CN109662739A - The safety storage of laparoscopy tumour and crushing integrated apparatus - Google Patents
The safety storage of laparoscopy tumour and crushing integrated apparatus Download PDFInfo
- Publication number
- CN109662739A CN109662739A CN201910114091.4A CN201910114091A CN109662739A CN 109662739 A CN109662739 A CN 109662739A CN 201910114091 A CN201910114091 A CN 201910114091A CN 109662739 A CN109662739 A CN 109662739A
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- China
- Prior art keywords
- laparoscopy
- tumour
- control lever
- integrated apparatus
- manipulation handle
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- Pending
Links
- 206010028980 Neoplasm Diseases 0.000 title claims abstract description 59
- 238000002357 laparoscopic surgery Methods 0.000 title claims abstract description 38
- 238000003860 storage Methods 0.000 title claims abstract description 33
- 238000011084 recovery Methods 0.000 claims abstract description 24
- 238000000605 extraction Methods 0.000 claims abstract description 22
- 230000014759 maintenance of location Effects 0.000 abstract description 2
- 210000000683 abdominal cavity Anatomy 0.000 description 17
- 210000001015 abdomen Anatomy 0.000 description 12
- 208000027418 Wounds and injury Diseases 0.000 description 10
- 238000007912 intraperitoneal administration Methods 0.000 description 10
- 238000010586 diagram Methods 0.000 description 9
- 210000002784 stomach Anatomy 0.000 description 7
- 239000000203 mixture Substances 0.000 description 6
- 230000000694 effects Effects 0.000 description 5
- 238000000338 in vitro Methods 0.000 description 5
- 238000000034 method Methods 0.000 description 5
- 230000006378 damage Effects 0.000 description 4
- 210000004291 uterus Anatomy 0.000 description 4
- 201000010260 leiomyoma Diseases 0.000 description 3
- 230000002265 prevention Effects 0.000 description 3
- BVPWJMCABCPUQY-UHFFFAOYSA-N 4-amino-5-chloro-2-methoxy-N-[1-(phenylmethyl)-4-piperidinyl]benzamide Chemical compound COC1=CC(N)=C(Cl)C=C1C(=O)NC1CCN(CC=2C=CC=CC=2)CC1 BVPWJMCABCPUQY-UHFFFAOYSA-N 0.000 description 2
- 238000009792 diffusion process Methods 0.000 description 2
- 230000023597 hemostasis Effects 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 238000012546 transfer Methods 0.000 description 2
- 210000004881 tumor cell Anatomy 0.000 description 2
- 210000001835 viscera Anatomy 0.000 description 2
- 206010027476 Metastases Diseases 0.000 description 1
- 206010046798 Uterine leiomyoma Diseases 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 239000000284 extract Substances 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000010354 integration Effects 0.000 description 1
- 230000000968 intestinal effect Effects 0.000 description 1
- 238000002955 isolation Methods 0.000 description 1
- 238000002350 laparotomy Methods 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 230000009401 metastasis Effects 0.000 description 1
- 238000013508 migration Methods 0.000 description 1
- 230000005012 migration Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000004064 recycling Methods 0.000 description 1
- 238000012827 research and development Methods 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 230000009466 transformation Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/50—Instruments, other than pincettes or toothpicks, for removing foreign bodies from the human body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/0034—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
Abstract
The invention discloses a kind of safety storages of laparoscopy tumour and crushing integrated apparatus, it is characterized in that being provided with recoverer, drag wire, control lever, anti-gas-leak gasket, manipulation handle, flexible pulling box and general sheath.Wherein recoverer is made of recovery column, elastic ring, extraction bag and hard conduit;Drag wire is linear structure, is distally connected to recovery column, by control lever lumen, anti-gas-leak gasket, take out after manipulation handle and connect with the rotation of flexible pulling box;Control lever is hollow tubular structure, and recovery column can be included in by distal end lumen, and proximal end is connected with manipulation handle;There is anti-gas-leak gasket between control lever and manipulation handle;Manipulation handle is made of hemisphere ear leaf and handlebar stem, and drag wire can pass through manipulation handle;Flexible pulling box is made of rotating disc, rotation axis, reset clockwork spring and ball case;General sheath is made of hollow tube body and seal cap, along the handlebar stem sliding of control lever and manipulation handle.
Description
Technical field
The present invention relates to a kind of surgical instruments of laparoscopic surgery.
Background technique
Tradtional laparotomy wound is big, and laparoscopic surgery is widely applied in recent years, and wound is small, restores fast, laparoscopic surgery
It is the operation carried out by the small wound of stomach wall several " keyholes ", the bulk tumor tissues sample cut off in laparoscopic surgery
It needs to pass through after intraperitoneal crushing stomach wall small " keyhole " to take out, in order to avoid tumor tissues are in intraperitoneal diffusion
Transfer, at present using the " envelope being open under hysteroscope with extraction bag hard conduit for declaring patent of invention research and development team's early period of the present invention
Close traction and control gas combination unit, patent No. CN201510582236.5 ".
, should not be excessive although laparoscopic surgery is little in the notch of patient's stomach wall, in order to avoid cause more to damage.Mesh
As soon as control lever used by the preceding crushing extraction bag used is hard stick, once using the position in abdomen wall puncture hole is occupied
It sets, therefore thus other laparoscopic surgical instruments also can not just enter and leave again.
Due to growing single or multiple tumours, such as " solitary fibroid " in many abdominal cavity of patients, at present in abdominal cavity
It is rejected under mirror, each fibroid being removed is by nipper Crushing injury, and the tumour rejected needs first to be placed on abdomen
Intracavitary, the surface of a wound for then suturing uterus could pass through only after uterine myomas finishes and sutures the uterus surface of a wound, hemostasis
Abdomen wall puncture hole is placed in abdominal cavity and crushes extraction bag, and crushes in bag and take out tumour.If it is " multiple myomata ", then
It is even more so, it needs to reject one by one at present under laparoscope, only finishes and suture uterus wound when fibroid is all removed
Behind face, abdomen wall puncture hole could be passed through to abdominal cavity and be placed in crushing extraction bag, multiple myomatas are fitted into bag, and crush and take in bag
Tumour out.
Expose following problems in above process: the tumor surface of damage being removed has the tumour clast to fall off or work
Property tumour cell, directly contacts with normal tissue internal organs in abdominopelvic cavity, is easy to cause diffusion transfer;The tumour rejected in advance exists
It is in free state in abdominopelvic cavity, rejects other tumours, and the process of suture uterus wound, hemostasis in the operation continued later
In, due to reasons such as the variations and enterocinesia of position, cause tumour in intraperitoneal travelling, be particularly subject to a large amount of intestinal tubes in abdominal cavity,
The cover of mesenterium etc., or even it is slipped to the inferior tumour for being difficult to determining position, especially small volume of diaphram, occur above-mentioned
After situation, searching tumour is extremely difficult under laparoscope, is very easy to that the tumour rejected is caused to be lost in abdominal cavity.Obviously, at present
It is then subsequent row regarding to the issue above although the crushing extraction bag used has temporarily storage tumour and Isolation and prevention effect
For, therefore how under the premise of not influencing laparoscopic surgery substantial length of operation, it is placed in abdominal cavity in advance and crushes extraction bag prevention clamp
The tumour spread of damage, and the tumour being removed lose in intraperitoneal, just become urgent problem to be solved.
If using extraction bag using other non-crush in advance, also need to take object using crushing when tumour is crushed and taken out later
Bag, therefore will increase medical expense.
Summary of the invention
The invention discloses a kind of safety storages of laparoscopy tumour and crushing integrated apparatus, it is characterized in that setting
There are recoverer, drag wire, control lever, anti-gas-leak gasket, manipulation handle, flexible pulling box and general sheath.Wherein recoverer is by returning
Receive column, elastic ring, extraction bag and hard conduit composition;Drag wire is linear structure, is distally connected to recovery column, by control lever
It takes out and connects with the rotation of flexible pulling box after interior lumen, anti-gas-leak gasket, manipulation handle;Control lever is hollow tubular structure,
Recovery column can be included in by its distal end lumen, and proximal end is connected with manipulation handle;There is leakproof between control lever and manipulation handle
Air cushion piece;Manipulation handle is made of spill hemisphere plate and handlebar stem, and drag wire can pass through manipulation handle;Pulling box of stretching is by rotating
Disk, rotation axis reset clockwork spring and ball case composition;General sheath is made of hollow tube body and seal cap, along control lever and manipulation
The handlebar stem of handle slides.
The present invention adopts the following technical scheme that in order to solve the technical problem
1, a kind of laparoscopy tumour safety storage with crush integrated apparatus, it is characterized in that be provided with recoverer,
Drag wire, control lever, anti-gas-leak gasket, manipulation handle, flexible lifting the ball and general sheath.
2, a kind of laparoscopy tumour safety storage with crush integrated apparatus, recoverer by recovery column, elastic ring,
Extraction bag and hard conduit composition, wherein recovery column can be made of inner core and outer cover, inner core be provided with elastic ring card slot, card hole,
Drawing circle, outer cover are cone, and cone is provided with string holes, and inner core using screw thread or is snapped connection with outer cover;
3, a kind of safety storage of laparoscopy tumour and crushing integrated apparatus, drag wire is linear structure, remote
End is connected to recovery column, and drag wire is connect by the lumen in control lever and manipulation handle with flexible lifting the ball;
4, a kind of safety storage of laparoscopy tumour and crushing integrated apparatus, control lever are hollow tubulose knot
Recovery column can be included in by structure, distal end lumen, and proximal end is connected with manipulation handle;
5, a kind of safety storage of laparoscopy tumour and crushing integrated apparatus, between control lever and manipulation handle
With anti-gas-leak gasket, drag wire is walked and mistake;
6, a kind of laparoscopy tumour safety storage with crush integrated apparatus, manipulation handle by spill hemisphere plate,
Hemisphere plate ear leaf and handlebar stem composition, drag wire can pass through manipulation handle;
7, a kind of safety storage of laparoscopy tumour and crushing integrated apparatus, lifting the ball of stretching is by rotating disc, rotation
Axis, reset clockwork spring, ball case composition, ball case surface be provided with case hole, mark switch and cylinder bolt, drag wire proximally through case hole
Rotation axis is connected into ball case;
8, a kind of safety storage of laparoscopy tumour with crush integrated apparatus, general sheath by hollow tube body and
Seal cap composition.
After adopting the above technical scheme, compared with prior art, having the advantage that
Apparatus of the present invention can be used in the initial phase of laparoscopic surgery, since the crushing extraction bag used is used
Although control lever be also a hard stick, abdomen wall puncture hole can be detached from, reservation is one very thin in abdomen wall puncture hole
Drag wire, prevent take up the space in abdomen wall puncture hole, thus other laparoscopic surgical instruments can still enter and leave, therefore can either
Ensure that recoverer is retained in abdominal cavity and can be used at any time, at the same also ensured crush abdomen wall puncture hole that extraction bag enters and leaves can be according to
Existing operation method continues to enter and leave other laparoscopic surgical instruments, without being further added by stomach wall operative incision.It has been set to
Enter intraperitoneal recoverer, elastic ring extends extraction bag mouth, and the tumour of rejecting can be packed into storage in extraction bag at any time, can
Normal tissue internal organs are directly contacted by the tumour clast or tumour cell of clamp hurt when enough avoiding rejecting, so that it is swollen to play prevention
Tumor metastasis effect, while the tumour for also avoiding rejecting loses in intraperitoneal migration.Control lever also can in art at any time into
Enter abdominal cavity to connect with recoverer, consequently facilitating manipulation recoverer is included in tumour.In the later period of operation, additionally it is possible to as before to play
It is closed crush tumour and safely, conveniently, the effect that quickly removes.Therefore extraction bag of the invention has played a variety of effects, saves
Medical resource reduces medical expense.
Detailed description of the invention
The safety storage of Fig. 1 laparoscopy tumour and crushing integrated apparatus recovery column model core arrangement schematic diagram
The safety storage of Fig. 2 laparoscopy tumour and crushing integrated apparatus recovery column cover structure schematic diagram
The safety storage of Fig. 3 laparoscopy tumour and crushing integrated apparatus control lever structural schematic diagram
The safety storage of Fig. 4 laparoscopy tumour and crushing integrated apparatus anti-gas-leak gasket construction schematic diagram
The safety storage of Fig. 5 laparoscopy tumour manipulates grip structure schematic diagram with integrated apparatus is crushed
The safety storage of Fig. 6 laparoscopy tumour and the flexible pulling box structural schematic diagram of crushing integrated apparatus
The safety storage of Fig. 7 laparoscopy tumour and the crushing general sheath structural schematic diagram of integrated apparatus
The safety storage of Fig. 8 laparoscopy tumour and crushing integrated apparatus assembled state schematic diagram
The safety storage of Fig. 9 laparoscopy tumour and crushing integrated apparatus clinical use status diagram
Specific embodiment
The safety storage and the production and assembly of crushing integrated apparatus of laparoscopy tumour:
Control lever (3) are inserted into the lumen (71) of general sheath (7) by the seal cap (72) of general sheath (7).
By the case hole (62) of the ball case (61) proximally through flexible lifting the ball (6) of drag wire (81), it is fixed on rotation axis
(64), the clockwork spring (66) in ball case (61) is tightened, drag wire (81) is orderly wound in the groove of rotating disc (65).
Half ball (53) of spill hemisphere plate (54) of the distal end of drag wire (81) by manipulation handle (5), passes through manipulation
Lumen (52) in the handlebar stem (51) of handle (5) then passes through the circle center hole (41) of anti-gas-leak gasket (4), continues across behaviour
The hollow tubular structure (32) of control lever (3), after the cone tip part string holes (21) using the outer cover (2) of recovery column, by drag wire
(81) it is fixed on the drawing circle (11) of the inner core (1) of recovery column.
Anti-gas-leak gasket (4) is placed in the lumen (52) of the handlebar stem of manipulation handle (5), by the end of thread of control lever (3)
(31) it is connect with the handle end of thread (56) of the handlebar stem (51) of manipulation handle (5), to be compacted fixed anti-gas-leak gasket (4)
Periphery (42).
By the card slot (13) and card hole (12) of the inner core (1) of pin (171) the insertion recovery column of elastic ring (17), then will
The outer cover (2) of recovery column is closely connect with inner core (1) by outer cover screw thread (23) and inner core screw thread (16), to secure elasticity
Enclose (17) and its pin (171).
Clockwork spring (66) in the ball case (61) of flexible lifting the ball (6), which is had an effect, drives rotation axis (64) and rotating disc (65) to rotate,
Drag wire (81) is strongly shunk, and recovery column (123) is pulled into the lumen (32) of control lever (3) distal end, control lever (3)
Distal end tube wall is provided with single or multiple manipulation grooves (34), the convex with inner core (1) baffle (14) surface of recovery column (123)
Tubercle (15) is corresponding chimeric.
The safety storage and the clinical use of crushing integrated apparatus of laparoscopy tumour:
After stomach wall (10) punctures stoma, by the hard conduit (19) of recoverer (1234), extraction bag (18), elastic ring
(17), recovery column (123) is included in abdominal cavity one by one, and general sheath (7) are placed in stomach wall, and control lever (3) partially enters abdominal cavity, will return
Receipts portion (1234) is placed in the suitable position of abdominopelvic cavity, after the pin (171) of intraperitoneal clamp elastic ring (17), to outside abdominal cavity
It withdraws control lever (3), drag wire (81) is drawn as needed and from ball case (6), and drag wire (81) is partially located at general sheath
(7) in lumen.
When in vitro operation, the mark on ball case (61) surface of flexible lifting the ball (6) is switched into (63) outside side roll, causes ball
The case hole (62) of case (61) and the position of half ball (53) misplace, and the cylinder bolt (67) on ball case (61) surface then slides insertion
Half ball (53) squeezes fixed drag wire (81), i.e., by pressure fixing;After drawing extracts cylinder bolt (67) outward, in ball case
(61) under the action of interior clockwork spring (66), rotation axis (64) and rotating disc (65) rotation tightening drag wire (81), therefore ball case (61)
Can automatic homing, i.e., the case hole (62) of flexible lifting the ball (6) is opposite with the position of half ball (53) to coincide, holding drag wire (81) road
Diameter is unobstructed.It can also be fixed in vitro using vessel forceps in the outer clamp drag wire (81) of far distance port of control lever (3).
When in-vivo procedures, after recoverer (1234) enters abdominal cavity, elastic ring (17) opens extraction bag (18) mouth automatically.By abdomen
Wall puncture outfit sheath (92) is placed in abdominal cavity by general sheath (7), and drag wire (81) is located at the seal cap (72) of general sheath (7)
Between abdomen wall puncture device sheath (92).Laparoscopic surgical instruments (93) are placed in by abdomen wall puncture device sheath (92), in abdominal cavity
After interior rejecting tumour (91), tumour (91) is temporarily stored in extraction bag (18), then sew up a wound and continue it is intraperitoneal its
He operates.
When inside and outside co-operates, the abdomen wall puncture device sheath (92) in general sheath (7) is extracted, patient holds flexible draw
Control lever (3) are passed through general sheath (7) and are placed in abdominal cavity by ball (6) and hemisphere plate ear leaf (55), and stretch lifting the ball (6) recycling drag wire
(81) in ball case (61), recovery column (123) automatic returning is in the lumen (32) of control lever (3) distal end, and control lever (3) is distally
Manipulation groove (34), it is corresponding with convex tubercle (15) on recovery column (123) inner core (1) baffle (14) surface chimeric, ensure
The main body of the present apparatus is located at outside intraperitoneal and abdominal cavity after can both separating, can also be fast due to the connection of drag wire (81)
Quick-recovery integration, manipulates intraperitoneal recoverer (1234) will pass through control lever (3) in vitro.
After whole tumours (91) are removed and are packed into extraction bag (18), extraction bag mouth is pulled in vitro, from other stomach walls
Puncturing hole pulls hard conduit (19) in vitro respectively, merging laparoscope, grinder and auxiliary instrument, by the tumour in extraction bag
(91) it all crushes and takes out.
Only preferred embodiments of the present invention will be described for above-described embodiment, not limits the scope of the invention
Fixed, the equivalent transformation done under the premise of not departing from design spirit essence of the present invention to the present invention or modification should all be covered
Within protection scope of the present invention.
Claims (8)
1. a kind of safety storage of laparoscopy tumour and crushing integrated apparatus, it is characterized in that being provided with recoverer, drawing
Line, control lever, anti-gas-leak gasket, manipulation handle, flexible pulling box and general sheath.
2. a kind of safety storage of laparoscopy tumour according to claim 1 and crushing integrated apparatus, wherein returning
Receipts portion is made of recovery column, elastic ring, extraction bag and hard conduit.
3. a kind of safety storage of laparoscopy tumour according to claim 1 and crushing integrated apparatus, wherein leading
Bracing wire is linear structure, and distal end is connected to recovery column, and drag wire is by control lever and manipulates the lumen in handle and flexible drawing
Box connection.
4. a kind of safety storage of laparoscopy tumour according to claim 1 and crushing integrated apparatus, wherein grasping
Control lever is hollow tubular structure, and recovery column can be included in by distal end lumen, and proximal end is connected with manipulation handle.
5. a kind of safety storage of laparoscopy tumour according to claim 1 and crushing integrated apparatus, wherein
There is anti-gas-leak gasket between control lever and manipulation handle, drag wire is walked and mistake.
6. a kind of safety storage of laparoscopy tumour according to claim 1 and crushing integrated apparatus, wherein grasping
Control handle is made of spill hemisphere plate, hemisphere plate ear leaf and handlebar stem, and drag wire can pass through manipulation handle.
7. a kind of safety storage of laparoscopy tumour according to claim 1 and crushing integrated apparatus, wherein stretching
Contracting pulling box by rotating disc, rotation axis, reset clockwork spring, ball case and form, ball case surface is provided with case hole, drag wire proximally through case
Hole enters ball case and is connected to rotation axis, and ball case surface is additionally provided with mark switch and cylinder bolt.
8. a kind of safety storage of laparoscopy tumour according to claim 1 and crushing integrated apparatus, wherein leading to
It is made of with sheath hollow tube body and seal cap.
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CN201910114091.4A CN109662739A (en) | 2019-02-14 | 2019-02-14 | The safety storage of laparoscopy tumour and crushing integrated apparatus |
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CN201910114091.4A CN109662739A (en) | 2019-02-14 | 2019-02-14 | The safety storage of laparoscopy tumour and crushing integrated apparatus |
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CN109009266A (en) * | 2018-08-29 | 2018-12-18 | 合肥赫博医疗器械有限责任公司 | It is connected to abdominal cavity merging and the double-jacket tube closing device of hard conduit extraction bag |
CN211094332U (en) * | 2019-02-14 | 2020-07-28 | 合肥赫博医疗器械有限责任公司 | Safe storage and crushing integrated device for tumors for laparoscopy |
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2019
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US5735289A (en) * | 1996-08-08 | 1998-04-07 | Pfeffer; Herbert G. | Method and apparatus for organic specimen retrieval |
CN201270844Y (en) * | 2008-09-28 | 2009-07-15 | 范锐锋 | Multipurpose easy-to-tie |
CN203369467U (en) * | 2013-06-21 | 2014-01-01 | 蔡海滨 | Telescopic pull buckle with chest plate seat |
CN105078552A (en) * | 2015-09-11 | 2015-11-25 | 凌安东 | Endoscopic picking bag hard catheter opening sealing, traction and air controlling combined apparatus |
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CN211094332U (en) * | 2019-02-14 | 2020-07-28 | 合肥赫博医疗器械有限责任公司 | Safe storage and crushing integrated device for tumors for laparoscopy |
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