CN204562262U - Medical stapler - Google Patents

Medical stapler Download PDF

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Publication number
CN204562262U
CN204562262U CN201520146353.2U CN201520146353U CN204562262U CN 204562262 U CN204562262 U CN 204562262U CN 201520146353 U CN201520146353 U CN 201520146353U CN 204562262 U CN204562262 U CN 204562262U
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CN
China
Prior art keywords
grab
junction surface
ejector pin
pin bar
knife rest
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Active
Application number
CN201520146353.2U
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Chinese (zh)
Inventor
陈望东
丁水澄
施燕博
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Suzhou Tianchen International Medical Technology Co Ltd
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Suzhou Tianchen International Medical Technology Co Ltd
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Priority to CN201520146353.2U priority Critical patent/CN204562262U/en
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Abstract

This utility model discloses a kind of Medical stapler, comprise ejector pin bar and be removably connected to the knife rest of ejector pin bar far-end, the near-end of knife rest is provided with the first grab and the second grab that extend roughly toward each other, and ejector pin bar is provided with first junction surface corresponding with the first grab and the second grab and the second junction surface; Wherein, the distance between two tangent lines that the distance on knife rest bearing of trend respectively and between tangent two tangent lines of the outer rim of the inner edge of the first grab and the second grab to be less than on ejector pin bar remote extension direction respectively and the inner edge at the first junction surface and the second junction surface is tangent.By above-mentioned structure, when anastomat uses, ejector pin bar can keep the traction of cutter setting frame in indentation process, and simple and reliable for structure, and the use sense promoting anastomat is subject to.

Description

Medical stapler
Technical field
This utility model belongs to manufacture technology field of medical appliance, is specifically related to a kind of Medical stapler.
Background technology
A kind of medical apparatus and instruments that anastomat often uses when being and carrying out surgical operation to physiological tissues such as intestinals, it is the equipment that the alternative traditional-handwork medically used is sewed up, due to the development of modern science and technology and the improvement of manufacturing technology, the anastomat reliable in quality used clinically at present, easy to use, tightly, degree of tightness is suitable, especially its stitching is quick, easy and simple to handle and seldom have the advantage such as side effect and postoperative complication, sometimes the tumor operation that cannot excise of also making over is able to lesion resection, very by favor and the high praise of domestic and international Clinical Surgery doctor.
Usually, such anastomat comprises nail-anvil assembly, nail bin groupware, and nail bin groupware comprises anastomosis staple and be provided with the knife rest of cutting knife, to realize cutting Human Physiology tissue and sewing up; Anastomat completes cutting to Human Physiology tissue, sew up after, before anastomat is exited operative site, the knife rest being provided with cutting knife is return in nail bin, to guarantee that cutting knife is not exposed to outside nail bin, in order to avoid damage surrounding tissue when exiting anastomat.
Summary of the invention
The purpose of this utility model is to provide that a kind of structure is simple, the Medical stapler of dependable performance.
For realizing above-mentioned utility model object, this utility model provides a kind of Medical stapler, comprise ejector pin bar and be removably connected to the knife rest of ejector pin bar far-end, the near-end of described knife rest is provided with the first grab and the second grab that extend roughly toward each other, and described ejector pin bar is provided with first junction surface corresponding with described first grab and the second grab and the second junction surface; Wherein, the distance between two tangent lines that the distance on described knife rest bearing of trend respectively and between tangent two tangent lines in the inner edge of described first grab and the inner edge of the second grab to be less than on described ejector pin bar remote extension direction respectively and the outer rim at described first junction surface and the second junction surface is tangent.
As further improvement of the utility model, described first junction surface and the second junction surface protrude from two apparent surfaces of described ejector pin bar far-end respectively.
As further improvement of the utility model, described first junction surface and the second junction surface are cylinder projection.
As further improvement of the utility model, described first junction surface and the second junction surface and described ejector pin bar one-body molded.
As further improvement of the utility model, described first junction surface and the second junction surface punch forming.
As further improvement of the utility model, the distance on described knife rest bearing of trend respectively and between tangent two tangent lines in the inner edge of described first grab and the inner edge of the second grab equals the thickness of described ejector pin bar distal portions.
As further improvement of the utility model, the surface of described ejector pin bar and described knife rest effect is set to the arc shape fitted each other.
As further improvement of the utility model, the holding section that described first grab and the second grab comprise base portion respectively and extend from described base portion bending, described base portion is provided with the guiding face in a certain angle with described knife rest assembly direction.
As further improvement of the utility model, the inner surface of described holding section is parallel with the proximal end face of described knife rest.
As further improvement of the utility model, described first grab and the second grab are divided into two opposite ends of the proximal end face of described knife rest.
Compared with prior art, the Medical stapler that this utility model provides is by being set to be less than on ejector pin bar remote extension direction respectively the distance between two tangent lines that the outer rim at the first junction surface and the second junction surface is tangent by the distance on knife rest bearing of trend respectively and between tangent two tangent lines in the inner edge of the inner edge of the first grab and the second grab, the first junction surface and the second junction surface is made correspondence to be held in the first grab and the second grab, ensure when anastomat uses, ejector pin bar can keep the traction of cutter setting frame in indentation process, cutting knife is return in nail bin smoothly, simple and reliable for structure.
Accompanying drawing explanation
Fig. 1 is the structural representation of this utility model Medical stapler one embodiment;
Fig. 2 is the detonation configuration schematic diagram that in this utility model Medical stapler one embodiment, nail bin groupware and nail-anvil assembly coordinate;
Fig. 3 is the detonation configuration schematic diagram of this utility model Medical stapler one embodiment;
Fig. 4 is the structural representation of this utility model Medical stapler one embodiment intermediate slide;
Fig. 5 is the part-structure schematic diagram of ejector pin bar in this utility model Medical stapler one embodiment;
Fig. 6 is the structural representation at the another visual angle of this utility model Medical stapler one embodiment intermediate slide;
Fig. 7 is the schematic cross-section of ejector pin bar and knife rest coupling part in this utility model Medical stapler one embodiment;
Fig. 8 is the part-structure schematic diagram that this utility model Medical stapler one replaces ejector pin bar in embodiment;
Fig. 9 is the part-structure schematic diagram of ejector pin bar in the another replacement embodiment of this utility model Medical stapler;
Figure 10 is the enlarged diagram of Fig. 4 center line inner structure.
Detailed description of the invention
Below with reference to detailed description of the invention shown in the drawings, this utility model is described in detail.But these embodiments do not limit this utility model, the structure that those of ordinary skill in the art makes according to these embodiments, method or conversion functionally are all included in protection domain of the present utility model.
For clearly expressing position described in the application and direction, using exercises on apparatus author as reference, be near-end near one end of operator, the one end away from operator is far-end.Meanwhile, in this application, the below of definition anastomat is the direction that gripping handle is extended by housing, relative with below this, is namely defined as the top of anastomat.
Further, should be understood that, although first, second grade of term can be used to describe various element or structure in this article, these are described the restriction that object should not be subject to these terms.These terms are only for being distinguished from each other out these description objects.Such as, the first grab can be called as the second grab, and the second grab also can be called as the first grab similarly, and this does not deviate from the protection domain of the application.
As shown in Figure 1, in this utility model one embodiment, anastomat 100 comprises housing 10, by the supporting construction 20 of distally stretching out in housing 10, is connected to the nail anvil seat 30 of supporting construction 20 far-end.Nail anvil seat 30 can be fixedly connected with supporting construction 20, and its cross section is curved, forms gripping handle 40 below the near-end of housing 10.
Anastomat 100 also comprises nail bin groupware 32 and nail-anvil assembly 34.In the present embodiment, nail bin groupware 32 and nail-anvil assembly 34 are removably mounted on nail anvil seat 30, and and the mating shapes of nail anvil seat 30, namely be that the cross section of nail bin groupware 32 and nail-anvil assembly 34 is also all set to arc, so, can coincide to physiological tissue in working place less.
As shown in Figure 2, nail bin groupware 32 has nail bin 322, this nail bin 322 comprises a nail bin face (sign), nail bin face is arranged with in an interleaved manner the staple containing groove (sign) of a line or multirow, and nail bin groupware 32 also comprises and is arranged at pushing slice of nail 324 in nail bin 322 and cutter assembly.Suturing nail can be released by pushing slice of nail 324 in staple containing groove, and cutter assembly comprises the cutting knife 328 that a knife rest 326 and is arranged on knife rest 326 far-end.Also being configured with a nail bin cover 329 in nail bin groupware 32 for taking blocking effect to the suturing nail in nail bin 32 and cutting knife 328, preventing missing nail and mistakenly hit from sending out.
Nail bin face and pushing slice of nail 324 are respectively equipped with the row cutter groove 3242 with this cutting knife 328 adaptation, to support that the percussion of cutting knife 328 operates.In the present embodiment, staple containing slot, in the both sides of row cutter groove 3242, so, to organizing in cutting and stitching process, can be sewed up from disconnected tissue two broken ends of fractured bone simultaneously.
Coordinate with reference to shown in Fig. 2 and Fig. 3, in this utility model one embodiment, the far-end of nail bin groupware 32 is also connected with nail-anvil assembly 34, nail-anvil assembly 34 comprises nail anvil 342 and cutter anvil 344, while nail bin groupware 32 is installed to nail anvil seat 30, this nail anvil 342 and cutter anvil 344 can be arranged on nail anvil seat 30 ordinatedly.
Supporting construction 20 comprises left side and the right side support 22,24 of pair of opposing, left side and the far-end of right side support 22,24 are respectively arranged with the installing hole 222,242 that can coordinate with the pin-and-hole on nail anvil seat 30 and upper default projection 302 thereof, to realize being fixed to one another of nail anvil seat 30 and supporting construction 20.
The near-end of supporting construction 20 is connected to housing 10, and correspondingly, this housing 10 comprises left half housing 12 and right half housing 14, to be connected respectively left side and right side support 22,24.
Anastomat 100 also comprises percussion assembly 50, the driving member that percussion assembly 50 comprises the percussion handle 52 being located at anastomat 100 near-end, the nail bin push rod 54 driven by percussion handle 52 and connects percussion handle 52 and nail bin push rod 54.Nail bin push rod 54 can, under the effect of percussion handle 52, drive nail bin groupware 32 distally to move from the near-end of anastomat 100, with near nail-anvil assembly 34, finally makes anastomat 100 close.Now, if be placed with physiological tissue between nail bin groupware 32 and nail-anvil assembly 34, then this nail bin push rod 54 can drive nail bin groupware 32 to close this physiological tissue near nail-anvil assembly 34 with folder.
In this utility model one embodiment, driving member comprises front rod 562 and back link 564.The far-end of front rod 562 and nail bin push rod 54 pivotally connected by front rod pin (not shown), the near-end of front rod 562 is connected by back link pin (not shown) pivot with the far-end of back link 564, and the near-end of back link 564 is connected in supporting construction 20.
Continue to coordinate with reference to Fig. 3, anastomat 100 also comprises an anti-overflow needle assembly, this anti-overflow needle assembly comprises an anti-overflow pin push rod 62, connects the actuator push rod 64 of anti-overflow pin push rod 62, and the anti-overflow pin 61(be arranged in nail bin groupware 32 joins shown in Fig. 2), anti-overflow pin 61 is connected with actuator push rod 64 linkage ground.
In this utility model one embodiment, this anti-overflow pin push rod 62 is set to saddle type, and it is provided with symmetrical operating portion at near-end, and operating portion is given prominence to housing 10 and arranged.
Anti-overflow needle assembly also comprises the rotating crank 66 be connected with anti-overflow pin push rod 62.Rotating crank 66 is pivotally connected to support 20, is movably connected on nail bin push rod 54 simultaneously.By the operating portion of anti-overflow pin push rod 62, anti-overflow pin push rod 62 distally can be advanced from the near-end of anastomat 100, meanwhile, when advancing anti-overflow pin push rod 62, also the actuator push rod 64 that can link distally moves, thus associatedly promotes anti-overflow pin 61 to anastomat distal movement.
The operating process of anastomat 100 in this utility model one embodiment when Jia Bi physiological tissue is as follows:
Under the original state of anastomat 100, front rod 562 and back link 564 are arranged in an angle being less than 180 degree each other, and front rod 562 and back link 564 connecting portion are held in the support portion 522 in percussion handle 52.
When needs Jia Bi physiological tissue, can first physiological tissue be positioned between the nail anvil face of nail-anvil assembly 34 and the nail bin face of nail bin groupware 32, then, promote anti-overflow pin push rod 62 to move to anastomat far-end, thus interlock push rod 64 and anti-overflow pin 61 move to the far-end of anastomat, stretch out from nail bin groupware 32 to make anti-overflow pin 61, and finally coordinate with the receptacle (sign) that nail-anvil assembly 34 is provided with, close the opening between nail-anvil assembly 34 and nail bin groupware 32, also namely close the opening of nail anvil seat 30.
Then, percussion handle 52 is driven pivotally to rotate towards gripping handle 40, now, support portion 522 can support the connecting portion of front rod 562 and back link 564, front rod 562 and back link 564 is pivoted relative to each other with being forced to and towards the state motion tending to increase angle between the two.
In this utility model one embodiment, front rod 562 supported portion 522 can be urged to the relatively stable mated condition of pressing from both sides in slightly larger than 180 degree of angles with back link 564, and the support division 224 be finally held in supporting construction 20, now front rod 562 and back link 564 move to interference state.
In the process, slightly reduce again after the distance limited between the far-end of front rod 562 and the near-end of back link 564 is increased to ultimate range gradually, near-end due to back link 564 is fixed in supporting construction 20, the far-end of front rod 562 realizes the distal movement driving nail bin push rod 54 towards anastomat, nail bin push rod 54 driving force acted on nail bin groupware 32 nail bin groupware 32 is forced to close to nail-anvil assembly 34, thus Jia Bi physiological tissue.
In this utility model one embodiment, percussion assembly 50 also comprises an ejector pin bar 58, it is engaged in nail bin push rod 54 slidably, and knife rest 326 is removably connected to the far-end of ejector pin bar 58, and the surface that ejector pin bar 58 and knife rest 326 act on is made as the shape fitted each other.
In present embodiment, the surface that ejector pin bar 58 and knife rest 326 act on is set to the arc shape fitted each other.
Ginseng Fig. 4 to Fig. 7, the near-end of knife rest 326 is provided with the first grab 3262 and the second grab 3264 extended roughly toward each other, and ejector pin bar 58 is provided with first junction surface 582 and second junction surface 584 corresponding with the first grab 3262 and the second grab 3264.Wherein, the distance D2 between two tangent lines that the distance D1 on knife rest 326 bearing of trend L1 respectively and between tangent two tangent lines in the inner edge of the inner edge of the first grab 3262 and the second grab 3264 to be less than on ejector pin bar 58 remote extension direction L2 respectively and the outer rim at the first junction surface 582 and the second junction surface 584 is tangent.So, at ejector pin bar 58 by dynamic ground indentation process, the first junction surface 582 on it and the second junction surface 584 can ensure the fixing effect with the first grab 3262 and the second grab 3264, avoid departing from knife rest 326; Further, because the first grab 3262 and the second grab 3264 are set to extend toward each other, can prevent ejector pin bar 58 in motor process, due on left and right directions rock or displacement and cause with the disengaging of knife rest 326.
First grab 3262 and the second grab 3264 are divided into two opposite ends of the proximal end face 3266 of knife rest 326.
First junction surface 582 and the second junction surface 584 protrude from two apparent surfaces of ejector pin bar 58 far-end respectively, and as preferred embodiment, in the present embodiment, the first junction surface 582 and the second junction surface 584 are cylinder projection.Preferably guiding function can be played when being engaged to the first grab 3262 and the second grab 3264 in the first junction surface 582 that cylinder projection shape is arranged and the second junction surface 584.
Ginseng Fig. 8, in the substitute mode of a demonstration, the first junction surface 582a and the second junction surface 584a can also be the far-end directly limiting ejector pin bar 58, and also, the far-end of ejector pin bar 58 can be have larger thickness relative to the effect end 581a of ejector pin bar 58.
Ginseng Fig. 9, in the replacement embodiment of another demonstration, the first joint portion 582b and the second junction surface 584b is arranged on the bumping square on two apparent surfaces of ejector pin bar 58 far-end.
The embodiment of above-mentioned replacement all should be considered as within protection domain of the present utility model.
In the present embodiment, the first junction surface 582 and the second junction surface 584 one-body molded with ejector pin bar 58, and, preferably, the first junction surface 582 and the second junction surface 584 punch forming.
As preferred embodiment, the distance D2 on knife rest 326 bearing of trend L1 respectively and between tangent two tangent lines in the inner edge of the inner edge of the first grab 3262 and the second grab 3264 equals the thickness of ejector pin bar 58 distal portions 581.Also, namely, after knife rest 326 with ejector pin bar 58 assembly connection, ejector pin bar 58 distal portions 581 surface fits in the interior intermarginal of the first grab 3262 and the second grab 3264, ensures the mating reaction that ejector pin bar 58 and knife rest 326 are more stable.
Coordinate with reference to Figure 10, for the second grab 3264 illustrated, first grab 3262 and the second grab 3264 comprise base portion 32642 respectively and bend the holding section 32644 extended from base portion 32642, base portion 32642 is provided with the guiding face 32641 in a certain angle with knife rest 326 assembly direction, on the first junction surface 582 being assembled to ejector pin bar 58 far-end preferably to guide knife rest 326 and the second junction surface 584.Preferably, the inner surface 32643 of holding section 32644 is parallel with the proximal end face 3266 of knife rest 326, to ensure the reliability that the first junction surface 582 on ejector pin bar 58 and the second junction surface 584 coordinate with the first corresponding grab 3262 and the second grab 3264.。
Percussion handle 52 is connected with a wedged plate 524, this wedged plate 524 can be assemblied in nail bin push rod 54 at least in part to realize the interaction with ejector pin bar 58.
The operating process of anastomat 100 in this utility model one embodiment when cutting and sew up physiological tissue is as follows:
After completing the operation of above-mentioned Jia Bi physiological tissue, percussion handle 52 rotates towards the direction away from gripping handle 40 and realizes automatically reseting of percussion handle 52 under the drive of handle return spring (not shown).
In the process, wedged plate 524 in percussion handle 52 is triggered and is held on ejector pin bar 58, now, again by the direction pivot of percussion handle 52 towards gripping handle 40 is rotated, wedged plate 524 is made to promote the distal movement of ejector pin bar 58 to anastomat, to realize pulling the trigger while cutting knife 328 and pushing slice of nail 324, pushing slice of nail 324 suturing nail promoted in staple containing groove clenches on physiological tissue, and cutting knife 328 cuts corresponding physiological tissue simultaneously.
The near-end of ejector pin bar 58 has the holding part 585 extending nail bin push rod 54 outside, percussion assembly also comprises one and is connected to reseting elastic element 59 between this holding part 585 and supporting construction 20, in this utility model one embodiment, reseting elastic element 59 is an extension spring.
At ejector pin bar 58 by the process pulled the trigger, this reseting elastic element 59 is in extended state, and anastomat is under cock, namely be carried out cutting to physiological tissue and after sewing up, ejector pin bar 58 retracts by reseting elastic element 59 under the effect of self pulling force, simultaneously, the knife rest 326 being provided with cutting knife 328 can be retracted, so, anastomat completes whole percussion process, reaches percussion completion status.
After anastomat reaches percussion completion status, by pressing button release 70, with the nail bin groupware 32 of open closed and nail-anvil assembly 34.
In this utility model one embodiment, button release 70 is movably connected in supporting construction 20 by a button release pin 702, and, the near-end of back link 564 also can by with the connection realization of this button release pin 702 and the relative fixing of supporting construction 20.
The far-end of button release 70 have can act on back link 564 support end 704, during pressing button release 70, this supports end 704 and front rod 562 and back link 564 can be driven towards forming the state motion being less than 180 degree of angles, namely be the moved beneath of connecting portion to anastomat of this front rod 562 and this back link 564, to destroy metastable mated condition between front rod 562 and back link 564, and then nail bin push rod 54 and nail bin groupware 32 are returned to opposite proximal end, thus apparatus is taken out from operative site.
Certainly, if desired reuse this anastomat 100, new nail bin groupware 32 and/or nail-anvil assembly 34 can be replaced, thus carry out the cutting and stitching of next time.
The Medical stapler 100 that this utility model provides is by being set to be less than on ejector pin bar 581 remote extension direction L2 respectively the distance D2 between two tangent lines that the outer rim at the first junction surface 582 and the second junction surface 584 is tangent by the distance D1 on knife rest 326 bearing of trend L1 respectively and between tangent two tangent lines in the inner edge of the inner edge of the first grab 3262 and the second grab 3264, the first junction surface 582 and the second joint 584 is made correspondence to be held in the first grab 3262 and the second grab 3264, ensure when anastomat 100 uses, ejector pin bar 58 can keep the traction of cutter setting frame 326 in indentation process, make knife rest 326 can return to initial position after anastomat 100 completes percussion, structure is simple, the safety and the use sense that improve anastomat are subject to.
Be to be understood that, although this description is described according to embodiment, but not each embodiment only comprises an independently technical scheme, this narrating mode of description is only for clarity sake, those skilled in the art should by description integrally, technical scheme in each embodiment also through appropriately combined, can form other embodiments that it will be appreciated by those skilled in the art that.
A series of detailed description listed is above only illustrating for feasibility embodiment of the present utility model; they are also not used to limit protection domain of the present utility model, all do not depart from this utility model skill equivalent implementations of doing of spirit or change all should be included within protection domain of the present utility model.

Claims (10)

1. a Medical stapler, comprise ejector pin bar and be removably connected to the knife rest of ejector pin bar far-end, it is characterized in that, the near-end of described knife rest is provided with the first grab and the second grab that extend roughly toward each other, described ejector pin bar is provided with first junction surface corresponding with described first grab and the second grab and the second junction surface; Wherein, the distance between two tangent lines that the distance on described knife rest bearing of trend respectively and between tangent two tangent lines in the inner edge of described first grab and the inner edge of the second grab to be less than on described ejector pin bar remote extension direction respectively and the outer rim at described first junction surface and the second junction surface is tangent.
2. Medical stapler according to claim 1, is characterized in that, described first junction surface and the second junction surface protrude from two apparent surfaces of described ejector pin bar far-end respectively.
3. Medical stapler according to claim 2, is characterized in that, described first junction surface and the second junction surface are cylinder projection.
4. Medical stapler according to claim 2, is characterized in that, described first junction surface and the second junction surface and described ejector pin bar one-body molded.
5. Medical stapler according to claim 2, is characterized in that, described first junction surface and the second junction surface punch forming.
6. according to the Medical stapler that claim 2 is stated, it is characterized in that, the distance on described knife rest bearing of trend respectively and between tangent two tangent lines in the inner edge of described first grab and the inner edge of the second grab equals the thickness of described ejector pin bar distal portions.
7. Medical stapler according to claim 1, is characterized in that, the surface of described ejector pin bar and described knife rest effect is set to the arc shape fitted each other.
8. Medical stapler according to claim 1, it is characterized in that, the holding section that described first grab and the second grab comprise base portion respectively and extend from described base portion bending, described base portion is provided with the guiding face in a certain angle with described knife rest assembly direction.
9. Medical stapler according to claim 8, is characterized in that, the inner surface of described holding section is parallel with the proximal end face of described knife rest.
10. Medical stapler according to claim 1, is characterized in that, described first grab and the second grab are divided into two opposite ends of the proximal end face of described knife rest.
CN201520146353.2U 2015-03-13 2015-03-13 Medical stapler Active CN204562262U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2016107447A1 (en) * 2014-12-30 2016-07-07 苏州天臣国际医疗科技有限公司 Medical anastomat
CN112617933A (en) * 2020-12-14 2021-04-09 蚌埠冠鑫达医疗科技有限公司 Stitching assembly of anastomat and anastomat

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2016107447A1 (en) * 2014-12-30 2016-07-07 苏州天臣国际医疗科技有限公司 Medical anastomat
CN112617933A (en) * 2020-12-14 2021-04-09 蚌埠冠鑫达医疗科技有限公司 Stitching assembly of anastomat and anastomat

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Address after: 215021 No. 278 Dongping Street, Suzhou Industrial Park, Jiangsu Province

Patentee after: Tianchen International Medical Technology Co., Ltd

Address before: 215021 science and Technology Plaza, Jinji Lake Road International Science and Technology Park, Suzhou Industrial Park, Jiangsu, 21A

Patentee before: TOUCHSTONE INTERNATIONAL MEDICAL SCIENCE Co.,Ltd.

CP03 Change of name, title or address