CN202173442U - Circumcision anastomat - Google Patents
Circumcision anastomat Download PDFInfo
- Publication number
- CN202173442U CN202173442U CN2011202683349U CN201120268334U CN202173442U CN 202173442 U CN202173442 U CN 202173442U CN 2011202683349 U CN2011202683349 U CN 2011202683349U CN 201120268334 U CN201120268334 U CN 201120268334U CN 202173442 U CN202173442 U CN 202173442U
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- China
- Prior art keywords
- nail
- anastomat
- ring
- housing
- circumcision
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- Expired - Fee Related
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/326—Circumcision apparatus
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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 utility model discloses a circumcision anastomat for surgically circumcising and stitching incisions. The circumcision anastomat comprises a shell, a rotating cap, a transmission rod, an anastomosis back plate, a glans penis protecting cover, a fixing ring, a starting handle, a nail storage ring seat, a nail pushing ring part and an annular blade, the anastomosis back plate and the glans penis protecting cover are fixedly connected with the transmission rod, the nail storage ring seat is arranged at the front end of the shell, the nail pushing ring part is used for pushing a stitching nail, the transmission rod is connected with the rotating cap in a threaded manner, a plurality of nail storage grooves are peripherally arranged on the nail storage ring seat, the nail pushing ring part is provided with corresponding nail abutting teeth, and an edge of the annular blade is protruded out of a nail abutting surface of the nail pushing ring part. Overlong prepuce of a patient is bound at the fixing ring, the anastomat is dragged and triggered, the nail pushing ring part knocks a stitching nail into the prepuce, then the prepuce is stitched, simultaneously, the prepuce is cut off via the annular blade, cutting and stitching surgery can be completed at one step, and small residual prepuce lacking of blood supply can die naturally and drop after the surgery, the incision of the prepuce of the patient is neat after circumcision, the appearance of the penis of the patient is good after wound healing, and sexual life of the patient is not affected.
Description
Technical field
This utility model relates to a kind of medical operating utensil, relates in particular to a kind of anastomat for circumcision.
Background technology
The at present domestic operation that is used to treat redundant prepuce or phimosis mainly contains two kinds: traditional posthetomy and Korea Spro's formula foreskin cerclage, both cut both ways.The general method that adopts direct cutting and stitching of traditional posthetomy, operating time is long, and is big to tissue injury, so recovery time is long, and scar after the operation is obvious, effect is not attractive in appearance.Its operation process step of this operation is many, comprises anesthesia, cutting, hemostasis, stitching etc., and the operation process complex operation needs multiple person cooperational, and every example needs 25~40 minutes, and operator's technology and experience are had relatively high expectations.
Comparatively speaking, Korea Spro's formula foreskin cerclage is to make tissue ischemia downright bad through outer sleeve compressing in utilizing, and then natural death comes off; And reaching the operation means of wound healing, it has the little advantage of wound, but needs to wait for and organize natural death; Therefore the internal ring that uses in the operation need stop on penis 10~15 days, and one or two people have brought very big inconvenience to patient's life about 20 days; Particularly when erection, have and cause wound to tear or hemorrhage potential danger property.
The utility model content
Not enough to prior art, the technical problem that this utility model will solve provides a kind of anastomat for circumcision that can accomplish cutting synchronously and sew up function.
In order to overcome the prior art deficiency; The technical scheme that this utility model adopts is: a kind of anastomat for circumcision of performing the operation the ring cutting foreskin and sewing up the incision of being used to; But it comprise the middle part have the piped housing of side opening, thrust be located at the turncap of the tail end of said housing, spline be located at the intravital drive link of said shell, with said drive link wherein the identical backing plate that is fixedly connected of an end end and glans penis over cap fixed cover be located at said drive link retainer ring, be articulated in said housing and be arranged in said side opening starting handle, be located at the storage nail ring seat that is used for the storage slots dowel within the said housing leading section, follow closely with said storage and encircle suitable and be used for the ejector pin ring of pushing tow suturing nail, the inflexible connection tube that is connected ejector pin ring and said starting handle, annular blade that be connected with said connection tube and that be located at said ejector pin ring inboard; The other end of said drive link is provided with spire and is threaded with said turncap formation; Said storage nail ring seat is circumferentially with a plurality of storage nail grooves along it; The ejector pin ring has the support spike-tooth corresponding with the position of said storage nail groove and quantity, the blade of said annular blade protrude from said ejector pin ring to the nail face.
As the improvement of such scheme, said storage nail groove is divided into inside and outside two circles circumferentially being staggered along said storage nail ring seat.
As the improvement of such scheme, said storage nail groove circumferentially is the radial arrangement of circling round along said storage nail ring seat.
As the improvement of such scheme, said identical backing plate has and the identical identical groove of said storage nail groove position respective amount.
As the improvement of such scheme, said retainer ring is a dumbbell shaped.
As the improvement of such scheme, be provided with between said turncap and the said piped housing and can stop the axially movable latch closure annular groove matable assembly of turncap along housing, be provided with the spline guidance set between said housing and the said drive link.
As the improvement of such scheme, said connection tube is axially arranged with gathering sill along it, and said drive link is provided with the spline wing that is arranged in said gathering sill.
As the improvement of such scheme, said glans penis over cap is the hemisphere shelly, and said identical backing plate is the medicated cap shape and has the hemisphere recess that said hemisphere recess and said glans penis protective sleeve are connected.
As the improvement of such scheme, said starting handle is hinged with said connection tube or conflict and to be connected.
As the improvement of such scheme, the said housing of the said storage nail ring dismountable installation of seat forms dismountable syndeton between said identical backing plate and glans penis over cap and the said drive link.
The beneficial effect of this utility model is: with long foreskin colligation at the retainer ring place; The turncap that rotates the end of ring cutting anastomat then makes housing and power transmission shaft do axial relative displacement; The distance of dwindling between housing and the identical backing plate makes it only can hold foreskin; Then started by press handle promotion ejector pin ring and annular blade move forward synchronously; The ejector pin ring will be embedded in the suturing nail of storage nail ring seat and release and hammer into the foreskin (the bookbinding action of similar stapler) between housing and the identical backing plate, and around circumferentially two-layer foreskin being sewed up of the backing plate that coincide, annular blade is with the part foreskin cutting and separating of colligation and retainer ring simultaneously.What the blade of annular blade protruded from said ejector pin ring supports nail face certain distance, and blade is accomplished the cutting to foreskin when the ejector pin ring is with the suturing nail pressing, thereby realizes disposable completion cutting and suture operation step.The operation process that uses this ring cutting anastomat is to receive to drag anastomat and percussion; Accomplish simultaneously the excision of foreskin redundance and the stitching of wound; And the small portion of residual foreskin of anastomosis and far-end thereof the clamping of suturing nail and intercept down owing to lack blood supply after surgery a period of time can natural death, and the suturing nail with identical usefulness comes off behind wound healing, thereby makes that the otch of ring cutting art is neat; Good looking appearance behind the wound healing does not influence patient's sexual life.
Description of drawings
Fig. 1 is the structural representation of the embodiment of a kind of anastomat for circumcision of this utility model.
Fig. 2 is the cutaway view of anastomat for circumcision shown in Figure 1.
Fig. 3 is one of foreskin Endo-GIA head blast status architecture axonometric chart among this utility model embodiment.
Fig. 4 be among this utility model embodiment foreskin Endo-GIA head blast status architecture axonometric chart two.
Fig. 5 is a foreskin Endo-GIA head assembled state structural perspective among this utility model embodiment.
The specific embodiment
Embodiment in the face of this utility model specifically describes down.
Shown in Fig. 1~5; This utility model is a kind of to be used to the anastomat for circumcision of performing the operation the ring cutting foreskin and sewing up the incision; But it comprise the middle part have the piped housing 10 of side opening, thrust be located at the turncap 20 of the tail end of said housing 10, spline be located at drive link 15 in the said housing 10, with said drive link 15 wherein the identical backing plate 29 that is fixedly connected of an end end and glans penis over cap 28 fixed covers be located at said drive link 15 retainer ring 25, be articulated in said housing 10 and be arranged in said side opening starting handle 12, be located at the storage nail ring seat 22 that is used for the storage slots dowel within said housing 10 leading sections, with said storage follow closely encircle 22 suitable and be used for the pushing tow suturing nail ejector pin ring 23, be connected the inflexible connection tube 18, that be connected with said connection tube 18 and be located at the annular blade 26 of said ejector pin ring 23 inboards of ejector pin ring 23 and said starting handle 12; The other end of said drive link 15 is provided with spire and is threaded with said turncap 20 formation; Said storage nail ring seat 22 is circumferentially with a plurality of storage nail grooves 32 along it; Ejector pin ring 23 has corresponding with the position of said storage nail groove and the quantity spike-tooth 33 that supports, the blade of said annular blade 26 protrude from said ejector pin ring 23 to the nail face.Support the nail face and be used to compress the suturing nail in the storage nail groove 32.
Be located to turncap 20 thrusts the tail end of said housing 10, promptly turncap is prevented from advancing and can not be along the moving axially of housing 10, and just turncap 20 can only rotate; Be located in the housing 10 to drive link 15 splines, promptly drive link be located in the housing 10 non-rotatable, and only to move along its axis.Turncap 20 thrusts can be changeed, and drive link 15 splines are removable, and turncap and drive link are through being threaded.
In operation process; Earlier foreskin is dug; Glans penis over cap 28 is covered glans penis; Long foreskin turned over encases glans penis over cap 28 and identical backing plate 29 and colligation at retainer ring 25 places, and the turncap 20 that rotates the end of ring cutting anastomat then makes housing 10 and power transmission shaft 15 do axial relative displacement, and the distance of dwindling between housing 10 and the identical backing plate 29 makes it only can hold foreskin; Then started by press handle 12 promotion ejector pin rings 23 move forward with annular blade 26 synchronously; Ejector pin ring 23 will be embedded in the suturing nail of storage nail ring seat 22 and release and hammer into the foreskin (the bookbinding action of similar stapler) between housing 12 and the identical backing plate 29, and along circumferentially two-layer foreskin being sewed up of the backing plate 29 that coincide, annular blade 26 is with the part foreskin cutting and separating of colligation and retainer ring 25 simultaneously.What the blade of annular blade 26 protruded from said ejector pin ring 23 supports nail face certain distance, and blade is accomplished the cutting to foreskin when ejector pin ring 23 is with the suturing nail pressing, thereby realizes disposable completion cutting and suture operation step.The operation process that uses this ring cutting anastomat is to receive to drag anastomat and percussion; Accomplish simultaneously the excision of foreskin redundance and the stitching of wound; And the small portion of residual foreskin of anastomosis and far-end thereof the clamping of suturing nail and intercept down owing to lack blood supply after surgery a period of time can natural death, and the suturing nail with identical usefulness comes off behind wound healing, thereby makes that the otch of ring cutting art is neat; Good looking appearance behind the wound healing does not influence patient's sexual life.
More preferably, said storage nail groove 32 is divided into inside and outside two circles and encircles circumferentially being staggered of seat 22 along said storage nail, thereby can form a circle joining edge, and two circle suturing nail mutual dislocation are arranged and made joining edge not have the gaps and omissions position, and the remaining foreskin of assurance cutting does not have blood supply.
More preferably; Said storage nail groove 32 circumferentially is the radial arrangement of circling round along said storage nail ring seat 22, makes to place arrangements that join end to end successively of suturing nails in the storage nail groove 32, forms the joining edge that a circle seals; Block the blood supply of remaining foreskin, guarantee wound healing line neat appearance.
More preferably, said identical backing plate 29 has and the identical identical groove 39 of said storage nail groove 32 position respective amount.The groove 39 that coincide is microscler hole grooves of nick, and its length is slightly larger than suturing nail.The suturing nails that ejector pin ring 23 will be stored up in the nail ring seat 22 extrude, and pass and are against groove 39 places that coincide behind the foreskin of colligation, form bending down in stopping with the oriented effect of the groove 39 that coincide then, thereby clamp foreskin from the foreskin both sides, and occlude blood circulates.A plurality of suturing nails join end to end and form the joining edge of sealing.
More preferably, said retainer ring 25 is a dumbbell shaped, is convenient at the annular recess place fixedly colligation of foreskin.
More preferably; Be provided with between said turncap 20 and the said piped housing 10 and can stop the axially movable latch closure annular groove matable assembly of turncap 20, can make turncap 20 be socketed in housing 10 and rotate in a circumferential direction around it only, move in axial restraint along housing 10; And be provided with the spline guidance set between said housing 10 and the said drive link 15; Drive link 15 moves axially and cannot be around its rotation along housing 10 only, and spiral link structure and turncap 20 are connected and drive down between the rotating part of drive link 15 and turncap 20, make drive link 15 and housing 10 axially relatively move; Thereby driving glans penis over cap 28 moves forward and backward with identical backing plate 29; Convenient storage nail ring seat 22 forward-reverses make it near identical backing plate 29, are convenient to suturing nail and form a circle joining edge at foreskin.Latch closure annular groove matable assembly comprises latch closure and annular groove, and latch closure and annular groove are separately positioned on drive link 15 and housing 10, and latch closure and annular groove are suitable, the relative motion that only can do to rotate in a circumferential direction between latch closure and the annular groove.The spline guidance set comprises the accessory structure that is separately positioned on housing 10 and drive link 15, plays to stop drive link and housing to rotate relatively, and axially movable structure between guiding drive link and the housing can be guiding convex body and gathering sill.
More preferably; Said connection tube 18 is axially arranged with gathering sill along it; Said drive link 15 is provided with the spline wing 16 that is arranged in said gathering sill, makes drive link 15 relative connection tubes 18 to rotate, and then stops drive link 15 to rotate with respect to housing 10 and storage nail ring seat 22; Also just stop between the directed identical backing plate 29 that is connected in said drive link 15 and the storage nail ring seat 22 to rotate, it is corresponding to make storage follow closely between groove 32 and the identical groove position.
More preferably, said glans penis over cap 28 is the hemisphere shelly, and said identical backing plate 29 is for the medicated cap shape and have the hemisphere recess and make this hemisphere recess just in time cover glans penis it is protected that said hemisphere recess and said glans penis protective sleeve 28 are connected.Glans penis protective sleeve 28 can be fixedly connected with identical backing plate 29 and then be fixedly connected with drive link 15 orientations.Glans penis protective sleeve 28 has the segment top with the assembly that identical backing plate 29 is connected, and makes things convenient for colligation at the retainer ring of the protruding side setting of segment, and the assembly of medicated cap shape is that ergonomic makes foreskin be convenient to locate colligation again.
More preferably; Said starting handle 12 and said connection tube 18 are hinged or conflict and be connected; Thereby during started by press handle 12; Starting handle 12 is around the jointed shaft rotation of itself and said housing 10, and rotary course starting handle 12 is positioned at the intravital drive division of shell connection tube 18 is produced axial driving forces, drive ejector pin ring 23 with annular blade 26 reaches accomplish and sew up and cutting actions.
More preferably, the said housing 10 of said storage nail ring seat 22 dismountable installations forms dismountable syndeton between said identical backing plate 29 and glans penis over cap 28 and the said drive link 15.Be designed to dismountable parts through the frid that coincide nail (backing plate coincide); Chu Ding ring seat 22 also is designed to detachable block; Make storage nail ring seat 22 replaceable, each back of using only needs to change after storage nail ring seat 22 and the sterilization just reusable, alleviates patient economy burden; Make anastomat for circumcision to reuse, reduce the operation cost greatly.For ease of the nail supporting base unit replacement, need earlier that specification is corresponding identical backing plate 29 to disassemble.Particularly, between storage nail ring seat 22 and the housing the protruding structure corresponding with groove is set, pressure will store up nail ring seat 22 and pushed and just can be installed on housing 10 front ends, and this moment is protruding corresponding with groove location, feasible store up follow closely encircle 22 corresponding with housing 10 positions.After operation is accomplished, can storage nail ring seat 22 be forced to take.Can certainly use other similar structures to carry out clamping, replace bulge-structure as using snap-on.In addition, can drive link be split as two sections between coincide backing plate 29 and the drive link 15, one section is fixedly connected with identical backing plate 29, passes through the connection of sleeve pipe core bar structure between two sections drive links, and core bar is provided with non-return button, and sleeve pipe is provided with shell fragment and stopping ring.Non-return button and stopping ring cooperatively interact core bar and sleeve pipe are carried out axial location behind the core bar insertion sleeve pipe, push shrapnel after being used to complete to push the non-return button of core bar to the opposite side feasible prevention that breaks away from the stopping ring, thereby can take off the backing plate 29 that coincide.Core bar and sleeve pipe all can be set to semi-circular cross-section so that directed location.Groove and the protruding directed location of row of tipping in also can be set between Chu Ding ring seat 22 and the housing 10.
The above disclosed preferred embodiment that is merely this utility model can not limit the interest field of this utility model certainly with this, so according to the equivalent variations that this utility model claim is done, still belong to the scope that this utility model is contained.
Claims (10)
1. anastomat for circumcision; Ring cutting foreskin and sewing up the incision is used to perform the operation; It is characterized in that: but said anastomat for circumcision comprise the middle part have the piped housing of side opening, thrust be located at the turncap of the tail end of said housing, spline be located at the intravital drive link of said shell, with said drive link wherein the identical backing plate that is fixedly connected of an end end and glans penis over cap fixed cover be located at said drive link retainer ring, be articulated in said housing and be arranged in said side opening starting handle, be located at the storage nail ring seat that is used for the storage slots dowel within the said housing leading section, follow closely with said storage and encircle suitable and be used for the ejector pin ring of pushing tow suturing nail, the inflexible connection tube that is connected ejector pin ring and said starting handle, annular blade that be connected with said connection tube and that be located at said ejector pin ring inboard; The other end of said drive link is provided with spire and is threaded with said turncap formation; Said storage nail ring seat is circumferentially with a plurality of storage nail grooves along it; The ejector pin ring has the support spike-tooth corresponding with the position of said storage nail groove and quantity, the blade of said annular blade protrude from said ejector pin ring to the nail face.
2. anastomat for circumcision according to claim 1 is characterized in that: said storage nail groove is divided into inside and outside two circles circumferentially being staggered along said storage nail ring seat.
3. anastomat for circumcision according to claim 1 is characterized in that: said storage nail groove circumferentially is the radial arrangement of circling round along said storage nail ring seat.
4. according to claim 1 or 2 or 3 described anastomat for circumcision, it is characterized in that: said identical backing plate has and the identical identical groove of said storage nail groove position respective amount.
5. anastomat for circumcision according to claim 1 is characterized in that: said retainer ring is a dumbbell shaped.
6. anastomat for circumcision according to claim 1; It is characterized in that: be provided with between said turncap and the said piped housing and can stop the axially movable latch closure annular groove matable assembly of turncap, be provided with the spline guidance set between said housing and the said drive link along housing.
7. anastomat for circumcision according to claim 1 is characterized in that: said connection tube is axially arranged with gathering sill along it, and said drive link is provided with the spline wing that is arranged in said gathering sill.
8. anastomat for circumcision according to claim 1 is characterized in that: said glans penis over cap is the hemisphere shelly, and said identical backing plate is the medicated cap shape and has the hemisphere recess that said hemisphere recess and said glans penis protective sleeve are connected.
9. anastomat for circumcision according to claim 1 is characterized in that: said starting handle is hinged with said connection tube or conflict and to be connected.
10. anastomat for circumcision according to claim 1 is characterized in that: the said housing of the said storage nail ring dismountable installation of seat forms dismountable syndeton between said identical backing plate and glans penis over cap and the said drive link.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN2011202683349U CN202173442U (en) | 2011-07-27 | 2011-07-27 | Circumcision anastomat |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN2011202683349U CN202173442U (en) | 2011-07-27 | 2011-07-27 | Circumcision anastomat |
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CN202173442U true CN202173442U (en) | 2012-03-28 |
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CN2011202683349U Expired - Fee Related CN202173442U (en) | 2011-07-27 | 2011-07-27 | Circumcision anastomat |
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Cited By (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN102319100A (en) * | 2011-07-27 | 2012-01-18 | 陈创奇 | Circumcision anastomat |
CN103767764A (en) * | 2014-01-08 | 2014-05-07 | 温州冠美医疗科技有限公司 | Suture and cutting differential gear of prepuce loop cutting suturing device |
CN104207826A (en) * | 2013-05-30 | 2014-12-17 | 江西源生狼和医疗器械有限公司 | Circumcision anastomosis device and use method thereof |
CN104224283A (en) * | 2013-06-20 | 2014-12-24 | 商晶晶 | Prepuce girdling device |
CN105054997A (en) * | 2015-09-09 | 2015-11-18 | 温州冠美医疗科技有限公司 | Mirror visible glans penis cover used for prepuce cutting and stitching instrument |
CN105054992A (en) * | 2015-08-11 | 2015-11-18 | 珠海拓爱医疗科技有限公司 | Gun type circumcision and stitching instrument |
CN109199543A (en) * | 2018-09-26 | 2019-01-15 | 祝常德 | A kind of anastomat for circumcision |
-
2011
- 2011-07-27 CN CN2011202683349U patent/CN202173442U/en not_active Expired - Fee Related
Cited By (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN102319100A (en) * | 2011-07-27 | 2012-01-18 | 陈创奇 | Circumcision anastomat |
CN104207826A (en) * | 2013-05-30 | 2014-12-17 | 江西源生狼和医疗器械有限公司 | Circumcision anastomosis device and use method thereof |
CN106236204A (en) * | 2013-06-20 | 2016-12-21 | 商晶晶 | Prepuce ring-cutter |
CN104224283A (en) * | 2013-06-20 | 2014-12-24 | 商晶晶 | Prepuce girdling device |
CN104224284A (en) * | 2013-06-20 | 2014-12-24 | 商晶晶 | Positioning device, actuating device and circumcision device |
CN104224282A (en) * | 2013-06-20 | 2014-12-24 | 商晶晶 | Positioning device and circumcision device |
CN103767764B (en) * | 2014-01-08 | 2016-05-04 | 温州冠美医疗科技有限公司 | A kind of stitching cutting differential gear of foreskin loop wire stapler |
CN103767764A (en) * | 2014-01-08 | 2014-05-07 | 温州冠美医疗科技有限公司 | Suture and cutting differential gear of prepuce loop cutting suturing device |
CN105054992A (en) * | 2015-08-11 | 2015-11-18 | 珠海拓爱医疗科技有限公司 | Gun type circumcision and stitching instrument |
CN105054997A (en) * | 2015-09-09 | 2015-11-18 | 温州冠美医疗科技有限公司 | Mirror visible glans penis cover used for prepuce cutting and stitching instrument |
CN105054997B (en) * | 2015-09-09 | 2018-01-05 | 温州冠美医疗科技有限公司 | A kind of visual glans penis cover of minute surface for prepuce cutting stitching instrument |
CN109199543A (en) * | 2018-09-26 | 2019-01-15 | 祝常德 | A kind of anastomat for circumcision |
CN109199543B (en) * | 2018-09-26 | 2024-05-07 | 苏州高新区人民医院 | Circumcision anastomat |
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C14 | Grant of patent or utility model | ||
GR01 | Patent grant | ||
CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20120328 Termination date: 20140727 |
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EXPY | Termination of patent right or utility model |