CN113576572A - Steering mechanism of endoscope anastomat assembly - Google Patents

Steering mechanism of endoscope anastomat assembly Download PDF

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Publication number
CN113576572A
CN113576572A CN202110972564.1A CN202110972564A CN113576572A CN 113576572 A CN113576572 A CN 113576572A CN 202110972564 A CN202110972564 A CN 202110972564A CN 113576572 A CN113576572 A CN 113576572A
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Prior art keywords
assembly
cutting
connecting block
plate cover
steering
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CN202110972564.1A
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CN113576572B (en
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苟勇刚
徐成勇
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Chongqing Dechuan Medical Devices Co ltd
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Chongqing Dechuan Medical Devices Co ltd
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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
    • A61B17/07207Surgical 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 the staples being applied sequentially
    • 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
    • A61B2017/07285Stapler heads characterised by its cutter
    • 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)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (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 is suitable for the field of medical instruments, and provides a steering mechanism of an endoscopic anastomat assembly, which comprises a cutting anastomosis assembly, and the steering mechanism of the endoscopic anastomat assembly further comprises: the rotary adjusting mechanism comprises a rotating assembly for driving the cutting anastomosis assembly to rotate and a steering connecting rod for driving the rotating assembly to rotate; and the guide pressure plate cover mechanism is arranged between the cutting anastomosis component and the rotation adjusting mechanism and is used for movably connecting the cutting anastomosis component and movably guiding the steering connecting rod. According to the steering mechanism of the endoscope anastomat assembly, which is provided by the invention, the rotating adjusting mechanism and the guide pressure plate cover mechanism are arranged, so that the cutting anastomosis assembly movably arranged at one end of the guide pressure plate cover mechanism can be steered and adjusted, the cutting anastomosis position and angle can be conveniently selected, the cutting anastomosis of partial lesion tissues with deviated positions can be conveniently carried out, the operation efficiency can be improved, and the operation time can be shortened.

Description

Steering mechanism of endoscope anastomat assembly
Technical Field
The invention belongs to the field of medical instruments, and particularly relates to a steering mechanism of an endoscope anastomat assembly.
Background
The endoscope anastomat is one of important instruments for the endoscope operation, replaces the traditional manual suture, utilizes titanium nails to separate or inosculate tissues, is simple and rapid to operate, and greatly shortens the operation time. The endoscope anastomat enables the anastomosis with narrow surgical field and deeper part which is difficult to manually operate to become easy, accurate, firm and reliable, and obviously reduces the incidence rate of anastomotic fistula. The anastomat can be divided into a manual stapler and an electric stapler according to different power transmission modes. Different from the mechanical control of the traditional manual endoscope anastomat, the electric endoscope anastomat cuts off tissues between two anastomotic nails when the anastomotic nails are triggered through power sensing. The electric endoscope anastomat can hit three rows of staggered anastomosis nails at two sides and is provided with disposable lithium battery packs.
The existing endoscopic anastomat can not be steered and adjusted generally, and has certain difficulty in linearly cutting part of lesion tissues with deviated positions in the surgical minimally invasive laparoscopic surgery and can not be steered and adjusted, so that the surgical effect is influenced.
Disclosure of Invention
The embodiment of the invention aims to provide a steering mechanism of an endoscopic anastomat assembly, and aims to solve the following problems: the existing endoscopic anastomat can not be steered and adjusted generally, and has certain difficulty in linearly cutting part of lesion tissues with deviated positions in the surgical minimally invasive laparoscopic surgery and can not be steered and adjusted, so that the surgical effect is influenced.
The embodiment of the invention is realized in such a way that the steering mechanism of the endoscope anastomat assembly comprises a cutting anastomosis assembly, and the steering mechanism of the endoscope anastomat assembly further comprises:
the rotary adjusting mechanism comprises a rotating assembly for driving the cutting anastomosis assembly to rotate and a steering connecting rod for driving the rotating assembly to rotate, the rotating assembly is mounted at one end of the cutting anastomosis assembly, and the steering connecting rod is connected with the rotating assembly;
and the guide pressure plate cover mechanism is arranged between the cutting anastomosis component and the rotation adjusting mechanism and is used for movably connecting the cutting anastomosis component and movably guiding the steering connecting rod.
Preferably, the rotating assembly includes:
the cutting knife assembly is arranged in the guide pressure plate cover mechanism, and a cutting end head is arranged at one end, close to the cutting anastomosis assembly, of the cutting knife assembly and is used for moving cutting;
the first connecting block is arranged at one end of the guide pressure plate cover mechanism;
and the second connecting block is arranged on one side of the first connecting block, and one side between the second connecting block and the first connecting block is movably connected with the steering connecting rod and is used for being matched with the first connecting block to guide the movement of the cutting knife assembly.
Preferably, the rotating assembly further comprises:
and the rivet is arranged at one end of the guide pressure plate cover mechanism and is used for rotatably installing the first connecting block and the second connecting block.
Preferably, the rotating assembly further comprises:
the bending reset elastic sheet is arranged at one end of the cutting knife assembly close to the cutting anastomosis assembly, and one end of the bending reset elastic sheet is connected with the first connecting block and the second connecting block and used for rotating reset;
the support sheet is arranged on the bending reset elastic sheet and used for supporting and fixing the bending reset elastic sheet.
Preferably, the rotating assembly further comprises:
the connecting piece, the connecting piece is provided with a plurality ofly, and is a plurality of the connecting piece is installed in the one end of direction clamp plate cover mechanism for rotate the support.
Preferably, the cutting knife assembly and the bending reset elastic sheet are both made of flexible metal materials.
Preferably, the guide platen cover mechanism includes:
one end of the first pressing plate cover is movably connected with the cutting and anastomosis assembly;
and the second pressure plate cover is arranged on one side of the first pressure plate cover and is used for being matched with the first pressure plate cover, movably connecting the cutting anastomosis assembly and installing the rotation adjusting mechanism.
According to the steering mechanism of the endoscope anastomat assembly, which is provided by the invention, the rotating adjusting mechanism and the guide pressure plate cover mechanism are arranged, so that the cutting anastomosis assembly movably arranged at one end of the guide pressure plate cover mechanism can be steered and adjusted, the cutting anastomosis position and angle can be conveniently selected, the cutting anastomosis of partial lesion tissues with deviated positions can be conveniently carried out, the operation efficiency can be improved, and the operation time can be shortened.
Drawings
FIG. 1 is an exploded view of the steering mechanism of the endoscopic stapler assembly provided in accordance with an embodiment of the present invention;
FIG. 2 is a perspective structural view of a part of the structure of a steering mechanism of the endoscopic stapler assembly according to an embodiment of the present invention;
fig. 3 is a perspective view of a position a according to an embodiment of the present invention;
fig. 4 is a connection structure diagram of a first connection block and a second connection block according to an embodiment of the present invention.
In the drawings: 1-a guide platen cover mechanism; 11-a first platen cover; 12-a second platen cover; 2-rotating the adjusting mechanism; 21-a steering linkage; 22-a first connection block; 23-a second connecting block; 24-a support sheet; 25-bending the reset spring plate; 26-rivets; 27-a cutter assembly; 28-connecting pieces; 3-cutting the anastomotic component.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is described in further detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
In the description of the present invention, the terms "first" and "second" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implying any number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include one or more of that feature. In the description of the present invention, "a plurality" means two or more unless specifically limited otherwise
Specific implementations of the present invention are described in detail below with reference to specific embodiments.
As shown in fig. 1 to 4, the steering mechanism of the endoscopic stapler assembly according to the embodiment of the present invention includes a cutting and stapling assembly 3, and the steering mechanism of the endoscopic stapler assembly further includes:
the rotary adjusting mechanism 2 comprises a rotating assembly for driving the cutting and anastomosis assembly 3 to rotate and a steering connecting rod 21 for driving the rotating assembly to rotate, the rotating assembly is mounted at one end of the cutting and anastomosis assembly 3, and the steering connecting rod 21 is connected with the rotating assembly;
the guide pressure plate cover mechanism 1 is arranged between the cutting anastomosis component 3 and the rotation adjusting mechanism 2, and is used for movably connecting the cutting anastomosis component 3 and movably guiding the steering connecting rod 21.
In one embodiment of the present invention, one end of the guiding pressure plate cover mechanism 1 is movably installed with the cutting anastomosis component 3, the rotation adjusting mechanism 2 is installed in the guiding pressure plate cover mechanism 1, and the rotation adjusting mechanism 2 is composed of a rotating component and a turning connecting rod 21, the rotating component is connected with one end of the cutting anastomosis component 3, and the turning connecting rod 21 is movably connected with the rotating component. The during operation, it removes in direction clamp plate cover mechanism 1 to drive through manual or electronic mode to turn to connecting rod 21, turn to connecting rod 21 and drive the runner assembly and rotate near the one end of the identical subassembly 3 of cutting in direction clamp plate cover mechanism 1, make the identical subassembly 3 of cutting rotate in the one end of direction clamp plate cover mechanism 1, thereby can adjust the turned angle that the identical subassembly 3 of cutting, conveniently select the identical position of cutting and angle, be convenient for cut the anastomotic to the partial pathological change tissue that the position is more partially, can improve operation efficiency, shorten the operation time.
In one embodiment of the present invention, referring to fig. 1 to 4, the rotating assembly includes:
the cutting knife assembly 27 is installed in the guide pressure plate cover mechanism 1, and a cutting end is arranged at one end, close to the cutting and anastomosis assembly 3, of the cutting knife assembly 27 and is used for moving cutting;
the first connecting block 22, the first connecting block 22 is installed at one end of the guide pressure plate cover mechanism 1;
and the second connecting block 23 is arranged on one side of the first connecting block 22, and one side between the second connecting block 23 and the first connecting block 22 is movably connected with the steering connecting rod 21 and is used for being matched with the first connecting block 22 to guide the movement of the cutting knife assembly 27.
In an embodiment of the present invention, the first connecting block 22 is movably installed at an upper portion inside one end of the guiding platen cover mechanism 1 close to the cutting and anastomosis assembly 3, the second connecting block 23 is movably installed at a lower portion inside one end of the guiding platen cover mechanism 1 close to the cutting and anastomosis assembly 3, one end of the steering link 21 is hinged to one side between the second connecting block 23 and the first connecting block 22, the cutting knife assembly 27 is movably installed in the guiding platen cover mechanism 1, and a cutting end of a front end of the cutting knife assembly 27 is slidably installed at a gap between the first connecting block 22 and the second connecting block 23. During operation, drive through manual or electronic mode and turn to connecting rod 21 and remove in direction clamp plate cover mechanism 1, turn to connecting rod 21 and drive first connecting block 22 and second connecting block 23 and close to the one end internal rotation that the identical subassembly 3 of cutting at direction clamp plate cover mechanism 1, and then drive the identical subassembly 3 of cutting and rotate, make the cutting end of cutting knife tackle spare 27 front end along with first connecting block 22 and the swing of second connecting block 23 simultaneously, make the angle of operation cutting also change, and the angle change keeps unanimous with the identical subassembly 3 of cutting, thereby be convenient for sew up on one side cutting to the partial pathological change tissue of position more partially.
In an embodiment of the present invention, referring to fig. 1 to 4, the rotating assembly further includes:
and a rivet 26, wherein the rivet 26 is arranged at one end of the guide pressure plate cover mechanism 1 and is used for rotatably arranging the first connecting block 22 and the second connecting block 23.
In one embodiment of the present invention, a rivet 26 is installed at one end of the guide platen cover mechanism 1 near the cutting anastomosis assembly 3, and the middle portions of the first connecting block 22 and the second connecting block 23 are rotatably installed in the guide platen cover mechanism 1 by the rivet 26, so that when the steering link 21 moves in the guide platen cover mechanism 1, the steering link 21 drives the first connecting block 22 and the second connecting block 23 to rotate around the outer surface of the rivet 26 in the end of the guide platen cover mechanism 1 near the cutting anastomosis assembly 3.
In an embodiment of the present invention, referring to fig. 1 to 4, the rotating assembly further includes:
the bending reset elastic sheet 25 is arranged at one end, close to the cutting anastomosis component 3, of the cutting knife component 27, and one end of the bending reset elastic sheet 25 is connected with the first connecting block 22 and the second connecting block 23 and used for rotating reset;
and the support sheet 24 is arranged on the bending reset elastic sheet 25 and used for supporting and fixing the bending reset elastic sheet 25.
In one embodiment of the present invention, a pair of bending return spring plates 25 is provided, the pair of bending return spring plates 25 are mounted on both sides of one end of the cutting knife assembly 27 close to the cutting anastomosis assembly 3 through the support plate 24, and one end of the pair of bending return spring plates 25 close to the cutting anastomosis assembly 3 is connected to the first connection block 22 and the second connection block 23. During operation, the steering connecting rod 21 is driven to move in the guide pressure plate cover mechanism 1 in a manual or electric mode, the steering connecting rod 21 drives the first connecting block 22 and the second connecting block 23 to rotate at one end, close to the cutting anastomosis component 3, of the guide pressure plate cover mechanism 1, the first connecting block 22 and the second connecting block 23 drive the pair of bending resetting elastic sheets 25 to rotate in the guide pressure plate cover mechanism 1, the pair of bending resetting elastic sheets 25 drive one end, close to the cutting anastomosis component 3, of the cutting knife component 27 to rotate in the guide pressure plate cover mechanism 1, so that the angle of surgical cutting is changed, the rotating angle of the cutting anastomosis component 3 is kept consistent, and the cutting and suturing of partial lesion tissues with deviated positions are facilitated.
In an embodiment of the present invention, referring to fig. 1 to 4, the rotating assembly further includes:
and a plurality of connecting pieces 28 are arranged on the connecting piece 28, and the plurality of connecting pieces 28 are arranged at one end of the guide pressing plate cover mechanism 1 and are used for carrying out rotary support.
In an embodiment of the present invention, a pair of connecting pieces 28 is provided, the pair of connecting pieces 28 is installed in a groove in one end of the guide platen cover mechanism 1 close to the cutting and anastomosis assembly 3, the top of the first connecting block 22 and the bottom of the second connecting block 23 are respectively connected with the pair of connecting pieces 28 through rivets 26, so that the pair of connecting pieces 28 are used as supporting points for the first connecting block 22 and the second connecting block 23 to swing in the guide platen cover mechanism 1, the first connecting block 22 and the second connecting block 23 swing left and right around the rivets 26 as an axis, adjustment of a rotation angle of the cutting and anastomosis assembly 3 is realized, a cutting and anastomosis position and angle are conveniently selected, a portion of diseased tissue with a deviated position is conveniently cut and anastomosed, operation efficiency can be improved, and operation time can be shortened.
In an embodiment of the present invention, referring to fig. 1 to 4, the cutter assembly 27 and the return spring 25 are made of flexible metal material.
In an embodiment of the present invention, the cutting knife assembly 27 and the bending reset elastic sheet 25 may be made of stainless steel with good toughness, so that the first connecting block 22 and the second connecting block 23 can drive the bending reset elastic sheet 25 and the bending reset elastic sheet 25 to swing in the guiding pressure plate cover mechanism 1, and the bending reset elastic sheet 25 is supported by the supporting sheet 24, so as to increase the strength thereof, so that the swinging process thereof can be kept stable, and the bending reset elastic sheet can be reset normally after swinging.
In an embodiment of the present invention, referring to fig. 1 to 4, the guiding platen cover mechanism 1 includes:
one end of the first pressure plate cover 11 is movably connected with the cutting and anastomosis component 3;
and the second pressing plate cover 12 is arranged on one side of the first pressing plate cover 11, and is used for being matched with the first pressing plate cover 11, movably connecting the cutting anastomosis assembly 3 and installing the rotation adjusting mechanism 2.
In an embodiment of the present invention, the guiding platen cover mechanism 1 is composed of a first platen cover 11 and a second platen cover 12, the rotation adjusting mechanism 2 is installed between the first platen cover 11 and the second platen cover 12, one end of the cutting and anastomosis assembly 3 is movably connected with one end of the first platen cover 11 and one end of the second platen cover 12, the first platen cover 11 and the second platen cover 12 can protect and fix the rotation adjusting mechanism 2, and simultaneously limit the freedom degrees of the cutting knife assembly 27 and the steering link 21 in the up-down and left-right directions, so that the cutting knife assembly 27 and the steering link 21 only reciprocate back and forth in the grooves thereof, thereby ensuring the accuracy of the cutting knife assembly 27 in the steering process, and avoiding the situation of excessive deviation of the steering angle.
According to the steering mechanism of the endoscope anastomat assembly, the rotating adjusting mechanism 2 and the guide pressing plate cover mechanism 1 are arranged, so that the cutting anastomosis assembly 3 movably mounted at one end of the guide pressing plate cover mechanism 1 can be steered and adjusted, the cutting anastomosis position and angle can be conveniently selected, partial lesion tissues with deviated positions can be conveniently cut and anastomosed, the operation efficiency can be improved, and the operation time can be shortened.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents and improvements made within the spirit and principle of the present invention are intended to be included within the scope of the present invention.

Claims (7)

1. The utility model provides a steering mechanism of chamber mirror anastomat subassembly, includes the identical subassembly of cutting, its characterized in that, steering mechanism of chamber mirror anastomat subassembly still includes:
the rotary adjusting mechanism comprises a rotating assembly for driving the cutting anastomosis assembly to rotate and a steering connecting rod for driving the rotating assembly to rotate, the rotating assembly is mounted at one end of the cutting anastomosis assembly, and the steering connecting rod is connected with the rotating assembly;
and the guide pressure plate cover mechanism is arranged between the cutting anastomosis component and the rotation adjusting mechanism and is used for movably connecting the cutting anastomosis component and movably guiding the steering connecting rod.
2. The steering mechanism of the endoscopic stapler assembly of claim 1, wherein the rotation assembly comprises:
the cutting knife assembly is arranged in the guide pressure plate cover mechanism, and a cutting end head is arranged at one end, close to the cutting anastomosis assembly, of the cutting knife assembly and is used for moving cutting;
the first connecting block is arranged at one end of the guide pressure plate cover mechanism;
and the second connecting block is arranged on one side of the first connecting block, and one side between the second connecting block and the first connecting block is movably connected with the steering connecting rod and is used for being matched with the first connecting block to guide the movement of the cutting knife assembly.
3. The steering mechanism of the endoscopic stapler assembly of claim 2, wherein the rotation assembly further comprises:
and the rivet is arranged at one end of the guide pressure plate cover mechanism and is used for rotatably installing the first connecting block and the second connecting block.
4. The steering mechanism of the endoscopic stapler assembly of claim 3, wherein the rotation assembly further comprises:
the bending reset elastic sheet is arranged at one end of the cutting knife assembly close to the cutting anastomosis assembly, and one end of the bending reset elastic sheet is connected with the first connecting block and the second connecting block and used for rotating reset;
the support sheet is arranged on the bending reset elastic sheet and used for supporting and fixing the bending reset elastic sheet.
5. The steering mechanism of the endoscopic stapler assembly of claim 4, wherein the rotation assembly further comprises:
the connecting piece, the connecting piece is provided with a plurality ofly, and is a plurality of the connecting piece is installed in the one end of direction clamp plate cover mechanism for rotate the support.
6. The steering mechanism of the endoscopic stapler assembly of claim 5, wherein the cutting knife assembly and the bend return spring are made of a flexible metal material.
7. The steering mechanism of the endoscopic stapler assembly of claim 5, wherein the guide platen cover mechanism comprises:
one end of the first pressing plate cover is movably connected with the cutting and anastomosis assembly;
and the second pressure plate cover is arranged on one side of the first pressure plate cover and is used for being matched with the first pressure plate cover, movably connecting the cutting anastomosis assembly and installing the rotation adjusting mechanism.
CN202110972564.1A 2021-08-24 2021-08-24 Steering mechanism of endoscope anastomat assembly Active CN113576572B (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060175375A1 (en) * 2005-02-07 2006-08-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system
CN104739470A (en) * 2015-03-09 2015-07-01 天津万和医疗器械有限公司 One-handed operation incision anastomat for endoscope
CN110575213A (en) * 2019-09-05 2019-12-17 江苏冠创医疗科技有限公司 Loading reset structure of endoscope cutting anastomat assembly
CN111887922A (en) * 2020-08-06 2020-11-06 常州安康医疗器械有限公司 Steering device for electric endoscope cutting anastomat
CN113133795A (en) * 2020-02-27 2021-07-20 北京派尔特医疗科技股份有限公司 Bendable endoscopic linear cutting anastomat and assembly thereof

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060175375A1 (en) * 2005-02-07 2006-08-10 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system
CN104739470A (en) * 2015-03-09 2015-07-01 天津万和医疗器械有限公司 One-handed operation incision anastomat for endoscope
CN110575213A (en) * 2019-09-05 2019-12-17 江苏冠创医疗科技有限公司 Loading reset structure of endoscope cutting anastomat assembly
CN113133795A (en) * 2020-02-27 2021-07-20 北京派尔特医疗科技股份有限公司 Bendable endoscopic linear cutting anastomat and assembly thereof
CN111887922A (en) * 2020-08-06 2020-11-06 常州安康医疗器械有限公司 Steering device for electric endoscope cutting anastomat

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