CN109662742A - Laparoscopic surgery distraction instrument - Google Patents

Laparoscopic surgery distraction instrument Download PDF

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Publication number
CN109662742A
CN109662742A CN201910094075.3A CN201910094075A CN109662742A CN 109662742 A CN109662742 A CN 109662742A CN 201910094075 A CN201910094075 A CN 201910094075A CN 109662742 A CN109662742 A CN 109662742A
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CN
China
Prior art keywords
strut
slide plate
hand
cavity
spring
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Granted
Application number
CN201910094075.3A
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Chinese (zh)
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CN109662742B (en
Inventor
张曦
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Chongqing Tumour Institute
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Chongqing Tumour Institute
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Priority to CN201910094075.3A priority Critical patent/CN109662742B/en
Publication of CN109662742A publication Critical patent/CN109662742A/en
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Publication of CN109662742B publication Critical patent/CN109662742B/en
Expired - Fee Related legal-status Critical Current
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0281Abdominal wall lifters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • A61B2017/0225Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery flexible, e.g. fabrics, meshes, or membranes

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

Abstract

The present invention relates to the technical fields of medical instrument, specifically disclose a kind of laparoscopic surgery distraction instrument, including operation bar, the first spring and second spring, cavity is offered in operation bar, slide plate is slidably connected in cavity, fixed plate is fixedly connected in cavity, slide plate is connect with fixed plate by the first spring;The slide plate is equipped with far from the side of fixed plate and several struts group, each strutting group includes two mounting bases being oppositely arranged, strut is hinged in each mounting base, two struts are connected by second spring, slide plate is fixedly connected with connecting rod close to the side of fixed plate, connecting rod runs through fixed plate, and connecting rod is fixedly connected with drawstring far from one end of slide plate.In the present invention, by pulling drawstring to pull slide plate slides, and then strutting and collapsing for more struts is realized, it is easy to operate, it is good to strut effect.Also, strut can be collapsed completely in the cavity of operation bar, reduced the volume occupied when storage, facilitated storage.

Description

Laparoscopic surgery distraction instrument
Technical field
The present invention relates to the technical fields of medical instrument, specifically disclose a kind of laparoscopic surgery distraction instrument.
Background technique
With advancing by leaps and bounds for industrial manufacturing technology, be fused to carry out new technology, the new method of related discipline have established heavily fortified point Fixed basis considerably increases the operation choosing of patient in addition the operation that doctor is more and more consummate, intracavity operation have gradually developed It selects a good opportunity meeting.Compared to traditional open operation, laparoscopic surgery, which avoids long notch, facilitates the rehabilitation of patient.In addition, abdominal cavity In videoendoscopic surgery, lens of laparoscope can provide openr, the clearer visual field for doctor, be conducive to doctor and more favorably accomplish Operation reduces operation risk.Therefore, laparoscopic surgery is very universal at present as a kind of Minimally Invasive Surgery mode.
In laparoscopic surgery, since in-vivo tissue is easy to block lens of laparoscope, to influence the visual field, and then hand is influenced Art, it is thus typically necessary to strutted the tissue for blocking lens of laparoscope using spreading mechanism in laparoscopic surgery, also, It needs that film is delivered to intracavitary rear expansion using spreading mechanism, then by film adhered to the position for needing film.It is currently used for In spreading mechanism in laparoscopic surgery often only there are two can open, collapses strut part, in this way, strut part opening when, Group is woven in be softened on (left and right) direction up and down, and is not softened in the tissue controlled on (upper and lower) direction, therefore will be after Continuous to block lens of laparoscope, the effect for strutting tissue is poor.In addition, intracavitary, film struts the strutting under effect of part at two And be unfolded, but film is only by the power of both direction, therefore it is smaller to be unfolded rear film area, be difficult to be completely covered sometimes need it is thin The position of film, the effect for strutting film are poor.
Summary of the invention
The invention is intended to provide a kind of laparoscopic surgery distraction instrument, to solve existing laparoscopic surgery support booting The problem for strutting effect difference of structure.
In order to achieve the above object, base case of the invention are as follows: laparoscopic surgery distraction instrument, including operation bar, First spring and second spring offer cavity in the operation bar, slide plate are slidably connected in cavity, is fixedly connected in cavity There is fixed plate, slide plate is connect with fixed plate by the first spring;The slide plate is equipped with several strut far from the side of fixed plate Group, each strutting group includes two mounting bases being oppositely arranged, and is hinged with strut in each mounting base, and two struts pass through the The connection of two springs, slide plate are fixedly connected with connecting rod close to the side of fixed plate, and connecting rod runs through fixed plate, connecting rod far from slide plate one End is fixedly connected with drawstring.
The working principle and beneficial effect of this base case is:
1, drawstring is pulled to apply pulling force to connecting rod, so that slide plate is slided to fixed plate direction, the support being hinged in mounting base Bar is mobile to fixed plate direction, and under the limitation of operation boom end, strut is collapsed, and the increase of the sliding distance with slide plate, Strut can be contracted to completely in the cavity of operation bar;And when discharging drawstring, slide plate is under the action of the first spring to far from solid The direction of fixed board is slided, and strut is mobile to the direction far from fixed plate, and strut gradually struts under the action of second spring, is realized Strut strutting and collapsing.Have in this base case it is several strut group, therefore, the quantity of strut is more and is even number, can Intraluminal tissue is strutted from multiple directions, avoids tissue from blocking lens of laparoscope, and film can also be strutted from multiple directions, makes It obtains film to be unfolded along multiple directions, the film size after expansion is larger, and the position for needing film can be completely covered, strut effect It is good.
2, can be by controlling the moving distance of drawstring, thus the position of adjusting slider in this base case, and then it can The distraction angle of strut is adjusted, struts area with what this controlled more struts.
3, in this base case, more collapse after strut can be completely into the cavity of operation bar, therefore, when storage The space occupied is few, and storage is convenient.
Further, the operation bar is equipped with hand-held part far from one end of strut, is hinged with hand-held pole on hand-held part, holds Torsional spring is fixedly connected in portion, the other end of torsional spring is fixedly connected on hand-held pole;Channel is offered inside the hand-held part, is led to Road is connected to cavity, and the drawstring passes through channel far from one end of connecting rod and is fixedly connected with hand-held pole.
Drawstring is fixedly connected far from one end of connecting rod with hand-held pole, at this point, the original state of the first spring is compressive state, Strut collapses in the cavity of operation bar.When strut being needed to strut, need to only it apply active force to hand-held pole, so that hand-held pole is to hand The rotation of portion direction is held, drawstring reduces the pulling force moment that connecting rod applies, and slide plate is under the action of the first spring to far from fixed plate Direction sliding, strut gradually stretches out cavity, and strut gradually struts under the action of second spring, and distraction angle is by holding The angle that bar is rotated to hand-held part direction determines, i.e., is determined by user.When strut being needed to collapse, hand-held pole, hand-held pole are decontroled It rotates and resets under the action of torsional spring, drawstring is pulled to reset, so that strut is collapsed into cavity, it is easy to operate.And this programme In, since the normality of strut collapses in cavity, the occupied parking space of distraction instrument in this programme is small, And storage can be stacked, is independent of each other.
Further, the slide plate and fixed plate form seal chamber in cavity, it is described strut group and further include two opposite set The cylinder body set slidably connects piston in cylinder body, and cylinder body is divided into upper chamber and lower chambers by piston, and piston is fixedly connected with work Stopper rod, piston rod are equipped with lantern ring far from one end of piston, and strut is located in lantern ring;The slide plate offers air flue, and air flue connects Logical upper chamber and seal chamber.
Since upper chamber is connected to seal chamber, when slide plate is slided to fixed plate direction, the volume of seal chamber subtracts Small, internal pressure increases, and gas enters in upper chamber through air flue, and the internal pressure of upper chamber increases, and piston is slided to lower chambers direction, fixed The piston rod being connected on piston applies active force to strut by lantern ring, so that the opposite fortune of two struts generation that position is opposite It is dynamic, in this way, not only increase the gathering degree of strut compared to base case, also reduce rubbing for strut and operation boom end The time is wiped, to reduce the abrasion of the two.
Further, venthole is offered on the lower chambers side wall opposite with piston.
Since the inside of lower chambers communicates with the outside world, the resistance to sliding of piston is reduced.
Further, the mounting base is fixedly mounted on the centre of slide plate.
Mounting base is mounted on the centre of slide plate, compared to the edge or other portions that mounting base is mounted on slide plate For position, mounting means as the former, under the identical distance of slide plate slides, the angle that strut is strutted or collapsed is bigger.
Further, the strut offers annular groove far from one end of mounting base.
When strutting film, annular groove is capable of fixing film, and film is avoided to take off before fitting in the intracavitary position for needing film From strut, pad pasting is caused to fail.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of laparoscopic surgery distraction instrument in the embodiment of the present invention one and embodiment two;
Fig. 2 is the partial lengthwise sectional view of operation bar in embodiment one;
Fig. 3 is the left view of Fig. 2 middle slide plate;
Fig. 4 is the partial lengthwise sectional view of operation bar when strut is in softened state in the embodiment of the present invention one;
Fig. 5 is the partial lengthwise sectional view of operation bar in embodiment two;
Fig. 6 is the left view of Fig. 5 middle slide plate;
Fig. 7 is the partial lengthwise sectional view of operation bar when strut is in softened state in the embodiment of the present invention two.
Specific embodiment
It is further described below by specific embodiment:
Appended drawing reference in Figure of description include: operation bar 1, cavity 2, hand-held part 3, hand-held pole 4, torsional spring 5, channel 6, Slide plate 7, fixed plate 8, the first spring 9, seal chamber 10, mounting base 11, strut 12, second spring 13, cylinder body 14, piston 141, on Chamber 142, lower chambers 143, piston rod 144, lantern ring 15, air flue 16, connecting rod 17, drawstring 18.
Embodiment one
The present embodiment is substantially as depicted in figs. 1 and 2: laparoscopic surgery distraction instrument, including operation bar 1, the first spring 9 With second spring 13, cavity 2 is offered in bar 1 of performing the operation, the right end of operation bar 1 is fixedly connected with hand-held part 3, cuts with scissors on hand-held part 3 It is connected to hand-held pole 4, is fixedly connected on hand-held pole 4 there are three protrusion, convenient for users to exerting a force to hand-held pole 4.It is fixed on hand-held part 3 It is connected with torsional spring 5, the other end of torsional spring 5 is fixedly connected on hand-held pole 4.Offer channel 6 inside hand-held part 3, channel 6 and logical Chamber 2 is connected to.
Slide plate 7 is slidably connected in the cavity 2 of operation bar 1, fixed plate 8 is fixedly connected in cavity 2, fixed plate 8 is located at The right side of slide plate 7, slide plate 7 are connect with fixed plate 8 by the first spring 9.
Be equipped on the left side wall of slide plate 7 it is several strut group, in the present embodiment, strutting group is two groups.As shown in connection with fig. 3, Each strutting group includes two mounting bases 11 being oppositely arranged, and mounting base 11 is fixedly connected on the centre of slide plate 7, each Strut 12 is hinged in mounting base 11, two struts 12 are connected by second spring 13, and the left end of strut 12 offers annular groove.
Connecting rod 17 is fixedly connected on the right side wall of slide plate 7, connecting rod 17 runs through fixed plate 8, and the right end of connecting rod 17 is fixed to be connected It is connected to drawstring 18, the right end of drawstring 18 passes through channel 6 and is fixedly connected with the lower end of hand-held pole 4.
When initial, the first spring 9 is in compressive state, and strut 12 collapses in the cavity 2 of operation bar 1, second spring 13 In compressive state.
Specific implementation process is as follows: when needing to strut in intracavitary tissue in laparoscopic surgery, by the operation bar 1 after disinfection Left end protruded into from surgical wound it is intracavitary, operation bar 1 left end to reach needs distracted position when, medical staff (user) Apply active force to hand-held pole 4 to release so that hand-held pole 4 is rotated counterclockwise using hand-held pole 4 and the hinge joint of hand-held part 3 as the center of circle Drawstring 18 is put, the left end of drawstring 18 is moved to the left, and slide plate 7 slides to the left under the action of the first spring 9, mounting base 11 and strut 12 are moved to the left, and cavity 2 is stretched out in the left end of strut 12, as slide plate 7 continues to slide to the left under the action of the first spring 9, The length that strut 12 stretches out cavity 2 is increasingly longer, and in the process, strut 12 struts under the action of second spring 13, and with cunning The distance that plate 7 slides to the left increases, and the distracted angle of strut 12 increases, and therefore, medical staff (user) can be as needed The rotational angle for controlling hand-held pole 4, to control the distraction angle of strut 12.When slide plate 7 no longer slides to the left, strut 12 State is as shown in Figure 4.
There are four struts 12 in the present embodiment, therefore, distracted to needs can organize to apply the effect on four direction Power, compared to existing operation spreading mechanism for the active force that tissue applies in both direction, the former supports tissue The area opened is larger, tissue to strut effect more preferable, provide openr, the clearer visual field for doctor, reduce operation risk.
When the bar 1 that needs to perform the operation after the completion of intracavity operation operation is extracted, medical staff (user) decontrols hand-held pole 4, hand Holding rod 4 rotates clockwise reset under the action of torsional spring 5, pulls drawstring 18, the left end of drawstring 18 moves right, thus the company of pulling Bar 17 moves right, and slide plate 7 slides to the right, and mounting base 11 and strut 12 move right, when strut 12 moves right, in operation bar It is gradually collapsed under the restriction effect of 1 left end, the distraction angle of strut 12 is gradually reduced, until in the income to cavity 2 of strut 12.When After in the income to cavity 2 of strut 12, medical staff (user) can extract operation bar 1.
Embodiment two
Be in place of the present embodiment and the difference of embodiment one: as shown in Fig. 1, Fig. 5 and Fig. 6, slide plate 7 and fixed plate 8 exist Seal chamber 10 is formed in cavity 2, each strutting group further includes the cylinder body 14 being oppositely arranged, and slidably connects piston in cylinder body 14 141, cylinder body 14 is divided into upper chamber 142 and lower chambers 143 by piston 141, and piston 141 is fixedly connected with piston rod 144, piston Bar 144 is equipped with lantern ring 15 far from one end of piston 141, and strut 12 is located in lantern ring 15.Slide plate 7 offers air flue 16, air flue 16 connection upper chamber 142 and seal chamber 10.Venthole is offered on the side wall opposite with piston 141 of lower chambers 143, so as to cavity of resorption The inside of room 143 communicates with the outside world, and reduces the resistance being subject to when piston 141 slides.
When initial, the first spring 9 is in compressive state, and the lantern ring 15 on piston rod 144 applies active force to strut 12, makes It obtains strut 12 to collapse, and strut 12 collapses in the cavity 2 of operation bar 1, second spring 13 is in compressive state.
Specific implementation process is as follows: when needing to strut in intracavitary tissue in laparoscopic surgery, by the operation bar 1 after disinfection Left end protruded into from surgical wound it is intracavitary, operation bar 1 left end to reach needs distracted position when, medical staff (user) Apply active force to hand-held pole 4 to release so that hand-held pole 4 is rotated counterclockwise using hand-held pole 4 and the hinge joint of hand-held part 3 as the center of circle Drawstring 18 is put, the left end of drawstring 18 is moved to the left, and slide plate 7 slides to the left under the action of the first spring 9, then, seal chamber 10 Volume increase, internal pressure reduces, the gas in upper chamber 142 is flowed into seal chamber 10 by air flue 16, and piston 141 is to upper chamber The sliding of 142 directions drives piston rod 144 mobile to 142 direction of upper chamber, is fixed on lantern ring 15 on piston rod 144 to epicoele 142 direction of room is mobile, and lantern ring 15 no longer applies active force to strut 12, i.e. the distraction angle that no longer limits strut 12 of lantern ring 15.
During slide plate 7 slides to the left, mounting base 11, cylinder body 14 and strut 12 are moved to the left, the left end of strut 12 Cavity 2 is stretched out, as slide plate 7 continues to slide to the left under the action of the first spring 9, the length that strut 12 stretches out cavity 2 is more next Longer, in the process, strut 12 struts under the action of second spring 13, and as the distance that slide plate 7 slides to the left increases, strut 12 distracted angles increase, and therefore, medical staff (user) can control the rotational angle of hand-held pole 4 as needed, thus Control the distraction angle of strut 12.When slide plate 7 no longer slides to the left, the state of strut 12 is as shown in Figure 7.
There are four struts 12 in the present embodiment, therefore, distracted to needs can organize to apply the effect on four direction Power, compared to existing operation spreading mechanism for the active force that tissue applies in both direction, the former supports tissue The area opened is big, tissue to strut effect more preferable, provide openr, the clearer visual field for doctor, reduce operation risk.
When the bar 1 that needs to perform the operation after the completion of intracavity operation operation is extracted, medical staff (user) decontrols hand-held pole 4, hand Holding rod 4 rotates clockwise reset under the action of torsional spring 5, pulls drawstring 18, the left end of drawstring 18 moves right, thus the company of pulling Bar 17 moves right, and slide plate 7 slides to the right, and mounting base 11, cylinder body 14 and strut 12 move right, when strut 12 moves right, It is gradually collapsed under the restriction effect of operation 1 left end of bar, the distraction angle of strut 12 is gradually reduced, until strut 12 is taken in logical In chamber 2.In the process, the volume of seal chamber 10 reduces, internal pressure increases, and the gas in seal chamber 10 flows into upper chamber through air flue 16 In 142, the internal pressure of upper chamber 142 increases, and piston 141 is pushed to move down, and then piston rod 144 and lantern ring 15 are to lower chambers 143 directions are mobile, and lantern ring 15 applies active force to strut 12, when lantern ring 15 is greater than second spring to the active force that strut 12 applies When the active force that 13 pairs of struts 12 apply, strut 12 is further collapsed, and left end of the strut 12 no longer with operation bar 1 offsets at this time, The sliding friction that strut 12 is reduced between bar 1 of performing the operation.After in the income to cavity 2 of strut 12, medical staff (user) is i.e. Operation bar 1 can be extracted.
Similarly, when being needed in laparoscopic surgery by film adhered at the position for needing film, first by the edge of film Be fixed in the annular groove of 12 left end of strut, operation bar 1 by surgical wound protrude into it is intracavitary after, according to aforesaid operations to hand-held pole 4 Applying active force rotates counterclockwise hand-held pole 4, and strut 12 struts, and four struts 12 apply the work on four direction to film Firmly, so that the film size after expansion is big, it is sufficient to covering needs the position of film, film to strut effect good.Attaching film After the completion of work, hand-held pole 4 is discharged according to aforesaid operations, so that hand-held pole 4 rotates clockwise reset under the action of torsional spring 5, Strut 12 is collapsed and is taken in cavity 2, extracts operation bar 1.
What has been described above is only an embodiment of the present invention, and the common sense such as well known specific structure and characteristic are not made herein in scheme Excessive description.It, without departing from the structure of the invention, can be with it should be pointed out that for those skilled in the art Several modifications and improvements are made, these also should be considered as protection scope of the present invention, these all will not influence what the present invention was implemented Effect and practicability of the invention.

Claims (6)

1. laparoscopic surgery distraction instrument, including operation bar, it is characterised in that: further include the first spring and second spring, institute It states in operation bar and offers cavity, slide plate is slidably connected in cavity, fixed plate, slide plate and fixed plate are fixedly connected in cavity It is connected by the first spring;The slide plate far from the side of fixed plate be equipped with it is several strut group, each strut group include two A mounting base being oppositely arranged is hinged with strut in each mounting base, and two struts are connected by second spring, and slide plate is close to solid The side of fixed board is fixedly connected with connecting rod, and connecting rod runs through fixed plate, and connecting rod is fixedly connected with drawstring far from one end of slide plate.
2. laparoscopic surgery distraction instrument according to claim 1, it is characterised in that: the operation bar is far from strut One end is equipped with hand-held part, and hand-held pole is hinged on hand-held part, and torsional spring is fixedly connected on hand-held part, and the other end of torsional spring is fixed It is connected on hand-held pole;Channel is offered inside the hand-held part, channel is connected to cavity, the one end of the drawstring far from connecting rod It is fixedly connected across channel with hand-held pole.
3. laparoscopic surgery distraction instrument according to claim 1 or 2, it is characterised in that: the slide plate and fixed plate Seal chamber is formed in cavity, the group that struts further includes two cylinder bodies being oppositely arranged, and slidably connects piston in cylinder body, living Cylinder body is divided into upper chamber and lower chambers by plug, and piston is fixedly connected with piston rod, and piston rod is equipped with far from one end of piston Lantern ring, strut are located in lantern ring;The slide plate offers air flue, and air flue is connected to upper chamber and seal chamber.
4. laparoscopic surgery distraction instrument according to claim 3, it is characterised in that: the lower chambers are opposite with piston Side wall on offer venthole.
5. laparoscopic surgery distraction instrument according to claim 4, it is characterised in that: the mounting base is fixedly mounted on The centre of slide plate.
6. laparoscopic surgery distraction instrument according to claim 5, it is characterised in that: the strut is far from mounting base One end offers annular groove.
CN201910094075.3A 2019-01-30 2019-01-30 Distraction instrument for laparoscopic surgery Expired - Fee Related CN109662742B (en)

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Application Number Priority Date Filing Date Title
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CN109662742A true CN109662742A (en) 2019-04-23
CN109662742B CN109662742B (en) 2020-04-14

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Cited By (2)

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CN110141377A (en) * 2019-06-11 2019-08-20 青岛大学附属医院 The fixed device of lung under a kind of thoracoscope
CN112244910A (en) * 2020-11-05 2021-01-22 中南大学湘雅医院 Distraction instrument for laparoscopic surgery

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Cited By (3)

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CN110141377A (en) * 2019-06-11 2019-08-20 青岛大学附属医院 The fixed device of lung under a kind of thoracoscope
CN110141377B (en) * 2019-06-11 2021-07-06 青岛大学附属医院 Lung fixing device under thoracoscope
CN112244910A (en) * 2020-11-05 2021-01-22 中南大学湘雅医院 Distraction instrument for laparoscopic surgery

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