CN216823583U - A kind of fixed forceps for cardiovascular suture needle threading spacer - Google Patents

A kind of fixed forceps for cardiovascular suture needle threading spacer Download PDF

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CN216823583U
CN216823583U CN202121200224.9U CN202121200224U CN216823583U CN 216823583 U CN216823583 U CN 216823583U CN 202121200224 U CN202121200224 U CN 202121200224U CN 216823583 U CN216823583 U CN 216823583U
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groove
clamp
suture
forceps
gasket
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韩盖宇
朱李军
刘小民
秦芳琼
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Guangdong General Hospital
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Guangdong General Hospital
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Abstract

The utility model relates to the technical field of cardiovascular surgery surgical instruments, and discloses a fixing clamp for a cardiovascular suture needle gasket, which comprises a first clamp body and a second clamp body which are connected in a crossed rotation manner, wherein a first clamp mouth is arranged at the first end of the first clamp body, a second clamp mouth is arranged at the first end of the second clamp body, and a first groove is arranged at the edge of the first clamp mouth; the edge of the second forceps mouth is provided with a second groove which is opposite to the first groove, when the fixed forceps are in a closed state, the first groove and the second groove form a groove space for the cardiovascular suture needle to penetrate through, the groove space is communicated along the clamping direction of the first forceps body and the second forceps body, when the fixed forceps are used, the circumferential constraint force is exerted on the part, located in the groove space, of the suture gasket by the area, close to the groove space, of the first forceps mouth and the area, close to the groove space, of the second forceps mouth, when the needle point of the suture needle presses the suture gasket in the groove space, the suture needle can penetrate into the suture gasket in a nearly vertical state, and the sharing effect of the suture gasket on the suture cutting force is ensured.

Description

一种心血管缝合针穿垫片用固定钳A kind of fixed forceps for cardiovascular suture needle threading spacer

技术领域technical field

本实用新型涉及心血管外科手术器械技术领域,特别是涉及一种心血管缝合针穿垫片用固定钳。The utility model relates to the technical field of cardiovascular surgical instruments, in particular to a fixed forceps for a cardiovascular suture needle through a gasket.

背景技术Background technique

心血管外科手术一般需要使用缝线闭合心腔,吻合主动脉或缝合心脏表面肌肉血管止血,缝线一般为不可吸收单股聚丙烯缝线,线体顺滑纤细,手术医生使用缝线闭合心腔或止血时,打结力量小会漏血或止不住出血,打结力量大会因心脏跳动导致缝线有切割力,使心肌撕裂出血。为防止此类情况出现,手术医生在使用缝线缝合心肌或血管组织之前,会先将带有缝线的缝针穿入第一缝线垫片,然后将缝针穿过心肌或血管组织,缝针从心肌或血管组织穿出后,再将缝针穿入第二缝线垫片,从而使缝线的进针端和出针端各有一片缝线垫片夹住心肌或血管组织,使缝线进针端和出针端对心肌或血管组织的切割力分担在缝线垫片上。Cardiovascular surgery generally requires the use of sutures to close the heart cavity, anastomose the aorta or suture the muscles and blood vessels on the surface of the heart to stop bleeding. The sutures are generally non-absorbable single-strand polypropylene sutures with smooth and slender sutures. The surgeon uses sutures to close the heart. In cavity or hemostasis, the force of tying the knot is small, which will cause leakage or unstoppable bleeding. The force of tying the knot will cause the suture to have cutting force due to the beating of the heart, which will tear the myocardium and bleed. To prevent this from happening, the surgeon will pass a suture with sutures through the first suture spacer before using sutures to close the heart muscle or blood vessel tissue, and then pass the needle through the heart muscle or blood vessel tissue, After the suture needle is pierced from the myocardium or vascular tissue, the suture needle is inserted into the second suture spacer, so that there is a suture spacer at the needle entry end and the needle exit end of the suture to clamp the myocardium or vascular tissue. The cutting force of the suture into the needle end and the needle out end to the myocardium or vascular tissue is shared on the suture spacer.

目前,缺少将缝针穿过缝线垫片的专用器械,一般是医护人员左手持小弯钳夹持垫片左半部分的中部,垫片的右半部分呈悬臂状伸出小弯钳,医护人员右手将缝针穿过垫片的右半部分时,由于垫片悬臂部分处于自由状态,缺少固定力的约束,针尖的压力使悬臂状伸出部分垫片发生弯曲,因此,针尖无法以垂直的于垫片的方向穿过垫片,这种状况在使用较软较薄的垫片,如心包膜垫片时尤其严重,针尖以倾斜状态穿入缝线垫片,会导致打结后缝线垫片与缝线接触部位的实际厚度小于缝线垫片标称厚度,严重降低了缝线垫片对缝线切割力的分担作用。At present, there is a lack of special equipment for passing the suture needle through the suture gasket. Generally, the medical staff holds a small curved forceps with their left hand to hold the middle of the left half of the gasket, and the right half of the gasket extends out of the small curved forceps in a cantilever shape. When the medical staff put the suture needle through the right half of the spacer with the right hand, because the cantilever part of the spacer is in a free state and lacks the restraint of the fixing force, the pressure of the needle tip makes the spacer of the cantilever-like projecting part bend, so the needle point cannot Passing through the spacer perpendicular to the spacer, this condition is especially serious when using softer and thinner spacers, such as pericardial spacers, the needle tip penetrates the suture spacer at an angle, which can cause knots The actual thickness of the contact part between the rear suture gasket and the suture is less than the nominal thickness of the suture gasket, which seriously reduces the sharing effect of the suture gasket on the suture cutting force.

实用新型内容Utility model content

本实用新型要解决的技术问题是:目前缺少将缝针穿过缝线垫片的专用器械,使用小弯钳夹持垫片时,缝针会使垫片发生弯曲,导致针尖无法以垂直的于垫片的方向穿过垫片。The technical problem to be solved by the utility model is: at present, there is a lack of special equipment for passing the sewing needle through the suture gasket. When the gasket is clamped by the small curved pliers, the sewing needle will bend the gasket, so that the needle tip cannot be perpendicular to the vertical direction. Pass through the gasket in the direction of the gasket.

为了解决上述技术问题,本实用新型提供了一种心血管缝合针穿垫片用固定钳,包括交叉转动连接的第一钳体和第二钳体,所述第一钳体的第一端设有第一钳嘴,所述第二钳体的第一端设有第二钳嘴,所述第一钳嘴的边缘设有第一凹槽,所述第二钳嘴的边缘设有第二凹槽,所述第二凹槽与所述第一凹槽相对设置;In order to solve the above-mentioned technical problems, the present invention provides a fixed forceps for a cardiovascular suture needle threading gasket, which includes a first forceps body and a second forceps body that are connected in a cross-rotational connection, and the first end of the first forceps body is provided with a fixed forceps. There is a first jaw, the first end of the second jaw body is provided with a second jaw, the edge of the first jaw is provided with a first groove, and the edge of the second jaw is provided with a second jaw a groove, the second groove is arranged opposite to the first groove;

所述第一钳体和所述第二钳体处于夹合状态时,所述第一凹槽与所述第二凹槽形成供心血管缝合针穿过的凹槽空间,所述凹槽空间沿所述第一钳体和第二钳体的夹持方向贯通。When the first forceps body and the second forceps body are in a clamped state, the first groove and the second groove form a groove space for the cardiovascular suture needle to pass through, and the groove space It penetrates along the clamping direction of the first forceps body and the second forceps body.

作为优选方案,所述第一钳嘴上设有第一夹板,所述第一凹槽设置在所述第一夹板的顶部;As a preferred solution, the first jaw is provided with a first clamping plate, and the first groove is arranged on the top of the first clamping plate;

所述第二钳嘴上设有第二夹板,所述第二夹板与所述第一夹板相对设置,所述第二凹槽设置在所述第二夹板的顶部。The second jaw is provided with a second clamping plate, the second clamping plate is arranged opposite to the first clamping plate, and the second groove is arranged on the top of the second clamping plate.

所述第一夹板和所述第二夹板均与所述第一钳体和第二钳体的夹持方向垂直。Both the first clamp plate and the second clamp plate are perpendicular to the clamping directions of the first clamp body and the second clamp body.

作为优选方案,所述第一凹槽为向所述第一夹板内侧延伸的第一弧形槽;所述第二凹槽为向所述第二夹板内侧延伸的第二弧形槽。As a preferred solution, the first groove is a first arc-shaped groove extending toward the inner side of the first clamping plate; the second groove is a second arc-shaped groove extending toward the inner side of the second clamping plate.

作为优选方案,所述第一钳体的第二端设有第一锯齿卡扣,所述第二钳体的第二端设有第二锯齿卡扣,所述第一锯齿卡扣和所述第二锯齿卡扣相互卡合以保持所述第一钳体与所述第二钳体处于闭合状态。As a preferred solution, the second end of the first pliers body is provided with a first sawtooth buckle, the second end of the second forceps body is provided with a second sawtooth buckle, the first sawtooth buckle and the The second serrated buckles are engaged with each other to keep the first forceps body and the second forceps body in a closed state.

作为优选方案,所述第一钳体的第二端设有第一指环,所述第二钳体的第二端设有第二指环。As a preferred solution, the second end of the first forceps body is provided with a first finger ring, and the second end of the second forceps body is provided with a second finger ring.

本实用新型的心血管缝合针穿垫片用固定钳与现有技术相比,其有益效果在于:Compared with the prior art, the utility model has the beneficial effects of:

本实用新型的心血管缝合针穿垫片用固定钳,包括交叉转动连接的第一钳体和第二钳体,第一钳体的第一端设有第一钳嘴,第二钳体的第一端设有第二钳嘴,第一钳嘴的边缘设有第一凹槽;第二钳嘴的边缘设有第二凹槽,第二凹槽与第一凹槽相对设置,固定钳处于闭合状态时,第一凹槽和第二凹槽形成供心血管缝针穿过的凹槽空间,凹槽空间沿第一钳体和第二钳体的夹持方向贯通;使用时,第一钳嘴和第二钳嘴紧邻凹槽空间的区域对缝线垫片位于凹槽空间内的部分施加以周向的约束力,缝针针尖在凹槽空间内部压入缝线垫片时,缝线垫片在周向约束力的作用下保持拉伸状态,因此,缝针能够以接近垂直状态穿入缝线垫片内,保证了缝线垫片与缝线接触部位的实际厚度接近缝线垫片的标称厚度,确保了缝线垫片对缝线切割力的分担作用。The utility model relates to a fixed forceps for penetrating a spacer for a cardiovascular suture needle, which comprises a first forceps body and a second forceps body which are cross-rotatedly connected. The first end of the first forceps body is provided with a first forceps mouth; The first end is provided with a second jaw, the edge of the first jaw is provided with a first groove; the edge of the second jaw is provided with a second groove, the second groove is arranged opposite to the first groove, and the clamp is fixed. When in the closed state, the first groove and the second groove form a groove space for the cardiovascular suture needle to pass through, and the groove space penetrates along the clamping direction of the first forceps body and the second forceps body; The area of the first jaw and the second jaw close to the groove space exerts a circumferential binding force on the part of the suture spacer located in the groove space. When the needle tip is pressed into the suture spacer inside the groove space, The suture gasket is kept in a stretched state under the action of the circumferential binding force, so the needle can penetrate into the suture gasket in a near-vertical state, ensuring that the actual thickness of the contact part between the suture gasket and the suture is close to the seam. The nominal thickness of the thread spacer ensures that the thread spacer shares the cutting force of the thread.

附图说明Description of drawings

图1是本实用新型心血管缝合针穿垫片用固定钳的结构示意图;Fig. 1 is the structural representation of the fixed forceps used for the cardiovascular suture needle through the gasket of the present invention;

图2是第一夹板12的结构示意图;Fig. 2 is the structural representation of the first splint 12;

图中,1、第一钳体;11、第一钳嘴;12、第一夹板;13、第一卡扣;14、第一指环;2、第二钳体;21、第二钳嘴;22第二夹板;23、第二卡扣;24、第二指环;3、缝线垫片;In the figure, 1, the first forceps body; 11, the first forceps mouth; 12, the first splint; 13, the first buckle; 14, the first finger ring; 2, the second forceps body; 21, the second forceps mouth; 22, the second splint; 23, the second buckle; 24, the second ring; 3, the suture gasket;

具体实施方式Detailed ways

下面结合附图和实施例,对本实用新型的具体实施方式作进一步详细描述。以下实施例用于说明本实用新型,但不用来限制本实用新型的范围。The specific embodiments of the present utility model will be described in further detail below with reference to the accompanying drawings and embodiments. The following examples are used to illustrate the present invention, but are not intended to limit the scope of the present invention.

在本实用新型的描述中,应当理解的是,术语“上”、“下”、“左”、“右”、“顶”、“底”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本实用新型和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本实用新型的限制。应当理解的是,本实用新型中采用术语“第一”、“第二”等来描述各种信息,但这些信息不应限于这些术语,这些术语仅用来将同一类型的信息彼此区分开。例如,在不脱离本实用新型范围的情况下,“第一”信息也可以被称为“第二”信息,类似的,“第二”信息也可以被称为“第一”信息。In the description of the present invention, it should be understood that the orientations or positional relationships indicated by the terms "upper", "lower", "left", "right", "top", "bottom", etc. are based on those shown in the accompanying drawings. The orientation or positional relationship is only for the convenience of describing the present utility model and simplifying the description, rather than indicating or implying that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as a reference to the present utility model. limits. It should be understood that the terms "first", "second", etc. are used to describe various information in the present invention, but the information should not be limited to these terms, and these terms are only used to distinguish the same type of information from each other. For example, "first" information may also be referred to as "second" information, and similarly, "second" information may also be referred to as "first" information without departing from the scope of the present invention.

如图1至图2,一种心血管缝合针穿垫片用固定钳的优选实施例,包括第一钳体1和第二钳体2,第一钳体1和第二钳体2的交叉转动连接,第一钳体1的第一端设有第一钳嘴11,第二钳体2的第一端设有第二钳嘴21,第一钳嘴11的边缘设有第一凹槽,第二钳嘴21的边缘设有第二凹槽,第二凹槽与第一凹槽相对设置;第一钳体1和第二钳体2处于闭合状态时,第一凹槽与第二凹槽形成供心血管缝合针穿过的凹槽空间,凹槽空间沿第一钳体1和第二钳体2的夹持方向贯通。As shown in Fig. 1 to Fig. 2, a preferred embodiment of a fixed forceps for a cardiovascular suture needle threading spacer includes a first forceps body 1 and a second forceps body 2, and the intersection of the first forceps body 1 and the second forceps body 2 Rotationally connected, the first end of the first clamp body 1 is provided with a first clamp mouth 11, the first end of the second clamp body 2 is provided with a second clamp mouth 21, and the edge of the first clamp mouth 11 is provided with a first groove , the edge of the second pliers mouth 21 is provided with a second groove, and the second groove is arranged opposite to the first groove; when the first pliers body 1 and the second pliers body 2 are in the closed state, the first groove and the second The groove forms a groove space for the cardiovascular suture needle to pass through, and the groove space penetrates along the clamping direction of the first forceps body 1 and the second forceps body 2 .

使用时,第一钳嘴11和第二钳嘴21紧邻凹槽空间的区域对缝线垫片3位于凹槽空间内的部分施加以周向的约束力,缝针针尖在凹槽空间内部压入缝线垫片3时,缝线垫片3在周向约束力的作用下保持拉伸状态,因此,缝针能够以接近垂直状态穿入缝线垫片3内,保证了缝线垫片3与缝线接触部位的实际厚度接近缝线垫片的标称厚度,确保了缝线垫片3对缝线切割力的分担作用。When in use, the area of the first jaw 11 and the second jaw 21 adjacent to the groove space exerts a circumferential binding force on the part of the suture gasket 3 located in the groove space, and the needle tip is pressed in the groove space. When entering the suture spacer 3, the suture spacer 3 is kept in a stretched state under the action of the circumferential restraint force. Therefore, the needle can penetrate into the suture spacer 3 in a nearly vertical state, ensuring the suture spacer. 3 The actual thickness of the contact part with the suture is close to the nominal thickness of the suture gasket, which ensures the sharing effect of the suture gasket 3 on the suture cutting force.

具体的,本实施例中,第一钳嘴11位于第二钳嘴21的右侧,第一凹槽与第一钳嘴11的左侧面相交所形成的轮廓线位于缝线垫片3的外轮廓内,第二凹槽与第二钳嘴21的右侧面相交所形成的轮廓线位于缝线垫片3的外轮廓内,因此,第一钳嘴11和第二钳嘴21闭合时能够将缝线垫片3的周圈全部压紧,进一步提高了缝线垫片3在承受缝合针针尖压力时的约束力,防止了缝线垫片的弯曲变形。Specifically, in this embodiment, the first jaw 11 is located on the right side of the second jaw 21 , and the contour line formed by the intersection of the first groove and the left side of the first jaw 11 is located on the side of the suture gasket 3 . In the outer contour, the contour line formed by the intersection of the second groove and the right side of the second jaw 21 is located in the outer contour of the suture spacer 3. Therefore, when the first jaw 11 and the second jaw 21 are closed The entire circumference of the suture gasket 3 can be compressed, which further improves the binding force of the suture gasket 3 when it bears the pressure of the needle tip of the suture needle, and prevents the suture gasket from being bent and deformed.

本实施例中,第一钳嘴11上设有第一夹板12,第一凹槽设置在第一夹板12的顶部;第二钳嘴21上设有第二夹板22,第二夹板22与第一夹板12相对设置,第二凹槽设置在第二夹板22的顶部,第一夹板 12和第二夹板22均与第一钳体1和第二钳体2的夹持方向垂直。In this embodiment, the first jaw 11 is provided with a first clamping plate 12, and the first groove is arranged on the top of the first clamping plate 12; the second clamping jaw 21 is provided with a second clamping plate 22, the second clamping plate 22 and the A clamping plate 12 is arranged opposite to each other, and the second groove is arranged on the top of the second clamping plate 22 . Both the first clamping plate 12 and the second clamping plate 22 are perpendicular to the clamping direction of the first clamp body 1 and the second clamp body 2 .

缝线垫片的尺寸一般为长10mm,宽8mm,直接在钳嘴上设置凹槽需要将固定钳整体尺寸做的较大,使用不够方便,本实施例中,第一夹板12的长度为10mm,宽度为7mm,第一凹槽与第一夹板12的左侧面相交所形成的轮廓线位于缝线垫片3的外轮廓内,第二凹槽与第二夹板22的右侧面相交所形成的轮廓线位于缝线垫片3的外轮廓内,第一夹板12和第二夹板22的设置使得固定钳整体结构紧凑,且经济性高。The size of the suture spacer is generally 10mm long and 8mm wide. To set the groove directly on the pliers mouth needs to make the overall size of the fixed pliers larger, which is not convenient enough to use. In this embodiment, the length of the first splint 12 is 10mm. , the width is 7mm, the contour line formed by the intersection of the first groove and the left side of the first splint 12 is located in the outer contour of the suture gasket 3, and the second groove and the right side of the second splint 22 intersect at the The formed contour line is located in the outer contour of the suture spacer 3, and the arrangement of the first clamping plate 12 and the second clamping plate 22 makes the overall structure of the fixing forceps compact and economical.

由于心血管外科手术多使用双缝针,本实施例中,第一凹槽为向第一夹板12内延伸的第一弧形槽;第二凹槽为向第二夹板22内延伸的第二弧形槽,双缝针可以分别插入弧形凹槽的两侧,方便了双缝针的穿针作业,优选的,如图2所示,第一弧形槽和第二弧形槽均为半椭圆形,本实施例中半椭圆形的长轴为10mm,半椭圆形的短轴为6mm,半椭圆形的长轴与与凹陷深度方向平行。Since double-suture needles are often used in cardiovascular surgery, in this embodiment, the first groove is a first arc-shaped groove extending into the first splint 12 ; the second groove is a second groove extending into the second splint 22 . The arc-shaped groove, the double-stitched needle can be inserted into the two sides of the arc-shaped groove respectively, which facilitates the needle threading operation of the double-stitched needle. Preferably, as shown in Figure 2, the first arc-shaped groove and the second arc-shaped groove are both Semi-ellipse, in this embodiment, the long axis of the semi-ellipse is 10 mm, the short axis of the semi-ellipse is 6 mm, and the long axis of the semi-ellipse is parallel to the depth direction of the depression.

本实施例中,第一钳体1的第二端设有第一锯齿卡扣13,第二钳体2的第二端设有第二锯齿卡扣23,第一锯齿卡扣13和第二锯齿卡扣 23相互卡合以保持第一钳体1与第二钳体2处于闭合状态,第一锯齿卡扣13和第二锯齿卡扣23的设置使得夹持缝线垫片后固定钳能够始终处于闭合状态,方便了医护人员的穿针作业。In this embodiment, the second end of the first forceps body 1 is provided with a first sawtooth buckle 13, the second end of the second forceps body 2 is provided with a second sawtooth buckle 23, the first sawtooth buckle 13 and the second sawtooth buckle The serrated buckles 23 are engaged with each other to keep the first forceps body 1 and the second forceps body 2 in a closed state. The arrangement of the first sawtooth buckles 13 and the second sawtooth buckles 23 makes it possible to fix the forceps after clamping the suture gasket. It is always in a closed state, which facilitates the needle threading operation of medical staff.

本实施例中,第一钳体1的第二端设有第一指环14,第二钳体的第二端设有第二指环24。In this embodiment, the second end of the first forceps body 1 is provided with a first finger ring 14 , and the second end of the second forceps body is provided with a second finger ring 24 .

以上所述仅是本实用新型的优选实施方式,应当指出,对于本技术领域的普通技术人员来说,在不脱离本实用新型技术原理的前提下,还可以做出若干改进和替换,这些改进和替换也应视为本实用新型的保护范围。The above are only the preferred embodiments of the present invention. It should be pointed out that for those skilled in the art, some improvements and replacements can be made without departing from the technical principles of the present invention. These improvements And replacement should also be regarded as the protection scope of the present invention.

Claims (5)

1. A fixing clamp for a cardiovascular suture needle to penetrate a gasket comprises a first clamp body (1) and a second clamp body (2) which are connected in a cross rotating mode, and is characterized in that a first clamp mouth (11) is arranged at the first end of the first clamp body (1), a second clamp mouth (21) is arranged at the first end of the second clamp body (2), a first groove is formed in the edge of the first clamp mouth (11), a second groove is formed in the edge of the second clamp mouth (21), and the second groove is opposite to the first groove;
when the first forceps body (1) and the second forceps body (2) are in a clamping state, the first groove and the second groove form a groove space for a cardiovascular suture needle to pass through, and the groove space penetrates along the clamping direction of the first forceps body (1) and the second forceps body (2).
2. The fixing clamp for the gasket threading of the cardiovascular suture needle according to the claim 1, characterized in that the first clamp mouth (11) is provided with a first clamping plate (12), and the first groove is arranged on the top of the first clamping plate (12);
a second clamping plate (22) is arranged on the second clamp mouth (21), the second clamping plate (22) is arranged opposite to the first clamping plate (12), and the second groove is formed in the top of the second clamping plate (22);
the first clamping plate (12) and the second clamping plate (22) are both perpendicular to the clamping direction of the first clamp body (1) and the second clamp body (2).
3. The fixing clamp for gasket penetration of the cardiovascular suture needle according to claim 2, wherein the first groove is a first arc-shaped groove extending towards the inner side of the first splint (12);
the second groove is a second arc-shaped groove extending towards the inner side of the second clamping plate (22).
4. The fixed clamp for gasket threading of the cardiovascular suture needle according to claim 1, wherein the second end of the first clamp body (1) is provided with a first saw-tooth buckle (13), the second end of the second clamp body (2) is provided with a second saw-tooth buckle (23), and the first saw-tooth buckle (13) and the second saw-tooth buckle (23) are mutually clamped to keep the first clamp body (1) and the second clamp body (2) in a closed state.
5. The fixing clamp for gasket threading of a cardiovascular suture needle according to claim 1, characterized in that a second end of the first clamp body (1) is provided with a first finger ring (14), and a second end of the second clamp body is provided with a second finger ring (24).
CN202121200224.9U 2021-05-31 2021-05-31 A kind of fixed forceps for cardiovascular suture needle threading spacer Active CN216823583U (en)

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