CN110464432A - A kind of surgical instrument being used cooperatively with arthroscope - Google Patents
A kind of surgical instrument being used cooperatively with arthroscope Download PDFInfo
- Publication number
- CN110464432A CN110464432A CN201910845395.8A CN201910845395A CN110464432A CN 110464432 A CN110464432 A CN 110464432A CN 201910845395 A CN201910845395 A CN 201910845395A CN 110464432 A CN110464432 A CN 110464432A
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- CN
- China
- Prior art keywords
- casing
- epitheca
- used cooperatively
- surgical instrument
- arthroscope
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 241000463219 Epitheca Species 0.000 claims abstract description 34
- 230000006835 compression Effects 0.000 claims abstract description 15
- 238000007906 compression Methods 0.000 claims abstract description 15
- 239000000463 material Substances 0.000 claims abstract description 6
- 229920003023 plastic Polymers 0.000 claims abstract description 6
- 239000004033 plastic Substances 0.000 claims abstract description 6
- 230000033228 biological regulation Effects 0.000 claims description 13
- NJPPVKZQTLUDBO-UHFFFAOYSA-N novaluron Chemical compound C1=C(Cl)C(OC(F)(F)C(OC(F)(F)F)F)=CC=C1NC(=O)NC(=O)C1=C(F)C=CC=C1F NJPPVKZQTLUDBO-UHFFFAOYSA-N 0.000 claims description 5
- 239000007788 liquid Substances 0.000 abstract description 11
- 238000001356 surgical procedure Methods 0.000 abstract description 11
- 230000010412 perfusion Effects 0.000 abstract description 9
- 230000000694 effects Effects 0.000 abstract description 3
- 238000010586 diagram Methods 0.000 description 8
- 238000000034 method Methods 0.000 description 6
- 210000001519 tissue Anatomy 0.000 description 6
- 206010015866 Extravasation Diseases 0.000 description 5
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 5
- 230000036251 extravasation Effects 0.000 description 5
- 238000001802 infusion Methods 0.000 description 5
- 239000011780 sodium chloride Substances 0.000 description 5
- 210000005257 cortical tissue Anatomy 0.000 description 4
- 210000000281 joint capsule Anatomy 0.000 description 4
- 210000003491 skin Anatomy 0.000 description 4
- 238000005336 cracking Methods 0.000 description 2
- 230000007423 decrease Effects 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 208000001953 Hypotension Diseases 0.000 description 1
- 206010029803 Nosocomial infection Diseases 0.000 description 1
- 208000035965 Postoperative Complications Diseases 0.000 description 1
- 210000003423 ankle Anatomy 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 206010010121 compartment syndrome Diseases 0.000 description 1
- 238000012790 confirmation Methods 0.000 description 1
- 210000001513 elbow Anatomy 0.000 description 1
- 210000002615 epidermis Anatomy 0.000 description 1
- 239000000284 extract Substances 0.000 description 1
- 210000003414 extremity Anatomy 0.000 description 1
- 238000002695 general anesthesia Methods 0.000 description 1
- 230000036543 hypotension Effects 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 230000002045 lasting effect Effects 0.000 description 1
- 201000002818 limb ischemia Diseases 0.000 description 1
- 230000013011 mating Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 230000008961 swelling Effects 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- 230000008728 vascular permeability Effects 0.000 description 1
- 210000000707 wrist Anatomy 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
- 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
- A61B17/34—Trocars; Puncturing needles
- A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
-
- 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
- A61B17/3478—Endoscopic needles, e.g. for infusion
-
- 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
-
- 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
- A61B2017/3419—Sealing means between cannula and body
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)
- Endoscopes (AREA)
Abstract
The invention discloses a kind of surgical instruments being used cooperatively with arthroscope, the epitheca cylinder of set core bar and plastic material provided with casing, with cone head;The epitheca cylinder is sleeved between casing both ends, the compression folding region for changing epitheca tube length degree is equipped in epitheca cylinder right part, casing right end is equipped with the boss shoulder for stopping epitheca cylinder right end, and the set core bar is located inside pipe casing and cone head is reached to the outside of casing right part.Its advantageous effects is: not only solving the problem of joint perfusion liquid exosmoses to tissue space, casing bit can be secured firmly in articular cavity simultaneously, solve the problems, such as to cause cannula system to skid off because replacing arthroscopic instrument in art repeatedly.So that surgical procedure is convenient and simple, operating time is greatly saved, effectively reduces incidence of complications.
Description
Technical field
The present invention relates to the field of medical instrument technology, especially a kind of surgical instrument being used cooperatively with arthroscope.
Background technique
In recent years, arthrocsopic surgery is widely used in orthopaedics and medicine in field of sports medicine.Current clinically used pass
It saves mirror and controls articular cavity internal capillary angiorrbagia by saline infusions, satisfied mirror downward view is obtained with this.Lasting
It is a relatively closed space that saline infusions, which require articular cavity, this is in simple single channel or binary channels arthrocsopic surgery
In be typically easy to realize.However, complicated arthrocsopic surgery generally requires to establish multiple arthroscope channels, and seen in operation
It examines and needs frequent transitions between channel and operating walk way, saline infusions liquid extravasation at this time, which becomes, restricts what operation was gone on smoothly
" speed limit link ".
Theoretically, saline infusions liquid extravasation will lead to following problem: perfusion pressure reduces in 1. articular cavities, hair
Thin angiorrbagia increases, and mirror downward view is fuzzy;2. joint cavity volume declines, operating space reduces;3. the tissue other than articular cavity
Gap swelling increases the incidence of postoperative osteofascial compartment syndrome;4. epidermis notch and joint capsule notch because perfusion liquid exosmose to
Tissue space and separate, arthroscope channel patency decline;5. a large amount of joint perfusion liquid extravasations, contaminated operation platform are easy to cause
Hospital-acquired infection.
To reduce the extravasation of saline infusions liquid, clinically capillary can be reduced by using the method for tourniquet and gone out
Blood, but this method is only applicable to the arthrocsopic surgery of knee, ankle, elbow, wrist these distal limbs, and the time that tourniquet uses also needs
It strictly to limit, typically not greater than 1.5 hours, otherwise be easy to cause the generation of postoperative limb ischemia complication.In addition, needle
To hip, this kind of operation for not being available tourniquet of shoulder, hair clinically is reduced usually using the method for controlled hypotension in general anesthesia patients
Thin Vascular permeability pressure, but this method will cause the decline of patient's cranium brain blood pressure, so also there is stringent limitation to the operating time.
To solve the above problems, it is dedicated to need to develop a kind of arthrocsopic surgery easy to use, that structure is simple, safe and practical
Mating instrument, this is that one of completing for task is currently badly in need of in this field.
Summary of the invention
Technical problem to be solved by the invention is to provide a kind of surgical instruments being used cooperatively with arthroscope, can prevent
Perfusion liquid exosmoses to external or tissue space in arthrocsopic surgery, has the patency for guaranteeing arthroscope channel, thoroughly eliminates and close
The characteristics of perfusion liquid extravasation brings a negative impact surgical procedure in section videoendoscopic surgery.
In order to solve the above technical problems, the technical scheme adopted by the invention is that: a kind of hand being used cooperatively with arthroscope
Art instrument, the epitheca cylinder of set core bar and plastic material including casing, with cone head;The epitheca cylinder is sleeved on casing both ends
Between, the compression folding region for changing epitheca tube length degree is equipped in epitheca cylinder right part, casing right end, which is equipped with, stops epitheca cylinder right end
Boss shoulder, the set core bar are located inside pipe casing and cone head are reached to the outside of casing right part.
The surgical instrument that a kind of above-mentioned and arthroscope is used cooperatively, the compression folding region are to be evenly arranged on epitheca cylinder right part
Multiple transverse directions on circumferential surface are cracked, and make place's compression generation folded deformation that laterally cracks by the thrust on the left of epitheca cylinder to the right.
The surgical instrument that a kind of above-mentioned and arthroscope is used cooperatively further includes regulation handle and branched pipe, the epitheca
Cylinder left end is equipped with regulation handle, and the regulation handle left end is equipped with curve end face, and described sleeve pipe left part is additionally provided with branched pipe, described
Curve end face and branched pipe periphery face contact are additionally provided with the annular convex platform docked with set core bar in casing left part.
The surgical instrument that a kind of above-mentioned and arthroscope is used cooperatively, further includes spacing collar, and the spacing collar is plastics material
The taper type of matter is simultaneously equipped with centre bore, and spacing collar is sleeved on regulation handle and compresses on the casing between folding region.
The surgical instrument that a kind of above-mentioned and arthroscope is used cooperatively, equipped with being connected with inside pipe casing on the branched pipe
Valve, valve is equipped with connecting band with casing connection.
The surgical instrument that a kind of above-mentioned and arthroscope is used cooperatively, set core bar left end are equipped with clamping end and limitation
The pedestal plectane of casing connection depth is equipped with trigone T tail between clamping end and pedestal plectane.
A kind of surgical instrument being used cooperatively with arthroscope provided by the invention, provided with casing, the set with cone head
The epitheca cylinder of core bar and plastic material;The epitheca cylinder is sleeved between casing both ends, is equipped in epitheca cylinder right part and is changed epitheca
The compression folding region of tube length degree, casing right end are equipped with the boss shoulder for stopping epitheca cylinder right end, and the set core bar is located inside pipe casing
And cone head is reached to the outside of casing right part.Its advantageous effects is: being pierced into using cone head by scalpel edge
Joint capsule enters in articular cavity, pushes regulation handle in epitheca cylinder left end, makes place's compression generation folded deformation that laterally cracks, is located at
Skin histology between compression folding region and spacing collar is compacted, and is not only solved joint perfusion liquid and is exosmosed asking to tissue space
The present apparatus can be secured firmly in articular cavity by topic simultaneously, and solve causes to cover piping because replacing arthroscopic instrument in art repeatedly
The problem of system skids off.So that surgical procedure is convenient and simple, operating time is greatly saved, effectively reduces postoperative complications
Rate.
Detailed description of the invention
Fig. 1 is the structural diagram of the present invention;
Fig. 2 is cannula structure schematic diagram of the invention;
Fig. 3 is epitheca barrel structure schematic diagram of the invention;
Fig. 4 is spacing collar structural schematic diagram of the invention;
Fig. 5 is set core bar structure schematic diagram of the invention;
Fig. 6 is that the epitheca cylinder in the present invention equipped with spacing collar is sleeved on the structural schematic diagram on casing;
Fig. 7 is the structural representation for pushing regulation handle that lateral place's compression of cracking is made to generate folded deformation in the present invention to the right
Figure;
Fig. 8 is the status architecture schematic diagram that the present invention enters by scalpel edge or exit patient cortical tissue;
Fig. 9 is that the present invention pushes to the right regulation handle, and patient cortical tissue is made to be limited circle and compress what folding region compressed
Structural schematic diagram.
Each part numbers in figure are as follows: trigone T tail 1, clamping end 2, pedestal plectane 3, branched pipe 4, valve 5, connecting band
6, epitheca cylinder 7, compression folding region 8, boss shoulder 9, cone head 10, lateral 11, folding impression 12, spacing collar 13, the adjusting handle of cracking
Hand 14, curve end face 15, casing 16, set core bar 17, patient cortical tissue 18, scalpel edge 19, annular convex platform 20.
Specific embodiment
In order to make the object, technical scheme and advantages of the embodiment of the invention clearer, below in conjunction with the embodiment of the present invention
In attached drawing, technical scheme in the embodiment of the invention is clearly and completely described, it is clear that described embodiment is
A part of the embodiments of the present invention, instead of all the embodiments.Based on the embodiments of the present invention, ordinary skill people
Member's every other embodiment obtained without making creative work, shall fall within the protection scope of the present invention.
As shown in figure 1-9, the working principle of the invention is introduced with reference to the accompanying drawing:
One, original state: (see Fig. 1) set core bar 17 is located in casing 16, the linear type item on pedestal plectane 3 and annular
The linear type groove kissing being arranged in boss 20, which merges, completes seamless connection.Epitheca cylinder 7 is initially closed state, and valve 5 is same
Sample is in and closes state.
Two, be placed in instrument of the present invention: (see Fig. 8, Fig. 9) cuts a scalpel edge first with scalpel on patient skin
19, then the instrument of the present invention of original state is pierced into subcutaneously by scalpel edge 19, and puncture joint capsule using cone head 10
Into in articular cavity.Secondly, determining position and the depth of instrument of the present invention under Arthroscopy.Regulation handle is pushed to the right
14, make the compression folding region 8 being located inside scalpel edge 19 in unfolded state, 7 length of epitheca cylinder shortens at this time, regulation handle 14
Curve end face 15 be kept in contact with branched pipe 4, stabilization withstand curve end face 15.Next, by spacing collar 13 along epitheca cylinder 7 to
Right sliding prevents arthroscope until confirmation spacing collar 13 and the compression folding region 8 of unfolded state compress patient cortical tissue 18
Perfusion liquid exosmoses to external or tissue space in operation.Finally, set core bar 17 is extracted from casing 16,
Three, surgical procedure: in (see Fig. 7) operative process, other arthroscopic instruments can be arranged inside casing 16
Unidirectional opening and closing piston is directly entered articular cavity.When joint cavity pressure is excessive, partial joint perfusion can be discharged by valve 5
Liquid adjusts pressure.Meanwhile articular cavity inner seam lines, episome can smoothly take out through casing 16;Further, since instrument of the present invention
Directly inside connection articular cavity and in vitro, external knot can be smoothly sent into articular cavity through 16 center of casing, effectively prevent closing
Mirror channel circumference soft tissue incarceration effect caused by knot is saved, surgical operation step is enormously simplified, has saved operation
Time.
Four, it extracts instrument of the present invention: after (see Fig. 8) operation, set core bar 17 is placed in again in casing 16 first, and
Regulation handle 14 is moved towards Zola under Arthroscopy, the transverse direction of epitheca cylinder 7 is made to crack at 11 in closed state.Limit is moved to left simultaneously
Position circle 13, unclamps the tissue space between joint capsule and skin, instrument of the present invention is slowly extracted external.Last skin suture,
Complete operation.
According to the announcement and introduction of description above, those skilled in the art in the invention can also be to above embodiment
Carry out change and modification appropriate.Therefore, the invention is not limited to the specific embodiments disclosed and described above, to this hair
Bright some modifications and changes should also be as falling into the scope of the claims of the present invention.In addition, although in this specification
It uses some specific terms, these terms are merely for convenience of description, does not limit the present invention in any way.
Claims (6)
1. a kind of surgical instrument being used cooperatively with arthroscope, it is characterised in that: including casing (16), with cone head (10)
Cover the epitheca cylinder (7) of core bar (17) and plastic material;The epitheca cylinder (7) is sleeved between casing (16) both ends, in epitheca cylinder
(7) right part is equipped with the compression folding region (8) for changing epitheca cylinder (7) length, and casing (16) right end, which is equipped with, stops epitheca cylinder (7) right end
Boss shoulder (9), it is internal and cone head (10) is reached casing (16) right part that the set core bar (17) is located at casing (16)
Outside.
2. a kind of surgical instrument being used cooperatively with arthroscope according to claim 1, it is characterised in that: the compression folding
Folded area (8) are that the multiple transverse directions being evenly arranged on epitheca cylinder (7) right part circumferential surface are cracked (11), to the right by epitheca cylinder (7) left side
The thrust compression at (11) that makes laterally to crack generates folded deformation.
3. a kind of surgical instrument being used cooperatively with arthroscope according to claim 2, it is characterised in that: further include adjusting
Handle (14) and branched pipe (4), epitheca cylinder (7) left end are equipped with regulation handle (14), and regulation handle (14) left end is set
Have curve end face (15), described sleeve pipe (16) left part is additionally provided with branched pipe (4), and the curve end face (15) and branched pipe (4) are outside
All face contacts are additionally provided with the annular convex platform (20) docked with set core bar (17) in casing (16) left part.
4. a kind of surgical instrument being used cooperatively with arthroscope according to claim 3, it is characterised in that: further include limit
It encloses (13), the spacing collar (13) is the taper type of plastic material and is equipped with centre bore, and spacing collar (13) is sleeved on regulation handle
(14) on the casing (16) between compression folding region (8).
5. a kind of surgical instrument being used cooperatively with arthroscope according to claim 4, it is characterised in that: the branched pipe
(4) valve (5) for being equipped on and being connected inside casing (16), valve (5) are equipped with the connecting band (6) connecting with casing (16).
6. a kind of surgical instrument being used cooperatively with arthroscope according to claim 5, it is characterised in that: the set core bar
(17) left end is equipped with the pedestal plectane (3) of clamping end (2) and limiting boot (16) connection depth, at clamping end (2) and bottom
Trigone T tail (1) is equipped between seat plectane (3).
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201910845395.8A CN110464432A (en) | 2019-09-05 | 2019-09-05 | A kind of surgical instrument being used cooperatively with arthroscope |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201910845395.8A CN110464432A (en) | 2019-09-05 | 2019-09-05 | A kind of surgical instrument being used cooperatively with arthroscope |
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Publication Number | Publication Date |
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CN110464432A true CN110464432A (en) | 2019-11-19 |
Family
ID=68515134
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CN201910845395.8A Pending CN110464432A (en) | 2019-09-05 | 2019-09-05 | A kind of surgical instrument being used cooperatively with arthroscope |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN112587177A (en) * | 2020-12-09 | 2021-04-02 | 北京世通瑞泰医疗器械有限公司 | Temporomandibular arthroscope instrument matched with temporomandibular arthroscope for use |
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US20050171470A1 (en) * | 2004-01-29 | 2005-08-04 | Cannuflow Incorporated | Atraumatic arthroscopic instrument sheath |
US20050203342A1 (en) * | 2004-01-29 | 2005-09-15 | Cannuflow Incorporated | Atraumatic arthroscopic instrument sheath |
CN201727547U (en) * | 2010-06-30 | 2011-02-02 | 中国人民解放军第三军医大学第一附属医院 | Arthroscope channel protective sheath catheter |
CN103431835A (en) * | 2013-08-09 | 2013-12-11 | 广州宝胆医疗器械科技有限公司 | Arthroscope with inflation air bags |
CN105962999A (en) * | 2016-04-20 | 2016-09-28 | 中国人民解放军第四军医大学 | Petal-shaped damping puncture apparatus for anterior mediastinum minimally invasive surgery and using method of puncture apparatus |
CN211066917U (en) * | 2019-09-05 | 2020-07-24 | 北京积水潭医院 | Surgical instrument matched with arthroscope for use |
-
2019
- 2019-09-05 CN CN201910845395.8A patent/CN110464432A/en active Pending
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20050171470A1 (en) * | 2004-01-29 | 2005-08-04 | Cannuflow Incorporated | Atraumatic arthroscopic instrument sheath |
US20050203342A1 (en) * | 2004-01-29 | 2005-09-15 | Cannuflow Incorporated | Atraumatic arthroscopic instrument sheath |
CN201727547U (en) * | 2010-06-30 | 2011-02-02 | 中国人民解放军第三军医大学第一附属医院 | Arthroscope channel protective sheath catheter |
CN103431835A (en) * | 2013-08-09 | 2013-12-11 | 广州宝胆医疗器械科技有限公司 | Arthroscope with inflation air bags |
CN105962999A (en) * | 2016-04-20 | 2016-09-28 | 中国人民解放军第四军医大学 | Petal-shaped damping puncture apparatus for anterior mediastinum minimally invasive surgery and using method of puncture apparatus |
CN211066917U (en) * | 2019-09-05 | 2020-07-24 | 北京积水潭医院 | Surgical instrument matched with arthroscope for use |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN112587177A (en) * | 2020-12-09 | 2021-04-02 | 北京世通瑞泰医疗器械有限公司 | Temporomandibular arthroscope instrument matched with temporomandibular arthroscope for use |
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