CN111772787B - Surgical knife - Google Patents

Surgical knife Download PDF

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Publication number
CN111772787B
CN111772787B CN201910271209.4A CN201910271209A CN111772787B CN 111772787 B CN111772787 B CN 111772787B CN 201910271209 A CN201910271209 A CN 201910271209A CN 111772787 B CN111772787 B CN 111772787B
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CN
China
Prior art keywords
carbon dioxide
optical fiber
dioxide optical
connector
limiter
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Active
Application number
CN201910271209.4A
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Chinese (zh)
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CN111772787A (en
Inventor
萧慕东
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Aopeng Hebei Medical Device Sales Co ltd
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Aopeng Hebei Medical Device Sales Co ltd
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Priority to CN201910271209.4A priority Critical patent/CN111772787B/en
Publication of CN111772787A publication Critical patent/CN111772787A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B2018/2205Characteristics of fibres

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Electromagnetism (AREA)
  • Optics & Photonics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Otolaryngology (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Laser Surgery Devices (AREA)
  • Laser Beam Processing (AREA)

Abstract

The embodiment of the invention provides a surgical knife, which comprises: a cutter shell; the fixed connector is detachably arranged on the cutter shell and is used for being matched with the cutter shell to form a containing space; and the carbon dioxide laser carbon dioxide optical fiber limiter is detachably arranged in the accommodating space, a limiting space for limiting the carbon dioxide optical fiber is formed in the carbon dioxide optical fiber limiter, one end of the carbon dioxide optical fiber is propped against the fixed joint, the other end of the carbon dioxide optical fiber stretches into the limiting space, and one end, deviating from the fixed joint, of the carbon dioxide optical fiber limiter is provided with a cutter head which only allows laser of preset quantity to penetrate out. The surgical knife in the embodiment of the invention can be convenient for a user to replace the carbon dioxide optical fiber, so that the surgical operation is safer and more sanitary, and meanwhile, the knife head can adjust the laser emission content to influence the surgical effect.

Description

Surgical knife
Technical Field
The embodiment of the invention relates to the field of surgical instruments, in particular to a surgical knife.
Background
The laser scalpel uses the characteristic of high concentration of laser energy as a scalpel for surgical operation, and has uniqueness. The blade is the focus of laser beam, which can be as small as 0.1 mm, and the power density of the focus reaches 10W/cm. Such a light "knife" is characterized by the fact that it is intended to be easily interpreted, whether it is skin, muscle, or bone. One of the outstanding advantages of laser "knives" is that they are very light and fast. The surgical operation is performed by using the device without any mechanical impact; after using a laser "knife" with a power of 50 watts, the speed of lancing the skin is about 10 cm per second, with a lancing depth of about 1 mm, as compared to a conventional scalpel.
At present, due to structural defects, a carbon dioxide optical fiber for conducting laser is easy to be in nearly direct contact with skin tissues of a patient, so that the carbon dioxide optical fiber is damaged, and the high emission temperature of the laser is extremely easy to scald the patient. At each moment, medical staff always needs to replace the carbon dioxide optical fiber again, but the carbon dioxide optical fiber is difficult to replace because no structure or component capable of facilitating the replacement of the carbon dioxide optical fiber exists in the laser scalpel.
Disclosure of Invention
The invention provides the scalpel which is convenient for replacing the carbon dioxide optical fiber, ensures safer and more sanitary operation and can adjust the laser emission.
In order to solve the above technical problems, an embodiment of the present invention provides a surgical knife, including:
A cutter shell;
The fixed connector is detachably arranged on the cutter shell and is used for being matched with the cutter shell to form a containing space; and
The carbon dioxide optical fiber limiter is detachably arranged in the accommodating space, a limiting space for limiting the carbon dioxide optical fiber is formed in the carbon dioxide optical fiber limiter, one end of the carbon dioxide optical fiber abuts against the fixed joint, the other end of the carbon dioxide optical fiber extends into the limiting space, and one end, deviating from the fixed joint, of the carbon dioxide optical fiber limiter is provided with a cutter head which only allows laser of a preset quantity to penetrate out.
Preferably, the cutter shell comprises a shell with two open ends and a connector detachably arranged at the first end of the shell and communicated with the limiting space, and the fixed connector is arranged at the second end of the shell.
Preferably, the connector is screwed or buckled on the shell.
Preferably, the fixing connector is in a shape of a sealing cap, and is screwed or buckled on the shell, and a limiting part for limiting the carbon dioxide optical fiber is formed in the fixing connector.
Preferably, the first end of the housing has a first limiting portion, the carbon dioxide optical fiber limiter is provided with a second limiting portion capable of cooperating with the first limiting portion to limit the carbon dioxide optical fiber limiter, and when the first limiting portion and the second limiting portion act, the carbon dioxide optical fiber limiter extends out of the connector with a fixed length towards one end of the connector.
Preferably, the housing is cylindrical, the first limiting portion is formed by shrinking the second end of the housing, the carbon dioxide optical fiber limiter is rod-shaped, and the second limiting portion is a step surface formed on the carbon dioxide optical fiber limiter and capable of abutting against the first limiting portion.
Preferably, one end of the carbon dioxide optical fiber limiter, which extends out of the connector, is wedge-shaped, and the outer edge of the end is curved.
Preferably, the tool bit is a diamond tool bit.
Preferably, the diamond light transmittance of the cutter head is matched with the wavelength of the laser emitted by the carbon dioxide optical fiber.
Preferably, at least a portion of the carbon dioxide optical fiber limiter provided with the cutter head is bendable.
Based on the disclosure of the above embodiment, it can be known that the embodiment of the invention has the beneficial effects that the carbon dioxide optical fiber limiter and the fixed connector are arranged, so that the carbon dioxide optical fiber limiter can be independently arranged in the cutter shell, and meanwhile, when a user wants to detach the carbon dioxide optical fiber, the user can detach the carbon dioxide optical fiber only by removing the fixed connector, thereby being convenient to operate. In addition, the scalpel in the embodiment of the invention is also provided with a filter component on the carbon dioxide optical fiber limiter, so that the laser emission quantity is adjusted, and the effects of adjusting the laser emission quantity and concentrating the laser are achieved.
Drawings
Fig. 1 is a schematic structural view of a scalpel in an embodiment of the present invention.
Fig. 2 is an exploded view of a scalpel according to an embodiment of the present invention.
Reference numerals:
1-a cutter shell; 2-fixing the joint; 3-carbon dioxide optical fiber limiter; 4-a housing; 5-a connector; 6-a first limit part; 7-a second limiting part; 8-tool bit.
Detailed Description
Hereinafter, specific embodiments of the present invention will be described in detail with reference to the accompanying drawings, but not limiting the invention.
It should be understood that various modifications may be made to the embodiments disclosed herein. Therefore, the following description should not be taken as limiting, but merely as exemplification of the embodiments. Other modifications within the scope and spirit of this disclosure will occur to persons of ordinary skill in the art.
The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments of the disclosure and, together with a general description of the disclosure given above and the detailed description of the embodiments given below, serve to explain the principles of the disclosure.
These and other characteristics of the invention will become apparent from the following description of a preferred form of embodiment, given as a non-limiting example, with reference to the accompanying drawings.
It is also to be understood that, although the invention has been described with reference to some specific examples, a person skilled in the art will certainly be able to achieve many other equivalent forms of the invention, having the characteristics as set forth in the claims and hence all coming within the field of protection defined thereby.
The above and other aspects, features and advantages of the present disclosure will become more apparent in light of the following detailed description when taken in conjunction with the accompanying drawings.
Specific embodiments of the present disclosure will be described hereinafter with reference to the accompanying drawings; however, it is to be understood that the disclosed embodiments are merely examples of the disclosure, which may be embodied in various forms. Well-known and/or repeated functions and constructions are not described in detail to avoid obscuring the disclosure in unnecessary or unnecessary detail. Therefore, specific structural and functional details disclosed herein are not intended to be limiting, but merely serve as a basis for the claims and as a representative basis for teaching one skilled in the art to variously employ the present disclosure in virtually any appropriately detailed structure.
The specification may use the word "in one embodiment," "in another embodiment," "in yet another embodiment," or "in other embodiments," which may each refer to one or more of the same or different embodiments in accordance with the disclosure.
Hereinafter, embodiments of the present invention will be described in detail with reference to the accompanying drawings.
As shown in fig. 1, an embodiment of the present invention provides a surgical knife including:
A cutter shell 1;
The fixed joint 2 is detachably arranged on the cutter shell 1 and is used for being matched with the cutter shell 1 to form a containing space; and
The carbon dioxide optical fiber limiter 3 is detachably arranged in the accommodating space, a limiting space for limiting the carbon dioxide optical fiber is formed in the carbon dioxide optical fiber limiter 3, one end of the carbon dioxide optical fiber is propped against the fixed joint 2, the other end of the carbon dioxide optical fiber extends into the limiting space, and one end of the carbon dioxide optical fiber limiter 3, deviating from the fixed joint 2, is provided with a cutter head 8 which only allows laser of a preset quantity to penetrate.
That is, at least one end of the cutter housing 1 is an open end, and the fixed connector 2 is mounted on the open end to enclose the accommodating space with the cutter housing 1. The carbon dioxide optical fiber is arranged in a limiting space in the carbon dioxide optical fiber limiter 3 and is arranged in the cutter shell 1 through the carbon dioxide optical fiber limiter 3, and one end of the carbon dioxide optical fiber, which faces the fixed joint 2, is connected with the fixed joint 2so as to enhance the fixing effect. When a user, such as a doctor, wants to replace the carbon dioxide optical fiber, the user only needs to take down the fixing connector 2 to take out the carbon dioxide optical fiber together, that is, the carbon dioxide optical fiber is separated from the cutter housing 1, then the doctor or takes down the carbon dioxide optical fiber, replaces a new carbon dioxide optical fiber on the fixing connector 2, and finally fixes the carbon dioxide optical fiber in the cutter housing 1 through the fixing connector 2; or directly replace another carbon dioxide optical fiber limiter 3 fixed with new carbon dioxide optical fiber and connect it with the fixed joint 2 to be installed in the cutter housing 1 through the fixed joint 2. So, through the scalpel in this embodiment, not only can make carbon dioxide optic fibre independently set up in sword shell 1, the user of facilitating the use tears open and trades carbon dioxide optic fibre moreover, has significantly reduced the operation degree of difficulty of tearing open and trade carbon dioxide optic fibre and has damaged the risk of carbon dioxide optic fibre, has increased the security to carbon dioxide optic fibre use. In addition, the scalpel in the embodiment of the invention is also provided with the cutter head 8 capable of adjusting the laser emission quantity on the carbon dioxide optical fiber limiter 3, so that the effect of adjusting the laser emission temperature is realized only by the cutter head 8, and the patient is prevented from being burnt.
Further, as shown in fig. 2, the cutter housing 1 in the present embodiment includes a housing 4 with two open ends, and the housing 4 is cylindrical, but may also have other shapes, such as a square cylinder, etc.; the connector 5 is detachably arranged at the first end of the shell 4, the connector 5 is simultaneously communicated with the limiting space, and the fixed connector 2 is arranged at the second end of the shell 4.
Specifically, the connector 5 in this embodiment is screwed or fastened to the housing 4. In the case of fastening, it is preferable to provide the connector 5 and the housing 4 with a matching concave-convex structure, so as to increase the connection firmness. Further, the fixing connector 2 in the present embodiment is in a cap shape, which is also fixed on the housing 4 in a screwing or buckling manner, and similarly, when the fixing connector 2 and the housing 4 are in a buckling manner, it is preferable to correspondingly provide matched concave-convex matching structures so as to increase the connection firmness. A limiting part for limiting the carbon dioxide optical fiber is also formed in the fixed connector 2, and the structure of the limiting part is not unique, so long as the fiber can be fixed.
Continuing to combine with fig. 2, the first end of the housing 4 in this embodiment has a first limiting portion 6, the carbon dioxide optical fiber limiter 3 has a second limiting portion 7 capable of cooperating with the first limiting portion 6 to limit the carbon dioxide optical fiber limiter 3, and when the first limiting portion 6 and the second limiting portion 7 cooperate, the carbon dioxide optical fiber limiter 3 extends out of the connector 5 with a fixed length toward one end of the connector 5. That is, the end of the carbon dioxide optical fiber limiter 3 provided with the cutter head 8 extends out of the connector 5 with a fixed length.
Specifically, the first limiting portion 6 in this embodiment is formed by first shrinking the second end of the housing 4 inward, and then extending outward along the axial direction of the housing 4. The outer surface of the second limiting part 7 can be provided with threads or a concave-convex matching structure matched with the connector 5 so as to realize connection with the connector 5. The carbon dioxide optical fiber limiter 3 is in a round rod shape, and the second limiting part 7 is a circle of step surface which is formed on the carbon dioxide optical fiber limiter 3 and can be abutted against the first limiting part 6. Of course, the step surface may be omitted, for example, a round of rib, or a plurality of limit protrusions uniformly distributed on the same circumference of the carbon dioxide optical fiber limiter 3, or the like, as long as the joint can abut against the outer edge of the first limit portion 6.
With continued reference to fig. 2, the end of the carbon dioxide optical fiber limiter 3 extending out of the connector 5 in this embodiment is wedge-shaped, that is, the end of the carbon dioxide optical fiber limiter 3 provided with the cutter head 8 is wedge-shaped. Moreover, the outer edge of the wedge-shaped end is curved to increase the fixing force to the cutter head 8, and the outer shape of the cutter head 8 can be adjusted, so that the cutting range can be adjusted. Of course, the port may be in a shape of a common circle, square, etc., and the outer edge may be linear or circular arc, etc.
Preferably, the cutting head 8 in this embodiment is a diamond cutting head 8, such as a sapphire, ruby, sapphire, or the like. The transmissivity of the setting material of tool bit 8 matches with the wavelength of the laser that carbon dioxide optic fibre launched, specifically can be according to the transmission volume and the wavelength of laser of actual need to decide, for example the material of this precious stone needs to satisfy at least and can make laser transmission play, can shield some laser again simultaneously, and then reaches the effect that reduces laser ejection temperature.
In addition, a lens can be arranged in the cutter head 8 so as to correct and reduce the beam divergence effect through the lens effect, and the beam auxiliary operation is easy to control.
In addition, the shape of the cutter head 8 is not unique, and for example, the cutter head 8 can be a round head cutter head for quickly vaporizing human tissues, or the cutter head 8 can be a flat head cutter head for coagulating wounds to stop bleeding, or the cutter head 8 can be a conical cutter head for surgical cutting and the like. That is, the blade portion of the cutter head 8 may be parallel to the incident surface or may be curved to serve as a lens for providing a focusing function; or beveled to create one or more blades to limit the exit point of the laser radiation and to provide a cutting edge that can be used in combination with the radiation to cauterize the incision to stop bleeding while cutting. Furthermore, preferably, in order to facilitate the operation of a user, for example, a medical staff, at least a portion of the carbon dioxide optical fiber limiter 3 provided with the cutter head 8 in the present embodiment is bendable, so that the cutter head 8 can bend accordingly with the application of force in a certain direction by the medical staff.
The above embodiments are only exemplary embodiments of the present invention and are not intended to limit the present invention, the scope of which is defined by the claims. Various modifications and equivalent arrangements of this invention will occur to those skilled in the art, and are intended to be within the spirit and scope of the invention.

Claims (7)

1. A surgical knife, comprising:
at least one end of the cutter shell is an open end;
the fixed connector is detachably arranged on the open end of the cutter shell and is used for being matched with the cutter shell to form a containing space; and
The carbon dioxide optical fiber limiter is detachably arranged in the accommodating space, a limiting space for limiting the carbon dioxide optical fiber is formed in the carbon dioxide optical fiber limiter, one end of the carbon dioxide optical fiber is propped against the fixed joint, and the other end of the carbon dioxide optical fiber extends into the limiting space and is detachably connected with the cutter shell; the end, facing away from the fixed joint, of the carbon dioxide optical fiber limiter is provided with a cutter head which only allows laser with preset quantity to penetrate out, and the end, facing towards the fixed joint, of the carbon dioxide optical fiber limiter is connected with the fixed joint and is arranged in the cutter shell through the fixed joint; the cutter shell comprises a shell with two open ends and a connector detachably arranged at a first end of the shell and communicated with the limit space, and the fixed connector is arranged at a second end of the shell; one end of the carbon dioxide optical fiber limiter, which faces the connector, can extend out of the connector;
The carbon dioxide optical fiber limiter comprises a connector, a first limiting part, a second limiting part and a second limiting part, wherein the first limiting part is arranged at the first end of the shell, the second limiting part can be matched with the first limiting part to limit the carbon dioxide optical fiber limiter, and when the first limiting part and the second limiting part are in action, the carbon dioxide optical fiber limiter extends out of the connector at a fixed length towards one end of the connector;
the shell is cylindrical, the first limiting part is formed by shrinking the second end of the shell inwards, the carbon dioxide optical fiber limiter is in a rod shape, and the second limiting part is a circle of step surface which is formed on the carbon dioxide optical fiber limiter and can be abutted against the first limiting part.
2. The scalpel of claim 1, wherein the connector is screwed or snapped onto the housing.
3. The scalpel according to claim 1, wherein the fixed connector is in a shape of a cap, which is screwed or fastened on the housing, and a limiting portion for limiting the carbon dioxide optical fiber is formed in the fixed connector.
4. The scalpel of claim 1, wherein an end of the carbon dioxide fiber stop extending beyond the connector is wedge-shaped and the outer edge of the end is curved.
5. The scalpel of claim 1, wherein the blade is a diamond blade.
6. The scalpel of claim 5, wherein the light transmittance of the blade matches the wavelength of the laser light emitted from the carbon dioxide fiber.
7. The scalpel of claim 1, wherein at least a portion of the carbon dioxide fiber stop provided with the blade is bendable.
CN201910271209.4A 2019-04-04 2019-04-04 Surgical knife Active CN111772787B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910271209.4A CN111772787B (en) 2019-04-04 2019-04-04 Surgical knife

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CN201910271209.4A CN111772787B (en) 2019-04-04 2019-04-04 Surgical knife

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CN111772787B true CN111772787B (en) 2024-05-17

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2012105766A (en) * 2010-11-16 2012-06-07 Asuka Medical Inc Medical surgical instrument
CN203153942U (en) * 2013-04-03 2013-08-28 琳锋医疗科技发展(上海)有限公司 Laser output system of laser treatment instrument, and disposable optical fiber treatment head
CN105662579A (en) * 2016-03-08 2016-06-15 四川航天世都制导有限公司 Novel laser treatment handle
CN107157578A (en) * 2017-07-03 2017-09-15 沈阳雷卓激光医疗器械有限公司 Compatible disposable optical-fibre needle cuts laser handle arrangement
CN109171956A (en) * 2018-09-11 2019-01-11 中聚科技股份有限公司 A kind of optical-fiber laser therapeutic device that laser probe is replaceable

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2014143688A2 (en) * 2013-03-15 2014-09-18 Omniguide, Inc. Waveguide locks and counterbalances for waveguide conduits

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2012105766A (en) * 2010-11-16 2012-06-07 Asuka Medical Inc Medical surgical instrument
CN203153942U (en) * 2013-04-03 2013-08-28 琳锋医疗科技发展(上海)有限公司 Laser output system of laser treatment instrument, and disposable optical fiber treatment head
CN105662579A (en) * 2016-03-08 2016-06-15 四川航天世都制导有限公司 Novel laser treatment handle
CN107157578A (en) * 2017-07-03 2017-09-15 沈阳雷卓激光医疗器械有限公司 Compatible disposable optical-fibre needle cuts laser handle arrangement
CN109171956A (en) * 2018-09-11 2019-01-11 中聚科技股份有限公司 A kind of optical-fiber laser therapeutic device that laser probe is replaceable

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