CN116919498A - Anastomotic stoma reinforcing sheet assembly - Google Patents

Anastomotic stoma reinforcing sheet assembly Download PDF

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Publication number
CN116919498A
CN116919498A CN202310896930.9A CN202310896930A CN116919498A CN 116919498 A CN116919498 A CN 116919498A CN 202310896930 A CN202310896930 A CN 202310896930A CN 116919498 A CN116919498 A CN 116919498A
Authority
CN
China
Prior art keywords
wire
sheet body
reinforcing sheet
shaped
sleeves
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
CN202310896930.9A
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Chinese (zh)
Inventor
管惠娟
陆国新
黄兴华
程路达
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.)
Jianshi Medical Surgical Instruments Wuxi Co ltd
Original Assignee
Jianshi Medical Surgical Instruments Wuxi Co ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Jianshi Medical Surgical Instruments Wuxi Co ltd filed Critical Jianshi Medical Surgical Instruments Wuxi Co ltd
Priority to CN202310896930.9A priority Critical patent/CN116919498A/en
Publication of CN116919498A publication Critical patent/CN116919498A/en
Withdrawn legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • 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
    • A61B17/07292Reinforcements for staple line, e.g. pledgets

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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)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The invention discloses an anastomotic stoma reinforcement plate assembly, which comprises a reinforcement plate body, a connecting wire and a separation part The reinforcing sheet body is a sheet body and is constructed into an elongated U-shaped shallow groove shape, and the front end part of the reinforcing sheet body is provided with a shrinkage structure with a reduced area; the connecting wire adopts a single-wire chain stitch method of one wire, is woven along the front end and the two side edges of the reinforcing sheet body to form a detachable net structure, and forms an inner space for accommodating the nail anvil or the nail bin together with the reinforcing sheet body, and the front end of the inner space is contracted; the isolation part is a strip-shaped curved smooth sheet and is inserted in the inner space for isolating at least most connecting lines. The invention has simple structure, the reinforcing sheet body can smoothly reach the tissue covering part, no retraction or wrinkling occurs in the middle, the smooth operation and the health of patients can be ensured, the operation difficulty is reduced, and the operation safety is improved.

Description

Anastomotic stoma reinforcing sheet assembly
Technical Field
The invention relates to the technical field of medical instruments, in particular to an anastomotic stoma reinforcement piece assembly.
Background
In conventional stapler procedures, the staple cartridge and anvil in the end effector are positioned to pre-cut tissue and then clamped, and the user manipulates the stapler to simultaneously complete the stapling of two or more staple lines to the tissue and form a cut line at a central location of the staple line. This procedure is much faster than the procedure of cutting with a surgical scissors/knife and then suturing with a suture at the incision in a conventional procedure, with the benefit of reduced bleeding time from the wound, and reduced overall procedure time, resulting in significantly improved patient care.
In some procedures, the tissue to be stapled is fragile, it is difficult to fix the staples in the corresponding positions, and furthermore, the problem of bleeding and weeping around the staples also affects recovery. One known protection measure is to assemble a layer of absorbable reinforcement material on both the anvil surface and the cartridge surface of the stapler, fix the material on the anastomat opening while finishing cutting and stapling, protect fragile tissues from being torn by the anastomat, and close the gap between the bare nails and the tissues or blood vessels, thereby strengthening the anastomat opening and reducing the complications risks such as bleeding, seepage, air leakage and the like of the anastomat opening. In order to promote patient recovery and reduce risk, it is generally sought to minimize the area of use of the reinforcement material, however, how to install the reinforcement material very simply onto the anvil surface or cartridge surface, and when the stapler front end enters the body through the laparoscopic puncture cannula, the reinforcement material does not shrink or wrinkle due to friction, is smoothly covered on the tissue to be treated, and is critical to the success or failure of the surgical procedure.
Disclosure of Invention
The invention aims to provide an anastomotic stoma reinforcement piece assembly, which has a simple structure, the reinforcement piece body can smoothly reach a tissue covering part, no retraction or wrinkling occurs in the middle, the smooth operation and the health of a patient can be ensured, the operation difficulty is reduced, and the operation safety is improved.
The technical scheme adopted by the invention is as follows: a stoma reinforcement patch assembly, comprising:
(a) Reinforcing sheet body The reinforcing sheet body is a sheet body and is constructed into an elongated U-shaped shallow groove shape, and the front end part of the reinforcing sheet body is provided with a shrinkage structure with a reduced area;
(b) Connecting wire The connecting wire adopts a single-wire chain stitch method of one wire, is woven along the front end and the two side edges of the reinforcing sheet body to form a detachable net structure, and forms an inner space for accommodating the nail anvil or the nail bin together with the reinforcing sheet body, wherein the inner space is formed by the connecting wireThe front end of the space is contracted;
(c) The isolation part is a strip-shaped smooth sheet and is inserted in the inner space for isolating at least most connecting wires and preventing the nail anvil or the nail bin from pulling and damaging the connecting wires in the assembly process.
The network structure is any one of the following structures:
the first mesh structure consists of N wire sleeves which are mutually connected in series, wherein the front N-1 wire sleeves are V-shaped wire sleeves, the V-shaped wire sleeves penetrate through corresponding parts of two side edges of the reinforcing sheet body, the opening parts of the V-shaped wire sleeves and the closing parts of the V-shaped wire sleeves are positioned on the same side of the reinforcing sheet body, and the opening parts of the rear V-shaped wire sleeves penetrate through the closing parts of the front V-shaped wire sleeves; the first V-shaped wire sleeve is smaller and is positioned at the front end part, the free end of the opening part of the first V-shaped wire sleeve is a connecting wire starting end, the N-th wire sleeve passes through the closing part of the N-1-th V-shaped wire sleeve and passes through the corresponding parts of the edges of the two sides of the reinforcing sheet body, and the free end of the opening part of the first V-shaped wire sleeve is a connecting wire ending end.
The second net structure comprises 1 blocking rope and N mutually connected wire sleeves, wherein the blocking rope is positioned at the front end part and can be formed by knitting any one of long needles, 3 curled long needles and 4 curled long needles; the front N-1 wire sleeves are V-shaped wire sleeves, the V-shaped wire sleeves penetrate through corresponding parts of two side edges of the reinforcing sheet body, the opening parts of the V-shaped wire sleeves are positioned on the same side of the reinforcing sheet body as the closing parts of the V-shaped wire sleeves, and the opening parts of the rear V-shaped wire sleeves penetrate through the closing parts of the front V-shaped wire sleeves; the free end of the opening part of the first V-shaped wire sleeve is connected with the tail end of the barrier wire, the closing part of the first V-shaped wire sleeve penetrates through the wire sleeve of the barrier wire, and the starting end of the barrier wire is the starting end of a connecting wire; the N-th wire sleeve passes through the closing part of the N-1-th V-shaped wire sleeve and passes through the corresponding parts of the edges of the two sides of the reinforcing sheet body, and the free end of the opening part is the connecting wire ending end.
Preferably, in order to prevent the wire from being opened and to make the combination of the reinforcing sheet body and the net structure tighter, a wire sleeve extending from the end of the connecting wire is suitably inserted into the former wire sleeve or wire sleeves close to the wire head; the end of the wire, which extends appropriately beyond the beginning of the connecting wire, is inserted into the first or adjacent sleeve.
Preferably, the reinforcing sheet is a nonwoven fabric, woven or knitted fabric, etc., and the material is a bioabsorbable polymer such as polyglycolic acid and some biological tissues.
Preferably, the two side edges of the strip-shaped U-shaped shallow groove are 1.5-2.5mm higher than the bottom of the groove,
preferably, the reinforcing sheet body is further provided with an extension part, the extension part is adapted to the tail end of the nail anvil or the nail bin, and the length of the reinforcing sheet body is the same as the length of the nail anvil surface or the nail bin surface.
Preferably, the isolating part is aluminum foil, the smooth surface of the aluminum foil can reduce friction force, the length of the aluminum foil is longer than that of the reinforcing sheet body, the front end part of the aluminum foil is arc-shaped, and the rear end part of the aluminum foil is provided with handles, so that the aluminum foil is convenient to assemble and pull out.
Preferably, the stoma reinforcement patch assembly further comprises a support configured as an integral exterior of the anvil or cartridge interposed between the reinforcement patch body and the spacer for supporting and maintaining the interior space.
Preferably, the support part is formed of at least one selected from plastic, metal, and paper.
Preferably, the stoma reinforcement patch assembly further comprises a loading platform, on which the support is arranged.
Preferably, the loading platform and the support are of an integrated structure.
Compared with the prior art, the invention has the following beneficial effects:
1. the strip-shaped U-shaped shallow groove structure can furthest reduce the area of the reinforcing sheet body, reduce the influence on human tissues to the minimum, keep a certain three-dimensional shape, be favorable to stable structure and prevent the reinforcing sheet body from deviating from the nail anvil surface or the nail bin surface in a rotating way.
2. The front end of the inner space is contracted, so that the end part of the nail anvil or the nail bin is prevented from completely penetrating through the inner space; the V-shaped wire sleeve is obliquely and densely locked on two sides of the reinforcing sheet body, so that the edges of the reinforcing sheet body are prevented from being naturally opened, and friction resistance is reduced when the reinforcing sheet body enters the sleeve wearing device. The reinforcing sheet body is not easy to shrink or fold, so that the operation is smoothly performed, and the safety and stability of the surgical operation process are improved.
3. Although the anvil face and the cartridge face are approximately the same size, the cartridge is relatively thick in shape, and the size of the connecting lines for the reinforcement blade assemblies of the cartridge is significantly larger than the size of the connecting lines for the reinforcement blade assemblies of the anvil. Relatively, the connecting wire is large in size, large in deformation amount and poor in binding tightness. The front end part is provided with the reticular structure of the blocking rope, so that the reinforcement sheet body can be ensured not to retract, and the safety and stability of the surgical operation process are effectively ensured.
4. The internal space is supported and maintained by the supporting part, so that the assembly of the reinforcing sheet component and the nail anvil or the nail bin is simpler and easier, and the operation efficiency is improved.
Drawings
FIG. 1 is a longitudinal cross-sectional view of a stoma reinforcing plate assembly of the present invention;
FIG. 2 is a schematic top view of a reinforcement sheet body and connecting wires of the present invention using a first mesh structure;
FIG. 3 is a schematic top view of a reinforcing sheet body and connecting wires of the present invention using a second mesh structure;
FIG. 4 is a schematic view of the V-shaped wire sleeve of FIGS. 2 and 3;
FIGS. 5-9 are schematic views of a stitch-wise knit with 3 curled long needles;
fig. 10 is a longitudinal cross-sectional view of a stoma-strengthening piece assembly of the invention including a buttress portion.
In the figure: 1-reinforcement sheet body, 2-connecting wire, 3-isolation portion, 4-supporting portion, 10-front end portion, 11-extension portion, 20-V font line cover, 21-opening portion, 22-closure portion, 23-connecting wire starting end, 24-connecting wire ending end, 25-blocking rope, 26-blocking rope's tail end, 27-blocking rope's line cover.
Detailed Description
The invention is further described below with reference to the drawings and examples.
Fig. 1 shows a longitudinal section of a stoma reinforcement patch assembly, comprising a reinforcement patch body 1, a connecting wire 2 and a spacer 3. Fig. 2 and 3 show two schematic top view structures of a reinforcing sheet body 1 and a connecting wire 2, wherein the reinforcing sheet body 1 is a sheet-shaped body and is configured into an elongated U-shaped shallow groove shape, and the front end part 10 of the reinforcing sheet body is provided with a contracted structure with a reduced area; the connecting wire 2 is woven into a detachable net structure along the front end and two side edges of the reinforcing sheet body 1 by adopting a single-wire chain stitch method, and forms an inner space for accommodating a nail anvil or a nail bin together with the reinforcing sheet body 1, and the front end of the inner space is contracted; the isolation part 3 is a strip-shaped smooth sheet and is inserted in the inner space for isolating at least most connecting wires and preventing the nail anvil or the nail bin from pulling and damaging the connecting wires in the assembly process.
Fig. 2 shows a first mesh structure of the connection wire 2, which is composed of N wire sleeves connected in series with each other, wherein the front N-1 wire sleeves are V-shaped wire sleeves 20 (fig. 4), each V-shaped wire sleeve 20 passes through the corresponding parts of the two side edges of the reinforcing sheet body 1, and the opening part 21 and the closing part 22 thereof are positioned on the same side of the reinforcing sheet body 1, and the opening part 21 of the rear V-shaped wire sleeve 20 passes through the closing part 22 of the front V-shaped wire sleeve 20 thereof; the first V-shaped wire sleeve 20 is located at the front end 10, the free end of the connecting wire at the opening is a connecting wire starting end 23, the nth wire sleeve passes through the closing part 22 of the N-1 th V-shaped wire sleeve 20 and passes through the corresponding parts of the two side edges of the reinforcing sheet body 1, and the free end of the connecting wire at the opening of the nth V-shaped wire sleeve is a connecting wire ending end 24.
Fig. 3 shows a second net structure of the connecting wire 2, comprising 1 blocking cable 25 and N wire sleeves connected in series with each other, wherein the blocking cable 25 is positioned at the front end 10 and is formed by knitting 3 curled long needles; the front N-1 wire sleeves are V-shaped wire sleeves 20 (figure 4), each V-shaped wire sleeve 20 penetrates through the corresponding parts of the two side edges of the reinforcing sheet body 1, the opening part 21 and the closing part 22 of each V-shaped wire sleeve are positioned on the same side of the reinforcing sheet body 1, and the opening part 21 of the rear V-shaped wire sleeve 20 penetrates through the closing part 22 of the front V-shaped wire sleeve 20; the free end of the opening part of the first V-shaped wire sleeve 20 is connected with the tail end 26 of the blocking wire, the closing part 22 of the first V-shaped wire sleeve 20 passes through the wire sleeve 27 of the blocking wire 25, and the starting end of the blocking wire 25 is a connecting wire starting end 23; the nth wire sleeve passes through the closing part 22 of the (N-1) th V-shaped wire sleeve 20 and passes through the corresponding parts of the two side edges of the reinforcing sheet body 1, and the connecting wire free end of the opening part is a connecting wire end 24.
Figures 5-9 show the bearded needle procedure for 3 curled long needles: (a) Starting, namely locking 5 needles on one side of the front end part of the reinforcing sheet body to stand the needles, and winding three loops of wires on the crochet needle (figure 5); b) Inserting a crochet hook into the front end part of the reinforcing sheet body, hooking a connecting wire from the back surface, winding, and hooking 2 needles and 1 needle (figure 6); (c) winding, one time with 2 needles hooked (fig. 7); (d) The last 2 needles are rewound and the 1 needle is hooked out (fig. 8), finally forming a barrier cable 25 (fig. 9) comprising a connecting wire start 23, a barrier cable tail 26 and a barrier cable sleeve 27.
Preferably, the sleeve extending appropriately beyond the end 24 of the connecting wire is inserted into the previous sleeve or sleeves adjacent to the end, and the end extending appropriately beyond the beginning 23 of the connecting wire is inserted into the first sleeve or adjacent sleeves.
Preferably, the reinforcing sheet body 1 is a sheet-like body having a certain flexibility and elasticity, and may be, for example, a nonwoven fabric, a woven fabric, or a knitted fabric, and is made of a bioabsorbable polymer such as polyglycolic acid and some biological tissues.
Preferably, the two sides of the reinforcing sheet body 1 are 1.5-2.5mm higher than the bottom of the groove.
Preferably, the reinforcement sheet body 1 is further provided with an extension part 11, the extension part 11 is adapted to the tail end of the nail anvil or the nail bin, and the length of the reinforcement sheet body 1 is the same as the length of the nail anvil surface or the nail bin surface.
Preferably, the isolating part 3 is aluminum foil, the length of which is longer than that of the reinforcing sheet body 1, the front end part of the isolating part is arc-shaped, and the rear end part of the isolating part is provided with handles.
Before using, lightly pinch the reinforcement piece subassembly with the hand, open the reinforcement piece body with the inner space between the isolation part makes reinforcement piece body laminating nail stock face or nail storehouse face, and the cover wears on nail stock or nail storehouse, then follows nail stock or the opposite direction of nail storehouse tip and draws the isolation part, and reinforcement piece body and connecting wire shift to on nail stock or the nail storehouse like this. After the stapler clamps the tissue, the excitation is completed, at which time the tissue is cut and the reinforcement plate body is fixed to both sides of the anastomotic stoma tissue by the staples. Then, the connecting wire is removed by pulling.
Preferably, as shown in fig. 10, the anastomotic stoma reinforcement patch assembly further comprises a support part 4, wherein the support part 4 is configured as an integral outer shape of an anvil or a cartridge, interposed between the reinforcement patch body 1 and the spacer part 3.
Preferably, the support 4 may be formed of at least one selected from plastic, metal, and paper.
Preferably, the stoma reinforcement patch assembly further comprises a loading platform on which the support 4 is arranged.
Preferably, the loading platform and the supporting part 4 are of an integrated structure.
Before use, the anastomotic stoma reinforcement piece assembly is separated from the supporting part, so that the reinforcement piece body is attached to the nail anvil surface or the nail bin surface and is directly sleeved on the nail anvil or the nail bin, and the installation process is more convenient.
The foregoing is a detailed description of embodiments of the invention and is not to be construed as limiting the claims. Any modification, equivalent replacement, improvement, etc. that comes within the spirit and principle of the claims of the present invention should be included in the protection scope of the claims of the present invention.

Claims (10)

1. A stoma strengthening piece assembly, comprising:
(a) Reinforcing sheet body The reinforcing sheet body is a sheet body and is constructed into an elongated U-shaped shallow groove shape, and the front end part of the reinforcing sheet body is provided with a shrinkage structure with a reduced area;
(b) Connecting wire The connecting wire adopts a single-wire chain stitch method of one wire, is woven along the front end and the two side edges of the reinforcing sheet body to form a detachable net structure, and forms an inner space for accommodating the nail anvil or the nail bin together with the reinforcing sheet body, and the front end of the inner space is contracted;
(c) The isolating part is a strip-shaped curved smooth sheet and is inserted into the inner space, and is used for isolating at least most connecting wires and preventing the nail anvil or the nail bin from pulling and damaging the connecting wires in the assembly process;
the network structure is any one of the following structures:
the first mesh structure consists of N wire sleeves which are mutually connected in series, wherein the front N-1 wire sleeves are V-shaped wire sleeves, the V-shaped wire sleeves penetrate through corresponding parts of two side edges of the reinforcing sheet body, the opening parts of the V-shaped wire sleeves and the closing parts of the V-shaped wire sleeves are positioned on the same side of the reinforcing sheet body, and the opening parts of the rear V-shaped wire sleeves penetrate through the closing parts of the front V-shaped wire sleeves; the first V-shaped wire sleeve is smaller and is positioned at the front end part, the free end of the opening part of the first V-shaped wire sleeve is a connecting wire starting end, the Nth wire sleeve passes through the closing part of the N-1V-shaped wire sleeve and passes through the corresponding parts of the edges of the two sides of the reinforcing sheet body, and the free end of the opening part of the first V-shaped wire sleeve is a connecting wire ending end;
the second net structure comprises 1 blocking rope and N wire sleeves which are mutually connected in series, wherein the blocking rope is positioned at the front end part and can be formed by knitting any one of long needles, 3 curled long needles and 4 curled long needles; the front N-1 wire sleeves are V-shaped wire sleeves, the V-shaped wire sleeves penetrate through corresponding parts of two side edges of the reinforcing sheet body, the opening parts of the V-shaped wire sleeves are positioned on the same side of the reinforcing sheet body as the closing parts of the V-shaped wire sleeves, and the opening parts of the rear V-shaped wire sleeves penetrate through the closing parts of the front V-shaped wire sleeves; the free end of the opening part of the first V-shaped wire sleeve is connected with the tail end of the barrier wire, the closing part of the first V-shaped wire sleeve penetrates through the wire sleeve of the barrier wire, and the starting end of the barrier wire is the starting end of a connecting wire; the N-th wire sleeve passes through the closing part of the N-1-th V-shaped wire sleeve and passes through the corresponding parts of the edges of the two sides of the reinforcing sheet body, and the free end of the opening part is the connecting wire ending end.
2. A stoma strengthening piece assembly according to claim 1, wherein a sleeve extending the end of the connecting wire is inserted into the previous sleeve or sleeves adjacent to the end of the connecting wire; the end of the wire, which extends appropriately beyond the beginning of the connecting wire, is inserted into the first or adjacent sleeve.
3. A stoma-strengthening piece assembly according to claim 1, wherein the strengthening piece body is a nonwoven, woven or knitted fabric or the like, made of bioabsorbable polymers such as polyglycolic acid and certain biological tissues.
4. The anastomosis reinforcing sheet assembly of claim 1, wherein the two side edges of the elongated U-shaped shallow groove are 1.5-2.5mm higher than the groove bottom.
5. The anastomotic stoma reinforcement patch assembly according to claim 1, wherein the reinforcement patch body is provided with an extension portion that is adapted to the trailing end face of the anvil or cartridge, and wherein the reinforcement patch body has a length that is the same as the anvil face or cartridge face.
6. The stoma-strengthening piece assembly of claim 1, wherein the spacer is aluminum foil having a length greater than the length of the strengthening piece body, and has an arcuate front end portion and a handle at a rear end portion for ease of assembly and removal.
7. The stoma-strengthening sheet assembly of claim 1, further comprising a support configured as an anvil or cartridge interposed between the strengthening sheet body and the spacer for supporting and maintaining an interior space.
8. The stoma-strengthening piece assembly of claim 7, wherein the support is formed from at least one member selected from the group consisting of plastic, metal, and paper.
9. The stoma reinforcement patch assembly of claim 7, further comprising a loading platform, wherein the support is disposed on the loading platform.
10. The stoma reinforcement flap assembly of claim 9, wherein the loading platform is of unitary construction with the support.
CN202310896930.9A 2023-07-21 2023-07-21 Anastomotic stoma reinforcing sheet assembly Withdrawn CN116919498A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202310896930.9A CN116919498A (en) 2023-07-21 2023-07-21 Anastomotic stoma reinforcing sheet assembly

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202310896930.9A CN116919498A (en) 2023-07-21 2023-07-21 Anastomotic stoma reinforcing sheet assembly

Publications (1)

Publication Number Publication Date
CN116919498A true CN116919498A (en) 2023-10-24

Family

ID=88380107

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202310896930.9A Withdrawn CN116919498A (en) 2023-07-21 2023-07-21 Anastomotic stoma reinforcing sheet assembly

Country Status (1)

Country Link
CN (1) CN116919498A (en)

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Application publication date: 20231024

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