mounting plate is the installation carrier of hose, and the slide bar is rubber material, described Inflator pump be its model of Mini-size inflation pump be preferably CY-555PM.
Detailed description of the invention
Fig. 1 is the local front sectional view of backbone endoscopic surgery hemostasis device;
Fig. 2 is the left view connection figure of sleeve and pilot hole;
Fig. 3 is the inside enlarged partial sectional view of sleeve;
Fig. 4 is the circuit diagram of backbone endoscopic surgery hemostasis device.
Sleeve 1, pilot hole 2, rotating bar 3, inflator pump 4, the first spring 5, slide bar 6, second spring 7, compression bar 8, sliding pin 9, Connecting rod 10, rack gear 11, connecting pin 12, hollow sphere 13, relief hole 14, mounting plate 15, hose 16, gear 17, recessing groove 101, Sealing plate 102, relief hole 301, exhaust pipe 302, air valve 303, lithium battery 304, gas vent 305.
The following detailed description will be further explained with reference to the above drawings.
Specific embodiment
Hereinafter, a variety of specific details are elaborated, in order to provide to the saturating of the concept for constituting described embodiment basis Thorough understanding.However, it will be apparent to those skilled in the art that described embodiment can be in these no specific details In some or all situations get off practice.In other cases, well-known processing step is not specifically described.
As shown in Figure 1, Figure 2, Figure 3, Figure 4, backbone endoscopic surgery hemostasis device, including sleeve 1, pilot hole 2, rotating bar 3, inflator pump 4, the first spring 5, slide bar 6, second spring 7, compression bar 8, sliding pin 9, connecting rod 10, rack gear 11, connecting pin 12, hollow Ball 13, relief hole 14, mounting plate 15, hose 16, gear 17, the pilot hole 2 are located at 1 interior lower end of sleeve, and described leads It is through-hole to hole 2, the rotating bar 3 is located at 1 inner tip of sleeve, and the rotating bar 3 is rotatedly connected with sleeve 1, described Inflator pump 4 be located at 3 inner upper end of rotating bar, the inflator pump 4 is connected with 3 screw thread of rotating bar, 5, first spring At left and right sides of 3 inner upper end of rotating bar, first spring 5 is connected with 3 adhesive of rotating bar, and the slide bar 6 is located at First spring, 5 bottom, the slide bar 6 are connected with 5 adhesive of the first spring, and the slide bar 6 slides phase with rotating bar 3 Even, the second spring 7 is located at 1 inside left of sleeve, and the second spring 7 is connected with 1 adhesive of sleeve, the pressure Bar 8 is through 1 left side of sleeve, and the compression bar 8 is connected with the sliding of sleeve 1, and the compression bar 8 and 7 adhesive phase of second spring Even, the sliding pin 9 is located at 8 right side lower end of compression bar, and the sliding pin 9 is connected with 8 screw thread of compression bar, and the connecting rod 10 is located at 9 bottom of sliding pin, the connecting rod 10 are connected with 9 screw thread of sliding pin, and the rack gear 11 is located at 10 bottom of connecting rod, the tooth Item 11 is connected with 10 screw thread of connecting rod, and the connecting pin 12 runs through 1 lower end of sleeve, and the connecting pin 12 and sleeve 1 rotate It is connected, the hollow sphere 13 is through connecting pin 12, and the hollow sphere 13 is connected with 12 adhesive of connecting pin, the row Expect that 14 quantity of hole is several, the relief hole 14 is uniformly surrounded on inside hollow sphere 13, and the relief hole 14 is through-hole, The mounting plate 15 is located at 1 interior lower end of sleeve, and the mounting plate 15 is connected with 1 screw thread of sleeve, and the hose 16 passes through It is through at 15 middle-end of mounting plate, described 16 one end of hose is connected with 15 adhesive of mounting plate, and 16 other end of hose passes through It wears the top of hollow sphere 13 to be connected with 13 adhesive of hollow sphere, the gear 17 is through 12 rear end of connecting pin, the gear 17 are connected with 12 adhesive of connecting pin, and the gear 17 is connected with 11 gear teeth meshing of rack gear, push up inside the rotating bar 3 End is additionally provided with relief hole 301, and the relief hole 301 is integrally connected with rotating bar 3, has been also extended through on the right side of the rotating bar 3 Exhaust pipe 302, the exhaust pipe 302 are connected with 3 adhesive of rotating bar, and 302 outer wall of exhaust pipe is additionally provided with air valve 303, the air valve 303 is connected with 302 screw thread of exhaust pipe, and 3 inside left of rotating bar is additionally provided with lithium battery 304, The lithium battery 304 is connected with 3 screw thread of rotating bar, and the 1 inside left lower end of sleeve is additionally provided with recessing groove 101, described Recessing groove 101 be integrally connected with sleeve 1,1 inner right side of sleeve is additionally provided with sealing plate 102, the sealing plate 102 Lower end is rotatedly connected with sleeve 1, and 102 upper end of sealing plate is connected with the buckle of sleeve 1, on 3 inside of rotating bar End is additionally provided with gas vent 305, and the gas vent 305 is integrally connected with rotating bar 3.
The backbone endoscopic surgery hemostasis device, before use, medical staff first strikes out sealing plate 102 with the hand, then by bone wax Or in the solidifiables hemostatic material such as fluid gelatin injection sleeve 1, i.e., hemostatic material is between slide bar 6 and mounting plate 15, injection After, medical staff closes sealing plate 102 with hand, in use, medical staff's left hand holds rotating bar 3 under endoscopic surgery, The pilot hole 2 at sleeve 1 is moved at the bone face position of hemostasis needed for patient again, according to actual use situation, medical staff can With right hand turnbarrel 1, sleeve 1 is allowed to carry out angle tune with rotating bar 3 at the position in bone face together with pilot hole 2 for the center of circle with this Section, in addition, medical staff can also the right hand pressing or pull compression bar 8, with this allow compression bar 8 drive sliding pin 9 be connected bar 10 together with Rack gear 11 is moved up and down along the direction of sleeve 1, synchronous, and second spring 7 is in the state of deformation, passes through rack gear 11 and gear The effect of 17 gear teeth meshings, so that rack gear 11 makes rotating motion with moving gear 17 together with connecting pin 12 and hollow sphere 13, i.e., it is empty Bulbus cordis 13 is done for the center of circle with connecting pin 12 and is moved clockwise or counterclockwise, and its purpose is to relief hole 14 is carried out angle Adjusting processing, after the demand of the angular adjustment of pilot hole 2 and relief hole 14 to medical staff, medical staff is opened with left hand Inflator pump 4 is discharged into rotating bar 3 at this point, the charge air conditioning that inflator pump 4 generates is discharged into 3 interior lower end of rotating bar by gas vent 305 The charge air conditioning of interior lower end carries out thrust to slide bar 6, allows slide bar 6 to push the hemostatic material in sleeve 1 by 16 row of hose with this Enter inside hollow sphere 13, synchronous, the first spring 5 is in the state of deformation, by hollow sphere 13 close to the bone face of oozing of blood, rotational sleeve 1 rotation hollow sphere 13 is discharged into the hemostatic material inside hollow sphere 13 and is applied to patient's by pilot hole 2 by relief hole 14 again At bone face position, hemostatic treatment is carried out to patient with this, after hemostatic material is smeared, medical staff is first closed with hand and inflated Pump 4, then strike out air valve 303 with the hand, allow the charge air conditioning of 3 interior lower end of rotating bar that the external world is discharged by exhaust pipe 302 with this, this When, by the effect of 5 screen resilience of the first spring, so that slide bar 6 resets, meanwhile, recessing groove 101 is the work in order to concede sliding pin 9 Make space, relief hole 301 is the working space in order to concede inflator pump 4, and lithium battery 304 is to provide energy to the device and supply It answers, the lithium battery 304 is connected with 4 conducting wire of inflator pump, and second spring 7 is to allow 8 Rapid reset of compression bar, and mounting plate 15 is The installation carrier of hose 16, the slide bar 6 are rubber material, and the inflator pump 4 is that its model of Mini-size inflation pump is preferably CY-555PM。
The present invention is not limited to above-mentioned specific embodiment, those skilled in the art from the above idea, Without creative labor, the various transformation made are within the scope of the present invention.

Claims (8)

1. backbone endoscopic surgery hemostasis device, it is characterised in that including sleeve, pilot hole, rotating bar, inflator pump, the first bullet Spring, slide bar, second spring, compression bar, sliding pin, connecting rod, rack gear, connecting pin, hollow sphere, relief hole, mounting plate, hose, gear, The pilot hole is located at sleeve inner lower end, and the pilot hole is through-hole, and the rotating bar is located at sleeve inner top, The rotating bar is rotatedly connected with sleeve, and the inflator pump is located at rotating bar inner upper end, the inflator pump and rotation Bar screw thread is connected, and first spring is located at left and right sides of rotating bar inner upper end, first spring and rotating bar glue Stick is connected, and the slide bar is located at the first spring bottom, and the slide bar is connected with the first spring adhesive, and the cunning Bar is connected with rotating bar sliding, and the second spring is located on the left of sleeve inner, the second spring and sleeve adhesive It is connected, on the left of sleeve, the compression bar is connected the compression bar with sleeve sliding, and the compression bar and second spring glue Stick is connected, and the sliding pin is located at lower end on the right side of compression bar, and the sliding pin is connected with compression bar screw thread, and the connecting rod is located at Sliding pin bottom, the connecting rod are connected with sliding pin screw thread, and the rack gear is located at connecting rod bottom, the rack gear and connection Bar screw thread is connected, and the connecting pin runs through sleeve lower end, and the connecting pin is rotatedly connected with sleeve, and the hollow sphere passes through It is through at connecting pin, the hollow sphere is connected with connecting pin adhesive, and the discharge hole number is several, the discharge Hole is uniformly surrounded on hollow ball inside, and the relief hole is through-hole, and the mounting plate is located at sleeve inner lower end, described Mounting plate is connected with bush whorl, and the hose is through mounting plate middle-end, described hose one end and installation board adhesive It is connected, and the hose other end is connected at the top of the hollow sphere with hollow sphere adhesive, the gear is through connection Rear end is sold, the gear is connected with connecting pin adhesive, and the wheel and rack gear teeth meshing is connected.
2. backbone endoscopic surgery hemostasis device as described in claim 1, it is characterised in that the rotating bar inner tip It is additionally provided with relief hole, the relief hole is integrally connected with rotating bar.
3. backbone endoscopic surgery hemostasis device as claimed in claim 2, it is characterised in that also passed through on the right side of the rotating bar It is installed with exhaust pipe, the exhaust pipe is connected with rotating bar adhesive.
4. backbone endoscopic surgery hemostasis device as claimed in claim 3, it is characterised in that the exhaust tube wall is also set There is air valve, the air valve is connected with exhaust pipe screw thread.
5. backbone endoscopic surgery hemostasis device as claimed in claim 4, it is characterised in that the rotating bar inside left It is additionally provided with lithium battery, the lithium battery is connected with rotating bar screw thread.
6. backbone endoscopic surgery hemostasis device as claimed in claim 5, it is characterised in that under on the left of the sleeve inner End is additionally provided with recessing groove, and the recessing groove is integrally connected with sleeve.
7. backbone endoscopic surgery hemostasis device as claimed in claim 6, it is characterised in that on the right side of the sleeve inner also Equipped with sealing plate, the sealing plate lower end is rotatedly connected with sleeve, and the sealing plate upper end is connected with sleeve buckle.
8. backbone endoscopic surgery hemostasis device as claimed in claim 7, it is characterised in that the rotating bar inner upper end It is additionally provided with gas vent, the gas vent is integrally connected with rotating bar.
CN201910032082.0A 2019-01-14 2019-01-14 Spinal endoscopic surgery is with hemostasis device Expired - Fee Related CN109528252B (en)

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Application Number Priority Date Filing Date Title
CN201910032082.0A CN109528252B (en) 2019-01-14 2019-01-14 Spinal endoscopic surgery is with hemostasis device

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Application Number Priority Date Filing Date Title
CN201910032082.0A CN109528252B (en) 2019-01-14 2019-01-14 Spinal endoscopic surgery is with hemostasis device

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CN109528252B CN109528252B (en) 2021-03-19

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Cited By (3)

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Publication number Priority date Publication date Assignee Title
CN109999326A (en) * 2019-04-18 2019-07-12 复旦大学附属中山医院 A kind of bone wax smearing rifle
CN113476096A (en) * 2021-06-21 2021-10-08 昆明市儿童医院 Hand-held endoscopic hemostasis device for cardiothoracic surgery
CN113926052A (en) * 2021-11-18 2022-01-14 新疆医科大学 Abdominal cavity heat perfusion catheter fixing device for ovarian cancer treatment

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Publication number Priority date Publication date Assignee Title
CN109999326A (en) * 2019-04-18 2019-07-12 复旦大学附属中山医院 A kind of bone wax smearing rifle
CN113476096A (en) * 2021-06-21 2021-10-08 昆明市儿童医院 Hand-held endoscopic hemostasis device for cardiothoracic surgery
CN113926052A (en) * 2021-11-18 2022-01-14 新疆医科大学 Abdominal cavity heat perfusion catheter fixing device for ovarian cancer treatment
CN113926052B (en) * 2021-11-18 2023-08-18 新疆医科大学 Abdominal cavity hot perfusion catheter fixing device for ovarian cancer treatment

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