CN110811765B - Urological calculus removing device - Google Patents

Urological calculus removing device Download PDF

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Publication number
CN110811765B
CN110811765B CN201911140864.2A CN201911140864A CN110811765B CN 110811765 B CN110811765 B CN 110811765B CN 201911140864 A CN201911140864 A CN 201911140864A CN 110811765 B CN110811765 B CN 110811765B
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China
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sleeve
wall
plate
slip ring
shaped rod
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CN201911140864.2A
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Chinese (zh)
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CN110811765A (en
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李新刚
张燕
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • A61B2017/22034Gripping instruments, e.g. forceps, for removing or smashing calculi for gripping the obstruction or the tissue part from inside
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22038Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with a guide wire
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22079Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with suction of debris
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A61B2017/2215Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having an open distal end

Abstract

The invention discloses a urinary surgery calculus removing device in the technical field of medical instruments, which comprises a sleeve, wherein the bottom end of the sleeve is welded with a pore plate, the center of the pore plate is penetrated through and inserted with a T-shaped rod in a sliding manner, the bottom of the inner cavity of the sleeve is fixedly connected with a micro signal slip ring, the T-shaped rod penetrates through the micro signal slip ring, the signal output end of the micro signal slip ring penetrates through the lower part of the outer wall of the sleeve, the inner wall of a rotating body of the micro signal slip ring is connected with the outer wall of the T-shaped rod through a spline shaft section and a spline sleeve, the lower part of the right side of the outer wall of the sleeve is penetrated and fixed with a suction pipe, the suction pipe is connected with a negative pressure suction device, the T-shaped rod is rotated at the same time, a plastic brush is used for cleaning gravels, meanwhile, a micro camera can be connected with an image playing device for monitoring, the gravels are collected in the inner cavity of the sleeve, a rectangular plug plate can be opened for cleaning, the gravels are prevented from entering the kidney or the bladder, and the device is convenient to operate, utilize the control of making a video recording and rotate and clear up repeatedly, improve the rubble and clear up the effect.

Description

Urological calculus removing device
Technical Field
The invention relates to the technical field of medical instruments, in particular to a urinary surgery calculus removing device.
Background
The medical apparatus refers to instruments, equipment, appliances, in-vitro diagnostic reagents and calibrators, materials and other similar or related articles which are directly or indirectly used for the human body, and comprises required computer software; the effect is mainly obtained through physical and other ways, not pharmacological, immunological or metabolic ways, or only plays an auxiliary role though the ways are involved. Urinary stones are one of the most common urological disorders, often occurring in the ureters, kidneys and bladder. In recent years, with the development of minimally invasive surgical techniques, minimally invasive methods for treating urinary calculi become mainstream techniques for treating urinary calculi at present, wherein ureteroscope lithotripsy and percutaneous nephroscope lithotripsy are two important methods for minimally invasive calculus treatment, and the biggest problem of the two minimally invasive lithotripsy techniques is drift of stones and fragments in the lithotripsy process, which causes unclean calculus removal and may cause the risk of secondary operations due to the fact that stones are flushed into the kidney or bladder, so that a calculus removal device for assisting the existing minimally invasive lithotripsy techniques is urgently needed to be designed.
Disclosure of Invention
The present invention is directed to a urological calculus removing device, which solves the above problems of the prior art, and is further needed to design a calculus removing device for assisting the existing minimally invasive calculus removing technique.
In order to achieve the purpose, the invention provides the following technical scheme: a urological calculus removing device comprises a sleeve, wherein a pore plate is welded at the bottom end of the sleeve, a T-shaped rod is inserted in the center of the pore plate in a penetrating and sliding mode, a miniature signal slip ring is fixedly connected to the bottom of an inner cavity of the sleeve, the T-shaped rod penetrates through the miniature signal slip ring, a signal output end of the miniature signal slip ring penetrates through the lower portion of the outer wall of the sleeve, the inner wall of a rotor of the miniature signal slip ring is connected with the outer wall of the T-shaped rod through a spline shaft section and a spline sleeve, a suction pipe penetrates through and is fixed to the lower portion of the right side of the outer wall of the sleeve, a detachable rectangular plug plate is arranged on the left side of the outer wall of the sleeve through a screw and a sealing ring, a circular groove is formed in the upper portion of the inner wall of the sleeve, a movable connecting device is clamped in the inner cavity of the circular groove in a sliding mode, and a basket body is connected between the movable connecting device and the top end of the T-shaped rod;
the basket body includes that the middle part is provided with connecting block, seven rectangular plate and seven U templates of organizing of through-hole, connect through the pivot between rectangular plate and the U template, the equal fixedly connected with rotatable lamella of band-pass hole of the other end of rectangular plate and U template, the rotatable lamella of connecting on the rectangular plate is connected with the connecting block through erectting groove and pivot, the rotatable lamella of connecting on the U template rotates with the removal connecting device to be connected, the last surface central authorities fixedly connected with miniature camera of connecting block, the horizontal fixedly connected with plastics brush in internal surface upper portion of rectangular plate, the signal line of miniature camera runs through in the signal access end connection of T shaped bar and miniature signal sliding ring.
Further, the top end opening of the sleeve is in the shape of an obtuse-angle disc.
Furthermore, an elastic plastic film is fixedly connected between the outer wall of the T-shaped rod and the inner wall of the sleeve through a leakage-proof bearing in a sealing mode, and the elastic plastic film is located below the inner opening of the suction pipe.
Furthermore, an L-shaped pipe is welded between the outer wall of the T-shaped rod and the end face of the rotator of the miniature signal slip ring, and a signal access line of the miniature signal slip ring penetrates through the L-shaped pipe.
Further, the movable connecting device comprises a base ring, seven groups of sliding clamping grooves are vertically arranged on the inner wall of the base ring at uniform intervals, an inner cavity of each sliding clamping groove is inserted with a limiting shaft in a sliding mode, the limiting shaft is connected with a rotating plate connected to a U-shaped plate in a rotating mode, seven groups of stepped thread through holes are horizontally arranged on the base ring at uniform intervals, any one of the stepped thread through holes is located between the two adjacent groups of sliding clamping grooves, an adjusting bolt penetrates through the stepped thread through holes from inside to outside and is screwed with the outer end of the adjusting bolt, and the outer end of the adjusting bolt is connected with a universal ejection ball in a rotating mode through a miniature bearing, and the universal ejection ball protrudes out of the outer wall of the base ring.
Furthermore, the adjusting bolt is provided with scale marks.
Compared with the prior art, the invention has the beneficial effects that: according to the invention, the T-shaped rod is pushed inwards, the rectangular plate and the U-shaped plate rotate to be unfolded outwards to form a cone shape under the action of the movable base ring, the suction pipe is connected to the negative pressure suction device, the T-shaped rod is rotated at the same time, the broken stone is cleaned by using the plastic brush, the miniature camera can be connected with an image playing device for monitoring, the broken stone is collected in the inner cavity of the sleeve, the rectangular plug plate can be opened for cleaning, the broken stone is prevented from entering the kidney or bladder, the device is convenient to operate, and the broken stone cleaning effect is improved by using camera shooting monitoring and rotation for repeated cleaning.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings used in the description of the embodiments will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art that other drawings can be obtained according to the drawings without creative efforts.
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic structural view of the basket body in FIG. 1;
fig. 3 is a schematic structural diagram of the mobile connection device in fig. 1.
In the drawings, the components represented by the respective reference numerals are listed below:
the device comprises a sleeve 1, a hole plate 2, a T-shaped rod 3, a miniature signal slip ring 4, a suction pipe 5, a rectangular plug plate 6, a circular groove 7, a movable connecting device 8, a basket body 9, a base ring 80, a sliding clamping groove 81, a limiting shaft 82, a stepped threaded through hole 83, a universal top bead 84, an adjusting bolt 85, a connecting block 90, a rectangular plate 91, a U-shaped plate 92, a rotating plate 93, a miniature camera 94 and a plastic brush 95.
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. 1-3, the present invention provides a technical solution: a urinary calculus removing device comprises a sleeve 1, a pore plate 2 is welded at the bottom end of the sleeve 1, a T-shaped rod 3 is inserted in the center of the pore plate 2 in a penetrating and sliding manner, a micro signal slip ring 4 is fixedly connected at the bottom of an inner cavity of the sleeve 1, the T-shaped rod 3 penetrates through the miniature signal slip ring 4, the signal output end of the miniature signal slip ring 4 penetrates through the lower part of the outer wall of the sleeve 1, the inner wall of a rotor of the miniature signal slip ring 4 is connected with the outer wall of the T-shaped rod 3 through a spline shaft section and a spline sleeve, the lower part of the right side of the outer wall of the sleeve 1 is fixedly penetrated with a suction pipe 5, the left side of the outer wall of the sleeve 1 is provided with a detachable rectangular plug plate 6 through a screw and a sealing ring, the upper part of the inner wall of the sleeve 1 is provided with a circular groove 7, the inner cavity of the circular groove 7 is slidably clamped with a movable connecting device 8, and a basket body 9 is connected between the movable connecting device 8 and the top end of the T-shaped rod 3;
basket body 9 includes that the middle part is provided with connecting block 90 of through-hole, seven groups of rectangular plate 91 and seven groups of U template 92, connect through the pivot between rectangular plate 91 and the U template 92, the equal fixedly connected with perforated rotor plate 93 of the other end of rectangular plate 91 and U template 92, the rotor plate 93 of connecting on the rectangular plate 91 is connected with connecting block 90 through erecting groove and pivot, the rotor plate 93 of connecting on the U template 92 rotates with removal connecting device 8 and is connected, the last surface central authorities fixedly connected with miniature camera 94 of connecting block 90, the horizontal fixedly connected with plastics brush 95 in internal surface upper portion of rectangular plate 91, the signal line of miniature camera 94 runs through in T type pole 3 and the signal access end of miniature signal sliding ring 4 and connects.
Wherein, the top end opening of the cannula 1 is in the shape of an obtuse-angle disk, so that the blockage is reduced, and the cannula is convenient to enter the kidney or the bladder inlet end.
The outer wall of the T-shaped rod 3 is fixedly connected with an elastic plastic film through a sealing way between the leakage-proof bearing and the inner wall of the sleeve 1, and the elastic plastic film is positioned below the inner opening of the suction pipe 5, so that broken stones are prevented from blocking the spline shaft section between the T-shaped rod 3 and the miniature signal slip ring 4 to move.
An L-shaped pipe is welded between the outer wall of the T-shaped rod 3 and the end face of a rotor of the miniature signal slip ring 4, and a signal access line of the miniature signal slip ring 4 penetrates through the L-shaped pipe, so that a cable is protected, and damage is prevented.
The movable connecting device 8 comprises a base ring 80, seven groups of sliding clamping grooves 81 are vertically arranged on the inner wall of the base ring 80 at uniform intervals, a limiting shaft 82 is inserted into an inner cavity of each sliding clamping groove 81 in a sliding mode, the limiting shaft 82 is rotatably connected with a rotating plate 93 connected to a U-shaped plate 92, seven groups of stepped threaded through holes 83 are horizontally arranged on the base ring 80 at uniform intervals, any one stepped threaded through hole 83 is located between two adjacent groups of sliding clamping grooves 81, an adjusting bolt 85 penetrates through the stepped threaded through hole 83 from inside to outside and is screwed with the outer end of the adjusting bolt 85, a universal ejecting ball 84 is rotatably connected to the outer end of the adjusting bolt 85 through a miniature bearing, the universal ejecting ball 84 protrudes out of the outer wall of the base ring 80, the base ring 80 is conveniently clamped in the inner cavity of a circular groove 7, the base ring can be rotated and can move up and down, and small-size components are selected to form the device.
The adjusting bolt 85 is provided with scale marks, so that the adjusting bolt is convenient to adjust and fix and is stable in matching.
The device is inserted into the inlet end of a kidney or a bladder through minimally invasive surgery, the T-shaped rods 3 are pushed inwards, the rectangular plates 91 and the U-shaped plates 92 rotate to be outwards expanded to form a cone under the action of the movable base ring 80, the suction pipe 5 is connected into the negative pressure suction device, the T-shaped rods 3 are rotated again, broken stones are cleaned by the aid of the plastic brushes 95, meanwhile, the micro camera 94 can be connected with an image playing device to monitor, the broken stones are collected in the inner cavity of the sleeve 1, the rectangular plug plates 6 can be cleaned by the aid of opening, and are prevented from entering the kidney or the bladder.
In the description herein, references to the description of "one embodiment," "an example," "a specific example" or the like are intended to mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
The preferred embodiments of the invention disclosed above are intended to be illustrative only. The preferred embodiments are not intended to be exhaustive or to limit the invention to the precise embodiments disclosed. Obviously, many modifications and variations are possible in light of the above teaching. The embodiments were chosen and described in order to best explain the principles of the invention and the practical application, to thereby enable others skilled in the art to best utilize the invention. The invention is limited only by the claims and their full scope and equivalents.

Claims (5)

1. A urological stone removal device comprising a cannula (1), characterized in that: the bottom end of the sleeve (1) is welded with a pore plate (2), the center of the pore plate (2) is penetrated, slid and inserted with a T-shaped rod (3), the bottom of the inner cavity of the sleeve (1) is fixedly connected with a micro signal slip ring (4), the T-shaped rod (3) is penetrated through the micro signal slip ring (4), the signal output end of the micro signal slip ring (4) is penetrated through the lower part of the outer wall of the sleeve (1), the inner wall of the rotator of the micro signal slip ring (4) is connected with the outer wall of the T-shaped rod (3) through a spline shaft section and a spline sleeve, the lower part of the right side of the outer wall of the sleeve (1) is penetrated and fixed with a suction pipe (5), the left side of the outer wall of the sleeve (1) is provided with a detachable rectangular plug plate (6) through a screw and a sealing ring, the upper part of the inner wall of the sleeve (1) is provided with a circular groove (7), the inner cavity of the circular groove (7) is slidably clamped with a mobile connecting device (8), a basket body (9) is connected between the movable connecting device (8) and the top end of the T-shaped rod (3); an elastic plastic film is fixedly connected to the outer wall of the T-shaped rod (3) through a sealing way between the anti-leakage bearing and the inner wall of the sleeve (1), and the elastic plastic film is positioned below the inner opening of the suction pipe (5);
the basket body (9) comprises a connecting block (90) with a through hole in the middle, seven groups of rectangular plates (91) and seven groups of U-shaped plates (92), the rectangular plate (91) is connected with the U-shaped plate (92) through a rotating shaft, the other ends of the rectangular plate (91) and the U-shaped plate (92) are fixedly connected with a rotating plate (93) with a through hole, the rotating plate (93) connected with the rectangular plate (91) is connected with the connecting block (90) through a vertical groove and a rotating shaft, a rotating plate (93) connected on the U-shaped plate (92) is rotatably connected with the movable connecting device (8), the center of the upper surface of the connecting block (90) is fixedly connected with a miniature camera (94), the upper part of the inner surface of the rectangular plate (91) is horizontally and fixedly connected with a plastic brush (95), and a signal wire of the miniature camera (94) penetrates through the T-shaped rod (3) and is connected with a signal access end of the miniature signal slip ring (4).
2. A urological stone removal device as claimed in claim 1, wherein: the top end opening of the sleeve (1) is in the shape of an obtuse-angle disc.
3. A urological stone removal device as claimed in claim 1, wherein: an L-shaped pipe is welded between the outer wall of the T-shaped rod (3) and the end face of a rotating body of the miniature signal slip ring (4), and a signal access line of the miniature signal slip ring (4) penetrates through the L-shaped pipe.
4. A urological stone removal device as claimed in claim 1, wherein: remove connecting device (8) including base ring (80), the even interval of inner wall of base ring (80) is vertical to be provided with seven groups of sliding clamping groove (81), sliding clamping groove's (81) inner chamber slides and pegs graft and has spacing axle (82), rotor plate (93) that are connected on spacing axle (82) and U template (92) rotate and are connected, base ring (80) are gone up still even interval level and are provided with seven groups of ladder screw thread through-holes (83), arbitrary one ladder screw thread through-hole (83) all are located adjacent two sets of between sliding clamping groove (81), it has adjusting bolt (85) to run through the spiro union from inside to outside on ladder screw thread through-hole (83), the outer end of adjusting bolt (85) is rotated through miniature bearing and is connected with universal top pearl (84), universal top pearl (84) protrusion in base ring (80) outer wall.
5. A urological stone removal device as claimed in claim 4, wherein: and scale marks are arranged on the adjusting bolt (85).
CN201911140864.2A 2019-11-20 2019-11-20 Urological calculus removing device Active CN110811765B (en)

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CN110811765B true CN110811765B (en) 2022-08-23

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2011054218A1 (en) * 2009-11-06 2011-05-12 广州宝胆医疗器械科技有限公司 Mother-baby endoscope system of hard cholecystoscope and flexible choledochoscope
CN102293675A (en) * 2011-09-02 2011-12-28 王宝根 Vacuum stone-taking device
CN202699228U (en) * 2012-05-28 2013-01-30 杭州安杰思医学科技有限公司 Calculus removing reticular basket
CN109009327A (en) * 2018-09-21 2018-12-18 陆巍 A kind of Urology Surgery calculus remove device
CN110368063A (en) * 2019-08-21 2019-10-25 山东大学第二医院 A kind of vacuum suction biliary tract stone extraction auxiliary device

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2011054218A1 (en) * 2009-11-06 2011-05-12 广州宝胆医疗器械科技有限公司 Mother-baby endoscope system of hard cholecystoscope and flexible choledochoscope
CN102293675A (en) * 2011-09-02 2011-12-28 王宝根 Vacuum stone-taking device
CN202699228U (en) * 2012-05-28 2013-01-30 杭州安杰思医学科技有限公司 Calculus removing reticular basket
CN109009327A (en) * 2018-09-21 2018-12-18 陆巍 A kind of Urology Surgery calculus remove device
CN110368063A (en) * 2019-08-21 2019-10-25 山东大学第二医院 A kind of vacuum suction biliary tract stone extraction auxiliary device

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