CN112773451B - Surgical instrument - Google Patents

Surgical instrument Download PDF

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Publication number
CN112773451B
CN112773451B CN201911094357.XA CN201911094357A CN112773451B CN 112773451 B CN112773451 B CN 112773451B CN 201911094357 A CN201911094357 A CN 201911094357A CN 112773451 B CN112773451 B CN 112773451B
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CN
China
Prior art keywords
firing
assembly
clip
sleeve
working head
Prior art date
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Active
Application number
CN201911094357.XA
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Chinese (zh)
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CN112773451A (en
Inventor
张翚
沈清
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Suzhou IntoCare Medical Technology Co Ltd
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Suzhou IntoCare Medical Technology Co Ltd
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Application filed by Suzhou IntoCare Medical Technology Co Ltd filed Critical Suzhou IntoCare Medical Technology Co Ltd
Priority to CN201911094357.XA priority Critical patent/CN112773451B/en
Publication of CN112773451A publication Critical patent/CN112773451A/en
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Publication of CN112773451B publication Critical patent/CN112773451B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
    • A61B17/1285Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/122Clamps or clips, e.g. for the umbilical cord
    • A61B17/1222Packages or dispensers therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

Abstract

The invention relates to a surgical operation instrument, which comprises a handle for outputting power, a working head connected with the handle, a firing sleeve assembly detachably connected with the working head, and a clamping assembly inserted into the firing sleeve assembly and detachably connected with the working head, wherein the working head comprises a shell, a firing transmission assembly arranged in the shell and used for driving a clamp to close, a clamp delivery transmission assembly used for driving the clamp delivery of the clamping assembly, and a switching assembly used for transmitting the power output by the handle to the firing transmission assembly or the clamp delivery transmission assembly, the firing sleeve assembly is spliced with the firing transmission assembly, and the clamping assembly is spliced with the clamp delivery transmission assembly. The firing sleeve assembly and the bin clamping assembly are detachably connected with the working head, and meanwhile, the firing sleeve assembly and the bin clamping assembly can also be detachably connected, so that the effects of reducing medical cost and relieving economic pressure of a patient are achieved.

Description

Surgical instrument
Technical Field
The invention relates to a surgical operation instrument, and belongs to the technical field of medical instruments.
Background
To fully expose the surgical field during surgery, ligation of blood vessels around the target tissue is required to prevent bleeding. Hemostasis technology has become one of the cores of basic operation technology of surgical operation, and the surgical operation of any part of human body involves bleeding and hemostasis almost without exception, and generally the hemostasis is closed by using a clip applying and ligating clip. However, in the operation process, due to the limitation of the number of clamps, an operator needs to carry out clamping operation for many times, so that the working efficiency is reduced, the operation time is prolonged, the bleeding volume of a patient is increased, and the recovery time of the patient is prolonged. Therefore, clip appliers capable of continuously feeding clips are produced, but most of clip appliers in the prior art capable of continuously feeding clips are disposable and integrally arranged, so that the medical cost is increased, and the economic pressure of patients is increased.
Disclosure of Invention
The invention aims to provide a surgical operation instrument, wherein a firing sleeve assembly and a clamping cabin assembly of the surgical operation instrument are detachably connected with a working head, and the firing sleeve assembly and the clamping cabin assembly can also be detachably connected, so that the effects of reducing medical cost and relieving economic pressure of a patient are achieved.
In order to achieve the purpose, the invention provides the following technical scheme: the utility model provides a surgical operation apparatus, including the handle that is used for output power, with the working head that the handle is connected, with the firing sleeve subassembly that the connection can be dismantled to the working head, insert to in the firing sleeve subassembly and with the storehouse subassembly that presss from both sides that the connection can be dismantled to the working head, the working head includes the casing, sets up be used for driving the closed firing drive assembly of clamp, be used for the drive in the casing the storehouse subassembly send the clamp drive assembly of clamp and with the power transmission that the handle exported extremely the switching component of firing drive assembly or sending clamp drive assembly, the firing sleeve subassembly with the grafting of firing drive assembly, press from both sides the storehouse subassembly with send and press from both sides the drive assembly and peg graft.
Further, the clamp bin assembly comprises a clamp tray for placing the ligation clamp, a pushing clamping piece for pushing the ligation clamp to move and a push rod connected with the pushing clamping piece, and the push rod is connected with the clamp conveying transmission assembly in an inserting mode.
Furthermore, send and press from both sides transmission assembly including with the grafting portion of push rod grafting and with send the clamp axle that grafting portion is connected, send the clamp axle with switch assembly is connected.
Further, the firing sleeve assembly comprises a firing sleeve, a clamp arranged on one side of the firing sleeve and a firing rod which is arranged in the firing sleeve and connected with the clamp so as to enable the clamp to be closed or opened, and the firing rod is connected with the firing transmission assembly.
Furthermore, the firing rod comprises a first firing rod, a second firing rod and a bending part used for being connected with the first firing rod and the second firing rod, the first firing rod is connected with the firing transmission assembly, and the second firing rod is connected with the clamp.
Furthermore, a protruding block is arranged on the firing sleeve assembly, and a long notch matched with the protruding block to slide is arranged on the firing transmission assembly.
Further, the firing transmission assembly comprises a firing block connected with the firing sleeve assembly and a firing shaft connected with the firing block, and the firing shaft is connected with the switching assembly.
Further, a motor is arranged in the handle, the motor is provided with an output shaft, and the working head further comprises a transmission mechanism which is arranged in the shell and used for connecting the output shaft and the switching component.
Furthermore, the working head also comprises a butt joint pipe connected with the shell, and at least part of the firing transmission assembly and the clip feeding transmission assembly are arranged in the butt joint pipe.
Furthermore, the working head further comprises a rotating head used for connecting the butt joint pipe and the triggering sleeve pipe assembly, a small hole is formed in the triggering sleeve pipe assembly, and a ball body clamped with the small hole to enable the triggering sleeve pipe assembly to be connected with the butt joint pipe is arranged on the rotating head.
The invention has the beneficial effects that: the firing sleeve component, the bin clamping component and the working head are detachably connected, and meanwhile, the bin clamping component and the firing sleeve can also be detachably connected, so that the bin clamping component can be independently replaced, the firing sleeve and the working head can be repeatedly used, the medical cost is saved, and the economic pressure of a patient is reduced; through being provided with the switching component, it with the power transmission of handle output to the percussion transmission subassembly with the butt joint of percussion sleeve subassembly or send with the delivery clamp transmission subassembly that presss from both sides the storehouse subassembly butt joint, realize that the independent control is sent and is pressed from both sides and fire, prevent misoperation in the use, cause the medical accident.
The foregoing description is only an overview of the technical solutions of the present invention, and in order to make the technical solutions of the present invention more clearly understood and to implement them in accordance with the contents of the description, the following detailed description is given with reference to the preferred embodiments of the present invention and the accompanying drawings.
Drawings
FIG. 1 is a schematic view of the construction of the surgical instrument of the present invention.
Fig. 2 is a disassembled schematic view of fig. 1.
FIG. 3 is another schematic view of the surgical instrument of the present invention.
FIG. 4 is a further schematic view of the surgical instrument of the present invention.
Fig. 5 is a partially enlarged view of fig. 4.
Fig. 6 is a schematic cross-sectional view of fig. 1.
Fig. 7 is a partially enlarged view of fig. 6.
Fig. 8 is another schematic cross-sectional view of fig. 1.
Detailed Description
The following detailed description of embodiments of the present invention is provided in connection with the accompanying drawings and examples. The following examples are intended to illustrate the invention but are not intended to limit the scope of the invention.
Referring to fig. 1 to 8, a surgical instrument according to a preferred embodiment of the present invention includes a handle 1 for outputting power, a working head 2 connected to the handle 1, a firing sleeve assembly 3 detachably connected to the working head 2, and a cartridge assembly 4 inserted into the firing sleeve assembly 3 and detachably connected to the working head 2, wherein the working head 2 includes a housing 21, a firing transmission assembly 22 disposed in the housing 21 for enabling a clamp 33 to close and fire, a clip delivery transmission assembly 23 for driving a clip delivery of the cartridge assembly 4, and a switching assembly 24 for transmitting the power output by the handle 1 to the firing transmission assembly 22 or the clip delivery transmission assembly 23, the firing sleeve assembly 3 is inserted into the firing transmission assembly 22, and the cartridge assembly 4 is inserted into the clip delivery transmission assembly 23. The working head 2 further comprises a butt joint pipe 26 connected with the shell 21, at least part of the firing transmission assembly 22 and the clip transmission assembly 23 are arranged in the butt joint pipe 26, and correspondingly, the firing sleeve assembly 3 and the clip cabin assembly 4 are detachably connected with the butt joint pipe 26. After cartridge assembly 4 is inserted into docking tube 26 for installation, firing sleeve assembly 3 is inserted into docking tube 26 to wrap cartridge assembly 4 such that cartridge assembly 4 is docked with clamp 33.
The firing sleeve assembly 3 includes a firing sleeve 31, a jaw 33 disposed at one side of the firing sleeve 31, and a firing bar 34 disposed within the firing sleeve 31 and connected to the jaw 33 to close or open the jaw 33, the firing bar 34 being connected to the firing transmission assembly 3. More specifically, the firing sleeve assembly 3 further includes an inner sleeve 32 disposed inside the firing sleeve 31 and forming a receiving cavity with the firing sleeve 31, and a firing bar 34 is disposed inside the receiving cavity. The firing sleeve assembly 3 is provided with a projection 321, and the firing bar 34 is provided with a long notch 344 which is matched with the projection 321 to slide, in this embodiment, the projection 321 is provided on the inner sleeve 32, and the projection 344 is matched with the projection 321 to slide to prevent the firing bar 34 from deviating from the motion track thereof in the motion process, which results in unstable closing or opening of the jaws 33.
The clamp 33 comprises a first clamp 331 and a second clamp 332 connected with the inner sleeve 32, the inner sleeve 32 is provided with a rotating shaft, the first clamp 331 and the second clamp 332 are provided with through holes 333, and the first clamp 331 and the second clamp 332 are opened or closed through the rotating matching of the through holes 333 and the rotating shaft. To better couple the jaws 33 to the firing bar 34 for firing, the first jaw 331 can have a first extension (not numbered) and the second jaw 332 can have a second extension (not numbered), the firing bar 34 can be coupled to the first and second extensions via a linkage 35, the linkage 35 can include a first linkage 351 coupled to the first extension and a second linkage 352 coupled to the second extension, the first linkage 351 can be coupled to the second linkage 352 and coupled to the firing bar 34, and the firing bar 34 can be advanced to close the first and second jaws 331, 332 and vice versa to open the first and second jaws 331, 332.
In order to better control the jaws 33, the number of the firing bars 34 is two in the present embodiment, and it is true that in other embodiments, the number of the firing bars 34 may be only one, which is not specifically limited herein, depending on the actual situation. Since both firing bars 34 are identically disposed, only one will be described in detail herein. The firing bar 34 includes a first firing bar 341, a second firing bar 342, and a bending portion 343 for connecting the first firing bar 341 and the second firing bar 342, the first firing bar 341 is connected to the firing transmission assembly 3, specifically, the first firing bar 341 is connected to the firing block 222, the second firing bar 342 is connected to the clamp 33, as described above, and the second firing bar 342 is connected to the clamp 33 through the connecting member 35. Wherein, the bending portion 343 bends from a side close to the cartridge clamping assembly 4 to a side far away from the cartridge clamping assembly 4, so that the second firing rod 342 is not in direct contact with the cartridge clamping assembly 4, and friction is reduced to facilitate firing.
The firing transmission assembly 22 includes a firing block 222 connected to the firing sleeve assembly 3 and a firing shaft 221 connected to the firing block 222, wherein the firing shaft 221 is connected to the switching assembly 24, and the firing bar 34 is abutted to the firing block 222. As mentioned above, since the present embodiment is provided with two firing bars 34, the firing block 222 is used to connect the two firing bars 34 and is connected to the firing shaft 221, so that the firing shaft 221 drives the firing block 222 to drive the two firing bars 34 to advance and retreat simultaneously. Optionally, the firing transmission assembly 22 of the present embodiment further includes a transmission rod 223 and a firing ring 224, the transmission rod 223 is configured to connect the firing block 222 and the firing ring 224, and the firing bar 34 is connected to the firing ring 224. Alternatively, the firing transmission assembly 22 may further include other connecting assemblies for connecting the firing block 222 and the firing shaft 221 or the firing block 222 and the firing bar 34, which are not specifically limited herein, depending on the actual situation.
The clip bin assembly 4 includes a clip tray 41 for placing the ligation clip 42, a clip pushing piece 43 for pushing the ligation clip 42 to move, and a pushing rod 44 connected to the clip pushing piece 43, the clip feeding transmission assembly 23 includes an insertion part 232 inserted into the pushing rod 44 and a clip feeding shaft 231 connected to the insertion part 232, and the clip feeding shaft 231 is connected to the switching assembly 24. More specifically, the inserting part 232 includes an inserting block 2321 inserted into the push rod 44, a connecting rod 2322 connected to the inserting block 2321, and a connecting part 2323 for connecting the feeding clamp shaft 231 and the connecting rod 2322. Alternatively, the insertion part 232 may be another part for connecting the feeding clamp shaft 231 and the push rod 44, which is not limited herein according to the actual situation.
The handle 1 is internally provided with a motor 11, the motor 11 is provided with an output shaft, the working head 2 further comprises a transmission mechanism 25 which is arranged in the shell 21 and is used for connecting the output shaft and the switching component 24, and the transmission mechanism 25 transmits the radial force output by the motor 11 to the switching component 24 while transmitting the axial force to the switching component 24. The switching assembly 24 transmits an axial force to the clip transmission assembly 23 so that the clip transmission assembly 23 drives the clip magazine assembly 4 to clip the clips 33, and the switching assembly 24 transmits an axial force to the firing transmission assembly 22 so that the firing transmission assembly 22 drives the firing bar 34 to close the clips 33. In this embodiment, the transmission assembly includes a bevel gear 251 connected to the motor 11 and a driving shaft 252 connected to the bevel gear 251.
It should be noted that the connection relationship, structure and operation principle of the switching assembly 24 and the transmission mechanism 25 in this embodiment are the prior art, and the connection relationship, structure and operation principle of the switching assembly 24, the firing transmission assembly 22 and the clip feeding transmission assembly 23 are also the prior art, for example, the connection relationship, structure and operation principle of the combination of the closed firing switch, the closed firing common switch and the closed limit switch disclosed in chinese patent CN201610898388.0 is not described herein again.
The surgical instrument further comprises a rotating head 5 for connecting the docking tube 26 and the firing sleeve assembly 3, wherein the firing sleeve assembly 3 is provided with a small hole 311, and the rotating head is provided with a ball 27 for engaging with the small hole 311 to connect the firing sleeve assembly 3 and the rotating head 5. Specifically, a small aperture 311 is provided in the firing sleeve 31. It is needless to say that the positions of the small hole 311 and the ball 27 may be set at other positions, which is not limited herein. The rotating head 5 is rotated, and the rotating head 5 drives the firing sleeve assembly 3 to rotate so as to adjust the clamping angle, so that an operator can operate conveniently.
The handle 1 further comprises a handle housing 12 having a receiving cavity, a control circuit disposed within the receiving cavity and electrically connected to the motor 11, a first switch 13 and a second switch 14 disposed on the handle housing 12 and coupled to the control circuit, and a switching assembly 24 coupled to the control circuit. Wherein, the first switch 13 is used for driving the clip cabin assembly 4 to realize the clip feeding action, and the second switch 14 is used for driving the firing transmission assembly 22 to further drive the firing rod 34 so as to open or close the clamp 33. It is needless to say that the driving unit, the control circuit, the first switch 13 and the second switch 14 may be disposed in the working portion, and the driving unit, the control circuit, the first switch 13 and the second switch 14 are not particularly limited.
In summary, the following steps: the percussion sleeve component 3, the clamping bin component 4 and the working head 2 are detachably connected, and the clamping bin component 4 and the percussion sleeve 31 can also be detachably connected, so that the clamping bin component 4 can be independently replaced, the percussion sleeve 31 and the working head 2 can be repeatedly used, the medical cost is saved, and the economic pressure of a patient is reduced; through being provided with switching module 24, it is sent the power transmission that handle 1 exported to the percussion drive assembly 22 with the butt joint of percussion sleeve subassembly 3 or send and press from both sides the transmission assembly 23 with sending of pressing from both sides storehouse subassembly 4 butt joint, realizes alone control and send and press from both sides, prevents misoperation in the use, causes medical accident.
The technical features of the embodiments described above may be arbitrarily combined, and for the sake of brevity, all possible combinations of the technical features in the embodiments described above are not described, but should be considered as being within the scope of the present specification as long as there is no contradiction between the combinations of the technical features.
The above-mentioned embodiments only express several embodiments of the present invention, and the description thereof is more specific and detailed, but not construed as limiting the scope of the invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the inventive concept, which falls within the scope of the present invention. Therefore, the protection scope of the present patent shall be subject to the appended claims.

Claims (10)

1. The utility model provides a surgical operation apparatus, its characterized in that, including the handle for output power, with the working head that the handle is connected, with the firing thimble assembly that the connection can be dismantled to the working head, insert to in the firing thimble assembly and with the clamping storehouse subassembly that the connection can be dismantled to the working head, the working head includes the casing, sets up be in the casing be used for driving the closed firing transmission assembly of clamp, be used for the drive the clamping storehouse subassembly send the clamp transmission assembly of clamp and with the power transmission that the handle exported extremely the switching module of firing transmission assembly or sending clamping transmission assembly, the firing thimble assembly with the coaxial grafting of firing transmission assembly, clamping storehouse subassembly with send and press from both sides the coaxial grafting of transmission assembly.
2. The surgical instrument of claim 1, wherein the clip cartridge assembly comprises a clip tray for holding a ligation clip, a pusher clip for pushing the ligation clip to move, and a pusher rod connected to the pusher clip, the pusher rod being interfaced with the clip transport assembly.
3. The surgical instrument of claim 2, wherein the clip feed drive assembly includes an insertion portion that is inserted into the push rod and a clip feed shaft that is connected to the insertion portion, the clip feed shaft being connected to the switching assembly.
4. The surgical instrument of claim 1, wherein the firing sleeve assembly comprises a firing sleeve, a jaw disposed on one side of the firing sleeve, and a firing bar disposed within the firing sleeve and coupled to the jaw to close or open the jaw, the firing bar coupled to the firing transmission assembly.
5. The surgical instrument of claim 4, wherein the firing bar comprises a first firing bar, a second firing bar, and a bend connecting the first firing bar to the second firing bar, the first firing bar being connected to the firing transmission assembly, the second firing bar being connected to the jaws.
6. The surgical instrument of claim 4, wherein the firing sleeve assembly includes a tab and the firing transmission assembly includes an elongated slot that slides in cooperation with the tab.
7. The surgical instrument of claim 1, wherein the firing transmission assembly comprises a firing block coupled to the firing sleeve assembly and a firing shaft coupled to the firing block, the firing shaft coupled to the shift assembly.
8. The surgical instrument of claim 1, wherein a motor is disposed within the handle, the motor having an output shaft, the working head further comprising a transmission mechanism disposed within the housing and configured to couple the output shaft and the switching assembly.
9. The surgical instrument of claim 1, wherein the working head further comprises a docking tube coupled to the housing, at least a portion of the firing drive assembly and the clip feed drive assembly being disposed within the docking tube.
10. The surgical instrument of claim 9, wherein the working head further comprises a rotating head for connecting the docking tube and a firing sleeve assembly, the firing sleeve assembly having an aperture, the rotating head having a ball for engaging the aperture to connect the firing sleeve assembly to the docking tube.
CN201911094357.XA 2019-11-11 2019-11-11 Surgical instrument Active CN112773451B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201911094357.XA CN112773451B (en) 2019-11-11 2019-11-11 Surgical instrument

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201911094357.XA CN112773451B (en) 2019-11-11 2019-11-11 Surgical instrument

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CN112773451A CN112773451A (en) 2021-05-11
CN112773451B true CN112773451B (en) 2022-05-27

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103767750A (en) * 2012-10-23 2014-05-07 柯惠Lp公司 Surgical instrument with rapid post event detection
CN104487005A (en) * 2012-06-28 2015-04-01 伊西康内外科公司 Empty clip cartridge lockout
CN106913365A (en) * 2017-03-16 2017-07-04 栗超跃 A kind of scalp clip output device
CN108392238A (en) * 2013-08-27 2018-08-14 柯惠Lp公司 Operation applicator
CN209236257U (en) * 2018-06-21 2019-08-13 北京博辉瑞进生物科技有限公司 Single motor electrical surgical instrument hand-held device and electrical surgical instrument

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
BR112014032731A2 (en) * 2012-06-28 2017-06-27 Ethicon Endo Surgery Inc replaceable clip cartridge for a clip applicator
WO2016183742A1 (en) * 2015-05-15 2016-11-24 杭州光典医疗器械有限公司 Surgical clamp applier
CN105496488B (en) * 2016-02-03 2018-09-21 苏州英途康医疗科技有限公司 Electronic stapler
CN106037866B (en) * 2016-07-12 2018-12-25 成都意町工业产品设计有限公司 A kind of hemostatic clamp applicator being used continuously

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104487005A (en) * 2012-06-28 2015-04-01 伊西康内外科公司 Empty clip cartridge lockout
CN103767750A (en) * 2012-10-23 2014-05-07 柯惠Lp公司 Surgical instrument with rapid post event detection
CN108392238A (en) * 2013-08-27 2018-08-14 柯惠Lp公司 Operation applicator
CN106913365A (en) * 2017-03-16 2017-07-04 栗超跃 A kind of scalp clip output device
CN209236257U (en) * 2018-06-21 2019-08-13 北京博辉瑞进生物科技有限公司 Single motor electrical surgical instrument hand-held device and electrical surgical instrument

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