CN111035428A - Gallbladder incision closing clip - Google Patents
Gallbladder incision closing clip Download PDFInfo
- Publication number
- CN111035428A CN111035428A CN202010007088.5A CN202010007088A CN111035428A CN 111035428 A CN111035428 A CN 111035428A CN 202010007088 A CN202010007088 A CN 202010007088A CN 111035428 A CN111035428 A CN 111035428A
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- Prior art keywords
- strip
- clamping
- side wing
- wall
- shaped
- 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.)
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- 210000000232 gallbladder Anatomy 0.000 title claims abstract description 61
- 239000000463 material Substances 0.000 claims abstract description 4
- 238000005452 bending Methods 0.000 claims description 12
- 210000003141 lower extremity Anatomy 0.000 claims description 2
- 208000032843 Hemorrhage Diseases 0.000 abstract description 3
- 230000000302 ischemic effect Effects 0.000 abstract description 3
- 230000017074 necrotic cell death Effects 0.000 abstract description 3
- 230000008859 change Effects 0.000 abstract description 2
- 230000006378 damage Effects 0.000 abstract description 2
- 230000000877 morphologic effect Effects 0.000 abstract description 2
- 210000004877 mucosa Anatomy 0.000 abstract description 2
- 230000036573 scar formation Effects 0.000 abstract description 2
- 201000001883 cholelithiasis Diseases 0.000 description 14
- 208000001130 gallstones Diseases 0.000 description 7
- 208000004845 Cholecystolithiasis Diseases 0.000 description 6
- 238000000034 method Methods 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 208000037062 Polyps Diseases 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 230000002792 vascular Effects 0.000 description 2
- 206010004637 Bile duct stone Diseases 0.000 description 1
- 208000032544 Cicatrix Diseases 0.000 description 1
- 206010018852 Haematoma Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 238000002192 cholecystectomy Methods 0.000 description 1
- 238000007457 cholecystostomy Methods 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 229920002463 poly(p-dioxanone) polymer Polymers 0.000 description 1
- 239000000622 polydioxanone Substances 0.000 description 1
- 208000015768 polyposis Diseases 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 230000037387 scars Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
- A61B17/1227—Spring clips
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Reproductive Health (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a gallbladder incision closing clip which is made of degradable materials and comprises a first clip arm and a second clip wall which are oppositely arranged, wherein the lower ends of the first clip arm and the second clip wall are connected with an elastic connecting wall; a first strip-shaped upper side wing is arranged at the upper end of the side wall of one side of the first clamping arm; a first strip-shaped middle side wing is arranged on the side wall of the other side of the first clamping arm; and a second strip-shaped upper side wing and a second strip-shaped middle side wing which are opposite to the first strip-shaped upper side wing and the first strip-shaped middle side wing are arranged on the second clamping wall. The invention shortens the closing time of the gallbladder incision, ensures that the incision suture is more orderly without causing the change of the local morphological structure of the gallbladder, ensures that the gallbladder incision is orderly closed, has small damage to the involutive gallbladder mucosa and smaller local scar formation, and ensures that the gallbladder incision is mechanically closed, thereby avoiding the ischemic necrosis of the gallbladder wall caused by over-tight suture or the gallbladder leakage and the hemorrhage caused by over-loose suture.
Description
Technical Field
The invention relates to a closing clip, in particular to a gallbladder incision closing clip.
Background
The cholecystolithiasis and cholecystolithiasis are common diseases and frequently encountered diseases in China, the laparoscopic cholecystectomy is a traditional surgical scheme for treating the cholecystolithiasis and the cholecystolithiasis, and the laparoscopic gallbladder stone-protecting and polyposis operation is another mainstream scheme for treating the cholecystolithiasis and the cholecystolithiasis at present along with the development of a minimally invasive technology and the gradual deepening of the function recognition of a gallbladder.
At present, before treating gallstones and common bile duct stones under a laparoscope, the gallstones and polyps need to be cut open, a choledochoscope enters the gallstones through the cut to clean the gallstones and the polyps, and finally, the gallstones are sutured by absorbable threads, so that the gallstones are sutured by the absorbable threads, and the following problems exist in the process of suturing the gallstones by the absorbable threads: 1. in order to avoid the occurrence of biliary leakage, the gallbladder needs to be continuously sutured by a full layer and a sarcoplasmic layer, and the suturing time is long; 2. the possibility of gallbladder leakage is caused by overlarge stitch length; 3. too large a suturing margin results in a reduction in the effective gallbladder cross section; 4. large scars are formed at the incision of the gallbladder, and the function of the gallbladder is affected; 5. the process of the suture needle penetrating the wall of the gallbladder has the risk of damaging the blood vessel of the gallbladder to cause hemorrhage and hematoma of the wall of the gallbladder.
Disclosure of Invention
The invention aims to provide a gallbladder incision closing clip for overcoming the defect of suture gallbladder incision in the process of treating the gallbladder incision. The technical means adopted by the invention are as follows:
a gallbladder incision closing clamp is made of degradable materials and comprises a first clamping arm and a second clamping wall which are oppositely arranged, the lower ends of the first clamping arm and the second clamping wall are connected with an elastic connecting wall, and the upper ends of the inner sides of the first clamping arm and the second clamping wall can be connected through a clamping needle and a clamping groove.
A first strip-shaped upper side wing is arranged at the upper end of the side wall of one side of the first clamping arm;
a first strip-shaped middle side wing is arranged on the side wall of the other side of the first clamping arm;
and a second strip-shaped upper side wing and a second strip-shaped middle side wing which are opposite to the first strip-shaped upper side wing and the first strip-shaped middle side wing are arranged on the second clamping wall.
The first clamping arm and the second clamping wall, the first strip-shaped upper side wing and the second strip-shaped upper side wing, and the first strip-shaped middle side wing and the second strip-shaped middle side wing are provided with conical clamping teeth which are arranged oppositely.
The first clamping arm, the second clamping wall and the elastic connection wall are all arc-shaped, wherein the first clamping arm bends towards the second clamping wall, and the second clamping wall is consistent with the first clamping arm in shape.
The extension direction of the first strip-shaped upper side wing is perpendicular to the axis of the first clamping arm and consistent with the bending degree of the first clamping arm, the extension direction of the first strip-shaped middle side wing is perpendicular to the axis of the first clamping arm and consistent with the bending degree of the first clamping arm, and the lower edge of the first strip-shaped upper side wing and the upper edge of the first strip-shaped middle side wing are positioned on the same straight line;
the extension direction of flank is perpendicular to on the second strip the axis of second arm lock and with the degree of bending of second arm lock is unanimous, the extension direction of flank is perpendicular to in the second strip the axis of second arm lock and with the degree of bending of second arm lock is unanimous, second strip upper flank lower limb with flank upper edge in the second strip is located same straight line.
The clamping needle comprises a cylindrical connecting end and a clamping needle conical head positioned at the head of the connecting end;
the clamping groove is in a stepped hole shape, and the small end of the clamping groove is close to one side of the conical head of the clamping needle.
The width of the first clamping arm and the second clamping arm is 2mm, the length of the first clamping arm and the second clamping arm is 8mm, and the thickness of the first clamping arm and the second clamping arm is 2 mm;
the length of the first strip-shaped upper side wing and the length of the second strip-shaped upper side wing are 4mm, the width of the first strip-shaped upper side wing and the width of the second strip-shaped upper side wing are 2mm, and the thickness of the first strip-shaped upper side wing and the second strip-shaped upper side wing are 2 mm;
the length of the first strip-shaped middle side wing and the length of the second strip-shaped middle side wing are 2mm, the width of the first strip-shaped middle side wing and the width of the second strip-shaped middle side wing are 2mm, and the thickness of the first strip-shaped middle side wing and the second strip-shaped middle side wing are 2 mm.
The height of the conical latch is 1 mm.
The length of the clamping needle is 5mm, the diameter of the connecting end is 1mm, and the diameter of the large end of the conical head of the clamping needle is 1.5 mm;
the diameter of the small end of the clamping groove is 1.2mm, and the diameter of the large end of the clamping groove is 1.6 mm.
First arm lock with the inboard upper end of second double-layered wall passes through the card needle with the draw-in groove is connected the back, and what set up relatively the clearance of toper latch is 1mm, does not the clearance of toper latch department is 3 mm.
Compared with the prior art, the invention has the following advantages:
1. the closing time of the gallbladder incision is shortened;
2. the incision suture is more orderly, and the change of the local morphological structure of the gall bladder cannot be caused;
3. the gallbladder incision is aligned, the injury of the involuted gallbladder mucosa is small, and the local scar formation is smaller;
4. the gallbladder incision is mechanically closed, so that ischemic necrosis of the gallbladder wall caused by over-tight suturing or gallbladder leakage and hemorrhage caused by over-loose suturing are avoided;
5. the gallbladder incision closing clamp fixes gallbladder wall tissues through an arc-shaped clamping arm of the closing clamp, a conical clamping tooth on a closing surface and a clamping needle, and a gap is formed between the conical clamping tooth and the closing surface, so that the compression ischemic necrosis of the gallbladder wall is not caused;
6. according to the length of the gallbladder incision, selecting different numbers of gallbladder incision closing clips, and being suitable for gallbladder incisions with various lengths and shapes;
7. the degradable material is made, and no residue is left in the body.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings needed to be used in the description of the embodiments or the prior art will be briefly introduced below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without creative efforts.
FIG. 1 is a schematic structural view (not closed) of a cholecystotomy closure clip in an embodiment of the present invention.
FIG. 2 is a schematic structural view (closed) of a gallbladder incision closure clip in an embodiment of the present invention.
FIG. 3 is a side view (first clip arm side) of a gallbladder incision closure clip in an embodiment of the present invention.
FIG. 4 is a side view (second clip arm side) of a gallbladder incision closure clip in an embodiment of the present invention.
FIG. 5 is a schematic view of the gallbladder incision closure clip in an operative position in accordance with an embodiment of the present invention.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, 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 some, but not all, embodiments of the present invention. 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.
As shown in fig. 1 to 5, a gallbladder incision closure clip is made of polydioxanone, and comprises a first clip arm 2 and a second clip wall 3 which are oppositely arranged and the lower ends of which are connected with an elastic connecting wall 1, wherein the upper end of the inner side of the first clip arm 2 is provided with a clip needle 4, the upper end of the inner side of the second clip wall 3 is provided with a clip groove 5, and the upper ends of the inner sides of the first clip arm 2 and the second clip wall 3 can be connected through the clip needle 4 and the clip groove 5; the clamping needle 4 comprises a cylindrical connecting end 41 and a clamping needle conical head 42 positioned at the head of the connecting end 41; the clamping groove 5 is in a stepped hole shape, and the small end of the clamping groove is close to one side of the conical head 42 of the clamping needle; the length of the clamping needle 4 is 5mm, the diameter of the connecting end 41 is 1mm, and the diameter of the large end of the conical head 42 of the clamping needle is 1.5 mm; the diameter of the small end of the clamping groove 5 is 1.2mm, and the diameter of the large end of the clamping groove is 1.6 mm; a first strip-shaped upper side wing 21 is arranged at the upper end of the right side wall of the first clamping arm 2; a first strip-shaped middle side wing 22 is arranged on the left side wall of the first clamping arm 2; a second strip-shaped upper side wing 31 and a second strip-shaped middle side wing 32 which are opposite to the first strip-shaped upper side wing 21 and the first strip-shaped middle side wing 22 are arranged on the second clamping wall 3; the width of the first clamping arm 2 and the second clamping arm 3 is 2mm, the length of the first clamping arm is 8mm, and the thickness of the first clamping arm is 2 mm; the first strip-shaped upper side wing 21 and the second strip-shaped upper side wing 31 are 4mm long, 2mm wide and 2mm thick; the length of the first strip-shaped middle side wing 22 and the second strip-shaped middle side wing 32 is 2mm, the width is 2mm, and the thickness is 2 mm; the first clamping arm 2, the second clamping wall 3, the first strip-shaped upper side wing 21, the second strip-shaped upper side wing 31, the first strip-shaped middle side wing 22 and the second strip-shaped middle side wing 32 are respectively provided with a conical clamping tooth 6 which are arranged oppositely; the height of the conical latch 6 is 1 mm; the first clamping arm 2, the second clamping wall 3 and the elastic connecting wall 1 are all arc-shaped, wherein the first clamping arm 2 is bent towards the second clamping wall 3, and the second clamping wall 2 is consistent with the first clamping arm 3 in shape; the extending direction of the first strip-shaped upper lateral wing 21 is perpendicular to the axis of the first clamping arm 2 and is consistent with the bending degree of the first clamping arm 2, the extending direction of the first strip-shaped middle lateral wing 22 is perpendicular to the axis of the first clamping arm 2 and is consistent with the bending degree of the first clamping arm 2, and the lower edge of the first strip-shaped upper lateral wing 21 and the upper edge of the first strip-shaped middle lateral wing 22 are located on the same straight line; the extending direction of the second strip-shaped upper lateral wing 31 is perpendicular to the axis of the second clamping arm 3 and is consistent with the bending degree of the second clamping arm 3, the extending direction of the second strip-shaped middle lateral wing 32 is perpendicular to the axis of the second clamping arm 3 and is consistent with the bending degree of the second clamping arm 3, and the lower edge of the second strip-shaped upper lateral wing 31 and the upper edge of the second strip-shaped middle lateral wing 32 are located on the same straight line; a common vascular clamp closer is used for clamping a gallbladder incision closing clamp and is delivered into the abdominal cavity through a 1.0cm laparoscope stabbing card. The gallbladder incision closing clamp is opened to clamp one end of a gallbladder incision, the distance from the edge of the gallbladder incision 7 to the opening of the gallbladder incision closing clamp is adjusted, a common vascular clamp closer is buckled, a clamping needle 4 on the gallbladder incision closing clamp enters a clamping groove 5, a second gallbladder incision closing clamp and a third gallbladder incision closing clamp are carried out again until the gallbladder incision is completely closed, at the moment, the gap between the conical clamping teeth 6 which are oppositely arranged is 1mm, and the gap between the positions without the conical clamping teeth 6 is 3 mm.
Finally, it should be noted that: the above embodiments are only used to illustrate the technical solution of the present invention, and not to limit the same; while the invention has been described in detail and with reference to the foregoing embodiments, it will be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some or all of the technical features may be equivalently replaced; and the modifications or the substitutions do not make the essence of the corresponding technical solutions depart from the scope of the technical solutions of the embodiments of the present invention.
Claims (10)
1. A gallbladder incision closing clamp is made of degradable materials and is characterized by comprising a first clamping arm and a second clamping wall which are oppositely arranged, the lower ends of the first clamping arm and the second clamping wall are connected with an elastic connecting wall, and the upper ends of the inner sides of the first clamping arm and the second clamping wall can be connected through a clamping needle and a clamping groove.
2. The gallbladder incision closure clip of claim 1, wherein: a first strip-shaped upper side wing is arranged at the upper end of the side wall of one side of the first clamping arm;
a first strip-shaped middle side wing is arranged on the side wall of the other side of the first clamping arm;
and a second strip-shaped upper side wing and a second strip-shaped middle side wing which are opposite to the first strip-shaped upper side wing and the first strip-shaped middle side wing are arranged on the second clamping wall.
3. The gallbladder incision closure clip of claim 2 wherein: the first clamping arm and the second clamping wall, the first strip-shaped upper side wing and the second strip-shaped upper side wing, and the first strip-shaped middle side wing and the second strip-shaped middle side wing are provided with conical clamping teeth which are arranged oppositely.
4. The gallbladder incision closure clip of claim 2 wherein: the first clamping arm, the second clamping wall and the elastic connection wall are all arc-shaped, wherein the first clamping arm bends towards the second clamping wall, and the second clamping wall is consistent with the first clamping arm in shape.
5. The gallbladder incision closure clip of claim 4, wherein: the extension direction of the first strip-shaped upper side wing is perpendicular to the axis of the first clamping arm and consistent with the bending degree of the first clamping arm, the extension direction of the first strip-shaped middle side wing is perpendicular to the axis of the first clamping arm and consistent with the bending degree of the first clamping arm, and the lower edge of the first strip-shaped upper side wing and the upper edge of the first strip-shaped middle side wing are positioned on the same straight line;
the extension direction of flank is perpendicular to on the second strip the axis of second arm lock and with the degree of bending of second arm lock is unanimous, the extension direction of flank is perpendicular to in the second strip the axis of second arm lock and with the degree of bending of second arm lock is unanimous, second strip upper flank lower limb with flank upper edge in the second strip is located same straight line.
6. The gallbladder incision closure clip of claim 1, wherein: the clamping needle comprises a cylindrical connecting end and a clamping needle conical head positioned at the head of the connecting end;
the clamping groove is in a stepped hole shape, and the small end of the clamping groove is close to one side of the conical head of the clamping needle.
7. The gallbladder incision closure clip of claim 2, wherein: the width of the first clamping arm and the second clamping arm is 2mm, the length of the first clamping arm and the second clamping arm is 8mm, and the thickness of the first clamping arm and the second clamping arm is 2 mm;
the length of the first strip-shaped upper side wing and the length of the second strip-shaped upper side wing are 4mm, the width of the first strip-shaped upper side wing and the width of the second strip-shaped upper side wing are 2mm, and the thickness of the first strip-shaped upper side wing and the second strip-shaped upper side wing are 2 mm;
the length of the first strip-shaped middle side wing and the length of the second strip-shaped middle side wing are 2mm, the width of the first strip-shaped middle side wing and the width of the second strip-shaped middle side wing are 2mm, and the thickness of the first strip-shaped middle side wing and the second strip-shaped middle side wing are 2 mm.
8. The gallbladder incision closure clip of claim 3, wherein: the height of the conical latch is 1 mm.
9. The gallbladder incision closure clip of claim 6, wherein: the length of the clamping needle is 5mm, the diameter of the connecting end is 1mm, and the diameter of the large end of the conical head of the clamping needle is 1.5 mm;
the diameter of the small end of the clamping groove is 1.2mm, and the diameter of the large end of the clamping groove is 1.6 mm.
10. The gallbladder incision closure clip of claim 3, wherein: first arm lock with the inboard upper end of second double-layered wall passes through the card needle with the draw-in groove is connected the back, and what set up relatively the clearance of toper latch is 1mm, does not the clearance of toper latch department is 3 mm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010007088.5A CN111035428A (en) | 2020-01-03 | 2020-01-03 | Gallbladder incision closing clip |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010007088.5A CN111035428A (en) | 2020-01-03 | 2020-01-03 | Gallbladder incision closing clip |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN111035428A true CN111035428A (en) | 2020-04-21 |
Family
ID=70244398
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202010007088.5A Pending CN111035428A (en) | 2020-01-03 | 2020-01-03 | Gallbladder incision closing clip |
Country Status (1)
| Country | Link |
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| CN (1) | CN111035428A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112155635A (en) * | 2020-10-13 | 2021-01-01 | 常州安康医疗器械有限公司 | Titanium clip for clamping tissue |
| CN113509225A (en) * | 2021-04-28 | 2021-10-19 | 山东大学齐鲁医院 | Operation incision anastomosis member, anastomosis assembly and cardiac surgery mechanical suturing device |
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| US20130289586A1 (en) * | 2012-04-30 | 2013-10-31 | Zsx Medical, Llc | Surgical device |
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| CN109157254A (en) * | 2018-08-02 | 2019-01-08 | 广州医科大学附属第医院 | Instrument for animal surgery incision protection and healing |
| CN209529867U (en) * | 2018-03-14 | 2019-10-25 | 丹阳市人民医院 | A kind of fixed Via bile duct biliary drainage pipe device |
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2020
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| US20110264118A1 (en) * | 2009-04-15 | 2011-10-27 | Zsx Medical, Llc | Surgical Device |
| US20140188135A1 (en) * | 2011-06-09 | 2014-07-03 | National University Of Singapore | Bio-Absorbable Micro-Clip And Applicator For Minimal Access Wound Closure |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112155635A (en) * | 2020-10-13 | 2021-01-01 | 常州安康医疗器械有限公司 | Titanium clip for clamping tissue |
| CN113509225A (en) * | 2021-04-28 | 2021-10-19 | 山东大学齐鲁医院 | Operation incision anastomosis member, anastomosis assembly and cardiac surgery mechanical suturing device |
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Application publication date: 20200421 |
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