CN211355731U - Telescopic duckbilled fetching clamp - Google Patents

Telescopic duckbilled fetching clamp Download PDF

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Publication number
CN211355731U
CN211355731U CN201922032774.3U CN201922032774U CN211355731U CN 211355731 U CN211355731 U CN 211355731U CN 201922032774 U CN201922032774 U CN 201922032774U CN 211355731 U CN211355731 U CN 211355731U
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pipe
duckbilled
handle
telescopic
platform
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CN201922032774.3U
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Chinese (zh)
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窦磊
张欣欣
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First Hospital of China Medical University
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First Hospital of China Medical University
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Abstract

The utility model relates to a telescopic duckbilled gets thing pincers, including flexible pipe, flexible pipe left side is equipped with first pipe, be equipped with in proper order in the first pipe and keep off platform and follow-up platform, flexible pipe right side is equipped with the second pipe, the left end of first pipe is equipped with duckbilled double-layered sword, duckbilled double-layered sword rotates with first pipe to be connected, be equipped with the pulling device in the flexible pipe, second pipe right end is equipped with in proper order presses holding handle and adjusting gear, it is closed to press holding handle to pass through the pulling device and drive duckbilled double-layered sword, be equipped with adjusting screw in the second pipe, adjusting screw one end and follow-up platform threaded connection, adjusting screw's the other end and adjusting gear. The utility model discloses a harder myoma can be cut apart to the duckbilled double-layered sword, can contain the myoma of holding the cutting after the duckbilled double-layered sword cutting is closed and form the separation with the outside, avoids cutting the tumour among the separation process and drops, and the effectual tumour that has prevented is disseminated, and flexible pipe can return closed duckbilled double-layered sword and contract back, avoids haring the surrounding internal organs, easy operation, and the cost of manufacture is low.

Description

Telescopic duckbilled fetching clamp
Technical Field
The utility model belongs to the technical field of tumour apparatus is got to peritoneoscope hysteromyoma, in particular to thing pincers are got to telescopic duckbilled.
Background
The hysteromyoma is a benign tumor formed by hyperplasia of uterine smooth muscle tissues, is the most common benign tumor of women, and the prevalence rate of women in the childbearing age can reach 25%. The clinical manifestations mainly relate to the growth position and speed of tumor and whether degeneration occurs, the main clinical manifestations include menorrhagia, menostaxis, leukorrhagia, lower abdomen mass, infertility, etc., when the tumor is large, the rectum, bladder, ureter are pressed, and the pressing symptoms of corresponding organs such as frequent micturition, constipation, etc. can be caused. The hysteromyoma is the most common benign tumor in gynecology, and is better developed in a female with a growth period of 25-40 years old, so that the hysteromyoma removing operation with a growth function retained is mostly needed, at present, clinical operation ways comprise 3 types of abdominal, laparoscopic and vaginal operations, and the laparoscopic hysteromyoma removing operation becomes the choice of most patients along with the development of minimally invasive technology.
Hysteromyoma enucleation (LM) under laparoscope has the advantages of small wound, quick recovery, small postoperative scar and the like, and is the first choice treatment method for most women at present. Present tumour technical scheme of getting need take out through the belly sleeve after for the enucleation myoma under the peritoneoscope, if the sample volume is great then need cut into the fritter progressively consuming time and take out. Electronic hysteromyoma grinder is an energy apparatus with tubulose blade, is furnished with the nipper and grasps fixed tissue sample, and electric energy drive blade is high-speed rotatory behind the switch on, by this cuts into the fritter with tissue sample, takes out smoothly through the belly puncture opening after the reduction volume.
The principle of myoma morcellator is determined in benign disease, but the morcellation risks the formation of parasitic tumors. And according to the united states Food and Drug Administration (FDA) analysis, approximately 1 patient was found to have cryptogenic uterine sarcoma, which is less common clinically, but highly malignant and poorly prognostic, per 350 cases of hysterectomy or hysterectomy. The crushing tool used in the minimally invasive surgery can disperse the tumor tissues in the pelvis and the abdomen, so that the tumor cells are scattered, and the survival chance of a patient is greatly reduced. The FDA issued safety notices in 2014 without advising physicians laparoscopically to perform hysteromyoma morcellations, after which laparoscopic hysteromyoma enucleations declined worldwide.
This kind of electronic myoma grinder commonly used in the existing market is in the use, because high-speed rotation uses the sharp nature to cut apart the cutting and reduces the myoma volume gradually to there is certain broken risk of loosing of thing of smashing in the operation mode that can follow peritoneoscope passageway (Trocar) and take out, brings the shortcoming that the tumour scatters easily, so use electronic myoma grinder to get the abdominal cavity disseminated hysteromyoma scheduling problem that the tumour leads to easily under the peritoneoscope, make peritoneoscope hysteromyoma rejection art receive very big restriction.
SUMMERY OF THE UTILITY MODEL
The invention provides a telescopic duckbill fetching clamp, which aims to solve the technical problem that the crushing and tumor fetching are easy to spread in the clinical minimally invasive surgery.
The utility model provides a technical scheme that above-mentioned technical problem took is: the utility model provides a telescopic duckbilled gets thing pincers, its structural feature lies in, including flexible pipe, flexible pipe left side is equipped with first pipe, be equipped with in proper order in the first pipe and keep off platform and follow-up platform, flexible pipe right side is equipped with the second pipe, the left end of first pipe is equipped with the duckbilled and presss from both sides the sword, the duckbilled presss from both sides the sword and is connected with first pipe rotation, be equipped with the pulling device in the flexible pipe, second pipe right end is equipped with in proper order presses and holds handle and adjusting gear, it drives the duckbilled through the pulling device and presss from both sides the sword closure to press and hold the handle, be equipped with adjusting screw in the second pipe, adjusting screw one end and follow-up.
Furthermore, the adjusting gear drives the first pipe to extend or retract in the second pipe through the threaded transmission matching of the adjusting screw and the follow-up table.
Furthermore, the duckbilled double-layered sword includes convex body, cavity and cutting edge, and the convex body inboard is provided with the cavity, is equipped with the cutting edge around the outside of cavity.
Furthermore, the number of the convex bodies is distributed in two vertically symmetrical parts, and after the cutting edges of the upper and lower convex bodies are combined, the concave cavities of the upper and lower convex bodies are combined to form a sealed cavity.
Further, keep off platform and follow-up platform all with first pipe welded connection, keep off a side terminal surface and be straight face, keep off the arc face that another side terminal surface of platform is the even undulation of symmetry, keep off the center of platform and be equipped with the through-hole, the both sides of through-hole are equipped with the keyway.
Further, the pulling device is including drawing piece, pulling-on piece, spring, pull rod, locking key, falling the platform and founding the handle, draws the piece to rotate with duckbilled double-layered sword through the pulling-on piece to be connected, and the pull rod passes the spring and draws the piece to rotate through countersunk screw with drawing the piece and be connected, and the spring will draw the piece outwards ejecting through blockking of keeping off the platform, and locking key and pull rod welding are even on the pull rod to be provided with the platform that falls, found the handle and the rear end welded connection of pull rod.
Further, the vertical handle on the pull rod is aligned with and parallel to the direction of the locking key.
Further, the press handle comprises a circular blocking frame, a fixed handle, a rotating handle, a locking threaded rod, a shifting clamp and a U-shaped rotating hanging clamp, the circular blocking frame and the fixed handle are integrally manufactured, the circular blocking frame is in threaded connection with a second pipe, an adjusting screw and a pulling device penetrate through the circular blocking frame in a hole type clearance fit mode respectively, the rotating handle and the fixed handle are in rotating shaft type pin joint, one end of the locking threaded rod is rotatably connected with the lower end of the rotating handle, the other end of the locking threaded rod penetrates through the fixed handle, the shifting clamp is arranged at the upper end of the rotating handle, and two sides of the upper end of the rotating handle are rotatably connected with the U-shaped rotating hanging clamp in a rotating shaft type pin joint mode.
Furthermore, a rubber locking ring is arranged on the second pipe.
The utility model has the advantages that: the utility model adopts the adjusting gear to manually adjust the length of the telescopic pipe, and the operation is convenient and fast; in addition, press the transmission of holding the handle through pulling device to close the duckbilled double-layered sword, harder myoma can be cut apart to the duckbilled double-layered sword, can contain the myoma of holding the separation after the duckbilled double-layered sword cutting is closed, avoids cutting the tumour among the separation process and drops, has effectually prevented that the tumour from spreading, and flexible pipe is scalable can avoid haring surrounding internal organs, and the tail end can stabilize after the cutting tumour, easy operation, and the cost of manufacture is low.
Drawings
Fig. 1 is a schematic front view of the present invention;
fig. 2 is a schematic front view of the present invention;
fig. 3 is a schematic main sectional view of the baffle table of the present invention;
fig. 4 is a right schematic view of the baffle table of the present invention;
figure 5 is a schematic view of a duckbill knife closure in accordance with an embodiment of the present invention;
FIG. 6 is a schematic view of the position of the locking key and the vertical handle of the present invention;
figure 7 is a schematic view of the duckbill knife of the present invention;
fig. 8 is a schematic diagram of an embodiment of the invention;
in the figure: the device comprises an extension tube 1, a first tube 11, a baffle table 111, a 1111 through hole, a 1112 key groove, a 112 follow-up table, a second tube 12, a duckbilled knife, a convex body 21, a concave cavity 22, a knife edge 23, a pulling device 3, a pulling block 31, a pulling piece 32, a spring 33, a pull rod 34, a locking key 35, a reverse table 36, a vertical handle 37, a pressing handle 4, a round plug frame 41, a fixed handle 42, a rotating handle 43, a locking threaded rod 44, a shifting clamp 45, a rotating hanging clamp 46-U-shaped, an adjusting gear 5, an adjusting screw 6 and a rubber locking ring 7.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. The components of the embodiments of the present invention, generally described and illustrated in the figures herein, can be arranged and designed in a wide variety of different configurations. Thus, the following detailed description of the embodiments of the present invention, presented in the accompanying drawings, is not intended to limit the scope of the invention, as claimed, but is merely representative of selected embodiments of the invention. Based on the embodiment of the present invention, all other embodiments obtained by the person skilled in the art without creative work belong to the protection scope of the present invention.
As an example, referring to fig. 1 to 8, the technical solution adopted by the present invention to solve the above technical problem is: the utility model provides a telescopic duckbilled gets thing pincers, its structural feature lies in, including flexible pipe 1, flexible pipe 1 can adopt stainless steel materials such as medical titanium alloy metal or 6Cr13 to make, and flexible pipe 1 left side can be equipped with first pipe 11, can be equipped with in the first pipe 11 in proper order and keep off platform 111 and follow-up platform 112, keeps off platform 111 and follow-up platform 112 all can carry out welded connection with first pipe 11. As shown in fig. 3 and 4, one side end surface of the baffle 111 may be a flat surface, the other side end surface of the baffle 111 may be an arc surface with symmetrical and uniform undulation, a height difference between a highest undulation point and a lowest undulation point of the arc surface is about 1mm, a through hole 1111 may be disposed in the center of the baffle 111, key grooves 1112 may be disposed on two sides of the through hole 1111, and the through hole 1111 and the key grooves 1112 are machined on the baffle 111 by a machining method. The right side of the telescopic tube 1 can be provided with a second tube 12, and the first tube 11 can be retracted or extended in the second tube 12 in a clearance fit. The left end of the first tube 11 can be provided with a duckbill knife 2 made of 6Cr13 stainless steel material, and the length of the duckbill knife 2 is about 3 cm. As an example, as shown in fig. 7, the duckbill knife 2 may be pin-type rotatably connected to the first tube 11, the duckbill knife 2 may include a convex body 21, a concave cavity 22, and a blade 23, the concave cavity 22 may be provided inside the convex body 21, and the blade 23 may be provided around the outside of the concave cavity 22. The number of the convex bodies 21 can be distributed in two vertically symmetrical pieces, the upper and lower convex bodies 21 are respectively in pin-shaft type rotating connection with the first pipe 11, after the upper and lower convex bodies 21 are closed and combined, the blades 23 of the upper and lower convex bodies 21 are combined and the respective concave cavities 22 can be combined together to form a sealed cavity. The telescopic tube 1 can be internally provided with a pulling device 3, the pulling device 3 can comprise a pulling block 31, a pulling piece 32, a spring 33, a pulling rod 34, a locking key 35, a reverse table 36 and a vertical handle 37, the pulling block 31 can be rotatably connected with the rear part of the convex body 21 through the two pulling pieces 32 on the upper side and the lower side, the pulling block 31 can be sleeved on the pulling rod 34 through the spring 33 and is arranged between the pulling block 31 and the stop table 111, the round pulling rod 34 passes through the center of the pulling block 31 and is connected with the pulling block 31 through a countersunk screw and a gasket, the pulling rod 34 can be arranged in the pulling block 31, the pulling rod 34 can not be separated from the pulling block 31 through the limit of the countersunk screw and the gasket, the pulling rod 34 can pull the pulling block 31 to move backwards, the duckbill knife 2 can be closed through the pulling of the pulling piece 32 when the pulling block 31 moves backwards, the spring 33 can push the pulling block 31 outwards all the time through the stop of the stop table 111 welded on the, when the pulling block 31 stops the back pulling movement, the duckbilled knife 2 can be opened by being pushed by the spring 33; the locking key 35 is welded with the pull rod 34, the pull rod 34 slides in the through hole 1111 of the blocking platform 111, the locking key 35 slides in the key groove 1112 of the blocking platform 111, when the pull rod 34 is pulled right to close the duckbilled knife 2, the end face of the left end of the locking key 35 is separated from the key groove 1112, the locking key 35 can synchronously rotate by rotating the upright handle 37 welded at the rear part of the pull rod 34, the locking key 35 is in contact with the arc-shaped surface of the blocking platform 111 and locks the duckbilled knife 2 in a closed state, the positions of the locking key 35 and the upright handle 37 refer to the position shown in figure 6, and the directions of the upright handle 37 on the pull rod 34 and the locking key 35 are aligned and parallel; the rear part of the pull rod 34 is uniformly provided with the reverse platforms 36, the reverse platforms 36 are uniformly arranged on the pull rod 34 due to the circular ring shape, the reverse platforms 36 are machined on the pull rod 34 in a turning mode through a lathe, and the shape of the reverse platforms 36 is shown in fig. 5.
Referring to fig. 2 and 5, a pressing handle 4 and an adjusting gear 5 may be sequentially disposed at the right end of the second tube 12, an adjusting screw rod 6 may be disposed in the second tube 12, the pressing handle 4 may drive the duckbill knife 2 to close by the pulling device 3, the pressing handle 4 may include a circular blocking frame 41, a fixed handle 42, a rotating handle 43, a locking screw rod 44, a poking clamp 45 and a U-shaped rotating hanging clamp 46, the circular blocking frame 41 and the fixed handle 42 are integrally formed, the circular blocking frame 41 and the end of the second tube 12 are in threaded connection, the adjusting gear 5 is rotatably connected above the circular blocking frame 41, the adjusting screw rod 6 passes through the circular blocking frame 41 in a hole manner and is in threaded fit connection with the follower table 112, the outer end of the adjusting screw rod 6 may be in key joint with a pinion and is in meshed connection with the adjusting gear 5, the adjusting gear 5 is manually rotated to drive the adjusting screw rod 6 to rotate, the rotating adjusting screw rod 6 is screwed into or screwed out from the, a follow-up table 112 welded in a thread transmission manner synchronously drives the first pipe 11 to extend or retract in the second pipe 12; the pull rod 34 of the pulling device 3 can penetrate through the center of the circular plug frame 41, the reverse table 36 is partially arranged in the central hole of the circular plug frame 41, and the pull rod 34 is in clearance fit with the outer hole; the rotating handle 43 is in rotating shaft pin joint with the fixed handle 42, one end of the locking threaded rod 44 is in rotating connection with the lower end of the rotating handle 43, the fixed handle 42 is penetrated through by a hole at the other end of the locking threaded rod 44, the locking threaded rod 44 gradually extends out of the hole of the fixed handle 42 in the closing process of the fixed handle 42 and the rotating handle 43, and the locking threaded rod 44 can lock the position between the fixed handle 42 and the rotating handle 43 through a nut; the upper end of the rotating handle 43 is provided with a shifting block 45, the shifting block 45 and the rotating handle 43 are integrally manufactured, the shifting block 45 can be blocked on a table in the reversing table 36, two sides of the upper end of the rotating handle 43 can be in rotating shaft type pin connection with a U-shaped rotating hanging block 46, and the U-shaped rotating hanging block 46 is sleeved on the pull rod 34 and can be in pin connection with the rotating handle 43. The second tube 12 may be externally provided with an adhesive locking ring 7.
In the specific embodiment of the utility model, the handle 4 is held and pressed and the rotating handle 43 is pinched, the rotating handle 43 can pull the pull rod 34 backwards through the shifting clamp 45 and the U-shaped rotating hanging clamp 46, the closing of the duckbilled knife 2 can be realized by moving the size of the space between the reverse platforms 36, the duckbilled knife 2 can be locked all the time through transversely rotating the vertical handle 37 after the duckbilled knife 2 is closed, and the opening of the duckbilled knife 2 is prevented; the locking can also be carried out by the back nut on the locking threaded rod 44, the fixed handle 42 and the rotating handle 43 are locked, the duckbill knife 2 is closed by the transmission of the pulling device 3, the telescopic pipe 1 can not be shortened in the locking state, and the back nut on the locking threaded rod 44 is locked temporarily and conveniently. The closed duckbilled clamping knife 2 is locked by the locking key 35, the nut of the locking threaded rod 44 is loosened, the U-shaped rotary hanging clamp 46 is separated from the pull rod 34, the rotary handle 43 is screwed up to separate the shifting clamp 45 from the reversing table 36 in the reverse direction of the gradient of the reversing table 36, the rear end of the pull rod 34 reverses the table 36 without blocking interference, the rubber locking ring 7 which is made of medical rubber materials and is tightly hooped outside the second tube 12 is pushed forwards to be fixed with the tube of an external device, the tail end can be fixed after the tumor is cut, labor is saved, the adjusting gear 5 at the rear part of the manual rotation synchronously retracts the first tube 11 and the duckbilled clamping knife 2, and the duckbilled clamping knife is designed to be telescopic, so that the surrounding visceral organs are prevented from being damaged, meanwhile, the tumor is prevented from being spread. The instrument adopts the idea of cold knife operation, abandons the risk of tumor spreading caused by the current clinical electric myoma pulverizers, complies with the 'tumor-free idea' of the operation to the maximum extent, and has the advantages of simple operation, low cost and easy clinical popularization.
The utility model adopts the adjusting gear 5 to manually adjust the length of the telescopic tube 1, and the operation is convenient and fast; in addition, press and hold handle 4 and can be closed with duckbilled double-layered sword 2 through the transmission of pulling device 3, and more hard myoma can be cut apart to duckbilled double-layered sword 2, can contain the myoma of holding the separation after duckbilled double-layered sword 2 cuts closed, avoids cutting the tumour among the separation process and drops, and the effectual tumour of having prevented is broadcast, and flexible pipe 1 is scalable can avoid haring surrounding internal organs, and the tail end can stabilize after the cutting tumour, and easy operation, the cost of manufacture is low, convenient to use.
The above description is only for the specific embodiments of the present invention, but the protection scope of the present invention is not limited thereto, and any person skilled in the art can easily think of the changes or substitutions within the technical scope of the present invention, and all should be covered within the protection scope of the present invention. Therefore, the protection scope of the present invention should be dominated by the protection scope of the claims.

Claims (9)

1. The utility model provides a thing pincers are got to telescopic duckbilled which characterized in that: including flexible pipe, flexible pipe left side is equipped with first pipe, be equipped with in proper order in the first pipe and keep off platform and follow-up platform, flexible pipe right side is equipped with the second pipe, the left end of first pipe is equipped with the duckbilled and presss from both sides the sword, the duckbilled presss from both sides the sword and is connected with first pipe rotation, be equipped with the pulling device in the flexible pipe, the second pipe right end is equipped with in proper order presses and holds handle and adjusting gear, it drives the duckbilled clamp sword closure through the pulling device to press and hold the handle, be equipped with adjusting screw in the second pipe, adjusting screw one end and follow-up platform threaded connection, adjusting screw's the other.
2. The telescopic duckbill extraction pliers according to claim 1, wherein: the adjusting gear drives the first pipe to extend or retract in the second pipe through the transmission fit of the adjusting screw and the thread of the follow-up table.
3. The telescopic duckbill extraction pliers according to claim 1, wherein: the duckbilled double-layered sword includes convex body, cavity and cutting edge, and the convex body inboard is provided with the cavity, is equipped with the cutting edge around the outside of cavity.
4. The telescopic duckbill extraction pliers according to claim 3, wherein: the number of the convex bodies is distributed in two vertically symmetrical parts, and after the cutting edges of the upper and lower convex bodies are combined, the concave cavities of the upper and lower convex bodies are combined to form a sealed cavity.
5. The telescopic duckbill extraction pliers according to claim 1, wherein: keep off platform and follow-up platform all with first pipe welded connection, keep off a side terminal surface and be straight face, keep off the arc face that another side terminal surface of platform was the even undulation of symmetry, keep off the center of platform and be equipped with the through-hole, the both sides of through-hole are equipped with the keyway.
6. The telescopic duckbill extraction pliers according to claim 1, wherein: the pulling device comprises a pulling block, a pulling piece, a spring, a pull rod, a locking key, a reversing table and a vertical handle, wherein the pulling block is rotatably connected with the duckbilled clamping knife through the pulling piece, the pull rod penetrates through the spring and the pulling block to be rotatably connected with the pulling block through a countersunk screw, the spring is outwards ejected out of the pulling block through blocking of the blocking table, the locking key is welded with the pull rod, the pull rod is uniformly provided with the reversing table, and the vertical handle is welded with the rear end of the pull rod.
7. The telescopic duckbill extraction pliers according to claim 6, wherein: the vertical handles on the pull rod are aligned with the locking keys in the direction and are parallel and consistent.
8. The telescopic duckbill extraction pliers according to claim 1, wherein: the pressing handle comprises a round blocking frame, a fixed handle, a rotating handle, a locking threaded rod, a shifting clamp and a U-shaped rotating hanging clamp, the round blocking frame and the fixed handle are integrally manufactured, the round blocking frame is in threaded connection with a second pipe, an adjusting screw and a pulling device are respectively passed through the round blocking frame in a hole type clearance fit mode, the rotating handle and the fixed handle are in rotating shaft type pin joint, one end of the locking threaded rod is rotatably connected with the lower end of the rotating handle, the other end of the locking threaded rod penetrates through the fixed handle, the shifting clamp is arranged at the upper end of the rotating handle, and the two sides of the upper end of the rotating handle are rotatably connected with the U-shaped rotating hanging clamp in a rotating shaft type.
9. The telescopic duckbill extraction pliers according to claim 1, wherein: and a rubber locking ring is arranged outside the second pipe.
CN201922032774.3U 2019-11-22 2019-11-22 Telescopic duckbilled fetching clamp Active CN211355731U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201922032774.3U CN211355731U (en) 2019-11-22 2019-11-22 Telescopic duckbilled fetching clamp

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201922032774.3U CN211355731U (en) 2019-11-22 2019-11-22 Telescopic duckbilled fetching clamp

Publications (1)

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CN211355731U true CN211355731U (en) 2020-08-28

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112244918A (en) * 2020-11-16 2021-01-22 常州安康医疗器械有限公司 Double-power intracavity cutting anastomat

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112244918A (en) * 2020-11-16 2021-01-22 常州安康医疗器械有限公司 Double-power intracavity cutting anastomat

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