CN206444013U - A kind of cystic duct device for spreading - Google Patents

A kind of cystic duct device for spreading Download PDF

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Publication number
CN206444013U
CN206444013U CN201621138995.9U CN201621138995U CN206444013U CN 206444013 U CN206444013 U CN 206444013U CN 201621138995 U CN201621138995 U CN 201621138995U CN 206444013 U CN206444013 U CN 206444013U
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CN
China
Prior art keywords
pipe
cylinder
expansion
outer tube
middle pipe
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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.)
Expired - Fee Related
Application number
CN201621138995.9U
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Chinese (zh)
Inventor
元海成
刘胜林
张卫亮
王琳琳
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TIANJIN NANKAI HOSPITAL
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TIANJIN NANKAI HOSPITAL
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Priority to CN201621138995.9U priority Critical patent/CN206444013U/en
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Publication of CN206444013U publication Critical patent/CN206444013U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The utility model is related to a kind of cystic duct device for spreading, and the device includes fixing pipe, pusher pipeline and the expander being coaxially disposed, and one end of pusher pipeline is connected with fixing pipe, the other end is connected by bellows with expander;Fixing pipe is connected with pusher pipeline, fixation and supporting member as device for spreading, pusher pipeline includes outer tube, inner tube and the middle pipe being installed between outer tube and inner tube, the utility model effectively utilizes the cooperation of telescopic cylinder and dish-type cylinder, realize the elongation of pusher pipeline, the deflection and expansion of expander, and then realize strutting for cystic duct, convenient passage is provided for choledochoscope turnover bile duct, it is prevented effectively from and the injury that operation mouth is caused to patient is opened on gall-bladder, and reduces the secondary injury in surgical procedure or reduction operation risk or sequelae.

Description

A kind of cystic duct device for spreading
Technical field
The utility model belongs to medical surgical instrument field, and in particular to a kind of that cystic duct is strutted in operation on biliary tract Device.
Background technology
Cystic duct is a flesh structure, inside there is pleat, bad to pass through, and is frequently necessary to choledochoscope in operation, by courage Capsule pipe enters biliary tract stone extraction.Common bile, choledochoscope are entered by choledochus otch in current choledocholithiasis operation, art Choledochus, takes out the materials such as calculus.
But current choledocholithiasis operation method is primarily present problems with:
1) Via bile duct enters choledochoscope and takes stone:Generals culture expansion can not provide the path that choledochoscope passes through, overdistension Cystic duct reduces its surgical value, causes secondary damage, particularly when there is more calculus in patient's gall-bladder, or with gall-bladder During oedema, often due to cholelith is harder more or gallbladder wall is relatively thin and tears gall-bladder, the abdominal cavity so that bile, cholelith are scattered dissipates Fall bile, the cleaning of cholelith often seriously extends operating time, increase operation risk.Shi Bujing is taken to can also result in postoperative Infection, compressing internal organs even trigger the serious consequences such as Alimentary Tract Perforation.
2) enter choledochoscope through common bile and take stone:Common bile is postoperative to heal well, increase wound area, Extend post-operative recovery time, and postoperative easy initiation sequelae.The indication of laparoscope Minimally Invasive Surgery is reduced, causes patient Minimally-invasive treatment can not be obtained.
Therefore, a kind of convenient access bile duct, the cystic duct device for spreading that can provide passage for choledochoscope turnover bile duct can To solve the above problems well, and wound is small, easy to operate.
Utility model content
The purpose of this utility model is just to provide a kind of convenient access bile duct and provides access way and wound for choledochoscope Cystic duct device for spreading small, simple to operate.
To achieve these goals, the technical scheme that the utility model is used is:
A kind of cystic duct device for spreading, it is characterised in that including the fixing pipe being coaxially disposed, pusher pipeline and expander, One end of the pusher pipeline is connected with fixing pipe, the other end is connected by bellows with expander;
The fixing pipe is connected with pusher pipeline, fixation and supporting member as device for spreading;
The pusher pipeline includes outer tube, inner tube and the middle pipe being installed between outer tube and inner tube, one end of outer tube It is connected with fixing pipe, the other end is connected by bellows with expander, outer tube is coaxially disposed with inner tube, between inner tube and outer tube Be provided with middle pipe, pipe rotating disk type cylinder in being embedded with the side wall of middle pipe, the piston rod of middle pipe rotating disk type cylinder with it is outer Pipe is fixed, and pipe is rotated relative to outer tube in drive, and pipe is provided with can driving in the end or middle part of middle pipe in inner tube and outer tube Between cavity in reciprocating telescopic cylinder, 1 expansion deflection cylinder is provided with the other end of middle pipe, the expansion is inclined The piston rod of rotaring cylinder is connected with expander, drives expander deflection;
The expander includes cone expansion head, expansion dish-type cylinder and link, and the link is hinged simultaneously with middle pipe And be connected with the piston rod of expansion deflection cylinder, link is connected by bellows with outer tube, one end extension of cone expansion head It can slide in link and along the screw pair of link, expansion dish-type cylinder is provided with the outer wall of cone expansion head, And expansion is realized with shrinking by expanding dish-type cylinder, the outer cover on cone expansion head is equipped with protecting film and passes through protection Film is connected with outer tube;
Above-mentioned telescopic cylinder, middle pipe rotating disk type cylinder, expansion deflection cylinder, expansion dish-type cylinder are led by gas respectively Pipe is connected with air pump, and air pump is electrically connected with the controller, and controls its work by controller.
Further, above-mentioned telescopic cylinder is arranged between fixing pipe and middle pipe, one end stretching by annular spread of middle pipe Contracting cylinder is contacted with fixing pipe, the other end is connected by expanding deflection cylinder with cone expansion head, the cylinder body of the telescopic cylinder Fixed with outer tube wall, piston rod is connected with the end of middle pipe.
Further, above-mentioned middle pipe includes managing in pipe and hypomere in epimere, and one end of pipe is contacted with fixing pipe in epimere, another Pipe is connected in telescopic cylinder and hypomere that end passes through annular spread.
Further, connected in above-mentioned epimere between pipe and fixing pipe by rotation ball.
Further, above-mentioned telescopic cylinder is uniformly distributed on same circumference.
Further, bar-shaped trough is machined with the inner and outer wall of above-mentioned middle pipe, and by being inlaid in inside and outside bar-shaped trough Mobile ball be connected with inner and outer tubes.
Further, the deflection angle of above-mentioned expander is 0~45 °.
Compared with prior art, the beneficial effects of the utility model are:
1) the utility model realizes the elongation of pusher pipeline, expansion effectively using the cooperation of telescopic cylinder and dish-type cylinder The deflection and expansion of device, and then strutting for cystic duct is realized, convenient passage is provided for choledochoscope turnover bile duct, is prevented effectively from courage The injury that operation mouth is caused to patient is opened on capsule, and reduces the secondary injury in surgical procedure or reduction operation risk or rear something lost Disease.
2) consider that cystic duct is a flesh structure, inside have pleat, bad to pass through, the utility model devises three layers Pipe, inner and outer pipe is smooth design, it is to avoid prick into human body organizes, and middle pipe can extend, can also rotate, and expander head Portion's diameter is smaller, and head diameter can expand, and expander head can rotate, and expander can extend, convenient access bile duct.
3) the utility model uses Pneumatic Transmission, and control performance is good, can be supportted with overload protection according to human organ Pressure size needed for specific part designs pressure unloading in open procedure, and reduces the quality and complexity of expander, makes Expander is more flexible, and such design reduces risk to greatest extent, and surgical procedure is pollution-free, to tissue and organ It is harmless.
4) material that the utility model is used is harmless to human body and wound for medical high performance material, and material is high Environmental protection, high transparency, nontoxic, heatproof -60~200 °, acid and alkali-resistance, anticorrosive, tear resistance are good, can use ring under hot conditions Oxidative ethane is sterilized.
5) device volume of the present utility model is small, portable construction, can meet the support requirement to cystic duct in surgical procedure, Suitable for medical treatment popularization.
Brief description of the drawings
Fig. 1 is the cystic duct device for spreading structural representation of embodiment 1.
Fig. 2 is Fig. 1 top view.
Fig. 3 is Section A-A schematic diagram in Fig. 2.
Fig. 4 is B direction views in Fig. 2.
Embodiment
The technical solution of the utility model is further described in conjunction with drawings and examples, but the utility model It is not limited only to following implementation situations.
Embodiment 1
As shown in Figure 1, the cystic duct device for spreading of the present embodiment is by fixing pipe 1, pusher pipeline 2 and expander 3, ripple Line pipe 4, protecting film 5 and the combination of controller 6 are constituted.
Specifically:The main function of fixing pipe 1 of the present embodiment is to facilitate the fixation in surgical procedure to whole device, be by Conduit saddle head and connecting tube are constituted, conduit saddle head hardened structure in a ring, and the mouth of pipe of its inner circle tube wall and connecting tube links into an integrated entity structure, I.e. connection forms a circular channel, and in order to save space, the controller 6 being connected with computer is embedded with conduit saddle head.Should Fixing pipe 1 is connected with pusher pipeline 2, i.e., be machined with external screw thread on the outer wall of connecting tube, threadedly connect with pusher Connect.
Referring to Fig. 2 and 3, the pusher pipeline 2 of the present embodiment is by outer tube 2-1, inner tube 2-6, middle pipe 2-4, telescopic cylinder 2-3, expansion deflection cylinder 2-7, rotation ball 2-2, mobile ball 2-5 and middle pipe rotating disk type cylinder 2-8 assemble, its In, outer tube 2-1 and inner tube 2-6 are concentric and connecting tube of with fixing pipe 1 is threadedly connected, i.e. the connecting tube of fixing pipe 1 The annular space extended between outer tube 2-1 and inner tube 2-6.Outer tube 2-1 is made of very thin medical silica-gel material, and it is protected Effect, prevents device from increasing human body new wound, and inner tube 2-6 is also to use medical silica-gel material, and its inner surface is smooth, convenient Choledochoscope is passed in and out, pipe 2-4 in being set with the space between outer tube 2-1 and inner tube 2-6, the middle pipe 2-4 of the present embodiment be by Pipe 2-4 is constituted in pipe 2-4 and hypomere in epimere, and pipe 2-4 one end processing is fluted wherein in epimere, by setting-in in a groove Rotation ball 2-2 be connected with the connecting tube of fixing pipe 1, slip when rotating pipe 2-4 in epimere being formed between fixing pipe 1 Friction is changed into rolling friction, reduces the frictional resistance in rotation process, pipe 2-4 in epimere is rotated more flexible.In epimere Middle pipe rotating disk type cylinder 2-8 is embedded with pipe 2-4 middle part outer wall, middle pipe rotating disk type cylinder 2-8 cylinder body is fixed on On Duan Zhongguan 2-4, piston rod is fixed with outer tube 2-1, and pipe 2-4 is relative to outer in middle pipe rotating disk type cylinder 2-8 drive epimeres Pipe 2-1 and inner tube 2-6 is rotated.The pipe 2-4 other end is installed with telescopic cylinder 2-3 with fastener in epimere, by this Telescopic cylinder 2-3 is connected with pipe 2-4 in hypomere, you can is realized and is driven pipe 2-4 in hypomere to rotate when pipe 2-4 is rotated in epimere.Stretch Contracting cylinder 2-3 cylinder body threaded fastener is connected with pipe 2-4 in epimere, pipe 2-4 in telescopic cylinder 2-3 piston rod and hypomere It is connected, the telescopic cylinder 2-3 of the present embodiment is 2, is the installation substantially symmetrical about its central axis on pipe 2-4 in epimere, it is ensured that in hypomere Force balance on middle pipe 2-4, telescopic cylinder 2-3 piston rod elongation promotes pipe 2-4 in hypomere to be displaced outwardly stretching out.In order to Ensure that pipe 2-4 movements are flexible in hypomere, reduce frictional force, the present embodiment is in hypomere along tube hub on pipe 2-4 inside and outside wall Line direction is machined with bar-shaped trough, and mobile ball 2-5 is provided with bar-shaped trough, by mobile ball 2-5 and outer tube 2-1 Wall, inner tube 2-6 wall contacts.Pipe 2-4 end is provided with 1 expansion deflection cylinder 2-7, expansion deflection cylinder 2- in hypomere 7 cylinder barrel is fixed in hypomere on pipe 2-4, and piston rod is connected with expander 3, drives expander 3 to deflect.
The expander 3 of the present embodiment is connected by bellows 4 with outer tube 2-1, and one layer of doctor is enclosed with the outside of expander 3 With the spring protective film 5 of silica gel thin film material, protecting film 5 extends to outer tube 2-1 through bellows 4, connects with outer tube 2-1 ferrules Connect.The mobile decision for mainly passing through pipe 2-4 in hypomere is shunk in the elongation of the bellows 4 of the present embodiment.Referring to Fig. 4, this reality The expander 3 for applying example is made up of cone expansion head 3-2, expansion dish-type cylinder 3-3, link 3-1 and hinge 3-4, and taper is expanded Head 3-2 is connected and composed by 16 expanding blades, cone expansion head 3-2 one end by link 3-1 screw it is secondary with Pipe 2-4 connections in hypomere, and expanding blade can be made to be slided by screw pair, link 3-1 and pipe 2-4 in hypomere outside leads to Cross hinge 3-4 to be hinged, and be connected with expansion deflection cylinder 2-7 piston rod, when expansion deflection cylinder 2-7 piston rod is stretched It is long, stretch the bellows 4 of correspondence position, and opposite side bellows 4 on the other side is motionless, meanwhile, link 3-1 relative to The hypomere being hinged in pipe 2-4 deflect, rotated around pin joint, cone expansion head 3-2 central shaft and inner tube 2-6 can be made Central shaft between form 0~45 ° of angle, then adjust the deflection angle according to actual conditions.Cone expansion head 3-2's is another Flexible expansion dish-type cylinder 3-3 is installed on the outer wall of end, passes through the flexible realization expansion head of the piston rod for expanding dish-type cylinder 3-3 Expand or shrink in end.
Above-mentioned telescopic cylinder 2-3, middle pipe rotating disk type cylinder 2-8, expansion deflection cylinder 2-7, expansion dish-type cylinder 3-3 Connected respectively by gas conduit with each self-corresponding air pump, each air pump passes through electrically-controlled valve and the control being integrated on conduit saddle head Device 6 is electrically connected, and controls each air pump to work by controller 6, so as to drive each cylinder operation.
The middle pipe rotating disk type cylinder 2-8 of the present embodiment belongs to flexible cylinder with expansion dish-type cylinder 3-3, belongs to commercially available Product.
Realize that the method that cystic duct is strutted is comprised the steps of using above-mentioned cystic duct device for spreading:
(1) the cone expansion head 3-2 of expander 3 is inserted in cystic duct along cystic duct interruptive port, the conduit saddle of fixing pipe 1 Head is stuck in cystic duct broken ends of fractured bone position, the control telescopic cylinder of controller 6 2-3 piston rod elongation, by pipe 2-4 in hypomere along outer tube Cavity between 2-1 and inner tube 2-6 is displaced outwardly, and extends to cone expansion head 3-2 into cystic duct and the meet of choledochus;
(2) according to the deflection angle between cystic duct and choledochus, the control of controller 6 is arranged in epimere on pipe 2-4 Middle pipe rotating disk type cylinder 2-8 piston rod elongation, makes in epimere pipe 2-4 phases in the cavity between outer tube 2-1 and inner tube 2-6 Rotated for outer tube 2-1, pipe 2-4 synchronous axial systems in hypomere are driven by telescopic cylinder 2-3, managed so as to adjust and be connected in hypomere The expansion deflection cylinder 2-7 of 2-4 ends position, makes expansion stretch correspondence position when deflecting cylinder 2-7 piston rod elongation Bellows 4, makes the link 3-1 of expander 3 be deflected relative to the middle pipe 2-4 being hinged therewith, cone expansion head 3-2 is relative In inner tube 2-6 deflections, bending channel is formed, is adapted to choledochoscope and enters;
(3) according to the specification size of choledochoscope, expanded using the blade for expanding dish-type cylinder 3-3 control cone expansion heads 3-2 Open, cystic duct is strutted to suitable for choledochoscope and entered from cone expansion head 3-2 along inner tube 2-6, so as to complete choledochoscope warp Cross the cystic duct after expander 3 is expanded and enter choledochus, realize that cystic duct is strutted.
Embodiment 2
In the present embodiment, telescopic cylinder 2-3 is arranged between connecting tube and middle pipe 2-4, telescopic cylinder 2-3 cylinder body from Sidepiece is fixed with outer tube 2-1 inwall and inner tube 2-6 outer wall, and the end of piston rod and middle pipe 2-4 is fixed, and passes through telescopic cylinder 2-3 piston rod stretches, and is moved in promotion in cavitys of the pipe 2-4 between outer tube 2-1 and inner tube 2-6.At middle pipe 2-4 middle part Pipe rotating disk type cylinder 2-8 in being embedded on the wall of side, the pipe 2-4 unitary rotations in middle pipe rotating disk type cylinder 2-8 drives.
Other parts and its annexation are same as Example 1.
The method that cystic duct is strutted is also same as Example 1.
Telescopic cylinder 2-3 in above-described embodiment is at least 2, can also be multiple, but it is preferably can be in a ring It is distributed on same circumference, and can works asynchronously, it is ensured that middle pipe 2-4 moves uniform force.
The unspecified connected mode of the utility model and dynamical system and control system belong to conventional skill in itself Art, is not belonging to innovation of the present utility model, the utility model is not limited only to above-mentioned implementation situation, all in technical scheme On the basis of the equivalents done each fall within the protection domain of the utility model patent.

Claims (7)

1. a kind of cystic duct device for spreading, it is characterised in that including the fixing pipe (1) being coaxially disposed, pusher pipeline (2) and expansion Prop (3), one end of the pusher pipeline (2) is connected with fixing pipe (1), the other end passes through bellows (4) and expander (3) Connection;
The fixing pipe (1) is connected with pusher pipeline (2), fixation and supporting member as device for spreading;
The pusher pipeline (2) include outer tube (2-1), inner tube (2-6) and be installed in outer tube (2-1) and inner tube (2-6) it Between middle pipe (2-4), one end of outer tube (2-1) is connected with fixing pipe (1), the other end passes through bellows (4) with expander (3) even Connect, outer tube (2-1) is coaxially disposed with inner tube (2-6), middle pipe (2-4) is provided between inner tube (2-6) and outer tube (2-1), Be embedded with middle pipe rotating disk type cylinder (2-8) on the side wall of middle pipe (2-4), the piston rod of middle pipe rotating disk type cylinder (2-8) with Outer tube (2-1) is fixed, and (2-4) is managed in drive and is rotated relative to outer tube (2-1), is provided with the end or middle part of middle pipe (2-4) Reciprocating telescopic cylinder (2-3) in the cavity of (2-4) between inner tube (2-6) and outer tube (2-1) is managed in can driving, in The other end of pipe (2-4) is provided with 1 expansion deflection cylinder (2-7), the piston rod of expansion deflection cylinder (2-7) and expansion Device (3) is connected, and drives expander (3) deflection;
The expander (3) includes cone expansion head (3-2), expansion dish-type cylinder (3-3) and link (3-1), the connection Frame (3-1) is hinged with middle pipe (2-4) and is connected with the piston rod of expansion deflection cylinder (2-7), and link (3-1) passes through ripple Pipe (4) is connected with outer tube (2-1), and it is interior and can be along link that one end of cone expansion head (3-2) extends to link (3-1) The screw pair of (3-1) is slided, and expansion dish-type cylinder (3-3) is provided with the outer wall of cone expansion head (3-2), and pass through expansion Dish-type cylinder (3-3) realizes expansion with shrinking, and the outer cover on cone expansion head (3-2) is equipped with protecting film (5) and passed through Protecting film (5) is connected with outer tube (2-1);
Above-mentioned telescopic cylinder (2-3), middle pipe rotating disk type cylinder (2-8), expansion deflection cylinder (2-7), expansion dish-type cylinder (3- 3) connected respectively by gas conduit with air pump, air pump is electrically connected with controller (6), and its work is controlled by controller (6).
2. cystic duct device for spreading according to claim 1, it is characterised in that:The telescopic cylinder (2-3) is arranged on solid Between fixed tube (1) and middle pipe (2-4), one end of middle pipe (2-4) passes through the telescopic cylinder (2-3) and fixing pipe (1) of annular spread Contact, the other end are connected by expanding deflection cylinder (2-7) with cone expansion head (3-2), the cylinder body of the telescopic cylinder (2-3) Fixed with outer tube (2-1) inwall, piston rod is connected with the end of middle pipe (2-4).
3. cystic duct device for spreading according to claim 1, it is characterised in that:The middle pipe (2-4) includes managing in epimere (2-4) is managed in (2-4) and hypomere, one end of pipe (2-4) is contacted with fixing pipe (1) in epimere, and the other end passes through annular spread Telescopic cylinder (2-3) is connected with managing (2-4) in hypomere.
4. cystic duct device for spreading according to claim 3, it is characterised in that:(2-4) and fixing pipe are managed in the epimere (1) connected between by rotation ball (2-2).
5. the cystic duct device for spreading according to Claims 2 or 3, it is characterised in that:The telescopic cylinder (2-3) is same It is uniformly distributed on circumference.
6. cystic duct device for spreading according to claim 5, it is characterised in that:The inner and outer wall of the middle pipe (2-4) On be machined with bar-shaped trough, and mobile ball (2-5) and inner tube (2-6) and outer tube (2- by being inlaid in inside and outside bar-shaped trough 1) connect.
7. the cystic duct device for spreading according to any one of Claims 1 to 4, it is characterised in that:The expander (3) it is inclined Gyration is 0~45 °.
CN201621138995.9U 2016-10-20 2016-10-20 A kind of cystic duct device for spreading Expired - Fee Related CN206444013U (en)

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Application Number Priority Date Filing Date Title
CN201621138995.9U CN206444013U (en) 2016-10-20 2016-10-20 A kind of cystic duct device for spreading

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Application Number Priority Date Filing Date Title
CN201621138995.9U CN206444013U (en) 2016-10-20 2016-10-20 A kind of cystic duct device for spreading

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Publication Number Publication Date
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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106422034A (en) * 2016-10-20 2017-02-22 天津市南开医院 Cystic duct opening device and method
CN109044486A (en) * 2018-09-05 2018-12-21 河南科技大学第附属医院 A kind of Gastroenterology dept.'s constipation stool drawing device
CN109821077A (en) * 2019-03-06 2019-05-31 吉林大学 A kind of bronchoalveolar lavage fluid collecting device
CN110478605A (en) * 2019-09-20 2019-11-22 中南大学湘雅医院 A kind of cardiovascular expansion device
CN111150488A (en) * 2020-01-02 2020-05-15 新乡医学院第一附属医院 Urinary surgery lithangiuria instrument

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106422034A (en) * 2016-10-20 2017-02-22 天津市南开医院 Cystic duct opening device and method
CN106422034B (en) * 2016-10-20 2022-09-13 天津市南开医院 Cystic duct opening device and method
CN109044486A (en) * 2018-09-05 2018-12-21 河南科技大学第附属医院 A kind of Gastroenterology dept.'s constipation stool drawing device
CN109044486B (en) * 2018-09-05 2020-05-12 河南科技大学第一附属医院 Constipation stool taking device for gastroenterology department
CN109821077A (en) * 2019-03-06 2019-05-31 吉林大学 A kind of bronchoalveolar lavage fluid collecting device
CN110478605A (en) * 2019-09-20 2019-11-22 中南大学湘雅医院 A kind of cardiovascular expansion device
CN110478605B (en) * 2019-09-20 2021-08-13 中南大学湘雅医院 Cardiovascular expansion device
CN111150488A (en) * 2020-01-02 2020-05-15 新乡医学院第一附属医院 Urinary surgery lithangiuria instrument

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Granted publication date: 20170829

Termination date: 20181020