CN109602477A - A kind of clot removing surgical clamp for laparoscopic surgery - Google Patents

A kind of clot removing surgical clamp for laparoscopic surgery Download PDF

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Publication number
CN109602477A
CN109602477A CN201910099974.2A CN201910099974A CN109602477A CN 109602477 A CN109602477 A CN 109602477A CN 201910099974 A CN201910099974 A CN 201910099974A CN 109602477 A CN109602477 A CN 109602477A
Authority
CN
China
Prior art keywords
negative pressure
handle
clot
claw beam
cutting head
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
CN201910099974.2A
Other languages
Chinese (zh)
Inventor
李伟正
朱利勇
王丹
朱晒红
李鹏洲
杨湘武
易波
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.)
Third Xiangya Hospital of Central South University
Original Assignee
Third Xiangya Hospital of Central South University
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 Third Xiangya Hospital of Central South University filed Critical Third Xiangya Hospital of Central South University
Priority to CN201910099974.2A priority Critical patent/CN109602477A/en
Publication of CN109602477A publication Critical patent/CN109602477A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/295Forceps for use in minimally invasive surgery combined with cutting implements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • A61B2017/22034Gripping instruments, e.g. forceps, for removing or smashing calculi for gripping the obstruction or the tissue part from inside
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22079Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with suction of debris
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • A61B2017/2925Pistol grips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws

Abstract

The invention discloses a kind of clots for laparoscopic surgery to remove surgical clamp, including clamp handle, claw beam and binding clip, the both ends of claw beam are arranged in clamp handle and binding clip, clamp handle includes determining handle and the dynamic handle hinged with handle is determined, determine to be provided with certain handle negative pressure channel in handle, one end of claw beam negative pressure channel is connected to handle negative pressure channel is determined, and the other end is connected to the inner cavity of binding clip, and binding clip is cut clot in its inner cavity by opening and closing.The present invention in existing surgical clamp by designing the binding clip with cutting and negative-pressure adsorption function, so as to during laparoscopic minimally invasive surgery, clot quick adsorption is shifted, more particularly to be cut to biggish clot, the speed of clot transfer is accelerated, has saved the more quality time for surgical procedure.

Description

A kind of clot removing surgical clamp for laparoscopic surgery
Technical field
The present invention relates to medical aid fields more particularly to one kind can quickly and easily remove laparoscopic procedures The clot of middle blood clotting removes surgical clamp.
Background technique
During laparoscopic minimally invasive surgery, the small notch of several 0.5 or 1cm or so are cut on patient abdomen skin, are led to It crosses after merging Trocar establishes operating walk way, subsequent operation implementation is all completed by these channels.
In the course of surgery, the blood of part blood vessel cutting outflow can gradually be aggregated into clot, this needs timely to clear up In order to avoid influence surgical field of view, currently used method first is that absorbed by the attraction pipeline of aspirator, still, lesser clot It is easy to be absorbed, but after encountering biggish clot, absorption will become very laborious bothersome, or even be difficult to absorb;Another Method is exactly to press from both sides to remove: being removed with shape as the pliers of wooden dipper or spoon is pressed from both sides.Clot seems too frangible again in Trocar at this time, often It is difficult to disposably press from both sides and remove.And then need to delay the more time, it is forced to interrupt the taking-up of laparoscopic surgery conversion to open surgery sometimes Clot.This operation significant adverse to first aid class.
Summary of the invention
It is an object of that present invention to provide one kind to remove surgical clamp for laparoscopic surgery clot, to solve the above problems.
To achieve the above object, the invention discloses a kind of clots for laparoscopic surgery to remove surgical clamp, including pincers The both ends of the claw beam are arranged in handle, claw beam and binding clip, the clamp handle and binding clip, and the clamp handle includes determining handle and determining handle with described Hinged dynamic handle, it is described to determine to be provided with certain handle negative pressure channel in handle, one end of the claw beam negative pressure channel and it is described determine handle bear Pressure passageway connection, the other end are connected to the inner cavity of the binding clip, and the binding clip is cut clot in its inner cavity by opening and closing.
Further, the binding clip includes the upper half cutting head and lower half cutting head being hinged, and the claw beam negative pressure is logical The other end in road is connected to the lower half cutting head, and the dynamic handle is driven by driving one along the drive rod that the claw beam extends The upper half cutting head open and close movement is moved, the both ends of the drive rod are hinged with the upper half cutting head, dynamic handle respectively.
Further, it is provided with cutting chamber in the upper half cutting head and lower half cutting head, the cutting chamber opening Edge is provided with the cutting edge for cutting clot in closing course for the upper half cutting head and lower half cutting head.
Further, the lower half cutting head is extended to its bottom a landslide, the bottom on the landslide with it is described The entrance of claw beam negative pressure channel is aligned setting.
Further, the inlet that the claw beam negative pressure channel is connect with the lower half cutting head is set as horn-like knot Structure.
Further, air inlet is additionally provided on the lower half cutting head, the air inlet setting is negative with the claw beam On the opposite wall surface of pressure passageway.
Further, multiple air inlets are laid from the top on the landslide to its bottom, and the outlet of the air inlet Towards the inlet of the claw beam negative pressure channel.
Further, the cutting cavity wall that the upper half cutting head is set as to be bonded the lower half cutting head is slided to cut Cut clot, the edge of the upper half cutting head along it is described slide into bottom when, the upper half cutting head will be after cutting Clot is pushed to the entry position of the claw beam negative pressure channel.
Further, multiple air inlets are arranged in the intracavitary perforation of the cutting of the upper half cutting head.
Further, the end of the claw beam negative pressure channel is removable is connected with a negative pressure valve, the negative pressure valve packet It includes at least two negative pressure and connects port.
Further, the negative pressure connects port and is provided with tracheae quick connector.
Compared with the prior art, the advantages of the present invention are as follows:
The present invention has the binding clip cut with negative-pressure adsorption function by designing one in existing surgical clamp, thus Quick adsorption after clot (or even other tissues) cutting can be shifted, especially can during laparoscopic minimally invasive surgery It is enough that biggish clot is cut, the speed of clot transfer is accelerated, has saved the more quality time for surgical procedure.Together When, the binding clip of the clot cutting clamp can expand making for existing surgical clamp in seamless interfacing to existing surgical clamp With range, meanwhile, mount and dismount it is convenient and simple, it is easy to promote and utilize.
Below with reference to accompanying drawings, the present invention is described in further detail.
Detailed description of the invention
The attached drawing constituted part of this application is used to provide further understanding of the present invention, schematic reality of the invention It applies example and its explanation is used to explain the present invention, do not constitute improper limitations of the present invention.In the accompanying drawings:
Fig. 1 is the disclosed axonometric schematic diagram that surgical clamp is removed for laparoscopic surgery clot of the embodiment of the present invention one;
Fig. 2 is that the axis of the disclosed binding clip that surgical clamp is removed for laparoscopic surgery clot of the embodiment of the present invention one measures meaning Figure;
Fig. 3 is the section view signal of the disclosed binding clip that surgical clamp is removed for laparoscopic surgery clot of the embodiment of the present invention one Figure;
Fig. 4 is the section view signal of the disclosed binding clip that surgical clamp is removed for laparoscopic surgery clot of the embodiment of the present invention two Figure.
Marginal data:
1, clamp handle;2, claw beam;3, binding clip;4, determine handle;5, handle is moved;6, determine handle negative pressure channel;7, claw beam negative pressure channel;8, on Hemisection cutting torch;9, lower half cutting head;10, drive rod;11, chamber is cut;12, cutting edge;13, it comes down;14, horn-like structure;15, Air inlet;16, negative pressure valve;17, tracheae quick connector;18, negative pressure control valve;19, pivoted hole;20, drive rod hinge hole.
Specific embodiment
The embodiment of the present invention is described in detail below in conjunction with attached drawing, but the present invention can be defined by the claims Implement with the multitude of different ways of covering.
Embodiment one:
As shown in Figure 1-Figure 3, the invention discloses a kind of clots for laparoscopic surgery to remove surgical clamp, including clamp handle 1, claw beam 2 and binding clip 3, wherein clamp handle 1 and the main structure of claw beam 2 are the prior art (including clamp handle 1 and claw beam 2,2 He of claw beam Connection type, the driving method of binding clip 3), referring specifically to Chinese patent CN201510632211.1: a kind of band vacuum suction function Surgical clamp, the both ends of claw beam 2 are arranged in clamp handle 1 and binding clip 3, and clamp handle 1 includes determine handle 4 and the dynamic handle 5 hinged with handle 4 is determined, calmly Certain handle negative pressure channel 6 is provided in handle 4, claw beam 2 includes a claw beam negative pressure channel 7, and binding clip 3 includes the upper hemisection being hinged Cutting torch 8 and lower half cutting head 9, one end of claw beam negative pressure channel 7 are connected to handle negative pressure channel 6 is determined, the other end and lower half cutting head 9 Connection, dynamic handle 5 drive 8 open and close movement of upper half cutting head along the drive rod 10 that claw beam 2 extends by driving one, wherein drive The both ends of lever 10 are hinged with upper half cutting head 8, dynamic handle 5 respectively.Wherein, it is cut with scissors referring to Fig. 3, drive rod 10 and upper half cutting head 8 The position connect is located at the drive rod hinge hole 20 of upper half cutting head 8 that (end of drive rod 10 offers through-hole, which passes through Pin shaft and drive rod hinge hole 20 are hinged), drive rod hinge hole 20 is located at the downside (upper half of the pivoted hole 19 of upper half cutting head 8 Cutting head 8 is pivotally connected by insertion shaft in pivoted hole 19 and lower half cutting head 9), move handle 5, the formation of 10 upper half cutting head 8 of drive rod One crank and rocker mechanism, driving upper half cutting head 8 are rotated around pivoted hole 19 relative to lower half cutting head 9, are completed folding and are cut Cut movement.When operative doctor is rotated by control clamping handle 5, the drive rod 10 for being hinged on dynamic 5 top of handle drives upper half cutting head 8 It is rotated around lower half cutting head 9, larger clot is cut into smaller clot during closure, while under the entrance of smaller clot In hemisection cutting torch 9, it is then turned on the negative pressure control valve 18 for determining handle 4, due to determining handle negative pressure channel 6, claw beam negative pressure channel 7 and lower half Cutting head 9 is interconnected, and clot can determine handle negative pressure channel 6 along claw beam negative pressure channel 7- under the action of negative pressure and quickly extract out, from And realize the fast transfer of clot, wall surface traditional operation clamp repeatedly enters intraperitoneal or since power controls improper pressure The problem of broken clot, has saved the more quality time for surgical procedure.
In the present embodiment, in order to improve the larger clot of cutting, especially part interference procedure tissue (such as Useless adipose tissue), cutting chamber 11, the edge that cutting chamber 11 is open are provided in upper half cutting head 8 and lower half cutting head 9 It is provided with cutting edge 12.Meanwhile the bottom of lower half cutting head 9 is provided with a landslide 13, come down 13 bottom and claw beam negative pressure it is logical The entrance in road 7 is aligned setting, after the clot or tissue after cutting are cut off, can be slipped to claw beam along landslide 13 The inlet of negative pressure channel 7.
In the present embodiment, the inlet that claw beam negative pressure channel 7 is connect with lower half cutting head 9 is set as horn-like structure 14, so as to further prevent clot etc. in entry position clamping stagnation.
In the present embodiment, air inlet 15 is additionally provided on lower half cutting head 9, the setting of air inlet 15 is logical with claw beam negative pressure On the opposite wall surface in road 7, to can form the air-flow for flowing to claw beam negative pressure channel 7 after negative pressure control valve 18 is opened, work as clot When entering in lower half cutting head 9, air-flow can play the role of push to clot, accelerate it into claw beam negative pressure channel 7.Specifically When setting, multiple air inlets 15 are arranged from the top on landslide 13 to its bottom, and the claw beam negative pressure that is axially facing of the air inlet 15 is led to The inlet in road 7.To form the certain driving air-flow to claw beam negative pressure channel 7, and then quickly the clot after cutting is pushed to enter pincers Bar negative pressure channel 7.
In view of the negative pressure equipment of hospital operating room is usually lesser definite value, in order to adapt to unused swabbing pressure feelings Condition, the end of claw beam negative pressure channel 7 is removable to be connected with a negative pressure valve 16, and negative pressure valve 16 includes that at least two negative pressure connect gas Mouthful, by multiple negative pressure tracheaes in parallel, to increase swabbing pressure, improve adsorption capacity.When specific setting, it is equal that negative pressure connects port It is provided with PU tracheae quick connector 17, to be further simplified, accelerate operating time.
Embodiment two:
In the present embodiment, as shown in figure 4, the cutting chamber 11 that the outer wall of upper half cutting head 8 can be bonded upper half cutting head 8 is slided Dynamic, i.e., after upper half cutting head 8 completes the cutting to clot, the cutting chamber 11 of upper half cutting head 8 will continue to push away along landslide 13 Clot is sent to slide to the entry position of the sucking of claw beam negative pressure channel 7, when upper half cutting head 8 turns to 13 bottom of landslide, blood Block is that the entrance for being located at the sucking of claw beam negative pressure channel 7 can readily inhale clot as long as starting negative pressure control valve 18 at this time Out, meanwhile, in order to form the air-flow for flowing to claw beam negative pressure channel 7, equally, perforation is set in the cutting chamber 11 of upper half cutting head 8 Set multiple air inlets 15.By above-mentioned setting, wall surface clot is adhered on the wall surface in the cutting chamber 11 of lower half cutting head 9, from And the pressure of absorption negative pressure is decreased, avoid excessive negative pressure to the intracorporal body fluid of people, disorganization.
These are only the preferred embodiment of the present invention, is not intended to restrict the invention, for those skilled in the art For member, the invention may be variously modified and varied.All within the spirits and principles of the present invention, it is made it is any modification, Equivalent replacement, improvement etc., should all be included in the protection scope of the present invention.

Claims (10)

1. a kind of clot for laparoscopic surgery removes surgical clamp, including clamp handle (1), claw beam (2) and binding clip (3), the pincers At the both ends of the claw beam (2), the clamp handle (1) includes determining handle (4) and determining handle (4) hinge with described for handle (1) and binding clip (3) setting The dynamic handle (5) connect, described to determine to be provided with certain handle negative pressure channel (6) in handle (4), the claw beam (2) is logical including a claw beam negative pressure Road (7), which is characterized in that one end of the claw beam negative pressure channel (7) is determined handle negative pressure channel (6) and is connected to described, the other end with The inner cavity of the binding clip (3) is connected to, and the binding clip (3) is cut clot in its inner cavity by opening and closing.
2. the clot according to claim 1 for laparoscopic surgery removes surgical clamp, which is characterized in that the binding clip It (3) include the upper half cutting head (8) and lower half cutting head (9) being hinged, the other end of the claw beam negative pressure channel (7) and institute Lower half cutting head (9) connection is stated, the dynamic handle (5) is driven by driving one along the drive rod (10) that the claw beam (2) extend Move upper half cutting head (8) open and close movement, the both ends of the drive rod (10) respectively with the upper half cutting head (8), dynamic handle (5) hinged.
3. the clot according to claim 2 for laparoscopic surgery removes surgical clamp, which is characterized in that the upper hemisection Cutting chamber (11) is provided in cutting torch (8) and lower half cutting head (9), the edge of cutting chamber (11) opening, which is provided with, to be used for The upper half cutting head (8) and lower half cutting head (9) cut the cutting edge (12) of clot in closing course.
4. the clot according to claim 3 for laparoscopic surgery removes surgical clamp, which is characterized in that the lower hemisection Cutting torch (9) is extended to its bottom to be had a landslide (13), bottom and the claw beam negative pressure channel (7) of the landslide (13) Entrance alignment setting.
5. the clot according to claim 4 for laparoscopic surgery removes surgical clamp, which is characterized in that the claw beam is negative The inlet that pressure passageway (7) is connect with the lower half cutting head (9) is set as horn-like structure (14).
6. removing surgical clamp according to any clot for laparoscopic surgery of claim 2-5, which is characterized in that described Be additionally provided on lower half cutting head (9) air inlet (15), the air inlet (15) setting with claw beam negative pressure channel (7) phase Pair wall surface on.
7. the clot according to claim 6 for laparoscopic surgery removes surgical clamp, which is characterized in that it is multiple it is described into Stomata (15) is laid from the top of the landslide (13) to its bottom, and the outlet of the air inlet (15) is towards the claw beam negative pressure The inlet in channel (7).
8. the clot according to claim 4 or 5 for laparoscopic surgery removes surgical clamp, which is characterized in that on described Cutting chamber (11) inner wall that hemisection cutting torch (8) is set as being bonded the lower half cutting head (9) is slided to cut clot, the upper half When the edge of cutting head (8) slides into bottom along the landslide (13), the upper half cutting head (8) pushes away the clot after cutting It is sent to the entry position of the claw beam negative pressure channel (7).
9. the clot according to claim 8 for laparoscopic surgery removes surgical clamp, which is characterized in that the upper hemisection Multiple air inlets (15) are arranged in perforation in the cutting chamber (11) of cutting torch (8).
10. -5 any clots for laparoscopic surgery remove surgical clamp according to claim 1, which is characterized in that institute State claw beam negative pressure channel (7) end it is removable be connected with a negative pressure valve (16), the negative pressure valve (16) include at least two A negative pressure connects port, and the negative pressure connects port and is provided with tracheae quick connector (17).
CN201910099974.2A 2019-01-31 2019-01-31 A kind of clot removing surgical clamp for laparoscopic surgery Pending CN109602477A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910099974.2A CN109602477A (en) 2019-01-31 2019-01-31 A kind of clot removing surgical clamp for laparoscopic surgery

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910099974.2A CN109602477A (en) 2019-01-31 2019-01-31 A kind of clot removing surgical clamp for laparoscopic surgery

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CN109602477A true CN109602477A (en) 2019-04-12

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116712135A (en) * 2023-07-28 2023-09-08 北京管桥医疗科技有限公司 Thrombolysis device

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CN105078542A (en) * 2015-09-29 2015-11-25 中南大学湘雅三医院 Operating forceps with negative pressure suction function
CN205006980U (en) * 2015-09-29 2016-02-03 中南大学湘雅三医院 Take operation pincers of vacuum aspiration function
CN106333729A (en) * 2016-09-23 2017-01-18 吕清林 Clinical vessel clamp for internal-medicine department
CN206995524U (en) * 2016-12-19 2018-02-13 西安交通大学医学院第一附属医院 Attractor in laparoscopic surgery
CN210277290U (en) * 2019-01-31 2020-04-10 中南大学湘雅三医院 A operation pincers are clear away to clot for laparoscopic surgery

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Publication number Priority date Publication date Assignee Title
CN101947131A (en) * 2010-08-20 2011-01-19 上海祥秀医药科技有限公司 Dissecting forceps with suction device used for minimally invasive surgery
CN202313594U (en) * 2011-11-29 2012-07-11 武红玲 Operating forceps for removing hematocele blocks
CN202723936U (en) * 2012-06-01 2013-02-13 沈周俊 Suction forceps clip unit for organ operation
CN203634250U (en) * 2013-11-19 2014-06-11 中国人民解放军总医院 Separating forceps for laparoscopic surgery
CN204133545U (en) * 2014-09-16 2015-02-04 蒋志强 Percutaneous kidney pus and blood forceps
CN204600884U (en) * 2015-04-15 2015-09-02 张云高 Pincers are stung in the miniature suction of a kind of ear
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CN205006980U (en) * 2015-09-29 2016-02-03 中南大学湘雅三医院 Take operation pincers of vacuum aspiration function
CN106333729A (en) * 2016-09-23 2017-01-18 吕清林 Clinical vessel clamp for internal-medicine department
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CN210277290U (en) * 2019-01-31 2020-04-10 中南大学湘雅三医院 A operation pincers are clear away to clot for laparoscopic surgery

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116712135A (en) * 2023-07-28 2023-09-08 北京管桥医疗科技有限公司 Thrombolysis device

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