CN111803228A - Kidney fixing device in open renal carcinoma radical operation - Google Patents
Kidney fixing device in open renal carcinoma radical operation Download PDFInfo
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- CN111803228A CN111803228A CN202010501935.3A CN202010501935A CN111803228A CN 111803228 A CN111803228 A CN 111803228A CN 202010501935 A CN202010501935 A CN 202010501935A CN 111803228 A CN111803228 A CN 111803228A
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- clamping part
- kidney
- renal
- negative pressure
- clamping
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- 210000003734 kidney Anatomy 0.000 title claims abstract description 64
- 206010038389 Renal cancer Diseases 0.000 title claims abstract description 39
- 208000006265 Renal cell carcinoma Diseases 0.000 title claims description 14
- 201000010174 renal carcinoma Diseases 0.000 title claims description 13
- 208000008839 Kidney Neoplasms Diseases 0.000 claims abstract description 26
- 201000010982 kidney cancer Diseases 0.000 claims abstract description 26
- 238000011470 radical surgery Methods 0.000 claims description 15
- 238000001356 surgical procedure Methods 0.000 claims description 4
- 241000252254 Catostomidae Species 0.000 claims description 3
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 3
- 230000005389 magnetism Effects 0.000 claims description 3
- 239000013307 optical fiber Substances 0.000 claims description 3
- 239000000741 silica gel Substances 0.000 claims description 3
- 229910002027 silica gel Inorganic materials 0.000 claims description 3
- 230000007704 transition Effects 0.000 claims description 3
- 241000446313 Lamella Species 0.000 claims description 2
- 238000009434 installation Methods 0.000 claims description 2
- 210000003437 trachea Anatomy 0.000 claims description 2
- 238000000034 method Methods 0.000 abstract description 11
- 238000013461 design Methods 0.000 abstract description 3
- 238000005286 illumination Methods 0.000 abstract description 3
- 239000003814 drug Substances 0.000 abstract 1
- 229940079593 drug Drugs 0.000 abstract 1
- 238000013459 approach Methods 0.000 description 4
- 206010028980 Neoplasm Diseases 0.000 description 2
- 230000003187 abdominal effect Effects 0.000 description 2
- 210000004204 blood vessel Anatomy 0.000 description 2
- 239000002775 capsule Substances 0.000 description 2
- 210000000028 corpus adiposum pararenale Anatomy 0.000 description 2
- 238000001647 drug administration Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 208000035965 Postoperative Complications Diseases 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000009792 diffusion process Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000001125 extrusion Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000013059 nephrectomy Methods 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 210000004303 peritoneum Anatomy 0.000 description 1
- 210000001835 viscera Anatomy 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
- A61B90/17—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins for soft tissue, e.g. breast-holding devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0801—Prevention of accidental cutting or pricking
- A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
Abstract
The kidney fixing device is convenient to support, support and fix the kidney in the open kidney cancer operation process, the kidney is wrapped by the clamping part under the operation of the control part, meanwhile, the negative pressure sucker is arranged on the inner side of the clamping part and fixes the kidney after sucking negative pressure, the whole fixed kidney is positioned in the wrapping range of the clamping part, and is stably fixed by the negative pressure sucker and fixed outside by the control part in a manner of being matched with a traction instrument, the kidney can be effectively fixed, the drug can be properly administered from the clamping part and illumination can be provided, the structural design is reasonable, and the kidney fixing device is convenient and practical and is suitable for popularization and application in medical institutions.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to a kidney fixing device in an open renal cancer radical operation.
Background
The incidence rate of renal cell carcinoma is gradually increased and gradually younger in recent years, with the development and wide application of image examination technology, the detection rate of asymptomatic renal cancer is also increased year by year, at present, the reports of laparoscopic renal cancer radical treatment are more and more, however, most of documents still use open renal cancer radical treatment as one of the first-choice treatment modes of limited renal cancer. The perioperative complications of the lumbar approach type are obviously reduced compared with the abdominal approach type, and the lumbar approach type becomes a main operative type for radical treatment of open kidney cancer.
Radical nephrectomy is currently the only accepted possible cure for localized renal cancer, proposed by Robson in 1969. Robson emphasizes that early ligation of renal blood vessels can avoid cancer cell diffusion caused by tumor extrusion in the operation, renal blood vessels are easily and quickly exposed through an abdominal cavity, and a transabdominal incision is taken as a standard approach of renal cancer surgery for many years. In the following years, a plurality of authors report that the kidney cancer radical treatment through the lumbar access has no difference in treatment results from the kidney cancer radical treatment through the abdominal access, and the postoperative complications through the lumbar access are obviously reduced, so that the operation mode becomes the main treatment mode of non-large kidney cancer.
Often need dissociate whole kidney among the partial excision of kidney process, generally need follow the psoas major and separate kidney and perirenal fat capsule dorsal part, separate operations such as kidney and perirenal fat capsule along the peritoneum behind the side, the kidney after dissociating needs to fix and takes out the kidney cancer sample, in carrying out this operation process, for avoiding causing unnecessary wound to arouse complication and quick operation to the internal organs, the fixed stay of kidney is especially important, at present, lack the effectual fixing device to the kidney among the prior art, it is fixed only to hang through the suture usually, have the wound and be difficult to the operation to the kidney, be unsuitable for popularization and application.
Disclosure of Invention
Aiming at the problems in the prior art, the invention provides a kidney fixing device in an open renal cancer radical operation, which is convenient for supporting, supporting and fixing the kidney in the open renal cancer operation process and is suitable for being applied to the open renal cancer radical operation.
In order to achieve the technical purpose and achieve the technical effect, the invention is realized by the following technical scheme:
a kidney fixing device in an open renal carcinoma radical operation comprises a clamping part and a control part, wherein the clamping part wraps and fixes a kidney under the operation of the control part;
the main body structure of the clamping part is ellipsoidal, the ellipsoidal clamping part main body is divided into a first clamping part and a second clamping part which are in mirror symmetry along the long axis direction, one side of the first clamping part and one side of the second clamping part are longitudinally cut and provided with a control part, the control part controls the opening and closing of the clamping parts, the first clamping part and the second clamping part are hollow semi-ellipsoidal, the first clamping part and the second clamping part form a hollow shape through a transverse pipeline and a frame pipeline, negative pressure suckers are uniformly arranged on the inner side of the transverse pipeline through a plastic pipe, an air pipe of each negative pressure sucker penetrates from the inside of the clamping part to the control part, and micropores are formed in the transverse pipeline;
the main part of control portion is the spring clamp, is connected with first clamping part and second clamping part respectively, through two operation lamella control clamping part switching of pressing the spring clamp, and the negative pressure suction valve of being connected with the trachea is installed to control portion upper end, and the lower extreme installation is connected with horizontal pipeline's function valve, run through on the control portion and set up the dead slot and draw the apparatus cooperation.
Furthermore, a gap with an inner arch arc transition is arranged in the middle of the opening ends of the first clamping part and the second clamping part of the clamping part, and a magnetic suction closing part is arranged at the non-arched part of the opening end;
the magnetic attraction closing part is a semicircular sheet which is mutually attracted through magnetism.
Furthermore, at least 3 transverse pipelines of the clamping part are uniformly arranged, the length of a long axis of an ellipsoidal space of the clamping part is 10-15cm, and the length of a short axis is 4-6 cm;
at least 3 negative pressure suction cups are installed on each transverse pipeline of the clamping part, and the negative pressure suction cups are made of flexible silica gel.
Furthermore, the empty groove of the control part is matched with a traction instrument, and the traction instrument is a surgical draw hook or a retractor.
Further, optical fiber channels are arranged inside and outside the transverse pipeline and the frame pipeline.
Another object of the present invention is to provide an application of the kidney fixing device in renal open renal cancer radical surgery in renal fixing in renal open renal cancer radical surgery.
The invention has the beneficial effects that: the kidney fixing device in the open renal carcinoma radical surgery is convenient for supporting, supporting and fixing the kidney in the open renal carcinoma surgery process, the kidney is wrapped by the clamping part under the operation of the control part, meanwhile, the negative pressure sucker is arranged on the inner side of the clamping part and fixes the kidney after sucking negative pressure, the whole fixed kidney is positioned in the wrapping range of the clamping part, and meanwhile, the negative pressure sucker is stably fixed and is fixed outside by the control part in a matching manner with a traction instrument, the kidney can be effectively fixed, in addition, the drug administration and the illumination can be properly carried out from the clamping part, the structural design is reasonable, the convenience and the practicability are realized, and the kidney fixing device is suitable for being popularized and applied in medical institutions.
Of course, it is not necessary for any product in which the invention is practiced to achieve all of the above-described advantages at the same time.
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 a kidney fixing apparatus in an open renal cancer radical surgery according to an embodiment of the present invention;
FIG. 2 is a schematic view of an expanded state of the clamping portion according to the embodiment of the present invention;
FIG. 3 is a schematic plan view of an open end of the clamping portion according to the embodiment of the present invention;
FIG. 4 is a schematic structural diagram of an operation portion according to an embodiment of the present invention;
in the drawings, the components represented by the respective reference numerals are listed below:
1-clamping part, 101-first clamping part, 102-second clamping part, 103-transverse pipe, 104-frame pipe, 105-negative pressure sucker, 106-air pipe, 107-magnetic closing part, 2-control part, 201-spring clamp, 202-negative pressure suction valve, 203-functional valve, 204-empty groove.
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.
As shown in fig. 1-4
Example 1
A kidney fixing device in an open renal carcinoma radical operation comprises a clamping part 1 and a control part 2, wherein the clamping part 1 wraps and fixes a kidney under the operation of the control part 2;
the main body structure of the clamping part 1 is ellipsoidal, the ellipsoidal clamping part main body is divided into a first clamping part 101 and a second clamping part 102 which are in mirror symmetry along the long axis direction, a control part 2 is longitudinally cut and installed on one side of the first clamping part 101 and one side of the second clamping part 102, the control part 2 controls the opening and closing of the clamping part 1, the first clamping part 101 and the second clamping part 102 are hollow semi-ellipsoidal, the first clamping part 101 and the second clamping part 102 form a hollow shape through a transverse pipeline 103 and a frame pipeline 104, negative pressure suckers 105 are uniformly installed on the inner side of the transverse pipeline 103 through a plastic pipe, an air pipe 106 of each negative pressure sucker 105 penetrates from the inside of the clamping part 1 to the control part 2, and micropores are formed in the transverse pipeline 103;
the main body of the control part 2 is a spring clamp 201 which is respectively connected with the first clamping part 101 and the second clamping part 102, the opening and closing of the clamping parts 1 are controlled by pressing two operation flaps of the spring clamp 201, the upper end of the control part 2 is provided with a negative pressure suction valve 202 connected with an air pipe 106, the lower end of the control part 2 is provided with a functional valve 203 connected with a transverse pipeline 103, and the control part 2 is provided with a hollow groove 204 in a penetrating way to be matched with a traction apparatus.
The middle positions of the opening ends of the first clamping part 101 and the second clamping part 102 of the clamping part 1 are provided with notches with inner arch circular arc transition, and meanwhile, the non-arched part of the opening end is provided with a magnetic suction closing part 107;
the magnetic closing part 107 is a half-round piece that is attracted by magnetism.
At least 3 transverse pipelines 104 of the clamping part 1 are uniformly arranged, the length of a major axis of an ellipsoidal space of the clamping part 1 is 10-15cm, and the length of a minor axis is 4-6 cm;
at least 3 negative pressure suction cups 105 are installed on each transverse pipeline 104 of the clamping part 1, and the negative pressure suction cups 105 are made of flexible silica gel.
The empty groove of the control part 2 is matched with a traction instrument, and the traction instrument is a surgical draw hook or a retractor.
And optical fiber channels are arranged inside and outside the transverse pipeline 103 and the frame pipeline 104.
Example 2
Application method of kidney fixing device in open renal cancer radical operation
The kidney fixing device in the open renal carcinoma radical surgery comprises a clamping part and a control part, wherein the clamping part wraps and fixes the kidney under the operation of the control part;
the clamping part is a first clamping part and a second clamping part which are in mirror symmetry, and the opening and the closing are realized through a spring clamping end of the control part;
the specific operation method comprises the following steps: the spring clamp end is controlled to open the first clamping part and the second clamping part, the kidney can be wrapped after the first clamping part and the second clamping part are opened, and the kidney can be matched with the shape of the kidney due to the fact that the structure shape of the kidney is designed to be a hollow ellipsoid shape;
after the kidney is wrapped by the first clamping part and the second clamping part, the inner side of the transverse pipeline is uniformly provided with the negative pressure sucker through the plastic pipe, so that the kidney can be relatively supported and supported, the proper position is properly adjusted, the situation that the operation area is covered by the negative pressure sucker is avoided, then the negative pressure sucker is used for sucking negative pressure through the negative pressure sucking valve, the negative pressure sucker can adsorb and support the kidney, and meanwhile, the relative position can be properly adjusted in the process;
and then, the empty groove of the control part is matched with a traction instrument, the traction instrument is a surgical retractor and a retractor, and the control part is fixed outside the body through the traction instrument to support and fix the kidney.
Example 3
Application of the kidney fixing device in the renal open renal carcinoma radical surgery in renal fixing in the renal open renal carcinoma radical surgery.
Based on the description of examples 1 and 2, the technical scheme of the application is applied to renal fixation in renal open renal cancer radical surgery:
establishing an open channel according to the related operation of the open renal carcinoma radical surgery, and fixing the kidney in the clamping part in the technical scheme according to the related operation method of the embodiment 2;
the specific operation is as follows: the first clamping part and the second clamping part are opened by controlling the spring clamp ends, the kidney can be wrapped after the first clamping part and the second clamping part are opened, and the kidney can be matched with the shape of the kidney due to the fact that the structural shape of the kidney is designed to be a hollow ellipsoid shape;
after the kidney is wrapped by the first clamping part and the second clamping part, the inner side of the transverse pipeline is uniformly provided with the negative pressure sucker through the plastic pipe, so that the kidney can be relatively supported and supported, the proper position is properly adjusted, the situation that the operation area is covered by the negative pressure sucker is avoided, then the negative pressure sucker is used for sucking negative pressure through the negative pressure sucking valve, the negative pressure sucker can adsorb and support the kidney, and meanwhile, the relative position can be properly adjusted in the process;
and then, the empty groove of the control part is matched with a traction instrument, the traction instrument is a surgical retractor and a retractor, and the control part is fixed outside the body through the traction instrument to support and fix the kidney.
The kidney fixing device in the open renal carcinoma radical surgery is convenient for supporting, supporting and fixing the kidney in the open renal carcinoma surgery process, the kidney is wrapped by the clamping part under the operation of the control part, meanwhile, the negative pressure sucker is arranged on the inner side of the clamping part and fixes the kidney after sucking negative pressure, the whole fixed kidney is positioned in the wrapping range of the clamping part, and meanwhile, the negative pressure sucker is stably fixed and is fixed outside by the control part in a matching manner with a traction instrument, the kidney can be effectively fixed, in addition, the drug administration and the illumination can be properly carried out from the clamping part, the structural design is reasonable, the convenience and the practicability are realized, and the kidney fixing device is suitable for being popularized and applied in medical institutions.
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 (6)
1. A kidney fixing device in open renal carcinoma radical surgery is characterized in that: the kidney clamping device comprises a clamping part and a control part, wherein the clamping part wraps and fixes the kidney under the operation of the control part;
the main body structure of the clamping part is ellipsoidal, the ellipsoidal clamping part main body is divided into a first clamping part and a second clamping part which are in mirror symmetry along the long axis direction, one side of the first clamping part and one side of the second clamping part are longitudinally cut and provided with a control part, the control part controls the opening and closing of the clamping parts, the first clamping part and the second clamping part are hollow semi-ellipsoidal, the first clamping part and the second clamping part form a hollow shape through a transverse pipeline and a frame pipeline, negative pressure suckers are uniformly arranged on the inner side of the transverse pipeline through a plastic pipe, an air pipe of each negative pressure sucker penetrates from the inside of the clamping part to the control part, and micropores are formed in the transverse pipeline;
the main part of control portion is the spring clamp, is connected with first clamping part and second clamping part respectively, through two operation lamella control clamping part switching of pressing the spring clamp, and the negative pressure suction valve of being connected with the trachea is installed to control portion upper end, and the lower extreme installation is connected with horizontal pipeline's function valve, run through on the control portion and set up the dead slot and draw the apparatus cooperation.
2. The renal fixing device in open renal cancer radical surgery of claim 1, wherein: the middle positions of the opening ends of the first clamping part and the second clamping part of the clamping parts are provided with notches with inward-arched arc transition, and meanwhile, the non-arched part of the opening end is provided with a magnetic suction closing part;
the magnetic attraction closing part is a semicircular sheet which is mutually attracted through magnetism.
3. The renal fixing device in open renal cancer radical surgery of claim 1, wherein: at least 3 transverse pipelines of the clamping part are uniformly arranged, the length of a long axis of an ellipsoidal space of the clamping part is 10-15cm, and the length of a short axis is 4-6 cm;
at least 3 negative pressure suction cups are installed on each transverse pipeline of the clamping part, and the negative pressure suction cups are made of flexible silica gel.
4. The renal fixing device in open renal cancer radical surgery of claim 1, wherein: the empty groove of the control part is matched with a traction instrument, and the traction instrument is a surgical draw hook or a retractor.
5. The renal fixing device in open renal cancer radical surgery of claim 1, wherein: and optical fiber channels are arranged inside and outside the transverse pipeline and the frame pipeline.
6. Use of the renal immobilization device of any one of claims 1 to 5 in renal immobilization in renal open renal cancer surgery.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010501935.3A CN111803228B (en) | 2020-06-04 | 2020-06-04 | Kidney fixing device in open renal carcinoma radical operation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010501935.3A CN111803228B (en) | 2020-06-04 | 2020-06-04 | Kidney fixing device in open renal carcinoma radical operation |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN111803228A true CN111803228A (en) | 2020-10-23 |
| CN111803228B CN111803228B (en) | 2021-07-20 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN202010501935.3A Expired - Fee Related CN111803228B (en) | 2020-06-04 | 2020-06-04 | Kidney fixing device in open renal carcinoma radical operation |
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Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20030208185A1 (en) * | 2002-05-01 | 2003-11-06 | Michael Sheffer | Grasper device for use in minimally invasive surgery |
| CN2863003Y (en) * | 2005-11-07 | 2007-01-31 | 孙玉兰 | Kidney surgery pincer fixing spoon |
| CN201822915U (en) * | 2010-09-16 | 2011-05-11 | 杨丽华 | Lung puncture positioner |
| CN107320142A (en) * | 2017-08-16 | 2017-11-07 | 辽宁省肿瘤医院 | Minimally Invasive Surgery intracavitary organ fixator |
| CN110960276A (en) * | 2020-02-10 | 2020-04-07 | 习丰产 | Simple abdominal cavity opening treatment device |
-
2020
- 2020-06-04 CN CN202010501935.3A patent/CN111803228B/en not_active Expired - Fee Related
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20030208185A1 (en) * | 2002-05-01 | 2003-11-06 | Michael Sheffer | Grasper device for use in minimally invasive surgery |
| CN2863003Y (en) * | 2005-11-07 | 2007-01-31 | 孙玉兰 | Kidney surgery pincer fixing spoon |
| CN201822915U (en) * | 2010-09-16 | 2011-05-11 | 杨丽华 | Lung puncture positioner |
| CN107320142A (en) * | 2017-08-16 | 2017-11-07 | 辽宁省肿瘤医院 | Minimally Invasive Surgery intracavitary organ fixator |
| CN110960276A (en) * | 2020-02-10 | 2020-04-07 | 习丰产 | Simple abdominal cavity opening treatment device |
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| CN111803228B (en) | 2021-07-20 |
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