CN205181431U - Hemostatic forceps for foundation medicine - Google Patents

Hemostatic forceps for foundation medicine Download PDF

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CN205181431U
CN205181431U CN201521012165.7U CN201521012165U CN205181431U CN 205181431 U CN205181431 U CN 205181431U CN 201521012165 U CN201521012165 U CN 201521012165U CN 205181431 U CN205181431 U CN 205181431U
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arm
clamping
head
forceps
clamp
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张庆远
韩洁
郭艳丽
张驰
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Nanyang Medical College
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Nanyang Medical College
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Abstract

本实用新型涉及一种基础医学用止血钳,属于基础医学医疗器械技术领域;所述的基础医学用止血钳包括握手圈、上钳臂、下钳臂、连接轴、第二钳头、夹持凸块、第一钳头、夹持凹槽、支杆、扩撑臂、聚光灯、蓄电池、第一开关、第二开关、曲柄、插孔、插齿;所述下钳臂底端设有握手圈,顶端设有第一钳头,第一钳头的夹持面上设有2个及2个以上的夹持凹槽;所述上钳臂底端设有握手圈,顶端设有第二钳头,第二钳头的夹持面上设有与夹持凹槽相匹配的夹持凸块;所述上钳臂上设有弧形的曲柄,下钳臂上设有与下钳臂铰接的插齿;解决基础医学用止血钳夹持组织时容易发生打滑、很难对松紧度进行更细微的调节、暴露手术视野困难等问题。

The utility model relates to a basic medical hemostat, which belongs to the technical field of basic medical medical devices; Protrusion, first pliers head, clamping groove, pole, expansion arm, spotlight, battery, first switch, second switch, crank, jack, pinion; the bottom end of the lower pliers arm is provided with a handshake Ring, the top is provided with the first clamp head, and the clamping surface of the first clamp head is provided with 2 or more clamping grooves; the bottom of the upper clamp arm is provided with a handshake ring, and the top is provided with a second The clamping head, the clamping surface of the second clamping head is provided with the clamping protrusion matching the clamping groove; the upper clamp arm is provided with an arc-shaped crank, and the lower clamp arm is provided with the lower clamp arm. Hinged splines; it solves problems such as slipping easily when clamping tissue with hemostats used in basic medicine, it is difficult to adjust the tightness more finely, and it is difficult to expose the surgical field of view.

Description

一种基础医学用止血钳A hemostatic forceps for basic medicine

技术领域technical field

本实用新型涉及一种基础医学用止血钳,属于基础医学医疗器械技术领域。The utility model relates to a basic medical hemostat, which belongs to the technical field of basic medical medical equipment.

背景技术Background technique

止血钳是基础医学中临床上使用的一种医疗器械,常用于手术或抢救中的止血,现有的止血钳钳脚部位在夹持组织时容易发生打滑,不仅增加病人的痛苦,而且影响手术的质量。此外,现有止血钳的操作时需要医生手部保持一直夹持,这样操作不便。The hemostat is a medical device clinically used in basic medicine. It is often used for hemostasis in surgery or rescue. The existing hemostat feet tend to slip when clamping tissue, which not only increases the pain of the patient, but also affects the operation. the quality of. In addition, the operation of the existing hemostat requires the doctor's hand to keep clamping it all the time, which is inconvenient to operate.

现有的止血钳,夹紧位置采用棘齿结构进行对接,其连接的紧密性受锯齿结构限制,一般只有3个棘齿,很难对棘齿的松紧度进行更细微的调节;手术时,上面虽有无影灯的照射,下面的手术部位也难免会出现阴影,影响手术效果。In the existing hemostatic forceps, the clamping position is docked with a ratchet structure, and the tightness of the connection is limited by the sawtooth structure. Generally, there are only 3 ratchets, and it is difficult to finely adjust the tightness of the ratchets; during surgery, Although there is a shadowless lamp on the top, shadows will inevitably appear on the surgical site below, which will affect the surgical effect.

现有的止血钳,在给病人进行手术时,在剖开手术创面后,通常用手术拉钩牵开手术创口,以充分暴露手术视野,再用止血钳将血管进行止血后进行手术操作,这种方法所用手术器械繁多,可利用手术操作空间小。Existing hemostatic forceps, when performing an operation on a patient, usually use a surgical retractor to retract the surgical wound to fully expose the surgical field of view, and then use the hemostatic forceps to hemostasis the blood vessels before performing the operation. Methods There are many surgical instruments used, and the space available for surgical operation is small.

因此,有必要对现有的基础医学用止血钳进行改进,解决基础医学用止血钳夹持组织时容易发生打滑、很难对棘齿的松紧度进行更细微的调节、手术部位有阴影不利于手术、暴露手术视野需借助其他手术器械等问题。Therefore, it is necessary to improve the existing basic medical hemostats to solve the problem that basic medical hemostatic forceps tend to slip when clamping tissues, it is difficult to finely adjust the tightness of the ratchet teeth, and shadows at the surgical site are not conducive Surgery and exposure of the surgical field require the use of other surgical instruments.

发明内容Contents of the invention

为了克服背景技术中存在的问题,本实用新型提供了一种基础医学用止血钳,夹持组织时不易打滑,确保手术质量;夹紧位置不受锯齿结构的限制,容易对棘齿的松紧度进行更细微的调节;手术部位阴影面积减小,利于手术顺利进行;无需借助其他手术器械便可暴露手术视野。In order to overcome the problems existing in the background technology, the utility model provides a basic medical hemostat, which is not easy to slip when clamping the tissue and ensures the quality of the operation; the clamping position is not limited by the sawtooth structure, and it is easy to adjust the tightness of the ratchet Make more subtle adjustments; the shadow area of the surgical site is reduced, which is conducive to the smooth operation; the surgical field of view can be exposed without the use of other surgical instruments.

为达到上述目的,本实用新型是按如下技术方案实施的:In order to achieve the above object, the utility model is implemented according to the following technical solutions:

所述的基础医学用止血钳包括握手圈、上钳臂、下钳臂、连接轴、第二钳头、夹持凸块、第一钳头、夹持凹槽、支杆、扩撑臂、聚光灯、蓄电池、第一开关、第二开关、曲柄、插孔、插齿;所述下钳臂底端设有握手圈,顶端设有第一钳头,第一钳头的夹持面上设有2个及2个以上的夹持凹槽;所述上钳臂底端设有握手圈,顶端设有第二钳头,第二钳头的夹持面上设有2个及2个以上的与夹持凹槽相匹配的夹持凸块;上钳臂和下钳臂通过连接轴固定连接;所述上钳臂靠近握手圈位置的内侧设有弧形的曲柄,曲柄穿过下钳臂,下钳臂上靠近手持位置的内侧设有与下钳臂铰接的插齿,插齿与设在所述曲柄上的插孔连接,所述插孔设有2个及2个以上,均匀分布在曲柄上;所述第一钳头和第二钳头上对称设有聚光灯,上钳臂上设有蓄电池,两个握手圈内分别设有第一开关和第二开关,聚光灯、蓄电池、第一开关和第二开关由导线串联连接;所述第一钳头和第二钳头外侧对称设有支杆,支杆上设有扩撑臂。The hemostat for basic medicine includes a handshake ring, an upper clamp arm, a lower clamp arm, a connecting shaft, a second clamp head, a clamping projection, a first clamp head, a clamping groove, a support rod, an expansion support arm, spotlight, battery, first switch, second switch, crank, jack, and gear; the bottom of the lower clamp arm is provided with a handshake ring, the top is provided with a first clamp head, and the clamping surface of the first clamp head is provided with a There are 2 or more clamping grooves; the bottom of the upper clamp arm is provided with a handshake ring, the top is provided with a second clamp head, and the clamping surface of the second clamp head is provided with 2 or more The clamping lug that matches the clamping groove; the upper clamp arm and the lower clamp arm are fixedly connected through the connecting shaft; the inner side of the upper clamp arm near the handshake ring is provided with an arc-shaped crank, and the crank passes through the lower clamp Arm, the inner side of the lower pliers arm close to the holding position is provided with a pinch hinged with the lower pincer arm, and the pinch is connected to the socket on the crank. There are 2 or more sockets, evenly Distributed on the crank; the first clamp head and the second clamp head are symmetrically provided with spotlights, the upper clamp arm is provided with a battery, and the two handshake circles are respectively provided with a first switch and a second switch. The spotlight, battery, The first switch and the second switch are connected in series by wires; the outer sides of the first tong head and the second tong head are symmetrically provided with support rods, and the support rods are provided with expansion support arms.

进一步,所述夹持凹槽呈间隔布置,且夹持凹槽呈U型结构。Further, the clamping grooves are arranged at intervals, and the clamping grooves are in a U-shaped structure.

进一步,所述夹持凸块与第二钳头之间一体成型。Further, the clamping protrusion is integrally formed with the second pliers head.

进一步,所述曲柄的圆心是上钳臂和下钳臂的铰接轴心。Further, the center of the crank is the hinge axis of the upper tong arm and the lower tong arm.

进一步,所述曲柄的弧度为30度。Further, the arc of the crank is 30 degrees.

进一步,所述插孔为不穿透孔。Further, the jack is an impenetrable hole.

本实用新型的有益效果:The beneficial effects of the utility model:

1、本实用新型通过设置2个及2个以上的夹持凹槽、夹持凸块,在夹持凹槽、夹持凸块的作用下可以有效的提高对组织肌肉的夹持力,避免打滑现象,确保止血效果,有效的提高了操作效率与手术质量。1. The utility model can effectively improve the clamping force on the tissues and muscles by setting 2 or more clamping grooves and clamping protrusions under the action of the clamping grooves and clamping protrusions, so as to avoid The slipping phenomenon ensures the hemostatic effect and effectively improves the operation efficiency and operation quality.

2、本实用新型通过曲柄起到导向的作用,并且通过插齿与曲柄上的插孔连接,实现了上钳臂和下钳臂之间的多个位置固定锁紧,实现了松紧度可调的功能,调节的精确度更高。2. The utility model plays a guiding role through the crank, and connects with the jack on the crank through the inserting teeth, so as to realize the fixed locking of multiple positions between the upper tong arm and the lower tong arm, and realize the adjustable degree of tightness function, the adjustment accuracy is higher.

3、本实用新型在手术过程中,两个钳头均会发光,能够准确的对手术部位器官进行止血。3. In the operation process of the utility model, both forceps heads will emit light, which can accurately stop bleeding on the organs at the operation site.

4、本实用新型钳头外侧固定设有支杆,支杆上设有扩撑壁,在给病人进行手术时,既能够止血又能充分暴露手术视野,无需借助其他手术器械便能暴露手术视野,有利于进行手术。4. The outer side of the clamp head of the utility model is fixed with a support rod, and the support rod is provided with an expansion support wall. When performing surgery on a patient, it can not only stop bleeding but also fully expose the surgical field of view without resorting to other surgical instruments. , which facilitates surgery.

附图说明Description of drawings

图1为本实用新型结构示意图。Fig. 1 is the structural representation of the utility model.

图中,1-握手圈、2-上钳臂、3-下钳臂、4-连接轴、5-第二钳头、6-夹持凸块、7-第一钳头、8-夹持凹槽、9-支杆、10-扩撑臂、11-聚光灯、12-蓄电池、13-第一开关、14-第二开关、15-曲柄、16-插孔、17-插齿。In the figure, 1-handshake circle, 2-upper clamp arm, 3-lower clamp arm, 4-connecting shaft, 5-second clamp head, 6-clamping bump, 7-first clamp head, 8-clamping Groove, 9-strut, 10-expanding arm, 11-spotlight, 12-battery, 13-first switch, 14-second switch, 15-crank, 16-jack, 17-spigot.

具体实施方式detailed description

为了使本实用新型的目的、技术方案和有益效果更加清楚,下面将结合附图,对本实用新型的优选实施例进行详细的说明,以方便技术人员理解。In order to make the purpose, technical solutions and beneficial effects of the present utility model clearer, the preferred embodiments of the present utility model will be described in detail below in conjunction with the accompanying drawings, so as to facilitate the understanding of technical personnel.

如图1所示,所述的基础医学用止血钳包括握手圈1、上钳臂2、下钳臂3、连接轴4、第二钳头5、夹持凸块6、第一钳头7、夹持凹槽8、支杆9、扩撑臂10、聚光灯11、蓄电池12、第一开关13、第二开关14、曲柄15、插孔16、插齿17;所述下钳臂3底端设有握手圈1,顶端设有第一钳头7,第一钳头7的夹持面上设有2个及2个以上的夹持凹槽8,较好的,所述夹持凹槽8呈间隔布置,且夹持凹槽8呈U型结构;所述上钳臂2底端设有握手圈1,顶端设有第二钳头5,第二钳头5的夹持面上设有2个及2个以上的与夹持凹槽8相匹配的夹持凸块6,其中所述夹持凸块6与第二钳头5之间一体成型,这样在夹持凹槽8、夹持凸块6的作用下可以有效的提高对组织肌肉的夹持力,避免打滑现象,有效的提高了操作效率与手术质量;上钳臂2和下钳臂3通过连接轴4固定连接,使得整个止血钳为一个整体结构。As shown in Figure 1, the described hemostatic forceps for basic medicine includes a handshake ring 1, an upper forceps arm 2, a lower forceps arm 3, a connecting shaft 4, a second forceps head 5, a clamping projection 6, and a first forceps head 7 , clamping groove 8, pole 9, expansion arm 10, spotlight 11, battery 12, first switch 13, second switch 14, crank 15, jack 16, pinch 17; The bottom of the lower clamp arm 3 The end is provided with a handshake ring 1, the top is provided with a first clamp head 7, and the clamping surface of the first clamp head 7 is provided with two or more clamping grooves 8. Preferably, the clamping grooves The grooves 8 are arranged at intervals, and the clamping grooves 8 are in a U-shaped structure; the bottom end of the upper clamp arm 2 is provided with a handshake ring 1, and the top is provided with a second clamp head 5, and the clamping surface of the second clamp head 5 is There are two or more clamping projections 6 that match the clamping groove 8, wherein the clamping projection 6 is integrally formed with the second pincer head 5, so that the clamping groove 8 , Under the action of the clamping protrusion 6, the clamping force on the tissue and muscle can be effectively improved, the slipping phenomenon can be avoided, and the operation efficiency and operation quality can be effectively improved; the upper forceps arm 2 and the lower forceps arm 3 are fixedly connected by the connecting shaft 4 , so that the whole hemostatic forceps is an integral structure.

所述上钳臂2靠近握手圈1位置的内侧设有弧形的曲柄15,曲柄15穿过下钳臂3,较好的,所述曲柄15的圆心是上钳臂2和下钳臂3的铰接轴心,曲柄的弧度为30度;下钳臂3上靠近手持位置的内侧设有与下钳臂3铰接的插齿17,插齿17与设在所述曲柄15上的插孔16连接,所述插孔16设有2个及2个以上,较好的,所述插孔16为不穿透孔,均匀分布在曲柄15上;通过曲柄15起到导向的作用,并且通过插齿17与曲柄15上的插孔16连接,实现了上钳臂2和下钳臂3之间的多个位置固定锁紧,实现了松紧度可调的功能,调节的精确度更高。The inner side of the upper pincer arm 2 near the handshake ring 1 is provided with an arc-shaped crank 15, and the crank 15 passes through the lower pincer arm 3. Preferably, the center of circle of the crank 15 is the upper pincer arm 2 and the lower pincer arm 3. The center of the hinge axis, the arc of the crank is 30 degrees; the inner side of the lower pliers arm 3 close to the holding position is provided with a pinion 17 hinged with the lower pincer arm 3, and the pinion 17 is connected with the jack 16 on the crank 15 connection, the jack 16 is provided with 2 or more than 2, preferably, the jack 16 is a non-penetrating hole, evenly distributed on the crank 15; the crank 15 plays a guiding role, and through the plug The teeth 17 are connected with the socket 16 on the crank 15, realizing the fixed locking of multiple positions between the upper tong arm 2 and the lower tong arm 3, realizing the function of adjustable tightness, and the adjustment accuracy is higher.

所述第一钳头7和第二钳头5上对称设有聚光灯11,上钳臂2上设有蓄电池12,两个握手圈1内分别设有第一开关13和第二开关14,聚光灯11、蓄电池12、第一开关13和第二开关14由导线串联连接;使用时,只有大拇指和食指同时伸进握手圈1内,聚光灯11才会发光,两个钳头发光,能够准确的对手术部位器官进行止血。The first clamp head 7 and the second clamp head 5 are symmetrically provided with a spotlight 11, the upper clamp arm 2 is provided with a battery 12, and the two handshake rings 1 are respectively provided with a first switch 13 and a second switch 14, and the spotlight 11. The storage battery 12, the first switch 13 and the second switch 14 are connected in series by wires; when in use, only the thumb and forefinger are inserted into the handshake circle 1 at the same time, the spotlight 11 will light up, and the two pincers will light up, which can accurately Hemostasis of surgical site organs.

所述第一钳头7和第二钳头5外侧对称设有支杆9,支杆9上设有扩撑臂10;在给病人进行手术时,用第一钳头7和第二钳头5止血,支杆9支撑扩撑壁10推开手术窗口,这样既能够止血又能充分暴露手术视野,无需借助其他手术器械便能暴露手术视野,有利于进行手术。The outside of the first pincer 7 and the second pincer 5 are symmetrically provided with a strut 9, and the strut 9 is provided with an expansion arm 10; when performing an operation on a patient, use the first pincer 7 and the second pincer 5. For hemostasis, the strut 9 supports the expansion wall 10 to push open the operation window, which can stop the bleeding and fully expose the operation field of view without resorting to other surgical instruments, which is beneficial to the operation.

本实用新型通过设置2个及2个以上的夹持凹槽、夹持凸块,在夹持凹槽、夹持凸块的作用下可以有效的提高对组织肌肉的夹持力,避免打滑现象,确保止血效果,有效的提高了操作效率与手术质量;通过曲柄起到导向的作用,并且通过插齿与曲柄上的插孔连接,实现了上钳臂和下钳臂之间的多个位置固定锁紧,实现了松紧度可调的功能,调节的精确度更高;在手术过程中,两个钳头均会发光,能够准确的对手术部位器官进行止血;钳头外侧固定设有支杆,支杆上设有扩撑壁,在给病人进行手术时,既能够止血又能充分暴露手术视野,无需借助其他手术器械便能暴露手术视野,有利于进行手术。The utility model sets two or more clamping grooves and clamping bumps, and under the action of the clamping grooves and clamping bumps, it can effectively improve the clamping force on tissue muscles and avoid slippage , to ensure the hemostasis effect, effectively improving the operation efficiency and surgical quality; the crank acts as a guide, and is connected with the jack on the crank through the pinion, realizing multiple positions between the upper forceps arm and the lower forceps arm Fixed and locked, the function of adjustable tightness is realized, and the adjustment accuracy is higher; during the operation, the two forceps heads will emit light, which can accurately stop bleeding on the organs at the surgical site; the outside of the forceps head is fixed with a support The support rod is provided with an expansion support wall, which can not only stop bleeding but also fully expose the surgical field of view when operating on the patient, and can expose the surgical field of view without resorting to other surgical instruments, which is beneficial to the operation.

最后说明的是,以上优选实施例仅用以说明本实用新型的技术方案而非限制,尽管通过上述优选实施例已经对本实用新型进行了详细的描述,但本领域技术人员应当理解,可以在形式上和细节上对其作出各种各样的改变,而不偏离本实用新型权利要求书所限定的范围。Finally, it is noted that the above preferred embodiments are only used to illustrate the technical solutions of the present utility model without limitation. Although the utility model has been described in detail through the above preferred embodiments, those skilled in the art should understand that it can be described in the form Various changes can be made in the above and in the details without departing from the scope defined by the claims of the present invention.

Claims (6)

1.一种基础医学用止血钳,其特征在于:所述的基础医学用止血钳包括握手圈、上钳臂、下钳臂、连接轴、第二钳头、夹持凸块、第一钳头、夹持凹槽、支杆、扩撑臂、聚光灯、蓄电池、第一开关、第二开关、曲柄、插孔、插齿;所述下钳臂底端设有握手圈,顶端设有第一钳头,第一钳头的夹持面上设有2个及2个以上的夹持凹槽;所述上钳臂底端设有握手圈,顶端设有第二钳头,第二钳头的夹持面上设有2个及2个以上的与夹持凹槽相匹配的夹持凸块;上钳臂和下钳臂通过连接轴固定连接;所述上钳臂靠近握手圈位置的内侧设有弧形的曲柄,曲柄穿过下钳臂,下钳臂上靠近手持位置的内侧设有与下钳臂铰接的插齿,插齿与设在所述曲柄上的插孔连接,所述插孔设有2个及2个以上,均匀分布在曲柄上;所述第一钳头和第二钳头上对称设有聚光灯,上钳臂上设有蓄电池,两个握手圈内分别设有第一开关和第二开关,聚光灯、蓄电池、第一开关和第二开关由导线串联连接;所述第一钳头和第二钳头外侧对称设有支杆,支杆上设有扩撑臂。1. A hemostatic forceps for basic medicine, characterized in that: the hemostatic forceps for basic medicine comprises a handshake ring, an upper forceps arm, a lower forceps arm, a connecting shaft, a second forceps head, a clamping projection, a first forceps head, clamping groove, support rod, expansion arm, spotlight, battery, first switch, second switch, crank, jack, slotting teeth; the bottom of the lower clamp arm is provided with a handshake ring, and the top is provided with a second One clamp head, two or more clamping grooves are provided on the clamping surface of the first clamp head; the bottom end of the upper clamp arm is provided with a handshake ring, the top is provided with a second clamp head, and the second clamp The clamping surface of the head is provided with 2 or more clamping protrusions that match the clamping groove; the upper clamp arm and the lower clamp arm are fixedly connected by a connecting shaft; the upper clamp arm is close to the position of the handshake circle An arc-shaped crank is arranged on the inner side of the lower pliers arm, and the inner side of the lower pliers arm close to the holding position is provided with a pinion hinged with the lower pincer arm, and the pinion is connected to the jack on the crank. There are 2 or more jacks, which are evenly distributed on the crank; spotlights are symmetrically arranged on the first tong head and the second tong head, and batteries are arranged on the upper tong arm, and the two handshake circles are respectively A first switch and a second switch are provided, and the spotlight, the storage battery, the first switch and the second switch are connected in series by wires; the outer sides of the first clamp head and the second clamp head are symmetrically provided with poles, and the poles are provided with expansion poles. brace. 2.根据权利要求1所述的一种基础医学用止血钳,其特征在于:所述夹持凹槽呈间隔布置,且夹持凹槽呈U型结构。2 . The basic medical hemostat according to claim 1 , wherein the clamping grooves are arranged at intervals, and the clamping grooves are in a U-shaped structure. 3 . 3.根据权利要求1所述的一种基础医学用止血钳,其特征在于:所述夹持凸块与第二钳头之间一体成型。3 . The hemostatic forceps for basic medicine according to claim 1 , characterized in that: the clamping protrusion is integrally formed with the second forceps head. 4 . 4.根据权利要求1所述的一种基础医学用止血钳,其特征在于:所述曲柄的圆心是上钳臂和下钳臂的铰接轴心。4. A basic medical hemostat according to claim 1, characterized in that: the center of the crank is the hinge axis of the upper forceps arm and the lower forceps arm. 5.根据权利要求1所述的一种基础医学用止血钳,其特征在于:所述曲柄的弧度为30度。5 . The basic medical hemostat according to claim 1 , wherein the arc of the crank is 30 degrees. 6 . 6.根据权利要求1所述的一种基础医学用止血钳,其特征在于:所述插孔为不穿透孔。6 . The basic medical hemostat according to claim 1 , wherein the insertion hole is an impermeable hole. 7 .
CN201521012165.7U 2015-12-09 2015-12-09 Hemostatic forceps for foundation medicine Expired - Fee Related CN205181431U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108555380A (en) * 2018-04-17 2018-09-21 南京汇龙五金工具制造有限公司 A kind of power communication maintenance bolt clipper
CN110403667A (en) * 2019-07-19 2019-11-05 上海长征医院 Multifunctional vascular forceps for organ transplantation
CN117122368A (en) * 2022-05-20 2023-11-28 上海交通大学医学院附属仁济医院 Vena cava blocking forceps for laparoscopic surgery

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108555380A (en) * 2018-04-17 2018-09-21 南京汇龙五金工具制造有限公司 A kind of power communication maintenance bolt clipper
CN110403667A (en) * 2019-07-19 2019-11-05 上海长征医院 Multifunctional vascular forceps for organ transplantation
CN117122368A (en) * 2022-05-20 2023-11-28 上海交通大学医学院附属仁济医院 Vena cava blocking forceps for laparoscopic surgery

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