CN112890890B - Surgery retractor for hepatobiliary surgery - Google Patents

Surgery retractor for hepatobiliary surgery Download PDF

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Publication number
CN112890890B
CN112890890B CN202110095051.7A CN202110095051A CN112890890B CN 112890890 B CN112890890 B CN 112890890B CN 202110095051 A CN202110095051 A CN 202110095051A CN 112890890 B CN112890890 B CN 112890890B
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CN
China
Prior art keywords
side wall
outer side
fixedly connected
surgical retractor
threaded rod
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Expired - Fee Related
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CN202110095051.7A
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Chinese (zh)
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CN112890890A (en
Inventor
王忠利
崔玲玲
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.)
First Affiliated Hospital of Jinzhou Medical University
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First Affiliated Hospital of Jinzhou Medical University
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Priority to CN202110095051.7A priority Critical patent/CN112890890B/en
Publication of CN112890890A publication Critical patent/CN112890890A/en
Application granted granted Critical
Publication of CN112890890B publication Critical patent/CN112890890B/en
Expired - Fee Related 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
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0206Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with antagonistic arms as supports for retractor elements

Abstract

The invention discloses an operation retractor for hepatobiliary surgery, which comprises a fixed box, wherein a threaded rod is rotatably connected on the inner side wall of the fixed box, the tail end of the threaded rod penetrates through the outer side wall of the fixed box, a gear is fixedly connected on the outer side wall of the threaded rod, a connecting groove is formed in the outer side wall of the fixed box, a locking mechanism is rotatably connected on the inner side wall of the fixed box and can be abutted against the outer side wall of the gear, positioning blocks are symmetrically and rotatably connected on the outer side wall of the threaded rod, positioning grooves are formed in the outer side wall of the fixed box, the positioning blocks penetrate through the positioning grooves, blood seeped out from an opening in the operation process can be absorbed through a blood sucking sponge, manual repeated cleaning is not needed, so that a large amount of operation time is saved, and after the operation is finished, the primary cleaning of the blood on the blood sucking sponge is realized under the upward tensile force of a second spring, saving a great deal of time for subsequent cleaning of the device.

Description

Surgery retractor for hepatobiliary surgery
Technical Field
The invention relates to the technical field of hepatobiliary surgery, in particular to an operation draw hook for hepatobiliary surgery.
Background
The hepatobiliary surgery mainly studies serious diseases seriously threatening the health of Chinese people, such as hepatocellular carcinoma, hepatobiliary calculus, posthepatitic cirrhosis, acute liver failure caused by severe hepatitis and the like, in the hepatobiliary surgery research of China, in combination with the characteristics of hepatobiliary diseases of Chinese people, a relatively perfect theory and technical system are formed in the aspect of surgical treatment of hepatocellular carcinoma, hepatobiliary calculus, damaged biliary stricture and the like, when a hospital performs body surface surgery on a patient, skin muscles need to be cut open, and then an operation wound is drawn by using an operation draw hook so as to fully expose a visual field suitable for performing the surgery, thereby facilitating the surgery of a doctor.
Through retrieval, the invention patent with the Chinese patent number of CN105919635A discloses an operation hook pulling device for hepatobiliary surgery, which comprises a connecting device, an elastic connecting belt, a telescopic bracket and a hook body, wherein a drag hook is installed at the right end of the connecting device, the left side of the connecting device is connected with the elastic connecting belt, the left side of the elastic connecting belt is connected with a connecting piece, the telescopic bracket is installed at the left end of the connecting piece, the hook body is installed at the left end of the telescopic bracket, the telescopic bracket is composed of an extension rod and a fixed rod, and the extension rod is embedded and installed on the fixed rod. The device has a small integral structure, is convenient to carry and is ultra-thin in design, a user can flexibly operate the device without installing the device, the requirement of a doctor in the operation process can be met in the auxiliary process, the size of the device can be adjusted by arranging the telescopic support, and the device is not easy to pull a patient by arranging the elastic connecting band.
However, the device needs a doctor to manually fix the draw hook for a long time in the using process, so that a large amount of manpower and time are consumed, the operation draw hook is pulled through the manpower, the wound is easily torn due to the nonuniformity of the manpower, blood is continuously leaked at the position pulled by the draw hook in the operation process, the sight of the operation doctor is shielded, the operation time and difficulty are increased, the operation efficiency is reduced, and the operation draw hook for hepatobiliary surgery is needed.
Disclosure of Invention
The invention aims to solve the defects in the prior art and provides an operation draw hook for hepatobiliary surgery.
In order to achieve the purpose, the invention adopts the following technical scheme:
an operation retractor for hepatobiliary surgery comprises a fixing box, wherein a threaded rod is rotatably connected to the inner side wall of the fixing box, the tail end of the threaded rod penetrates through the outer side wall of the fixing box, a gear is fixedly connected to the outer side wall of the threaded rod, a connecting groove is formed in the outer side wall of the fixing box, a locking mechanism is rotatably connected to the inner side wall of the fixing box and can be abutted against the outer side wall of the gear, positioning blocks are symmetrically and rotatably connected to the outer side wall of the threaded rod, positioning grooves are formed in the outer side wall of the fixing box and penetrate through the positioning grooves, an operation retractor is fixedly connected to the outer side wall of the positioning blocks, an installation cavity is formed inside the operation retractor, a limiting plate is slidably connected to the inner side wall of the installation cavity, a second spring is fixedly connected to the outer side wall of the limiting plate, and the tail end of the second spring is fixedly connected to the inner side wall of the installation cavity, fixedly connected with string on the lateral wall of limiting plate, fixedly connected with transfer line on the lateral wall of limiting plate, it is connected with the second roller to rotate on the inside wall of installation cavity, it is connected with first roller to rotate on the inside wall of installation cavity, the terminal fixedly connected with of transfer line inhales the blood sponge, it is connected with water conservancy diversion mechanism to rotate on the inside wall of operation drag hook, fixedly connected with collecting box on the lateral wall of operation drag hook, a plurality of grooves that run through have been seted up on the outside of operation drag hook, symmetry fixedly connected with dead lever, two on the lateral wall of fixed box common fixedly connected with stay cord on the lateral wall of limiting plate, the stay cord runs through the lateral wall of operation drag hook.
Preferably, locking mechanical system is including rotating the locking lever of connection on the internal wall of fixed box, the first spring of fixedly connected with on the lateral wall of locking lever, the terminal of first spring and the inside wall fixed connection of fixed box, the locking lever runs through the spread groove, be equipped with the rodent on the lateral wall of locking lever, the rodent can with the lateral wall looks butt of gear.
Preferably, the diversion mechanism comprises a diversion plate rotatably connected to the inner side wall of the surgical drag hook, the tail end of the string is fixedly connected with the outer side wall of the diversion plate, and a discharge groove is formed in the outer side wall of the surgical drag hook.
Preferably, the blood sucking sponge is respectively abutted against the outer side walls of the first roller shaft and the second roller shaft.
Preferably, the through groove is communicated with the mounting cavity.
Preferably, the outer diameter of the threaded rod is smaller than the inner diameter of the positioning block, and the outer thread of the threaded rod is matched with the inner thread of the positioning block.
Preferably, a clamping groove is formed in the outer side wall of the threaded rod, the clamping groove is triangular, and threads on two sides of the threaded rod are opposite.
Preferably, the second spring is in a compressed state, and the material of the second spring is austenitic stainless steel.
Compared with the prior art, the invention has the beneficial effects that:
1. insert the opening part with operation drag hook's end, pulling locking lever clockwise rotation this moment, rotate the threaded rod again and just can make the locating piece remove to both sides, the locating piece drives operation drag hook and removes to both sides, operation drag hook realizes coming skin and the muscle of opening department to pull open at the in-process that removes, the field of vision of increase operation, when the opening part is enough to carry out the operation, loosen the locking lever, the rodent on the locking lever offsets tightly with the lateral wall of gear, and then realize the fixed to the threaded rod, avoid medical personnel's long-time pulling operation drag hook, thereby a large amount of manpowers and time have been saved, and come to stimulate opening department through rotating the threaded rod, can avoid the artifical inhomogeneous tear phenomenon of opening part that leads to the fact to take place hard.
2. The blood exudes at the opening in the operation process, the blood can block the operation visual field, the blood is required to be absorbed by medical cotton cloth ceaselessly, a large amount of time is wasted, the pain of a patient is increased, the blood can enter the inside of the installation cavity through the through groove, the blood can be absorbed by the blood-sucking sponge, the exuded blood is not required to be absorbed repeatedly, the operation time is greatly reduced, after the operation is completed, the operation drag hook moves towards the middle, the second spring has upward elasticity to enable the blood-sucking sponge to move upwards, the blood-sucking sponge is respectively abutted against the outer side walls of the first roller shaft and the second roller shaft, the blood adsorbed on the blood-sucking sponge is discharged, the limiting plate pulls the string to move upwards in the process of moving upwards, the string pulls the guide plate to move upwards, the guide plate guides the blood to the collection box, and collects the blood, and further, the preliminary cleaning of the blood sucking sponge is realized, and a large amount of time is saved for the subsequent cleaning link.
3. To sum up, thereby remove to both sides through rotating the threaded rod and drive the operation drag hook and realize opening the pulling open of department, increase the operation field of vision, can avoid the inhomogeneous torn problem of wound that leads to of manpower simultaneously, just can realize the fixed of operation drag hook through loosening the locking lever, and then saved a large amount of manpowers, can absorb the blood that the opening part oozes among the operation process through the blood sucking sponge, do not need the manual work to wash repeatedly, thereby save a large amount of operation time, after the operation, realize the preliminary clearance to blood on the blood sucking sponge under the ascending pulling force of second spring, save a large amount of time for subsequent device washing.
Drawings
FIG. 1 is a schematic structural view of an operation retractor for hepatobiliary surgery according to the present invention;
FIG. 2 is a side view of the retention cartridge of the present invention;
FIG. 3 is an enlarged view of portion A of the present invention;
FIG. 4 is an enlarged view of portion B of the present invention;
FIG. 5 is an enlarged view of portion C of the present invention;
fig. 6 is an enlarged view of the portion D of the present invention.
In the figure: the blood sucking device comprises a fixed box 1, a threaded rod 2, a positioning groove 3, a positioning block 4, a surgical retractor 5, a mounting cavity 6, a pull rope 7, a transmission rod 8, a blood sucking sponge 9, a penetrating groove 10, a fixing rod 11, a gear 12, a clamping groove 13, a locking rod 14, a first spring 15, a connecting groove 16, a limiting plate 17, a first roller shaft 18, a second roller shaft 19, a second spring 20, a string 21, a guide plate 22, a discharge groove 23 and a collecting box 24.
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.
Referring to fig. 1-6, a surgical retractor for hepatobiliary surgery comprises a fixed box 1, a threaded rod 2 is rotatably connected to the inner side wall of the fixed box 1, the end of the threaded rod 2 penetrates through the outer side wall of the fixed box 1, a clamping groove 13 is formed in the outer side wall of the threaded rod 2, the shape of the clamping groove 13 is triangular, the threads on two sides of the threaded rod 2 are opposite, a gear 12 is fixedly connected to the outer side wall of the threaded rod 2, a connecting groove 16 is formed in the outer side wall of the fixed box 1, a locking mechanism is rotatably connected to the inner side wall of the fixed box 1 and can be abutted against the outer side wall of the gear 12, the locking mechanism comprises a locking rod 14 rotatably connected to the inner side wall of the fixed box 1, a first spring 15 is fixedly connected to the outer side wall of the locking rod 14, the end of the first spring 15 is fixedly connected to the inner side wall of the fixed box 1, the locking rod 14 penetrates through the connecting groove 16, a tooth is arranged on the outer side wall of the locking rod 14, the rodent can be abutted against the outer side wall of the gear 12, and the surgical retractor 5 can be fixed through the locking mechanism, so that a large amount of manpower is saved;
the outer side wall of the threaded rod 2 is symmetrically and rotatably connected with a positioning block 4, the outer diameter of the threaded rod 2 is smaller than the inner diameter of the positioning block 4, the outer thread of the threaded rod 2 is matched with the inner thread of the positioning block 4, the outer side wall of the fixing box 1 is provided with a positioning groove 3, the positioning block 4 penetrates through the positioning groove 3, the outer side wall of the positioning block 4 is fixedly connected with a surgical retractor 5, the interior of the surgical retractor 5 is provided with an installation cavity 6, the inner side wall of the installation cavity 6 is slidably connected with a limiting plate 17, the outer side wall of the limiting plate 17 is fixedly connected with a second spring 20, the second spring 20 is in a compressed state, the second spring 20 is made of austenitic stainless steel, the austenitic stainless steel is elegant and tough, is stable in structure and is not easy to rust, and can be replaced after being used for a long time, the tail end of the second spring 20 is fixedly connected with the inner side wall of the installation cavity 6, and the outer side wall of the limiting plate 17 is fixedly connected with a string 21, the outer side wall of the limiting plate 17 is fixedly connected with a transmission rod 8, the inner side wall of the mounting cavity 6 is rotatably connected with a second roller shaft 19, the inner side wall of the mounting cavity 6 is rotatably connected with a first roller shaft 18, and the tail end of the transmission rod 8 is fixedly connected with a blood sucking sponge 9;
the blood-sucking sponge 9 is respectively abutted against the outer side walls of the first roller shaft 18 and the second roller shaft 19, the inner side wall of the operation drag hook 5 is rotatably connected with a flow guide mechanism, the flow guide mechanism comprises a flow guide plate 22 rotatably connected on the inner side wall of the operation drag hook 5, the tail end of a string 21 is fixedly connected with the outer side wall of the flow guide plate 22, the outer side wall of the operation drag hook 5 is provided with a discharge groove 23, the extruded blood can be discharged and collected through the flow guide mechanism, the collecting box 24 is fixedly connected on the outer side wall of the surgical drag hook 5, a plurality of through grooves 10 are arranged on the outer side of the surgical drag hook 5, the through grooves 10 are communicated with the mounting cavity 6, can enter into the inside of installation cavity 6 through running through groove 10 with the blood that oozes, symmetry fixedly connected with dead lever 11 on the lateral wall of fixed box 1, common fixedly connected with stay cord 7 on the lateral wall of two limiting plates 17, stay cord 7 runs through the lateral wall of operation drag hook 5.
When the invention is used, the tail end of the surgical drag hook 5 is aligned to the opening of a surgery, then the fixing rod 11 is fixed, the tail end of the surgical drag hook 5 is inserted into the opening, then the screwdriver is inserted into the clamping groove 13, the threaded rod 2 starts to rotate, the positioning block 4 moves towards two sides because the threads on two sides of the threaded rod 2 are opposite, the positioning block 4 drives the surgical drag hook 5 to move towards two sides, thereby realizing the opening of the opening, increasing the surgical visual field, when the opening is stretched to the position convenient for surgery, the locking rod 14 is loosened, the rodent on the locking rod 14 is pressed against the outer side wall of the gear 12 due to the elasticity of the first spring 15, further realizing the fixation of the surgical drag hook 5, the doctor does not need to fix the surgical drag hook 5 for a long time, thereby reducing the manual labor of the doctor, and simultaneously avoiding the phenomenon of tearing of the opening caused by uneven manpower, in the process that the surgical drag hook 5 moves towards two sides, the limiting plate 17 is pulled by the pull rope 7 to move downwards, so that the blood sucking sponge 9 moves downwards;
blood can continuously seep out from the opening in the operation process, the blood can enter the installation cavity 6 through the through groove 10, the blood can be absorbed through the blood sucking sponge 9, the blood can be prevented from blocking the operation visual field of a doctor, the operation time and difficulty can be further reduced, after the operation is finished, the locking rod 14 is clockwise rotated, the threaded rod 2 is rotated again, the operation drag hook 5 moves towards the middle, the pull rope 7 loses downward pull force on the limiting plate 17 in the process that the operation drag hook 5 moves towards the middle, the second spring 20 has upward elastic force, the limiting plate 17 moves upwards through the second spring 20, the limiting plate 17 drives the transmission rod 8 to move upwards, the transmission rod 8 drives the blood sucking sponge 9 to move upwards, and the blood sucking sponge 9 abuts against the outer side walls of the first roller shaft 18 and the second roller shaft 19, so that the blood adsorbed on the blood sucking sponge 9 is discharged, limiting plate 17 stimulates string 21 rebound at the in-process of rebound, and string 21 stimulates guide plate 22 rebound, and guide plate 22 carries out the water conservancy diversion to blood to collect in collection box 24 with the blood water conservancy diversion, and then realized the preliminary washing to blood sponge 9, save a large amount of time for subsequent washing.
The above description is only for the preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art should be considered to be within the technical scope of the present invention, and the technical solutions and the inventive concepts thereof according to the present invention should be equivalent or changed within the scope of the present invention.

Claims (8)

1. The surgical retractor for hepatobiliary surgery comprises a fixing box (1) and is characterized in that a threaded rod (2) is rotatably connected to the inner side wall of the fixing box (1), the tail end of the threaded rod (2) penetrates through the outer side wall of the fixing box (1), a gear (12) is fixedly connected to the outer side wall of the threaded rod (2), a connecting groove (16) is formed in the outer side wall of the fixing box (1), a locking mechanism is rotatably connected to the inner side wall of the fixing box (1), the locking mechanism can be abutted against the outer side wall of the gear (12), a positioning block (4) is symmetrically and rotatably connected to the outer side wall of the threaded rod (2), a positioning groove (3) is formed in the outer side wall of the fixing box (1), the positioning block (4) penetrates through the positioning groove (3), and a surgical retractor (5) is fixedly connected to the outer side wall of the positioning block (4), the mounting cavity (6) is formed inside the surgical retractor (5), the inner side wall of the mounting cavity (6) is connected with a limiting plate (17) in a sliding mode, a second spring (20) is fixedly connected onto the outer side wall of the limiting plate (17), the tail end of the second spring (20) is fixedly connected with the inner side wall of the mounting cavity (6), a string (21) is fixedly connected onto the outer side wall of the limiting plate (17), a transmission rod (8) is fixedly connected onto the outer side wall of the limiting plate (17), a second roller shaft (19) is rotatably connected onto the inner side wall of the mounting cavity (6), a first roller shaft (18) is rotatably connected onto the inner side wall of the mounting cavity (6), a blood sucking sponge (9) is fixedly connected onto the tail end of the transmission rod (8), a flow guide mechanism is rotatably connected onto the inner side wall of the surgical retractor (5), and a collecting box (24) is fixedly connected onto the outer side wall of the surgical retractor (5), a plurality of through grooves (10) are formed in the outer side of the surgical retractor (5), the fixing rods (11) are symmetrically and fixedly connected to the outer side wall of the fixing box (1), the fixing rods are two, the pull rope (7) is fixedly connected to the outer side wall of the limiting plate (17) together, and the pull rope (7) penetrates through the outer side wall of the surgical retractor (5).
2. The surgical retractor for hepatobiliary surgery according to claim 1, wherein the locking mechanism comprises a locking rod (14) rotatably connected to the inner side wall of the fixed box (1), a first spring (15) is fixedly connected to the outer side wall of the locking rod (14), the end of the first spring (15) is fixedly connected to the inner side wall of the fixed box (1), the locking rod (14) penetrates through the connecting groove (16), and a tooth is arranged on the outer side wall of the locking rod (14) and can abut against the outer side wall of the gear (12).
3. The surgical retractor for hepatobiliary surgery according to claim 1, wherein the flow guiding mechanism comprises a flow guiding plate (22) rotatably connected to an inner side wall of the surgical retractor (5), a terminal of the string (21) is fixedly connected to an outer side wall of the flow guiding plate (22), and a discharge groove (23) is formed in the outer side wall of the surgical retractor (5).
4. The surgical retractor for hepatobiliary surgery according to claim 1, characterized in that the blood-sucking sponge (9) abuts against the outer side walls of the first roller (18) and the second roller (19), respectively.
5. Surgical retractor for hepatobiliary surgery according to claim 1, characterized in that the through-groove (10) communicates with the mounting chamber (6).
6. The surgical retractor for hepatobiliary surgery according to claim 1, characterized in that the threaded rod (2) has an outer diameter that is smaller than the inner diameter of the positioning block (4), and the outer thread of the threaded rod (2) is adapted to the inner thread of the positioning block (4).
7. The surgical retractor for hepatobiliary surgery according to claim 1, wherein a locking groove (13) is formed in an outer side wall of the threaded rod (2), the locking groove (13) is triangular, and threads on two sides of the threaded rod (2) are opposite.
8. The surgical retractor for hepatobiliary surgery according to claim 1, wherein the second spring (20) is in a compressed state, and the second spring (20) is made of austenitic stainless steel.
CN202110095051.7A 2021-01-25 2021-01-25 Surgery retractor for hepatobiliary surgery Expired - Fee Related CN112890890B (en)

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CN202110095051.7A CN112890890B (en) 2021-01-25 2021-01-25 Surgery retractor for hepatobiliary surgery

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Application Number Priority Date Filing Date Title
CN202110095051.7A CN112890890B (en) 2021-01-25 2021-01-25 Surgery retractor for hepatobiliary surgery

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CN112890890B true CN112890890B (en) 2022-04-29

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN200973725Y (en) * 2006-11-21 2007-11-14 沈红 Multifunctional draw hooks for operation
WO2008047059A2 (en) * 2006-10-20 2008-04-24 Gilles Touati Device for active protection of the margins of an incision
CN208942241U (en) * 2018-09-10 2019-06-07 曹磊 A kind of liver and gall surgical department's hook for surgery operation
CN110897662A (en) * 2019-12-09 2020-03-24 中国人民解放军陆军军医大学第二附属医院 Hepatobiliary surgery is with operation auxiliary device
CN211796651U (en) * 2019-11-25 2020-10-30 赣州烨森电子科技有限公司 Surgery retractor for hepatobiliary surgery

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN209863929U (en) * 2019-04-11 2019-12-31 新疆医科大学第三附属医院 Operation retractor
CN210077740U (en) * 2019-04-18 2020-02-18 张宝锋 Vertebral plate drag hook
CN211796655U (en) * 2019-12-30 2020-10-30 雷来东 Operation retractor for urinary surgery

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2008047059A2 (en) * 2006-10-20 2008-04-24 Gilles Touati Device for active protection of the margins of an incision
CN200973725Y (en) * 2006-11-21 2007-11-14 沈红 Multifunctional draw hooks for operation
CN208942241U (en) * 2018-09-10 2019-06-07 曹磊 A kind of liver and gall surgical department's hook for surgery operation
CN211796651U (en) * 2019-11-25 2020-10-30 赣州烨森电子科技有限公司 Surgery retractor for hepatobiliary surgery
CN110897662A (en) * 2019-12-09 2020-03-24 中国人民解放军陆军军医大学第二附属医院 Hepatobiliary surgery is with operation auxiliary device

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Granted publication date: 20220429