CN110123424B - Puncture outfit for inflation-free transoral endoscopic thyroid surgery - Google Patents
Puncture outfit for inflation-free transoral endoscopic thyroid surgery Download PDFInfo
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- CN110123424B CN110123424B CN201910423203.4A CN201910423203A CN110123424B CN 110123424 B CN110123424 B CN 110123424B CN 201910423203 A CN201910423203 A CN 201910423203A CN 110123424 B CN110123424 B CN 110123424B
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- 238000001356 surgical procedure Methods 0.000 title claims abstract description 25
- 210000001685 thyroid gland Anatomy 0.000 title claims abstract description 18
- 238000007789 sealing Methods 0.000 claims abstract description 25
- 230000000149 penetrating effect Effects 0.000 claims description 19
- 238000000034 method Methods 0.000 abstract description 10
- 239000000779 smoke Substances 0.000 abstract description 9
- 239000000725 suspension Substances 0.000 abstract description 4
- 239000003814 drug Substances 0.000 abstract description 2
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 18
- 229910002092 carbon dioxide Inorganic materials 0.000 description 9
- 230000008569 process Effects 0.000 description 3
- 230000000007 visual effect Effects 0.000 description 3
- 206010008342 Cervix carcinoma Diseases 0.000 description 2
- 208000006105 Uterine Cervical Neoplasms Diseases 0.000 description 2
- 238000005273 aeration Methods 0.000 description 2
- 201000010881 cervical cancer Diseases 0.000 description 2
- 208000005189 Embolism Diseases 0.000 description 1
- 208000003898 Mediastinal Emphysema Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 206010050184 Pneumomediastinum Diseases 0.000 description 1
- 206010042344 Subcutaneous emphysema Diseases 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 239000001569 carbon dioxide Substances 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000009297 electrocoagulation Methods 0.000 description 1
- 239000012634 fragment Substances 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 239000002245 particle Substances 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 238000004393 prognosis Methods 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 238000005406 washing Methods 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 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
- A61B17/00234—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
- A61B17/34—Trocars; Puncturing needles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
Abstract
The invention belongs to the technical field of clinical medicine common surgery, and particularly relates to a puncture outfit for inflation-free transoral endoscopic thyroid surgery, which comprises an operation hole puncture outfit and an observation hole puncture outfit, wherein the operation hole puncture outfit comprises an operation hole puncture sheath, a puncture core and a sealing ring, and an exhaust pipe is arranged on the outer wall of the operation hole puncture sheath; the observation hole puncture outfit comprises an observation hole puncture sheath and a puncture core. Compared with the prior art, the invention has the following advantages: the puncture outfit can smoothly complete the inflation-free transoral endoscopic thyroid surgery by matching with the percutaneous suspension method for maintaining the operation space; the structure and the specification of the observation hole puncture outfit and the operation hole puncture outfit are optimized, the operation space is adjusted from the traditional inflation positive pressure state to the non-inflation negative pressure state, and a gas flow is formed in the operation space, so that smoke is discharged, and the clear view of the operation is ensured; in addition, the puncture outfit structure is simplified, so that the puncture outfit base is reduced, and the mutual interference of the puncture outfit bases is avoided.
Description
Technical Field
The invention belongs to the technical field of clinical medicine common surgery, and particularly relates to a puncture outfit for inflation-free transoral endoscopic thyroid surgery.
Background
In the traditional endoscopic thyroid surgery process, surgical smoke is often generated by using ultrasonic surgical knife, electrocoagulation hook and other instruments, and consists of 95% of water or vapor and 5% of cell fragments existing in particle form, so that the visual field in the surgery can be affected, potential harm to the health of operating room personnel can be caused, and in the prior art, a CO2 inflation method is mostly adopted, so that the surgical space is maintained, and the smoke in the surgical space can be discharged. However, CO2 aeration is at risk of causing diseases such as subcutaneous emphysema, mediastinal emphysema, hypercarbonemia, and carbon dioxide embolism. Moreover, a recent study on cervical cancer reports that the prognosis of laparoscopic cervical cancer surgery is poor relative to abdominal open surgery, and the analysis of the cause may be related to the spread of tumors caused by CO2 aeration. Therefore, the operation is a better choice by adopting the inflation-free method, but the operation difficulty is high, and the operation is reported at home and abroad. In the endoscopic thyroid surgery, a suspension method is used for maintaining a surgery operation space, and the subcutaneous surgery space is established by suspending the anterior cervical flap in the surgery process, so that the space maintenance effect same as CO2 inflation can be achieved, and related complications caused by CO2 inflation in the surgery can be effectively avoided. Also, the method of non-inflatable suspension also requires solving the problem of smoke generated by the surgical procedure, requiring continuous evacuation to remove the smoke to maintain a clear surgical field of view. However, the traditional endoscopic surgical puncture outfit has the defects that the traditional puncture outfit has smaller diameter, and the gas flow is limited when the insertion instrument is operated, so that the smoke is not smoothly discharged; in order to prevent CO2 gas leakage, the traditional puncture outfit is provided with an air leakage prevention device on the puncture outfit base, so that the operation base is obviously thickened, and the operation is performed through the stomatoscope thyroid gland. In order to solve the problems, the traditional inflatable cavity mirror puncture outfit is improved.
Disclosure of Invention
The invention aims to solve the problems that the existing puncture outfit is provided with a base, and a plurality of puncture outfits are mutually interfered when being used simultaneously, and smoke influences the field of view in operation, and the like, and provides a puncture outfit for a non-inflatable transoral endoscopic thyroid operation.
The invention is realized by the following technical scheme: a puncture outfit for inflation-free transoral endoscopic thyroid surgery comprises an operation hole puncture outfit and an observation hole puncture outfit,
The observation hole puncture device comprises an observation hole puncture sheath and a puncture core, wherein a columnar through hole penetrating through the observation hole puncture sheath is arranged in the observation hole puncture sheath, the puncture core is movably connected with the observation hole puncture sheath, the puncture core is provided with a puncture conical head, the inner diameter of the observation hole puncture sheath is matched with the outer diameter of the puncture core, and the inner diameter of the observation hole puncture sheath is larger than the outer diameter of a laparoscope lens with the diameter of 10 mm;
the operation hole puncture device comprises an operation hole puncture sheath, a puncture core and a sealing ring, wherein a column-shaped through hole penetrating through the operation hole puncture sheath is arranged in the operation hole puncture sheath, the puncture core is movably connected with the operation hole puncture sheath, the outer wall of the operation hole puncture sheath is provided with an exhaust pipe communicated with the operation hole puncture sheath, an exhaust valve is arranged on the exhaust pipe, the inlet end of the operation hole puncture sheath is provided with a table-shaped bulge, the inner diameter of the operation hole puncture sheath is matched with the outer diameter of the puncture core, and the inner diameter of the operation hole puncture sheath is larger than the outer diameter of an operation tool with the diameter of 5mm penetrating through the operation hole puncture sheath;
The sealing ring is a cylinder with an opening at one end and a cylindrical empty groove, the sealing ring is sleeved outside the boss, one side of the sealing ring, which is far away from the opening, is provided with a circular through hole, and the inner diameter of the circular through hole is the same as the outer diameter of the surgical tool penetrating through the operating hole puncture sheath.
Wherein, the left end of the puncture sheath of the observation hole is an oblique incision, and the periphery of the opening at the right end is provided with an annular table protruding outwards; the left end of the operation hole puncture sheath is an oblique incision, an annular table protruding outwards is arranged on the outer periphery of the right sheath body, and a table-shaped protrusion is arranged on the right end.
When the inflation-free transoral endoscopic thyroid surgery is performed, operation hole puncture outfits are arranged on two sides and used for penetrating surgical tools with the outer diameter of 5mm, and observation hole puncture outfits in the middle are used for penetrating a 10mm endoscope;
the exhaust pipe is connected with a negative pressure aspirator;
the inner diameter of the observation hole puncture sheath is 12mm, the length of the observation hole puncture sheath is 170mm, and the outer diameter of a lens of a cavity mirror penetrating through the observation hole puncture sheath is 10mm;
The inner diameters of the two operation hole puncture sheaths are 6.5mm, and the lengths of the two operation hole puncture sheaths are 170mm; the inner diameter of the circular through hole on the sealing ring is 5mm, and the outer diameter of the surgical tool penetrating through the puncture sheath of the observation hole is 5mm.
The bottom of observation hole puncture sheath and operation hole puncture sheath evenly is equipped with a plurality of gas pockets, can help the gas circulation.
The inner wall of the opening side of the sealing ring is provided with an annular convex clamp, so that the sealing performance of the sealing ring and the puncture sheath of the operation hole can be further improved, and the sliding is prevented.
In the operation, an observation hole puncture outfit is arranged in the middle of an operation position and is used for observing the condition in an operation space, operation hole puncture outfits are arranged at two sides of the operation position, the traditional operation space is filled with CO2 of 6mmHg by the observation hole puncture outfits, so that a positive pressure space is formed in the operation space, CO2 is discharged by matching with an exhaust pipe on the operation hole puncture outfits, the operation space is obtained by adopting a suspension method in the prior art, then the observation hole puncture outfits and the operation hole puncture outfits with relatively simple structures are arranged, the exhaust pipe is arranged outside the two operation hole puncture outfits, one operation hole puncture outfit is connected with a negative pressure suction device, a certain gap is formed between the observation hole puncture outfits and equipment arranged in the operation hole puncture outfits, the negative pressure suction device forms negative pressure in the operation space, the operation hole puncture outfits enable the operation space to be communicated with the outside air, the outside air is discharged from an observation hole puncture sheath or an operation hole puncture sheath under the action of the negative pressure suction device, and a flowing air flow is formed in the operation space, and smoke generated in the operation space can be discharged in a clear view in the operation process; meanwhile, due to reasonable design (pipe diameter adjustment and base cancellation) of the observation hole puncture outfit and the operation hole puncture outfit, the plurality of puncture outfits can be prevented from interfering with each other when being arranged side by side.
Compared with the prior art, the invention has the following advantages: through optimizing structure and specification of observation hole puncture ware and operation hole puncture ware, adjust operation space by traditional malleation state to negative pressure state, form the gas flow in operation space, make smog discharge, guarantee the washing of operation visual field, can also guarantee that operation has sufficient space, owing to simplified puncture ware structure in addition, make a plurality of puncture ware rear sides have more space convenient operation each other, can effectively avoid the too big interference that causes the operation of apparatus.
Drawings
FIG. 1 is a schematic view of the structure of the puncture outfit for observation holes according to the present invention.
FIG. 2 is a schematic view of the structure of the operation hole puncture outfit according to the present invention.
Fig. 3 is a cross-sectional view of the seal ring in example 1.
Fig. 4 is a cross-sectional view of the seal ring in example 2.
Fig. 5 is a top view of the seal ring.
Fig. 6 is a schematic view of the use state in example 1.
Fig. 7 is a schematic view of the use state in example 2.
Wherein, 1-puncture core, 11-puncture conical head, 2-observation hole puncture sheath, 3-observation hole puncture ware, 4-operation hole puncture sheath, 41-platform type arch, 5-blast pipe, 51-exhaust valve, 6-operation hole puncture ware, 7-sealing washer, 71-column type empty slot, 72-circular through-hole, 73-annular protruding card, 8-gas pocket, A-direction of admitting air, B-direction of exhausting.
Detailed Description
For the purpose of making the objects, technical solutions and advantages of the embodiments of the present invention more apparent, the technical solutions of the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention, and it is apparent that the described embodiments are some embodiments of the present invention, but not all embodiments. All other embodiments, based on the embodiments of the invention, which are apparent to those of ordinary skill in the art without inventive faculty, are intended to be within the scope of the invention. Thus, the following detailed description of the embodiments of the invention, as presented in the figures, is not intended to limit the scope of the invention, as claimed, but is merely representative of selected embodiments of the invention. All other embodiments, based on the embodiments of the invention, which are apparent to those of ordinary skill in the art without inventive faculty, are intended to be within the scope of the invention. In the description of the present invention, it should be understood that the terms "upper", "lower", "front", "rear", "left", "right", "one end", "one side", "end", "entrance end", "inner", "outer", etc. indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, are merely for convenience in describing the present invention and simplifying the description, and do not indicate or imply that the device or element in question must have a specific orientation, be configured and operated in a specific orientation, and thus should not be construed as limiting the present invention.
In the present invention, the term "movably coupled" is to be interpreted broadly as referring to the interaction relationship of two elements, unless explicitly stated and defined otherwise. The specific meaning of the above terms in the present invention can be understood by those of ordinary skill in the art according to the specific circumstances.
1-5, A puncture outfit for a non-inflatable transoral endoscopic thyroid surgery comprises an operation hole puncture outfit 6 and a viewing hole puncture outfit 3, wherein the viewing hole puncture outfit 3 comprises a viewing hole puncture sheath 2 and a puncture core 1, a cylindrical through hole penetrating through the viewing hole puncture sheath 2 is arranged in the viewing hole puncture sheath 2, the puncture core 1 is movably connected with the viewing hole puncture sheath 2, the puncture core 1 is provided with a puncture conical head 11, the inner diameter of the viewing hole puncture sheath 2 is matched with the outer diameter of the puncture core 1, and the inner diameter of the viewing hole puncture sheath 2 is larger than the outer diameter of a surgical tool penetrating through the viewing hole puncture sheath 2;
The operation hole puncture device 6 comprises an operation hole puncture sheath 4, a puncture core 1 and a sealing ring 7, wherein a column-shaped through hole penetrating through the operation hole puncture sheath 4 is formed in the operation hole puncture sheath 4, the puncture core 1 is movably connected with the operation hole puncture sheath 4, an exhaust pipe 5 communicated with the operation hole puncture sheath 4 is arranged on the outer wall of the operation hole puncture sheath 4, an exhaust valve 51 is arranged on the exhaust pipe 5, a table-shaped bulge 41 is arranged at the inlet end of the operation hole puncture sheath 4, the inner diameter of the operation hole puncture sheath 4 is matched with the outer diameter of the puncture core 1, and the inner diameter of the operation hole puncture sheath 4 is larger than the outer diameter of an operation tool penetrating through the operation hole puncture sheath 4;
The sealing ring 7 is a cylinder with an opening at one end and a cylindrical hollow groove 71, the sealing ring 7 is sleeved outside the table-shaped bulge 41, one side of the sealing ring 7 away from the opening is provided with a circular through hole 72, and the inner diameter of the circular through hole 72 is the same as the outer diameter of the surgical tool penetrating through the operating hole puncture sheath 4.
Wherein, the left end of the puncture sheath 2 of the observation hole is an oblique incision, the periphery of the opening at the right end is provided with an annular table (not shown in the figure) protruding outwards, and the annular table is matched with the tail end of the puncture core 1; the left end of the operation hole puncture sheath 4 is an oblique incision, the outer periphery of the right sheath is provided with an annular table protruding outwards, and the right end is provided with a table-shaped protrusion 41.
The puncture device is used in the method that after the puncture device is led into the corresponding position by utilizing the puncture core, the puncture core is pulled out and the corresponding operation tool is plugged in for operation, the puncture sheath in the puncture device is supplemented at the corresponding position by combining with fig. 6, the operation tool in the puncture sheath is not shown, fig. 6 only shows the corresponding position of the puncture device for the non-inflatable transoral endoscopic thyroid operation, the air inlet direction is shown as A, and the air outlet direction is shown as B.
Example 1
As shown in fig. 6, there are 1 exhaust passage and two intake passages, specifically, the inner diameter of the puncture sheath 2 of the observation hole is 12mm, the length is 170mm, the outer diameter of the surgical tool penetrating through the puncture sheath 2 of the observation hole is 10mm, and the inlet of the puncture sheath is the intake passage; the inner diameter of the puncture sheath 4 of 1 operation hole is 6.5mm, and the length is 170mm; the inner diameter of the circular through hole 72 on the sealing ring 7 is 5mm, the exhaust pipe of the puncture sheath is an exhaust passage, and the sealing ring ensures the sealing of the rear end. The inner diameter of the puncture sheath 4 of the other 1 operation hole is 6.5mm, and the length is 170mm; the exhaust valve is opened for the intake passage.
Example 2
As shown in fig. 4 and 7, the bottom parts of the observation hole puncture sheath 2 and the operation hole puncture sheath 4 are uniformly provided with a plurality of air holes 8, which can facilitate the circulation of air.
The inner wall of the opening side of the sealing ring 7 is provided with an annular convex clamp 73, so that the tightness of the sealing ring 7 and the operation hole puncture sheath 4 can be further improved, and the sliding is prevented.
The remainder was the same as in example 1.
The embodiment can realize that the operation space is in a negative pressure state, gas flow is formed in the operation space, smoke is discharged, the operation visual field is ensured to be cleaned, the operation is ensured to have enough space, and in addition, the puncture outfit structure is simplified, so that the puncture outfits have more space between the puncture outfits, the operation is convenient, and the interference caused by overlarge instruments to the operation can be effectively avoided.
The foregoing description of the preferred embodiments of the invention is not intended to be limiting, but rather is intended to cover all modifications, equivalents, and alternatives falling within the spirit and principles of the invention.
Claims (5)
1. The puncture outfit for the inflation-free transoral endoscopic thyroid surgery comprises an operation hole puncture outfit and an observation hole puncture outfit, and is characterized in that the observation hole puncture outfit comprises an observation hole puncture sheath and a puncture core, a cylindrical through hole penetrating through the observation hole puncture sheath is arranged in the observation hole puncture sheath, the puncture core is movably connected with the observation hole puncture sheath, the puncture core is provided with a puncture conical head, the inner diameter of the observation hole puncture sheath is matched with the outer diameter of the puncture core, and the inner diameter of the observation hole puncture sheath is larger than the outer diameter of a laparoscope lens with the diameter of 10 mm;
The operation hole puncture device comprises an operation hole puncture sheath, a puncture core and a sealing ring, wherein a column-shaped through hole penetrating through the operation hole puncture sheath is formed in the operation hole puncture sheath, the puncture core is movably connected with the operation hole puncture sheath, an exhaust pipe communicated with the operation hole puncture sheath is arranged on the outer wall of the operation hole puncture sheath, an exhaust valve is arranged on the exhaust pipe, the exhaust pipe is connected with a negative pressure aspirator, a table-shaped bulge is arranged at the inlet end of the operation hole puncture sheath, the inner diameter of the operation hole puncture sheath is matched with the outer diameter of the puncture core, and the inner diameter of the operation hole puncture sheath is larger than the outer diameter of an operation tool with the diameter of 5mm penetrating through the operation hole puncture sheath;
the sealing ring is a cylinder with an opening at one end and a cylindrical hollow groove, the sealing ring is sleeved outside the platform-shaped bulge, a circular through hole is formed in one side, far away from the opening, of the sealing ring, and the inner diameter of the circular through hole is the same as the outer diameter of an operation tool penetrating through the operation hole puncture sheath;
The left end of the observation hole puncture sheath is an oblique incision, and the periphery of the opening at the right end is provided with an annular table protruding outwards; the left end of the operation hole puncture sheath is an oblique incision, an annular table protruding outwards is arranged on the outer periphery of the right sheath body, and a table-shaped protrusion is arranged on the right end.
2. The puncture outfit for non-inflatable transoral endoscopic thyroid surgery according to claim 1, wherein the inner diameter of the operation hole puncture sheath is 6.5mm and the length is 170mm; the inner diameter of the circular through hole on the sealing ring is 5mm.
3. The puncture outfit for non-inflatable transoral endoscopic thyroid surgery according to claim 1, wherein the inner diameter of the puncture sheath of the observation hole is 12mm, the length is 170mm, and the outer diameter of the endoscope lens penetrating through the puncture sheath of the observation hole is 10mm.
4. The puncture outfit for non-inflatable transoral endoscopic thyroid surgery according to claim 1, wherein a plurality of air holes are uniformly arranged at the bottoms of the observation hole puncture sheath and the operation hole puncture sheath.
5. The puncture outfit for non-inflatable transoral endoscopic thyroid surgery according to claim 1, wherein an annular protruding clip is arranged on the inner wall of the opening side of the sealing ring.
Priority Applications (1)
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CN201910423203.4A CN110123424B (en) | 2019-05-21 | 2019-05-21 | Puncture outfit for inflation-free transoral endoscopic thyroid surgery |
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CN201910423203.4A CN110123424B (en) | 2019-05-21 | 2019-05-21 | Puncture outfit for inflation-free transoral endoscopic thyroid surgery |
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CN110123424A CN110123424A (en) | 2019-08-16 |
CN110123424B true CN110123424B (en) | 2024-05-03 |
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CN110448366A (en) * | 2019-09-23 | 2019-11-15 | 常州安康医疗器械有限公司 | A kind of puncture cannula device for laparoscope puncture outfit |
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JP4142369B2 (en) * | 2002-08-07 | 2008-09-03 | オリンパス株式会社 | Endoscopic treatment system |
CN105963809B (en) * | 2016-05-26 | 2018-11-13 | 广州医科大学附属第一医院 | A kind of percutaneous puncture visually rinses attraction system and its application method |
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CN201104909Y (en) * | 2007-09-26 | 2008-08-27 | 朱江帆 | Puncture casing tube for umbilical approach operation |
CN201389064Y (en) * | 2009-04-14 | 2010-01-27 | 上海市东方医院 | Puncture outfit for scarless surgery |
CN103284789A (en) * | 2012-02-29 | 2013-09-11 | 上海市东方医院 | Incision protector capable of scar hiding for minimal invasive surgery and minimal invasive surgery component adopting same |
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