CN112472178A - Disposable arc-shaped cutting anastomat - Google Patents

Disposable arc-shaped cutting anastomat Download PDF

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Publication number
CN112472178A
CN112472178A CN202011372683.5A CN202011372683A CN112472178A CN 112472178 A CN112472178 A CN 112472178A CN 202011372683 A CN202011372683 A CN 202011372683A CN 112472178 A CN112472178 A CN 112472178A
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China
Prior art keywords
medicine
gear
rod
rotating shaft
connecting cylinder
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Pending
Application number
CN202011372683.5A
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Chinese (zh)
Inventor
王春华
李莹
李志伟
桑小林
张玲
薛辉
蒋易良
张佳锴
陈政
赵红
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Changzhou Ankang Medical Equipment Co ltd
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Changzhou Ankang Medical Equipment Co ltd
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Application filed by Changzhou Ankang Medical Equipment Co ltd filed Critical Changzhou Ankang Medical Equipment Co ltd
Priority to CN202011372683.5A priority Critical patent/CN112472178A/en
Publication of CN112472178A publication Critical patent/CN112472178A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M37/00Other apparatus for introducing media into the body; Percutany, i.e. introducing medicines into the body by diffusion through the skin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07271Stapler heads characterised by its cartridge

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Dermatology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a disposable arc-shaped cutting anastomat, which belongs to the technical field of anastomats and comprises a pipe body, wherein a pipe cavity is arranged inside the pipe body; according to the invention, the sponge block is arranged in the medicine groove arranged in the side wall of the nail abutting seat, and when the structure is used for suturing tissues, the sponge block is abutted and pressed, so that medicines are oozed out of the surface of the tissues; according to the structure, the screw rod is connected inside the connecting cylinder, the pressing plate arranged on the periphery of the screw rod is penetrated through by the guide rod, and the knob is rotated to drive the pressing plate to move up and down, so that the clamping seat can be disassembled and assembled, and the nail bin can be replaced.

Description

Disposable arc-shaped cutting anastomat
Technical Field
The invention belongs to the technical field of anastomats, and particularly relates to a disposable arc-shaped cutting anastomat.
Background
The anastomat is the first stapler in the world and is used for gastrointestinal anastomosis for nearly a century, and the tube-type anastomat is not widely used for gastrointestinal surgery until 1978. Generally, the anastomat is divided into a disposable anastomat or a multi-use anastomat, an imported anastomat or a domestic anastomat. The anastomat is equipment used for replacing the traditional manual suturing in medicine, and due to the development of modern science and technology and the improvement of manufacturing technology, the anastomat used clinically has reliable quality, convenient use, tightness and proper tightness, particularly has the advantages of quick suturing, simple and convenient operation, few side effects, few operation complications and the like, and can also be used for excising the focus of a tumor operation which cannot be excised in the past.
The prior art has the following problems: the position adjustment of current arc cutting anastomat to the nail storehouse is generally all utilizing slider or other relevant sliding structure to realize position adjustment when stirring the driving lever in the use, and this kind of structure operation is got up and is not very convenient to still need additionally to prepare relevant instrument and carry out the medicine to the suture department and paint after sewing up the tissue site, troublesome poeration, disposable arc cutting anastomat is also not very convenient when changing the nail storehouse in addition.
Disclosure of Invention
To solve the problems set forth in the background art described above. The invention provides a disposable arc-shaped cutting anastomat which has the characteristics of convenience in adjustment, timely medicine application and convenience in replacement.
In order to achieve the purpose, the invention provides the following technical scheme: a disposable arc-shaped cutting anastomat comprises a pipe body, a pipe cavity is arranged inside the pipe body, a connecting rod is arranged at the outer end of the pipe body, a nail abutting seat is connected to the outer end of the connecting rod, a limiting plate is arranged inside the pipe cavity, a transmission assembly is arranged inside the pipe cavity, a movable rod penetrates through the limiting plate, one end, extending to the outer side of the pipe body, of the movable rod is connected with a clamping seat, a nail bin is arranged on the inner side of the clamping seat, the transmission assembly comprises a driven gear, a first rotating shaft, a second rotating shaft, a shifting rod, a third rotating shaft, an incomplete gear, a main gear, a toothed rod and an auxiliary gear, wherein a through groove communicated with the pipe cavity is formed in the bottom end of the pipe body, the third rotating shaft is connected inside the through groove, the first rotating shaft and the second rotating shaft are connected inside the pipe cavity, the driven gear is installed on the, a deflector rod is installed on the periphery of the third rotating shaft, an incomplete gear is arranged on the outer side of the deflector rod, and one end of the movable rod, which is located inside the tube body, is connected with a toothed bar.
Furthermore, the pivot tee bend is crossed rolling bearing and is connected with the inside wall that leads to the groove, pivot one and pivot two are all connected with the inside wall of lumen through rolling bearing, incomplete gear meshes with the master gear, driven gear meshes with the pinion, and driven gear's upper end meshes with the lower extreme of ratch.
Furthermore, a handle is arranged at the outer bottom end of the pipe body.
Further, be provided with in the lateral wall of supporting the nail seat and ooze the medicine subassembly, it includes sponge piece and medicine groove to ooze the medicine subassembly, wherein, support nail seat and keep away from the inside medicine groove that is provided with of one side lateral wall of holder, the inboard bonding in medicine groove has the sponge piece, the outer end of sponge piece extends to the outside in medicine groove.
Further, ooze the medicine subassembly and still include cock and medicine feed mouth, wherein, the bottom of supporting the nail seat is provided with the medicine feed mouth that carries out the intercommunication with the medicine groove, the open end of medicine feed mouth is connected with the cock.
Further, the one end that the movable rod is close to the horizontal end of holder is provided with coupling assembling, coupling assembling includes guide arm, knob, screw rod, clamp plate and connecting cylinder, wherein, the one end that the movable rod is close to the holder is connected with the connecting cylinder, the internal connection of connecting cylinder has guide arm and screw rod, the screw rod passes through rolling bearing and is connected with the inner bottom end of connecting cylinder, and the screw rod extends to the one end at the outer top of connecting cylinder and is connected with the knob, the clamp plate that is run through by the screw rod screw thread is installed to the periphery of guide arm.
Furthermore, a baffle is arranged at the inner bottom end of the connecting cylinder.
Compared with the prior art, the invention has the beneficial effects that:
1. according to the structure, the poking rod is poked to drive the incomplete gear to rotate so as to drive the driven gear to rotate, and further, the nail bin connected with the rack bar can be easily driven to move;
2. according to the invention, the sponge block is arranged in the medicine groove arranged in the side wall of the nail abutting seat, the outer end of the sponge block extends out of the medicine groove, and the sponge block is abutted and pressed when tissues are sutured, so that medicines are oozed out of the surface of the tissues;
3. according to the structure, the screw rod is connected inside the connecting cylinder, the pressing plate arranged on the periphery of the screw rod is penetrated through by the guide rod, and the pressing plate is driven to move up and down by rotating the knob to drive the screw rod to rotate, so that the pressing plate can be pressed and separated from the clamping seat, and further, the nail bin can be easily replaced.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic structural view of a drug-impregnated assembly according to the present invention;
FIG. 3 is a schematic structural view of the transmission assembly of the present invention;
FIG. 4 is a schematic top view of FIG. 3 at A in accordance with the present invention;
FIG. 5 is a schematic view of a coupling assembly of the present invention;
in the figure: 1. a nail abutting seat; 2. a drug permeation component; 21. a sponge block; 22. a medicine groove; 23. a cock; 24. a medicine adding port; 3. a staple cartridge; 4. a connecting rod; 5. a limiting plate; 6. a through groove; 7. a grip; 8. a pipe body; 9. a transmission assembly; 91. a driven gear; 92. a first rotating shaft; 93. a second rotating shaft; 94. a deflector rod; 95. a rotating shaft III; 96. an incomplete gear; 97. a main gear; 98. a rack bar; 99. a pinion gear; 10. a lumen; 11. a movable rod; 12. a connecting assembly; 121. a baffle plate; 122. a guide bar; 123. a knob; 124. a screw; 125. pressing a plate; 126. a connecting cylinder; 13. a clamping seat.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-5, the present invention provides the following technical solutions: a disposable arc-shaped cutting anastomat comprises a pipe body 8, a pipe cavity 10 is arranged inside the pipe body 8, a connecting rod 4 is arranged at the outer end of the pipe body 8, a nail abutting seat 1 is connected at the outer end of the connecting rod 4, a limiting plate 5 is arranged inside the pipe cavity 10, a transmission assembly 9 is arranged inside the pipe cavity 10, a movable rod 11 penetrates through the limiting plate 5, one end, extending to the outer side of the pipe body 8, of the movable rod 11 is connected with a clamping seat 13, a nail bin 3 is arranged on the inner side of the clamping seat 13, the transmission assembly 9 comprises a driven gear 91, a first rotating shaft 92, a second rotating shaft 93, a driving lever 94, a third rotating shaft 95, an incomplete gear 96, a main gear 97, a toothed rod 98 and a secondary gear 99, a through groove 6 communicated with the pipe cavity 10 is arranged at the bottom end of the pipe body 8, the third rotating shaft 95 is connected inside the through groove 6, the first rotating shaft 92 and, a main gear 97 and a secondary gear 99 are arranged on the periphery of the second rotating shaft 93, a deflector rod 94 is arranged on the periphery of the third rotating shaft 95, an incomplete gear 96 is arranged on the outer side of the deflector rod 94, and a toothed bar 98 is connected to one end of the movable rod 11 positioned in the tube body 8.
Further, in the present invention, the third rotating shaft 95 is connected to the inner sidewall of the through slot 6 through a rotating bearing, the first rotating shaft 92 and the second rotating shaft 93 are both connected to the inner sidewall of the lumen 10 through a rotating bearing, the incomplete gear 96 is engaged with the main gear 97, the driven gear 91 is engaged with the secondary gear 99, and the upper end of the driven gear 91 is engaged with the lower end of the rack bar 98.
In the present invention, a grip 7 is attached to the outer bottom end of the tube 8.
Further, the side wall of the nail propping seat 1 is internally provided with the medicine infiltration component 2, the medicine infiltration component 2 comprises a sponge block 21 and a medicine groove 22, the medicine groove 22 is arranged inside the side wall of the nail propping seat 1 far away from the clamping seat 13, the sponge block 21 is bonded on the inner side of the medicine groove 22, and the outer end of the sponge block 21 extends to the outer side of the medicine groove 22.
In the invention, the drug infiltration component 2 further comprises a cock 23 and a drug adding port 24, wherein the bottom of the nail propping seat 1 is provided with the drug adding port 24 communicated with the drug groove 22, and the open end of the drug adding port 24 is connected with the cock 23.
Further, in the present invention, a connecting assembly 12 is disposed at one end of the movable rod 11 close to the transverse end of the holder 13, the connecting assembly 12 includes a guide rod 122, a knob 123, a screw rod 124, a pressing plate 125 and a connecting cylinder 126, wherein the connecting cylinder 126 is connected to one end of the movable rod 11 close to the holder 13, the guide rod 122 and the screw rod 124 are connected to the inside of the connecting cylinder 126, the screw rod 124 is connected to the inner bottom end of the connecting cylinder 126 through a rotating bearing, the knob 123 is connected to one end of the screw rod 124 extending to the outer top of the connecting cylinder 126, and the pressing plate 125 threaded through the screw rod 124 is installed on the periphery.
Further in the present invention, a baffle 121 is installed at the inner bottom end of the connecting cylinder 126.
Further, the using method of the disposable arc-shaped cutting anastomat comprises the following steps:
firstly, moving and adjusting: according to the use requirement, the position of the nail bin 3 is adjusted through the transmission assembly 9, the nail abutting seat 1 is clamped into a tissue part to be sutured, then the handle 7 is held and the shifting rod 94 is shifted, the shifting rod 94 can drive the incomplete gear 96 to rotate anticlockwise by matching with the rotation of the rotating shaft III 95 when being shifted, the incomplete gear 96 can drive the main gear 97 to rotate clockwise, the main gear 97 can drive the pinion 99 to synchronously rotate clockwise, the pinion 99 can drive the driven gear 91 to rotate anticlockwise, the driven gear 91 can drive the rack bar 98 to move in the direction close to the movable rod 11 by rotating anticlockwise, and further the clamping seat 13 with the nail bin 3 mounted inside can be driven to move so as to clamp and suture the tissue part;
secondly, coating the medicine: according to the use requirement, the drug coating operation is carried out on the sutured tissue part through the drug infiltration component 2, before the suturing operation is carried out, the cock 23 is opened, the drug is injected into the drug groove 22 through the drug adding opening 24, the sponge block 21 arranged in the drug groove 22 can absorb the drug in a proper way, when the clamping and suturing operation is carried out on the tissue part by the clamping seat 13, the drug can be seeped to the surface of the sutured part by the compression of the sutured part of the sponge block 21, and the drug coating on the sutured part can be further realized;
thirdly, replacing operation: according to the use requirement, change holder 13 through coupling assembling 12, drive screw 124 through rotating knob 123 and rotate, cooperation guide arm 122 one end runs through the structure of clamp plate 125, screw 124 can drive clamp plate 125 and move up until keeping away from the upper surface of holder 13 when rotating, then just can shift out the inside of connecting cylinder 126 with holder 13 and realize changing, when installing holder 13 after changing, the inside of the horizontal end embedding connecting cylinder 126 of holder 13 is until the inside one end of holder 13 embedding connecting cylinder 126 pastes tightly with baffle 121, then rotate knob 123 and drive clamp plate 125 and move down, just can realize compressing tightly holder 13 when clamp plate 125 moves to paste tightly with the upper end of holder 13 mutually, just so can realize fixing the mount of holder 13 after the replacement.
The working principle and the using process of the invention are as follows: when the tissue part needs to be sutured, the nail abutting seat 1 is firstly clamped into the tissue part to be sutured, then the handle 7 is held, the shifting rod 94 is shifted, the shifting rod 94 can drive the incomplete gear 96 to rotate anticlockwise, the incomplete gear 96 can drive the main gear 97 to rotate clockwise when rotating anticlockwise, the auxiliary gear 99 can be driven to synchronously rotate clockwise by the clockwise rotation of the main gear 97, the driven gear 91 can be driven to rotate anticlockwise by the clockwise rotation of the auxiliary gear 99, and the clamping seat 13 with the nail bin 3 arranged on the inner side can be further driven to move by the anticlockwise rotation of the driven gear 91, so that the tissue part can be easily clamped and sutured;
according to the invention, before the suture operation is carried out, the cock 23 is required to be opened to inject the medicine into the medicine groove 22 through the medicine adding port 24, the sponge block 21 arranged in the medicine groove 22 can absorb the medicine along with the situation, when the clamping and suture operation is carried out on the tissue part by the clamp seat 13, the sponge block 21 is compressed by the suture part to enable the medicine to seep to the surface of the suture part, and the medicine smearing on the suture part can be further realized;
when the disposable nail bin 3 needs to be replaced after a single sewing operation is finished, firstly, the knob 123 is rotated to drive the screw 124 to rotate, so that the pressing plate 125 is driven to move upwards until the pressing plate is far away from the upper surface of the clamping base 13, then the clamping base 13 can be moved out of the connecting cylinder 126, so that the waste nail bin 3 can be detached, when the replaced nail bin 3 is installed, the transverse end of the clamping base 13 is embedded into the connecting cylinder 126 until one end of the clamping base 13 embedded into the connecting cylinder 126 is attached to the baffle plate 121, then the knob 123 is rotated to drive the pressing plate 125 to move downwards until the upper end of the clamping base 13 is attached, and therefore the replaced clamping base 13 can be installed and fixed.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (7)

1. The utility model provides a disposable arc cutting anastomat, includes body (8), its characterized in that: the nail driving device is characterized in that a tube cavity (10) is arranged inside the tube body (8), a connecting rod (4) is arranged at the outer end of the tube body (8), a nail abutting seat (1) is connected to the outer end of the connecting rod (4), a limiting plate (5) is arranged inside the tube cavity (10), a transmission assembly (9) is arranged inside the tube cavity (10), a movable rod (11) penetrates through the limiting plate (5), one end, extending to the outer side of the tube body (8), of the movable rod (11) is connected with a clamping seat (13), a nail bin (3) is arranged on the inner side of the clamping seat (13), the transmission assembly (9) comprises a driven gear (91), a first rotating shaft (92), a second rotating shaft (93), a driving lever (94), a third rotating shaft (95), an incomplete gear (96), a main gear (97), a gear rod (98) and an auxiliary gear (99), wherein a through groove (6) communicated with the tube cavity (10) is, the utility model discloses a pipe fitting, including logical groove (6), the internal connection of pipe chamber (10) has pivot three (95), the internal connection of lumen (10) has pivot one (92) and pivot two (93), driven gear (91) are installed to the periphery of pivot one (92), main gear (97) and pinion (99) are installed to the periphery of pivot two (93), driving lever (94) are installed to the periphery of pivot three (95), the outside of driving lever (94) is provided with incomplete gear (96), the one end that movable rod (11) are located body (8) inside is connected with ratch (98).
2. The single use arcuate cutting stapler of claim 1, wherein: the third rotating shaft (95) is connected with the inner side wall of the through groove (6) through a rotating bearing, the first rotating shaft (92) and the second rotating shaft (93) are connected with the inner side wall of the tube cavity (10) through rotating bearings, the incomplete gear (96) is meshed with the main gear (97), the driven gear (91) is meshed with the auxiliary gear (99), and the upper end of the driven gear (91) is meshed with the lower end of the toothed rod (98).
3. The single use arcuate cutting stapler of claim 1, wherein: a handle (7) is arranged at the outer bottom end of the tube body (8).
4. The single use arcuate cutting stapler of claim 1, wherein: it oozes medicine subassembly (2) to be provided with in the lateral wall of support nail seat (1), it includes sponge piece (21) and medicine groove (22) to ooze medicine subassembly (2), wherein, support nail seat (1) and keep away from one side lateral wall inside of holder (13) and be provided with medicine groove (22), the inboard bonding in medicine groove (22) has sponge piece (21), the outer end of sponge piece (21) extends to the outside in medicine groove (22).
5. The single use arcuate cutting stapler of claim 4, wherein: ooze medicine subassembly (2) and still include cock (23) and add medicine mouth (24), wherein, the bottom of supporting nail seat (1) is provided with adds medicine mouth (24) that carry out the intercommunication with medicine groove (22), the open end of adding medicine mouth (24) is connected with cock (23).
6. The single use arcuate cutting stapler of claim 1, wherein: one end that movable rod (11) is close to horizontal end of holder (13) is provided with coupling assembling (12), coupling assembling (12) are including guide arm (122), knob (123), screw rod (124), clamp plate (125) and connecting cylinder (126), wherein, the one end that movable rod (11) is close to holder (13) is connected with connecting cylinder (126), the internal connection of connecting cylinder (126) has guide arm (122) and screw rod (124), screw rod (124) are connected through rolling bearing and the interior bottom of connecting cylinder (126), and screw rod (124) extend to the one end at connecting cylinder (126) outer top and be connected with knob (123), clamp plate (125) that are run through by screw rod (124) screw thread are installed to the periphery of guide arm (122).
7. The single use arcuate cutting stapler of claim 6, wherein: a baffle plate (121) is arranged at the inner bottom end of the connecting cylinder (126).
CN202011372683.5A 2020-11-30 2020-11-30 Disposable arc-shaped cutting anastomat Pending CN112472178A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113303852A (en) * 2021-05-18 2021-08-27 常州安康医疗器械有限公司 Arc-shaped cutting anastomat with auxiliary medicine spraying function
CN113476091A (en) * 2021-08-24 2021-10-08 常州安康医疗器械有限公司 Endoscope anastomat convenient to multi-angle rotating
CN113509232A (en) * 2021-08-24 2021-10-19 常州安康医疗器械有限公司 Endoscope anastomat with size-adjustable handle

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CN111407340A (en) * 2020-03-09 2020-07-14 南京爱维生医疗科技有限公司 Disposable arc cutting anastomat
CN211674394U (en) * 2020-07-31 2020-10-16 臻儒(天津)科技有限公司 Disposable arc-shaped cutting anastomat
CN111803164A (en) * 2020-08-27 2020-10-23 武汉智瓴医疗科技有限公司 Electric pushing device for percussion anastomat and electric anastomat

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US4442964A (en) * 1981-12-07 1984-04-17 Senco Products, Inc. Pressure sensitive and working-gap controlled surgical stapling instrument
US20060144898A1 (en) * 2001-03-29 2006-07-06 Federico Bilotti Surgical stapling instrument
CN102228386A (en) * 2010-09-16 2011-11-02 北京中法派尔特医疗设备有限公司 Forceps opening assembly with guiding structure and stitching instrument adopting forceps opening assembly
CN102755178A (en) * 2012-07-19 2012-10-31 浙江海圣医疗器械有限公司 Linear type automatic anastomat
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CN111803164A (en) * 2020-08-27 2020-10-23 武汉智瓴医疗科技有限公司 Electric pushing device for percussion anastomat and electric anastomat

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113303852A (en) * 2021-05-18 2021-08-27 常州安康医疗器械有限公司 Arc-shaped cutting anastomat with auxiliary medicine spraying function
CN113476091A (en) * 2021-08-24 2021-10-08 常州安康医疗器械有限公司 Endoscope anastomat convenient to multi-angle rotating
CN113509232A (en) * 2021-08-24 2021-10-19 常州安康医疗器械有限公司 Endoscope anastomat with size-adjustable handle

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Application publication date: 20210312