CN210903242U - Visual intestinal type vaginal operation separator - Google Patents

Visual intestinal type vaginal operation separator Download PDF

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Publication number
CN210903242U
CN210903242U CN201921726021.6U CN201921726021U CN210903242U CN 210903242 U CN210903242 U CN 210903242U CN 201921726021 U CN201921726021 U CN 201921726021U CN 210903242 U CN210903242 U CN 210903242U
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jaw piece
connecting rod
spreading
head
handle
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CN201921726021.6U
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王晓丽
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Abstract

The utility model relates to a visual intestines type negative operation separator, a left side pincers handle with a left side struts jaw fixed connection respectively at left side connecting rod both ends, the right side pincers handle with the right side struts jaw fixed connection respectively at right side connecting rod both ends, left side pincers handle and right side pincers handle can control the messenger a left side struts jaw and the right side and struts the jaw and is close to and folds up or keep away from, and a left side struts the jaw and the right side when strutting the jaw and keeping away from each other for separate vagina wall intestinal, a left side struts the plane at jaw place and the plane at left connecting rod place and forms and be greater than 0, is less than 180 contained angle. The utility model discloses following beneficial effect has: aims at the suspension operation of the sacrospinous ligament, the device can gradually separate along the intestinal tract one by one in the process of separating the intestinal tract of the vaginal wall, and the surrounding tissues can be seen through the transparent material, thereby reducing the damage of the intestinal tract and the surrounding tissues, even great vessels and nerves and bringing greater safety to patients.

Description

Visual intestinal type vaginal operation separator
Technical Field
The utility model relates to a visual intestinal type vaginal operation separator, which belongs to the technical field of vaginal operation instruments.
Background
At present, in gynecological clinical, the vaginal surgery, as a classic surgery, is the choice of a minimally invasive surgery mode, and the importance of the vaginal surgery is gradually highlighted. However, one of the important steps: the suspension of the sacrospinous ligament is an important link for reducing the swelling and recurrence of the postoperative vaginal wall in the transvaginal hysterectomy operation of partial patients with uterine prolapse. However, because the sacrospinous ligament is deep, the surrounding tissues are close to the intestinal tract, even large blood vessels and nerves are more, particularly for some patients with older ages, the ischial spine is often flattened and is less obvious, most gynecologists are difficult to learn and master the technology, and even if the technology is mastered, the vaginal operation visual field is narrow, the operation bleeding, the damage to the surrounding tissues and even the risk of the intestinal tract are high, most doctors give up the sacrospinous ligament suspension for the safety consideration of the patients, and partially select other operation modes which are simpler and easier and have high recurrence of the pathological changes, and partially select a mode with high cost and a biological mesh placement mode. At present, surgical instruments which are beneficial to intestinal tract separation and are beneficial to sacrospinous ligament exposure are lacked at home and abroad.
SUMMERY OF THE UTILITY MODEL
According to the not enough among the above prior art, the utility model discloses the technical problem who solves is: in order to solve one of the problems, the visual intestinal vaginal operation separator is provided, by which in the process of separating the intestinal tract of the vaginal wall, the intestinal tract is gradually separated one by one, and the surrounding tissues can be seen through the transparent material, so that the injury of the intestinal tract and the surrounding tissues, even great vessels and nerves is reduced, and great safety is brought to patients.
The utility model relates to a visual intestines type negative operation separator, which comprises a left clamp part and a right clamp part which are symmetrically arranged, wherein the left clamp part comprises a left clamp handle, a left connecting rod and a left spreading jaw piece, the right clamp part comprises a right clamp handle, a right connecting rod and a right spreading jaw piece, the cross sections of the left spreading jaw piece and the right spreading jaw piece are arc-shaped or semicircular structures, the contact surfaces of the left clamp handle and the right spreading jaw piece are matched, the left clamp handle and the left spreading jaw piece are respectively and fixedly connected at the two ends of the left connecting rod, the right clamp handle and the right spreading jaw piece are respectively and fixedly connected at the two ends of the right connecting rod, the left clamp handle and the right clamp handle can be rotationally connected at the respective ends, the left clamp handle and the right clamp handle can control the left spreading jaw piece and the right spreading jaw piece to be close to be folded or be kept away, the left spreading jaw piece and the right spreading jaw piece are oppositely arranged, and the left spreading jaw piece and the right spreading jaw piece are mutually kept away, the left and right jaw pieces are made of transparent hard materials, the left forceps handle and the right forceps handle are located on the same plane, and the plane where the left opening jaw piece is located and the plane where the left connecting rod is located form an included angle which is larger than 0 degree and smaller than 180 degrees.
Preferably, when the left spreading jaw piece and the right spreading jaw piece are close to each other and folded, the left spreading jaw piece and the right spreading jaw piece are in butt joint to form a hollow cylindrical separation head, and the separation head is a bent separation head and conforms to the bending of an intestinal tract so as to realize stable operation in the gastrointestinal tract which is bent and disordered.
Preferably, the one end that left connecting rod was kept away from to the left side expansion jaw head that struts, and the one end that right connecting rod was kept away from to the right side expansion jaw head that struts to the inside side, and the left side expands jaw head and right side and struts jaw head and cooperate, and the width b that the left side was propped open the jaw head slightly is wider than the width an that the left side was propped open the jaw, and the width that the right side was propped open the jaw head slightly is wider than the width that the right side was propped open the jaw, and the left side is propped open the jaw head and is propped open the inboard contact surface of jaw head and cooperate with.
Preferably, left side connecting rod is the same with right connecting rod structure, is V type connecting rod, and left connecting rod and right connecting rod set up relatively, and the opening of left connecting rod is towards right connecting rod, and the opening of right connecting rod is towards left connecting rod, and left connecting rod includes the back body of rod, middle part knee and preceding body of rod, and the middle part knee sets up to the V type, and the back body of rod and the preceding body of rod are connected respectively at the both ends of middle part knee, and left pincers handle is connected to the one end of the back body of rod, and the other end of the preceding body of rod is connected.
Preferably, the middle bent rod comprises a first connecting rod and a second connecting rod, a gap is formed between the first connecting rod and the second connecting rod, two ends of the first connecting rod and two ends of the second connecting rod are respectively connected together to play a role of a surgical retractor, and the extending parts of the left connecting rod and the right connecting rod provide favorable space for sacrospinous ligament suspension surgical operation.
Preferably, the included angle formed by the plane of the left forceps handle and the plane of the left connecting rod is 130-140 degrees.
Preferably, the clamp is further provided with a limiting device, the limiting device comprises an arc-shaped pawl strip, one end of the arc-shaped pawl strip is fixed on the inner side of the left clamp handle, the other end of the arc-shaped pawl strip penetrates through the right clamp handle, and ratchets are uniformly distributed on the outer edge of the arc-shaped pawl strip; a control arm is fixed on the right forceps handle, and positioning teeth meshed with the ratchet teeth are arranged on the control arm; the positioning teeth are meshed with the ratchets on the arc-shaped pawl strip in a normal state, and the positioning teeth and the ratchets on the control arm are separated under the action of external force to realize the adjustment of the spreading angle of the spreading arm.
Preferably, the left spreading jaw piece and the head of the left spreading jaw piece are integrally formed, the joint of the left spreading jaw piece and the head of the left spreading jaw piece is in smooth transition, the right spreading jaw piece and the head of the right spreading jaw piece are integrally formed, and the joint of the right spreading jaw piece and the head of the right spreading jaw piece is in smooth transition.
Preferably, the left forceps handle and the left connecting rod are integrally formed and are made of stainless steel; the right connecting rod and the right forceps handle are integrally formed and are made of stainless steel; the left forceps handle and the right forceps handle are hinged together through a movable bolt.
Visual intestines type operation in shade separator's application method, when using in the operation, with closed left side prop open the jaw piece, the right side prop open the jaw piece in the same direction as vagina back wall, the limit is opened and is separated between back pelvic cavity lateral wall and intestinal, then through pinching left pincers handle and right pincers handle, prop open left side and prop open the jaw piece with the right side, and then expose patient's sacrospinous ligament, prop open, and utilize arc pawl strip, the control arm cooperation will prop open left side the jaw piece and prop open right side the jaw piece relatively fixed in suitable position, so that the operation doctor carries out the accurate location and the operation at operation position.
Compared with the prior art, the utility model discloses following beneficial effect has:
the utility model discloses a visual intestines type vulva surgery separator, a separation apparatus that need be used when gynaecology's vulva surgery step is carried out sacrospinous ligament and suspends the art in midair, aim at sacrospinous ligament suspend the art in, through this apparatus, in the process of separating the vaginal wall intestinal, carry out one in the same place of intestinal and separate gradually to can see surrounding tissue through transparent material, reduce intestinal and surrounding tissue and even great vessel, nervous damage, bring great security for the patient; when the left spreading jaw sheet and the right spreading jaw sheet are close to each other and folded, the left spreading jaw sheet and the right spreading jaw sheet are butted to form a hollow cylindrical separation head, and the separation head is a bent separation head and conforms to the bending of an intestinal tract so as to realize stable operation in the gastrointestinal tract which is bent and disordered; and the left spreading jaw piece and the right spreading jaw piece are relatively fixed at proper positions by utilizing the matching of the arc-shaped pawl strip and the control arm, so that an operating doctor can accurately position and operate the operating position.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the embodiments or the technical solutions in the prior art will be briefly described below. Throughout the drawings, like elements or portions are generally identified by like reference numerals. In the drawings, elements or portions are not necessarily drawn to scale.
Fig. 1 is a schematic structural diagram of a first embodiment of the present invention;
fig. 2 is a schematic structural diagram of a second embodiment of the present invention;
FIG. 3 is an enlarged schematic view of the left clamp portion according to the embodiment of the present invention;
FIG. 4 is a schematic view of the present invention showing the headrest separated and closed;
fig. 5 is a schematic structural view of the separation head according to the embodiment of the present invention.
In the figure: 1. left tong portion 1.1, left tong handle 1.2, left connecting rod 1.2.1, the back body of rod 1.2.2, middle part knee 1.2.3, the preceding body of rod 1.3, left side open jaw 1.4, left side open jaw head 2, right tong portion 2.1, right tong handle 2.2, right connecting rod 2.3, right side open jaw 2.4, right side open jaw head 3, arc pawl strip 4, ratchet 5, control arm 6, location tooth.
Detailed Description
The invention will be further described with reference to the accompanying drawings:
the present invention is further described with reference to the following specific embodiments, which are not intended to limit the scope of the present invention, and any modifications, equivalent replacements, improvements, etc. made within the spirit and principles of the present invention should be included in the protection scope of the present invention.
Example one
As shown in fig. 1 and 3-5, the visual intestinal vaginal operation separator comprises a left forceps part 1 and a right forceps part 2 which are symmetrically arranged, the left forceps part 1 comprises a left forceps handle 1.1, a left connecting rod 1.2 and a left spreading jaw 1.3, the right forceps part 2 comprises a right forceps handle 2.1, a right connecting rod 2.2 and a right spreading jaw 2.3, the cross sections of the left spreading jaw 1.3 and the right spreading jaw 2.3 are both arc-shaped or semicircular structures, the contact surfaces of the left forceps handle 1.1 and the left spreading jaw 1.3 are respectively and fixedly connected to the two ends of the left connecting rod 1.2, the right forceps handle 2.1 and the right spreading jaw 2.3 are respectively and fixedly connected to the two ends of the right connecting rod 2.2, the left forceps handle 1.1 and the right forceps handle 2.1 are respectively and rotatably connected to the respective ends, and the left handle 1.1 and the right handle 2.1 can control the left spreading jaw 1.3 and the right spreading jaw 2.3 to be close to or close to the left spreading jaw 2, the left-hand expansion jaw piece 1.3 and the right-hand expansion jaw piece 2.3 are arranged relatively, when the left-hand expansion jaw piece 1.3 and the right-hand expansion jaw piece 2.3 are far away from each other, the left-hand expansion jaw piece 1.3 and the right-hand expansion jaw piece 2.3 are close to each other and are folded, the left-hand expansion jaw piece 1.3 and the right-hand expansion jaw piece 2.3 are butted to form a hollow cylindrical separation head, the left-hand expansion jaw piece 1.3 and the right-hand expansion jaw piece 2.3 are made of transparent hard materials, the left-hand forceps handle 1.1 and the right-hand forceps handle 2.1 are located on the same plane, the plane where the left-hand expansion jaw piece 1.3 is located and the plane where the left connecting.
In the embodiment, when the left spreading jaw piece 1.3 and the right spreading jaw piece 2.3 are close to each other and folded, the left spreading jaw piece and the right spreading jaw piece are butted to form a hollow cylindrical separation head, and the separation head is a curved separation head and conforms to the bending of an intestinal tract so as to realize stable operation in a gastrointestinal tract with disordered bending; one end of the left spreading jaw piece 1.3, which is far away from the left connecting rod 1.2, is a left spreading jaw piece head 1.4 which is bent inwards, one end of the right spreading jaw piece 2.3, which is far away from the right connecting rod 2.2, is a right spreading jaw piece head 2.4 which is bent inwards, the left spreading jaw piece head 1.4 is matched with the right spreading jaw piece head 2.4, the width b of the left spreading jaw piece head 1.4 is slightly wider than the width a of the left spreading jaw piece 1.3, the width of the right spreading jaw piece head 2.4 is slightly wider than the width of the right spreading jaw piece 2.3, and the left spreading jaw piece head 1.4 is matched with the inner side contact surface of the right spreading jaw piece head 2.4; the left connecting rod 1.2 and the right connecting rod 2.2 are of the same structure and are both V-shaped connecting rods, the left connecting rod 1.2 and the right connecting rod 2.2 are oppositely arranged, the opening of the left connecting rod 1.2 faces the right connecting rod 2.2, the opening of the right connecting rod 2.2 faces the left connecting rod 1.2, the left connecting rod 1.2 comprises a rear rod body 1.2.1, a middle bent rod 1.2.2 and a front rod body 1.2.3, the middle bent rod 1.2.2 is V-shaped, two ends of the middle bent rod 1.2.2 are respectively connected with the rear rod body 1.2.1 and the front rod body 1.2.3, one end of the rear rod body 1.2.1 is connected with a left clamp handle 1.1, and the other end of the front rod body 1.2.3 is connected with a left opening jaw sheet; the middle bent rod 1.2.2 comprises a first connecting rod and a second connecting rod, a gap is formed between the first connecting rod and the second connecting rod, two ends of the first connecting rod and two ends of the second connecting rod are respectively connected together to play a role of a surgical draw hook, and the extending parts of the left connecting rod 1.2 and the right connecting rod 2.2 provide a favorable space for sacrospinous ligament suspension surgery operation; an included angle formed by the plane where the left forceps handle 1.1 is located and the plane where the left connecting rod 1.2 is located is 135 degrees; the left spreading jaw piece 1.3 and the head part 1.4 of the left spreading jaw piece are integrally formed, the joint of the left spreading jaw piece 1.3 and the head part 1.4 of the left spreading jaw piece is in smooth transition, the right spreading jaw piece 2.3 and the head part 2.4 of the right spreading jaw piece are integrally formed, and the joint of the right spreading jaw piece 2.3 and the head part 2.4 of the right spreading jaw piece is in smooth transition; the left clamp handle 1.1 and the left connecting rod 1.2 are integrally formed and are made of stainless steel; the right connecting rod 2.2 and the right forceps handle 2.1 are integrally formed and are made of stainless steel; the left forceps handle 1.1 and the right forceps handle 2.1 are hinged together through a movable bolt.
Example two
As shown in fig. 2-5, the difference from the first embodiment is that a limiting device is further provided, the limiting device includes an arc-shaped pawl strip 3, one end of the arc-shaped pawl strip 3 is fixed on the inner side of the left forceps handle 1.1, the other end of the arc-shaped pawl strip 3 penetrates through the right forceps handle 2.1, and ratchets 4 are uniformly distributed on the outer edge of the arc-shaped pawl strip 3; a control arm 5 is fixed on the right forceps handle 2.1, and a positioning tooth 6 meshed with the ratchet 4 is arranged on the control arm 5; under normal state, the positioning teeth 6 are meshed with the ratchets 4 on the arc-shaped pawl strip 3, and the positioning teeth 6 on the control arm 5 are separated from the ratchets 4 under the action of external force to realize the adjustment of the spreading angle of the spreading arm 4.
EXAMPLE III
Visual intestines type operation in shade separator's application method, when using in the operation, prop open jaw 1.3 with closed left, the right side props open jaw 2.3 and is in the same direction as vagina back wall, the limit is opened and is done the separation between back pelvic cavity lateral wall and intestinal, then through pinching left side pincers handle 1.1 and right pincers handle 2.1, prop open jaw 1.3 and prop open jaw 2.3 on a left side, and then expose patient's sacrospinous ligament, prop open, and utilize arc pawl strip 3, control arm 5 cooperation is with propping open jaw 1.3 and right side and prop open jaw 2.3 relatively fixed in suitable position on a left side, so that the operation doctor carries out the accurate positioning and the operation at operation position, transparent material's visualization can let the operation person see surrounding tissue simultaneously, reduce intestinal and surrounding tissue or even great vessel, the damage of important nerve, bring the convenience for operation person's operation, bring great security for the patient.
Interpretation of related terms:
vaginal surgery separator: during the operation of the vulva type operation, because the structure of the pelvic floor is complex and the layers are compact, the separation of tissues is difficult to be operated by an operator, and some vulva type operation instruments are needed to assist the traction, the separation and the help.
The above embodiments are only used to illustrate the technical solution of the present invention, and not to limit the same; although the present invention has been described in detail with reference to the foregoing embodiments, it should be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some or all of the technical features may be equivalently replaced; such modifications and substitutions do not substantially depart from the scope of the embodiments of the present invention, and are intended to be covered by the claims and the specification.

Claims (9)

1. The utility model provides a visual intestines type yin type operation separator which characterized in that: the left clamp part (1) comprises a left clamp handle (1.1), a left connecting rod (1.2) and a left spreading jaw piece (1.3), the right clamp part (2) comprises a right clamp handle (2.1), a right connecting rod (2.2) and a right spreading jaw piece (2.3), the cross sections of the left spreading jaw piece (1.3) and the right spreading jaw piece (2.3) are arc-shaped or semicircular structures, the contact surfaces of the left clamp handle (1.1) and the right spreading jaw piece (1.3) are matched, the left clamp handle (1.1) and the left spreading jaw piece (1.3) are respectively and fixedly connected at the two ends of the left connecting rod (1.2), the right clamp handle (2.1) and the right spreading jaw piece (2.3) are respectively and fixedly connected at the two ends of the right connecting rod (2.2), the left clamp handle (1.1) and the right clamp handle (2.1) are respectively and rotatably connected at the end parts, and the left clamp handle (1.1) and the right handle (1.2) can be close to the left spreading jaw piece (3) or the right spreading jaw piece (3), the left spreading jaw piece (1.3) and the right spreading jaw piece (2.3) are arranged relatively, the left spreading jaw piece (1.3) and the right spreading jaw piece (2.3) are far away from each other and used for separating the intestinal tract of the vaginal wall, the left spreading jaw piece (1.3) and the right spreading jaw piece (2.3) are close to each other and are butted to form a hollow cylindrical separation head, the left spreading jaw piece (1.3) and the right spreading jaw piece (2.3) are made of transparent hard materials, the left forceps handle (1.1) and the right forceps handle (2.1) are located on the same plane, the plane where the left spreading jaw piece (1.3) is located and the plane where the left connecting rod (1.2) is located form an included angle larger than 0 degree and smaller than 180 degrees.
2. The visual vaginal surgical separator of claim 1, wherein: when left branch props open jaw piece (1.3) and right branch and props open jaw piece (2.3) and close up each other, the butt joint forms hollow cylinder type separation head, and the separation head is crooked separation head, follows the intestinal and crooked to realize steady operation in crooked unordered intestines and stomach.
3. The visual vaginal surgical separator of claim 2, wherein: one end that left side propped open jaw piece (1.3) kept away from left connecting rod (1.2) is for strutting jaw piece head (1.4) to the left side of inside lateral bending, the one end that right connecting rod (2.2) were kept away from in right side propping open jaw piece head (2.4) for the right side of inside lateral bending, left side props open jaw piece head (1.4) and right side and struts jaw piece head (2.4) and cooperatees, the width b that left side propped open jaw piece head (1.4) slightly is wider than the width an that left side propped open jaw piece (1.3), the width that right side propped open jaw piece head (2.4) slightly is wider than the width that right side propped open jaw piece (2.3), left side props open jaw piece head (1.4) and right side and struts the inboard contact surface of jaw piece head (2.4) and cooperate.
4. The visual vaginal surgical separator as claimed in claim 3, wherein: left side connecting rod (1.2) is the same with right connecting rod (2.2) structure, be V type connecting rod, left side connecting rod (1.2) and right connecting rod (2.2) set up relatively, the opening of left side connecting rod (1.2) is towards right connecting rod (2.2), the opening of right connecting rod (2.2) is towards left connecting rod (1.2), left side connecting rod (1.2) is including the back body of rod (1.2.1), middle part knee (1.2.2) and preceding body of rod (1.2.3), middle part knee (1.2.2) sets up to the V type, the both ends of middle part knee (1.2.2) are connected the back body of rod (1.2.1) respectively and preceding body of rod (1.2.3), left side pincers handle (1.1) is connected to the one end of the back body of rod (1.2.1), the other end of the preceding body of rod (1.2.3) is connected left side and is propped open piece (1.
5. The visual vaginal surgical separator of claim 4, wherein: the middle bent rod (1.2.2) comprises a first connecting rod and a second connecting rod, a gap is formed between the first connecting rod and the second connecting rod, two ends of the first connecting rod and two ends of the second connecting rod are connected together respectively to play a role of a surgical draw hook, and the extending parts of the left connecting rod (1.2) and the right connecting rod (2.2) provide a favorable space for sacrospinous ligament suspension surgical operation.
6. The visual vaginal surgical separator of claim 5, wherein: the included angle formed by the plane of the left forceps handle (1.1) and the plane of the left connecting rod (1.2) is 130-140 degrees.
7. The visual vaginal surgical separator of claim 6, wherein: the clamp is also provided with a limiting device, the limiting device comprises an arc-shaped pawl strip (3), one end of the arc-shaped pawl strip (3) is fixed on the inner side of the left clamp handle (1.1), the other end of the arc-shaped pawl strip (3) penetrates through the right clamp handle (2.1), and ratchets (4) are uniformly distributed on the outer edge of the arc-shaped pawl strip (3); a control arm (5) is fixed on the right forceps handle (2.1), and a positioning tooth (6) meshed with the ratchet (4) is arranged on the control arm (5); under a normal state, the positioning teeth (6) are meshed with the ratchets (4) on the arc-shaped pawl strip (3), and external force acts on the control arms (5) to separate the positioning teeth (6) from the ratchets (4) so as to realize the adjustment of the spreading angle of the spreading arms.
8. The visual vaginal surgical separator of claim 7, wherein: the left-hand opening jaw piece (1.3) and the left-hand opening jaw piece head (1.4) are integrally formed, the smooth transition of the joint of the left-hand opening jaw piece (1.3) and the left-hand opening jaw piece head (1.4) is realized, the right-hand opening jaw piece (2.3) and the right-hand opening jaw piece head (2.4) are integrally formed, and the smooth transition of the joint of the right-hand opening jaw piece (2.3) and the right-hand opening jaw piece head (2.4) is realized.
9. The visual vaginal surgical separator as claimed in claim 8, wherein: the left clamp handle (1.1) and the left connecting rod (1.2) are integrally formed and are made of stainless steel; the right connecting rod (2.2) and the right forceps handle (2.1) are integrally formed and are made of stainless steel; the left forceps handle (1.1) and the right forceps handle (2.1) are hinged together through a movable bolt.
CN201921726021.6U 2019-10-15 2019-10-15 Visual intestinal type vaginal operation separator Active CN210903242U (en)

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Application Number Priority Date Filing Date Title
CN201921726021.6U CN210903242U (en) 2019-10-15 2019-10-15 Visual intestinal type vaginal operation separator

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Application Number Priority Date Filing Date Title
CN201921726021.6U CN210903242U (en) 2019-10-15 2019-10-15 Visual intestinal type vaginal operation separator

Publications (1)

Publication Number Publication Date
CN210903242U true CN210903242U (en) 2020-07-03

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CN201921726021.6U Active CN210903242U (en) 2019-10-15 2019-10-15 Visual intestinal type vaginal operation separator

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