CN214712760U - Puncture diagnosis electrocoagulation incision device for laparoscope bile duct - Google Patents

Puncture diagnosis electrocoagulation incision device for laparoscope bile duct Download PDF

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Publication number
CN214712760U
CN214712760U CN202120068436.XU CN202120068436U CN214712760U CN 214712760 U CN214712760 U CN 214712760U CN 202120068436 U CN202120068436 U CN 202120068436U CN 214712760 U CN214712760 U CN 214712760U
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CN
China
Prior art keywords
clamping groove
bile duct
puncture
electrocoagulation
knife
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Expired - Fee Related
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CN202120068436.XU
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Chinese (zh)
Inventor
于伟
耿金宏
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Shanghai Jinshan Tinglin Hospital
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Shanghai Jinshan Tinglin Hospital
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Priority to CN202120068436.XU priority Critical patent/CN214712760U/en
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Abstract

The utility model discloses a ware is cut with puncture diagnosis electricity congeals for peritoneoscope bile duct, include: the device comprises a knife handle, a knife clamping groove, an inner cylinder, an outer cylinder, an electric wire, a front clamping groove, a rear clamping groove, a movable handle, a spring, a clamping bead, a conductive column, a rubber ring, an attraction cylinder and a puncture needle interface; the puncture diagnosis electrocoagulation incision device for the laparoscope bile duct adopts the utility model to complete puncture diagnosis of the common bile duct under the laparoscope; meanwhile, under the laparoscope, the hemorrhagic bile duct can be subjected to electrocoagulation hemostasis in the process of cutting the common bile duct by the charged blade. The operation is more precise and accurate. Through clinical tests, the laparoscopic surgery operation instrument is practical, convenient, quick and flexible, and can effectively improve the operation safety.

Description

Puncture diagnosis electrocoagulation incision device for laparoscope bile duct
Technical Field
The utility model relates to a peritoneoscope application technology field specifically is a puncture diagnosis electricity congeals and opens ware for peritoneoscope bile duct.
Background
The development of modern medicine, minimally invasive surgery has been the development direction of surgical operation at present, and minimally invasive surgery has the advantages of small wound, quick recovery and less pain, and has become the object and the direction which are jointly pursued by modern medicine. In some aspects, the laparoscopic technology gradually replaces the traditional operation, when the choledochus incision and calculus removal operation is performed under the laparoscope, whether the choledochus is a common bile duct or not needs to be firstly punctured and diagnosed, and then the choledochus is subjected to the incision and calculus removal operation, namely, an operator performs puncture and liquid drawing on the choledochus through a puncture needle to diagnose the choledochus, and then an operator needs to take a sharp instrument or an electrotome to perform the incision operation on the choledochus, so that clinically, under the laparoscope, no special common bile duct exploration surgical instrument which can puncture and diagnose the choledochus and can perform electrocoagulation hemostasis on the choledochus is available; generally, an operator takes an infusion needle, puts the infusion needle into the abdominal cavity of a patient through a puncture cannula, and carries out puncture liquid-drawing diagnosis operation, after the diagnosis is made of a common bile duct, the common bile duct is subjected to electric coagulation incision through a laparoscope electric hook or is cut through scissors, when the common bile duct is cut through the electric hook, irregular incision of the common bile duct can occur, the area of the burnt common bile duct is large, the leakage of the common bile duct occurs after the operation, and the like; when the common bile duct is cut off by using scissors, the wall of the common bile duct often bleeds, the surgical visual field is not clear, the next surgical operation is influenced, great difficulty is brought to the surgical operation, and certain trouble is brought to a surgeon.
SUMMERY OF THE UTILITY MODEL
An object of the utility model is to provide a peritoneoscope is puncture diagnosis electricity congeals cutter for bile duct, the problem that exists among the effectual solution background art of its ability.
In order to achieve the above object, the utility model provides a following technical scheme: a puncture diagnostic electrocoagulation cutter for a laparoscopic bile duct, comprising: the device comprises a knife handle, a knife clamping groove, an inner cylinder, an outer cylinder, an electric wire, a front clamping groove, a rear clamping groove, a movable handle, a spring, a clamping bead, a conductive column, a rubber ring, an attraction cylinder and a puncture needle interface; the method is characterized in that: the knife handle is connected with the conductive column through an electric wire; the knife clamping groove is positioned on the knife handle; the outer cylinder is sleeved outside the inner cylinder; the inner cylinder is internally provided with an electric wire and a suction cylinder; the inner cylinder is provided with a front clamping groove and a rear clamping groove; a movable handle is arranged on the outer cylinder; a spring and a clamping bead are arranged in the movable handle; the front of the suction tube is provided with a puncture needle interface, and the rear is provided with a rubber ring.
Further, the handle of a knife of metal material passes through the electric wire in the inner tube, links to each other with leading electrical pillar, and has the general sword draw-in groove of scalpel blade commonly used with the operating room on the handle of a knife.
Further, the conductive post may be universally connectable with an electrocoagulation machine of an operating room.
Furthermore, an attraction cylinder made of transparent plastic and a conductive wire pass through the inner cylinder made of the insulating material;
the front part of the inner cylinder wall is provided with a front clamping groove which can clamp the clamping bead, and the rear part is provided with a rear clamping groove which can clamp the clamping bead.
Further, the outer cylinder made of insulating material is a sleeve which is sleeved outside the inner cylinder and can slide back and forth and is arranged on the outer sleeve
The movable handle is convenient to move back and forth.
Furthermore, a spring and a clamping bead structure are arranged in the movable handle, and the outer cylinder is moved back and forth, so that the clamping beads can be respectively clamped
A front slot and a rear slot.
Furthermore, the front of the suction tube made of transparent plastic material is provided with a grinder which can be universally connected with the needle head of the medical syringe
A puncture needle interface of a sand structure; the rear part is provided with a closed rubber ring structure.
Furthermore, the rubber ring is sealed at the tail end of the suction tube and is made of rubber material which can be punctured by a needle of a medical syringe
And (7) sealing.
Compared with the prior art, the puncture diagnosis electrocoagulation incision device for the laparoscope bile duct can conveniently perform puncture diagnosis on the common bile duct to confirm whether the common bile duct is a common bile duct or not after the puncture needle head is connected with the puncture needle interface in front of the surgical instrument when the utility model is used for performing choledochus dissection and stone removal under the laparoscope; when the choledochus is diagnosed, a scalpel blade needing to be connected can be clamped by a knife clamping groove in front of the instrument, a normally used scalpel blade 11 is used for surgery, the scalpel blade 11 can conveniently and tidily cut the choledochus, in the process of cutting the choledochus, when the choledochus is bleeding, an electrified bile duct incision knife can be connected in advance through the scalpel blade, in the process of cutting the choledochus, at any time, the hemorrhagic position of the choledochus is convenient, the electric coagulation hemostasis operation is performed, in the process of cutting the choledochus, as the scalpel blade is used for surgery, the incision opening of the choledochus is neat and regular, after the incision, the choledochus can be subjected to the choledochus lithotomy operation through a choledochoscope and a lithotomy basket, and the surgery for lithotomy under the laparoscope is more precise and accurate. Through clinical use, the instrument is practical, convenient, quick and flexible in operation, and can effectively improve the operation safety.
Drawings
Fig. 1 is the structure schematic diagram of the utility model:
in the reference symbols: the device comprises a knife handle 1, a knife clamping groove 2, an inner cylinder 3, an outer cylinder 4, an electric wire 5, a front clamping groove 6, a rear clamping groove 7, a movable handle 8, a spring 9, a clamping bead 10, a conductive column 11, a rubber ring 12, an attraction cylinder 13 and a puncture needle interface 14.
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. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative efforts belong to the protection scope of the present invention.
Referring to fig. 1, the present invention provides a technical solution:
a puncture diagnostic electrocoagulation cutter for a laparoscopic bile duct, comprising: the device comprises a knife handle 1, a knife clamping groove 2, an inner cylinder 3, an outer cylinder 4, an electric wire 5, a front clamping groove 6, a rear clamping groove 7, a movable handle 8, a spring 9, a clamping bead 10, a conductive column 11, a rubber ring 12, an attraction cylinder 13 and a puncture needle interface 14; the method is characterized in that: the knife handle 1 is connected with the conductive column 11 through an electric wire 5; the knife clamping groove 2 is positioned on the knife handle 1; the outer cylinder 4 is sleeved outside the inner cylinder 3; the inner cylinder 3 is internally provided with an electric wire 5 and an attraction cylinder 13; the inner cylinder 3 is provided with a front clamping groove 6 and a rear clamping groove 7; a movable handle 8 is arranged on the outer cylinder 4; a spring 9 and a clamping bead 10 are arranged in the movable handle 8; the front of the suction tube 13 is provided with a puncture needle interface 14, and the rear is provided with a rubber ring 12.
Further, the metal handle 1 is connected with the conductive column 11 through an electric wire 5 inside the inner cylinder 3, and a knife clamping groove 2 which is common to surgical blades in an operating room is formed in the handle 1.
Further, the conductive post 11 may be universally connectable to the electrocoagulation machine of the operating room.
Further, inside the inner tube 3 made of insulating material, there are a suction tube 13 made of transparent plastic material and a conductive wire 5
Passing; the front part of the wall of the inner cylinder 3 is provided with a front clamping groove 6 which can clamp the clamping bead 10, and the rear part is provided with a rear clamping groove 7 which can clamp the clamping bead 10.
Further, the outer cylinder 4 made of insulating material is a sleeve which is sleeved outside the inner cylinder 3 and can slide back and forth, and the outer cylinder 4 is
A movable handle 8 which can move forward and backward conveniently is arranged on the bracket.
Furthermore, a spring 9 and a clamping bead 10 structure are arranged in the movable handle 8, and the outer cylinder 4 is moved back and forth, so that the clamping bead 10 can be clamped in the front clamping groove 6 and the rear clamping groove 7 respectively.
Furthermore, the front of the suction tube 13 made of transparent plastic material is provided with a suction tube which can be universally connected with the needle of the medical syringe,
a needle hub 14 of frosted construction; the rear part is provided with a closed rubber ring 12 structure.
Further, the rubber ring 12 is rubber which is sealed at the end of the suction barrel 13 and can be punctured by a medical syringe needle
And (4) sealing rings made of materials.
The utility model discloses concrete connection structure does: the instrument comprises two parts: one is a common bile duct puncture diagnosis operation part; the other part is a common bile duct cutting operation part; the structure of the common bile duct puncture diagnosis part is as follows: the suction tube 13 is located inside the inner tube 3 made of insulating materials, a puncture needle interface 14 is arranged in front of the suction tube 13, the suction tube 13 and the puncture needle interface 14 are both transparent and are made of plastic (resin) materials, a frosted anti-skidding structure is arranged at the puncture needle interface 14, the puncture needle interface 14 is prevented from sliding and falling off after being connected with a puncture needle head, a closed rubber ring 12 is arranged on the other side of the suction tube 13, the suction tube 13 is completely closed by the rubber ring 12, the medical syringe needle can conveniently puncture the rubber ring 12 to enter the suction tube 13, and suction operation is carried out through the puncture needle head connected with the puncture needle interface 14. The common bile duct cutting operation part has the following structure: the electric coagulation hemostasis device comprises an inner cylinder 3 made of an insulating material, a handle 1 made of a metal material is arranged in front of the inner cylinder 3, a knife clamping groove 2 made of a metal material is formed in the handle 1, the knife clamping groove 2 can be commonly clamped and fixedly connected with a surgical blade commonly used in an operating room, the handle 1 is connected with a conductive post 11 made of a metal material at the other end of the inner cylinder 3 through a conductive wire 5 in the inner cylinder 3, and after the conductive post 11 is connected with an electric coagulation instrument in the operating room, electric energy can directly perform electric coagulation hemostasis operation on a bile duct hemorrhage part through a conductive path of an electric coagulation machine-conductive post-electric wire-handle-knife clamping groove-blade; the inner cylinder is provided with a front clamping groove 6 and a rear clamping groove 7, the front clamping groove 6 and the rear clamping groove 7 are of a concave clamping groove structure which can clamp a clamping bead 10 on the insulating outer cylinder 4, the insulating outer cylinder 4 is fixed with a moving handle 8, the moving handle 8 is internally provided with a spring 9 and a clamping bead 10 structure, one end of the spring 9 is fixed with the moving handle 8, the other end of the spring 9 is fixed with the clamping bead 10, the spring 9 is made of an elastic material with external elasticity, a small part of the clamping bead 10 protrudes out of the outer cylinder 4 under the elastic action of the spring 9, when the moving handle 8 is moved back and forth, the clamping bead 10 on the outer cylinder 4 can be conveniently clamped in the front and the rear of the inner cylinder 3 at different positions of the front clamping groove 6 and the rear clamping groove 7 and the outer cylinder 4 is fixed, and when the clamping bead 10 is clamped in the front clamping groove 6, the front end of the outer cylinder 4 can carry out closed protection on a blade arranged in the cutter clamping groove 2 or a puncture needle arranged in a puncture needle interface 14 arranged in the puncture needle interface; when the clamping bead 10 is clamped at the rear clamping groove 7, the front end of the outer cylinder 4 can expose the blade arranged in the knife clamping groove 2 or the puncture needle arranged in the puncture needle interface 14, so that safe operation is facilitated.
The utility model discloses a benefit of apparatus does: the instrument is mainly used for conveniently performing puncture diagnosis on the common bile duct and performing the incision operation on the common bile duct when the operation of laparoscope common bile duct lithotomy and removal is performed, and effectively performing the electrocoagulation hemostasis operation on the common bile duct when the bleeding of the common bile duct occurs in the incision process of the common bile duct; the front end of the device is provided with a puncture needle interface 14 which is frosted, transparent and plastic (resin material), the device can be conveniently connected with the prior syringe needles with various types, the frosted puncture needle interface 14 can prevent the puncture needle from falling off from the puncture needle interface 14, the transparent puncture needle interface 14 can conveniently determine the color of puncture liquid in the puncture process and conveniently identify the type of a puncture pipeline, the outer cylinder 4 is sleeved outside the inner cylinder 3, when the puncture needle is connected on the puncture needle interface 14 and is ready for tissue puncture, namely, in the process of putting the device into an abdominal cavity through a puncture cannula, the moving handle 8 is firstly pushed forwards to enable the clamping bead 10 inside the moving handle 8 to be clamped at the front clamping groove 6, at the moment, the front end of the outer cylinder 4 exceeds the needle head with the puncture needle on the puncture needle interface 14 to protect the puncture needle head, and simultaneously, the device is convenient to be put into the abdominal cavity of a patient through the puncture cannula, when the device is placed in the abdominal cavity through the puncture cannula, the movable handle 8 is pulled back, the clamping bead 10 is clamped at the rear clamping groove 7 behind the device, the puncture needle and the puncture needle interface 14 can be completely exposed by the outer cylinder 4, and the puncture of tissues can be conveniently confirmed through the puncture needle; after the puncture is finished, the movable handle 8 is pushed forwards, the clamping bead 10 is clamped at the front clamping groove 6 again, the outer barrel 4 protects the puncture needle head again, and the abdominal cavity of the puncture cannula can be removed by the puncture needle protection device. When the bile duct incision operation is executed, a surgical incision blade (generally, a sharp blade numbered 11 for operation) can be connected to a knife clamping groove 2 of a knife handle 1 in front of the instrument, then an electrocoagulation machine used in an operating room is connected to a conductive post 11 of the instrument through a lead wire, a moving handle 8 is pushed forwards, a clamping bead 10 on an outer barrel 4 is clamped on a front clamping groove 6 of an inner barrel 3, at the moment, the outer barrel 4 exceeds the far end of the incision blade, namely, the outer barrel 4 can completely cover and protect the incision blade on the knife clamping groove 2, the instrument can be placed into the abdominal cavity of a patient through a puncture cannula without damaging the blade and the puncture cannula, the instrument can be conveniently placed into the abdominal cavity of the patient through the established puncture cannula, after the patient is successfully placed into the abdominal cavity of the patient, the moving handle 8 is pulled backwards, the clamping bead 10 is clamped at a rear clamping groove 7, the outer barrel 4 can expose the incision knife, the cutting operation can be conveniently carried out on the choledochus determined by puncture, in the cutting process, if the choledochus bleeds, the electrocoagulation hemostasis operation at the bile duct bleeding part can be directly carried out through the conductive path of the electrocoagulation machine, the conductive column, the wire, the handle of a knife, the knife clamping groove and the blade by controlling the switch of the electrocoagulation machine, the cutting of the blade is orderly, and the electrocoagulation hemostasis is exact; after the choledochus cutting operation is finished, the movable handle 8 is pushed forwards, the clamping bead 10 is clamped at the front clamping groove 6, the blade can be protected and covered by the outer barrel 4 at the moment, and the apparatus can be taken out of the abdominal cavity of a patient through the puncture cannula.
The specific using method comprises the following steps: when the choledocholithiasis operation is performed under a laparoscope, the position of the common bile duct is determined firstly, then the common bile duct is subjected to incision and hemostasis operation, the surgical instrument can be used, and the specific operation method comprises the following steps: in the puncture diagnosis process, firstly, the movable handle 8 on the outer cylinder 4 of the apparatus is pulled backwards, clamped at the back clamping groove 7, the puncture needle interface 14 is exposed, the puncture needle head for the injector is taken and connected with the puncture needle interface 14 of the apparatus, the movable handle 8 is pushed forwards until the clamping bead 10 is clamped at the front clamping groove 6, the puncture needle on the puncture needle interface 14 can be protected by the outer cylinder 4, the apparatus is placed into a patient body through a puncture cannula established on the abdominal wall of the patient, the movable handle 8 is pulled backwards until the clamping bead 10 is clamped at the back clamping groove 7, the puncture needle on the puncture needle interface 14 can be exposed, the common bile duct is punctured according to needs, the liquid color at the puncture position can be observed through the puncture needle interface 14 made of transparent materials, and the tissue structure type can be diagnosed; when the puncture fluid is required to be reserved and sampled for laboratory test, an injector can be additionally taken to puncture the rubber ring 12, the injector is withdrawn, and the fluid can enter the injector through the suction tube 13 with negative pressure. After the puncture diagnosis is successful, the movable handle 8 is pushed forward, the outer cylinder 4 protects the puncture needle head, and the instrument is taken out through the abdominal wall puncture cannula to complete the puncture diagnosis operation; when the choledochus cutting hemostasis operation is required, firstly, the movable handle 8 is pulled backwards to clamp the clamping beads 10 at the rear clamping groove 7, the knife clamping groove 2 is exposed, a number 11 blade (a sharp blade which is commonly used in the operation is convenient to cut) is connected with the knife clamping groove 2 of the instrument, the electric conducting wire of the electrocoagulation instrument is connected with the conducting post 11, the movable handle 8 is pushed forwards to clamp the clamping beads 10 at the front clamping groove 6, the outer barrel 4 can protect the blade on the knife clamping groove 2, the instrument is placed into the abdominal cavity of a patient through the puncture cannula, the movable handle 8 is pulled backwards to clamp the clamping beads 10 at the rear clamping groove 7, the blade on the knife clamping groove 2 is exposed, the bile duct cutting operation is carried out through the blade, bleeding is encountered in the cutting process, the electrocoagulation hemostasis operation can be directly carried out through the electric coagulation machine-conducting post-electric wire-knife handle-knife clamping groove-blade through the electric conduction path of the electrocoagulation machine-conducting post-electric wire-knife clamping groove-knife-blade, after the operation of cutting open, promote the removal handle 8 forward, let card pearl 10 card in the front draw-in groove 6 departments, urceolus 4 can protect the blade of cutting open, can be convenient take out this surgical instrument from the patient internal through the puncture sleeve pipe, accomplish common bile duct and cut, hemostasis operation, can conveniently further get the stone operation through choledochoscope, stone basket of getting to common bile duct. The instrument has the advantages of convenient use, exact hemostasis, convenient operation, regular incision and convenient suturing operation of the common bile duct after the operation is finished. The puncture diagnosis electrocoagulation incision device for the laparoscope bile duct can be sterilized by applying plasma equipment.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (8)

1. A puncture diagnostic electrocoagulation cutter for a laparoscopic bile duct, comprising: the device comprises a knife handle, a knife clamping groove, an inner cylinder, an outer cylinder, an electric wire, a front clamping groove, a rear clamping groove, a movable handle, a spring, a clamping bead, a conductive column, a rubber ring, an attraction cylinder and a puncture needle interface; the method is characterized in that: the knife handle is connected with the conductive column through an electric wire; the knife clamping groove is positioned on the knife handle; the outer cylinder is sleeved outside the inner cylinder; the inner cylinder is internally provided with an electric wire and a suction cylinder; the inner cylinder is provided with a front clamping groove and a rear clamping groove; a movable handle is arranged on the outer cylinder; a spring and a clamping bead are arranged in the movable handle; the front of the suction tube is provided with a puncture needle interface, and the rear is provided with a rubber ring.
2. The puncture diagnostic electrocoagulation cutter for the laparoscopic bile duct of claim 1, characterized in that: the handle is connected with the conductive column through an electric wire inside the inner cylinder, and a knife clamping groove which is universal with a common operating blade in an operating room is arranged on the handle.
3. The puncture diagnostic electrocoagulation cutter for the laparoscopic bile duct of claim 1, characterized in that: the conductive post may be in universal connection with an electrocoagulation machine of an operating room.
4. The puncture diagnostic electrocoagulation cutter for the laparoscopic bile duct of claim 1, characterized in that: an attraction cylinder made of transparent plastic and a conductive wire pass through the inner cylinder; the front part of the inner cylinder wall is provided with a front clamping groove which can clamp the clamping bead, and the rear part is provided with a rear clamping groove which can clamp the clamping bead.
5. The puncture diagnostic electrocoagulation cutter for the laparoscopic bile duct of claim 1, characterized in that: the outer cylinder is a sleeve which is sleeved outside the inner cylinder and can slide back and forth, and a movable handle which can move back and forth conveniently is arranged on the outer cylinder.
6. The puncture diagnostic electrocoagulation cutter for the laparoscopic bile duct of claim 1, characterized in that: a spring and a clamping bead structure are arranged in the movable handle, and the outer barrel is moved back and forth, so that the clamping beads can be clamped in the front clamping groove and the rear clamping groove respectively.
7. The puncture diagnostic electrocoagulation cutter for the laparoscopic bile duct of claim 1, characterized in that: the front of the suction tube is provided with a puncture needle interface of a frosted structure which can be universally connected with the needle head of the medical syringe; the rear part is provided with a closed rubber ring structure.
8. The puncture diagnostic electrocoagulation cutter for the laparoscopic bile duct of claim 1, characterized in that: the rubber ring is a rubber sealing ring which is sealed at the tail end of the suction tube and can be punctured by a medical syringe needle.
CN202120068436.XU 2021-01-12 2021-01-12 Puncture diagnosis electrocoagulation incision device for laparoscope bile duct Expired - Fee Related CN214712760U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202120068436.XU CN214712760U (en) 2021-01-12 2021-01-12 Puncture diagnosis electrocoagulation incision device for laparoscope bile duct

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202120068436.XU CN214712760U (en) 2021-01-12 2021-01-12 Puncture diagnosis electrocoagulation incision device for laparoscope bile duct

Publications (1)

Publication Number Publication Date
CN214712760U true CN214712760U (en) 2021-11-16

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ID=78638601

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202120068436.XU Expired - Fee Related CN214712760U (en) 2021-01-12 2021-01-12 Puncture diagnosis electrocoagulation incision device for laparoscope bile duct

Country Status (1)

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CN (1) CN214712760U (en)

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Granted publication date: 20211116

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