CN110680482A - Womb lifting kit and use method thereof - Google Patents
Womb lifting kit and use method thereof Download PDFInfo
- Publication number
- CN110680482A CN110680482A CN201910997794.6A CN201910997794A CN110680482A CN 110680482 A CN110680482 A CN 110680482A CN 201910997794 A CN201910997794 A CN 201910997794A CN 110680482 A CN110680482 A CN 110680482A
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- cutting
- vagina
- cutting line
- uterus
- lifting
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
- A61B17/4241—Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
- A61B17/32056—Surgical snare instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
- A61B90/17—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins for soft tissue, e.g. breast-holding devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
- A61B2017/4216—Operations on uterus, e.g. endometrium
- A61B2017/4225—Cervix uteri
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Pathology (AREA)
- Neurosurgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Gynecology & Obstetrics (AREA)
- Pregnancy & Childbirth (AREA)
- Reproductive Health (AREA)
- Surgical Instruments (AREA)
Abstract
The invention relates to the technical field of medical instruments, in particular to a womb lifting kit and a using method thereof, wherein the womb lifting kit comprises a womb lifting device and a vagina closing device, a sealing cutting ring on the womb lifting device is provided with an annular sealing groove and a cutting groove, the sealing groove is matched with a ribbon, the vagina closing device tightens the ribbon to seal the womb lifting device and a vagina, the cutting groove is matched with a cutting line, and after the vagina closing device seals the vagina, the vaginal wall is cut off by the cutting line; the using method comprises the following steps: the uterus lifting device lifts the uterus through the vagina; after the parauterine and paravaginal treatments are finished, the binding belt and the cutting line are sent into the abdominal cavity, the vagina is sealed through the binding belt, and then the cutting line is used for cutting; the whole device and the sealed uterus specimen are taken out of a body through a vagina, and the invention can solve the problem of pollution of cervical cancer tissues to the vaginal stump caused by a uterine elevator in the prior art.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to a womb lifting kit and a using method thereof.
Background
The existing uterine elevator used in gynecological operation is mainly a cup-shaped uterine elevator, has various deformations, but the basic principle is not changed: the cervical dilator is composed of a central guide rod, a cervical fixing device and a fornix cup, solves the problems of gas leakage after the vagina is cut, difficult uterus swinging, fuzzy boundary display between the cervix and the vaginal wall and the like in the operation, and is particularly favorable for completely cutting off the cervix.
The existing uterine elevator has no closed vagina during operation, always presses on the cervical cancer focus, and continuously squeezes and rubs the cervical cancer focus to cause cancer tissues to be crushed, when the vagina is cut, the incisal edge of the vagina is directly polluted, and even the incisal edge of the vagina enters the pelvic cavity along with flowing air flow.
Disclosure of Invention
The invention aims to provide a uterine manipulator kit and a using method thereof, which aim to solve the problem of pollution of cervical cancer tissues to vaginal stumps caused by uterine manipulator lifting in the prior art.
When the vagina is cut, the vagina is not closed, so that broken cancer tissues directly contact with the incisal margin of the vagina and even enter the pelvic cavity along with flowing air flow.
In order to achieve the purpose, the invention provides the following technical scheme: the utility model provides a lift palace external member, is including lifting palace device and vagina closing device, lift palace device including lifting palace subassembly, lifting palace pole and control part, it rotationally sets up in the one end of control part to lift the palace pole, lift palace subassembly including overlapping sealed cutting ring, cup air cushion and the fixed gasbag on lifting the palace pole in proper order, sealed cutting ring is located cup air cushion rear portion, set up annular seal groove on the sealed cutting ring and cut the groove, seal groove and ribbon cooperation, vagina closing device tighten up the ribbon and seal the vagina, cuts groove and line of cut cooperation, and vagina closing device tightens up the line of cut off the vaginal wall.
Preferably, the vagina closing device comprises an outer tube and an inner rod which are detachably connected, one end of the inner rod is inserted into the outer tube, and the part of the inner rod, which is exposed out of the outer tube, is provided with a tightening clamping groove and a tightening hook.
Preferably, the binding belt is sent into the abdominal cavity and is bound on the sealing groove, and the cutting line is sent into the abdominal cavity and is wound on the cutting groove.
Preferably, the ribbon and the cutting line are installed on the same plastic bearing piece, a ribbon buckle is arranged on the plastic bearing piece, the ribbon is clamped on the buckle, a cutting line placing device is arranged on the plastic bearing piece and comprises an end fixing bulge and a middle fixing bulge, fixing rings at two ends of the cutting line are respectively sleeved on the end fixing bulge to enable the cutting line to be tight, the line body part of the cutting line is clamped in a gap of the middle fixing bulge, and the plastic bearing piece is sent into the abdominal cavity through a poking channel.
Preferably, the bandage is tightened by tightening the hook to seal the vagina; the cutting line is tightened through the tightening hook or the tightening clamping groove to realize cutting.
Preferably, the fixed air bag and the cup-shaped air cushion are respectively communicated with an inflating device.
Preferably, the cutting wire is a stainless steel wire with a diameter of 0. mm.
A use method of a uterine manipulator kit comprises the following steps:
a. the uterus lifting device lifts the uterus through the vagina;
b. the ribbon and the cutting line are sent into the abdominal cavity, the ribbon is bundled in the sealing groove, and the cutting line is wound in the cutting groove;
c. tightening the cable tie through a tightening device;
d. the cutting line is tightened by a tightening device to realize cutting;
e. the uterus lifting device together with the uterus is taken out of the body through the vagina.
Preferably, the steps include:
holding the handle of the control part, and placing the uterus lifting device into the fornix of the vagina;
the fixing air bag at the front part of the uterus lifting rod is opened to fix the uterus;
cutting off parauterine blood vessels, removing parauterine lymph nodes, and inflating the cup-shaped air cushion, wherein the inflated cup-shaped air cushion is attached to the cervix uteri;
preferably, step b comprises:
the bandage and the cutting line are arranged on the same plastic bearing piece, and the plastic bearing piece is conveyed into the abdominal cavity through the poking channel.
Compared with the prior art, the invention has the beneficial effects that: the uterus lifting cup can abandon the traditional uterus lifting cup, greatly reduce the influence on the focus in the cervical orifice and the cervical canal, the sealing cutting ring is arranged at the rear part of the cup-shaped air cushion, the sealing groove and the cutting groove are arranged on the sealing cutting ring, the focus can be completely sealed through the matching of the binding belt and the sealing groove, and the uterus can be taken out at one time in a closed state after the cutting line is matched with the cutting groove to complete the cutting, so that the spread of the focus in the operation is avoided; the application method provided by the application is that the cup-shaped air cushion is inflated after the parauterine blood vessels are cut off and the parauterine lymph nodes are removed, so that the advantages of the cup-shaped uterine lifting device can be achieved, the phenomenon that cancer cells are stimulated to enter the micro blood vessels and the lymphatic vessels can be reduced and avoided, focus and possible broken cancer tissues are firmly confined in a closed range, then the vagina is cut off behind the binding belt by adopting the cutting lines, the whole specimen is completely taken out, and the focus is prevented from spreading.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic view of the arrangement of the present invention with the cable tie and the harvesting line mounted on a plastic carrier;
FIG. 3 is a schematic view of the inner rod and the outer tube of the present invention;
fig. 4 is a schematic view of the uterus lifting device of the present invention.
In the figure: 1 cup-shaped air cushion, 2 fixed air bags, 3 sealed cutting rings, 31 sealing grooves, 32 cutting grooves, 4 binding belts, 41 tightening holes, 5 cutting lines, 51 fixing rings, 6 vagina closing devices, 61 outer tubes, 62 inner rods, 621 tightening clamping grooves, 622 tightening hooks and 7 plastic bearing sheets.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-4, the present invention provides a technical solution: a lifts the palace external member, including lifting the palace device and vaginal closing device 6, lift the palace device and include lifting the palace assembly, lifting the palace pole and control division, lift the one end that the palace pole is set up in the control division rotatably, lift the palace assembly and include sealing cutting ring 3, cup air cushion 1 and fixed gasbag 2 that cover in proper order on lifting the palace pole, sealing cutting ring 3 locates at the rear portion of cup air cushion 1, when in actual use, the distance between sealing cutting ring 3 and cup air cushion 1 is about 10mm, seal cutting ring 3 and cut groove 32 of annular seal groove 31 and cut groove, seal groove 31 cooperates with ribbon 4, vaginal closing device 6 tightens up ribbon 4 and seals the vagina, cut groove 32 cooperates with cutting line 5, vaginal closing device 6 tightens up cutting line 5 and cuts off the vaginal wall, the invention discards the traditional lifting the palace cup, has greatly reduced the influence to the focus in the cervical orifice, the invention has set up a sealing cutting ring 3 in the rear portion of cup air cushion 1, be equipped with seal groove 31 and cutting groove 32 on this sealed cutting ring 3, can be sealed the focus completely through ribbon 4 and seal groove 31's cooperation, the cutting line 5 cooperates cutting groove 32 to accomplish the cutting back, can once only take out the uterus under inclosed state, the diffusion of focus in having avoided the operation, adopt the uterus external member of lifting that this application provided to do auxiliary instrument in the operation, make the operation simple, safety, easily operation, no tumour principle has been followed simultaneously, avoid and reduced iatrogenic's tumour pollution, reduce postoperative operation recurrence risk.
Further, the vagina closing device 6 comprises an outer tube 61 and an inner rod 62 which are detachably connected, one end of the inner rod 62 is inserted into the outer tube 61, a tightening clamping groove 621 and a tightening hook 622 are arranged on the part, exposed out of the outer tube 61, of the inner rod 62, the bandage 4 is fed into the abdominal cavity and tightened on the sealing groove 31 through the tightening hook 622 to seal the vagina, and the cutting line 5 is fed into the abdominal cavity and tightened through the tightening hook 622 or the tightening clamping groove 621 to realize cutting.
In this embodiment, the ribbon 4 and the cutting line 5 are installed on the same plastic bearing sheet 7, the plastic bearing sheet 7 is provided with a ribbon 4 buckle, the ribbon 4 is clamped on the ribbon 4 buckle, the plastic bearing sheet 7 is provided with a cutting line 5 placing device, the cutting line 5 placing device comprises an end fixing bulge and a middle fixing bulge, fixing rings 51 at two ends of the cutting line 5 are respectively sleeved on the end fixing bulge to tighten the cutting line 5, the line body part of the cutting line 5 is clamped in a gap of the middle fixing bulge, the plastic bearing sheet 7 is sent into the abdominal cavity through a poking channel, so that the ribbon 4 and the cutting line 5 can be simultaneously sent into the abdominal cavity only by one-time operation, the operation time is saved, the cost is also saved, after the ribbon 4 and the cutting line 5 are sent into the abdominal cavity, the grasping forceps surround the plastic bearing sheet 7 outside the sealing cutting ring 3, the cutting line 5 is matched with the cutting groove 32, the tightening hook 622 hooks the tightening hole 41 in the binding tape 4, the handle of the vagina closing device 6 is tightened, the tightening hook 622 is contracted to tighten the binding tape 4, the tightening hook 622 hooks the fixing ring 51 at one end of the cutting line to penetrate through the fixing ring 51 at the other end and tighten the handle of the vagina closing device 6, the tightening hook 622 is contracted to tighten the cutting line 5 until the vagina wall is cut off, the binding tape 4 and the cutting line 5 can be separated from the plastic bearing sheet 7 after being tightened, and the plastic bearing sheet 7 can be taken out of the body through the grabbing clamp.
In other embodiments, the band 4 and the cutting line 5 can be fed into the abdominal cavity in two times, and the cutting line 5 fed into the abdominal cavity is tightened by the tightening clamp 621, specifically, the gripping pliers is used to wrap the cutting line 5 into the cutting groove 32, and the handle of the vaginal closing device 6 is pressed, so that the tightening clamp 621 penetrates through the fixing ring 51 and is clamped, and the handle of the vaginal closing device 6 is pressed continuously, so that the cutting line 5 is tightened continuously until the vaginal wall is cut off.
Preferably, the fixed air bag 2 and the cup-shaped air cushion 1 are respectively communicated with an inflating device, and the cup-shaped air cushion 1 in the application is inflated after cutting off parauterine blood vessels and removing parauterine lymph nodes, so that the advantages of a cup-shaped uterine elevator can be achieved, the phenomenon that cancer cells are stimulated to enter micro blood vessels and lymph vessels can be reduced and avoided, and focus and possible broken cancer tissues are firmly confined in a closed range.
Preferably, the cutting line 5 is a stainless steel wire with a diameter of 0.1mm, which has a certain rigidity and is also convenient for cutting.
The application also provides a use method of the womb lifting kit, which comprises the following steps:
a. the uterus lifting device lifts the uterus through the vagina, specifically, the handle of the control part is held, and the uterus lifting device is placed in the fornix of the vagina; the fixing air bag 2 at the front part of the uterus lifting rod is opened to fix the uterus; cutting off parauterine blood vessels, removing parauterine lymph nodes, and inflating the cup-shaped air cushion 1, wherein the inflated cup-shaped air cushion 1 is attached to the cervix;
b. the ribbon 4 and the cutting line 5 are fed into the abdominal cavity, the ribbon 4 is bundled in the sealing groove 31, the cutting line 5 is wound in the cutting groove 32, specifically, the ribbon 4 and the cutting line 5 are installed on a plastic bearing sheet 7, the plastic bearing sheet 7 is fed into the abdominal cavity through a poking channel, the plastic bearing sheet 7 is surrounded outside the sealing cutting ring 3 by a grasping clamp, the ribbon 4 is matched with the sealing groove 31, and the cutting line 5 is matched with the cutting groove 32;
c. the binding belt 4 is tightened through the tightening device, specifically, the tightening hook 622 hooks the tightening hole 41 on the binding belt 4, the handle of the vagina closing device 6 is pinched, the tightening hook 622 is contracted, and the binding belt 4 is tightened;
d. the cutting line 5 is tightened through the tightening device to achieve cutting, specifically, the tightening hook 622 hooks the fixing ring 51 at one end of the harvesting line to penetrate through the fixing ring 51 at the other end and pinches the handle of the vagina closing device 6, the tightening hook 622 is contracted, the cutting line 5 is tightened until the vaginal wall is cut off, and further, before cutting, the vaginal mucosa at the open end can be cleaned by matching with an existing flushing system, so that the pollution of incisal edge tumors is avoided;
e. the uterus lifting device together with the uterus is taken out of the body through the vagina.
The application method provided by the application is that the cup-shaped air cushion 1 is inflated after the parauterine blood vessels are cut off and the parauterine lymph nodes are removed, so that the advantages of a cup-shaped uterine lifting device can be achieved, the phenomenon that cancer cells are stimulated to enter the micro blood vessels and the lymphatic vessels can be reduced and avoided, focus and possible broken cancer tissues are firmly confined in a closed range, then the vagina is cut off behind the binding belt 4 by the aid of the cutting lines 5, the whole specimen is completely taken out, and the focus is prevented from spreading.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (10)
1. The utility model provides a lift palace external member, a serial communication port, including lifting palace device and vagina closing device (6), lift palace device including lifting palace subassembly, lifting palace pole and control part, lift the palace pole and rotationally set up in the one end of control part, lift palace subassembly including overlapping sealed cutting ring (3), cup air cushion (1) and fixed gasbag (2) on lifting the palace pole in proper order, sealed cutting ring (3) are located cup air cushion (1) rear portion, set up annular seal groove (31) and cut groove (32) on sealed cutting ring (3), seal groove (31) and ribbon (4) cooperation, vagina closing device (6) tighten up ribbon (4) and seal up the vagina, cut groove (32) and cutting line (5) cooperation, vagina closing device (6) tighten up cutting line (5) and cut off the vaginal wall.
2. The uterus lifting kit according to the claim, wherein the vagina closing device (6) comprises an outer tube (61) and an inner rod (62) which are detachably connected, one end of the inner rod (62) is inserted into the outer tube (61), and the part of the inner rod (62) exposed out of the outer tube (61) is provided with a tightening slot (621) and a tightening hook (622).
3. The uterine lifting kit according to the claim, wherein the bandage (4) is fed into the abdominal cavity and tied on the sealing groove (31), and the cutting line (5) is fed into the abdominal cavity and wound on the cutting groove (32).
4. The uterine manipulator kit according to the claim, wherein the bandage (4) and the cutting line (5) are mounted on the same plastic carrier (7), the plastic carrier (7) is provided with a buckle of the bandage (4), the bandage (4) is clamped on the buckle, the plastic carrier (7) is provided with a device for placing the cutting line (5), the device for placing the cutting line (5) comprises an end fixing protrusion and a middle fixing protrusion, fixing rings (51) at two ends of the cutting line (5) are respectively sleeved on the end fixing protrusions to tighten the cutting line (5), a line body part of the cutting line (5) is clamped in a gap of the middle fixing protrusion, and the plastic carrier (7) is fed into the abdominal cavity through a poking channel.
5. Uterus lifting kit according to the claim, characterized in that the cable tie (4) is tightened by tightening hook (622) to seal the vagina; the cutting line (5) is tightened through a tightening hook (622) or a tightening clamping groove (621) to realize cutting.
6. Uterus lifting kit according to the claims, characterized in that the fixation balloon (2) and the cup-shaped air cushion (1) are respectively in communication with an inflation device.
7. A womb lifting kit according to the claim, characterized in that the cutting line (5) is a stainless steel wire with a diameter of 0. mm.
8. Use of the uterine manipulator kit of any one of claims 1 to 7, comprising the steps of:
a. the uterus lifting device lifts the uterus through the vagina;
b. the ribbon (4) and the cutting line (5) are sent into the abdominal cavity, the ribbon (4) is bundled in the sealing groove (31), and the cutting line (5) is wound in the cutting groove (32);
c. tightening the band (4) by a tightening device;
d. the cutting line (5) is tightened by a tightening device to realize cutting;
e. the uterus lifting device together with the uterus is taken out of the body through the vagina.
9. The use method of a uterine manipulator kit according to claim 8, wherein the steps comprise:
holding the handle of the control part, and placing the uterus lifting device into the fornix of the vagina;
the fixing air bag (2) at the front part of the uterus lifting rod is opened to fix the uterus;
the cup-shaped air cushion (1) is inflated after cutting off parauterine blood vessels and removing parauterine lymph nodes, and the inflated cup-shaped air cushion (1) is attached to the cervix.
10. The use method of a uterine manipulator kit according to claim 8, wherein step b comprises:
the bandage (4) and the cutting line (5) are arranged on the same plastic bearing piece (7), and the plastic bearing piece (7) is conveyed into the abdominal cavity through the poking channel.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910997794.6A CN110680482B (en) | 2019-10-21 | 2019-10-21 | Womb lifting kit |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910997794.6A CN110680482B (en) | 2019-10-21 | 2019-10-21 | Womb lifting kit |
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| Publication Number | Publication Date |
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| CN110680482A true CN110680482A (en) | 2020-01-14 |
| CN110680482B CN110680482B (en) | 2020-11-27 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910997794.6A Active CN110680482B (en) | 2019-10-21 | 2019-10-21 | Womb lifting kit |
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| CN (1) | CN110680482B (en) |
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| CN109620396A (en) * | 2019-01-24 | 2019-04-16 | 郑州大学第附属医院 | Hysteroscope ligatures cutter device with oesophagus |
| CN110236643A (en) * | 2019-07-02 | 2019-09-17 | 合肥赫博医疗器械有限责任公司 | The device that tumour is cut off without blood isolating and protecting under laparoscope |
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2019
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2002007605A1 (en) * | 2000-07-25 | 2002-01-31 | Russo Miguel Jr | Laparoscopic loop |
| US20040158124A1 (en) * | 2003-01-31 | 2004-08-12 | Olympus Corporation | Diathermic snare, medical instrument system using the snare, and method of assembling the medical instrument system |
| WO2013188619A1 (en) * | 2012-06-13 | 2013-12-19 | Apex Gynocological Instruments, Llc | Device for instillation of a chemical agent into the endometrial cavity for purpose of global endometrial ablation |
| CN204181773U (en) * | 2014-09-22 | 2015-03-04 | 中国人民解放军第二军医大学 | Protective sleeve in enterostomy |
| CN104840225A (en) * | 2015-06-17 | 2015-08-19 | 高宏 | Endoscope fetching device capable of controlling size, opening and closing of bag mouth |
| CN105816211A (en) * | 2016-05-06 | 2016-08-03 | 高宏 | Trocar balloon expander |
| CN106580408A (en) * | 2016-12-12 | 2017-04-26 | 朱滔 | Disposable balloon uterine manipulator |
| WO2018148551A1 (en) * | 2017-02-10 | 2018-08-16 | United States Endoscopy Group, Inc. | Snare injection device |
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| CN110680482B (en) | 2020-11-27 |
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