CN112426213B - Equipment for pediatric hernia laparoscopic surgery - Google Patents

Equipment for pediatric hernia laparoscopic surgery Download PDF

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Publication number
CN112426213B
CN112426213B CN202011454820.XA CN202011454820A CN112426213B CN 112426213 B CN112426213 B CN 112426213B CN 202011454820 A CN202011454820 A CN 202011454820A CN 112426213 B CN112426213 B CN 112426213B
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puncture
teeth
wheel
cutter
blade
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CN112426213A (en
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杜明宇
李莉
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Huaibei People's Hospital
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Huaibei People's Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3478Endoscopic needles, e.g. for infusion
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Pathology (AREA)
  • Heart & Thoracic Surgery (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 equipment for pediatric hernia laparoscopic surgery, in particular to the technical field of hernia laparoscopic surgery, which comprises a puncture rod, wherein two cutter slots are symmetrically formed in one end of the puncture rod, cutter shafts are movably arranged on the cutter slots, a connecting cutter head is fixedly arranged on the cutter shafts, a puncture blade I and a puncture blade II are fixedly connected to one end of the connecting cutter head, which is far away from the puncture rod, respectively, the puncture blade I is matched with the puncture blade II and movably connected with the puncture blade II, driven wheels are fixedly arranged on the cutter shafts, and a plurality of groups of driven wheel teeth are arranged on the driven wheels. According to the invention, in the operation process, the puncture blade I and the puncture blade II can be used for performing percutaneous puncture to separate peritoneum of the hernia ring, and the puncture blade I and the puncture blade II can be used for taking ligature to tie the hernia ring when being closed, so that the hernia repair can be performed rapidly and safely when the operation for treating children hernia under laparoscope is widely popularized in clinic.

Description

Equipment for pediatric hernia laparoscopic surgery
Technical Field
The invention relates to the technical field of hernia laparoscopic surgery, in particular to equipment for pediatric hernia laparoscopic surgery.
Background
Laparoscopic surgery is a newly developed minimally invasive method, and is a necessary trend for the development of future surgical methods. Along with the rapid progress of industrial manufacturing technology, the fusion of relevant disciplines lays a firm foundation for developing new technologies and new methods, and doctors are more and more skilled to operate, so that a plurality of past open operations are replaced by intracavity operations at present, and the operation selection opportunities are greatly increased. The traditional method of the retrolaparoscopic surgery is to make three small incisions of 1 cm in the waist of the patient, respectively insert a tubular working channel called trocar, and then perform all the operations through the three tubes; and then the special lengthened surgical instrument is used for completing the same steps as the open surgery under the monitoring of a television, so as to achieve the same surgical effect.
Hernia in children is one of the common diseases in children surgery, and is mainly clinically manifested by that the children have renaturable bumps in groin parts soon after birth, and generally, surgical treatment is adopted in radical treatment. Traditional surgical treatment options include hernia repair, hernia patch repair, and the like. The novel laparoscopic surgery method for treating the children hernia by the minimally invasive surgery is developed clinically, has the characteristics of small trauma and quick recovery compared with the traditional surgery method, is widely appreciated, and the biggest obstacle in the wide clinical popularization of the laparoscopic surgery for treating the children hernia is how to ensure quick and safe hernia repair. To address this problem, there is a need in the industry for an apparatus for pediatric hernia laparoscopic surgery to address the problems faced in the industry.
Disclosure of Invention
In order to overcome the above-described drawbacks of the prior art, embodiments of the present invention provide an apparatus for pediatric hernia laparoscopic surgery to solve the problems set forth in the background art above.
In order to achieve the above purpose, the present invention provides the following technical solutions: the utility model provides a device for pediatric hernia laparoscopic surgery, includes the puncture pole, the sword groove that is two in quantity has been seted up to puncture pole one end symmetry, movable mounting has the arbor on the sword groove, fixed mounting has the linking tool bit on the arbor, linking tool bit keeps away from puncture pole one end respectively fixedly connected with puncture blade one and puncture blade two, puncture blade one and puncture blade two-phase matching and movable linking, fixed mounting has the follow driving wheel on the arbor, install a plurality of groups from the teeth of a cogwheel on the follow driving wheel, puncture pole is kept away from sword groove one end fixedly connected with control handle, install transmission in the puncture pole, install controlling means in the control handle.
In a preferred embodiment, the transmission device comprises two engagement wheels movably mounted in the cutter groove, wherein a plurality of groups of engagement teeth are mounted on the engagement wheels, and the engagement teeth are matched with and movably engaged with the wheel teeth.
In a preferred embodiment, the transmission device comprises two transmission cavities arranged in the puncture rod, the two ends of each transmission cavity are movably provided with wheel shafts, the wheel shafts are respectively fixedly provided with a main conveying wheel and a secondary conveying wheel, and a toothed belt is arranged between the main conveying wheel and the secondary conveying wheel and is matched with and movably connected with the connecting teeth.
In a preferred embodiment, an upper steering wheel and a lower steering wheel set are movably mounted in the two transmission cavities respectively, and the lower steering wheel set comprises a lower steering wheel I and a lower steering wheel II.
In a preferred embodiment, the upper steering wheel is provided with a plurality of groups of upper steering teeth, the upper steering teeth are matched with and movably engaged with the toothed belt, the lower steering wheel I and the lower steering wheel II are respectively provided with a plurality of groups of lower steering teeth I and lower steering teeth II, the lower steering teeth I are matched with and movably engaged with the lower steering teeth II, and the lower steering teeth II are matched with and movably engaged with the toothed belt.
In a preferred embodiment, a control groove which is in through connection with the transmission cavity is formed in the control handle, a control shaft is movably installed in the control groove, a main gear is fixedly installed on the control shaft, a plurality of groups of main gear teeth are installed on the main gear, and the main gear teeth are respectively matched with and movably connected with the upper steering gear teeth and the lower steering gear teeth.
In a preferred embodiment, two sides of the main gear are fixedly connected with a rotary disk, and the surface of the rotary disk is provided with rotary grains.
In a preferred embodiment, one end of the puncture rod, which is close to the knife grooves, is fixedly connected with a spring plate arranged between the knife grooves, and spring seats I are fixedly arranged on two sides of the spring plate.
In a preferred embodiment, a second spring seat is fixedly installed on one side, close to the spring plate, of the engagement tool bit, and a retraction spring is fixedly installed between the second spring seat and the first spring seat.
The invention has the technical effects and advantages that:
1. compared with the prior art, the puncture blade I and the puncture blade II can be movably opened and closed, and when in use, the puncture blade I and the puncture blade II are closed to form a whole by the contraction force of the contraction spring, so as to perform hernia puncture operation.
2. Compared with the prior art, the puncture blade I and the puncture blade II can be used for performing percutaneous puncture to separate the peritoneum of the hernia ring in the operation process to assist in puncture, and the puncture blade I and the puncture blade II can be taken into ligature lines to tie the hernia ring when being closed, so that the hernia repair can be performed rapidly and safely when the laparoscopic child hernia treatment operation is widely popularized in clinic.
3. Compared with the prior art, when the puncture blade I and the puncture blade II are controlled to open, the control handle is held by hand, the rotary lines are stirred to rotate the rotary disc, and then the main gear is rotated, through the interaction of the main gear teeth with the upper steering teeth and the lower steering teeth I respectively, the lower steering teeth I and the lower steering teeth II are interacted, so that two groups of toothed belts are respectively driven to move in opposite directions, the two engagement wheels are respectively driven to reversely rotate under the action of the toothed belts and the engagement teeth, the two driven wheels are driven to reversely rotate through the interaction of the engagement teeth and the driven wheels, so that the two cutter shafts are simultaneously controlled to reversely rotate, the puncture blade I and the puncture blade II are controlled to open simultaneously, the rotary disc is reversely rotated after the peritoneum is clamped, the puncture blade I and the puncture blade II can be controlled to be closed, the operation is very convenient, the operation control is convenient for medical staff, and the shrinkage force of the shrinkage springs can keep the puncture blade I and the puncture blade II firm when the peritoneum is clamped.
Drawings
Fig. 1 is a schematic diagram of the overall structure of the present invention.
Fig. 2 is a cross-sectional view of the present invention.
Fig. 3 is a schematic structural diagram of a transmission device and a control device in the present invention.
Fig. 4 is a schematic structural view of a rotary table according to the present invention.
FIG. 5 is a schematic view of the structures of the first and second piercing blades according to the present invention.
The reference numerals are: 1. a puncture rod; 2. a control handle; 3. a puncture blade I; 4. a puncture blade II; 5. a knife slot; 6. a spring plate; 7. the tool bit is connected; 8. a cutter shaft; 9. a second spring seat; 10. a first spring seat; 11. a retraction spring; 12. driven wheel; 13. slave gear teeth; 14. a lug wheel; 15. engagement teeth; 16. a transmission cavity; 17. a wheel axle; 18. a main conveying wheel; 19. from the transfer wheel; 20. a toothed belt; 21. an up steering wheel; 22. upward turning teeth; 23. a second downward steering wheel; 24. downward regulating teeth II; 25. a first downward steering wheel; 26. downward regulating a first direction tooth; 27. a control groove; 28. a control shaft; 29. a primary gear tooth; 30. a rotating disc; 31. a main gear; 32. and rotating the lines.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
The equipment for pediatric hernia laparoscopic surgery comprises a puncture rod 1, two cutter slots 5 are symmetrically formed in one end of the puncture rod 1, cutter shafts 8 are movably mounted on the cutter slots 5, connecting cutter heads 7 are fixedly mounted on the cutter shafts 8, one ends, far away from the puncture rod 1, of the connecting cutter heads 7 are respectively fixedly connected with a puncture blade I3 and a puncture blade II 4, the puncture blade I3 is matched with the puncture blade II 4 and movably connected with the puncture blade II, a driven wheel 12 is fixedly mounted on the cutter shafts 8, a plurality of groups of slave gear teeth 13 are mounted on the driven wheel 12, a control handle 2 is fixedly connected to one end, far away from the cutter slots 5, of the puncture rod 1, a transmission device is mounted in the puncture rod 1, and a control device is mounted in the control handle 2.
Further, the transmission device comprises two engagement wheels 14 movably arranged in the cutter groove 5, a plurality of groups of engagement teeth 15 are arranged on the engagement wheels 14, and the engagement teeth 15 are matched with and movably engaged with the wheel teeth 13.
Further, the transmission device comprises two transmission cavities 16 arranged in the puncture rod 1, wheel shafts 17 are movably arranged at two ends of the transmission cavities 16, a main conveying wheel 18 and a secondary conveying wheel 19 are respectively and fixedly arranged on the wheel shafts 17, a toothed belt 20 is arranged between the main conveying wheel 18 and the secondary conveying wheel 19, and the toothed belt 20 is matched with and movably connected with the connecting teeth 15.
Further, an upper steering wheel 21 and a lower steering wheel set are movably mounted in the two transmission cavities 16, and the lower steering wheel set comprises a lower steering wheel one 25 and a lower steering wheel two 23.
Further, a plurality of upper steering teeth 22 are arranged on the upper steering wheel 21, the upper steering teeth 22 are matched with and movably connected with the toothed belt 20, a plurality of lower steering teeth 26 and lower steering teeth 24 are respectively arranged on the lower steering wheel I25 and the lower steering wheel II 23, the lower steering teeth 26 are matched with and movably connected with the lower steering teeth II 24, and the lower steering teeth II 24 are matched with and movably connected with the toothed belt 20.
Further, a control groove 27 which is in through connection with the transmission cavity 16 is formed in the control handle 2, a control shaft 28 is movably mounted in the control groove 27, a main gear 31 is fixedly mounted on the control shaft 28, a plurality of groups of main gear teeth 29 are mounted on the main gear 31, and the main gear teeth 29 are respectively matched with and movably connected with the upper steering gear 22 and the lower steering gear 26.
Further, the two sides of the main gear 31 are fixedly connected with the rotary disk 27, the surface of the rotary disk 27 is provided with rotary lines 32, when the puncture blade I3 and the puncture blade II 4 are controlled to open, the control handle 2 is held by hand, the rotary lines 32 are stirred to rotate the rotary disk 30, then the main gear 31 is rotated, the puncture blade I3 and the puncture blade II 4 are controlled to be closed through the interaction of the main gear 29 with the upper steering gear 22 and the lower steering gear I26 respectively, the lower steering gear I26 and the lower steering gear II 24 are interacted, so that the two groups of toothed belts 20 are driven to move oppositely respectively, the two engagement wheels 14 are driven to reversely rotate under the interaction of the toothed belts 20 and the engagement teeth 15 respectively, the two driven wheels 12 are driven to reversely rotate through the interaction of the engagement teeth 15 and the wheel teeth 13, so that the two cutter shafts 8 are simultaneously controlled to reversely rotate, the puncture blade I3 and the puncture blade II 4 are controlled to open simultaneously, the puncture blade I3 and the puncture blade II 4 are controlled to be closed, the operation is very convenient, and the medical staff is convenient to carry out operation control.
Further, the puncture rod 1 is fixedly connected with a spring plate 6 arranged between the knife grooves 5 near one end of the knife grooves 5, and spring seats 10 are fixedly arranged on two sides of the spring plate 6.
Further, the connecting tool bit 7 is close to the spring plate 6 side fixed mounting has the spring holder second 9, and fixed mounting has the shrink spring 11 between spring holder second 9 and the spring holder first 10, through the shrink power of shrink spring 11, with puncture blade first 3 and puncture blade second 4 closure form a whole, carries out hernia puncture operation work, can keep puncture blade first 3 and puncture blade second 4's firm when the centre gripping peritoneum.
The working principle of the invention is as follows: the puncture blade I3 and the puncture blade II 4 can be movably opened and closed, the puncture blade I3 and the puncture blade II 4 are closed to form a whole through the contraction force of the contraction spring 11 during use, hernia puncture operation is carried out, the puncture blade I3 and the puncture blade II 4 can be used for performing percutaneous puncture to the peritoneum of the hernia ring opening separation hernia ring opening in the operation process, the puncture blade I3 and the puncture blade II 4 can be brought into ligature lines to puncture the hernia ring opening when being closed, the puncture ring opening can be quickly and safely repaired during laparoscopic treatment of a child hernia operation, when the puncture blade I3 and the puncture blade II 4 are controlled to be opened, a control handle 2 is held, a rotary line 32 is stirred to rotate a rotary disc 30, a main gear 31 is further rotated, the first gear 29 is respectively interacted with an upper steering tooth 22 and a lower steering tooth 26, the first steering tooth 26 is interacted with the lower steering tooth 24, two groups of toothed belts 20 are respectively driven to move oppositely, two driven wheels 14 are respectively driven by the action of the toothed belts 20 and a connecting tooth 15 to drive two driven wheels 14 to rotate reversely, the puncture blade II is controlled to rotate through the main gear 29, the first gear 15 is controlled to be convenient for clamping the puncture blade II, and the puncture blade 3 can be conveniently controlled to rotate reversely, and simultaneously, and the puncture blade 3 can be clamped by a user can be controlled to rotate reversely through the puncture blade I3 and the puncture blade II 4, and the puncture blade 3 can be conveniently and controlled to rotate, and the puncture blade II can be conveniently and controlled to rotate, and the puncture blade 3 can be opened and rotated and reversely by a control knife handle.
The last points to be described are: first, in the description of the present application, it should be noted that, unless otherwise specified and defined, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be mechanical or electrical, or may be a direct connection between two elements, and "upper," "lower," "left," "right," etc. are merely used to indicate relative positional relationships, which may be changed when the absolute position of the object being described is changed;
secondly: in the drawings of the disclosed embodiments, only the structures related to the embodiments of the present disclosure are referred to, and other structures can refer to the common design, so that the same embodiment and different embodiments of the present disclosure can be combined with each other under the condition of no conflict;
finally: the foregoing description of the preferred embodiments of the invention is not intended to limit the invention to the precise form disclosed, and any such modifications, equivalents, and alternatives falling within the spirit and principles of the invention are intended to be included within the scope of the invention.

Claims (4)

1. Apparatus for pediatric hernia laparoscopic surgery comprising a penetration rod (1), characterized in that: the automatic puncture device is characterized in that two cutter slots (5) are symmetrically formed in one end of the puncture rod (1), cutter shafts (8) are movably mounted on the cutter slots (5), a connecting cutter head (7) is fixedly mounted on the cutter shafts (8), one ends, far away from the puncture rod (1), of the connecting cutter heads (7) are respectively fixedly connected with a first puncture blade (3) and a second puncture blade (4), the first puncture blade (3) is matched with the second puncture blade (4) and movably connected with the second puncture blade, driven wheels (12) are fixedly mounted on the cutter shafts (8), a plurality of groups of driven wheel teeth (13) are mounted on the driven wheels (12), a control handle (2) is fixedly connected with one ends, far away from the cutter slots (5), of the puncture rod (1), a transmission device is mounted in the puncture rod (1), and a control device is mounted in the control handle (2);
the transmission device comprises two engagement wheels (14) movably arranged in the cutter groove (5), a plurality of groups of engagement teeth (15) are arranged on the engagement wheels (14), and the engagement teeth (15) are matched with and movably engaged with the wheel teeth (13);
the transmission device comprises two transmission cavities (16) which are arranged in the puncture rod (1), wherein wheel shafts (17) are movably arranged at two ends of each transmission cavity (16), a main conveying wheel (18) and a secondary conveying wheel (19) are respectively fixedly arranged on each wheel shaft (17), a toothed belt (20) is arranged between each main conveying wheel (18) and each secondary conveying wheel (19), and the toothed belts (20) are matched with and movably connected with the connecting teeth (15);
an upper steering wheel (21) and a lower steering wheel set are movably arranged in the two transmission cavities (16), and each lower steering wheel set comprises a lower steering wheel I (25) and a lower steering wheel II (23);
a plurality of groups of upward direction-regulating teeth (22) are arranged on the upward direction-regulating wheel (21), the upward direction-regulating teeth (22) are matched with and movably connected with the toothed belt (20), a plurality of groups of downward direction-regulating teeth I (26) and downward direction-regulating teeth II (24) are respectively arranged on the downward direction-regulating wheel I (25) and the downward direction-regulating wheel II (23), the downward direction-regulating teeth I (26) are matched with and movably connected with the downward direction-regulating teeth II (24), and the downward direction-regulating teeth II (24) are matched with and movably connected with the toothed belt (20);
control groove (27) with drive chamber (16) through connection have been seted up in control handle (2), movable mounting has control axle (28) in control groove (27), fixed mounting has master gear (31) on control axle (28), install a plurality of main teeth of a cogwheel (29) on master gear (31), main teeth of a cogwheel (29) respectively with upward steering tooth (22), downward steering tooth one (26) assorted and movable linking.
2. An apparatus for pediatric hernia laparoscopic surgery according to claim 1, wherein: the rotary disk (30) is fixedly connected to two sides of the main gear (31), and rotary grains (32) are arranged on the surface of the rotary disk (30).
3. An apparatus for pediatric hernia laparoscopic surgery according to claim 1, wherein: one end of the puncture rod (1) close to the knife groove (5) is fixedly connected with a spring plate (6) arranged between the knife grooves (5), and two sides of the spring plate (6) are fixedly provided with a first spring seat (10).
4. A device for pediatric hernia laparoscopic surgery according to claim 3, wherein: and a second spring seat (9) is fixedly arranged on one side, close to the spring plate (6), of the connecting tool bit (7), and a contraction spring (11) is fixedly arranged between the second spring seat (9) and the first spring seat (10).
CN202011454820.XA 2020-12-09 2020-12-09 Equipment for pediatric hernia laparoscopic surgery Active CN112426213B (en)

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CN112426213B true CN112426213B (en) 2023-05-30

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113598866B (en) * 2021-07-26 2022-08-09 中国人民解放军陆军军医大学第一附属医院 Auxiliary clamp device for child hernia ligation based on single-port laparoscopic platform

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202726763U (en) * 2012-09-13 2013-02-13 潍坊市高新技术产业开发区东明学校 Light gripper
WO2016087896A1 (en) * 2014-12-02 2016-06-09 Ashjaei Bahar Apparatus for laparoscopic repair of inguinal hernia in children, neonates and adults
CN106994026A (en) * 2017-01-17 2017-08-01 刘苏来 It is intraperitoneal controllable to open and close bagging apparatus
CN206745383U (en) * 2016-11-30 2017-12-15 重庆西山科技股份有限公司 Rotary-cut sampling operation component
CN108836449A (en) * 2018-07-04 2018-11-20 昆明市延安医院 A kind of Minimally Invasive Surgery instrument for treating children's hernia
CN109758212A (en) * 2019-03-18 2019-05-17 耿金宏 A kind of laparoscope hernia operations sticking patch placement pliers
CN210843247U (en) * 2019-08-28 2020-06-26 曲靖市第一人民医院 Laparoscopic pediatric hernia repair stitching instrument

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202726763U (en) * 2012-09-13 2013-02-13 潍坊市高新技术产业开发区东明学校 Light gripper
WO2016087896A1 (en) * 2014-12-02 2016-06-09 Ashjaei Bahar Apparatus for laparoscopic repair of inguinal hernia in children, neonates and adults
CN206745383U (en) * 2016-11-30 2017-12-15 重庆西山科技股份有限公司 Rotary-cut sampling operation component
CN106994026A (en) * 2017-01-17 2017-08-01 刘苏来 It is intraperitoneal controllable to open and close bagging apparatus
CN108836449A (en) * 2018-07-04 2018-11-20 昆明市延安医院 A kind of Minimally Invasive Surgery instrument for treating children's hernia
CN109758212A (en) * 2019-03-18 2019-05-17 耿金宏 A kind of laparoscope hernia operations sticking patch placement pliers
CN210843247U (en) * 2019-08-28 2020-06-26 曲靖市第一人民医院 Laparoscopic pediatric hernia repair stitching instrument

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