CN218899669U - Debridement hemostasis device for endoscope - Google Patents

Debridement hemostasis device for endoscope Download PDF

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Publication number
CN218899669U
CN218899669U CN202222294571.3U CN202222294571U CN218899669U CN 218899669 U CN218899669 U CN 218899669U CN 202222294571 U CN202222294571 U CN 202222294571U CN 218899669 U CN218899669 U CN 218899669U
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insertion tube
tube body
head
debridement
liquid storage
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CN202222294571.3U
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周雨迁
楚毅
罗敏
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Second Xiangya Hospital of Central South University
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Second Xiangya Hospital of Central South University
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Abstract

The utility model relates to the technical field of medical equipment, in particular to a debridement hemostasis device for an endoscope, which comprises: the electric coagulation device comprises an insertion tube body, a liquid storage system, a power system, an electric coagulation system and a hand-held part; the head of the insertion tube body is provided with a cleaning hole, and the cleaning hole of the head of the insertion tube body can spray normal saline and hemostatic drugs provided by the liquid storage system to a target tissue position according to a certain pressure in cooperation with the liquid supply of the liquid storage system and the power provided by the power system, so that the necrotic material can be washed to achieve the aim of debridement, the wound surface can be washed to expose bleeding points when the wound surface in the cavity bleeds, and hemostatic drugs can be sprayed to the bleeding points to perform hemostatic treatment; meanwhile, after flushing and debridement, the insertion tube body can also cooperate with an electrocoagulation system to act, and the head of the insertion tube body is penetrated into a target tissue site to compress bleeding points and perform electrocoagulation hemostasis treatment.

Description

Debridement hemostasis device for endoscope
Technical Field
The utility model relates to the technical field of medical equipment, in particular to a debridement hemostasis device for an endoscope.
Background
With the development of minimally invasive endoscopic techniques, deep abscess cleaning techniques are becoming increasingly mature and becoming the priority choice for such lesions. The traditional necrotic abscess endoscopic treatment is that after the debridement sinus is established, a net basket or a foreign body forceps is firstly used for entering the interior of a pus cavity to sleeve or grasp necrotic substances, then an injection catheter is used for washing, the necrotic substances are repeatedly removed after the visual field is clear, and then the abscess cavity is washed, and the process can be completed by changing different endoscopic instruments, so that time and labor are wasted, and the medical cost and the burden of a patient are increased due to the use of various instruments. Meanwhile, because necrotic substances in abscess are fragile, the current problem of endoscopic debridement operation is that blood vessels on the base part or wall of the abscess are broken and bleed frequently in the debridement process, once intracavity bleeding occurs, the visual field can quickly blur and disappear, the treatment difficulty is increased, and the treatment failure is caused by large bleeding amount.
Disclosure of Invention
The utility model aims to provide a debridement hemostasis device for an endoscope, which aims to solve the debridement and hemostasis problems in a cavity in an endoscopic minimally invasive surgery.
The utility model provides a debridement hemostatic device for an endoscope, which comprises: the electric coagulation device comprises an insertion tube body, a liquid storage system, a power system, an electric coagulation system and a hand-held part;
the head of the insertion tube body is provided with a cleaning hole;
the liquid storage system comprises a liquid storage bottle or a liquid storage tank, and the liquid storage bottle or the liquid storage tank is connected with the insertion pipe body and is used for providing cleaning liquid required by the insertion pipe body;
the power system is connected with the insertion pipe body and is used for providing cleaning power required by liquid in the insertion pipe body;
the electric coagulation system is connected with the insertion tube body and is used for carrying out electric coagulation and hemostasis on target tissues;
the hand-held part comprises a gun body, a gun handle and a trigger; the gun body and the gun handle are hollow and are used for being inserted into the installation of the pipe body, the power system and the electrocoagulation system; the trigger is connected with the gun handle, and the trigger can be displaced relative to the gun handle.
Further, the insertion tube body comprises a tail part, a body part and a head part which are connected, and the outer diameter size of the head part is larger than that of the body part; the insertion tube body is made of a conductive material, or the head of the insertion tube body is made of a conductive material.
Further, the head of the insertion tube body is one of a square hollow column body structure, a pentagonal hollow column body, a hexagonal hollow column body and an N-sided hollow column body; the heads of square, pentagonal, hexagonal and N-sided hollow columns are provided with the cleaning holes on at least one surface; n is a positive integer greater than or equal to seven; or the insertion pipe body is a cylindrical pipe body, at least one plane is arranged on the cylindrical pipe body, and the cleaning hole is arranged on the plane.
Further, an expander is arranged on the body part near one end of the head part in the insertion tube body, and the expander is provided with an expansion state position; in the expanded state, the dilator is capable of expanding to increase the outer diameter dimension at the site of insertion of the tube body mount.
Further, the expander is an inflatable balloon, the inflatable balloon is sleeved on the body, the inflatable balloon is connected with a control valve arranged on the handheld part through a pipeline, and the control valve is used for inflating and deflating the inflatable balloon.
Further, the electrocoagulation system comprises: the electrode plate is arranged at the head of the insertion tube body, the contact switch is arranged at the trigger, and the electrode wire is used for connecting the electrode plate and the contact switch; and a power supply source for supplying power, which passes through the contact switch, the electrode wire and the electrode sheet in sequence by using the high-frequency circuit, and reaches the head of the insertion tube body; or, provide the power cord plug, the power cord plug is used for connecting the mains supply power, and the mains supply power utilizes high frequency circuit to pass through contact switch, electrode line, electrode slice in proper order, reaches the head of inserting the body.
Further, the power system includes: a cylinder assembly and a drive assembly; the cylinder body assembly is arranged on the gun body, and the driving assembly is arranged on the gun handle;
the cylinder body assembly comprises a cylinder body and a piston matched with the cylinder body; the piston can move along the cylinder body to form a compression cavity; the driving assembly is connected with the piston and used for driving the piston to move; the tail of the insertion tube body is connected with the compression cavity.
Further, the drive assembly includes a motor and a transmission assembly, the transmission assembly including:
a rack connected with the piston and an incomplete gear meshed with the rack;
and an output shaft of the motor is meshed and matched with the incomplete gear in a gear transmission mode.
Further, the device of the application still includes the helping hand subassembly of arranging in the rifle body afterbody, and the helping hand subassembly includes: one end of the compression spring is connected with the tail of the gun body, and the free end of the compression spring is sleeved on the guide rod and is connected with the piston.
Further, a liquid supply pipeline is inserted in the liquid storage tank or the liquid storage bottle, and the outlet end of the liquid supply pipeline is connected to the body part close to the tail end of the inserted pipe body.
The technical scheme of the utility model has the following advantages:
according to the debridement hemostatic device for the endoscope, the cleaning hole is formed in the head of the insertion tube body, the cleaning hole of the head of the insertion tube body is matched with the liquid supply of the liquid storage system and the power provided by the power system, physiological saline and hemostatic drugs provided by the liquid storage system can be sprayed to a target tissue position according to certain pressure, so that necrotic materials can be washed to achieve the debridement purpose, and bleeding points can be exposed by washing the wound surface when the wound surface in the cavity is bleeds, and hemostatic treatment can be performed by spraying hemostatic drugs on the bleeding points; meanwhile, after flushing and debridement, the insertion tube body can also cooperate with an electrocoagulation system to act, and the head of the insertion tube body is penetrated into a target tissue site to compress bleeding points and perform electrocoagulation hemostasis treatment.
Drawings
In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the drawings that are required to be used in the embodiments or the description of the prior art will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments described in the present application, and other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is a schematic view of a debridement hemostatic device under the scope of the present application;
FIG. 2 is a schematic view of the structure of an insertion tube in the endoscopic debridement hemostatic device of the present application;
wherein: 100. the device comprises an insertion tube body, 101, a head part, 102, a body part, 103, a tail part, 104, a cleaning hole, 201, a gun body, 202, a gun handle, 203, a trigger, 300, an expander, 301, a control valve, 401, a contact switch, 402, an electrode wire, 403 and a power supply; 501. cylinder block, 502, piston, 503, motor, 504, rack, 505, incomplete gear; 600. a liquid supply pipeline. 701. Power spring 702, guide arm.
Detailed Description
In order to better understand the technical solutions in the present application, the technical solutions in the embodiments of the present application will be clearly and completely described below, and it is obvious that the described embodiments are only some embodiments of the present application, not all embodiments. All other embodiments, which can be made by one of ordinary skill in the art without undue burden from the present disclosure, are within the scope of the present disclosure.
It will be understood that when an element is referred to as being "fixed" or "disposed" on another element, it can be directly on the other element or be indirectly on the other element; when an element is referred to as being "connected to" another element, it can be directly connected to the other element or be indirectly connected to the other element.
It is to be understood that the terms "length," "width," "upper," "lower," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," and the like indicate or are based on the orientation or positional relationship shown in the drawings, merely to facilitate description of the present application and simplify description, and do not indicate or imply that the devices or elements referred to must have a particular orientation, be configured and operated in a particular orientation, and therefore should not be construed as limiting the present application.
Furthermore, the terms "first," "second," and the like, are used for descriptive purposes only and are not to be construed as indicating or implying a relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defining "a first" or "a second" may explicitly or implicitly include one or more such feature. In the description of the present application, the meaning of a plurality of "a number" is two or more, unless explicitly defined otherwise.
It should be understood that the structures, proportions, sizes, etc. shown in the drawings are for illustration purposes only and should not be construed as limiting the scope of the present disclosure, since any structural modifications, proportional changes, or dimensional adjustments made by those skilled in the art should not be made in the present disclosure without affecting the efficacy or achievement of the present disclosure.
Referring to fig. 1, the present utility model provides an endoscopic debridement hemostatic device, wherein a liquid storage system and an insertion tube are not shown in detail, the endoscopic debridement hemostatic device of the present application comprises an insertion tube 100, a liquid storage system, a power system, an electrocoagulation system and a hand-held part; the head of the insertion tube body is provided with a cleaning hole; the liquid storage system comprises a liquid storage bottle or a liquid storage tank, and the liquid storage bottle or the liquid storage tank is connected with the insertion pipe body and is used for providing cleaning liquid required by the insertion pipe body; the power system is connected with the insertion pipe body and is used for providing cleaning power required by liquid in the insertion pipe body; the electric coagulation system is connected with the insertion tube body and is used for carrying out electric coagulation and hemostasis on target tissues; the hand-held portion includes a gun body 201, a gun handle 202 and a trigger 203; the gun body and the gun handle are hollow and are used for being inserted into the installation of the pipe body, the power system and the electrocoagulation system; the trigger is connected with the gun handle, and the trigger can be displaced relative to the gun handle.
In the above scheme, the cleaning hole 104 is arranged at the head of the insertion tube body, and the cleaning hole of the head of the insertion tube body can spray the physiological saline and the hemostatic drug provided by the liquid storage system to the target tissue according to a certain pressure in cooperation with the liquid supply of the liquid storage system and the power provided by the power system, so that the necrotic material can be washed to achieve the aim of debridement, the bleeding point of the wound surface can be washed when the wound surface in the cavity bleeds, and the hemostatic drug can be sprayed to the bleeding point to perform hemostatic treatment; meanwhile, after flushing and debridement, the insertion tube body can also cooperate with an electrocoagulation system to act, and the head of the insertion tube body is penetrated into a target tissue site to compress bleeding points and perform electrocoagulation hemostasis treatment.
Referring to fig. 2, as a preferred embodiment, the insertion tube body 100 includes a tail 103, a body 102 and a head 101 connected to each other, and the head has an outer diameter larger than the body; the insertion tube body is made of a conductive material, or the head of the insertion tube body is made of a conductive material; preferably, a conductive metal material is used. The outer diameter of the head of the insertion tube body is larger than that of the body, and the head of the insertion tube body can be contacted with the target tissue position in the lower cavity of the compression endoscope in a targeted manner, so that the compression hemostasis is facilitated.
More preferably, the head 101 of the insertion tube body is one of a square hollow cylinder structure, a pentagonal hollow cylinder, a hexagonal hollow cylinder and an N-sided hollow cylinder; the heads of square, pentagonal, hexagonal and N-sided hollow columns are provided with the cleaning holes 104 on at least one side; n is a positive integer greater than or equal to seven; alternatively, the insertion tube 100 is a cylindrical tube, at least one plane is disposed on the cylindrical tube, and the cleaning hole 104 is disposed on the plane. The edges of the square, pentagon, hexagon and N-sided shapes are arranged in a chamfering way, so that the wall surface is smooth and does not cut hands. The tail part is provided with a connecting thread which can be arranged on the gun body of the hand-held part.
In this embodiment, the head 101 of the insertion tube body has a hexagonal hollow cylinder structure, and one surface of the head is provided with dense round holes as spray cleaning holes 104. The body part and the tail part of the insertion tube body are hollow cylinder structures. The head of the hexagonal hollow column body, each surface of the hexagon is a smooth plane, the cleaning hole surface is removed, and other surfaces can be well attached to compress target tissues so as to mechanically compress bleeding points at the target tissue to stop bleeding, the compression range is large, and meanwhile, the electric coagulation system is matched to be electrified to stop bleeding, so that the hemostatic effect is good.
As a preferred embodiment, the liquid storage tank or bottle is inserted with a liquid supply pipeline 600, and the outlet end of the liquid supply pipeline is connected to the body near the tail end of the insertion tube. When the liquid storage tank or the liquid storage bottle is positioned below the insertion tube body, the liquid supply pipeline is preferably a siphon pipeline, or a pressure pump is arranged in the liquid supply pipeline so as to facilitate the feeding of cleaning liquid or hemostatic drugs into the insertion tube body.
As a preferred embodiment, the insertion tube body is provided with a dilator 300 on the body near one end of the head, and the dilator has a dilating state; in the expanded state, the dilator is capable of expanding to increase the outer diameter dimension at the site of insertion of the tube body mount. More preferably, the expander is an inflatable balloon, the inflatable balloon is sleeved on the body, and the inflatable balloon is connected with a control valve 301 arranged on the hand-held part through a pipeline, and the control valve is used for inflating and deflating the inflatable balloon.
The bleeding point of the target tissue is positioned at a difficult-to-treat site in the abscess cavity, when the head of the insertion tube body is difficult to stretch into local electrocoagulation, the inflatable balloon close to the head end can be inflated and pressurized, and on one hand, the air or the pressurized gas in the inflatable balloon presses the local part of the target tissue to perform compression hemostasis; on the other hand, after the inflatable saccule is inflated and expanded, the cavity wall of the target tissue is pressed by expansion, so that the complicated abscess cavity is communicated, possible dead cavities or invalid cavities can be eliminated, and the drainage smoothness of the abscess cavity channel of the target tissue position is ensured; meanwhile, the head part inserted into the tube body is convenient for debridement and electric coagulation hemostasis of the target tissue part.
As a preferred embodiment, the electrocoagulation system comprises: an electrode plate arranged at the head of the insertion tube body, a contact switch 401 arranged at the trigger, an electrode wire 402 connecting the electrode plate and the contact switch, and a power supply 403 for providing power; the power supply sequentially passes through the contact switch, the electrode wire and the electrode sheet by using the high-frequency circuit and reaches the head of the insertion tube body; the contact switch is normally off; or, provide the power cord plug, the power cord plug is used for connecting the mains supply power, and the mains supply power utilizes high frequency circuit to pass through contact switch, electrode line, electrode slice in proper order, reaches the head of inserting the body, and contact switch is often disconnected.
The trigger is rotatably connected with the gun handle, a reset torsion spring is arranged on a rotating shaft of the trigger and used for rotating and resetting the trigger, and when the trigger is in a reset state, the contact switch is in an off state; when the trigger is pressed, the trigger rotates to drive the contact switch to be closed so as to conduct the electrocoagulation system.
As a preferred embodiment, the power system includes: a cylinder assembly and a drive assembly; the cylinder body assembly is arranged on the gun body, and the driving assembly is arranged on the gun handle; the cylinder assembly comprises a cylinder 501 and a piston 502 matched and arranged in the cylinder; the piston can move along the cylinder body to form a compression cavity; the driving assembly is connected with the piston and used for driving the piston to move; the tail of the insertion tube body is connected with the compression cavity. Specifically, the end of the cylinder body is provided with a joint, and the joint is communicated with the tail thread in a screwed way. The drive assembly includes a motor 503 and a transmission assembly, the transmission assembly including: a rack 504 connected to the piston, and a partial gear 505 in meshing engagement with the rack; the output shaft of the motor is meshed with the incomplete gear 505 in a gear transmission manner. The power supply interface of the motor is connected with the contact switch at the trigger through a power supply line.
More preferably, the device further comprises a power assisting component arranged at the tail part of the gun body, and the power assisting component comprises: the guide rod with one end connected to the tail of the gun body, and the compression spring 701 sleeved on the guide rod 702, the free end of the spring is connected to the piston.
After the trigger is pulled down, the contact switch is closed and conducted, the power supply releases current to the motor, the driving gear on the output shaft of the motor rotates to drive the driven gear or the incomplete gear to pull the rack, the piston in the cylinder body is driven to move backwards, the compression spring behind the piston is compressed to store energy, the piston can be automatically released when the incomplete gear rotates to a certain position, the piston compresses the air in the cylinder body, and compressed air is sprayed from the front to push physiological saline or hemostatic medicine to move forwards. Physiological saline or hemostatic drugs are provided by the fluid storage system through the fluid supply line.
The hemostatic device combines four functions of debridement, expansion, injection flushing, electric coagulation hemostasis and local compression hemostasis; the head of the insertion tube body is provided with a cleaning hole, and the cleaning hole of the head of the insertion tube body can spray normal saline and hemostatic drugs provided by the liquid storage system to a target tissue position according to a certain pressure in cooperation with the liquid supply of the liquid storage system and the power provided by the power system, so that the necrotic material can be washed to achieve the aim of debridement, the wound surface can be washed to expose bleeding points when the wound surface in the cavity bleeds, and hemostatic drugs can be sprayed to the bleeding points to perform hemostatic treatment; meanwhile, after flushing and debridement, the insertion tube body can also cooperate with an electrocoagulation system to act, and the head of the insertion tube body is penetrated into a target tissue site to compress bleeding points and perform electrocoagulation hemostasis treatment. When the bleeding point of the target tissue is positioned at a difficult-to-treat site in the abscess cavity, and the head of the insertion tube body is difficult to stretch into local electrocoagulation, the inflatable balloon close to the head end can be inflated and pressurized, and on one hand, the air or the pressurized gas in the inflatable balloon presses the local part of the target tissue to perform compression hemostasis; on the other hand, after the inflatable saccule is inflated and expanded, the cavity wall of the target tissue is pressed by expansion, so that the complicated abscess cavity is communicated, possible dead cavities or invalid cavities can be eliminated, and the drainage smoothness of the abscess cavity channel of the target tissue position is ensured; meanwhile, the head part inserted into the tube body is convenient for debridement and electric coagulation hemostasis of the target tissue part. The device can repeatedly debride the endoscope cavity for a plurality of times, has small damage to the organism of a patient, is simple and convenient and easy to implement, and obviously reduces the economic cost compared with debridement treatment of surgical operation.
The previous description of the disclosed embodiments is provided to enable any person skilled in the art to make or use the present utility model. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the generic principles defined herein may be applied to other embodiments without departing from the spirit or scope of the utility model. Thus, the present utility model is not intended to be limited to the embodiments shown herein but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.

Claims (10)

1. An endoscopic debridement hemostatic device comprising: the electric coagulation device comprises an insertion tube body, a liquid storage system, a power system, an electric coagulation system and a hand-held part;
the head of the insertion tube body is provided with a cleaning hole;
the liquid storage system comprises a liquid storage bottle or a liquid storage tank, and the liquid storage bottle or the liquid storage tank is connected with the insertion pipe body and is used for providing cleaning liquid required by the insertion pipe body;
the power system is connected with the insertion pipe body and is used for providing cleaning power required by liquid in the insertion pipe body;
the electric coagulation system is connected with the insertion tube body and is used for carrying out electric coagulation and hemostasis on target tissues;
the hand-held part comprises a gun body, a gun handle and a trigger; the gun body and the gun handle are hollow and are used for being inserted into the installation of the pipe body, the power system and the electrocoagulation system; the trigger is connected with the gun handle, and the trigger can be displaced relative to the gun handle.
2. The endo-debridement hemostatic device of claim 1, wherein the insertion tube body comprises a tail portion, a body portion, and a head portion connected, the head portion having an outer diameter greater than the body portion; the insertion tube body is made of a conductive material, or the head of the insertion tube body is made of a conductive material.
3. The endoscopic debridement hemostatic device according to claim 2, wherein the head of the insertion tube is one of a square hollow cylinder structure, a pentagonal hollow cylinder, a hexagonal hollow cylinder and an N-sided hollow cylinder; the heads of square, pentagonal, hexagonal and N-sided hollow columns are provided with the cleaning holes on at least one surface; n is a positive integer greater than or equal to seven;
or the insertion pipe body is a cylindrical pipe body, at least one plane is arranged on the cylindrical pipe body, and the cleaning hole is arranged on the plane.
4. A debridement hemostatic device for use under endoscopy according to claim 2 or 3, wherein a dilator is provided on the body portion of the insertion tube body adjacent to one end of the head portion, the dilator having an expanded state position; in the expanded state, the dilator is capable of expanding to increase the outer diameter dimension at the site of insertion of the tube body mount.
5. The endoscopic debridement hemostatic device according to claim 4, wherein the dilator is an inflatable balloon, the inflatable balloon is sleeved on the body, and the inflatable balloon is connected to a control valve provided on the hand-held portion through a pipeline, and the control valve is used for inflating and deflating the inflatable balloon.
6. The endoscopic debridement hemostatic device of claim 4, wherein said electrocoagulation system comprises: the electrode plate is arranged at the head of the insertion tube body, the contact switch is arranged at the trigger, and the electrode wire is used for connecting the electrode plate and the contact switch; and a power supply source for supplying power, which passes through the contact switch, the electrode wire and the electrode sheet in sequence by using the high-frequency circuit, and reaches the head of the insertion tube body; or, provide the power cord plug, the power cord plug is used for connecting the mains supply power, and the mains supply power utilizes high frequency circuit to pass through contact switch, electrode line, electrode slice in proper order, reaches the head of inserting the body.
7. An endoscopic debridement hemostatic device according to any one of claims 1-3, 5-6, wherein said power system comprises: a cylinder assembly and a drive assembly; the cylinder body assembly is arranged on the gun body, and the driving assembly is arranged on the gun handle;
the cylinder body assembly comprises a cylinder body and a piston matched with the cylinder body; the piston can move along the cylinder body to form a compression cavity; the driving assembly is connected with the piston and used for driving the piston to move; the tail of the insertion tube body is connected with the compression cavity.
8. The endoscopic debridement hemostatic device of claim 7, wherein the drive assembly comprises a motor and drive assembly, the drive assembly comprising:
a rack connected with the piston and an incomplete gear meshed with the rack;
and an output shaft of the motor is meshed and matched with the incomplete gear in a gear transmission mode.
9. The endoscopic debridement hemostatic device of claim 8, comprising a booster assembly disposed at a tail of the gun body, the booster assembly comprising: one end of the compression spring is connected with the tail of the gun body, and the free end of the compression spring is sleeved on the guide rod and is connected with the piston.
10. The endoscopic debridement hemostatic device according to claim 9, wherein the liquid storage tank or bottle is inserted with a liquid supply line, and an outlet end of the liquid supply line is connected to a body portion near a tail end of the insertion tube body.
CN202222294571.3U 2022-08-30 2022-08-30 Debridement hemostasis device for endoscope Active CN218899669U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202222294571.3U CN218899669U (en) 2022-08-30 2022-08-30 Debridement hemostasis device for endoscope

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202222294571.3U CN218899669U (en) 2022-08-30 2022-08-30 Debridement hemostasis device for endoscope

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CN218899669U true CN218899669U (en) 2023-04-25

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