CN207101320U - A kind of more indicating window tube type anastomats - Google Patents

A kind of more indicating window tube type anastomats Download PDF

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Publication number
CN207101320U
CN207101320U CN201820041248.6U CN201820041248U CN207101320U CN 207101320 U CN207101320 U CN 207101320U CN 201820041248 U CN201820041248 U CN 201820041248U CN 207101320 U CN207101320 U CN 207101320U
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China
Prior art keywords
indicating window
shell
indicating
tube type
adjusting rod
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Active
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CN201820041248.6U
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Chinese (zh)
Inventor
向长林
陆坚
姚建清
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Suzhou Beinuo Medical Instruments Co Ltd
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Suzhou Beinuo Medical Instruments Co Ltd
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Priority to CN201820041248.6U priority Critical patent/CN207101320U/en
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Abstract

The utility model discloses a kind of more indicating window tube type anastomats, are observed beneficial to doctor, and use is more convenient.A kind of more indicating window tube type anastomats, including shell, the resist-nailed seat of time interval and seaming and cutting mechanism and for driving resist-nailed seat and seaming and cutting mechanism adjusting rod close to each other or remote, adjusting rod movably can be located in shell along the longitudinal direction, more indicating window tube type anastomats also include indicating mechanism, and indicating mechanism includes:Pull bar, it is connected with adjusting rod;Connecting rod, actively in shell;Indicateing arm, movably it can be located at along the longitudinal direction in shell, the one end of connecting rod connects with indicateing arm;And indicating window, on shell, each indicating window has respectively can fire zone at circumferencial direction interval of multiple indicating windows along shell;There are multiple instruction units corresponding with indicating window respectively on indicateing arm;Indicating mechanism has instruction state, and in instruction state, pull bar and connecting rod connect, each instruction unit respectively positioned at corresponding indicating window can fire zone inner side.

Description

A kind of more indicating window tube type anastomats
Technical field
It the utility model is related to medical instruments field, and in particular to a kind of more indicating window tube type anastomats.
Background technology
Tube type anastomat is applied to middle esophagus, Stomach duodenum, small intestine, colon and rectum etc. and holds end, side and side side kiss Used during conjunction.Especially suitable for appear with the esophagus of operating difficulties, stomach coincide and stage casing resection of rectal postcolon rectum low level End to end anastomosis.
Tube type anastomat is applied to existing more than the 40 years history of reconstruction operations, is generally to be used in reconstruction operations at present A kind of surgical operating instrument.The product uses stapler principle, is in staggered identical pin by prolonging the row of tubular peripheral two, The docking that coincide is carried out to internal organs in operation.Stapler has previous anastomotic footpath in the same size, and mucous membrane pairing is neat, previous anastomotic fastness Reliably, haemostatic effect and blood transport the advantages of holding is good and the excision that coincide once is completed, easy to operate.Not only it is substantially shorter Operating time, amount of bleeding is reduced, operation wound is light, and can improve surgical quality, reduces postoperative complication.
In the operating process that tube type anastomat uses, by the spacing of resist-nailed seat and nail bin, to judge whether tissue, oneself passes through It is adequately compressed or correctly coincide, this can makes the height of staple meet the needs of destination organization.Therefore, it is necessary to resist-nailed seat and nail The spacing in storehouse is indicated so that doctor is judged.However, existing tube type anastomat, the indicator to be observed of doctor is located at In the transparent indication window of firing handle opposite side, as doctor because operation technique or operation require, doctor operates apparatus When indication window not towards doctor's sight side;Doctor can fire zone in order to which whether viewer body rotates to(Green area), and Be adjusted to can fire zone, according to tissue thickness when green area is finely adjusted to indicator position, very influence doctor to device The harmony of tool operation(Eye, hand, apparatus, tissue).Existing tube type anastomat window is small, is unfavorable for doctor's operational observations and refers to Show pin position, in-convenience in use.
Utility model content
For above-mentioned technical problem, the purpose of this utility model is to provide a kind of more indicating window tube type anastomats, beneficial to doctor Raw observation, use are more convenient.
To reach above-mentioned purpose, the technical solution adopted in the utility model is:
A kind of more indicating window tube type anastomats, including shell, time interval located at the housing front resist-nailed seat and Seaming and cutting mechanism and for driving resist-nailed seat and seaming and cutting mechanism adjusting rod close to each other or remote, the adjusting rod can be along front and rear Movably in the shell, more indicating window tube type anastomats also include indicating mechanism, indicating mechanism's bag in direction Include:
Pull bar, it is connected with the adjusting rod;
Connecting rod, actively in the shell;
Indicateing arm, movably it can be located at along the longitudinal direction in the shell, the one end of the connecting rod and the indicateing arm Connect;And
Indicating window, quantity are multiple, and circumferencial direction interval of multiple indicating windows along the shell is located at the shell On, each indicating window has respectively can fire zone;
Wherein, there is multiple instruction units corresponding with the indicating window respectively, each indicating window on the indicateing arm The outside of instruction unit corresponding to being located at respectively;The indicating mechanism has instruction state, in instruction state, the pull bar and The connecting rod connects, each instruction unit respectively positioned at corresponding indicating window it is described can fire zone inner side.
In certain embodiments, the leading section of the pull bar is formed with hook portion, and the indicating mechanism is in instruction state, institute Hook portion is stated to hook on the connecting rod.
In certain embodiments, the rearward end of the pull bar can be movably attached in the adjusting rod, institute along the longitudinal direction State back end of tie rod portion to be located between an adjustment block and an adjusting rod spring, the adjustment block has the length extended along the longitudinal direction Hole, the adjustment block are located at institute by being located at the mode connects for screw in the elongated hole in the adjusting rod, the adjusting rod spring housing State on adjusting rod, the rear end of the adjusting rod spring and the shell connect.
In certain embodiments, the connecting rod is rotatably arranged in the shell by pivot, the connecting rod and described The rod spring for being used for resetting the connecting rod is provided between shell.
In certain embodiments, the quantity of the indicating window is three, and one of them described indicating window is located at the shell The side relative with firing handle, two other is respectively between the indicating window and firing handle both sides;The indicateing arm With three instruction units, three instruction units connect successively forms a U-shaped structure.
In certain embodiments, the madial wall positioned at the instruction unit of centre is provided with neck, the neck perpendicular to Fore-and-aft direction extends, and the one end of the connecting rod is actively plugged in the neck.
In certain embodiments, the indicating mechanism also includes multiple shutters being fixedly installed in the shell, often The individual corresponding instruction unit of the shutter, the shutter are arranged on the inner side of corresponding instruction unit.
In certain embodiments, chute is respectively equipped with two shutters of both sides, the chute is before and after Direction extends, and two instruction units positioned at both sides are fixedly connected with fixture block respectively, and each fixture block can be slided along the longitudinal direction In chute corresponding to being plugged in dynamicly.
In certain embodiments, the indicating window includes patch labeling on the housing, it is described can fire zone be located at On the labeling, the labeling can further respectively have staple shape after corresponding suture described at the front and rear sides of fire zone The sign of shape.
In certain embodiments, more indicating window tube type anastomats also include being used for the butterfly for driving the adjusting rod movement Shape knob, the butterfly knob and adjusting rod rearward end threaded connection.
The utility model uses above scheme, has the following advantages that compared with prior art:
The utility model for doctor operate viewing angle problem, there is provided more indicating window tube type anastomats, multiple indicating window rings It is arranged at intervals around device body, can makes whether doctor is rotated in place from multiple view apparatuses;Indicating window is available for observing determining device Whether tool rotates to can firing position;By the driving indicateing arm movement of same connecting rod, so that the movement of multiple instruction units is same Walk and consistent.
Brief description of the drawings
It is required in being described below to embodiment to use in order to illustrate more clearly of the technical solution of the utility model Accompanying drawing is briefly described, it should be apparent that, drawings in the following description are only some embodiments of the utility model, for For those of ordinary skill in the art, on the premise of not paying creative work, other can also be obtained according to these accompanying drawings Accompanying drawing.
Fig. 1 is according to a kind of schematic perspective view of more indicating window tube type anastomats of the present utility model;
Fig. 2 is schematic diagram of more indicating window tube type anastomats after shell and shutter is hidden shown in Fig. 1;
Fig. 3 is the schematic diagram under another visual angle of more indicating window tube type anastomats after hidden parts shell shown in Fig. 1;
Fig. 4 is the partial enlarged drawing at A in Fig. 3;
Fig. 5 is schematic perspective view of more indicating window tube type anastomats after shadow hides shell and shutter shown in Fig. 3;
Fig. 6 is the partial enlarged drawing at B in Fig. 4.
In the figures above,
1st, shell;2nd, resist-nailed seat;3rd, seaming and cutting mechanism;4th, adjusting rod;5th, butterfly knob;6th, indicating mechanism;7th, firing handle;
61st, pull bar;611st, hook part;62nd, connecting rod;621st, pivot;622nd, rod spring;63rd, indicateing arm;63a, instruction unit; 63b, instruction unit;63c, instruction unit;631st, fixture block;64th, indicating window;640th, labeling;641st, can fire zone;642nd, indicateing arm Know;65th, adjustment block;651st, elongated hole;66th, screw;67th, adjusting rod spring;68th, shutter;681st, chute.
Embodiment
Preferred embodiment of the present utility model is described in detail below in conjunction with the accompanying drawings, so that the advantages of the utility model It can be easier to be understood by the person skilled in the art with feature.Herein it should be noted that explanation for these embodiments It is used to help understand the utility model, but does not form to restriction of the present utility model.In addition, this practicality disclosed below is new As long as involved technical characteristic does not form conflict can and is combined with each other each other in each embodiment of type.
The present embodiment provides a kind of more indicating window tube type anastomats, for alimentary tract anastomosis, has and is set around device body interval The multiple indicating windows put, using the teaching of the invention it is possible to provide bigger viewing area and angle.Shown in reference picture 1-6, a kind of more indicating window cast kisses Clutch, including shell 1, time interval located at the anterior resist-nailed seat 2 of shell 1 and seaming and cutting mechanism 3, for driving the and of resist-nailed seat 2 The adjusting rod 4 close to each other or remote of seaming and cutting mechanism 3, the instruction for being indicated the spacing of resist-nailed seat 2 and seaming and cutting mechanism 3 Mechanism 6.The spacing of resist-nailed seat 2 and the nail bin of seaming and cutting mechanism 3 is adjustable between 0.5 ~ 2.5mm, and adjusting rod 4 can move along the longitudinal direction Dynamicly in shell 1, the center line of adjusting rod 4 extends along the longitudinal direction and its leading section is specific and resist-nailed seat 2 connects with band Dynamic resist-nailed seat 2 moves.More indicating window tube type anastomats are additionally operable to the butterfly knob 5 for driving adjusting rod 4 to move, butterfly knob 5 It is threadedly coupled with the rearward end of adjusting rod 4, turn wing nut, adjusting rod 4 can be in concomitant rotation under threaded function and opposite shell 1 It is movable.The nouns of locality such as " interior " addressed herein, " outer " are to be defined using the center line of adjusting rod 4 as object of reference, with from The nearlyer side of center line of adjusting rod 4 is interior, otherwise is outer;The nouns of locality such as "front", "rear" are for the ease of understanding and conveniently chatting State and define, do not limit specific direction, such as correspond respectively to the right side of paper, left side in Fig. 1.
Indicating mechanism 6 includes pull bar 61,62, indicateing arms 63 of connecting rod and multiple indicating windows 64.Pull bar 61 and regulation Bar 4 is connected with synchronizing moving, and specifically, the rearward end and adjusting rod 4 of pull bar 61 connect, and leading section is formed with can be with connecting rod 62 The hook portion 611 to connect, pull bar 61 is with the synchronous forward and backward movement of adjusting rod 4.Connecting rod 62 is rotatablely arranged at outer by pivot 621 In shell 1, the axial line of pivot 621 is perpendicular to the center line of adjusting rod 4, and specific as in Figure 4 and 5, the bottom of connecting rod 62 passes through The pivot 621 is rotationally connected with shell 1, and the upper end of connecting rod 62 is flexibly connected with indicateing arm 63, and the hook portion 611 of pull bar 61 is then Between the both ends of connecting rod 62.Indicateing arm 63 movably can be located in shell 1 along the longitudinal direction, specifically, such as Fig. 6 institutes Show, indicateing arm 63 has integrally formed three instruction units 63a, 63b and 63c, three instruction units 63a, 63b and 63c phase successively Connect and form the structure that substantially takes the shape of the letter U.The quantity of indicating window 64 also corresponds to three, and each indicating window 64 corresponds to a finger respectively Show portion(63a, 63b or 63c)And it is located at corresponding instruction unit(63a, 63b or 63c)Outside.Three instruction units 63a, 63b and 63c and three indicating window 64 is arranged at intervals rotating around the center line of adjusting rod 4, and one of indicating window position 64 is in the shell 1 opposite side with firing handle 7, two other is respectively between the indicating window and the both sides of firing handle 7, in Fig. 1, Firing handle 7 is located at the bottom of shell 1, and three indicating windows 64 are located at upside, left side and the right side of shell 1 respectively, thus from three Indicateing arm 63 all can be observed in face.The middle part of U-shaped indicateing arm(I.e. positioned at middle instruction unit 63b)Madial wall be provided with card Groove, neck extend perpendicular to fore-and-aft direction, and the upper end of connecting rod 62 is actively plugged in neck.
The upside of shell 1, left side, multiple windows for corresponding to indicating window 64 respectively are offered on right side, each indicating window 64 has Body includes the labeling 640 being attached on the corresponding window of shell 1 respectively.Labeling 640 on the left window is located at the instruction unit in left side 63a, outside, the labeling 640 on upper side window are located on the outside of the instruction unit 63b of upside, and the cover of labeling 640 in right side window is set On the outside of the instruction unit 63c on right side.Labeling 640 is divided into multiple indicating areas, and the rear and front end portion of indicating window 64 is respectively provided with The sign 642 of one sign 642, wherein leading section is represented after being coincide when resist-nailed seat 2 and the larger spacing of seaming and cutting mechanism 3 Staple shape, staple height is larger;The sign 642 of rearward end represents to kiss when resist-nailed seat 2 and the smaller spacing of seaming and cutting mechanism 3 Staple shape after conjunction, the staple height after now coincideing are smaller, more flat.One of indicating area for can fire zone 641, It is with certain proportion(Such as 1:1 or 2:1 etc.)The spacing of resist-nailed seat 2 and seaming and cutting mechanism 3 is indicated, the height for judging staple for doctor is The no needs for meeting destination organization.It is described can fire zone 641 may be configured as green, indicateing arm 63 may be configured as red, be easy to Stapler can be fired by, which more intuitively judging whether, is coincide.
As shown in Figure 3,4, indicating mechanism 6 also includes multiple shutters 68 being fixedly installed in shell 1, each shutter A 68 corresponding instruction units(63a, 63b or 63c), shutter 68, which is arranged on, corresponds to instruction unit(63a, 63b or 63c)Inner side, Avoid seeing other parts in shell 1 from indicating window 64.The both ends of U-shaped indicateing arm 63(That is, the shutter of the left and right sides 68)On be respectively equipped with two chutes 681, chute 681 extends along the longitudinal direction, the instruction unit 63a and 63c of the left and right sides both ends Portion is fixedly connected with fixture block 631 respectively, and each fixture block 631 can be slidably plugged in corresponding chute 681 along the longitudinal direction.U-shaped The middle part of indicateing arm 63(That is, the instruction unit 63b of upside)Madial wall is provided with the neck, and neck is perpendicular to fore-and-aft direction(Tool Body is along first arc)Extension, the upper end of connecting rod 62 is actively plugged in neck 631.Indicating mechanism 6 has instruction State, in instruction state, pull bar 61 is moved rearwardly into its hook portion 611 and the connecting rod 62 at its rear connects, as adjusting rod 4 enters One step is moved after driving pull bar 61, and connecting rod 62 is rotated backward by thrust backward around pivot 621, and indicateing arm 63 moves, Due to the limitation of two side chutes 681, indicateing arm 63 can only be moved rearwards, from then moving on to positioned at can the inner side of fire zone 641.
The rod spring 622 for being used for resetting connecting rod 62 is provided between connecting rod 62 and shell 1.Rod spring 622 is specially The torsion spring being sheathed on pivot 621, one end and connecting rod 62 push against contact, the other end and shell 1 and push against contact.Rod spring The 622 elastic reset power provided to connecting rod 62 make indicateing arm 63 have the trend moved forward.The indicating mechanism 6 has initial shape State, in original state, the hook portion 611 and connecting rod 62 of pull bar 61 depart from or connected but do not exerted a force to connecting rod 62, in rod spring Under 622 elastic reset power effect, indicateing arm 63 move forward to indicating window 64 positioned at can be at the front of fire zone 641.
The rearward end of pull bar 61 can be movably attached in adjusting rod 4 along the longitudinal direction, as shown in figure 5, the rear end of pull bar 61 Portion offers hole, and the rearward end of pull bar 61 is slideably sheathed on adjusting rod 4.The rearward end of pull bar 61 is located at the He of an adjustment block 65 Between one adjusting rod spring 67.Adjusting rod spring 67 is sheathed on adjusting rod 4, the rear end of adjusting rod spring 67 and shell 1 connect, Leading portion and the rearward end of pull bar 61 connect.Adjustment block 65 has the elongated hole 651 extended along the longitudinal direction, and adjustment block 65 is by being located at length Screw 66 in hole 651 is connected to adjusting rod 4, and can slide back and forth and be finely adjusted on adjusting rod 4.Pass through survey before dispatching from the factory Measure resist-nailed seat 2, nail bin(Organize seaming and cutting mechanism 3)Gap, position of the adjustment adjustment block 65 on adjusting rod 4, ensures original state When, indicateing arm 63 is in 64 default correct position of indicating window(Can the front of fire zone 641).
For the apparatus of opening, turn butterfly knob 5, adjusting rod 4 is rotated and is moved rearwards, seaming and cutting mechanism 3 and resist-nailed seat 2 Move closer to, the hook portion 611 that pull bar 61 when mechanism is closed into certain position is cut when tissue seaming and cutting is hooked and pushed down by rod spring 622 Connecting rod 62, connecting rod 62 starts to rotate, and under coordinating in the end of connecting rod 62 and neck 631, indicateing arm 63 slides backward, and works as indicateing arm 63 each instruction unit 63a, 63b and 63c instruction to labeling 640 green can fire zone 641, doctor judges rational position, Stopping the rotation, pull lower insurance, fire apparatus, tissue at this moment be able to can be embarked on journey by reasonable squeezing, suture needle to appropriate nail height, this When can guarantee that Tissue Blood for and can ensure tissue not bleeding.
For the apparatus of closure, turn butterfly knob 5, adjusting rod 4 is rotated and moved forward, seaming and cutting mechanism 3 and resist-nailed seat 2 It is gradually distance from, the drive link 62 of rod spring 622 is pressed against pull bar 61, drives indicateing arm 63, and indicateing arm 63 slides forwards.
The utility model for doctor operate viewing angle problem, there is provided more indicating window tube type anastomats, multiple indicating window rings It is arranged at intervals around device body, can makes whether doctor is rotated in place from multiple view apparatuses, doctor can be met in operator During tool, no matter from any which side, indicating window can be observed;Indicating window, which is available for observation to judge whether apparatus rotates to, to be fired Position;By the driving indicateing arm movement of same connecting rod, so that multiple instruction unit 63a, 63b and 63c mobile synchronization and one Cause.
Above-described embodiment is a kind of preferred embodiment only to illustrate technical concepts and features of the present utility model, its mesh Be that person skilled in the art can understand content of the present utility model and implement according to this, this reality can not be limited with this With new protection domain.All equivalent transformations made according to Spirit Essence of the present utility model or modification, it should all cover at this Within the protection domain of utility model.

Claims (10)

1. a kind of more indicating window tube type anastomats, including shell, time interval be located at the resist-nailed seat and seam of the housing front Cut mechanism and for driving resist-nailed seat and seaming and cutting mechanism adjusting rod close to each other or remote, the adjusting rod can be along front and back To movably be located at the shell in, it is characterised in that:More indicating window tube type anastomats also include indicating mechanism, the finger Show that mechanism includes:
Pull bar, it is connected with the adjusting rod;
Connecting rod, actively in the shell;
Indicateing arm, movably it can be located at along the longitudinal direction in the shell, the one end of the connecting rod connects with the indicateing arm; And
Indicating window, quantity are multiple, and circumferencial direction interval of multiple indicating windows along the shell is on the shell, often Individual indicating window has respectively can fire zone;
Wherein, there is multiple instruction units corresponding with the indicating window respectively, each indicating window difference on the indicateing arm The outside of instruction unit corresponding to being located at;The indicating mechanism has instruction state, in instruction state, the pull bar and described Connecting rod connects, each instruction unit respectively positioned at corresponding indicating window it is described can fire zone inner side.
A kind of 2. more indicating window tube type anastomats according to claim 1, it is characterised in that:The leading section shape of the pull bar Into there is hook portion, in instruction state, the hook portion is hooked on the connecting rod for the indicating mechanism.
A kind of 3. more indicating window tube type anastomats according to claim 1, it is characterised in that:The rearward end of the pull bar can Be movably attached along the longitudinal direction in the adjusting rod, the back end of tie rod portion located at an adjustment block and an adjusting rod spring it Between, the adjustment block has the elongated hole that extends along the longitudinal direction, and the adjustment block passes through the mode connects for screw that is located in the elongated hole In the adjusting rod, the adjusting rod spring housing is on the adjusting rod, the rear end of the adjusting rod spring and the shell Connect.
A kind of 4. more indicating window tube type anastomats according to claim 1, it is characterised in that:The connecting rod can by pivot It is rotatably arranged in the shell, the rod spring for being used for resetting the connecting rod is provided between the connecting rod and the shell.
A kind of 5. more indicating window tube type anastomats according to claim 1, it is characterised in that:The quantity of the indicating window is Three, one of them described indicating window is located at the side relative with firing handle of the shell, and two other is located at respectively should Between indicating window and firing handle both sides;The indicateing arm has three instruction units, and three instruction units connect successively Form a U-shaped structure.
A kind of 6. more indicating window tube type anastomats according to claim 5, it is characterised in that:The instruction positioned at centre The madial wall in portion is provided with neck, and the neck extends perpendicular to fore-and-aft direction, and the one end of the connecting rod is actively inserted It is located in the neck.
A kind of 7. more indicating window tube type anastomats according to claim 1, it is characterised in that:The indicating mechanism also includes Multiple shutters being fixedly installed in the shell, each corresponding instruction unit of the shutter, the shutter It is arranged on the inner side of corresponding instruction unit.
A kind of 8. more indicating window tube type anastomats according to claim 7, it is characterised in that:Positioned at described in two of both sides Chute is respectively equipped with shutter, the chute extends along the longitudinal direction, and two instruction units positioned at both sides are fixed respectively Fixture block is connected with, each fixture block can be slidably plugged in corresponding chute along the longitudinal direction.
A kind of 9. more indicating window tube type anastomats according to claim 1, it is characterised in that:The indicating window includes being attached to Labeling on the shell, it is described can fire zone on the labeling, the labeling positioned at it is described can fire zone The sign of staple shape after correspondingly suturing is further respectively had at front and rear sides.
A kind of 10. more indicating window tube type anastomats according to claim 1, it is characterised in that:More indicating window casts Stapler also includes being used for the butterfly knob for driving the adjusting rod movement, the butterfly knob and the adjusting rod rearward end spiral shell Line connects.
CN201820041248.6U 2018-01-10 2018-01-10 A kind of more indicating window tube type anastomats Active CN207101320U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107997800A (en) * 2018-01-10 2018-05-08 苏州贝诺医疗器械有限公司 A kind of more indicating window tube type anastomats
CN112869814A (en) * 2019-11-29 2021-06-01 广东省人民医院(广东省医学科学院) Anastomat

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107997800A (en) * 2018-01-10 2018-05-08 苏州贝诺医疗器械有限公司 A kind of more indicating window tube type anastomats
CN112869814A (en) * 2019-11-29 2021-06-01 广东省人民医院(广东省医学科学院) Anastomat

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