CN116269589B - Bendable and adjustable child laparoscope hernia soft needle - Google Patents

Bendable and adjustable child laparoscope hernia soft needle Download PDF

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Publication number
CN116269589B
CN116269589B CN202310098468.8A CN202310098468A CN116269589B CN 116269589 B CN116269589 B CN 116269589B CN 202310098468 A CN202310098468 A CN 202310098468A CN 116269589 B CN116269589 B CN 116269589B
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CN
China
Prior art keywords
shell
outer sheath
fixedly connected
wire
clamping
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Active
Application number
CN202310098468.8A
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Chinese (zh)
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CN116269589A (en
Inventor
邢国栋
王政
黄柳明
王宪强
刘钢
夏俏
余珍珠
谢华伟
韩金宝
申州
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7th Medical Center of PLA General Hospital
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7th Medical Center of PLA General Hospital
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Priority to CN202310098468.8A priority Critical patent/CN116269589B/en
Publication of CN116269589A publication Critical patent/CN116269589A/en
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Classifications

    • 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
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B17/12013Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic 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
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • A61B2017/12018Elastic band ligators
    • 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

Abstract

The application provides a bendable and adjustable child laparoscopic hernia soft needle, and belongs to the technical field of medical appliances; the anti-herniation device comprises a shell, an outer sheath mechanism used for adjusting the shape-walking direction of a herniated needle outside the peritoneum, the outer sheath mechanism is connected with the shell and used for breaking through a resistance needle core, the needle core is connected with the outer sheath mechanism and used for grabbing a fixed thread clamping mechanism, the thread clamping mechanism is connected with the shell and used for guiding a thread, and the thread guiding mechanism is connected with the shell. According to the application, the sheath mechanism is arranged, so that the shape moving direction of the needle core can be changed according to the extraperitoneal condition, the needle core can be bent according to actual requirements, surrounding tissues are prevented from being pricked by mistake, the safety of operation is improved, the wire is restrained, guided and smoothed by the coordination of the wire guide mechanism and the wire clamping mechanism, the flexible use of the wire is prevented from being influenced by holding the wire by a doctor, and the child infection caused by pollution of the wire is also prevented.

Description

Bendable and adjustable child laparoscope hernia soft needle
Technical Field
The application relates to the technical field of medical appliances, in particular to a bendable and adjustable child laparoscopic hernia soft needle.
Background
The hernia needle is an indispensable component part in laparoscopic inguinal hernia operation, the existing common hernia needle is provided with a crochet, a grasping forceps and the like, wherein the crochet hernia needle is difficult to hook, the hooked thread is easy to fall off, ligation is failed, operation complications are increased by repeated puncture, operation time is prolonged and the like, the grasping forceps hernia needle solves the problem of the crochet hernia needle, but the sheath of the needle belongs to a rigid design, and is difficult to cross spermatic cord blood vessels, vas deferens and uterine round ligaments, a certain operation risk exists, in addition, when a band wire enters an abdominal cavity, one end of the wire is generally grasped and fixed through the grasping forceps, and meanwhile, the hand is required to be guided and smoothed by a doctor, the action of holding the hand wire is needed in practical operation, so that the flexible use of the hand in operation is influenced, and meanwhile, if the doctor is stained with bacteria or skin tissues of a patient in the abdominal cavity operation sleeve, the skin tissues are polluted, and children are further infected by children.
Disclosure of Invention
The application aims to solve the technical problem of providing a bendable and adjustable child laparoscopic hernia soft needle so as to solve the problems that an existing forceps type hernia needle sheath belongs to a rigid design, is not easy to cross spermatic cord blood vessels, vas deferens and round uterine ligaments, can falsely prick surrounding tissues to cause certain operation risks and is caused by holding a wire when the wire enters the abdominal cavity.
In order to solve the technical problems, the application provides the following technical scheme:
a flexible, adjustable child laparoscopic hernia soft needle comprising: the device comprises a shell, a sheath mechanism, a needle core, a wire clamping mechanism and a wire guiding mechanism, wherein the shell is used for adjusting the shape direction of a hernia needle in the peritoneum, the sheath mechanism is connected with the shell and used for breaking through resistance, the needle core is connected with the sheath mechanism and used for clamping and fixing wires, the wire clamping mechanism is connected with the shell and used for guiding wires, and the wire guiding mechanism is connected with the shell.
Preferably, the sheath mechanism comprises a cylinder body arranged in the shell, one end of the cylinder body is fixedly connected with a sheath tube, the other end of the sheath tube extends out of the shell, a pair of open slots are formed in the outer side wall of the sheath tube, fixing clamping blocks are fixedly inserted in the open slots, the fixing clamping blocks are fixedly connected with the inner side wall of the shell, and a rebound assembly is arranged in the sheath tube.
Preferably, the outer sheath is made of a bendable material.
Preferably, the resilience subassembly is including seting up in a plurality of microscler draw-in grooves in the outer sheath pipe, the joint has the draw-in strip in the microscler draw-in groove, the draw-in strip is made for elastic material, a plurality of the first ring of joint fixedly connected with jointly of one end of draw-in strip, the draw-in strip with first ring structure as an organic whole, first ring with barrel fixed connection.
Preferably, the outer sheath tube is fixedly connected with the needle core, and the outer sheath tube is communicated with the needle core.
Preferably, the wire clamping mechanism comprises a first T-shaped block inserted into one end of the shell, one end of the first T-shaped block is fixedly connected with a soft rod, the other end of the soft rod penetrates through the cylinder body, the outer sheath tube is fixedly connected with a second T-shaped block, the other end of the second T-shaped block is fixedly connected with an elastic grasping forceps, the elastic grasping forceps are located in the needle core, a spring is fixedly connected between the first T-shaped block and the cylinder body, and the spring is sleeved on the soft rod.
Preferably, the wire guide mechanism comprises a sleeve ring sleeved on the shell, and a guide chute arranged on the outer side wall of the shell, wherein a guide sliding block is connected in the guide chute in a sliding manner, the guide sliding block is fixedly connected with the inner wall of the sleeve ring, the guide sliding block and the sleeve ring are of an integrated structure, the outer side wall of the sleeve ring is fixedly connected with a wire clamping spring, and a limiting assembly is arranged above the sleeve ring.
Preferably, the limiting assembly comprises a second circular ring fixedly connected to one end of the lantern ring and a plurality of limiting clamping grooves formed in the outer side wall of the shell, a plurality of limiting clamping blocks are fixedly connected to the second circular ring, the limiting clamping blocks and the second circular ring are integrally arranged, and the limiting clamping blocks are clamped in the limiting clamping grooves.
Preferably, the limit clamping blocks are elastic pieces, and the number of the limit clamping blocks and the number of the limit clamping grooves are four.
Preferably, a plurality of anti-skid grooves are formed in the outer side wall of the lantern ring.
Compared with the prior art, the application has at least the following beneficial effects:
in the scheme, by arranging the outer sheath mechanism, when the needle core walks outside the peritoneum, the outer sheath tube can bend according to the trend of the peritoneum and can drive the clamping strips to bend, so that the shape of the needle core can be changed according to the condition outside the peritoneum, and compared with the rigid outer sheath in the prior art, the needle core can bend according to actual requirements, surrounding tissues are prevented from being pricked by mistake, and the safety of an operation is improved.
Through wire mechanism, press from both sides line mechanism cooperation setting, in use, before the nook closing member enters children's peritoneum, through pressing down first T shape piece, make the spring be extruded simultaneously, make soft pole, second T shape piece, elasticity tongs remove, when elasticity tongs remove outside the nook closing member, elasticity tongs can be opened, with the fastener in elasticity tongs, release the pressure to first T shape piece, the resilience of spring can make soft pole, second T shape piece, elasticity tongs resumes the normal position, elasticity tongs can press from both sides the line tight, later with the line pulling and twine to the card line spring, thereby make the line can retrain, guide, smooth out the fingers, avoided doctor's hand to hold the line and influence nimble use, also avoided the line to cause the pollution and cause children to infect simultaneously.
Drawings
The accompanying drawings, which are incorporated herein and form a part of the specification, illustrate embodiments of the present disclosure and, together with the description, further serve to explain the principles of the disclosure and to enable a person skilled in the pertinent art to make and use the disclosure.
FIG. 1 is a schematic perspective view of a flexible needle for a laparoscopic hernia for children with flexion adjustment;
FIG. 2 is an enlarged schematic view of the structure shown at A in FIG. 1;
FIG. 3 is a schematic view of a first view cut-away configuration of a flexible, bend-adjustable child laparoscopic hernia needle;
FIG. 4 is an enlarged schematic view of the structure shown at B in FIG. 3;
FIG. 5 is a schematic view of an enlarged perspective view of the outer sheath, rebound assembly and needle assembly;
FIG. 6 is an enlarged schematic view of FIG. 5C;
FIG. 7 is a schematic view of a three-dimensional enlarged structure of the sheath tube and the needle core;
FIG. 8 is an enlarged schematic view of the structure of FIG. 7 at D;
FIG. 9 is a schematic view in partial cross-section at a second view of a flexible child laparoscopic hernia needle;
FIG. 10 is an enlarged schematic view of the structure of FIG. 9E;
FIG. 11 is a schematic view of a snap-on, first ring-fitted, three-dimensional enlarged structure;
FIG. 12 is a schematic view of a three-dimensional enlarged structure of the wire guide mechanism;
fig. 13 is a schematic view of a three-dimensional enlarged structure of the second ring and the limiting clamp block.
[ reference numerals ]
1. A housing; 2. an outer sheath mechanism; 3. a cylinder; 4. an outer sheath; 5. an open slot; 6. fixing the clamping block; 7. a rebound assembly; 8. an elongated clamping groove; 9. clamping strips; 10. a first ring; 11. a needle core; 12. a wire clamping mechanism; 13. a first T-block; 14. a soft rod; 15. a second T-block; 16. elastic grasping forceps; 17. a spring; 18. a wire guide mechanism; 19. a collar; 20. a guide chute; 21. a guide slide block; 22. a wire clamping spring; 23. a limit component; 24. a second ring; 25. a limit clamping block; 26. and a limit clamping groove.
While particular structures and devices are shown in the drawings to enable a clear implementation of embodiments of the application, this is for illustrative purposes only and is not intended to limit the application to the particular structures, devices and environments, which may be modified or adapted by those of ordinary skill in the art, as desired, and which remain within the scope of the appended claims.
Detailed Description
The application provides a flexible and adjustable child laparoscopic hernia soft needle, which is described in detail below with reference to the accompanying drawings and specific examples. While the application has been described herein in terms of the preferred and preferred embodiments, the following embodiments are intended to be more illustrative, and may be implemented in many alternative ways as will occur to those of skill in the art; and the accompanying drawings are only for the purpose of describing the embodiments more specifically and are not intended to limit the application specifically.
It should be noted that references in the specification to "one embodiment," "an example embodiment," "some embodiments," etc., indicate that the embodiment described may include a particular feature, structure, or characteristic, but every embodiment may not necessarily include the particular feature, structure, or characteristic. Further, when a particular feature, structure, or characteristic is described in connection with an embodiment, it is submitted that it is within the knowledge of one skilled in the relevant art to effect such feature, structure, or characteristic in connection with other embodiments whether or not explicitly described.
Generally, the terminology may be understood, at least in part, from the use of context. For example, the term "one or more" as used herein may be used to describe any feature, structure, or characteristic in a singular sense, or may be used to describe a combination of features, structures, or characteristics in a plural sense, depending at least in part on the context. In addition, the term "based on" may be understood as not necessarily intended to convey an exclusive set of factors, but may instead, depending at least in part on the context, allow for other factors that are not necessarily explicitly described.
It will be understood that the meanings of "on … …", "over … …" and "over … …" in this disclosure should be interpreted in the broadest sense so that "on … …" means not only "directly on" but also includes meaning "directly on" something with intervening features or layers therebetween, and "over … …" or "over … …" means not only "on" or "over" something, but also may include its meaning "on" or "over" something without intervening features or layers therebetween.
Furthermore, spatially relative terms such as "under …," "under …," "lower," "above …," "upper," and the like may be used herein for ease of description to describe one element or feature's relationship to another element or feature as illustrated in the figures. Spatially relative terms are intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the figures. The device may be otherwise oriented and the spatially relative descriptors used herein may similarly be interpreted accordingly.
As shown in fig. 1-13, embodiments of the present application provide a flexible, adjustable child laparoscopic hernia soft needle comprising: the device comprises a shell 1, a pair of handheld rods which are transversely arranged are fixedly connected to the outer side wall of the shell 1, a sheath mechanism 2 which is used for adjusting a hernia needle in the shape walking direction outside the peritoneum, the sheath mechanism 2 is connected with the shell 1, the sheath mechanism 2 comprises a cylinder body 3 which is arranged in the shell 1, one end of the cylinder body 3 is fixedly connected with a sheath tube 4, the sheath tube 4 is made of a flexible material, the other end of the sheath tube 4 extends to the outside of the shell 1, the sheath tube 4 is fixedly connected with a needle 11, the sheath tube 4 is communicated with the needle 11, a pair of open slots 5 are formed in the outer side wall of the sheath tube 4, a fixed clamping block 6 is fixedly connected with the inner side wall of the shell 1, a rebound assembly 7 is arranged in the sheath tube 4, the rebound assembly 7 comprises a plurality of long clamping slots 8 which are formed in the sheath tube 4, the clamping strips 9 are made of an elastic material, one ends of the clamping strips 9 are fixedly connected with a first circular ring 10 together, the clamping strips 9 and the first circular ring 10 are fixedly connected with the needle 11 in a bending mode, and the needle 11 can be conveniently connected with the outer side wall of the shell 2 in a bending mode, and the needle 11 can not be broken through the bending mode.
By arranging the outer sheath mechanism 2, when the needle core 11 walks outside the peritoneum, the outer sheath tube 4 can bend according to the trend of the peritoneum, and meanwhile, the clamping strip 9 can be driven to bend, so that the shape of the needle core 11 can be changed according to the condition outside the peritoneum, and compared with the rigid outer sheath in the prior art, the needle core can bend according to actual requirements, surrounding tissues are prevented from being pricked by mistake, and the safety of an operation is improved.
As shown in fig. 2-4, 9-10, 12 and 13, the wire clamping mechanism 12 for wire grabbing and fixing is connected with the shell 1, the wire clamping mechanism 12 comprises a first T-shaped block 13 inserted into one end of the shell 1, one end of the first T-shaped block 13 is fixedly connected with a soft rod 14, the other end of the soft rod 14 penetrates through the cylinder 3 and the outer sheath 4 and is fixedly connected with a second T-shaped block 15, the other end of the second T-shaped block 15 is fixedly connected with an elastic grasping forceps 16, the elastic grasping forceps 16 is positioned in the needle 11, a spring 17 is fixedly connected between the first T-shaped block 13 and the cylinder 3, the spring 17 is sleeved on the soft rod 14, a wire guiding mechanism 18 for wire guiding is connected with the shell 1, the wire guiding mechanism 18 comprises a collar 19 sleeved on the shell 1, and a guiding chute 20 arranged on the outer side wall of the shell 1, the outer side wall of the lantern ring 19 is provided with a plurality of anti-slip grooves, the guide sliding groove 20 is connected with the guide sliding block 21 in a sliding manner, the guide sliding block 21 is fixedly connected with the inner wall of the lantern ring 19, the guide sliding block 21 and the lantern ring 19 are of an integrated structure, the outer side wall of the lantern ring 19 is fixedly connected with the wire clamping spring 22, through the arrangement of the wire clamping spring 22, wires with different thicknesses can be limited, meanwhile, the wires can be guided and smoothed out smoothly, a limiting assembly 23 is arranged above the lantern ring 19, the limiting assembly 23 comprises a second circular ring 24 fixedly connected with one end of the lantern ring 19, and a plurality of limiting clamping blocks 25 are formed in the outer side wall of the shell 1, the limiting clamping blocks 25 and the second circular ring 24 are integrally arranged, the limiting clamping blocks 25 are clamped in the limiting clamping grooves 26, the limiting clamping blocks 25 are elastic pieces, and the limiting clamping blocks 25 are elastic pieces, the number of the limit clamping grooves 26 is four.
Through wire mechanism 18, the cooperation setting of clamp line mechanism 12, in use, before the nook closing member 11 gets into children's peritoneum, through pressing first T piece 13, make spring 17 be extrudeed, make soft pole 14, second T piece 15, elasticity tongs 16 remove, when elasticity tongs 16 remove outside nook closing member 11, elasticity tongs 16 are opened, will press from both sides the clamp in elasticity tongs 16, release the pressure to first T piece 13, spring 17's resilience can make soft pole 14, second T piece 15, elasticity tongs 16 resume the normal position, elasticity tongs 16 can press from both sides the line tight, later will be the line pulling and twine on card line spring 22, thereby make the line can retrain, guide, smooth out the fingers and smooth, avoid doctor's hand line to influence flexible use, also avoided the line to cause the pollution and cause children to infect simultaneously.
According to the technical scheme provided by the application, by arranging the outer sheath mechanism, when the needle core walks outside the peritoneum, the outer sheath tube can be bent according to the trend of the peritoneum, and meanwhile, the clamping strips are driven to bend, so that the shape of the needle core can be changed according to the condition outside the peritoneum, and compared with the rigid outer sheath in the prior art, the needle core can be bent according to actual requirements, surrounding tissues are prevented from being pricked by mistake, and the safety of an operation is improved.
Through wire mechanism, press from both sides line mechanism cooperation setting, in use, before the nook closing member enters children's peritoneum, through pressing down first T shape piece, make the spring be extruded simultaneously, make soft pole, second T shape piece, elasticity tongs remove, when elasticity tongs remove outside the nook closing member, elasticity tongs can be opened, with the fastener in elasticity tongs, release the pressure to first T shape piece, the resilience of spring can make soft pole, second T shape piece, elasticity tongs resumes the normal position, elasticity tongs can press from both sides the line tight, later with the line pulling and twine to the card line spring, thereby make the line can retrain, guide, smooth out the fingers, avoided doctor's hand to hold the line and influence nimble use, also avoided the line to cause the pollution and cause children to infect simultaneously.
The application is intended to cover any alternatives, modifications, equivalents, and variations that fall within the spirit and scope of the application. In the following description of preferred embodiments of the application, specific details are set forth in order to provide a thorough understanding of the application, and the application will be fully understood to those skilled in the art without such details. In other instances, well-known methods, procedures, flows, components, circuits, and the like have not been described in detail so as not to unnecessarily obscure aspects of the present application.
Those of ordinary skill in the art will appreciate that all or a portion of the steps in implementing the methods of the embodiments described above may be implemented by a program that instructs associated hardware, and the program may be stored on a computer readable storage medium, such as: ROM/RAM, magnetic disks, optical disks, etc.
The foregoing is merely a preferred embodiment of the present application and it should be noted that modifications and adaptations to those skilled in the art may be made without departing from the principles of the present application, which are intended to be comprehended within the scope of the present application.

Claims (4)

1. A flexible, adjustable child laparoscopic hernia soft needle, comprising:
the device comprises a shell, an outer sheath mechanism, a needle core, a wire clamping mechanism, a wire guiding mechanism and a wire guiding mechanism, wherein the shell is used for adjusting the shape moving direction of a hernia needle outside a peritoneum, the outer sheath mechanism is connected with the shell and used for breaking through resistance, the needle core is connected with the outer sheath mechanism and used for clamping and fixing wires, the wire clamping mechanism is connected with the shell and used for guiding wires, and the wire guiding mechanism is connected with the shell;
the outer sheath mechanism comprises a cylinder body arranged in the shell, one end of the cylinder body is fixedly connected with an outer sheath tube, and the other end of the outer sheath tube extends out of the shell; a rebound component is arranged in the outer sheath tube; the outer sheath tube is made of a bendable material;
the wire guide mechanism comprises a lantern ring sleeved on the shell and a guide chute arranged on the outer side wall of the shell, a guide sliding block is connected in the guide chute in a sliding manner, the guide sliding block is fixedly connected with the inner wall of the lantern ring, the guide sliding block and the lantern ring are of an integrated structure, and a wire clamping spring is fixedly connected with the outer side wall of the lantern ring;
a pair of open slots are formed in the outer side wall of the outer sheath tube, a fixed clamping block is fixedly inserted into the open slots, and the fixed clamping block is fixedly connected with the inner side wall of the shell;
the rebound assembly comprises a plurality of long clamping grooves formed in the outer sheath tube, clamping strips are clamped in the long clamping grooves, the clamping strips are made of elastic materials, one ends of the clamping strips are fixedly connected with first circular rings together, the clamping strips and the first circular rings are of an integral structure, and the first circular rings are fixedly connected with the cylinder body;
the wire clamping mechanism comprises a first T-shaped block inserted into one end of the shell, one end of the first T-shaped block is fixedly connected with a soft rod, the other end of the soft rod penetrates through the cylinder body, the outer sheath tube and is fixedly connected with a second T-shaped block, the other end of the second T-shaped block is fixedly connected with an elastic grasping forceps, the elastic grasping forceps are positioned in the needle core, a spring is fixedly connected between the first T-shaped block and the cylinder body, and the spring is sleeved on the soft rod;
a limiting component is arranged above the lantern ring; the limiting assembly comprises a second circular ring fixedly connected to one end of the lantern ring and a plurality of limiting clamping grooves formed in the outer side wall of the shell, a plurality of limiting clamping blocks are fixedly connected to the second circular ring, the limiting clamping blocks and the second circular ring are integrally arranged, and the limiting clamping blocks are clamped in the limiting clamping grooves.
2. The flexible, adjustable child laparoscopic hernia soft needle of claim 1, wherein the outer sheath is fixedly connected to the needle core, and the outer sheath is in communication with the needle core.
3. The bendable and adjustable child laparoscopic hernia soft needle according to claim 1, wherein the limit clamping blocks are elastic pieces, and the number of the limit clamping blocks and the limit clamping grooves is four.
4. The flexible, adjustable child laparoscopic hernia soft needle of claim 1, wherein the collar has a plurality of cleats formed on its outer sidewall.
CN202310098468.8A 2023-02-10 2023-02-10 Bendable and adjustable child laparoscope hernia soft needle Active CN116269589B (en)

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Application Number Priority Date Filing Date Title
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CN116269589B true CN116269589B (en) 2023-12-05

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CN212973047U (en) * 2020-05-19 2021-04-16 宁波市北仑区人民医院 Single-port laparoscope hernial sac high ligation puncture needle
CN215688194U (en) * 2021-07-20 2022-02-01 乐山市中医医院 Inflatable hernia needle under peritoneoscope
CN215424859U (en) * 2021-08-19 2022-01-07 平果市妇幼保健院 Simple hernia needle convenient to use
CN115054299A (en) * 2022-05-11 2022-09-16 中南大学湘雅三医院 Hernia suture operation forceps set

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