CN209332126U - Endoscope-assistant surgery single-hole multi-channel road enters device - Google Patents

Endoscope-assistant surgery single-hole multi-channel road enters device Download PDF

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Publication number
CN209332126U
CN209332126U CN201721219008.2U CN201721219008U CN209332126U CN 209332126 U CN209332126 U CN 209332126U CN 201721219008 U CN201721219008 U CN 201721219008U CN 209332126 U CN209332126 U CN 209332126U
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CN
China
Prior art keywords
channel
connection ring
endoscope
flexible
seal cover
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Active
Application number
CN201721219008.2U
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Chinese (zh)
Inventor
关小明
刘娟
关振堃
岳计强
杜荷军
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Hangzhou Kangji Medical Instrument Co Ltd
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Hangzhou Kinge Medical Equipment Ltd By Share Ltd
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Priority to CN201721219008.2U priority Critical patent/CN209332126U/en
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Abstract

The utility model provides a kind of endoscope-assistant surgery single-hole multi-channel road and enters device; including connection ring; incision protective sleeve docking structure is equipped in connection ring; flexible seal cover is equipped in one end of connection ring; the flexible sealing cover on not by when external force in the flexible convex closure for protruding from connection ring outer end face or on the inside of the flexible seal cover in barotropic state when described in flexible seal cover be in the flexible convex closure for protruding from connection ring outer end face, if the flexible convex, which is wrapped, is equipped with dry passage.The utility model has structure simple, and instrumentation is flexible, the high advantage of procedure efficiency.

Description

Endoscope-assistant surgery single-hole multi-channel road enters device
Technical field
The utility model belongs to medical apparatus technical field, is related to operation device, more particularly, to a kind of endoscope-assistant surgery list Hole multi-pass road enters device.
Background technique
Single-hole laparoscopic surgery is less compared with conventional porous laparoscopic surgery notch, more beautiful, is needle holder being applied to surgery Minimally One of developing direction.Operation path is the key that single-hole laparoscopic surgery instrument.Single-hole laparoscopic surgery need to be in unique notch An operation path is placed, there are multiple instrument holes on operation path, places the operation instrument such as multiple surgical clamps, operating scissors.At present Existing single-hole laparoscopic surgery channel have the disadvantage that during surgery 1, existing connection ring end face mostly with connection ring phase Flush, do not outwardly protruded under the influence of air pressure, cause the instrument scope of activities in operation path smaller, significantly by To the limitation of channel design;2, incision protective sleeve and lane device formula mode are complicated, cannot achieve fast quick-mounting between the two Match.
Utility model content
The purpose of this utility model is that have in view of the above-mentioned problems, providing a kind of endoscope-assistant surgery single-hole multi-channel road enters device There is structure simple, instrumentation is flexible, the high advantage of procedure efficiency.
In order to achieve the above objectives, the utility model uses following technical proposal: this endoscope-assistant surgery single-hole multi-channel road enters Device, including connection ring are equipped with incision protective sleeve docking structure in connection ring, are equipped with flexible sealing in one end of connection ring Cover, the flexible sealing cover on not by when external force in the flexible convex closure for protruding from connection ring outer end face or when described Flexible seal cover described in when being in barotropic state on the inside of flexible seal cover is in the flexible convex closure for protruding from connection ring outer end face, institute If the flexible convex stated, which is wrapped, is equipped with dry passage.
Preferably, the flexible seal cover includes cylindrical portion, one end of the cylindrical portion is open end, the other end For closed end, the open end is connected with one end of connection ring, and the channel is arranged on the closed end of cylindrical portion or cylinder The side in shape portion.
It arches upward preferably, the closed end is arc-shaped.
Preferably, the flexible sealing covers on not by outer end face when external force without departing from connection ring;Alternatively, institute The flexible sealing stated cover on not by when external force beyond the outer end face of connection ring.
Preferably, the flexible seal cover is in outer end face that is planar and being parallel to connection ring, and when described soft Property seal closure on the inside of when being in barotropic state described in flexible seal cover be in protrude from the flexible convex closure of connection ring outer end face.
Preferably, the connection ring and flexible seal cover are made into integration or the connection ring and flexible seal cover Circumferential seal is connected;In a tubular form, the flexible seal cover is made into integration with channel or the flexibility is close in the channel Sealing cover and channel circumferential seal are connected.
Preferably, the thickness of the connection ring is greater than the thickness of flexible seal cover, the thickness of the connection ring is big Thickness in channel, the connection ring, flexible seal cover and channel are made of elastic material, and the connection ring, soft Property seal closure and channel are made into integration.
Preferably, the internal diameter in the channel is less than the sleeve outer for inserting in puncture outfit therein and works as the set of puncture outfit Circumferential seal is formed when pipe inserts in channel between the two;Alternatively, the internal diameter in the channel, which is less than, inserts in surgical device therein The outer diameter of tool and form circumferential seal between the two when surgical instrument inserts in channel;Alternatively, the channel, which is equipped with, to be made The sealing element that channel opens or closes, and when the casing of surgical instrument or puncture outfit inserts in channel described in sealing element and hand The sleeve of art instrument or puncture outfit circumferentially seals.
Preferably, the channel is made of film elastic material.
Preferably, the sealing element includes valve, a word seal, any one in cross seal.
Preferably, the sealing element is linked together with channel;Alternatively, the sealing element independently of channel be arranged and Sealing element is fixed in the channel.
Preferably, the casing of the puncture outfit be equipped at least one bulge loop, and when casing insert in channel up to A rare bulge loop crosses channel inner port.
Preferably, the channel includes that at least one endoscope insertion channel and the insertion of at least two surgical instruments are logical Road.
Preferably, the channel further includes at least one reserved channel that can be closed or open.
Preferably, the connection ring or flexible seal cover are equipped at least two air pipe sleeves, one of air pipe sleeve In be equipped with air inlet pipe, be equipped with escape pipe in another air pipe sleeve.
Preferably, the air pipe sleeve, connection ring, flexible seal cover and channel are made of elastic material, it is described The thickness of connection ring is greater than the thickness of air pipe sleeve, and air pipe sleeve, connection ring, flexible seal cover and the channel is made into integration.
Preferably, the air inlet pipe is equipped with opening/closing control structure, the escape pipe is equipped with opening and closing control knot Structure;The inner end of the escape pipe extends the inner end for making the inner end of escape pipe be lower than air inlet pipe in connection ring.
Preferably, the incision protective sleeve docking structure includes the annular snap groove that connection ring inner wall is arranged in, institute The shape for the annular snap groove stated and the ring body of incision protective sleeve are adapted;
Alternatively, the incision protective sleeve docking structure includes the ring-shaped step that connection ring inner wall is arranged in, the company It connects and is hinged at least two buckles on ring, the buckle is equipped with the arc snap-gauge being located at below connection ring, the arc The located space of the ring body of polarizing slot protective case is formed between snap-gauge and connection ring.
Compared with prior art, utility model has the advantages that
1, by the way that the channel passed through for instrument is arranged on flexible seal cover, enable instrument flexible together with channel Rotation, and the angle rotated is larger, carries out convenient for the operation of operation.
2, the outer end face of connection ring can be heaved and be protruded to flexible seal cover, and the protrusion of flexible seal cover can be further Raising be fixed on the flexible movement of the instrument in channel, and the feelings flushed relative to flexible seal cover with the outer end face of connection ring Under condition, when flexible seal cover protrusion, the rotational angle of instrument is bigger, and operating space is also bigger.
3, in order to easily increase operation instrument, channel further include at least one can be closed or open it is reserved logical Road, the reserved channel are in closed state when not in use, and closed state, which can be, to be beaten a knot or used on reserved channel The mode of clamping closure is by the upper end closed in reserved channel, to prevent gas leakage.
4, the annular snap groove in ring body and connection ring need to be only coupled when assembling, passway is enabled to enter Both device and incision protective sleeve are quickly connect, and the two assembly is firm, not easily to fall off.
5, escape pipe and air inlet pipe are located at sustained height the gas entered are caused to be expelled directly out in order to prevent, in this programme Escape pipe inner end extend in connection ring to make escape pipe inner end be lower than air inlet pipe inner end.
Detailed description of the invention
Fig. 1 is the main view that endoscope-assistant surgery single-hole multi-channel provided by the utility model road enters device.
Fig. 2 is the perspective view that endoscope-assistant surgery single-hole multi-channel provided by the utility model road enters device.
Fig. 3 is the casing installation diagram that endoscope-assistant surgery single-hole multi-channel provided by the utility model road enters device.
Fig. 4 is the schematic diagram of casing provided by the utility model.
Fig. 5 is the schematic diagram for another embodiment that endoscope-assistant surgery single-hole multi-channel provided by the utility model road enters device.
In figure, connection ring 1, incision protective sleeve docking structure 2, flexible seal cover 3, flexible convex closure 4, channel 5, cylindrical portion 6, Closed end 7, sealing element 8, bulge loop 9, air pipe sleeve 10, air inlet pipe 11, escape pipe 12, annular snap groove 13, incision protective sleeve 14, ring Body 15, ring-shaped step 16, buckle 17, arc snap-gauge 18, located space 19, casing 20, reserved channel 21.
Specific embodiment
As shown in Figures 1 to 4, the endoscope-assistant surgery single-hole multi-channel road in this programme enters device, including connection ring 1, even Ring 1 is connect equipped with incision protective sleeve docking structure 2, is equipped with flexible seal cover 3 in one end of connection ring 1, flexible seal cover 3 is not By being in positive pressure shape in the flexible convex closure 4 for protruding from 1 outer end face of connection ring when external force or on the inside of the flexible seal cover 3 Flexible seal cover 3 is in the flexible convex closure 4 for protruding from 1 outer end face of connection ring when state, if flexible convex closure 4 is equipped with dry passage 5, channel 5 are made of film elastic material.
This programme enables instrument with channel one by the way that the channel 4 passed through for instrument is arranged on flexible seal cover 3 Same flexible rotating, and the angle rotated is larger, carries out convenient for the operation of operation.
And incision protective sleeve docking structure 2 includes the annular snap groove 13 that 1 inner wall of connection ring is arranged in, annular snap groove 13 shape and the ring body 15 of incision protective sleeve 14 are adapted.Ring body and the annular snap groove in connection ring need to only be matched when assembly Installation is closed, enables to passway to enter both device and incision protective sleeve and quickly connect, and the two assembly is firm, is not easy to take off It falls.
Specifically, flexible seal cover 3 includes cylindrical portion 6, one end of cylindrical portion 6 is open end, and the other end is closed end 7, open end is connected with one end of connection ring 1, and channel 5 is arranged on the closed end 7 of cylindrical portion 6 or the side of cylindrical portion 6.Closing 7 are held arc-shaped to arch upward.
Above-mentioned flexible seal cover 3 is outer without departing from connection ring 1 when not by external force in one of the embodiments, The scope of activities of end face, the surgical instrument in the embodiment is smaller.
In another embodiment, flexible seal cover 3 is in outer end face that is planar and being parallel to connection ring 1, and when flexible close Flexible seal cover 3 is in the flexible convex closure 4 for protruding from 1 outer end face of connection ring when being in barotropic state on the inside of sealing cover 3.In above-mentioned side In case, flexible seal cover 3 is flushed in unaerated in relaxed state or with the outer end face of connection ring 1, when flexible seal cover 3 When interior inflation, the outer end face of connection ring 1 is just heaved and protruded to flexible seal cover 3, and the protrusion of flexible seal cover 3 can be into one The flexible movement of the instrument in channel 5 is fixed in the raising of step, and neat relative to flexible seal cover 3 and the outer end face of connection ring 1 In the case where flat, when the protrusion of flexible seal cover 3, the rotational angle of instrument is bigger, and operating space is also bigger.
In another embodiment, the outer end face beyond connection ring 1 when not by external force of flexible seal cover 3.This programme In flexible seal cover 3 state raised to the outer end face of connection ring 1 is at when non-aerating, flexibility can be ensured after inflation Seal closure 3 is more stood upright, its run-off the straight under own wt is better protected from.
In order to improve the air-tightness of device entirety, connection ring 1 and flexible seal cover 3 be made into integration or connection ring 1 with 3 circumferential seal of flexible seal cover is connected;In a tubular form, flexible seal cover 3 is made into integration with channel 5 or flexible seal cover 3 in channel 5 It is connected with 5 circumferential seal of channel.
Since connection ring 1 needs to be coupled with the ring body on incision protective sleeve 14, the thickness of connection ring 1 is greater than soft Property seal closure 3 thickness, the thickness of connection ring 1 is greater than the thickness in channel 5, and connection ring 1, flexible seal cover 3 and channel 5 are by bullet Property material is made, and connection ring 1, flexible seal cover 3 and channel 5 are made into integration.
In order to preferably fix the casing of puncture outfit, the internal diameter in channel 5 is less than the sleeve outer for inserting in puncture outfit therein And circumferential seal is formed between the two when the casing of puncture outfit inserts in channel 5;Alternatively, the internal diameter in channel 5, which is less than, inserts in it In surgical instrument outer diameter and form circumferential seal between the two when surgical instrument inserts in channel 5, since channel 5 has Certain elasticity, 5 inner wall of channel can fit closely to form sealing with the casing of puncture outfit.
In another embodiment, channel 5 is equipped with the sealing element 8 for opening or closing channel 5, and works as surgical instrument or wear Sealing element 8 is circumferentially sealed with surgical instrument or the sleeve of puncture outfit when the casing of thorn device inserts in channel 5.
Specifically, sealing element 8 includes any one in valve, a word seal, cross seal.In order to improve dress Whole air-tightness is set, gas leakage is prevented, sealing element 8 is linked together with channel 5;Alternatively, sealing element 8 is arranged independently of channel 5 And sealing element 8 is fixed in channel 5.
Casing is detached from channel 5 in order to prevent, and the casing of puncture outfit is equipped at least one bulge loop 9, and works as casing 20 at least one bulge loop 9 when inserting in channel 5 cross 5 inner port of channel, both preferably to make to be fitted close.
Channel 5 in this programme includes that at least one endoscope insertion channel 51 and at least two surgical instruments are inserted into channel 52.Channel 5 further includes the reserved channel 21 that at least one can be closed or open.The reserved channel 41 is when not in use in envelope Closed state, closed state can be beats a knot or by the way of clamping closure by the upper of reserved channel 41 on reserved channel End seal is closed, to prevent gas leakage.
In addition, connection ring 1 or flexible seal cover 3 are equipped at least two air pipe sleeves 10, worn in one of air pipe sleeve 10 Equipped with air inlet pipe 11, escape pipe 12 is equipped in another air pipe sleeve 10.Air pipe sleeve 10, connection ring 1, flexible seal cover 3 and logical Road 5 is made of elastic material, and the thickness of connection ring 1 is greater than the thickness of air pipe sleeve 10, and air pipe sleeve 10, connection ring 1, flexibility Seal closure 3 and channel 5 are made into integration.
Escape pipe, which is located at sustained height with air inlet pipe, in order to prevent causes the gas entered to be expelled directly out, in this programme The inner end of escape pipe 12 extends the inner end for making the inner end of escape pipe 12 be lower than air inlet pipe 11 in connection ring 1.Air inlet simultaneously Pipe 11 is equipped with opening/closing control structure, and escape pipe 12 is equipped with opening/closing control structure.
As shown in figure 5, in another embodiment, incision protective sleeve docking structure 2 includes the ring that 1 inner wall of connection ring is arranged in Shape step 16, at least two buckles 17 are hinged in connection ring 1, and buckle 17 is equipped with the arc snap-gauges for being located at 1 lower section of connection ring 18, the located space 19 of the ring body 15 of polarizing slot protective case 14 is formed between arc snap-gauge 18 and connection ring 1.
The specific embodiments described herein are merely examples of the spirit of the present invention.The utility model institute Belonging to those skilled in the art can make various modifications or additions to the described embodiments or using similar Mode substitute, but without departing from the spirit of the present application or beyond the scope of the appended claims.
Although connection ring 1, incision protective sleeve docking structure 2, flexible seal cover 3, flexible convex closure is used more herein 4, channel 5, cylindrical portion 6, closed end 7, sealing element 8, bulge loop 9, air pipe sleeve 10, air inlet pipe 11, escape pipe 12, annular snap groove 13, incision protective sleeve 14, ring body 15, ring-shaped step 16, buckle 17, arc snap-gauge 18, located space 19, casing 20, reserved logical The terms such as road 21, but it does not exclude the possibility of using other terms.The use of these items is only for more easily describe With the essence for explaining the utility model, being construed as any additional limitation is disagreed with the spirit of the present invention Back.

Claims (18)

1. a kind of endoscope-assistant surgery single-hole multi-channel road enters device, which is characterized in that including connection ring (1), set on connection ring (1) There are incision protective sleeve docking structure (2), is equipped with flexible seal cover (3) in one end of connection ring (1), the flexible seal cover It (3) is in protrude from the flexible convex closure (4) of connection ring (1) outer end face or when the flexible seal cover when not by external force (3) flexible seal cover (3) described in when inside is in barotropic state is in the flexible convex closure (4) for protruding from connection ring (1) outer end face, The flexible convex closure (4) is if be equipped with dry passage (5).
2. endoscope-assistant surgery single-hole multi-channel according to claim 1 road enters device, which is characterized in that the flexible sealing Cover (3) includes cylindrical portion (6), and one end of the cylindrical portion (6) is open end, and the other end is closed end (7), the opening End is connected with one end of connection ring (1), and the channel (5) are arranged on the closed end (7) of cylindrical portion (6) or cylindrical portion (6) Side.
3. endoscope-assistant surgery single-hole multi-channel according to claim 2 road enters device, which is characterized in that the closed end (7) arc-shaped to arch upward.
4. endoscope-assistant surgery single-hole multi-channel according to claim 1 road enters device, which is characterized in that the flexible sealing (3) are covered when not by external force without departing from the outer end face of connection ring (1);Alternatively, the flexible seal cover (3) is not by outer The masterpiece used time exceeds the outer end face of connection ring (1).
5. endoscope-assistant surgery single-hole multi-channel according to claim 4 road enters device, which is characterized in that the flexible sealing Covering (3) is in outer end face that is planar and being parallel to connection ring (1), and positive pressure shape is on the inside of the flexible seal cover (3) Flexible seal cover (3) described in when state is in the flexible convex closure (4) for protruding from connection ring (1) outer end face.
6. endoscope-assistant surgery single-hole multi-channel road described according to claim 1 or 2 or 3 or 4 or 5 enters device, which is characterized in that institute The connection ring (1) stated is made into integration with flexible seal cover (3) or the connection ring (1) and flexible seal cover (3) are circumferential close Sealing connects;In a tubular form, the flexible seal cover (3) is made into integration with channel (5) or the flexibility in the channel (5) Seal closure (3) and channel (5) circumferential seal are connected.
7. endoscope-assistant surgery single-hole multi-channel according to claim 6 road enters device, which is characterized in that the connection ring (1) thickness is greater than the thickness of flexible seal cover (3), and the thickness of the connection ring (1) is greater than the thickness of channel (5), described Connection ring (1), flexible seal cover (3) and channel (5) be made of elastic material, and the connection ring (1), flexible sealing Cover (3) and channel (5) is made into integration.
8. endoscope-assistant surgery single-hole multi-channel according to claim 7 road enters device, which is characterized in that the channel (5) Internal diameter be less than the sleeve outer for inserting in puncture outfit therein and when the casing of puncture outfit insert in channel (5) it is interior when shape between the two Circumferentially seal;Alternatively, the internal diameter in the channel (5) is less than the outer diameter for inserting in surgical instrument therein and when surgical instrument is inserted Circumferential seal is formed between the two when channel (5) are interior;Channel (5) is opened or closed alternatively, the channel (5) is equipped with Sealing element (8), and when the casing of surgical instrument or puncture outfit insert in channel (5) it is interior when described in sealing element (8) and surgical device The sleeve of tool or puncture outfit circumferentially seals.
9. endoscope-assistant surgery single-hole multi-channel according to claim 8 road enters device, which is characterized in that the channel (5) It is made of film elastic material.
10. endoscope-assistant surgery single-hole multi-channel according to claim 8 road enters device, which is characterized in that the sealing element It (8) include valve, a word seal, any one in cross seal.
11. endoscope-assistant surgery single-hole multi-channel according to claim 8 road enters device, which is characterized in that the sealing element (8) it is linked together with channel (5);Alternatively, the sealing element (8) independently of channel (5) be arranged and sealing element (8) be fixed on it is logical In road (5).
12. endoscope-assistant surgery single-hole multi-channel according to claim 8 road enters device, which is characterized in that the puncture outfit Casing be equipped at least one bulge loop (9), and when casing (20) insert in channel (5) it is interior when at least one bulge loop (9) cross Channel (5) inner port.
13. endoscope-assistant surgery single-hole multi-channel according to claim 8 road enters device, which is characterized in that the channel (5) Including at least one endoscope insertion channel (51) and at least two surgical instruments insertion channel (52).
14. endoscope-assistant surgery single-hole multi-channel according to claim 13 road enters device, which is characterized in that the channel (5) further include reserved channel (21) that at least one can be closed or open.
15. endoscope-assistant surgery single-hole multi-channel road described according to claim 1 or 2 or 3 or 4 or 5 enters device, which is characterized in that The connection ring (1) or flexible seal cover (3) is equipped at least two air pipe sleeves (10), wears in one of air pipe sleeve (10) Equipped with air inlet pipe (11), escape pipe (12) are equipped in another air pipe sleeve (10).
16. endoscope-assistant surgery single-hole multi-channel according to claim 15 road enters device, which is characterized in that the air pipe sleeve (10), connection ring (1), flexible seal cover (3) and channel (5) are made of elastic material, and the thickness of the connection ring (1) is big Thickness in air pipe sleeve (10), and the air pipe sleeve (10), (5) one system of connection ring (1), flexible seal cover (3) and channel At.
17. endoscope-assistant surgery single-hole multi-channel according to claim 15 road enters device, which is characterized in that the air inlet pipe (11) it is equipped with opening/closing control structure, the escape pipe (12) is equipped with opening/closing control structure;The escape pipe (12) Inner end extends the inner end for making the inner end of escape pipe (12) be lower than air inlet pipe (11) in connection ring (1).
18. endoscope-assistant surgery single-hole multi-channel road described according to claim 1 or 2 or 3 or 4 or 5 enters device, which is characterized in that The incision protective sleeve docking structure (2) includes annular snap groove (13) of the setting in connection ring (1) inner wall, the annular The shape of snap groove (13) and the ring body (15) of incision protective sleeve (14) are adapted;
Alternatively, the incision protective sleeve docking structure (2) includes ring-shaped step (16) of the setting in connection ring (1) inner wall, institute It is hinged at least two buckles (17) in the connection ring (1) stated, the buckle (17), which is equipped with, to be located at below connection ring (1) Arc snap-gauge (18) forms the ring body of polarizing slot protective case (14) between the arc snap-gauge (18) and connection ring (1) (15) located space (19).
CN201721219008.2U 2017-09-21 2017-09-21 Endoscope-assistant surgery single-hole multi-channel road enters device Active CN209332126U (en)

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Application Number Priority Date Filing Date Title
CN201721219008.2U CN209332126U (en) 2017-09-21 2017-09-21 Endoscope-assistant surgery single-hole multi-channel road enters device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201721219008.2U CN209332126U (en) 2017-09-21 2017-09-21 Endoscope-assistant surgery single-hole multi-channel road enters device

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107837100A (en) * 2017-09-21 2018-03-27 杭州康基医疗器械股份有限公司 Endoscope-assistant surgery single-hole multi-channel road enters device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107837100A (en) * 2017-09-21 2018-03-27 杭州康基医疗器械股份有限公司 Endoscope-assistant surgery single-hole multi-channel road enters device

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Address after: Tonglu Chunjiang Road Economic Development Zone, Hangzhou City, Zhejiang Province, No. 1668 311500

Patentee after: HANGZHOU KANGJI MEDICAL INSTRUMENT Co.,Ltd.

Address before: Tonglu Chunjiang Road Economic Development Zone, Hangzhou City, Zhejiang Province, No. 1668 311500

Patentee before: HANGZHOU KANGJI MEDICAL INSTRUMENT Co.,Ltd.

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Address after: Tonglu County Tonglu Chunjiang Road Economic Development Zone, Hangzhou city of Zhejiang Province, No. 1668 311500

Patentee after: HANGZHOU KANGJI MEDICAL INSTRUMENT Co.,Ltd.

Address before: Tonglu Chunjiang Road Economic Development Zone, Hangzhou City, Zhejiang Province, No. 1668 311500

Patentee before: HANGZHOU KANGJI MEDICAL INSTRUMENT Co.,Ltd.