CN110680605B - Ultrasonic scalpel for ophthalmologic operation - Google Patents

Ultrasonic scalpel for ophthalmologic operation Download PDF

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Publication number
CN110680605B
CN110680605B CN201911004169.3A CN201911004169A CN110680605B CN 110680605 B CN110680605 B CN 110680605B CN 201911004169 A CN201911004169 A CN 201911004169A CN 110680605 B CN110680605 B CN 110680605B
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groove
montant
block
cable
clamping seat
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CN110680605A (en
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孙新成
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Changzhou Second Peoples Hospital
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Changzhou Second Peoples Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery
    • A61F9/00736Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
    • A61F9/00745Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments using mechanical vibrations, e.g. ultrasonic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F2009/00861Methods or devices for eye surgery using laser adapted for treatment at a particular location
    • A61F2009/0087Lens
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F9/00Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
    • A61F9/007Methods or devices for eye surgery
    • A61F9/008Methods or devices for eye surgery using laser
    • A61F2009/00885Methods or devices for eye surgery using laser for treating a particular disease
    • A61F2009/00887Cataract

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

Abstract

The invention discloses an ultrasonic scalpel for ophthalmologic operation, which comprises an ultrasonic scalpel head connected with an ultrasonic scalpel instrument main body through a cable, wherein a telescopic vertical rod is arranged on the ultrasonic scalpel instrument main body, the vertical rod is composed of a first vertical rod and a second vertical rod, an installation groove matched with the first vertical rod is formed in the first vertical rod, a supporting structure is arranged between the first vertical rod and the second vertical rod, a first cross rod is fixedly arranged at the upper end of the second vertical rod, the first cross rod is in threaded connection with a second cross rod, and a threaded groove matched with two ends of the first cross rod is formed in the first cross rod. Has the advantages that: according to the invention, when the cable meets the distance between the instrument main body and the operator, the cable is more reasonably routed integrally, the cable dragging problem is effectively avoided, and meanwhile, the cable with a certain length cannot move relative to the arm when the ultrasonic scalpel head is used through the matching of the fixing block, the clamping seat and the thread gluing belt, so that the cable is prevented from being wound or influencing the hand in the using process.

Description

Ultrasonic scalpel for ophthalmologic operation
Technical Field
The invention relates to an ultrasonic scalpel, in particular to an ultrasonic scalpel for ophthalmic surgery.
Background
The importance of eyes to us is self-evident, which is one of the important sources for obtaining information and is also an important channel for viewing and knowing the world; when the eye is diseased, a professional ophthalmologist is required to diagnose and treat the disease;
the ophthalmic diseases treated by the ophthalmology department are more, including glaucoma, optic neuropathy, cataract and the like, and the commonly-mentioned ophthalmic operations comprise cataract operation intracapsular extraction, cataract extracapsular extraction, cataract extraction artificial lens implantation and the like.
Ultrasonic knife is the instrument commonly used among the ophthalmic surgery, and its tool bit need be connected through cable and instrument main part just to open and use, and cable length is longer relatively, and its purpose is guaranteed instrument main part and by the distance between the operator, is convenient for handle sword personnel's removal, but the cable is longer, holds to have in the operation process and pulls the problem, produces certain influence to the normal use of handling sword personnel to influence the operation precision.
Disclosure of Invention
The invention aims to solve the problems found in the background technology and provides an ultrasonic scalpel for ophthalmic surgery.
In order to achieve the purpose, the invention adopts the following technical scheme:
the utility model provides an ophthalmic surgery ultrasonic scalpel, includes the supersound tool bit of being connected through cable and supersound sword instrument main part, install the telescopic montant in the supersound sword instrument main part, the montant comprises montant one, montant two, set up on the montant one with montant two phase fit's mounting groove, be equipped with bearing structure between montant one, the montant two, the upper end fixed mounting of montant two has horizontal pole one, a horizontal pole threaded connection has a horizontal pole two, set up on the horizontal pole one with horizontal pole both ends matched with thread groove mutually, horizontal pole two pass through the fixing base and install cassette one, equal fixed mounting has cassette two on montant one, the horizontal pole one, all there are two through two sliding connection of spring in cassette two, the cassette one and remove the seat, and the cable block is in cassette two, cassette one, install fixed knot structure on the cable.
In foretell ophthalmic surgery supersound sword, bearing structure comprises blind hole, draw-in groove, supporting shoe, mount pad, spring one, press the clamp plate and draw the piece, the blind hole has been seted up on the montant one, the draw-in groove has been seted up on the inner wall of mounting groove, the block has the supporting shoe on the draw-in groove, fixed mounting has the mount pad on the outer wall of montant one, the inner wall fixed mounting of mount pad has spring one, fixed mounting has the press the clamp plate on the supporting shoe, and spring one and press be fixed connection between the clamp plate, blind hole, mount pad and fixed mounting are passed to the one end of supporting shoe and are drawn the piece.
In an above-mentioned ophthalmic surgery ultrasonic scalpel, the spacing groove has been seted up on the supporting shoe, fixed mounting has the stopper on the inner wall of blind hole, and the biggest linear distance between stopper right side and the spacing groove right side wall is greater than the groove width of mounting groove.
In the ultrasonic scalpel for ophthalmologic operation, the fixing seat is in threaded connection with the second cross rod, the fixing seat is provided with a T-shaped groove, a T-shaped block is connected in the T-shaped groove in a sliding mode, and the lower end of the T-shaped block is fixedly connected with the upper surface of the first clamping seat.
In an above-mentioned ultrasonic scalpel for ophthalmologic operation, the fixing structure is composed of a fixing block, a clamping seat and a thread gluing belt, the fixing block is fixedly mounted on the cable, the clamping seat is fixedly mounted on the fixing block, an arc-shaped clamping groove is formed in one side, far away from the fixing block, of the clamping seat, and the thread gluing belt is fixedly adhered to two sides of the clamping seat.
In the above ultrasonic scalpel for ophthalmologic operation, the first turning block is fixedly mounted on the first clamping seat through the connecting rod, and one end of the first turning block, which is far away from the connecting rod, has a certain radian.
In the ultrasonic scalpel for ophthalmologic operation, the ultrasonic scalpel instrument main body and the vertical rod II are both fixedly provided with the steering block II, and one side of each steering block II, which is close to each other, is provided with an arc-shaped cross section.
In the ultrasonic scalpel for ophthalmologic operation, the mounting seat is internally and fixedly provided with the limiting ring, and the shortest straight-line distance between the limiting ring and the pressing plate is equal to the maximum straight-line distance between the right side of the limiting block and the right side wall of the limiting groove and is larger than the groove width of the mounting groove.
Compared with the prior art, the invention has the advantages that:
1: the arrangement of the transverse rod and the vertical rod enables the ultrasonic knife head to be not in contact with an operator when in use (from top to bottom with the cable of the ultrasonic knife head connecting part), avoids the cable from being in contact with the operator, and simultaneously increases the distance between the ultrasonic knife instrument main body and the operator, thereby facilitating the movement of an operator.
2: the horizontal pole comprises horizontal pole one, horizontal pole two, adopts threaded connection's mode to cooperate between the two for the two is when using (the extension state) junction more stable.
3: the vertical rod is composed of a first vertical rod and a second vertical rod, and the first vertical rod and the second vertical rod are matched through a supporting structure, so that the two vertical rods are simple and convenient to shrink and operate, relative rotation is not required, and the two vertical rods only need to move in the vertical direction to complete the shrinking operation.
4: the first clamping seat and the movable seat are arranged to clamp and fix the cable when the cable is routed, the cable cannot easily fall down when the cable is clamped to the upper end part of the movable seat by the elasticity of the second spring, and the fixing and subsequent taking-down operations of the second spring are simple and convenient.
5: the arrangement of the clamping seat enables the cable with a certain length to be prevented from moving relative to the arm when the ultrasonic scalpel head is used, and the cable is prevented from being wound or influencing hands (holding hands of the ultrasonic scalpel head) in the using process.
In conclusion, the invention enables the cable to be more reasonable to be integrally wired when the cable meets the distance between the instrument main body and the operator, effectively avoids the cable dragging problem, and simultaneously enables the cable with a certain length not to move relative to the arm when the ultrasonic scalpel head is used through the matching of the fixing block, the clamping seat and the thread gluing belt, thereby preventing the cable from being wound or influencing the hand in the using process.
Drawings
Fig. 1 is a schematic structural view of an ultrasonic scalpel for ophthalmic surgery according to the present invention;
FIG. 2 is an enlarged view of the structure of part A in FIG. 1;
FIG. 3 is a side elevational view of a portion of the cartridge of FIG. 1;
FIG. 4 is a side view of a structure of a second portion of the cartridge of FIG. 1;
fig. 5 is a side view of the structure of the fixing seat part in fig. 1.
In the figure: 1 ultrasonic knife instrument main part, 2 cable, 3 ultrasonic tool bit, 4 montant one, 5 mounting grooves, 6 montant two, 7 blind holes, 8 draw-in grooves, 9 supporting blocks, 10 mount pads, 11 spring one, 12 pressing plates, 13 limiting blocks, 14 limiting grooves, 15 pull blocks, 16 cross bar one, 17 thread grooves, 18 cross bar two, 19 fixing seats, 20 cassette one, 21 cassette two, 22 spring two, 23 moving seats, 24 fixing blocks, 25 cassette, 26 thread gluing belt, 27 turning block one, 28 turning block two, 29T-shaped grooves and 30 connecting rods.
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.
In the description of the present invention, it is to be understood that the terms "upper", "lower", "front", "rear", "left", "right", "top", "bottom", "inner", "outer", and the like, 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 being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be construed as limiting the present invention.
Referring to fig. 1-5, an ophthalmic surgery ultrasonic scalpel, including the supersound tool bit 3 of being connected through cable 2 and supersound sword instrument main part 1, install the telescopic montant on the supersound sword instrument main part 1, the montant comprises montant one 4, montant two 6, set up on montant one 4 with 5 montant one 4 of two 6 matched with mounting grooves of montant, be equipped with bearing structure between montant two 6, bearing structure's setting makes montant two 6 can receive a support after moving upward, can not the downstream.
Bearing structure is by blind hole 7, draw-in groove 8, supporting shoe 9, mount pad 10, spring 11, press clamp plate 12 and draw piece 15 to constitute, blind hole 7 has been seted up on montant 4, draw-in groove 8 has been seted up on the inner wall of mounting groove 5, the block has supporting shoe 9 on the draw-in groove 8, fixed mounting has mount pad 10 on the outer wall of montant 4, the inner wall fixed mounting of mount pad 10 has spring 11, fixed mounting has press clamp plate 12 on the supporting shoe 9, and be fixed connection between spring 11 and the press clamp plate 12, blind hole 7 is passed to the one end of supporting shoe 9, mount pad 10 and fixed mounting draw piece 15.
The supporting block 9 is provided with a limiting groove 14, the inner wall of the blind hole 7 is fixedly provided with a limiting block 13, the maximum linear distance between the right side of the limiting block 13 and the right side wall of the limiting groove 14 is larger than the groove width of the mounting groove 5, and a mutual limiting effect is achieved between the limiting groove 14 and the limiting block 13, so that the supporting block 9 cannot be completely shifted out from the mounting groove 5.
The upper end of the vertical rod II 6 is fixedly provided with a cross rod I16, the cross rod I16 is in threaded connection with a cross rod II 18, the cross rod I16 is provided with a thread groove 17 matched with the end part of the cross rod II 18, the thread groove 17 can meet the stability of the cross rod II 18 in use, and the cross rod II 18 can be screwed into the cross rod I16 conveniently when not in use, so that the occupied space is reduced.
Cassette one 20 is installed through fixing base 19 to horizontal pole two 18, be threaded connection between fixing base 19 and the horizontal pole two 18, T-slot 29 has been seted up on fixing base 19, sliding connection has the T-shaped piece in the T-slot 29, and the lower extreme of T-shaped piece is connected with cassette one 20's last fixed surface, be threaded connection between fixing base 19 and the horizontal pole two 18, make the two more firm when connecting, fixing base 19 rotates with cassette one 20 through the cooperation of T-slot 29 and T-shaped piece to be connected simultaneously, make cassette one 20 not receive fixing base 19 turned angle's influence, no matter where position at horizontal pole two 18 is installed to fixing base 19, it is fixed still to carry out the block to cable 2.
The first vertical rod 4 and the first cross rod 16 are fixedly provided with a second clamping seat 21, the second clamping seat 21 and the first clamping seat 20 are connected with two movable seats 23 in a sliding mode through a second spring 22, and the cable 2 is clamped in the second clamping seat 21 and the first clamping seat 20.
Install fixed knot on the cable 2 and construct, fixed knot constructs by fixed block 24, cassette 25, thread gluing area 26 is constituteed, fixed mounting has fixed block 24 on the cable 2, fixed mounting has cassette 25 on the fixed block 24, the arc draw-in groove has been seted up to one side that fixed block 24 was kept away from to cassette 25, the equal fixed paste in both sides of cassette 25 has a thread gluing area 26, when being convenient for use with cassette 25 block to the arm in setting up of arc draw-in groove, rethread thread gluing area 26 is fixed once more to arm (the hand of holding supersound tool bit 3) and cassette 25.
The first clamping seat 20 is fixedly provided with a first steering block 27 through a connecting rod 30, and one end of the first steering block 27, which is far away from the connecting rod 30, has a certain radian; all fixed mounting has one to turn to two 28 on ultrasonic knife instrument main part 1, the montant two 6, and two one sides that turn to two 28 mutual nears all have an arc cross-section, turn to turning to when being convenient for the installation of cable 2 of the setting of piece one 27 and turning to two 28, directly take place to buckle when avoiding cable 2 to turn to.
Fixed mounting has the spacing ring in the mount pad 10, and the shortest straight-line distance between spacing ring and the pressure board 12 equals that the biggest straight-line distance between stopper 13 right side and the spacing groove 14 right side wall is greater than the groove width of mounting groove 5, the setting of spacing ring plays limiting displacement to pressure board 12, the right side wall of spacing groove 14 contacts with the right side wall of stopper 13 just when pressing board 12 and spacing ring contact, avoid drawing the pulling force that 15 applyed too big, cause stopper 13's damage.
Further, unless otherwise specifically stated or limited, the above-described fixed connection is to be understood in a broad sense, and may be, for example, welded, glued, or integrally formed as is conventional in the art.
In the present invention, fig. 1 is a schematic view of a mounted state, and a disassembly is taken as an example for explanation; applying a pulling force to the cable 2 to move the cable out of the first clamping seats 20 and the second clamping seats 21 (the cable 2 generates a pushing force to move the moving seats 23 contacted with the cable away from each other in the pulling-down process, so that the cable 2 moves out of the corresponding two moving seats 23); then, a pulling force is applied to the pulling block 15 (so that the pulling block 15 is far away from the first vertical rod 4), it needs to be noted that the second vertical rod 6 needs to be held while the pulling block 15 is applied with the pulling force, the pulling block 15 moves to drive the supporting block 9 to move, so that the second vertical rod 6 can smoothly move downwards, then the pulling force applied to the pulling block 15 is released, and the retraction between the first vertical rod 4 and the second vertical rod 6 is completed; then, a rotating force is applied to the fixed seat 19 to lower the two detached from the cross rod two 18, and then a rotating force is applied to the cross rod two 18 to rotate most of the two into the cross rod one 16, so that the retraction between the cross rod one 16 and the cross rod two 18 is completed, and the space occupied by the whole is reduced.
It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.
The above description is only for the preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art should be considered to be within the technical scope of the present invention, and the technical solutions and the inventive concepts thereof according to the present invention should be equivalent or changed within the scope of the present invention.

Claims (6)

1. The utility model provides an ophthalmic surgery supersound sword, includes ultrasonic tool bit (3) of being connected through cable (2) and supersound sword instrument main part (1), a serial communication port, install the telescopic montant on supersound sword instrument main part (1), the montant comprises montant one (4), montant two (6), set up on montant one (4) with montant two (6) matched with mounting groove (5), be equipped with bearing structure between montant one (4), montant two (6), the upper end fixed mounting of montant two (6) has horizontal pole one (16), horizontal pole one (16) threaded connection has a horizontal pole two (18), set up on horizontal pole one (16) with horizontal pole two (18) tip matched with thread groove (17), horizontal pole two (18) install cassette one (20) through fixing base (19), montant one (4) thread groove (18), A second clamping seat (21) is fixedly installed on each first cross rod (16), two moving seats (23) are connected in the second clamping seat (21) and the first clamping seat (20) in a sliding mode through a second spring (22), the cable (2) is clamped in the second clamping seat (21) and the first clamping seat (20), and a fixing structure is installed on the cable (2);
the fixing structure comprises a fixing block (24), a clamping seat (25) and a fastening tape (26), the fixing block (24) is fixedly installed on the cable (2), the clamping seat (25) is fixedly installed on the fixing block (24), an arc-shaped clamping groove is formed in one side, far away from the fixing block (24), of the clamping seat (25), and the fastening tape (26) is fixedly adhered to two sides of the clamping seat (25);
bearing structure is by blind hole (7), draw-in groove (8), supporting shoe (9), mount pad (10), spring (11), press clamp plate (12) and draw piece (15) to constitute, blind hole (7) have been seted up on montant (4), draw-in groove (8) have been seted up on the inner wall of mounting groove (5), the block has supporting shoe (9) on draw-in groove (8), fixed mounting has mount pad (10) on the outer wall of montant (4), the inner wall fixed mounting of mount pad (10) has spring (11), fixed mounting has press clamp plate (12) on supporting shoe (9), and spring (11) and press between clamp plate (12) for fixed connection, the one end of supporting shoe (9) is passed blind hole (7), mount pad (10) and fixed mounting has and is drawn piece (15).
2. The ultrasonic scalpel for ophthalmologic operation according to claim 1, wherein the supporting block (9) is provided with a limiting groove (14), the inner wall of the blind hole (7) is fixedly provided with a limiting block (13), and the maximum linear distance between the right side of the limiting block (13) and the right side wall of the limiting groove (14) is larger than the groove width of the mounting groove (5).
3. The ultrasonic scalpel for ophthalmologic operation according to claim 1, wherein the fixing seat (19) is in threaded connection with the second cross rod (18), a T-shaped groove (29) is formed in the fixing seat (19), a T-shaped block is connected in the T-shaped groove (29) in a sliding manner, and the lower end of the T-shaped block is fixedly connected with the upper surface of the first clamping seat (20).
4. The ultrasonic surgical blade for ophthalmology department of claim 1, characterized in that the first clamping seat (20) is fixedly provided with a first steering block (27) through a connecting rod (30), and one end of the first steering block (27) far away from the connecting rod (30) has a certain radian.
5. The ultrasonic scalpel for ophthalmologic operation according to claim 1, wherein a second turning block (28) is fixedly mounted on the ultrasonic scalpel instrument body (1) and the second vertical rod (6), and the side, close to each other, of the two turning blocks (28) has an arc-shaped cross section.
6. The ultrasonic scalpel for ophthalmologic operation according to claim 1, wherein a limiting ring is fixedly installed in the installation seat (10), and the shortest straight distance between the limiting ring and the pressing plate (12) is equal to the largest straight distance between the right side of the limiting block (13) and the right side wall of the limiting groove (14) and is larger than the groove width of the installation groove (5).
CN201911004169.3A 2019-10-22 2019-10-22 Ultrasonic scalpel for ophthalmologic operation Active CN110680605B (en)

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CN209474648U (en) * 2018-09-26 2019-10-11 深圳迈瑞生物医疗电子股份有限公司 A kind of ultrasonic image-forming system and cable management devices of popping one's head in
CN109303638B (en) * 2018-12-05 2021-08-27 王娟 Ultrasonic scalpel for ophthalmologic operation

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US7255251B1 (en) * 2001-07-31 2007-08-14 Jason Smith Holding appliance for facilitating blood drawing process

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