CN109717917A - Suture with dual non-slip release mechanism, which declines, creates fascia stitching unstrument - Google Patents
Suture with dual non-slip release mechanism, which declines, creates fascia stitching unstrument Download PDFInfo
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- CN109717917A CN109717917A CN201910177716.1A CN201910177716A CN109717917A CN 109717917 A CN109717917 A CN 109717917A CN 201910177716 A CN201910177716 A CN 201910177716A CN 109717917 A CN109717917 A CN 109717917A
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- stitching unstrument
- suture
- sewing needle
- ontology
- clamping
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- 230000007246 mechanism Effects 0.000 title claims abstract description 43
- 210000003195 fascia Anatomy 0.000 title claims abstract description 21
- 230000009977 dual effect Effects 0.000 title claims abstract description 17
- 238000009958 sewing Methods 0.000 claims abstract description 112
- 239000000741 silica gel Substances 0.000 claims abstract description 30
- 229910002027 silica gel Inorganic materials 0.000 claims abstract description 30
- 229960001866 silicon dioxide Drugs 0.000 claims abstract description 30
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims abstract description 29
- 238000012546 transfer Methods 0.000 claims abstract description 15
- 238000005491 wire drawing Methods 0.000 claims description 58
- 230000008676 import Effects 0.000 claims description 6
- 238000007789 sealing Methods 0.000 claims description 3
- 206010033675 panniculitis Diseases 0.000 abstract description 25
- 210000004304 subcutaneous tissue Anatomy 0.000 abstract description 25
- 238000005516 engineering process Methods 0.000 abstract description 3
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- 238000011161 development Methods 0.000 description 2
- 230000005489 elastic deformation Effects 0.000 description 2
- 238000004880 explosion Methods 0.000 description 2
- 230000006870 function Effects 0.000 description 2
- 230000035876 healing Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 235000006508 Nelumbo nucifera Nutrition 0.000 description 1
- 240000002853 Nelumbo nucifera Species 0.000 description 1
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- 210000003815 abdominal wall Anatomy 0.000 description 1
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- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000002357 laparoscopic surgery Methods 0.000 description 1
- 238000012830 laparoscopic surgical procedure Methods 0.000 description 1
- 230000003446 memory effect Effects 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 230000001151 other effect Effects 0.000 description 1
- 229920002379 silicone rubber Polymers 0.000 description 1
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- 210000000115 thoracic cavity Anatomy 0.000 description 1
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Abstract
The present invention relates to the field of medical instrument technology, and in particular to a kind of suture with dual non-slip release mechanism, which declines, creates fascia stitching unstrument；The present invention includes stitching unstrument ontology and is arranged in the intrinsic self-locking mechanism of stitching unstrument, the clamp system for clamping sewing needle, the transfer bar mechanism for pushing sewing needle；Stitching unstrument housing cover and stitching unstrument ontology end are respectively arranged at the top and bottom of stitching unstrument ontology, channel lumens are provided in stitching unstrument ontology, it is provided with card slot on stitching unstrument housing cover, lower apical tooth seat is provided in card slot, several are provided on lower apical tooth seat and has bevelled first ratchet；In the present invention, by the way that stitching unstrument ontology is penetrated subcutaneous tissue, the wing plate of stitching unstrument body bottom portion is unfolded in self-locking mechanism opening, transfer bar mechanism penetrates into suture on sewing needle, clamp system clamps silicagel pad, so that sewing needle is passed through silicagel pad, then extract stitching unstrument ontology out, suture knotting is finally completed, it is easy to operate and safe.
Description
Technical field
The present invention relates to the field of medical instrument technology, specifically, in particular to a kind of with dual non-slip release mechanism
Suture, which declines, creates fascia stitching unstrument.
Background technique
Laparoscopic surgery is a kind of Minimally Invasive Surgery method that new development is got up, and has notch small, extensive compared with traditional operation
Multiple advantage fast, pain is small is an inexorable trend of the following operation method development, and more and more patients receive the hand at present
The treatment of art.
Currently, needing first to be arranged 3~5 size diameters in laparoscopic surgical procedure is 5~10mm through abdominal wall tissue
Puncture channel, enable surgical instrument to enter abdominal cavity or thoracic cavity from these puncture channels and implement operation；Operation terminates again
After removing surgical instrument, need to suture these puncture channels, so as to wound quick healing.However, generally using
Cheng Zhong, by the traction of musculature or suture, the suture of traditional fascia stitching unstrument spademan silicagel pad clamping is easy de-
It falls, causes suture operation bad, influence the healing effect in sewing effect and later period；And traditional fascia stitching unstrument is in wing plate
It needs to hold control during opening and closing always to keep the opening and closing state of wing plate, occupies extra manpower, and artificial directly lifting
Control wing plate opening and closing can not accomplish that opening and closing are consistent always, be easy firmly it is excessive or it is too small cause wing plate damage or sewing needle penetrate the wing
Situations such as plate fails occurs.
Summary of the invention
To solve the above problems, the purpose of the present invention is to provide a kind of sutures with dual non-slip release mechanism to decline
Fascia stitching unstrument is created, by the way that stitching unstrument ontology is penetrated subcutaneous tissue, self-locking mechanism opens the wing plate for making stitching unstrument body bottom portion
Expansion, transfer bar mechanism penetrate into suture on sewing needle, and clamp system clamps silicagel pad, and sewing needle is made to pass through silicagel pad, then
It extracts stitching unstrument ontology out, finally completes suture knotting.
The purpose of the present invention is what is be achieved through the following technical solutions:
A kind of suture with dual non-slip release mechanism provided by the invention, which declines, creates fascia stitching unstrument, wherein including suture
Device ontology and the intrinsic self-locking mechanism of stitching unstrument, the clamp system for clamping sewing needle are set, for pushing sewing needle
Transfer bar mechanism；It is respectively arranged with stitching unstrument housing cover and stitching unstrument ontology end at the top and bottom of stitching unstrument ontology, stitches
It is provided with channel lumens in clutch ontology, card slot is provided on stitching unstrument housing cover, lower apical tooth seat, lower apical tooth are provided in card slot
It is provided with several on seat and has bevelled first ratchet；Self-locking mechanism include the axial push-pull shaft being socketed in channel lumens and with
The upper apical tooth seat of axial push-and-pull axis connection, axial push-pull shaft are connect with stitching unstrument ontology end, are provided on upper apical tooth seat and the
The second ratchet that one ratchet is meshed is provided with rotatable driving lever on lower apical tooth seat；The lower part two sides of stitching unstrument ontology are all provided with
It is equipped with wing plate, wing plate is connect by fagging with stitching unstrument ontology end, and wing plate and fagging all have elasticity, is provided with four on wing plate
Square groove hole, cubic slot inner sealing have silicagel pad；Clamp system includes clamping wire drawing and pull ring, and one end setting for clamping wire drawing exists
In the inner wall of cubic slot, the other end for clamping wire drawing is connect with pull ring, and pull ring is on stitching unstrument housing cover；Transfer bar mechanism
Including sewing needle push rod and sewing needle, suture is connected on sewing needle, sewing needle is connected on sewing needle push rod, and sewing needle pushes away
Bar can push sewing needle to pass through silicagel pad.
As an improvement of the present invention, the clamping wire drawing that silk is strained at for placing clamp is provided in cubic slot inner wall
Slot.
As a further improvement of the present invention, the back segment for clamping wire drawing, which is socketed with, clamps wire drawing set.
As a further improvement of the present invention, stitching unstrument housing cover is connected with end cap, and end cap drawing is provided on end cap
Ring, end cap cover in apical tooth seat, and driving lever slot is provided on the side wall of end cap, and driving lever stretches out except driving lever slot.
As a further improvement of the present invention, guide groove, guide groove and setting are provided on the side wall of axial push-pull shaft
Guide pad on the inner wall of channel lumens is mutually fitted into.
As a further improvement of the present invention, the bottom of axial push-pull shaft, which passes through, is arranged in the intrinsic spring of stitching unstrument
Top pillar is connect with stitching unstrument ontology end, and spring is cased on axial push-pull shaft, and spring is in spring top pillar and stitching unstrument body end
Between head.
As a further improvement of the present invention, one end of sewing needle push rod is provided with grip block, and grip block is in suture
On device housing cover, suture is clamped on sewing needle push rod by elastic ferrule.
As a further improvement of the present invention, the end of sewing needle push rod is provided with clamping cylindrical section, the end of sewing needle
End is provided with for the clamping slot with clamping cylindrical section clamping.
As a further improvement of the present invention, it is provided with that can be used for guidance that suture passes through logical in stitching unstrument ontology
Road, the rear and front end of guiding channel is respectively arranged with guiding channel import and guiding channel exports, on the side wall of stitching unstrument ontology
The guiding channel communicated with guiding channel is provided with laterally to stitch.
As a further improvement of the present invention, transfer bar mechanism further includes mandril, and jack end is provided with U-shaped fork shaped head.
In the present invention, by the way that stitching unstrument ontology is penetrated subcutaneous tissue, self-locking mechanism opening makes stitching unstrument body bottom portion
Wing plate expansion, transfer bar mechanism penetrates into suture on sewing needle, and clamp system clamps silicagel pad, and sewing needle is made to pass through silica gel
Pad, then extract stitching unstrument ontology out, finally complete suture knotting；Operation of the present invention is convenient and safe.
Detailed description of the invention
The drawings described herein are used to provide a further understanding of the present invention, constitutes part of this application, this hair
Bright illustrative embodiments and their description are used to explain the present invention, and are not constituted improper limitations of the present invention.In the accompanying drawings:
Fig. 1 is the structural schematic diagram that the present invention penetrates subcutaneous tissue；
Fig. 2 is the structural schematic diagram that wing plate of the invention is unfolded；
Fig. 3 is the attachment structure schematic diagram one of wing plate and stitching unstrument ontology end of the invention；
Fig. 4 is the attachment structure schematic diagram two of wing plate and stitching unstrument ontology end of the invention；
Fig. 5 is the attachment structure schematic diagram three of wing plate and stitching unstrument ontology end of the invention；
Fig. 6 is the attachment structure schematic diagram four of wing plate and stitching unstrument ontology end of the invention；
Fig. 7 is the attachment structure schematic diagram five of wing plate and stitching unstrument ontology end of the invention；
Fig. 8 is the connection perspective view of the explosion one of end cap and stitching unstrument housing cover of the invention；
Fig. 9 is the connection perspective view of the explosion two of end cap and stitching unstrument housing cover of the invention；
Figure 10 is the structural schematic diagram of wing plate of the invention；
Figure 11 is the structural schematic diagram of clamp system of the invention；
Figure 12 is the structural schematic diagram of transfer bar mechanism of the invention；
Figure 13 is the structural schematic diagram of mandril of the invention；
Figure 14 is the main view for the status diagram one that stitching unstrument ontology of the invention is passed through subcutaneous tissue；
Figure 15 is the perspective view for the status diagram one that stitching unstrument ontology of the invention is passed through subcutaneous tissue；
Figure 16 is main view (wing plate expansion and the suture for the status diagram two that stitching unstrument ontology of the invention is passed through subcutaneous tissue
Needle penetrates subcutaneous tissue)；
Figure 17 is perspective view (wing plate expansion and the suture for the status diagram two that stitching unstrument ontology of the invention is passed through subcutaneous tissue
Needle penetrates subcutaneous tissue)；
Figure 18 is status diagram three (pull ring pull-up and the clamping wire drawing receipts that stitching unstrument ontology of the invention is passed through subcutaneous tissue
Tightly)；
Figure 19 is the status diagram four that stitching unstrument ontology of the invention is passed through subcutaneous tissue (wing plate closes up)；
Figure 20 is that stitching unstrument ontology of the invention is passed through the status diagram five of subcutaneous tissue (sewing needle mentions upwards with suture
It rises)；
Figure 21 be stitching unstrument ontology of the invention be passed through subcutaneous tissue status diagram six (suture end be detached from sewing needle with
Silicagel pad)；
Figure 22 is the status diagram seven (suture setting fastening play) that stitching unstrument ontology of the invention is passed through subcutaneous tissue；
Figure 23 is that stitching unstrument ontology of the invention is passed through the status diagram eight of subcutaneous tissue (mandril will be downward at suture knotting
It pushes)；
Figure 24 is the status diagram nine (completing suture operation) that stitching unstrument ontology of the invention is passed through subcutaneous tissue；
Wherein appended drawing reference are as follows: 1- stitching unstrument ontology, 11- stitching unstrument housing cover, 111- card slot, 12- stitching unstrument ontology end,
Apical tooth seat under 13-, the first ratchet of 131-, 132- driving lever, 14- wing plate, the four directions 141- slot, 142- silicagel pad, 143-, which is clamped, to be drawn
Silk slot, 15- fagging, 16- end cap, 161- end cap pull ring, 162- driving lever slot, 17- guiding channel, 171- guiding channel import,
The outlet of 172- guiding channel, 173- guiding channel laterally stitch, 2- self-locking mechanism, 21- axial direction push-pull shaft, the upper apical tooth seat of 22-, 23-
Spring top pillar, 24- spring, 3- clamp system, 31- clamp wire drawing, 32- pull ring, and 33- clamps wire drawing set, 4- transfer bar mechanism, 41-
Sewing needle push rod, 42- sewing needle, 43- suture, 44- mandril, 45- grip block, 46- clamping cylindrical section, 47- clamping slot, 48-
Elastic ferrule, 49-U type fork shaped head, 5- subcutaneous tissue.
Specific embodiment
In order to enable those skilled in the art to better understand the solution of the present invention, below in conjunction in the embodiment of the present invention
Attached drawing, technical scheme in the embodiment of the invention is clearly and completely described, it is clear that described embodiment is only
The embodiment of a part of the invention, instead of all the embodiments.Based on the embodiments of the present invention, ordinary skill people
The model that the present invention protects all should belong in member's every other embodiment obtained without making creative work
It encloses.
As shown in Fig. 1 to Figure 24, a kind of suture with dual non-slip release mechanism of the invention, which declines, creates fascia suture
Device, including stitching unstrument ontology 1 and the self-locking mechanism being arranged in stitching unstrument ontology 12, the clamp system for clamping sewing needle 42
3, for pushing the transfer bar mechanism 4 of sewing needle 43.
The top and bottom of stitching unstrument ontology 1 are respectively arranged with stitching unstrument housing cover 11 and stitching unstrument ontology end 12,
It is provided with channel lumens in stitching unstrument ontology 1, card slot 111 is provided on stitching unstrument housing cover 11, lower top is provided in card slot 111
Toothholder 13 is provided with several on lower apical tooth seat 13 and has bevelled first ratchet 131；
The upper section of 1 main body of stitching unstrument ontology is upper coarse and lower fine curve pyramid type, and the symmetrical two sides of curve pyramid type upper section are
Plane facilitates doctor's fingerhold, and middle section is cylinder, and lower section end face corresponds to upper section curve pyramid type same lateral position and is fixedly connected
There is wing plate 14, wing plate 14 has one fixed width, and two symmetrical wing plates 14 have elastic deformation characteristic, and the wing in normal state
Plate 14 is in along the un-flexed state of axial straight section.It is coaxially fixed with spring top pillar 23 in 1 body cylindrical section lower end surface of stitching unstrument ontology,
For playing the role of shoring to spring 24.Fagging 15, fagging 15 are fixedly connected with close to root position in each 14 inside of wing plate
Intensity is higher and has slight flexible deformation, and fagging 15 is allowed to play the role of propping up opening to wing plate 14.In fagging
15 lower ends are connected with stitching unstrument body end 12 jointly, and stitching unstrument ontology end 12 is hemispherical, and hemispherical is convenient for running through patient
Hypodermis layer and fascia layer.1 main body of stitching unstrument ontology it is axially disposed to have section be circular channel lumens, channel lumens are from upper
End face starting, until spring top pillar 23 lower end surface in stitching unstrument body party lower end terminates, in the intracavitary portion of 1 body passageways of stitching unstrument ontology
It is cased with axial push-pull shaft 21, axial push-pull shaft 21 can be axial to push and pull in 1 body interior of stitching unstrument ontology along axially free sliding
21 lower end of axis is stretched out from 23 channel of spring top pillar, and is extended to and be fixedly and coaxially connected with stitching unstrument ontology end 12, so that working as axis
When moving up and down to push-pull shaft 21 axially with respect to 1 main body of stitching unstrument ontology, stitching unstrument ontology end 12 can be driven to synchronize
Lower movement is so that fagging 15 can play to two lateral bends to level angle wing plate 14 opens or close up and other effects.It is axial
21 upper section of push-pull shaft has guide groove 25 outer wall is axially disposed, and 1 main body upper section port of stitching unstrument ontology corresponds at guide groove 25
It is provided with guide pad, guiding role can be played to axial push-pull shaft 21, preventing axial push-pull shaft 21 from rotation occur can situation pair
Fagging 15 is damaged with wing plate 14.Axial push-pull shaft between 12 end face of spring top pillar 23 and stitching unstrument ontology end simultaneously
On be cased with spring 24,24 both ends of spring respectively with 23 lower end surface of spring top pillar and 12 upper surface of stitching unstrument ontology end are fixed connects
It connects, spring 24 is in compressive state always, and under no external force, spring 24 is always by spring top pillar 23 and stitching unstrument body end
Spacing is supportted to maximum between first 12, and it is vertical without bending, wing plate 14 that stitching unstrument ontology end 12 drives fagging 15 to be pulled to wing plate 14
Downward closed configuration.
The lower part two sides of stitching unstrument ontology 1 are provided with wing plate 14, and wing plate 14 passes through fagging 15 and stitching unstrument ontology end
12 connections, wing plate 14 and fagging 15 all have elasticity, cubic slot 141 are provided on wing plate 14, cubic 141 inner sealing of slot has
Silicagel pad 142；The bottom of axial push-pull shaft 21 passes through the spring top pillar 23 being arranged in stitching unstrument ontology 1 and stitching unstrument body end
First 12 connect, and are cased with spring 24 on axial push-pull shaft 21, spring 24 is between spring top pillar 23 and stitching unstrument ontology end 12.
Self-locking mechanism 2 includes the axial push-pull shaft 21 being socketed in channel lumens and the upper apical tooth seat 22 connecting with axial push-pull shaft 21, axis
It is connect to push-pull shaft 21 with stitching unstrument ontology end 12, second to be meshed with the first ratchet 131 is provided on upper apical tooth seat 22
Ratchet 26 is provided with rotatable driving lever 132 on lower apical tooth seat 13.In particular, as shown in Fig. 3, Fig. 4, Fig. 6 and Figure 10,
Centainly specific circumferential area is provided with annular card slot 111 to 1 main body Upper passage chamber periphery of stitching unstrument ontology, and card slot 111 has
There are certain a width and depth, and width and lower apical tooth seat 13 coincide lower apical tooth seat 13 can be made to be stuck in card slot 111, lower top
13 the lower section of toothholder be it is columnar structured, cylindrical sections are stuck in card slot 111 and extend 111 certain altitude of card slot.Under
The columnar structured upper surface of apical tooth seat 13 is fixed as one setting the first ratchet 131 straight up, first ratchet, 131 liang of gemmules
Flank of tooth one end is that inclined-plane one end is vertical plane, and the first ratchet cancels upper end wedge angle, is truncated in wedge angle upper position so that first
131 upper end of ratchet forms planar structure.Several ratchet structures are distributed in even circumferential on lower apical tooth seat 13, so that adjacent
There is interval between one ratchet 131, and spacing distance is greater than the length of transverse plane on the first ratchet 131.In lower 13 side wall of apical tooth seat
Corresponding 1 main body upper section plan position fixing of stitching unstrument ontology integrally has the driving lever 132 perpendicular to side wall, can when stirring driving lever 132
To drive lower apical tooth seat 13 to rotate.1 main body of stitching unstrument ontology is extended in axial 21 upper end of push-pull shaft, and extends straight up certain
Distance.It is coaxially fixed with upper apical tooth seat 22 in axial 21 upper end of push-pull shaft, upper 22 circumference of apical tooth seat is provided with and lower apical tooth seat 13
The second completely the same ratchet 26, and the second ratchet 26 of upper apical tooth seat 22 downwards can be with the second spine of lower apical tooth seat 13
It steps down each other in 26 gap of tooth.When the second ratchet 26 of upper apical tooth seat 22 is located inside 131 backlash of the first spine of lower apical tooth seat 13
And 26 top end surface of the second ratchet of upper apical tooth seat 22 is with the cylindrical structure upper surface of lower apical tooth seat 13 when being bonded, upper apical tooth seat 13
Height is located at extreme lower position.When 26 top end surface of the second ratchet of upper apical tooth seat 22 and the first ratchet 131 of lower apical tooth seat 13 are pushed up
When end surface is bonded, it is equivalent to lower apical tooth seat 13 and jacks up upper apical tooth seat 22, so that upper 22 height of apical tooth seat is in extreme higher position.
When upper apical tooth seat 22 is in extreme lower position, axial push-pull shaft 21 is to down toward maximum travel position, so that wing plate 14 is at this time
Two sides are fallen in closed configuration along axial direction, and when gear seat 22 is in extreme higher position, axial push-pull shaft 21 is moved upward to most
Big travel position, the spacing between 12 end face of spring top pillar 23 and stitching unstrument ontology end is minimum at this time, so that fagging 15 follows
Stitching unstrument ontology end 12, which is moved up, opens wing plate 14 to two sides, until pushing up to horizontal open configuration.
In the present invention, 1 upper cover of stitching unstrument ontology is connected with end cap 16, and end cap pull ring 161, end cap are provided on end cap 16
16 cover in apical tooth seat 22, and driving lever slot 162 is provided on the side wall of end cap 16, and driving lever 132 stretches out except driving lever slot 162；Axis
Guide groove 25 is provided on the side wall of push-pull shaft 21, guide groove 25 and the guide pad on the inner wall that channel lumens are arranged in are mutually embedding
It closes.In particular, as shown in Figure 8 and Figure 9, being placed on inside end cap 16, holding in the periphery of lower apical tooth seat 13 and upper apical tooth seat 22
The longer both ends that 1 main body upper end of stitching unstrument ontology is corresponded to outside lid 16 correspond to two sides and are fixedly installed flange respectively, each
Respectively inserted with no less than two fixed pins on flange, it is fixedly connected by fixed pin with 1 main body upper surface of stitching unstrument ontology.?
16 upper end of end cap is fixedly installed end cap pull ring 161 vertically, and the ring that end cap pull ring 161 is round or oval is convenient for doctor
The effect that whole device is moved up and down by end cap pull ring 161 when in use.The apical tooth seat 13 in the case where end cap 16 is corresponding
132 side of driving lever is provided with driving lever slot 162, can make when end cap 16 is fixed on 1 main body upper end of stitching unstrument ontology driving lever 132 from
It is stretched out in driving lever slot 162.Driving lever slot 162 has one fixed width, when upper apical tooth seat 22 is with lower apical tooth seat 13 intermeshing inlay card,
It is equivalent to apical tooth seat 22 and is in extreme lower position.The driving lever 132 of lower apical tooth seat 13 is located in the driving lever slot 152 of end cap 16 corresponding dial
It is tightly attached to 16 side of driving lever slot in one end of the 131 vertical plane side direction of the first ratchet for the lower apical tooth seat 13 that bar 132 is fixedly connected.When
When stirring 132 driving levers and stirring to 162 other side of driving lever slot, upper apical tooth seat 22 is made in the guiding of the guide groove 25 of axial push-pull shaft 21
It can not be rotated under, the first ratchet 131 of lower apical tooth seat 13 rotates so that the 131 inclined-plane side of the first ratchet of lower apical tooth seat 13 will be upper
Apical tooth seat scoops up.When driving lever 132 dials to driving lever 162 other side of slot for being close to close end cap 16, the second spine of upper apical tooth seat 22
When 26 top end surface of tooth is bonded with 131 top end surface of the first ratchet of lower apical tooth seat 13, lower apical tooth seat 13 is equivalent to by upper apical tooth
Seat 22 jacks up, so that upper 22 height of apical tooth seat is in extreme higher position.That is when driving lever 132 is from the driving lever slot 162 of end cap 16
Side when dialing to the other side, can make lower apical tooth seat 13 by upper apical tooth seat 22 from smallest height top to maximum height
Position, driving lever 132, which is reversely then allocated to original state, can make lower apical tooth seat 13 fall after rise to smallest height.
As shown in figure 11, clamp system 3 includes clamping wire drawing 31 and pull ring 32, and the one end for clamping wire drawing 31 is arranged in four directions
In the inner wall of slot 141, the other end for clamping wire drawing 31 is connect with pull ring 32, and pull ring 32 is on stitching unstrument housing cover 11；
The clamping spin bath 143 that silk 31 is strained at for placing clamp is provided in cubic 141 inner wall of slot.In particular, in wing plate 14
The heart is provided with perforative cubic slot 141 at front position, and cubic slot 141 is symmetrical set along wing plate center line, four square grooves
Two slot apex angles wherein opposite are located on center line in hole 141, and two diagonal lines of cubic slot 141 are mutually perpendicular to;
It is consistent that above structure makes the symmetrical respectively two sides of cubic slot 141 correspond to edge lengths, and cubic slot 141 is small by front end edge length
In long by back side edge, it is closed with silicagel pad 142 at the outer end face of cubic slot 141, silicagel pad 142 is by cubic 141 envelope of slot
It closes and this silicagel pad 142 has certain thickness.It is provided in the side wall middle layer position of cubic slot 141 and clamps spin bath 143,
There is clamping wire drawing 31 clamping card inside spin bath 143, clamping the clamping wire drawing 31 inside spin bath 143 can pull out, and
The corresponding clamping wire drawing 31 of front end vertex for clamping spin bath 143 is fixed with above-mentioned 143 apex angle of clamping spin bath, so that pulling folder
Two sides can be clamped the clamping wire drawing 31 in spin bath 143 when straining at 31 rear end of silk to pull out, clamp 31 front end apex angle of wire drawing
In the state of being fixed, two and neat elongated tightening state can be drawn as by clamping wire drawing 31, this clamps the two of wire drawing 31
End is run through in wing plate 14 to rear side, is being pierced by after the certain length in the inside of wing plate 14, and from the wire drawing via hole of fagging 14
Place penetrates and extends upward through from 1 body cylindrical section lower end surface of stitching unstrument ontology, and the final both ends for clamping wire drawing 31 are from stitching unstrument sheet
Extend the upper end end face of 1 main body of body.At stitching unstrument ontology 1 main body upper surface to the rear end of the cubic slot 141 of wing plate 14
Corresponding clamping wire drawing section periphery, which is cased with, clamps wire drawing set 33, allows and clamps wire drawing 31 and clamping neck inside wire drawing set 33
Axial movement.In other words, covering clamping is clamping wire drawing inside wire drawing set 33 to trisection, clamps wire drawing 31 to trisection
1 main body upper surface of stitching unstrument ontology is extended in end, and corresponding clamping wire drawing 31 is that this clamps wire drawing at cubic slot 141
Interlude.31 sections of clamping wire drawing in corresponding cubic slot 141 have memory deformation characteristic, in no external force corresponding four
The clamping spin bath 143 for clamping 141 side wall of 31 shape of wire drawing and cubic slot in 141 sections of square groove hole coincide, and pulls stitching unstrument sheet
143 sections of cubic slot of wire drawing can be drawn inside clamping spin bath 143 when clamping 31 end of wire drawing of 1 main body upper end of body
Out, in the state that clamping 31 front end apex angle of wire drawing is fixed, the clamping wire drawing 31 at cubic slot 141 can be drawn as two
And neat elongated tightening state.When release clamps 31 end of wire drawing, the memory effect of the clamping wire drawing 31 at cubic slot 141
Under reform into circumferential shapes be stuck in clamp spin bath 143 in.Two ends in 1 main body upper end of stitching unstrument ontology are solid simultaneously
Surely there is pull ring 32, by pulling pull ring 32 that can control to 31 sections of shapes of clamping wire drawing at the cubic slot 141 of wing plate 14
System.
In the present invention, as shown in figure 12, transfer bar mechanism 4 includes sewing needle push rod 41 and sewing needle 42, on sewing needle 42
It is connected with suture 43, sewing needle 42 is connected on sewing needle push rod 41, and sewing needle push rod 41 can push sewing needle 42 to pass through silicon
Rubber mat 142；One end of sewing needle push rod 41 is provided with grip block 45, and grip block 45 is on stitching unstrument housing cover 11, suture
Line 43 is clamped on sewing needle push rod 41 by elastic ferrule 48.The end of sewing needle push rod 41 is provided with clamping cylindrical section 46,
The end of sewing needle 42 is provided with for the clamping slot 47 with 46 clamping of clamping cylindrical section.In particular, being penetrated to sewing needle 42
Its guiding function of subcutaneous tissue is sewing needle push rod 41, and sewing needle push rod 41 is long tube shape, and sewing needle push rod 41 has one
Fixed intensity is unlikely to deform, and is broken in 41 lotus root of sewing needle push rod and is fixedly connected with grip block 45, convenient for passing through hand-held control, grip block
Equally distributed annular knurl print is provided on 45 convenient for increasing friction force.The front end of sewing needle push rod 41 be coaxially integrally fixed with compared with
Thin clamping cylindrical section 46 is provided with axially disposed clamping slot 47 engaged therewith in 42 rear end of sewing needle, works as sewing needle
After push rod 41 and 42 clamping of sewing needle, sewing needle 42 can be made axially consistent with the guiding bar of sewing needle, additional sewing needle 42
Front end is set as tip, allows sewing needle push rod 41 that sewing needle 42 is pushed to penetrate subcutaneous tissue.In 42 side of sewing needle in
Between section be fixed with suture 43, tighten flexible cutting ferrule 48 in sewing needle guide line upper end position, elastic ferrule 48 is by suture
43 with the complete clamping of sewing needle push rod 41 so that suture 43 be sewn 42 clamping of needle from end after rear side suture 43 along suture
Needle push rod 41 moves towards axially upwards.48 whole sections of elastic ferrule are provided with seam along axial direction, so that 48 section of elastic ferrule is C-shaped, elasticity
Cutting ferrule 48 has elasticity, sewing needle push rod 41 can be caught in by open seam and is removed, can worn under the guidance of sewing needle 42
Subcutaneous tissue is crossed to be ready for suture.
It is provided in stitching unstrument ontology 1 and can be used for the guiding channel 17 that suture 43 passes through, the front and back two of guiding channel 17
End is respectively arranged with guiding channel import 171 and guiding channel outlet 172, is provided with and guides on the side wall of stitching unstrument ontology 1
The guiding channel that channel 17 communicates laterally stitches 173；In particular, as depicted in figs. 1 and 2, in 1 main body upper surface of stitching unstrument ontology
It is provided with guiding channel import 171 at corresponding long end and the oblique angle of short end, is initial position with guiding channel import 171, obliquely
1 body interior of stitching unstrument ontology is provided with guiding channel 17,17 lower end of guiding channel is from the circle below 1 main body of stitching unstrument ontology
Other side side wall runs through in front of shell of column, and lower exit port section is guiding channel outlet 172, this whole straight section channel of guiding channel 17,
And the axis of guiding channel 17 is parallel with the lateral plane at 1 upper section circular arc taper of stitching unstrument ontology, guiding channel 17 relative to
Axial push-pull shaft at 1 main body axle center of stitching unstrument ontology is provided with the consistent another guiding channel of structure in 180 degree angle, and two
Guiding channel 17 is not interfered with the axial push-pull shaft channel lumens of 1 main body of stitching unstrument ontology, and two guiding channels 17 are not desired to phase
Hu Gan Wataru.By guiding channel 17 towards be set as obliquely downwards since it is desired that guiding channel axis pass through open-shaped state wing plate
Cubic slot 141 inside, two whole Duan Shangjun of guiding channel be provided with towards its correspond on the outside of guiding channel laterally stitch
173, guiding channel laterally stitches 173 inside spacing less than guiding channel internal diameter and is greater than suture outer diameter, so that suture 43 can
To be pulled out from guiding channel side into seam 173.
As shown in Figure 13 and Figure 23, transfer bar mechanism 4 further includes mandril 44, and 44 end of mandril is provided with U-shaped fork shaped head 49, tool
It says to body, as shown in figure 23, stage phase, which needs to knot suture 43 when point pushes down on, after it has been gathered cooperates 44 opposite joint of mandril
Zygonema knotting point pushes down on, and mandril 44 is that elongated round bar is unlikely to deform with some strength, is fixedly connected in 44 upper end of mandril
Have with the consistent grip block in 42 upper end of sewing needle push rod, 44 lower end of mandril set a trap for two sides protrusion interlude recess U-shaped fork
The U-shaped fork shaped head 49 of type head 49,44 front end of mandril can pitch the knotting point of suture 43 to fork shaped head, beat to push
Node pushes down on, so that the tightening of suture 43 sutures wound.
As shown in Figure 14 to Figure 24, the sewing process of suture 43 is shown: controlling when needing the wound to patient to carry out suture
When treatment, inside 1 main body of the stitching unstrument ontology insertion wound of original state, the wing plate 14 of original state is downward closed configuration,
When 14 sections of the wing plate of 1 main body of stitching unstrument ontology passes through subcutaneous tissue 5 completely, by driving lever 132 from the driving lever slot 162 1 of end cap 16
Side dials to the other side, and in the process, the lower rotation of apical tooth seat 13 is pushed up upper apical tooth seat 22 extremely by the inclined-plane of the first ratchet 131
Lower 13 upper end of apical tooth seat, upper apical tooth seat 22 move axially straight up the axial push-pull shaft 21 of drive and stitching unstrument ontology end 12 to
Wing plate 14 is propped up bending to horizontality so that fagging 15 props up wing plate 14 by upper movement.So that axial push-pull shaft 21 drives
Stitching unstrument ontology end 12 is passed through inside guiding channel 17, and in the case where the guiding of guiding channel 17 is guided, sewing needle push rod 41 drives seam
It closes needle 42 to be inserted into subcutaneous tissue obliquely, and is pierced by below subcutaneous tissue 5 under the promotion of sewing needle push rod 41, finally made
Obtaining sewing needle 42 drives the head end of sewing needle to pass completely through the silicagel pad inside the cubic slot 141 of wing plate 14, because of sewing needle
Push rod 41 has recessed joint with clamping region when 42 phase clamping of sewing needle, in silicagel pad 142 by under the position-limiting action to sewing needle 42,
So that the sewing needle 42 during pumpback of sewing needle push rod 41 is stranded in 142 downside of silicagel pad.Sewing needle 42 is detached from suture
To suture in the case where the limit blocking of silicagel pad 142 is fixed on 42 middle section pulling function of sewing needle with suture 43 after needle push rod 41
Needle 42 is towards by being adjusted to be parallel to 142 direction of silicagel pad obliquely, so that sewing needle 42 is more difficult through silicagel pad 142.At this time
The pull ring 32 of two tension wire drawings 31 of 1 main body upper end of stitching unstrument ontology is pulled up, pull ring 32 drives tension wire drawing 31 drawing
It strains at and is moved axially upwards inside silk braid 33, in the state that clamping 31 front end apex angle of wire drawing is fixed, at cubic slot 141
Two and neat elongated tightening state can be drawn as by clamping wire drawing 31.The tension wire drawing 31 of tightening state will penetrate silicagel pad
142 sections of suture clamps, to play the role of double limitation to sewing needle 42, so that sewing needle 42 is stranded in silica gel completely
It is fixed below pad 142.Driving lever 132 is called back to the initial side of driving lever slot 162 at this time, the upper top under the rotation of lower apical tooth seat 13
Toothholder 22 be reset to the intermeshing minimum altitude state of lower apical tooth seat 13, axial push-pull shaft 21 drives stitching unstrument ontology at this time
End 12 moves down, and the spacing of stitching unstrument ontology end 12 and spring top pillar 23 is in maximum rating, and fagging 15 is by wing plate 14
It is pulled to downward closed configuration, sewing needle 42 drives 43 synchronizing moving of suture to 142 inside of silicagel pad at this time, so that suture 43
It is moved to after being penetrated from wound on the downside of wound.At this time by the suture 43 of 17 inner section of guiding channel from guiding channel side to seam
It is detached from 173, so that the region at suture except end is detached from 1 main body of stitching unstrument ontology.Then stitching unstrument ontology 1 is controlled
The end cap pull ring 161 of main body is lifted up, and device is proposed from patient's wound, 43 port of suture mentions from wound therewith
Out, two ports of suture are upwardly separated from after proposition from sewing needle, then two end section setting fastenings of suture are knotted, and will
Suture, which is lifted up, to be straightened, so that each section of suture at tensioned state, passes through the U-shaped forked type of the lower end end of mandril 44 at this time
First 49 are stuck at 43 setting fastening knotting of suture and push down on, and close up so that patient's wound is under the tightening effect of suture 43,
Finally suture upper end is knotted again so that wound is able to maintain suture closed state, from the entire sewing process of side completion.
Innovative technology point of the invention and beneficial effect are at least are as follows:
1, mainly with easy to fall off in order to improve existing fascia stitching unstrument ontology suture in sewing process, while wing plate 14 is easy
The case where being got loose during the lifting of 1 main body of stitching unstrument ontology with silicagel pad 142 appearance；Upper and lower apical tooth seat cooperation can
Self-locking effect is all had in each state of opening and closing, and compares and can possess longer service life with existing stitching unstrument ontology
It is hardly damaged.
2,1 main body conical section lower end two sides of stitching unstrument ontology are fixedly connected with two blocks of wing plates 14, and wing plate 14 has a fixed width
Degree and the seam being fixedly connected with elastic deformation characteristic, the axial push-pull shaft of 1 body interior axial direction feather key of stitching unstrument ontology socket
The fagging 15 that clutch ontology end 12 is fixedly connected is connect with wing plate 14 to be played the role of wing plate to prop up opening and drop-down closure,
Axial push-and-pull axle sleeve 21 between spring top pillar 23 and stitching unstrument ontology end 12 is connected to spring 24, and spring 24 is always in pressure
Contracting state can make under can carrying out to wing plate 14 under the effect of shoring of spring 24 in driving lever when being allocated to original state side
Knob gas closes up effect.
3,1 main body upper end card of stitching unstrument ontology has lower apical tooth seat 13 can be with the intermeshing of apical tooth seat 22 or ratchet on upside
It mutually jacks up, ratchet top plan can make jack-up state keep stablizing, and pass through rotation control using the opposite seat of apical tooth up and down
Spring top pillar 23 can effectively be controlled to control moving up and down for upper apical tooth seat by making lower apical tooth seat left-right rotation cooperation spring 24
With the spacing size between stitching unstrument ontology end 12, while the formation that upper apical tooth seat moves axially up and down is always 2 times of spine
Tooth height；Avoiding passing through hand pulling type pulls axial push-pull shaft that can not stroke be consistent every time, excessive so as to pulling force
Cause the spacing between spring top pillar 23 and stitching unstrument ontology end 12 excessive or the too small damage for causing wing plate 14 or fagging 15,
And upper and lower apical tooth seat cooperation can all have self-locking effect in each state of opening and closing and eliminate and be needed always by pulling control
Situations such as occur.
4, be provided with the cubic slot 141 piled along center line on two symmetrical wing plates 14, in cubic slot 141 its
In opposite two slot apex angles be located on center line, and cubic slot 141 is less than, four square grooves long by back side edge by front end edge is long
There is card inside the clamping spin bath 143 in hole 141 clamps wire drawing 31, clamps 31 both ends of wire drawing and is being placed on inside clamping wire drawing set 33 simultaneously
It is pulled out from 1 main body upper end of stitching unstrument ontology, clamp 31 interlude inflection of wire drawing and bends inflection according to cubic 141 shape of slot,
And inflection vertex clamps wire drawing and clamps the intermediate inflection section of clamping wire drawing 31 that spin bath 143 is fixed, inside cubic slot 141
With memory deformation characteristic, strain clamp, which strains at silk 31, can make the clamping wire drawing 31 of cubic 141 inner section of slot pull into two
And neat elongated tightening state, and the structure setting of short two edge lengths of the rear side length of two edge lengths of front side can to clamp wire drawing 31
There can be bigger clamping effect when pulling into elongated tightening state, so that be clamped completely will not for sewing needle 42
It is detached from.
5, the sewing needle push rod 41 of guidance progradation is played to sewing needle 42 and sewing needle 42 is sectional design, so that seam
Closing needle push rod 41 promotes sewing needle 42 to penetrate subcutaneous tissue, and segmented can make sewing needle 42 after completion penetrates movement with the wing
141 synchronizing moving of cubic slot of plate, and suture 43 is fixedly connected on 42 interlude outer wall of sewing needle, can suturing
Sewing needle 42 is lateral from being inserted into obliquely downward towards becoming under Equilibrium effect after needle 42 and sewing needle push rod 41 are detached from, and is stuck in folder
The lower section for straining at silk 31 Yu silicagel pad 142, allow sewing needle push rod 41 be limited completely will not pumpback pass through silicagel pad
142, and sewing needle push rod 41 is provided with step in the clamping cylindrical section root of front end, when sewing needle push rod 41 and sewing needle 42 block
Sewing needle rear end and sewing needle push rod 41 are formed with circumferential groove when fastening, convenient for passing through silica gel in sewing needle 41 pumpback of push rod
Pad 142 and clamp that the limit of wire drawing 31 is lower to be detached from sewing needle 42,41 back segment of sewing needle push rod be provided with axially penetrate through it is seamed can be with
The elastic ferrule 48 of elastic tightening tightens clamping to sewing needle push rod 41 and suture 43.
6,44 lower end of mandril at the knotting of pushing tow suture setting fastening is set a trap as the U-shaped fork shaped head of two sides protrusion interlude recess
49, the U-shaped fork shaped head 49 of 44 front end of mandril can pitch the knotting point of suture 43 to U-shaped fork shaped head 49, to push
The point that knots pushes down on, so that the tightening of suture 43 sutures wound.Traditional pushing tow means are that doctor passes through finger pushing tow, finger
It is more slightly easy to secondary tearing wound during pushing tow, while avoiding and suture can not be beaten by the limitation of finger length
It is pushed into suitable position under at knot, to cause suture incomplete.
7,1 main body of stitching unstrument ontology is provided with guiding channel 17 diagonally downward, and guiding channel 17 is used for sewing needle push rod 41
Guiding channel axis is towards the cubic slot 141 for opening rear fender 14, the guidance that guiding channel 17 is opened towards corresponding two sides
Laterally stitch 173 work convenient for being detached from suture interlude and stitching unstrument body party after suture 43 is completed to penetrate in channel
With.
The above is only a preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art
For member, various improvements and modifications may be made without departing from the principle of the present invention, these improvements and modifications are also answered
It is considered as protection scope of the present invention.
Claims (10)
1. a kind of suture with dual non-slip release mechanism, which declines, creates fascia stitching unstrument, which is characterized in that including stitching unstrument sheet
Body and the intrinsic self-locking mechanism of the stitching unstrument, the clamp system for clamping sewing needle are set, for pushing sewing needle
Transfer bar mechanism；Stitching unstrument housing cover and stitching unstrument body end are respectively arranged at the top and bottom of the stitching unstrument ontology
Head is provided with channel lumens in the stitching unstrument ontology, and card slot, setting in the card slot are provided on the stitching unstrument housing cover
There is lower apical tooth seat, several are provided on the lower apical tooth seat and has bevelled first ratchet；The self-locking mechanism includes socket
Axial push-pull shaft in the channel lumens and the upper apical tooth seat with the axial push-and-pull axis connection, the axial direction push-pull shaft and institute
The connection of stitching unstrument ontology end is stated, is provided with the second ratchet being meshed with first ratchet on the upper apical tooth seat, it is described
Rotatable driving lever is provided on lower apical tooth seat；The lower part two sides of the stitching unstrument ontology are provided with wing plate, and the wing plate is logical
It crosses fagging to connect with stitching unstrument ontology end, the wing plate and the fagging all have elasticity, are provided on the wing plate
Cubic slot, the four directions slot inner sealing have silicagel pad；The clamp system includes clamping wire drawing and pull ring, and the clamping is drawn
One end of silk is arranged in the inner wall of the cubic slot, and the other end for clamping wire drawing is connect with the pull ring, the drawing
Ring is on the stitching unstrument housing cover；The transfer bar mechanism includes sewing needle push rod and sewing needle, is connected on the sewing needle
It is connected to suture, the sewing needle is connected on the sewing needle push rod, and the sewing needle push rod can push the sewing needle to wear
Cross the silicagel pad.
2. a kind of suture with dual non-slip release mechanism according to claim 1, which declines, creates fascia stitching unstrument, special
Sign is, is provided in the four directions slot inner wall for placing the clamping spin bath for clamping wire drawing.
3. a kind of suture with dual non-slip release mechanism according to claim 2, which declines, creates fascia stitching unstrument, special
Sign is that the back segment for clamping wire drawing, which is socketed with, clamps wire drawing set.
4. a kind of suture with dual non-slip release mechanism according to claim 1, which declines, creates fascia stitching unstrument, special
Sign is that the stitching unstrument housing cover is connected with end cap, and end cap pull ring is provided on the end cap, and the end cap covers residence
Apical tooth seat is stated, driving lever slot is provided on the side wall of the end cap, the driving lever stretches out except the driving lever slot.
5. a kind of suture with dual non-slip release mechanism according to claim 4, which declines, creates fascia stitching unstrument, special
Sign is, is provided with guide groove, the guide groove and the inner wall that the channel lumens are arranged on the side wall of the axial direction push-pull shaft
On guide pad be mutually fitted into.
6. a kind of suture with dual non-slip release mechanism according to claim 5, which declines, creates fascia stitching unstrument, special
Sign is that the bottom of the axial direction push-pull shaft, which passes through, to be arranged in the intrinsic spring top pillar of the stitching unstrument and the stitching unstrument sheet
Body end head connects, and is cased with spring on the axial direction push-pull shaft, the spring is in the spring top pillar and the stitching unstrument ontology
Between end.
7. a kind of suture with dual non-slip release mechanism according to claim 1, which declines, creates fascia stitching unstrument, special
Sign is that one end of the sewing needle push rod is provided with grip block, and the grip block is on the stitching unstrument housing cover, institute
Suture is stated to be clamped on the sewing needle push rod by elastic ferrule.
8. a kind of suture with dual non-slip release mechanism according to claim 7, which declines, creates fascia stitching unstrument, special
Sign is, the end of the sewing needle push rod is provided with clamping cylindrical section, the end of the sewing needle be provided with for it is described
The clamping slot of clamping cylindrical section clamping.
9. a kind of suture with dual non-slip release mechanism according to claim 1, which declines, creates fascia stitching unstrument, special
Sign is, is provided in the stitching unstrument ontology and can be used for the guiding channel that the suture passes through, before the guiding channel
Both ends are respectively arranged with guiding channel import and guiding channel outlet afterwards, be provided on the side wall of the stitching unstrument ontology with it is described
The guiding channel that guiding channel communicates laterally stitches.
10. a kind of suture with dual non-slip release mechanism according to claim 1, which declines, creates fascia stitching unstrument, special
Sign is that the transfer bar mechanism further includes mandril, and the jack end is provided with U-shaped fork shaped head.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910177716.1A CN109717917A (en) | 2019-03-10 | 2019-03-10 | Suture with dual non-slip release mechanism, which declines, creates fascia stitching unstrument |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910177716.1A CN109717917A (en) | 2019-03-10 | 2019-03-10 | Suture with dual non-slip release mechanism, which declines, creates fascia stitching unstrument |
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| Publication Number | Publication Date |
|---|---|
| CN109717917A true CN109717917A (en) | 2019-05-07 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910177716.1A Pending CN109717917A (en) | 2019-03-10 | 2019-03-10 | Suture with dual non-slip release mechanism, which declines, creates fascia stitching unstrument |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN114569173A (en) * | 2022-03-02 | 2022-06-03 | 中南大学湘雅医院 | Stitching instrument for laparoscopic surgery |
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| US20120035623A1 (en) * | 2009-01-12 | 2012-02-09 | Celso Bagaoisan | Apparatus and methods for tissue closure |
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